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CLB Agenda 08/16/2023COLLIER COUNTY Board of County Commissioners Contractor Licensing Board AGENDA Board of County Commission Chambers Collier County Government Center 3299 Tamiami Trail East, 3rd Floor Naples, FL 34112 August 16, 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 - JULY 19,2023 (26297) 5. PUBLIC COMMENTS 6. DISCUSSION 7. REPORTS 8. NEW BUSINESS 8.A. 8A. ORDERS OF THE BOARD (15 ITEMS) (26298) 8.B. 8B. ADMIR SHAQIRI - REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - ADMIRAL GENERAL CONTRACTOR LLC (26299) 8.C. 8C. JOSE M. JIMENEZ - REVIEW EXPERIENCE - RESIDENTIAL CONTRACTOR - JJ'S INNOVATION QUALITY LLC (26300) 8.D. 8D. JACOB L. WEITHEMER - REVIEW OF EXPERIENCE - RESIDENTIAL SWIMMING POOL/SPA CONTRACTOR - POOL L (263oi) 8.E. 8E. JOSE A. BETANCOURT PAZ - REVIEW OF EXPERIENCE - DRYWALL CONTRACTOR - J.A.B PAINTING INC. (263o2) 8.F. 8F. RAFAEL AGUILAR - REVIEW OF CREDIT - SWIMMING POOL/SPA SERVICING/REPAIR CONTRACTOR (263o3) 8.G. 8G. ADELA SANTOS - SECOND ENTITY APPLICATION - TREE REMOVAL & TRIMMING CONTRACTOR - D SANTOS TREE (263o5) 9. OLD BUSINESS 9.A. 9A. ROBERTO SUAREZ SANCHEZ - REVIEW OF CREDIT - SWIMMING POOL/SPA SERVICING CONTRACTOR - ALPHA POOL (26306) 9.B. 9B. TERESA QUIROZ - PROBATION REVIEW (CREDIT) - ELITE PAINTERS OF SWFL LLC (26307) 9.C. 9C. SIMON J. AGUIRRE - REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - RED LEVEL CONSTRUCTION LLC (263o8) 10. PUBLIC HEARINGS 10.A. 10B. 2023-15 - NICHOLAS ANTHONY MAZZOLA DBA ABOVE & BEYOND PAINTING AND DECORATING L.L.C. (CEMIS2023 (26310) 10.B. 10A. DANIEL FEIERTAG -CONTESTING CITATIONS 11927 (CEUL20230005328) & 11928 (CEUL20230005446) (26311) 10.C. IOC. 2023-16 VINORA D. WALLACE DBA WALLACE CUSTOM CABINETRY, LLC (CEMIS20230006190) (26314) 11. NEXT MEETING DATE 11.A. 11. NEXT MEETING DATE - WEDNESDAY, SEPTEMBER 20, 2023 (26312) 4.A 08/16/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 4.A Doc ID: 26297 Item Summary: 4A. APPROVAL OF MINUTES - JULY 19,2023 Meeting Date: 08/16/2023 Prepared by: Title: — Contractor Licensing Name: Alyshia Morse 08/08/2023 3:58 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 08/08/2023 3:58 PM Approved By: Review: Contractor Licensing Contractor Licensing Contractor Licensing Sandra Delgado Review item Tim Crotts Review Item Tim Crotts Meeting Pending Completed 08/08/2023 4:51 PM Completed 08/09/2023 3:13 PM 08/16/2023 9:00 AM Packet Pg. 4 July 19, 2023 4.A.1 MINUTES OF THE COLLIER COUNTY CONTRACTOR LICENSING BOARD MEETING DULY 19, 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: Vice Chairman: Stephen Jaron Robert Meister Terry Jerulle Richard Joslin Jr. Kyle Lantz Elle Hunt Todd Allen (excused) Matthew Nolton (excused) ALSO PRESENT: Ronald Tomasko, Esq. Timothy Crotts, Contracting Licensing Supervisor Kevin Noell, Esq. Sandra Delgado, Operations Supervisor 1 Packet Pg. 5 4.A.1 July 19, 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 ■ Stephen Jaron: Meeting came to order at 9:01 AM and a roll call was taken with six members present. ■ Timothy Crotts: Todd Allen and Matthew Nolton are not present today. Prior notice was given and we ask the Vice Chair to show these absences as excused. ■ Stephen Jaron: Absences are excused. 2. Additions or Deletions p ■ Timothy Crotts: Mr. Vice Chair, staff is going to delete under new business 8C. This a. applicant provided additional information for the issuance of his license. (Josue E. Q Vasquez) ti 3. Approval of Agenda °; ■ Kyle Lantz: Motion that we approve the agenda as modified. N ■ Richard Joslin: I'll second the motion. ■ Stephen Jaron: All in favor — aye. (Carried unanimously, 6-0.) 4. Approval of Minutes ■ Stephen Jaron: Motion to approve the minutes from June 21, 2023. ■ Stephen Jaron: Motion to approve. ■ Kyle Lantz: I'll second. ■ Stephen Jaron: All in favor — aye. (Carried unanimously, 6-0.) 5. Public Comments None. 6. Discussion ■ Stephen Jaron: We have an introduction of a new Director. ■ Timothy Crotts: I'd like to introduce Director Thomas Iandimarino. He is the new Director of the Collier County Code Enforcement. ■ Tom Iandimarino: I have been the new Director for Code Enforcement since April 9 or 10. Since I've become the Director, I have inherited the contractor licensing side of the house. I wanted to make my hellos and introduction. Thank you very much. ■ Stephen Jaron: Did you work in another department in the county previously? ■ Tom Iandimarino No, I've been with the United States National Park Service for 30 plus years, recently retired from the National Park Service working out at Everglades National Park, Big Cypress National Preserve and living in Collier County since 1997. But I've been down here with the Park Service before I moved to the moved to the Everglades. 2 Packet Pg. 6 4.A.1 July 19, 2023 But this is home to me and has been for 25 plus years and don't plan on leaving anytime soon unless it's a vacation. ■ Kyle Lantz: Has licensing always been part of Code Enforcement? ■ Timothy Crofts: No. Originally we were under the Operations and Regulatory Division of the GMD. They just transferred us under the Code Enforcement. The duties are still the same, just under a different division. ■ Kyle Lantz: I have a question about State law about licensing. Did anything change for us July 1 or that whole thing got pushed down a year? ■ Timothy Crotts: Everything was pushed out to July 1 of 2024. There will be some changes coming. There still will be at least right now some of the licenses that will not be required any longer, however, but the state is also adding thirteen additional licenses to its category, which will allow us to have those licenses also. ■ Kyle Lantz: But as of today, tile guy still needs a tile license. A painter still needs a painter license? ■ Timothy Crotts: That's correct. d 7. Reports None. N W N 8. New Business c (A) Orders of the Board (10 Items) ■ Kyle Lantz: I'll make a motion to authorize the Vice Chair to sign the Orders of the Board. ■ Richard Joslin: I'll second the motion. All in favor — aye. (Carried unanimously, 6-0.) (B) RENE LUCAS MAZARIEGOS — REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - INNOVA BUILDERS, INC ■ Rene Lucas Mazariegos: Sworn testimony given. ■ Timothy Crotts: Mr. Mazariegos has submitted an application for the issuance of a residential contractor license, which requires 48 months experience. As part of the application process for the issuance of residential contractor license, Mr. Mazariegos was required to submit documentation showing his experience. Mr. Mazariegos currently holds the following license in Collier County. He is a masonry contractor under R&M Precast Decoration and Design, and a painting contractor under Innova Builders. As part of the review process by staff, Mr. Mazariegos has submitted verification of experience from current and former employers outlining his experience. The first is Union Construction of Southwest Florida, which is a local licensed residential contractor. Luis Morales is the qualifier. Mr. Mazariegos worked for this company from 2019 to 2022. Mr. Morales stated that Mr. Mazariegos' work consisted of remodeling only, some hands on experience, but was in charge of hiring the subcontractors as a Superintendent. The work for this contractor is remodeling only. He has no new building experience. Custom Homes by Kaye, which is a state certified general contractor, Mark Carril qualifier. Mr. Mazariegos is a 1099 subcontractor for this company from August 2020 to present. A 3 Packet Pg. 7 4.A.1 July 19, 2023 phone interview with Mr. Carril by Licensing Operations Supervisor, Sandra Delgado, revealed that Mr. Mazariegos' experience was in remodeling only with some hands on M experience. It was reported that Mr. Mazariegos is great with his attention to detail, that o he could read blueprints and was good with codes. Mr. Mazariegos has no new build o experience with this company. There was also an experience letter submitted by J Catherine Kaye, qualifier for Kaye Holmes. She is the CBC, however, after several attempts to reach her, no return phone calls were received. Based upon the information received it is the opinion of staff that Mr. Mazariegos does not meet the experience required under Ordinance 2006-46, Section 1.6.1.3 as it relates to the trade of residential Z contractor. Mr. Mazariegos is being referred to the Board under Section 2.5.2, referral the 9 application to the Contractor Licensing Board for decision, and he is here today to answer p your questions regarding his experience. Q ■ Stephen Jaron: Can you explain your experience in more detail because that's really the p issue we're having with your license application? You need four years of experience and a. we just need more explanation of that experience. Q ■ Rene Lucas Mazariegos: I've been working with Stuart Kaye, Kaye Homes, d remodeling,additions framing, painting, and finishing work. I have pictures of one of the � g, P g, g houses with Kaye Homes I worked on — additions, framing, and supports. They come N with instructions. I'm familiar with the permits and inspections. N ■ Terry Jerulle: Being familiar with permits and inspections doesn't qualify you as a -- contractor. Is Innova currently licensed right now? And what license does Innova have? M r- U- ■ Rene Lucas Mazariegos: Painting license. W ■ Terry Jerulle: Is that your van that's parked in the community parking lot outside? Okay. And on the side of the van it says home remodeling? And it says licensed and insured for Z home remodeling. ■ Stephen Jaron: And it also has a license number on the van. ■ Rene Lucas Mazariegos: The license number is the painting license because we are doing with the Kaye Homes Remodeling. ■ Terry Jerulle: And what are you doing with Kaye Homes? ■ Rene Lucas Mazariegos: Remodeling when they like, when the new construction needs something like an addition or removal or adjust. So I work with the marker reel and the store. ■ Terry Jerulle: As a subcontractor or as an employee? ■ Rene Lucas Mazariegos: As a subcontractor and sometimes as an employee too. ■ Terry Jerulle: Are you saying that you're working as a subcontractor remodeling homes? ■ Rene Lucas Mazariegos: No, because they have all the permits. I help them to remodel. ■ Terry Jerulle: Yes, you said you're helping them remodel. And I asked you if you're helping them remodel as a subcontractor or as an employee? ■ Rene Lucas Mazariegos: As an employee. ■ Terry Jerulle: And now it's an employee. Do you have a W2? You have proof that you're an employee? ■ Rene Lucas Mazariegos: Yes. I have a W2 but not right now. And a 1099. ■ Stephen Jaron: So just getting back to the van, the license number on the van is that a Collier County license number or Lee County? 4 Packet Pg. 8 4.A.1 July 19, 2023 ■ Rene Lucas Mazariegos: Collier County. It's my painting license. I have a masonry license for both Collier and Lee County. ■ Kyle Lantz: What kind of masonry work do you do? ■ Rene Lucas Mazariegos: Precast decoration or like bracket decorations. All kinds of decorations. ■ Terry Jerulle: I think the question is the County says that you do not have the 5 experience. So it's incumbent upon you to prove to us that you do. ■ Elle Hunt: That includes building a house. This license would be for building a house LU from the beginning foundation, site prep work. Z ■ Rene Lucas Mazariegos: With Union Construction, we did new construction, one house. 2 I was supervising them and helping so I get the experience. With Kaye Homes when they p already have the new construction they send me to help those when they're framing. Q When this happens I also learn more stuff p ■ Kyle Lantz: So what kind of structural work do you have? And by structural I mean a. slabs, pilings, footers, block, tie beams, trusses, roof sheeting. What kind of experience Q do you have in those types of things? Or do you usually come in after that portion is d done? ■ Rene Lucas Mazariegos: I have the ability to do it and have done it a bunch of times. So N I took a picture because four years ago I came here before. And to get more experience N that's why I took pictures. -- ■ Kyle Lantz: Are you the one who personally hung the trusses, you know, tied them to the M crane or however you did them, flew them over or strapped them? ■ Rene Lucas Mazariegos: No, I was like checking them with Luis Morales checking house. We layer, like reinforce the trusses for the AC. This picture of a Kaye home. Those trusses are already there. This process we attach new trusses for AC because we got the plywood. A subcontractor flew the trusses. ■ Terry Jerulle: Mr. Mazariegos, you need four years of experience building homes from the ground up. And it doesn't appear that you have that, either by what you've provided or through your testimony. ■ Elle Hunt: And he said that he's only been involved in one new home build and it wasn't any of the site prep work, foundational work or anything. They just brought him in after it was constructed to do internal efforts. We're expecting four years of building a home from the ground up. That's because that's the license that we would be giving you is the ability to build a house from the ground up and you don't have that experience. Building one (home) is certainly not enough. ■ Stephen Jaron: So you agree that you're lacking experience? Is that what you just said? ■ Rene Lucas Mazariegos: Yes. ■ Stephen Jaron: So you're going to need more experience from day one — from grading the pad all the way up to turning over the keys to the owners. Every phase of construction so just continue working for them and gain more and more experience. ■ Terry Jerulle: Document that experience and come in and prove to us with W2 forms that you've worked with them for four years building homes from the ground up. ■ Kyle Lantz: It looks like what your experience is in is after the shell is already built. We want the experience before the shell is built. 5 Packet Pg. 9 4.A.1 July 19, 2023 ■ Terry Jerulle: Motion to deny. ■ Richard Joslin: I second the motion. All in favor — aye. (Carried unanimously, 6-0.) ■ Richard Joslin: I also have one other thing. I would be careful on how you advertise on your vehicle as far as what duties you're performing or what services you're going to perform because it's a little misleading. If you're advertising that you can remodel, or remodeling of any sort because in a sense you aren't licensed to do that work, you're licensed to do the painting work, which that could be printed out. But just be careful on what you put on your truck. ■ Timothy Crotts to explain later to Rene Lucas Mazariegos the above point made by Richard Joslin. ■ Stephen Jaron: Item 8C has been deleted so we're on 8D. Wilmer Portillo Sanchez if you would come forward and be sworn in. (D) WILMER Y. PORTILLO SANCHEZ — REVIEW OF EXPERIENCE - M N CARPENTRY CONTRACTOR - EVERLAST BUILDING CONTRACTORS, N 1AL1C4P ■ Wilmer Portillo Sanchez: Sworn testimony given. ■ Timothy Crotts: Mr. Sanchez has submitted an application for the issuance of a license for carpentry contractor which requires 36 months experience. A copy of the requirements for this license has been included in your packet on page 78. Mr. Sanchez appeared before the Contractors Licensing Board on February 13, 2023, and attempted to get his license as a building contractor. This license was denied by the Board due to his lack of experience and credit issues. A copy of these minutes can be seen on pages 105, 106, 107, 108 in your packet. As part of the application process for the issuance of the license, Mr. Sanchez was required to submit documentation showing his experience. As part of the review process by staff, Mr. Sanchez has submitted a verification of experience from a former employee outlining his experience — line item Maintenance Service Incorporated, which is a state certified building contractor. Mr. Sanchez has worked for this company from June 2017 to January 2023 part time. And speaking with Daniel Sherry, who is the license holder, Mr. Sanchez's experience was that as a subcontractor, and basically stated he knew how to swing a hammer and read a tape measure. Based upon the information received it is the staff's opinion that Mr. Sanchez does not meet the minimum requirements as set forth in Ordinance 2006-46 as it relates to experience under Section 1.6.3.6 as it relates to a carpentry contractor. Because Mr. Sanchez does not meet the minimum requirements, Mr. Sanchez is being referred to the Board under Section 2.5.2, referral of the application to the Contractor Licensing Board for decision. Mr. Sanchez is here today to answer your questions. ■ Elle Hunt: It says in the packet that he has two current licenses. Is that with us? One is painting, cabinet and flooring and one is landscaping? 11 Packet Pg. 10 4.A.1 July 19, 2023 ■ Timothy Crofts: That is correct. Both are with Collier County. ■ Stephen Jaron: Mr. Sanchez, can you give us more detail as far as the issue of your experience with your application? If you could expand on that. ■ Wilmer Portillo Sanchez: What kind of work I do? ■ Stephen Jaron: If you have dates of where you worked and what you did. What type of work it was? ■ Wilmer Portillo Sanchez: No, because I do framing and help them to lay in trusses and everything. I don't have the exact day we do the work. ■ Stephen Jaron: And you worked as a sub is that right? ■ Wilmer Portillo Sanchez: Correct. But most of the people you know are not there with the new law, but they always say, oh, we're going to fail because of unlicensed activity. So they let me do the work because I have a license in painting and I help them in the other part. That's what I get. I don't have the license to do that kind of work. ■ Stephen Jaron: Most of the work you did was through general contractors or directly for homeowners? ■ Wilmer Portillo Sanchez: Through a general contractor. d ■ Kyle Lantz: What kind of framing did you do? ■ Wilmer Portillo Sanchez: Do whole process — laying and framing on the wall and N everything. N ■ Kyle Lantz: How much experience would you say you have on that? -- ■ Wilmer Portillo Sanchez: I worked there before in the beginning and the other M company; I say 6-7 years total. i� Cn ■ Kyle Lantz: Running a crew? ■ Wilmer Portillo Sanchez: Yes, it's running a crew because most of the time like they Z give me the floor plan and we go from there and I help them to do the work too. ■ Terry Jerulle: Can you explain to me how to frame if I have a wall that is wood and I °-° have a window in there, can you explain how to frame around that window? M ■ Wilmer Portillo Sanchez: I have to do the seal. Take the gross opening of the window a and the top plate, secure all the windows so the wood doesn't expand ■ Terry Jerulle: Explain to me what materials you would use and what size materials you would use to frame a window. ■ Wilmer Portillo Sanchez: To frame the window I have to use 2 by 4's depending on the requirements of the floor plan and that's what I do. So we follow those directions. ■ Terry Jerulle: There is no floor plan and I'm asking you how to frame a window. ■ Wilmer Portillo Sanchez: I have to put double on each side and the top. It's hard for me to explain the exact name, but I have to do the seal in the bottom and put the cripple underneath so it will hold the weight of the window and everything. ■ Stephen Jaron: So you're saying it's a 2 by 4 framed wall? So what's the spacing on the 2 x 4's? ■ Wilmer Portillo Sanchez: You know most of the spacing we use is 16 on center on every wall. ■ Terry Jerulle: What do you use for your header? 7 Packet Pg. 11 4.A.1 July 19, 2023 ■ Wilmer Portillo Sanchez: For the header, you mean the top of the window? That one is the bigger wood. It's hard for me to explain in English. We know in Spanish what to do because we work with Spanish people. But it is a 2 x 6 we use sometimes for the header. ■ Kyle Lantz: Are you framing interior walls or exterior walls? ■ Wilmer Portillo Sanchez: Interior. Everything is block. ■ Stephen Jaron: But the question was how do you frame a window and a window is an 5 exterior item to a house. So you're working with an exterior structural wall that you're 7 saying would be framed with 2 x 4 wood on 16 inch centers. ■ Wilmer Portillo Sanchez: The window frame we got to do the whole opening. So we Z put double framing on each side and the top and we're going to put you know like I say. Is 2 really hard language barrier for me, but to explain because most of the time we work with p the people that speak our language, so we don't know the exact name like you guys are Q calling them. p ■ Stephen Jaron: So when you get the prints are they translated into Spanish? a. ■ Wilmer Portillo Sanchez: No, they are in English. I know how to read English. Q ■ Terry Jerulle: What type of wood do we use in our trusses? d ■ Wilmer Portillo Sanchez: Trusses is yellow pine. ■ Terry Jerulle: And what type of sheathing do we do on top of the trusses? N ■ Wilmer Portillo Sanchez: Sheathing you say? We call it plywood but that's the name I i know. -- ■ Stephen Jaron: How thick should the plywood be? M ■ Wilmer Portillo Sanchez: I can't tell this from the side but I know it's the same we used Cn on the floor but the deck is different. W ■ Stephen Jaron: How thick should that be for the roof? ■ Wilmer Portillo Sanchez: I really don't remember because everything is delivered to the job site. So I know they want it delivered. They order everything. But we use what they put in there. To remember everything is really hard. ■ Elle Hunt: The reason that we ask is because if we get you this license, you have to do the ordering. You're going to be the contractor doing this, and if you don't have the answers for it, then how do you make the orders? ■ Wilmer Portillo Sanchez: You know, even if we have the license, you know, like everything you call the supplier. ■ Elle Hunt: You're the licensee holder. The supplier doesn't own that. ■ Stephen Jaron: You can't depend on the suppliers. They ship you 1/2 inch plywood and it's supposed to be 5/8 inch. You put 1/2 inch up there you got a big problem. ■ Terry Jerulle: Mr. Sanchez, the County says you do not have the experience, but this is your chance to explain to us to override the County and I'm not convinced yet. So do you have anything else you can add to it to convince us that you do have the experience? ■ Richard Joslin: I'm also seeing one other thing on the application. I think maybe I'm wrong here, but you work with swimming pool cleaning also? (No.) Okay, maybe I'm missing something then. ■ Stephen Jaron: Any other questions from the Board? Motion to deny. ■ Kyle Lantz: Second. All in favor — aye. (Carried unanimously, 6-0.) E3 Packet Pg. 12 4.A.1 July 19, 2023 ■ Terry Jerulle: And document it. Get people to sign off that you're doing that work and you have that experience. ■ Stephen Jaron: Try and keep a diary of what you do every day and if you can get someone to sign off, whoever is paying you, the work you did or however you invoice. You know something that's concrete that we can look at. ■ Timothy Crotts: Mr. Vice Chair, could we take a five minute break? ■ Stephen Jaron: Five minute break until 9:40. (E) ROBERTO SUAREZ SANCHEZ - REVIEW OF CREDIT — SWIMMING POOL/SPA SERVICING CONTRACTOR - ALPHA POOL GUYS WEST COAST, LLC ■ Roberto Suarez Sanchez: Sworn testimony given. 'p ■ Timothy Crofts: Mr. Sanchez has submitted an application for the issuance of a a. swimming pool spa servicing contractor. This license requires a minimum credit score of Q 660. As part of the application process under Collier County Ordinance 2006-46, Section 2.3.9, Mr. Sanchez was required to submit a personal and business credit report. Mr. Sanchez's personal credit report was reviewed and appears not to meet the financial ti N responsibility as set forth in Section 2.5.1, Subsection D, the applicant or qualifier meets N the financial requirement or under responsibility as set forth in Rule 61 G4-15.006 of the State of Florida. A review of the personal credit report submitted by Mr. Sanchez showed the following areas of concern. Mr. Sanchez's credit report shows a score of 432. The Cn credit report shows the following: 13 charge offs and collections; five accounts closed by the credit grantor due to past due amounts still owed; 59 hard credit inquiries — 2023, z_ one; 2022, 53; and 2021, five. Due to the large number of charge offs, collections and accounts closed by credit grantors and the number of hard inquiries on Mr. Sanchez's v credit report, I'll refer you to pages 115, 116, 117, 118 of your packet for review of the N credit issues -- the total amount due for these are $503,000. It should be noted that Mr. CD Sanchez was issued a swimming pool, spa and servicing license on July 20, 2021, and at o that time Mr. Sanchez's credit score was 712 with no outstanding balances due. Mr. Cn Sanchez has since closed this company in order to become the license holder for this new LU company. Based upon the information received, Mr. Sanchez does not meet the minimum Z requirements set forth in Ordinance 2006-46 as it relates to the financial responsibility. Mr. Sanchez is being referred to the Board under Section 2.5.2 referral of the application p to the Contractor License Board for decision, and Mr. Sanchez is here today to answer a your questions regarding his credit. ■ Stephen Jaron: Mr. Sanchez, can you explain to us the credit issues that you've had? ■ Roberto Suarez Sanchez: The thing is we had a friend, a close friend, from where I was born. So we got a business. We did a business and we were going to use my credit to get equipment to be rented and those stuff. And he was going to pay me like $20,000 monthly after we did all these things. He got all the equipment and that stuff and he disappeared. So I got scammed. He doesn't answer anymore. So I had all these responsibilities and that's what I want to do to keep working because my lawyer is �i Packet Pg. 13 4.A.1 July 19, 2023 renegotiating the debts, so I can keep working and make a deal with the creditors to pay all the debts. ■ Stephen Jaron: What kind of equipment did you say you purchased? ■ Roberto Suarez Sanchez: It's something like an excavator but not an excavator. It is something to do for minor work, no heavy work. I don't know the name in English. ■ Richard Joslin: What kind of machine or equipment? Was it a loader or bobcat? ■ Roberto Suarez Sanchez: Yes, bobcat. ■ Terry Jerulle: For what purpose? ■ Roberto Suarez Sanchez: He told me that he was going to rent it so he will give me a profit monthly. He would be in charge of paying all the bills. I trusted him because he's from my homeland. He disappeared. So here if I have to pay anything, I will pay. So I just need to keep working. Q ■ Stephen Jaron: So where's the equipment now? Was it repossessed? p ■ Roberto Suarez Sanchez: I don't know. I've been trying to reach him for months. a. ■ Richard Joslin: So he has all the equipment now. Q ■ Roberto Suarez Sanchez: He got everything. He was going to pay me monthly, like a d profit. So I said it is a good business. The equipment was purchased under my name. ■ Terry Jerulle: Did you file a police report? N ■ Roberto Suarez Sanchez: No. He took it with my consent because he was going to pay i me. He paid me for two months of the agreement. After that he disappeared. -- ■ Terry Jerulle: When he disappeared, was that with your consent? Did you file a police M C U- report? Cn ■ Roberto Suarez Sanchez: No. I didn't know what to do because that would be affected L- and I would answer to the creditors if I have to settle the debts. So I have to file a police report? ■ Terry Jerulle: I would. And a lawyer. ■ Roberto Suarez Sanchez: I already got a lawyer taking care of that. ■ Elle Hunt: I would follow the advice of the attorney on this. If they tell you to contact the police, all of their advice. ■ Roberto Suarez Sanchez: I got his information. So whenever they ask me for his information, I will give it to them. ■ Richard Joslin: What other type of equipment did you have or buy or sign for that you purchased for this company? What other type of equipment did you buy or get? Besides the bobcat. ■ Roberto Suarez Sanchez: We got loans. We got cars that would be rented, anything that he told me that he had customers, you know to rent equipment, cars and he would give me that profit so as long as he doesn't have a credit. So he told me to do the business with him. ■ Stephen Jaron: Most of these cars and equipment and whatever else happened in 2022, right? I mean, it looks like a pretty short time period where you were applying for car loans, several car loans, Mercedes, BMW, it looks like VW, another Mercedes and Audi and another VW, it looks like a John Deere app, a motorcycle, I mean, this is all in a couple months time. So this person is your friend? ■ Roberto Suarez Sanchez: Yes, he's from my home. 10 Packet Pg. 14 4.A.1 July 19, 2023 ■ Stephen Jaron: He wanted you to buy this equipment and cars and then you were going to lease them to someone else. ■ Roberto Suarez Sanchez: He would rent them to his customers. He was going to take care of this part of the business. And he was going to give me monthly like a profit for that. ■ Stephen Jaron: But he took possession of the cars and the equipment? ■ Roberto Suarez Sanchez: It was never on my property. It was on his. He took it. He took them. ■ Stephen Jaron: You have no idea where any of this stuff is now? ■ Roberto Suarez Sanchez: I have his information. I thought he was going to put it in a safe place because I trust him. ■ Terry Jerulle: So whose fault is all of this? Q ■ Roberto Suarez Sanchez: I think it's mine. p ■ Terry Jerulle: I do too. So it's your fault. Why should we give you a license if you make a. poor decisions? Q ■ Roberto Suarez Sanchez: Because I am financially responsible but the thing is that I d trusted someone else. ■ Stephen Jaron: But this is a big boo-boo, a half million dollars worth of debt. N ■ Roberto Suarez Sanchez: Yes, that's what I'm trying with my lawyer. He is friend of N mine too. We are trying to renegotiate all the debts. So I will pay and be responsible. -- M ■ Stephen Jaron: And you never filed a police report? C ■ Roberto Suarez Sanchez: No. _ ■ Elle Hunt: I'm leaning to deny this because the credit score is too low. And it's a half a million dollars in debt. You've got nothing to show us that you're even taking care of it yet. So my suggestion would be that you come back to us after working with the attorney and whatever the attorney is doing so we can see that maybe this is an accurate set of circumstances that you're explaining to us. Right now, we only have your word and its sworn testimony, but we have nothing else. You know something from the attorney saying that they've gotten a hold of all of these people, they've put freezes on your credit, and you're working through it. What the attorney is going to do for you will give us a better indicator of what we should or should not do. ■ Roberto Suarez Sanchez: The thing that what I was trying to do with this is to keep working. So any debts that they send to me I can pay. Keep working to pay all. ■ Elle Hunt: I understand it's a catch 22, but there are these parameters in place to help protect consumers. You owe over $500,000 in debt. That doesn't give us a lot of security that you're going to be able to pay for equipment or pay for everything that you need to run a business. ■ Roberto Suarez Sanchez: And if they give me a plan or something to pay them. ■ Elle Hunt: That's what we're asking is once the attorney comes back and shows that he's contacted all of these creditors and you have a plan or they're going to write off. You don't have any of that information. ■ Roberto Suarez Sanchez: I got his contact. He is already doing it. ■ Richard Joslin: I would suggest also if you were going to do this, not speaking for everybody on the Board, but I can tell you that we're not going to grant this license I don't 11 Packet Pg. 15 4.A.1 July 19, 2023 believe. But your best choice would be to get your attorney to come with you the next time you decide to appear with us so that we can have some knowledge of what's happening with your credit. How is he handling this and how is he going to recover all these debts that you have or get them into a bundle to make a payment? A payment on half a million dollars is going to be a lot of money per month or per whatever, and I don't know that you'll be able to afford that. ■ Elle Hunt: And it may be going down a direction of bankruptcy or something. I don't know what his attorney is thinking. So we don't have enough information to really help LU you here. We know nothing other than this huge debt, but we don't have a payment plan. Z We don't have that you've worked on things and we don't have any information. And we 9 sympathize with the fact that you're going to have to deal with this, but as you said p earlier, this is a problem of yours and you just I think need to be further along in the Q recovery or the addressing of these before we would be able to consider a license, at least p this is my opinion at this point. a. ■ Richard Joslin: The other portion of it I don't understand is how you would be able to as Q a pool company or just a business be able to buy all these expensive vehicles and then d plan on renting them to someone to pay them off or to pay the debt. I mean you didn't see this coming or you had no input in how to stop it or ask him why? N ■ Roberto Suarez Sanchez: No, because the first two months it was normal. He was N paying everything. Everything was normal. After that, he disappeared. -- ■ Kyle Lantz: There's probably a reason why he didn't have the credit. But you currently M have a license, right? i� ■ Roberto Suarez Sanchez: Yes, I got it. ■ Kyle Lantz: Why don't you just operate under that business for now until you get it? Z ■ Roberto Suarez Sanchez: Because as the company you have to get in the process. So I don't know if it will be closed later, so I cannot work. The thing that I'm trying to ensure v is my job so I can earn money and any plan that the court or the lawyer put (in place) I M can keep working so I can pay the plan they give me. a ■ Timothy Crofts: I do want to bring it to the Board's attention that he no longer does have ti a company, that he has closed that company. He had a company with him and his father 0 as 50% partners. He has since closed that company in order to qualify this other Cn LU company. ■ Richard Joslin: So that was an active company that was actually operating? ■ Timothy Crofts: It was and then they closed that company. As you'll see the documentation up there that in order to operate or qualify this company that he's trying to qualify now. ■ Elle Hunt: But he had a license? ■ Timothy Crofts: He had a license for pool servicing and pool cleaning. He cancelled that license in order to qualify this company and not go through with a second entity. ■ Richard Joslin: Can that license be reactivated? ■ Timothy Crofts: It would have to be approved by the Board. Obviously, we have credit issues now. He could do a reinstatement, but we'll be back here for the same issues. ■ Kyle Lantz: But what do you do? You do just pool cleaning? ■ Roberto Suarez Sanchez: Yes, pool cleaning and maintaining some of the stuff. 12 Packet Pg. 16 4.A.1 July 19, 2023 ■ Kyle Lantz: So what kind of equipment does a pool cleaning business own? ■ Roberto Suarez Sanchez: Like a loader maybe to get heavy -like turbines, the pipes. So while we were in the business he told me that any equipment needed he will rent it. ■ Kyle Lantz: No, I understand. But in order to run a pool cleaning business, you don't need a loader. What kind of equipment do you need to run a pool cleaner? A brush or vacuum? ■ Roberto Suarez Sanchez: Yes, vacuums. ■ Kyle Lantz: Do you already own all this equipment? Do you already own whatever is required to clean pools? ■ Roberto Suarez Sanchez: Yes. ■ Kyle Lantz: And when you're cleaning pools, you're buying a bunch of chemicals, right? p Is the customer supplying them or you're supplying them? Q ■ Roberto Suarez Sanchez: From a supplier. p ■ Kyle Lantz: And how do you get them? Do you pay cash when you pick them up or do a. you have an account? Q ■ Roberto Suarez Sanchez: Right now I'm paying with the company card. The company d card is already open so I'm using the company account because it is not closed. ■ Stephen Jaron: What company is the account under? Alpha Pool Guys? N ■ Roberto Suarez Sanchez: Yes, Alpha Pool. It has its own account with the bank with a i debit card. c ■ Richard Joslin: You're talking about the supplier that you're going to that sells you the merchandise, the pool company's debit card. But we're being told that you don't have a license to do that any longer. Is that correct? ■ Roberto Suarez Sanchez: No, I have the license. ■ Timothy Crofts: He does not have a license. He relinquished that license in order to qualify this second company that he's trying to do today. ■ Roberto Suarez Sanchez: I already have the license. ■ Kyle Lantz: And how many customers do you have? How many pools do you serve? ■ Richard Joslin: You say you have a license and you say he doesn't? ■ Timothy Crotts: He doesn't. That license has been relinquished. ■ Richard Joslin: Okay, so you don't have a license at all. ■ Kyle Lantz: You had a license, but you cancelled your license on your old company to start the new company. ■ Roberto Suarez Sanchez: I have not cancelled yet. So I'm what I'm trying to do is to transfer my license to keep working. ■ Kyle Lantz: So how many pools do you clean? ■ Roberto Suarez Sanchez: Right now I have around 75 pools. ■ Kyle Lantz: And how do you get paid? People write you checks, give you credit card? ■ Roberto Suarez Sanchez: Checks or credit card. They pay monthly before and a month in advance. ■ Kyle Lantz: So if I hire you to clean my pool starting August 1 st, I'm going to pay you August I st. And then you're going clean it for the month. ■ Timothy Crofts: I would ask the board to look at page 133 and you'll see the documentation that was signed by Mr. Sanchez. 13 Packet Pg. 17 4.A.1 July 19, 2023 ■ Elle Hunt: Why did you cancel your license in that current company versus just try to get a second entity on the current license? ■ Roberto Suarez Sanchez: I don't know. I thought that was the procedure. ■ Kyle Lantz: I would say that's what we've been preaching since I've been on the Board is we'd rather you cancel one company and finally somebody listens. ■ Richard Joslin: So Alpha Pool Guys was the original company and Alpha Pool Guys West Coast is the new company. ■ Richard Joslin: So right now you think you have a license to work with the business and the credit card through your bank and all that. But in reality you don't have a license because it's been cancelled. ■ Timothy Crotts: If you look right up on the screen there you'll see the document you p signed. Q ■ Roberto Suarez Sanchez: But I thought after it was transferred that it would be closed? p ■ Kyle Lantz: So here's what I'm wondering. I think our job on this Board is to protect the a. residents of Collier County. I don't care about the creditors. How much risk are we Q putting the residents of Collier County in if we give a guy with absolutely horrible credit d a license to clean pools? I know it goes against what we're saying, but realistically. ■ Elle Hunt: And it almost sounds as if he did this by accident? N ■ Timothy Crofts: No, this was explained when he came into the office He was explained N to by staff. -- ■ Elle Hunt: That he was relinquishing his license that it was a crap shoot coming to us M because of his low credit? ■ Timothy Crofts: We didn't know about the low credit until afterwards but he cancelled the application on this one. He was explained to by staff and he decided to cancel this one in order to apply for the second one not to have to go through the second entity application process. ■ Richard Joslin: Now we have another problem then because if he's still operating as a business in pool cleaning and he has 75 customers out there that may or may not have already paid for a monthly service and his license is no longer valid, he's no longer allowed to go and work so we've got people out there now that have paid. And it's not our fault. But we're servicing the people of Collier County and now they're going to be damaged. ■ Terry Jerulle: Mr. Crotts, do you have a recommendation? ■ Timothy Crofts: Recommendation from staff is going to be that the license be denied until such time he can get his credit issues under control by means of being able to show that he is paying off the amount due or has entered into payment plans. Once he has been able to come up with documentation showing that then he would be allowed to come back in front of the Board for a decision by the Board. ■ Elle Hunt: Did his previous license have any marks against it? Did he have any complaints? Does he have any issues the County? ■ Timothy Crofts: As previously stated, when he came and got the license two years ago, his credit score was 712. He had no credit issues at all, so this is all occurred within the last two years with the majority of it taking place in 2022. 14 Packet Pg. 18 4.A.1 July 19, 2023 ■ Kyle Lantz: I'm going to make a motion, but I'm going to go against the recommendation and I don't know if it's going to pass or not, but personally I feel we're not putting the residents of Collier County in danger by giving him a license. In my opinion more than likely he's going to continue cleaning pools on a regular basis, so I'm going to make a motion that we approve his license with a one-year probation where he has to report back every four months with an updated credit report and an update on where he's going. ■ Richard Joslin: I would second that motion but I'm going to see the credit report sooner. And I want to see some kind of verification from his the attorney that he says he has, that will come in here and give us a little bit more insight into what's happening with this 2 amount. It's a great amount. And I think that we would want to see that sooner than a p year. (Clarified that it is every four months.) Q ■ Timothy Crofts: Mr. Vice Chair, if I may, could I get clarification on what you're p actually going to be looking for during these four month periods? Are you looking for an a. increased credit score? Are you looking for pay offs and if there are any other issues that Q pop up above and beyond what we have today? What would be the pleasure of the Board. d ■ Richard Joslin: I don't think we would be looking for another credit report because I don't think that credit report is going to change at all coming back with another credit N report. But I would like to have definitely the attorney here present and that will be your i responsibility to bring him here to verify what's going on with that account and at that -- time we can make another decision on the credit score and what the attorney feels like it's M going to take to get that credit score back up. I mean, that's a lot of money. i� Cn ■ Timothy Crofts: Would it be easier to table this matter for 90 days to give the applicant a chance? ■ Kyle Lantz: That would be easier but I want him to be able to go to work tomorrow. And I don't want everybody who has paid to get their pool cleaned for the month to not get their pool cleaned. ■ Richard Joslin: Do you service all of the pools yourself? ■ Roberto Suarez Sanchez: Me and my dad. ■ Terry Jerulle: What about giving him 30 days to come back in front of us with his attorney and a plan? Just 30 days. No guarantees. You can clean for the next 30 days because I have a feeling you'll probably do it anyway. And in 30 days he'll have his attorney here and he has a plan. And if it meets our satisfaction, then we can put him on probation like you said. If not, then we'll deny it. ■ Timothy Crofts: Just one other thing to bring up is the reminder for the Board that the company that he is looking to qualify now he has zero ownership in this company. So he's only going to be the license holder. He has no ownership in this company. This is a totally separate company. ■ Elle Hunt: So who owns this new company that you're trying to license? ■ Roberto Suarez Sanchez: My mom. ■ Elle Hunt: Your mother — 100%. Why don't you own any? ■ Roberto Suarez Sanchez: Because I didn't know and they're worried about the creditors coming towards the company. 15 Packet Pg. 19 4.A.1 July 19, 2023 ■ Kyle Lantz: I'll make a motion that we give him a temporary license for 30 days and in 30 days he comes back to the Board with his attorney and a plan. M ■ Richard Joslin: I'll second that motion. c ■ Stephen Jaron: Do you understand? So you have 30 days to get a hold of your attorney o and to get all of your paperwork in order. ■ Elle Hunt: You'll need to be back here on August 16 with your attorney. The county will give you more information, but the current motion is that we would give you a 30 day license so you could work for 30 days. But you will be here in front of the Board in August with the attorney. And at that point, depending on that information, we'll either Z give you a probationary license or not, but it will be dependent on the testimony given 2 next month with you and the attorney. We haven't voted on it yet. So like if in the next 30 p days the attorney contacts these various creditors and or is going to be filing for Q bankruptcy, we want to see documentation. So please ask the attorney to document p anything he or she does in the next 30 days and to bring that with him. a. ■ Timothy Crotts: I would recommend that the applicant have his attorney contact me so Q that we can make sure he understands or she understands exactly what the Board is going d to be looking for. ■ Elle Hunt: This week have your attorney contact Mr. Crotts on that. N ■ Roberto Suarez Sanchez: Alright, so you will give me a phone number? Alright, no i problem. ■ Terry Jerulle: So before we vote, what is the downside of doing this? I know it goes C against your recommendation. I'm just wondering if there something that we're not i� Cn seeing? Is there a downside here, just giving him a 30 day license? ■ Timothy Crotts: A 30 day license for him to continue to work under this new company Z may not create any issues. We're going to assume, which we hate to do, that the credit and the materials will we bought under the new company name with Mr. Sanchez's mother. v The downside to this, I think we're setting a bad precedence on this when we have a M credit score as low as what this is and the amount of credit due where this was not done en over time, it was done in a very short period of time, two years, to be exact almost one year where all the credit was done with that. So that is the staff's concern. ■ Elle Hunt: I want to make clear the only reason that I will be voting for this is because the applicant had a license and changed it over and I feel as if perhaps he didn't fully understand. And that's my position. ■ Richard Joslin: I think so too. Maybe it was explained, but I don't think he really was able to figure out exactly what he was doing when he did that. At this moment, I mean, he could have done easily a second entity and kept that license active and he wouldn't be here. He wouldn't get the second entity, but he would still have the license to clean pools. And pool cleaning isn't all that dollar and cents; no Mercedes or bobcat. ■ Kevin Noell: If I may, just for clarity on the motion, because 30 days will be longer than the next board meeting date, so is the motion that he's granted a license until August 16 at 5:00 PM or end of day August 16 and within 10 days he's going to have his representative contact Tim Crotts with a payment plan and to discuss what the Board needs? Is that part of the probation area, the 30 day probationary requirement? 16 Packet Pg. 20 4.A.1 July 19, 2023 ■ Richard Joslin: Oh no, he'll be able to hook up a payment plan within ten days, but at least to contact as far as information and what his obligations are going to be when he gets here, right? ■ Discussion continued with regard to: the date of August 16; the attorney and Mr. Sanchez make contact within a week; formulate a plan in writing prior to meeting on August 16. ■ Kevin Noell: Who was the motion maker? Mr. Lantz, so then is your motion just for granted, August 16, and then have him come back before the Board with the payment plan and your motion is that succinct? And then as far as whatever he's going to work out in the interim, he's on notice that his attorney should reach out to Mr. Crotts and all of that but that's not part of your motion. But it's understood that it's the will of the Board. Does that make sense? So that's the motion before the Board. ■ Discussion continued with regard to: bring a reasonable explanation and plan; typically Q we don't go against what the County recommends; this is a first; this is your fault; still p questioning why the police haven't been involved; your property was stolen; your credit a. score dropped; no debtor's prison anymore; first time giving a license with a low credit Q score; make it right. d ■ Stephen Jaron: Is your insurance current? Bring a current certificate of insurance to the August 16 meeting. N ■ Kevin Noell: For purposes of the motion I need to make sure because I'm going to draft i the order that's going to be, to an extent legally binding on this gentleman, and so if he -- comes before the Board and he doesn't comply with that order, I'm sure the Board is M going to have questions and that's going to be an issue. So I just need to procedurally i� Cn make sure Mr. Lantz, do you want that included in your motion that you want certificate of insurance? And those were the requirements that Mr. Jaron had just stated. Is that part Z of your motion? ■ Kyle Lantz: It is not. °J° ■ Kevin Noell: Can you restate then your motion so that we understand, and I understand M it's procedural lifting, but I need to be able to draft an order that's the will of this Board. a ■ Kyle Lantz: So my motion is that we grant him a temporary probationary license from ti now until 5:00 PM on August 16. At the August 16 meeting, we expect him to be here 0 with an attorney with an explanation of how he got in the situation he's in and a plan of Cn how he plans to get out of the situation he's in. D z ■ Elle Hunt: Not necessarily a payment plan, but a plan on what they're doing in writing. ■ Richard Joslin: And I will second my motion to the amendment. p ■ Stephen Jaron: All in favor, say aye. J a Aye — four. o Terry Jerulle and Stephen Jaron — nay. (Disunited vote, 4-2.) a 9. Old Business (A) SIMON J. AGUIRRE — REVIEW OF EXPERIENCE — RESIDENTIAL CONTRACTOR - RED LEVEL CONSTRUCTION LLC ■ Simon J. Aguirre: Sworn testimony given to Mr. Aguirre and his spouse. ■ Timothy Crofts: Mr. Aguirre has submitted an application for the issuance of a residential building contractor license, which requires 48 months experience in the trade. 17 Packet Pg. 21 4.A.1 July 19, 2023 Mr. Aguirre appeared before the Contractor Licensing Board on August 17, 2022, for a review of his credit and experience. At this time a motion was made and passed that the application be tabled for 90 days regarding the review of experience and credit. See pages 207 and 208 in your packet for the Minutes of this meeting. At this time, Mr. Aguirre has improved his credit score to an acceptable under the County Court Ordinance and is no longer an issue. With regards to experience, Mr. Aguirre submitted one additional letter regarding his experience from Erintasa Investors Incorporated, Ingrid Almonte, president and owner. I spoke to her and she advised that they are solely an investment company. They do not hold any type of license for any type of trade in Collier County or the state of Florida. Erintasa Investors has hired Elton Silcox to build two homes currently in Lee County and that Mr. Aguirre is a subcontractor of his. Based upon this information received from Mr. Aguirre, it is the opinion of the staff that Mr. Aguirre does not meet the Q experience requirements under Ordinance 2006-46 Section 1.6.3 as it relates to the trade p of a residential building contractor. Mr. Aguirre is being referred to the Board under a. section 2.5.2 referral the application to the Contractors Licensing Board for decision and Q Mr. Aguirre is here today to answer your questions. d ■ Stephen Jaron: You've been here a couple of times. I think this is your third time in the last year. I believe you had Mr. Silcox with you the last time and he's not here (today). N And your goal is to basically do what he's been doing for the last couple of years to build i homes for the same investor. And you have another business that you that you also run. -- The issue we're having with you is experience. If you could explain in more detail your M experience as far as home building. i� ■ Simon J. Aguirre: I thought I would just have to present my credit from last time we spoke. Z ■ Kyle Lantz: Your credit seems to be improved. ■ Simon J. Aguirre: My experience was all right and that we were just going to talk about -J my credit; on the minutes of June 15. So I thought I was just here to provide my credit M score that was going up. My experience and credit says experience was already covered a in the last meeting. o ■ Stephen Jaron: So you don't want to explain it again to us. ■ Simon J. Aguirre: But what do you need me to explain? Cn w ■ Richard Joslin: How to build a house. D z ■ Stephen Jaron: We want you to document four years of residential construction building 2 experience. ■ Simon J. Aguirre: I've been building houses for five years with Elton Silcox. We buy the land. We clear the lot. We get the loads in. We get the pad, we get that passed. Then we start doing the underground plumbing and underground electric. We get that poured. We do the shell, we do the trusses, the sheeting, interior framing and rough plumbing, rough air conditioning. That's what we do. We build specs, homes or small homes. There really isn't much to it. ■ Stephen Jaron: There is a lot to it. ■ Simon J. Aguirre: Once you've been doing it for four or five years, homes back to back. ■ Terry Jerulle: Are we arguing? ■ Simon J. Aguirre: I'm just excited. That's how I speak. 18 Packet Pg. 22 4.A.1 July 19, 2023 ■ Stephen Jaron: And the homes you're building are slab on grade, is that right? (Yes.) Have you ever built anything on pilings or stem walls? (No.) Anything more than one M story? (No.) o ■ Richard Joslin: I think that was part of the issue though. That he had no experience with o pilings, even though he was only building on grade. J ■ Kyle Lantz: I think there are a lot of residential builders who have no experience with M pilings. ' ■ Kyle Lantz: I'd like to congratulate you on getting your credit up, because I think we've w had three lengthy conversations about your credit and you were pretty low and now Z you're up there. So that's a huge stepping stone I think you've overcome. So 2 congratulations. I know it goes up a lot slower than it goes down. LL p ■ Stephen Jaron: Do you have employees? Because your workman's comp is specifically Q for employees. p ■ Simon J. Aguirre: I had employees at the time, but after Coronavirus I don't. It's just me a. right now. Q ■ Kyle Lantz: Mr. Crotts, do you have a recommendation? d ■ Timothy Crotts: Staff would recommend that the license be denied based upon the experience at the August 17, 2022, meeting. Vice Chair Jerulle made a motion to table the N hearing for review of credit and experience for 90 days. At that time, the only document N that we have received for additional experience has been from an investment company, -- not a licensed contractor. M c ■ Simon J. Aguirre: When I went into his office last month and provided him with my credit score I said, what else? What do I need to do and he said you need to convince me and you need to bring more letters. I said can I bring letters of people that I've worked with? He said yes, that'll be fine. So I reached out to the investor and I said, hey, look, this is what I'm dealing with. She said okay, I'll write you a letter. ■ Kyle Lantz: I think people you work with are the person you're hanging block next to or the person who's helping you make the forms as opposed to people you work for. I think there's a clear difference between the two. And you don't physically do the work on the homes without you guys subbing everything out. You do the drywall metal framing, or you're subbing that out now? And are you doing any metal on these? Is it all wood inside? ■ Simon J. Aguirre: These homes are just wood. I do the drywall by myself. ■ Terry Jerulle: Mr. Crotts, he was to come back today to improve his credit score and to provide more documentation of his experience? ■ Timothy Crofts: That is correct under the last time he was here, August 17, 2022, and that's reflected in the meeting minutes. ■ Terry Jerulle: And you did include your credit score. And as Mr. Lantz said, that's to be commended. So thank you for doing that. You need to provide or prove to us that you have more experience. ■ Kyle Lantz: We want to see hands on experience. We understand you're a great project manager. I think we've been telling you for probably close to two years now we want to see hands on experience. That's what we're looking for. I don't think anyone doubts that you've been working with Elton building homes. I think Elton's made that very clear. We want to see hands on as opposed to supervisory. 19 Packet Pg. 23 July 19, 2023 4.A.1 ■ Simon J. Aguirre: You guys want to see me flying trusses, laying blocks, troweling cement, doing all that stuff. ■ Terry Jerulle: There's no need to be sarcastic. It's incumbent upon you to provide us with the document, the package. Again, you can't talk over me. It's incumbent upon you to provide us the experience and documentation. It's easy to get documentation. You get people to vouch for you and you get letters. You have pictures. You have a diary. You have somebody sign off on it. It's easy to get that experience if you have done that. I'm not here to argue with you. The County says you're not getting the license. You're asking us to go against the County. So again, you let me finish speaking. The County says you don't have a license. They're not going to give you a license. You're asking us to go against the County. And all we're asking is provide us with some proof to help us make that decision. You did it with the credit score. Good for you. That's awesome. And you're also supposed to do it on the experience. ■ Simon J. Aguirre: I provided you with the three letters of affidavit with the years of experience from the three companies I've worked for. ■ Terry Jerulle: We're not arguing. We're trying to help you. Don't make it an argument. We're trying to help. ■ Simon J. Aguirre: Then help me help myself. What more do I need to do? I provided the package with two letters of character and the three layers of affidavit. I got my credit score up. I've been in front of you guys three times. I don't know what else to do? ■ Spouse: He (Mr. Aguirre) went to his (Mr. Crotts') office and we asked him, what more do you want? What kind of documents do you want? Do you want to follow him? What do you want? He said just convince me. He couldn't provide us with pictures, letters. He didn't say any of that. So that's why he's (Mr. Aquirre) so frustrated. Because right now you guys are telling us we can get letters from other people other than just the investors. ■ Terry Jerulle: I understand it may be frustrating. And that's the way the system is. When I got my license, I had to provide to the State a whole bunch of documentation to prove that I had that experience, which I did. Yours wasn't sufficient enough for the last meeting minutes. ■ Discussion continued with regard to: past meetings; credit score; new documentation on experience; more work experience. ■ Elle Hunt: Do you want to withdraw and just apply for the next month to be in front of us? ■ Timothy Crotts: I would recommend that we're going to do that. Then we just table the application until next month. This will allow the applicant to bring in documentation documenting his experience and then he can come back in front of the Board so the Board will have an opportunity to review those documents. ■ Elle Hunt: I move that we table it until the August 2023 meeting. ■ Richard Joslin: I'll second the motion. All in favor, say aye. Aye — five. Terry Jerulle— nay. (Disunited vote, 5-1.) 20 Packet Pg. 24 4.A.1 July 19, 2023 Further discussion given to Mr. Aguirre: find out from the County what you're going to need; take notes when you talk with the County today; pictures; letters; documentation of experience when you built a house from the dirt up — we need other people authenticating it; letters from inspectors. 10. Public Hearings (A) 2023-15 - NICHOLAS ANTHONY MAZZOLA DBA ABOVE & BEYOND PAINTING AND DECORATING L.L.C. (CEMIS20230005099) ■ Timothy Crotts: Vice Chair, if I may. The respondent is not here today. We actually had to call him to find out where he was. Investigator Mike Bogart had to make several phone calls. We finally got a hold of him. He is saying that he is sick and is asking that this be postponed or tabled to the next meeting in August. ■ Richard Joslin: Is that okay with staff? ■ Timothy Crotts: It is okay with staff. Obviously if you're sick, it's kind of hard to get Q around that. This would be his first time asking for a continuance on this matter. He was served proper notice, but we will ask that it be postponed until the August 16 meeting. ■ Kevin Noell: And just for the minutes, Mr. Crotts you had your witnesses present. Is that ti °; correct? And you had three witnesses present and two staff members and then the N homeowner. Is that right? ■ Timothy Crotts: Homeowner, three witnesses and actually three staff members, two from the Building Department (Fred Clum, Doug Sposito) and one from my staff, Cn (Alyshia Morse) and then the witness. ■ Kevin Noell: And you're not objecting to a one-time continuance and certainly next Z month, when it's set on the August 16 meeting, if he doesn't appear, then I would assume the County will object and it can be handled by the Board at that time, correct? m v ■ Timothy Crotts: That is correct. N ■ Kevin Noell: I think the Board just for procedural sake should make a motion to continue CD it, especially since the agenda has been approved. Make a motion to continue the o administrative hearing until next meeting given the sickness. I would just say that the Cn continuance is granted until August 16. ■ Terry Jerulle: Motion so moved. Z ■ Kyle Lantz: Second. ■ Stephen Jaron: All in favor say aye. p All in favor — aye. (Carried unanimously, 6-0.) a 11. Next Meeting Date Wednesday, August 16, 2023 ■ Stephen Jaron: Motion to adjourn. ■ Kyle Lantz: Second. All in favor — aye. (Carried unanimously, 6-0.) 21 Packet Pg. 25 4.A.1 July 19, 2023 There being no further business for the good of the County, the meeting was adjourned at 10:38 AM. Collier County Contractor Licensing Board Stephen Jaron, Vice Chairman These minutes were approved by the Vice Chairman of the Contractor Licensing Board ti as N t0 on , (check one) as submitted or as amended 22 Packet Pg. 26 8.A 08/16/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 8.A Doc ID: 26298 Item Summary: 8A. ORDERS OF THE BOARD (15 ITEMS) Meeting Date: 08/16/2023 Prepared by: Title: — Contractor Licensing Name: Alyshia Morse 08/08/2023 3:59 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 08/08/2023 3:59 PM Approved By: Review: Contractor Licensing Contractor Licensing Contractor Licensing Sandra Delgado Review item Tim Crotts Review Item Tim Crotts Meeting Pending Completed 08/08/2023 4:51 PM Completed 08/09/2023 3:13 PM 08/16/2023 9:00 AM Packet Pg. 27 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Morgan, Mason Tyler 2569 Clipper Way Naples, FL 34104 CLB Agenda Date: August 16. 2023 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 11915 CEUL20230004521 on 05/17/23, to Morgan, Mason Tyler, 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: 3 w 1 W 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 Packet Pg. 28 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Morgan, Mason Tyler 2569 Clipper Way Naples, FL 34104 CLB Agenda Date: August 16, 2023 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 11914 CEUL20230004051 on 05/17123, to Morgan, Mason Tyler, 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: 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. 29 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA RDER TO PAY CIVIL PENALTY Morgan, Mason Tyler 2569 Clipper Way Naples, FL 34104 CLB Agenda Date: August 16. 2023 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 11922 CEUL20230004522 on 05/17/23, to Morgan, Mason Tyler, 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 U a10�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 Packet Pg. 30 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Morgan, Mason Tyler 2569 Clipper Way Naples, FL 34104 CLB Agenda Date: August 16, 2023 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 11921 CEUL20230004054 on 05/17/23, to Morgan. Mason Tyler, 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. -I- - 2��3 DATE: CHAIRMAN TODD ALLEN Print Name Attorney 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 Pautrat, Carlos 1921 SW 51 st TER Cape Coral, FL 33914 CLB Agenda Date: August 16, 2023, Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 11919 CECV20230005090 on 06/07/23, to Pautrat. Carlos, in the amount of $1,000.00, within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), Florida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. If the penalty is not paid in full within 15* days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. 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 Packet Pg. 32 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Davis, James R. 2001 Airport Rd. S. Naples, FL 34112 CLB Agenda Date: August 16, 2023 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 11826 CECV20230004871 on 05/30/23, to Davis. James R., in the amount of $1,000.00, within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), Florida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. If the penalty is not paid in full within 15* days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. DATE: � —I U 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. 33 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Davis, James R. 2001 Airport Rd. S. Naples, FL 34112 CLB Agenda Date: August 16. 2023 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12559 CEUL20230004870 on 05/30/23, to Davis, James R., in the amount of $1,000.00, within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), Florida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. If the penalty is not paid in full within 15* days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. 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 Packet Pg. 34 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Mullaney, Mark D. 330 19th Street N. W. Naples, FL 34120 CLB Agenda Date: August 16, 2023 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 11924 CECV20230004812 on 05/26/23 to Mullaney, Mark D. 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 —d--P- 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 Packet Pg. 35 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Mullaney, Mark D. 330 19th Street N. W. Naples, FL 34120 CLB Agenda Date: August 16, 2023 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 11916 CEUL20230004815 on 05/26/23 to Mullaney, Mark D. 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: 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. 36 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Mullaney, Mark D. 330 19th Street N. W. Naples, FL 34120 CLB Agenda Date: AUg_Ust 16, 2023 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 11916 CEUL20230004815 on 05/26/23 to Mullaney, Mark D. 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: � /� l0 D—a�, 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. 37 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Mullaney, Mark D. 330 19th Street N. W. Naples, FL 34120 CLB Agenda Date: August 16, 2023 Pursuant to Section 489,127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 11923 CEUL20230004102 on 05/10/23, to Mullaney. Mark D., 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: — L � —��3 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. 38 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Pautrat, Carlos 1921 SW 51st TER Cape Coral, FL 33914 CLB Agenda Date: August 16. 2023 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 11918 CEUL20230005048 on 06106123, to Pautrat, Carlos, in the amount of $1,000.00, within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), Florida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. If the penalty is not paid in full within 15* days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. DATE: � I U 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. 39 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY GUTIERREZ, RAYMOND CECIL 2350 HEYDON CIRCLE E NAPLES, FL 34120 CLB Agenda Date: August 16, 2023 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 11906 CEUL20230005341 on 06/15123, to GUTIERREZ, RAYMOND CECIL, in the amount of $1,000.00, within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), Florida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. If the penalty is not paid in full within 15* days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. CHAIRMAN T DD ALLEN Print Name Attorney to the CLB KEVIN NOELL DATE. 3 -1 U '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 Packet Pg. 40 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY GUTIERREZ, RAYMOND CECIL 2350 HEYDON CIRCLE E NAPLES, FL 34120 CLB Agenda Date: August 16, 2023 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 11907 CECV20230005315 on 06115123_to GUTIERREZ, RAYMOND CECIL, 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. 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 Packet Pg. 41 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY DELGADO MONTERO, YASEL 1922 GARDNER AVE LEHIGH ACRES, FL 33936 CLB Agenda Date: August 16, 2023 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12633 CEUL20230005176 on 06/09/23 to DELGADO MONTERO YASEL in the amount of 1 000.00, within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), Florida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. If the penalty is not paid in full within 15* days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. CHAIRMAN TODD ALLEN Print Name Attorney to the CLB KEVIN NOELL DATE: -3 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. 42 8.B 08/16/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 8.13 Doc ID: 26299 Item Summary: 8B. ADMIR SHAQIRI — REVIEW OF EXPERIENCE — GENERAL CONTRACTOR - ADMIRAL GENERAL CONTRACTOR LLC Meeting Date: 08/16/2023 Prepared by: Title: — Contractor Licensing Name: Alyshia Morse 08/08/2023 4:01 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 08/08/2023 4:01 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 08/08/2023 4:54 PM Contractor Licensing Tim Crotts Review Item Completed 08/09/2023 3:13 PM Contractor Licensing Tim Crotts Meeting Pending 08/16/2023 9:00 AM Packet Pg. 43 Collier County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY FIRM APPLICATION FOR COLLIER COUNTY LCa 011WP-oxaxi- CERTIFICATE OF COMPETENCY LOW3- lg6-7 This application must be typewritten or legibly printed. The application fee must be paid upon approval and is NOT refundable. All checks should be made payable to: Collier County Board of County Commissioners. For further information, consult Collier County Ordinance No. 2006-46, as amended. TYPE OF CERTIFICATE OF COMPETENCY: JiGeneral $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 ❑ Specialty $205.00 Specialty Trade: I. APPLICANT PERSONAL INFORMATION: Name: At, t-i l lams- sw,4-q 1 R� First Middle Initial Last Business Name: 13(-A1(ZAl._ CaetaC,!RL. COMTP-A-C-Tfl(�, LLL Address: u>oli Va2WL. ftyr', APV 5 �--u P,-\k,�-S4 105— Street Email: q%AM \Y- City State Zip Telephone: 8�{ U zn - 1 - \5!5(0 *SS # (Last 4 digits only): Date of Birth: ( t CCI 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 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensing(a)colliercountvfl.gov m 00 m 00 .r a Packet Pg. 44 8.B.1 1.61111. CCnarai CMtrkCtor requires for yeight (48) tmcmths CXPCricnge with a passing glad' an � XLUgrmovoucst and a W , f ;ri business and law test and mums a Cbntracltor whose services are unfimited as to Lhc type {xf work which hclshe may do, except as provided in this Ordinance or in the Florida Srare+les. NOT'R' Also sac Sect. 1.6.2. 1.6.2. Subecntracting; SUNcontraClm- A contractor shall gilbo)ntract djo ujKtrjcal, mechanical. plumbing r fzn8, sheet motel, swimnxing pool, and air conditioning work for which a lcmeAl exarrAnariun for a Certificate of Competency or a licettsc is requircd, uniess such eonLractor holds a CcrtiaCatc of Competency or license of the ecspmtiuc tracle tatcgory, as required by the appropriale focal authority. rn rn N W N. Packet Pg. 45 8.B.1 cor County tri Growth Management 00 Community Development Department N to APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY Provide the names and telephone numbers of two persons who will always know your whereabouts. Name: �� (`� 1 �1�/�,I Name: -3 G A-KAA (Z-1 Telephone: 8 re, 2-, 1 1\�556 ImillFs1Til4187;lIllq DIAZ IIf" 1�b91►1*13 Telephone: 64 6 21 `� _` s 6 Business Name: At----'R\ \R AL— CiL mo KM- C©NT ��A LTp� LLC Business Address: v��©�A Av- Apr�ft 1 ikPL a S �--L- -14 r ns- Street City State Zip Telephone: 6� 9 \C� Email: Federal ID Tax No.: 9 3 — 20 5-3 2 S4' III. FINANCIAL RESPONSIBILITY YES NO ALL APPLICANTS MUST ANSWER THE QUESTIONS BELOW: JFiled for or been discharged in bankruptcy within the past 5 years? f 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? construction contracts or work that a third party, such as a bonding or surety company, JUndertaken completed or made financial statements on? JMade an assignment of assets in settlement of construction obligations for less than the debts outstanding? r Been convicted or found guilty of, or entered a plea of nolo contendere to, regardless of V adjudication, a crime in any jurisdiction within the past 10 years?` Had claims or lawsuits filed for unpaid or past due accounts by your creditors as a result of construction experience? Been charged with or convicted of acting as a contractor without a license, or if licensed as a contractor in this or any other state, been "subject to" disciplinary action by a state, county, or municipality? NOTE. If you have answer YES to any of the questions below, you must attach a written explanation including the nature of the charges, dates, and outcomes, sentences of conditions imposed. You must also attach proof of payment, satisfaction of lien or judgement, bankruptcy discharge, or agreements for payment."If you have had a felony conviction, proof that your civil rights have been restored will be required prior to licensure. Contractor Licensing — FIRM Application Rev. 7/2022 Page 4 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contra ctorslicensina(cDcolIiercountvfl.gov Packet Pg. 46 C01[ier County Growth Management m Community Development Department 00 to to APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY N to N MM240t#K91:10=1 WrOTAII1161LI_ 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: yX List below non formal education (on the job training) you have obtained in the area of competency for which this application is being made: CURRENT/PREVIOUS LICENSE: List below and attach copies any other certificates of competency/licenses you hold/have held in Collier County or any other jurisdiction. Include the license #, Type, and county you hold it in. r/r-,u) k , " C'lN 62- - Z7 (9 1 AFFIDAVIT Under the penalties of perjury, I declare that I have read the foregoing application and the facts stated in it are true. Applicant (please print) Signature of Applicant State of FL 0A I M Countyof 601-0 C K The fgregoing instrument was acknowledged before me by means ofltysical presence or ❑ online notarization on this v23 day of ,20B by Admit Show6 Such person(s) Notary Public must check applicable box: re personally known to me ❑ has produced a current driver license ❑ has produced as identification. (Notary Sea]) A✓ffk' ., NORIL3ATOSHKA Notary hb.ic • State of Florida Comrrission x HH 098555 ,? o' n ' My Comm. fxaires Feb 28, 2025 1 Bonded through Natioral Notary Assn. Contractor Licensing — FIRM Application Rev. 7/2022 Notary Signature: i Page 5 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensi ng(p)coll iercou ntyfl.gov m 00 Packet Pg. 47 El 8.B.1 collier county Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY CERTIFICATION OF APPLICATION The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County No. 2006-46, as amended, and under penalties of perjury. I declare that I have read the foregoing qualifier information and that the facts stated in it are true. The undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to be licensed in all matters connected with its contracting business and that he has full authority to supervise construction undertaken by himself or such business or organization and that he will continue during this registration to be able to so bind said business organization. The qualified license holder understands that in all contracting matters, he/she will be held strictly accountable for any and all activities involving his license. Any willful falsification of any information contained herein is grounds for disqualification. Applicant (please print 60-tGZAL- 6N-r9A-cTLLC ame of Company ki Signature of ApplicaXt State of rLQ R) D.4 County of C 0 L t l E 1, The oregoing instrument was acknowledged before me by means of (�iysical presence or El online notarization on this �1ay of �(,( i7( 20 ,Z by _ Aol YY) I r S� a q 1 C I Such person(s)NotaryPublic must check applicable box: 22"are personally known to me ❑ has produced a current driver license ❑ has produced as identification. (Notary Seal) Notary Signature: Eq�" NORILDATOSHKA Notary %biic - State of Flortea Commission # HH 098555 My Comm. Expires Feb 28, 2025 Borded throcgh National Notary Assr.. Contractor Licensing — FIRM Application Rev. 7/2022 Page 6 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensing(a colliercountvfl goo m tp W N t0 N m 00 Packet Pg. 48 El 8.B.1 Collier County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY WORKMEN'S COMPENSATION AFFIDAVIT It is understood and acknowledged by the Collier County Contractors' Licensing Board and myself that if I fail to acquire, or maintain at all times effective Workmen's Compensation Insurance it will result in the possible revocation of my Certificate of Competency. Aklt-Ay?- Applicant (please print Name of Company / j Signature of Applic nt BEFORE ME this day personally appeared \ \\\ who affirms and Applicant (please print) says that he has less than one employee and does not require Workmen's Compensation understands that at any time he employees one or more persons he must obtain said Workmen's Compensation Insurance. State of r ,j/Z 1 b4 County of _ Co L [ 164 The fgqregoing instrument was acknowledged before me by means of V'physical presence or ❑ online notarization on this 0day of �1- , 20 � , by /W M, r Such person(s) Notary Public must check applicable box: tra-re personally known to me ❑ has produced a current driver license ❑ has produced (Notary Seal) ,a �J NORILDA TOS11KA : Notary Public • State of Florica _:. .04 Commission # HH 098555 My Comm. Expires Feb 21. 2025 9orCec through Natioral Notary Assn. Contractor Licensing — FIRM Application Rev. 7/2022 as identification. Notary Signature: Page 7 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensino a( )colliercountyfl qov M 00 N N in 00 C N E L U R w Q Packet Pg. 49 8.B.1 Score Report Name: ADMIR SHAQIRI Test: Sponsor: Collier County Date: ID #: Test ID: Score: 76 Result: # Unanswered Questions: 0 Module Subject Area Status LOW FLBO Business Organization P FLLIC Licensing F FLTL Tax Laws P FLSRR Safety OSHA P --------------------------------------------------- FLLL Labor Laws P FLCM Contract Management F FLPM Project Management F FLE&B Estimating & Bidding F FLFM Financial Management P FLRM Risk Management P FLLIEN Lien laws F Prop/ Business and Law, 2nd edition 04/17/2023 218538590 Pass Cut Score HIGH In Co Packet Pg. 50 8.B.1 Name: Sponsor: ID #: Score: # Unanswered Questions Score Report ADMIR SHAQIRI Collier County VA 0 Prov- Test: General Contractor - (FL08101) Date: 05/30/2023 Test ID: 248254564 Result: PASS Module Subject Area Status LOW FLPRE Plan Reading & Estimating P FLSITE Sitework P FLC Concrete F FLM ---------------------------------------------------I- Masonry F Cut Score HIGH 00 Co Cal co .r a Packet Pg. 51 8.B.1 s Phone: 850-539-8000 St Email: unitedcrsappsagmail.com m A'. V,NNW www.UnitedCRS.com 00 'U' HrA& Cw-RS-�3590 Frontier Road 0 Vj C're'difR: �portinA- Sc-mice Tallahassee, FL 32309 N U J PERSONAL CREDIT REPORT MERGED REPORT COMPILED FROM NATIONAL RECORDS June 25, 2023 Entry # 13177 Personal Information Since 02/07/14 FAD 06/29/23 Reported Name SHAQIRI, ADMIR SSN -5894 DOB: 10/26/1975 Address 1304 VERDE DR APT 4, NAPLES, FL 34105 11/22 - 06/23 Address 7914 149TH AVE #2, HOWARD BEACH, NY 11414 01122 - 06/23 Q Address 76 BETHANY RD, HAZLET, NJ 07730 11/20 - 10/22 O H U Q FICO CLASSIC SCORE - 763 H Employment z O Employer City Hired Verified U Occupation State Separated Indirect Ind. J Q NEW YORK QUARTERLY 11/21 11/21 W z RUNNELLS CENTER FOR 10/20 10/20 W C7 I 1 08/20 08/20 W U z W_ Summary a PR/OI 0 Rev 16 # Accts 18 30 0 Hist 30 4 x Lowest HC $200 W Bankruptcies 0 Inst 2 # Inq 9 60 0 Hist 60 0 u_ Highest HC $115,000 O Collections 0 Open 0 Curr Accts 18 90 0 Hist 90 0 w u.l Type High Balance Past Due Payment %Avail I Revolving $33,370 $1,850 $0 $75 94% Installment $29,774 $28,486 $0 $539 Q Real Estate $115,000 $111,524 $0 $1,104 = Open/Other $0 $0 $0 $0 Totals $178,144 $141,860 $0 $1,718 Q m 00 Revolving Accounts Current Status Hist Status E t U fC Page 1 of 4 a Packet Pg. 52 8.B.1 Acc Name/Address RPTD High PMT Bal PastDue Mths 30 60 90 Rating Date OPND Limit Terms DLA ECOA AMEX 06/23 $10 $0 74 R 1 Customer:402BB48257 03/17 $11,500 Est. CREDIT CARD 04/23 Individual AMOUNT IN H/C COLUMN IS CREDIT LIMIT KOHLS/CAP1 06/23 $10 $0 99 02 00 00 R 1 Customer: 6680004698 12/14 $700 Est. R 2 11/21 CHARGE 12/21 Individual R 2 04/20 AMOUNT IN H/C COLUMN IS CREDIT LIMIT JPMCB CARD 06/23 $10 $0 72 R 1 Customer: 45BON 13374 05/17 $500 Est. AMOUNT IN HIC COLUMN IS 06/23 Individual CREDIT LIMIT FLEXIBLE SPENDING CREDIT CARD CAP ONE 06/23 $500 $10 $0 99 01 00 00 R 1 Customer: 850BB01498 09114 Est. R 2 11/19 PAID ACCOUNT/ZEROBALANCE 03/21 Individual ACCOUNT CLOSED BY CREDIT GRANTOR MACYSCBNA 06/23 $10 $0 04 R 1 Custome►:636DC26977 01123 $100 Est. CHARGE Individual AMOUNT IN HIC COLUMN IS CREDIT LIMIT CBNA 0623 $10 $0 51 R 1 Customer:485FP00552 02/19 $1,100 Est. CHARGE 09/22 Auth AMOUNT IN H/C COLUMN IS user CREDIT LIMIT JPMCB CARD 0623 $40 $115 75 R 1 Customer:4580N13374 02/17 $2,300 CREDIT CARD 06123 Individual AMOUNT IN HIC COLUMN IS CREDIT LIMIT BRCLYGAP 06123 $10 $0 23 RI Customer:458BB09378 07/21 $500 Est. CHARGE 11/21 Individual AMOUNT IN H/C COLUMN IS CREDIT LIMIT CBNA 0623 $10 $0 10 R 1 Customer:485FP00552 07/22 $1,000 Est. CHARGE 0423 Individual AMOUNT IN H/C COLUMN IS CREDIT LIMIT DISCOVER 0623 $35 $1,735 99 R 1 Customer:155BB03747 10/14 $13,300 CREDITCARD 0623 Individual AMOUNT IN H/C COLUMN IS CREDIT LIMIT CAP1/WMT 09/22 $200 $10 $0 35 R 1 Customer:484BB05903 03/19 Est. PAID ACCOUNTfZERO BALANCE Individual ACCOUNT CLOSED BY CREDIT GRANTOR SYNCB/JCP 1020 $320 $10 $0 43 R 1 Customer: 404000291 0 03/17 Est. PAIDACCOUNT/ZERO BALANCE 03/20 Individual ACCOUNT CLOSED BY CREDIT GRANTOR Page 2 of 4 m 00 rn N to N Packet Pg. 53 8.B.1 00 w CAP ONE 06/20 $500 $10 $0 36 R 1 Customer:850BB01498 05/17 Est. PAID ACCOUNT/ZERO BALANCE Individual � ACCOUNT CLOSED BY CREDIT N GRANTOR SYNCB/BAN 06/20 $200 $10 $0 34 01 00 00 R 1 Customer: 404CG01167 08/17 Est. R 2 01/20 J PAID ACCOUNT/ZERO BALANCE 02/20 Individual ACCOUNT CLOSED BY CREDIT 0 GRANTOR U SYNCB/WALM 10/19 $200 $10 $0 07 R 1 Q Customer:404DVO0185 03/19 Est. H ACCOUNT TRANSFERRED OR Individual ZO SOLD CHARGE U J CRDTONEBNK 05/18 $450 $10 $0 19 R 1 Customer:180BB27505 10/16 Est. LU ACCOUNT CLOSED AT 12/17 Individual Z CONSUMER'S REQUEST LU PAID ACCOUNT/ZERO BALANCE 0 Revolving Totals $75 $1,850 $0 q Installment Accounts Current Status Hist Status Acc Name/Address RPTD High PMT Bal PastDue Mths 30 60 90 Rating Date OPND Limit Terms DLA ECOA 53 BANK NA 05/23 $29,774 $539 $28,486 06 1 1 Customer: 636 BB29292 11 /22 AUTO 05/23 Individual FIXED RATE Installment Totals $539 $28,486 $0 Mortgage Accounts Current Status Hist Status Acc Name/Address RPTD High PMT Bal PastDue Mths 30 60 90 Rating Date OPND Limit Terms DLA ECOA ROCKETMORT 06/23 $115,000 $1,104 $111,524 1'' 11 Customer:168FMO2206 05/22 FREDDIE MAC ACCOUNT 06/23 Individual REAL ESTATE MORTGAGE Mortgage Totals $1,104 $111,524 $0 PUBLIC RECORDS PUBLIC RECORDS HAVE BEEN CHECKED AT THE COUNTY, STATE, AND FEDRAL LEVELS RESULTS: NO PUBLIC RECORDS FOUND END OF REPORT It is with understanding that the credit score attached to this report can fluctuate daily and can change drastically. In some cases, over 100 points when making big purchases, etc. Page 3 of 4 Packet Pg. 54 8.B.1 DIvIsION OF CORPORATIONS m 00 D7 t Utktr:�►�! t �j � 400'" �� t!n o�jt{?tfl iillt� rf I'/rartctet is t,aar. J Department of State / Division of Corporations / Search Records / Search by Entity Name / Detail by Entity Name Florida Limited Liability Company ADMIRAL GENERAL CONTRACTOR LLC Filing Information Document Number L23000300918 FEI/EIN Number NONE Date Filed 06/22/2023 Effective Date 06/22/2023 State FL Status ACTIVE Principal Address 1304 VERDE DR APT 4 NAPLES, FL 34105 UN Mailing Address 1304 VERDE DR APT 4 APT 4 NAPLES, FL 34105 UN Registered Agent Name & Address SHAQIRI, ADMIR 1304 VERDE DR APT 4 NAPLES, FL 34105 Authorized Person(s) Detail Name & Address Title MGR SHAQIRI, ADMIR 1304 VERDE DR APT 4 NAPLES, FL 34105 UN Annual Reports No Annual Reports Filed Document Images Packet Pg. 55 1 06122/2023 -- Florida Limited Liability View image in PDF format m 00 N N U J J O H U a z O U J Q W z LU J a 0 a W O F- L) a z O U J Q W z LU W U z LU R LU a x LU LL O w w W Packet Pg. 56 Q 8.B.1 00 Electronic Articles of Organization F LED08 00 AM For June 22 2023 N Florida Limited Liability Company Sec. Of §tate jafason Article I The name of the Limited Liability Company is: ADMIRAL GENERAL CONTRACTOR LLC Article II The street address of the principal office of the Limited Liability Company is: 1304 VERDE DR APT 4 NAPLES, FL. UN 34105 The mailing address of the Limited Liability Company is: 1304 VERDE DR APT 4 APT 4 NAPLES, FL. UN 34105 Article III The name and Florida street address of the registered agent is: ADMIR SHAQIRI 1304 VERDE DR APT 4 NAPLES, FL. 34105 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: ADMIR SHAQIRI Packet Pg. 57 Article IV The name and address of person(s) authorized to manage LLC Title: MGR ADMIR SHAQIRI 1304 VERDE DR APT 4 NAPLES, FL. 34105 UN Article V The effective date for this Limited Liability Company shall be: 06/22/2023 Signature of member or an authorized representative Electronic Signature: ADMIR SHAQIRI L23000300918 FILED 8:00 AM June 22 2023 Sec. Of hate jafason m co N W N 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. m co c a) E s U w Q Packet Pg. 58 8.B.1 State of Florida Department of State I certify from the records of this office that ADMIRAL GENERAL CONTRACTOR LLC, is a limited liability company organized under the laws of the State of Florida, filed electronically on June 22, 2023, effective June 22, 2023. The document number of this company is L23000300918. I further certify that said company has paid all fees due this office through December 31, 2023, and its status is active. I further certify that this is an electronically transmitted certificate authorized by section 15.16, Florida Statutes, and authenticated by the code noted below. Authentication Code: 230623102343-900410270969# 1 Given under my hand and the Great Seal of the State of Florida at Tallahassee, the Capital, this the Twenty Third day of June, 2023 in 00 N tD F4 m 00 https:limail-attachment.googieusercontent.comlattact)mentluiC,._MPUUibNYkusQ7Cd8wSiSG_x9nz2FNfy8emVimD9Gn97LhXbog Packet Pg. 59 i 8.B.1 IRS DEPARTMENT OF THE TREASURY INTERNAL REVENUE SERVICE CINCINNATI OH 45999-0023 ADMIRAL GENERAL CONTRACTOR LLC ADMIR SHAQIRI SOLE MBR 1304 VERDE DR APT 4 NAPLES, FL 34105 Date of this notice: 06-26-2023 Employer Identification Number: 93-2053254 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 93-2053254. This EIN will identify you, your business accounts, tax returns, and documents, even if you have no employees. Please keep this notice in your permanent records. Taxpayers request an EIN for their business. Some taxpayers receive CP575 notices when another person has stolen their identity and are opening a business using their information. If you did not apply for this EIN, please contact us at the phone number or address listed on the top of this notice. When filing tax documents, making payments, or replying to any related correspondence, it is very important that you use your EIN and complete name and address exactly as shown above. Any variation may cause a delay in processing, result in incorrect information in your account, or even cause you to be assigned more than one EIN. If the information is not correct as shown above, please make the correction using the attached tear -off stub and return it to us. Based on the information received from you or your representative, you must file the following forms by the dates shown. Form 941 Form 940 10/31/2023 01/31/2024 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-S, U.S. Income Tax Return for an S Corporation, must be made within certain timeframes and the corporation must meet certain tests. All of this information is included in the instructions for Form 2553, Election by a Small Business Corporation. m 00 Packet Pg. 60 a 8.B.1 (IRS USE ONLY) 575A 06-26-2023 ADMI B 9999999999 SS-4 m 00 rn rn N t0 If you are required to deposit for employment taxes (Forms 941, 943, 940, 944, 945, CT-1, or 1042), excise taxes (Form 720), or income taxes (Form 1120), you will receive a tU welcome Package shortly, which includes instructions for making your deposits J J electronically through the Electronic Federal Tax Payment System (EFTPS). A Personal W Identification Number (PIN) for EFTPS will also be sent to you under separate cover. O Please activate the PIN once you receive it, even if you have requested the services of a V tax professional or representative. For more information about EFTPS, refer to a Publication 966, Electronic Choices to Pay All Your Federal Taxes. If you need to make a deposit immediately, you will need to make arrangements with your Financial z Institution to complete a wire transfer. O U The IRS is committed to helping all taxpayers comply with their tax filing Q obligations. If you need help completing your returns or meeting your tax obligations, W Authorized a -file Providers, such as Reporting Agents or other payroll service providers, are available to assist you. 'Visit www.irs.gov/mefbusproviders for a w list of companies that offer IRS a -file for business products and services. O J I)MRTANT REMINDERS. * Keep a copy of this notice in your permanent records. This notice is issued only Q 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. D_ O * Use this EIN and your name exactly as they appear at the top of this notice on all V your federal tax forms. Q * Refer to this EIN on your tax -related correspondence and documents. Z O * Provide future officers of your organization with a copy of this notice. J Your name control associated with this EIN is ADMI. You will need to provide this information along with your EIN, if you file your returns electronically. LU Z w Safeguard your EIN by referring to Publication 4557, Safeguarding Taxpayer O Data: A Guide for Your Business. w You can get any of the forms or publications mentioned in this letter by w visiting our website at www.irs.gov/forms-pubs or by calling 800-TAX-FORM (800-829-3676). LU w IL If you have questions about your EIN, you can contact us at the phone number w or address listed at the top of this notice. If you write, please tear off the u_ stub at the bottom of this notice and include it with your letter. O w Thank our for you coo y y cooperation. m 00 c m E t U �a r a Packet Pg. 61 (IRS USE ONLY) 575A 8.B.1 06-26-2023 ADMI B 9999999999 SS-4 Keep this part for your records. CP 575 A (Rev. 7-2007) ---------------------------------------------------------------- Return this part with any correspondence so we may identify your account. Please correct any errors in your name or address. CP 575 A 9999999999 Your Telephone Number Best Time to Call DATE OF THIS NOTICE: 06-26-2023 ( ) - EMPLOYER IDENTIFICATION NUMBER: 93-2053254 FORM: SS-4 NOBOD INTERNAL REVENUE SERVICE CINCINNATI OH 45999-0023 1Jn1d111111u111u1Jloll nJ1nni1Ju1111Jn1 ADMIRAL GENERAL CONTRACTOR LLC ADMIR SHAQIRI SOLE MBR 1304 VERDE DR APT 4 NAPLES, FL 34105 od w Packet Pg. 62 8.B.1 C0L7er County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY STATEMENT OF OWNERSHIP This certifies that I, Z!sM\�—> SWKQ ( R-1 am a member or managing APPLICANT'S NAME (please print) /' member of �p �\ �/-� L �Gt�l (� f��_ coN I ( 1-LIB L� (LIMITED LIABILITY COMPANY NAME) I own \ 00 % 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. State of FLOk' I b d County of L O L L If, tic Thelforegoing instrument was acknowledged before me by "'day of hP 20a, by M1 r Such person(s) NotaryPublicmust check applicable box: (d Applicant (please print) (I\f� A) - Name of Company Za etA Signature of Applicant of Vph—ysical presence or ❑ online notarization on this are personally known to me ❑ has produced a current driver license ❑ has produced (Notary Seal) -I "(", _° •. NORILDA TOSHKA Notary Public . State of Florida Commission i HH O9e555 ?osn My Comm. Expires =ec 2e. 2025 ?c�cec through Natiora: votar, Assn. Contractor Licensing — FIRM Application Rev. 7/2022 as identification. Notary Signature: Page 9 of 14 m 00 rn rn N W m 00 C o) E t U R Q Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensing aa)colliercountyfl.gov Packet Pg. 63 8.B.1 00 Admir Shaqiri °° 1304 Verde Dr Apt 4 Naples, FL 34105 (848)219-9556 U J admirshagiri@yahoo.com llrofe%siollal Summary Motivated Construction Manager highly effective at finding the best methods possible to complete exceptional construction projects. Strong knowledge of civil engineering principles and concepts. Innovative Construction Manager adept at finding engaging ways to motivate construction teams to exceed expectations and maintain high standards. Construction Manager familiar with preparing and negotiating contracts with clients and suppliers. Construction Manager who provides clear direction and explains plans and contract terms in a clear and understandable way. Safety -conscious and detail -oriented. Experience March 2017- PRESENT Daniel's Contracting, New York - Business Orener Licence No: 82-2782851 Reviewed plans and specs during the schematic design of pre -construction. • Obtained building and specialty permits from local jurisdictional agencies. • Performed regular job site observations to provide direction for all general contractor personnel. • Oversaw the entire building turnover process, while enhancing communication between all construction management. • Assisted the operations group with warranty service repairs. Offered direction to landscape architects on all landscaping projects. • Determined the project schedule, which included the sequence of all construction activities. • Provided safety kits to all construction personnel, which complied with safety protocols for the job site. • Prepared regular interval progress reports. • Offered technical assistance to service providers. + Conducted routine quality audits to ensure that work was progressing per the specifications and initiated corrective actions. • Guided and directed third -party inspectors through project construction, commissioning and closeout. • Avoided construction delays by efficiently following through with all site inspections in a timely manner. Packet Pg. 64 8.B.1 • Implemented systems to improve process efficiency and reduce the project m duration. 00 • Scheduled all contractors and materials deliveries. N Trained and promoted continued education for all onsite crew members. • Project Manager J • Safe .fob Site J � • Superb Management Skills • Cost Control a • Hand Tool Operation z • On -Site Personnel Safety • Site Safety Coordinator a • Building Codes W • Project Superintendent z W • Effective Communication a Change Order Requests • Residential Specialist Organized a • Blueprint Fluency January 2012 - March 2017 Rodon Home Improvement, New York- .Superintendent • Coordinated and supervised all activities at assigned construction building sites. • Performed quality control to inspect, diagnose, and repair any issues or defects which might arise. • Managed construction budget, • Ensure site health and safety compliance in accordance with city and OSHA regulations. • Established appropriate construction staff levels and budget allocation at all times. Education University of Tirana, Tirana, Albania - Bachelor of Science in Mechanical Engineering Certifications and Licenses 0 • OSHA 30 for General Industry Q 00 • S13 Citywide Standpipe system • S94 Sup Flam/Corn Liq Portable Containers • S12 Cit ywide Sprinkler Systems t w Q Packet Pg. 65 8.6.1 • F07 Fire and Emergency Drill Conductor m S95 Supervision of Fire Alarms and other related Systems 00 G71 Supervision of Piped non -Flammable Medical Gasses rn N w N .3 T 1 _ _ oz Packet Pg. 66 FLORIDA JURAT FS 117.05(13) State of Florida County of ------------ JULIO URQUIDI /•a�`s Notary Public - State of Florida Commission # HH 313194 My Comm. Expires Sep 18, 2026 Place Notary Seal Stamp Above Sworn to (or affirmed) and subscribed before me by means of Physical Presence, —OR— ❑ Online Notarization, this L day of_��S )✓\� Sby D�a/yam \ C�Month Year Name of Person Swearing or�ffirming >ignatu of ary Public = State of Florida v1� UC- H' Name of Notary Typed, Printed or Stamped ❑ Personally Known ?'F'roduced Identification Type of Identification Produced: '-FI Cyr-\-C-A 4 Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: s t_;vv,� Document Date:—���;z�l --`T 2 C231 ---- Number of Pages: --- Signer(s) Other Than Named Above:-- J2020 National Notary Association M1304-10 (11120) C0 00 rn rn N to N C0 00 El Packet Pg. 67 8.B.1 Arian Kodra 2167 W, 9th St Brooklyn, NY 11223 (347) 400-3735 June, 26th, 2023 License Nr: 1299457 STATEMENT To whom it may concern: I am writing this letter to formally recommend Admir Shaqiri. I had the pleasure of working with Admir when he was employed as a Superintendent from January 2012 to March 2017. During his time at "Rodon Home Improvement Inc" Admir was responsible for a number of duties, which included: • Overseeing all construction activities to ensure compliance with safety protocols and environmental regulations • Reviewing and negotiating revisions to contracts with consultants, architects, subcontractors and suppliers. • Developing and updating quality -control programs through regular inspections of building sites and work progress. • Managing day-to-day on -site administrative and technical activities at the construction site to ensure work orders were handled efficiently. • Training construction workers in equipment operations, construction methods, safety procedures and company policies. • Resolving all field issues and conflicts between personnel involved in the project. • Admir Shaqiri fulfilled the responsibilities of the position with great attention to detail achieving great success. • I am pleased to recommend Admir and can speak to his skills, work ethic, professionalism etc. Should you require anything further, please feel free to conta m 00 AMBER T. MORALES w Notary Public, State of New York Sincerely, Reg. No. 01 MO6365062 ACKNOWLEDGEMENT BY INDIVIDUAL(S) iATE Qualified in New Yorf� ,_ ,;.;AF,NEW'YORK Arian Kodra Commission Ex !es . , NTa aVEWYORK a On this _`-iaof20�3, before me personally came = "Rodon Home Improvement , tome known and known to me the person(s) described in and who executed W the foregoing instrument a e/ elthey acknowle to me that he/sheltheY executed the same. ❑ Q m Notary Pulf, 00 r C d E t t� r Q Packet Pg. 68 8.B.1 Applicant's CO ler coHnty Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE IYI I Certificate Category Requested: l , eo2-✓GI CA�A J LC y The applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate, the applicant must verify his/her experience within this trade. You are being requested to provide information that will aid the applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker (e.g., as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experi rice. The person verifying trade experience for the above -named applicant must provide the following information: Name: W (21 � l C, e -i?_ 01 I V' Title: -Foi[?, t � t I e I t lGi/iC •C^�'� ` Business Name:i �bc(S Phone: ] 1 d / - `x �l - 3 00 License No. (if applicable): A 1 Business Address: I-\ 1 C J witu' bye T,h4y) Iy1 I Street City I State Zip The applicant was employed bycmet from b� V 1 O 1 to��� Applicant's title: N VV\ W J L��ri 1`� 1 (C ✓ec'[iSV) %� The �plicant's nscope of work (specific duties) included: I , C 6 r 1� 1 C�:�,A� _,,hA /-,)1I 4YD?) 3-P YLr�,;�✓1t',�t� /7k �Fe7✓ Ato Additional comments: NOTE TO LICENSED CONTRACTORS: Falsifying any information provided herein may subject your license to revocation. Under penalty of perjury, I declare that the facts stated here are true. �Jtylz,_, Ll— Signature of person providing the statement State of '40,C-V Countyof K\rncxS The foregoing instrument was acknowledged before me by means of E! physical presence or ❑ online notarization on this +fig day of _,Ygne , 20 a'l , by d N" v-0_C Such person(s) Notary Public must check applicable box: n are personally known to me ❑ has produced a current driver license ❑ has produced as identification. (Notary Seal) KATHARINE KHOZHEVA Notary Public - State of New York N0ed n Kinp 747 County �y gn � ` ` Qualified in Kings County NO Signature: or �C�-_ MY Commission Expires Aug 16, 2025 Contractor Licensing — FIRM Application Rev. 7/2022 Page 12 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive a Naples, FL 34104 • (239) 252-2431 contractorslicensino &colliercountvfl aov „e,U ca 00 Packet Pg. 69 8.B.1 COLL76Y County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name: �& \`(Z Certificate Category Requested: �1 1 e,/ � C_"7�M c5k-14-L CONTO�r_ J�f_ 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: en Name: �l /1(�P�� �,�1��i9 L� l j Title: J %�✓^1 V L� LIB\�If� Business Name: CD(,C,14 ot440N Phone: - 3 (" (o (7�` 1 c License No. (if applicable): Business Address:W / 30 Street 7 City The applicant was employed by me from ©3 f to Applicant's title: The applicant's 26 Sfate Zip (O - 3 . , 2(^Iry n 1 Additional comments: � E 1J o r r, rI?-,-L Ck V,tVtz 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. �/^ ty C AV` T Signature of person providing the statement State of un of JThe oregoing ins rument was acknowledged befor me by means of iysical presence or ❑ online notarization on this day of ( PM P_ , 20 21 , by A�/}Q,�-� 3,_ � CA Such person(s) Notary Public must check applicable box: SURAN CHUNG ❑ are personally known to me ❑ has produced a current driver license Nora, Piibl,, State e+ New q/ C NU u.1,r161 OW'i'4, IM-Eas produced 1 ' / as identification. tivalitied :n K nos My Commission Expires S 2ti (Notary Seal) Notary Signature: Contractor Licensing - FIRM Application Rev. 7/2022 Page 11 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractors licensinoCa)colliercountvfl gov m 00 Packet Pg. 70 8.B.1 Coder County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name: /k) 1' \ \\,z- �1 o \ &\ i Certificate Category Requested: C"Te_VNe_V-Q` C..1-"cam a\'' 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 tirade experience for the above -named applicant must provide the following information: Name: �j p��,� V�rxu� �.(���1' lb Title: 0ih r La_ BusinessQNamN It, 2 Gc Phone: - ` l �j� J GJ� n License No. (if applicable): i.J 1 A Business Address: -sxt J Street i_ City State Zip The applicant was employed by me from M. CW ` ?109_0 to '12M Applicant's title: 6eJJ ZSLA ` CO tJ -\,* A Ck0R The applicant's scope of work (specific duties) included: t W p, CC0 a W Nk I_� c , dk cnlLL tins tos-> cAA New wro u-y-o 1 0 Additional comments: a/>1d fr- pt C!QQx j pjQW C 'ff-hp of +;etq 0_� 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. 1__\ f State of K fM% \'Ld< \L County of \�,� �!\�S Signata qPferson providing the statement� The foregoing instrument was acknowledged before me by m ans of IQ physical presence or El online notarization on this olLday of -SV At , 20ao3 by JM� n � Sfi �1 Such person(s) Notary Public must check applicable box: ❑ are personally known to me Vas produced a current driver license ❑ has produced as identification. (Notary Seal) PatriciaThotnpsrnt Notary Public, State Of New York No. OITH 6151513 Qualificxi In Kings County My Cotmnission Expires August 21, 2N. Notary Signature: 424�w� Contractor Licensing - FIRM Application Rev. 7/2022 Page 10 of 14 Operations & Regulatory Management Division, Contractor Licensing e 2800 North Horseshoe Drive . Naples, FL 34104 a (239) 252-2431 contractorslicensinqCa)colliercou ntvfl.gov an co N W N. Packet Pg. 71 8.B.1 COLL7er County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF COUNTY OF-UirI�1( vt�r I, �ItLiOrl--511!- 4k L having been first duly sworn, state and affirm: I am a resident of ° t` V ` County, 1� e_o V, d State) and have resided here for more than five (5) years. During the last five (5) years I have known "r f Qq h*'/(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. State of N i W � k County of (4�h S Signature J Printed Name Address: Street YID �� ,N y �126 City tate Zip Telephone: The foregoing instrument was acknowledged before me by means of l p ysical resence or El online notarization on this l � day of Z� 20 2Z� , by � So 11 A 00 00 Such person(s) Notary Public must check applicable box: 2 ►r-�-t CY ❑ are personally known to me ❑ has produced a current driver license SUi',1N CI{UNG Q N, t. Pub", CratP g N was produced IN (S D h %« as identification. Gnautiec n Knios .- t� My :'Uininissinii epirt''� �Ze (Notary Seal) m w Notary Signature: y E t Contractor Licensing — FIRM Application Rev. 7/2022 Page 13 of 14 Q Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractors licensing gecolliercountvfl.gov Packet Pg. 72 8.B.1 COY County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF tJ Q_�,J Jgi-y, COUNTY OF C­-� I, !1) e� ' having been first duly sworn, state and affirm: I am a resident of County, N Uj (State) and have resided here for more than five (5) years. During the last five (5) years I have knowniA)•',A •Q, (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. 1 191- ) Signature Printed Name Address: k \/A NOe Street ���:l�iN ►—� -� ] i 121 City State Zip Telephone:'k ki - -� C S 0 State of l,,14_ J0 f K County of K t`nGS The foregoing instrument was acknowledged before me by means of V physical presence or ❑ online notarization on this day of_SOOP 20A,by -�o,VA \gn 06?S4► Ho Such person(s) Notary Public must check applicable box: ❑ are personally known to me El"has produced a current driver license m 00 rn rn N to ❑ has produced as identification. (Notary Seal) puf3iciaThomps011 Notary public, State Of New Yor: Q No. 01 TH 6151.51300 m Qutzlifixi In Kings Couny MYCotnmission I~xpires August 21, 24bNotary Signature: kA 11 SQ4vuc d E Contractor Licensing — FIRM Application Rev. 7/2022 Page 14 of 14 w Q Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractors licensing na.col I iercountvfl. gov Packet Pg. 73 8.B.1 COIT COHnty m Growth Management ao Community Development Department as N APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY N AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF D r! J'q COUNTY OF c- gyAc if k)c4 `I L�-e— Oil Qe'j , having been first duly sworn, state and affirm: I am a resident of NM� VIL County, Lo ��i/'C _ (State) and have resided here for more than five (5) years. During the last five (5) years I have known /� , �✓ 0 �0 0i�() (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. u! �'O Or4 a Signature c C ✓e✓ / Printed Name Address: S t(�/�j t✓'�yw Street City State Zip Telephone: 7l ?.7d /' 36 (NCO State of _ tN 2w ya c K County of The foregoing instrument was acknowledged before me by means of 11Pphysical presence or ❑ online notarization on this d$day of �oc,e , 20a3 , by Such person(s) Notary Public must check applicable box: M/are personally known to me ❑ has produced a current driver license ❑ has produced as identification. (Notary Seat) KATHARINE KHOZHEYA Notary Public - State of New York NO.01KH6420747 4ualdfied in Kin,s County Notary Signature: i�OaaA.(N L O , iay Commission Expires Aug 14, 2025 Contractor Licensing -- FIRM Application Rev, 7/2022 Page 13 of 14 Operations & Regulatory Management division, Contractor Licensing • 2800 North Horseshoe drive . Naples, FL 34104 e (239) 252-2431 contractorslicensin cciliercoun ov Packet Pg. 74 0o od i` ana`d - NOIOVNINOO IVN3N3J - 93N31M3dX3 d0 M31A3N - INIO`dHS Niima d ,s9 :;uewgoeuv ate. LU I .._ M W --� ems- t!3 a" viz oc�ww ©' z C)< a x ul V W<r` I o N M3 W --� ems- t!3 a" viz oc�ww ©' z C)< a x ul V W<r` I o N M3 8.0 08/16/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 8.0 Doc ID: 26300 Item Summary: 8C. JOSE M. JIMENEZ — REVIEW EXPERIENCE — RESIDENTIAL CONTRACTOR — JJ'S INNOVATION QUALITY LLC Meeting Date: 08/16/2023 Prepared by: Title: — Contractor Licensing Name: Alyshia Morse 08/08/2023 4:02 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 08/08/2023 4:02 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 08/08/2023 4:57 PM Contractor Licensing Tim Crotts Review Item Completed 08/09/2023 3:14 PM Contractor Licensing Tim Crotts Meeting Pending 08/16/2023 9:00 AM Packet Pg. 76 8.C.1 �(c ) 0;� 000 Collier County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY N O 3 U FIRM APPLICATION FOR COLLIER COUNTY o CERTIFICATE OF COMPETENCY 0 N 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 J information, consult Collier County Ordinance No. 2006-46, as amended. TYPE OF CERTIFICATE OF COMPETENCY: ❑ General $230.00 ❑ Electrician $230.00 ❑ Building $230.00 ❑ Plumber $230.00 'Residential $230.00 ❑ Air Conditioner $230.00 ❑ Mechanical $230.00 ❑ Swimming Pool $230.00 ❑ Roofing $230.00 ❑ Specialty $205.00 Specialty Trade: I. APPLICANT PERSONAL INFORMATION: Name: Business Name: Address: Email: First Middle Initial Last r{r? ui ALAI l,S City State Zip Telephone: �/o ��' 'SS # (Last 4 digits only): Date of Birth: / Driver's License # (Last 4 digits only): 0 Pursuant to Collier County Contractor Licensing Ordinance No. 200646 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 bylaw. We are fully committed to safeguarding and protecting your personal information and once collected, will be maintained as confidential and exempt under Chapter 119, Florida Statutes. Contractor Licensing — FIRM Application Rev. 7/2022 Page 3 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239 - contra ctorslicensing cbcolIiercountvfl.gov Packet Pg. 77 8.C.1 1.6.1.3. Residential Contractor requires forty-eight (48) months experience with a passing grade on .. % «t hou an a roved test and a two business and law test and rneans a contractor whose services are limited to construction, remodeling, repair, or improvement of one -family, two-family, or three-family residences not exceeding two Statics in height and accessory use structures in connection therewith. Packet Pg. 78 8.C.1 Coer 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: Y��iIS �l�ea Name: Telephone: �'/ (Y 3�5� Telephone:��a�� II. NAME OF APPLICANT'S BUSINESS: II Business Name: fit. oo Business Address: 313 yt 1 a w 'F' 941 2/� Street City State Zip Telephone: 231- axq-- VE'd— Email: Pk LC ` togyl I V J� 9d • c cnn Federal ID Tax No.:l I - III. FINANCIAL RESPONSIBILITY YES NO ALL APPLICANTS MUST ANSWER THE QUESTIONS BELOW: Filed for or been discharged in bankruptcy within the past 5 years? Had a lien filed against you by the Internal Revenue Service or Florida Corporate Tax Division? Undertaken construction contracts or work that resulted in liens, suits, or judgments being filed? Undertaken construction contracts or work that a third party, such as a bonding or surety company, completed or made financial statements on? Made an assignment of assets in settlement of construction obligations for less than the debts outstanding? Been convicted or found guilty of, or entered a plea of nolo contendere to, regardless of adjudication, a crime in any jurisdiction within the 10 past years?* Had claims or lawsuits filed for unpaid or past due accounts by your creditors as a result of construction experience? Been charged with or convicted of acting as a contractor without a license, or if licensed as a �( contractor in this or any other state, been "subject to" disciplinary action by a state, county, or 1\ municipality? NOTE. If you have answer YES to any of the questions below, you must attach a written explanation including the nature of the charges, dates, and outcomes, sentences of conditions imposed. You must also attach proof of payment, satisfaction of lien or judgement, bankruptcy discharge, or agreements for payment.*If you have had a felony conviction, proof that your civil rights have been restored will be required prior to licensure. Contractor Licensing — FIRM Application Rev. 7/2022 Page 4 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239 contractors Iicensinona.colIiercountyfl.gov Packet Pg. 79 Collier County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY IV. EXPERIENCE VERIFICATION EDUCATION: List below and provide transcripts for any formal education you have obtained in the area of competency for which this application is being made: List below non formal education (on the job training) you have obtained in the area of competency for which this application is being made: a:7 'Ciz 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. L11=1 f-1T_\T/111 0 Under the penalties of perjury, I declare that I have read the foregoing application and the facts stated in it are true. 7\0;e- M �- �)M Applicant (please print) III =11-1�-alwali"O;W • � State of 1 u1 A'— County of The foregoing instrument was acknowledged before me by means of 4 physical presence or ❑ online notarization on this \0 'day of , 20 1?), , by e_ a - _; ,,,,A e..l\ e Care person(s) Notary Public must check applicable box: personal\I(y 13*Wk61% ❑ has produced a current driver license �\\\\i`� PR Ss ON �F�'�% as identification. ❑ has proc�cc �M F (NotaryiSeap a `o #GG 929264 9'p�• �publac U�de�;:•�p�,,,�� Notary Signature: �i.. Aim . • .... F ..�� 8.C.1 2 w to O U 00 0 0 M co N Contractor 7/2022 Page 5 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) a contractorslicensing colliercountyfl.gov Packet Pg. 80 8.C.1 C01[1'e-r 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. �A Applicant (please print alltq tLc Name of Company Signature of Applicant State of R3 ( LQ.- County of • V- The foregoing instrument was acknowledged before me by means of Cphysical presence or ❑ online notarization on this ��ay of � \ J�.1 , 20 , by tach person(s)Notary Public must check applicable box: re personally known to me ❑ has produced a current driver license ❑ has produced (Notary Seal) \\\\\\N1111111110// GO,,V . =O 2�acru Z • Z /1GG 929264 as identification. Notary Signature: Contractor Licensing — FIRM Application Rev. 7/2022 Page 6 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) contractorsIicensing(@colIiercountyfl.gov Packet Pg. 81 8.C.1 co�r co-tinty Growth Management Community Development Department LU W N O APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY U co WORKMEN'S COMPENSATION AFFIDAVIT o 0 M 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 U of my Certificate of Competency. J H J Applican (please print V l LLC Name of Company / _ _ n Signature of Applicant BEFORE ME this day personally appeared c ,�C'- ,���- who affirms and Applicant (please print) says that he has less than one employee and does not require Workmen's Compensation understands that at any time he employees one or more persons he must obtain said Workmen's Compensation Insurance. State of County of ( The foregoing instrument was acknowledged before me by means of Cphysical presence or El online notarization on this day of ,y`.20 2-9) , by '3 MkAR f ch person(s) Notary Public must check applicable box: are personally known to me ❑ has produced a current driver license ❑ has produced (Notary Seal) \\\\\\\\1111111111/4/ i #GG 929264 ' � O • O l Q � 9•'.d�yponded th0Jy��;� • Q�� �i�jPyA•. Ublic Uole,•1;0,N ///j / O\\\\\\\\ as identification. Notary Signature: U 00 Contractor Licensing - FIRM Application Rev. 7/2022 Page 7 of 14 Q Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239 contractors Iicensino C@colliercountvfl.gov Packet Pg. 82 8.C.1 GITS, LLC Examination Operations Division Providing the services and products to assist Government Agencies to make informed educated decisions. Official Examination Score Report Official Score Report: Candidate Information: Name — Jose Miguel Jimenez Candidate #: 33723360J Online Testing Site: Ocala, FL Final Score Result: September 27' , 2022 Business Procedures Score: 84% These results represent the grade that has been achieved on the above named examination(s) administered by Gainesville Independent Testing Service for Collier County, Florida on September 22°d , 2022. If you have any further questions, please do not hesitate to contact us. Sincerely, Jay E. Bowermeister President PO Box 831127 Ocala, Florida 34483-1127 — Voice (352) 369-GITS — Fax (352) 387-2443 800 997 2129 2 LJ U) 0 U 00 0 0 M (D N U 00 c m E s c� r Packet Pg. 83 a 8.C.1 GITS, LLC Examination Operations Division Providing the services and products to assist Government Agencies to make informed educated decisions_ W U) 0 U co 0 Official Examination Score Report M N October 10, 2022 Official Score Report: Candidate Information: Name — Jose M. Jimenez Candidate #: 33723360J Online Testing Site: Ocala, FL Final Score Result: Building Contractor Score: 83% These results represent the grade that has been achieved on the above named examination(s) administered by Gainesville Independent Testing Service for Collier County, Florida on October 7, 2022. If you have any further questions, please do not hesitate to contact us. Sincerely, Jay E. Bowermeister President PO Box 831127 Ocala, Florida 34483-1127 — Voice (352) 369-GITS — Fax (352) 387-2443 800 997 2129 Packet Pg. 84 CREDITCHECK nn CONFIDENTIAL 8.C.1 Individual Credit Report Name...:JIMENEZ JOSE M. Ordered By:18542 Address:3373 17TH AVENUE SW Customer :9999 NAPLES, FL_ 34117_ _ _ _ Received : 07/04/23 Social#: Applicant: -1160 Completed :07/04/23 CREDIT SCORE: APPLICANT FICO SCORE: 754 (scores range from 300 to 850) SOURCE(S): EXPERIAN TRANSUNION PUBLIC RECORDS: PUBLIC RECORDS HAVE BEEN CHECKED AT THE LOCAL, STATE AND FEDERAL LEVELS WITH THE FOLLOWING RESULTS AS OF 07104/23: CLEAR CREDIT RECORD (Credit history has been checked for a period of seven years or from open date.) Creditor Date Date High Unpaid Past Historic Status Current Mos Account Number Reported Opened Credit Balance Due 30 60 90 Status Rev ECOA 5/3 BANK NA CUR WAS 30 423461714 05/23 02/18 201000 193571 0 04 00 00 M01 40 I DLA=05/23 2 W U) O U w 0 0 M to AMEX AS AGREED W 3499914125315433 08/14 02/05 4848 0 0 R01 00 T DLA=08/14 w BANKAMERICA AS AGREED w 0057448992 08/20 12/03 180000 0 0 00 00 00 M01 48 I z DLA=08/20 w w CAPITAL ONE AS AGREED a 517148687520 06/23 04/22 309 0 0 00 00 00 R01 13 I w DLA=06/23 w CITI AS AGREED w 518941015074 06/23 01/17 11777 11 0 00 00 00 R01 48 A N DLA=06/23 N W Z CITI AS AGREED w 518941024642 02/23 10/19 100 0 0 00 00 00 R01 39 I DLA=02/23 w co O U Licensee Applicant: APPLICANT - SEE NAME ABOVE °O Reporting Agency: Credit Check, Inc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409. (561) 616-5556 E w Packet Pg. 85 CREDITCHECKsm CONFIDENTIAL Name: JIMENEZ, JOSE M. Customer: 9999 Page:2 w COMMUNLNSERV AS AGREED N 6280000625481 04/14 12/03 180000 0 0 00 00 00 M01 13 I DLA=04/14 6 cw PUBLIX EFCU AS AGREED c CD 169644000203 11/13 11/07 24537 0 0 00 00 00 101 48 C DLA=11 / 13 c•� U THD/CBNA AS AGREED J J 603532094277 12/21 02/19 0 0 0 00 00 00 R01 34 I } DLA=12/21 I-- M Q WELLS FARGO CUR WAS 30 O 446542050084 06/23 07/16 12704 371 0 01 00 00 R01 48 I DLA=06/23 O Total trade lines on this report: 10 INQUIRIES: 03/18/23 by EXPERIAN BUSINESS CRED (EXP) #4301099 04/03/22 by CAP1/BASS (EXP) #2897500 03/18/23 by SYNCB/LOWES (TU) #1199407 03/16/23 by SYNCB/LOWESC (TU) #2743736 04/03/22 by CAP1/BASS (TU) #3847656 RESIDENCE HISTORY: 3373 SW 17TH AV, NAPLES FL 34117 4224 SW 19TH PL, NAPLES FL 34116 8210 SW 25TH ST, MIAMI FL 33155 COMMENTS: ***OFAC NAME SCREEN ALERT - CLEAR*** OFAC (OFFICE OF FOREIGN ASSET CONTROL) IS A FEDERAL AGENCY WHICH MAINTAINS A DATABASE OF TERRORISTS, DRUG TRAFFICKERS AND CRIMINAL ORGANIZATIONS. FRAUD RECORDS HAVE BEEN SYSTEMATICALLY CHECKED BY THE ACCESSED BUREAUS. CHECKS FOR IDENTITY THEFT, FAKE SSN, DECEASED SSN AND OFAC DATABASE PERFORMED CREDITOR PHONE DIRECTORY: CAPITAL ONE BCIDTV234 (800) 955-7070 PO BOX 31293 SALT LAKE CITY UT. 84131 AMEX BC21WB001 (800) 874-2717 P.O. BOX 981537 EL PASO TX. 79998 THD/CBNA BZ26H3005 PO BOX 6497 SIOUX FALLS SD. 57117 COMMUNLNSERV FM27DB001 (800) 457-5105 4425 PONCE DE LEON CORAL GABLES FL. 33146 PUBLIX EFCU QU379E001 (941) 683-6404 U Licensee Applicant: APPLICANT -- SEE NAME ABOVE co Reporting Agency: Credit Check, Inc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409. (561) 616-5556 m E w Q Packet Pg. 86 CREDITCHECK CONFIDENTIAL Name: JIMENEZ, JOSE M. Customer: 9999 Page:3 CREDITOR PHONE DIRECTORY - continued: w o P 0 BOX 1000 LAKELAND FL. 33802 BANKAMERICA BM427SO02 (800) 669-6607 w 4909 SAVARESE CIRC TAMPA FL. 33634 CITI BC64DB002 c PO BOX 6217 SIOUX FALLS SD. 57117 M WELLS FARGO BC908N664 (800) 462-4720 N PO BOX 14517 DES MOINES IA. 50306 5/3 BANK NA BM992SO02 (513) 358-4801 5050 KINGSLEY DR CINCINNATI OH. 45263 CREDIT CHECK Z 0630273 (877) 616-5556 3017 EXCHANGE COUR WEST PALM BEAC FL. 33409 M SYNCB/LOWESC D 2743736 (866) 597-1513 Q PO BOX 71737 PHILADELPHIA PA. 19176 a SYNCB/LOWES L 1199407 (800) 444-1408 z PO BOX 71727 PHILADELPHIA PA. 19176 O CAP1/BASS B 3847656 (800) 955-7070 15000 CAPITAL ONE RICHMOND VA. 23238 Q *** END OF REPORT *** This information is confidential and is not to be divulged except as required %the Fair Credit Reporting Act. This personal report is furnished simpty as an aid in determining the credit desirability of the applicant(s). his based uppoon imomna,ionar obtained m Qp "' faith by this agency from sources deemed reliable, The accuracy of same, however, is m no way guaranteed, (3y your acceptance and use of this report, you specifidally agree to hold Credit Cheek, Inc. harmless front any liability whatsoever. U Licensee Applicant: APPLICANT - SEE NAME ABOVE °O Reporting Agency: Credit Check, Inc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409. (561) 616-5556 m E w Q Packet Pg. 87 SM CREDITCHECK CONFIDENTIAL Commercial Credit Report Company: JXS INNOVATION QUALITY LLC Address:3373 17TH AVENUE NW NAPLES, FLORIDA 34117 Telephone: (239) 285-2611 PRINCIPALS: MANAGER/OWNER JIMENEZ, JOSE M. Address: 3373 17TH AVENUE NW NAPLES, FLORIDA 34117 Social Security Number: -1160 Stock Ownership: 100% Address: Social Security Number: Stock Ownership: Address: Social Security Number: Stock Ownership: Address: Social Security Number: Stock Ownership: RISK SCORE: Date: 07/08/23 Cust. No: 9999 Ordered By: 18589 Page: 1 (X) LLC EIN: 84-2856089 Brian Ex �� •;.;., p Financial StabilityRisk Score ; � Low Risk - 2 Low to Med 3Medium Risk -- -- 0 M d to High 1i'oor ... _. Excellent-100 ;High Risk J 0 CREDIT RISK SCORE The score uses tradeline and collections information, public filings as well as other variables to predict future risk. Higher scores indicate lower risk. FACTORS LOWERING THE SCORE: Reported for: APPLICANT - SEE NAME ABOVE Reported by: Credit Check, Inc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409. (561) 616-5556 2 U co Packet Pg. 88 SM CREDITCHECK CONFIDENTIAL Commercial Credit Report w Company: JJ'S INNOVATION QUALITY LLC Date: 07/08/23 Cl) 0 Cust. No: 9999 U Address: 3373 17TH AVENUE NW Ordered By: i8589 00 NAPLES, FLORIDA 34117 Page: 2 40 M RISK SCORE - continued: v U Your risk score is zero due to insufficient credit history. Here's what you � can do to address this: 1. Establish credit lines with banks and vendors using your business name. After opening an account be aware it may take a few months to be reported to the credit bureaus. 2. Make sure your bank or vendors report to Experian. Virtually all major banks and credit unions report to Experian as well as national chains like Lowes, Home Depot, and Staples. 3. Pay your bills in a timely manner to achive the best possible score. JJ'S INNOVATION QUALITY LLC was FORMED in the county of COLLIER, state of FLORIDA, on 08/19, 2019. The charter number is L19000211466. The registered agent is SPL INCOME TAX CORP of 3940 RADIO ROAD, #103, NAPLES, FLORIDA 34104. Offices are LEASED from N/A at N/A per month. The company employs N/A. NET WORTH: ON FILE WITH STATE The company maintains banking relations with WELLS FARGO The officer handling the account is N/A - NAPLES, FLORIDA PUBLIC RECORDS WERE CHECKED FOR COLLIER COUNTY, FLORIDA. A SEARCH OF LOCAL, STATE, AND FEDERAL RECORDS HAS BEEN CONDUCTED WITH THE FOLLOWING RESULTS: CLEAR AS OF 07/08/23 - SEVEN YEAR SEARCH. *** Credit Profile *** REMARKS: N/A = NOT APPLICABLE/NOT AVAILABLE REPORT WORKED BY KELLY END OF REPORT. U This commercial report is furnished simply as an aid in determining the credit desirability ohhe applicant(s). It is based upon information obtained in goad faith by this agency from sources deemed reliable. CO The accuracy of same, however, is in no way guaranteed. By your acceptance and use of this report, you specifically agree to hold Credit Check, inc. harmless from any liability whatsoever 0 ; C d E t V l4 w+ Z, Packet Pg. 89 1/12/23, 2:34 PM uetan oy tnuty Ndnas 8.C.1 /,.org . Detaii i---y Entity Name Florida Limited Liability Company JTS INNOVATION QUALITY LLC Filing.lnformation Document Number L19000211466 FEI/EIN Number 84-2856089 Date Filed 08/19/2019 State FL Status ACTIVE PrinciPal_Address 3373 17TH AVE NW NAPLES, FL 34117 Changed: 06/05/2020 Mailing Address 3373 17TH AVE NW NAPLES, FL 34117 Changed: 06/05/2020 Registered Agent Name & Address SPL INCOME TAX CORP 3940 RADIO RD 103 NAPLES, FL 34104 Authorized Persons) Detail Name & Address Title MGR JIMENEZ, JOSE M 3373 17TH AVE NW NAPLES, FL 34117 Annual Reports Report Year Filed Date 2020 06/05/2020 01 2021 04/28/2021 w O v co 0 0 M t0 N U 00 c m E t U to Q httnc //�aarrh c3inhi7 nrn/inni3irv/CornnrationSearch/SearchResultDetail?inouirvtvoe=EntitvName&directionType=Initial&searchNameOrdel Packet Pg. 90 8.C.1 Electronic Articles of Organization For Florida Limited Liability Company Article I The name of the Limited Liability Company is: JJ'S INNOVATION QUALITY LLC M L19000211466 0 FILED 8:00 AM August 19, 2019 6 Sec. Of State 00 kepage c 0 M N Article II The street address of the principal office of the Limited Liability Company is: 4224 19TH PL SW NAPLES, FL. US 34116 The mailing address of the Limited Liability Company is: 4224 19TH PL SW NAPLES, FL. US 34116 Article III The name and Florida street address of the registered agent is: SPL INCOME TAX CORP 3940 RADIO RD 103 NAPLES, FL. 34104 Having been named as registered agent and to accept service of process for the above stated limited liability company at the place designated hi this certificate, I hereby accept the appointment as registered agent and aggree 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: ISMARY GONZALEZ Packet Pg. 91 8.C.1 $1 i p DEPARTMENT OF THE TREASURY ,I'll INTERNAL REVENUE SERVICE CINCINNATI OH 45999-0023 JJ S INNOVATION QUALITY LLC JOSE M JIMENEZ SOLE MBR 4224 19TH PL SW NAPLES, FL 34116 Date of this notice: 08-27-2019 Employer Identification Number: 84-2856089 Form: SS-4 Number of this notice: CP 575 G For assistance you may call us at: 1-800-829-4933 IF YOU WRITE, ATTACH THE STUB AT THE END OF THIS NOTICE WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER Thank you for applying for an Employer Identification Number (EIN). We assigned you EIN 84-2856089. This EIN will identify you, your business accounts, tax returns, and documents, even if you have no employees. Please keep this notice in your permanent records. When filing tax documents, payments, and related correspondence, it is very important that you use your EIN and complete name and address exactly as shown above. Any variation may cause a delay in processing, result in incorrect information in your account, or even cause you to be assigned more than one EIN. If the information is not correct as shown above, please make the correction using the attached tear off stub and return it to us. A limited liability company (LLC) may file Form 8832, Entity Classification Election, and elect to be classified as an association taxable as a corporation. If the LLC is eligible to be treated as a corporation that meets certain tests and it will be electing S corporation status, it must timely file Form 2553, Election by a Small Business Corporation. The LLC will be treated as a corporation as of the effective date of the S corporation election and does not need to file Form 8832. To obtain tax forms and publications, including those referenced in this notice, visit our Web site at www.irs.gov. If you do not have access to the Internet, call 1-800-829-3676 (TTY/TDD 1-800-829-4059) or visit your local IRS office. IMPORTANT REMINDERS: * Keep a copy of this notice in your permanent records. This notice is issued only one time and the IRS will not be able to generate a duplicate copy for you. You may give a copy of this document to anyone asking for proof of your EIN. * Use this EIN and your name exactly as they appear at the top of this notice on all your federal tax forms. * Refer to this EIN on your tax -related correspondence and documents. If you have questions about your EIN, you can call us at the phone number or write to us at the address shown at the top of this notice. If you write, please tear off the stub at the bottom of this notice and send it along with your letter. If you do not need to write us, do not complete and return the stub. Your name control associated with this EIN is JJSI. You will need to provide this information, along with your EIN, if you file your returns electronically. Thank you for your cooperation. W U) O V 0 0 M to F4 Packet Pg. 92 8.C.1 Collier County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY STATEMENT OF OWNERSHIP This certifies that I, 7�Y� �A \�Q_ � am a member or managing APPLICANT'S NAME (please print) member (LIMITED LIABILITY COMPANY NAME) I own 0_� v % of the units issued by the Limited Liability Company listed above. Affidavit of Applicant: I certify under penalty of perjury that the information contained is a true and correct statement to the best of my knowledge. State of��Lc ',(�— County of The foregoing instrument was acknowledged before me by ray of , 20 2-1, by �( I Suchperson(s) Notary Public must check applicable box: Applicant (please print) bualh ('LlIc, Name of Company Signature of Applicant of ❑ physical presence or ❑ online notarization on this MS&el— are personally known to me ❑ has produced a current driver license ❑ has produc��\����tttlliIlI�/�/ as identification. (Notary *l)xR;o • eER2 i � .•�_ Z ; 2 #GG 929264 y = Notary Signature: i 0�ended 1h'° i��.' i 9 �A �� Q �bli cUnde ..•�O``�� /%��Illfii IC Al 0N````` W rn O U cw 0 0 eM to N Contractor Licensing — FIRM Application Rev. 7/2022 Page 9 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) Packet Pg. 93 contractors Iicensino cDcolIiercountvfl.gov Collier County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name: —� Me 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:�1�-(' �ry l!l-eTitle: Business Name: Phone: \1� I ���—��License No. (if applicable): i2 Business Address: Street City nn State zip The applicant was employed by me from to Applicant's title: �bklv�G,(1 The applicant's scope of work (specific duties) included: �J Additional comments: NOTE TO LICENSED CONTRACTORS: Falsifying any information provided herein may subject your license to revocation. Under penalty of perjury, I declare that the facts stated here are true. Signature of pens pro iding the tatement State ofR&fi County of - (IbLR[ The foregoing instrument was acknowledged before m by mea s of LEI physical tA VU-tay of J 20 by P rreperson(s) Notary Public must check applicable box: personally r❑ has produced a current driver license \NN� �g�P• , ...... q!� i/ice ❑ has produ ,•'oM���ssioN�p i as identification. 20 Fes': (Notary Sea ; w .. y .Z #GG929264 90, ���y • Q' � t��R°b a�IT �¢o� Notary Signature: Contractor Licensing — FIRM Application Rev. 7/2022 or ❑ online notarization on this 8.C.1 14 2 W to O U 00 0 0 M to N Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) Packet P 94 contractorslicensing(@colliercountvfl.00v g ■ 8.C.1 Thursday, July 06, 2023 Jose Jimenez has been working at Blue Diamond for more than four years. He began at the company exercising the labors such as laying concrete, construction, window installations, and drywall installations due to his stellar performance and capacity. He actively holds the position of supervisor where he manages budgets, orders materials — along with inspections as well— and meets with subcontractors regarding the progression of the projects. Jose has continued to show exemplary proficiency when reading blueprints and has consistently represented a remarkable leadership that manages teams to produce premium projects. If you need further information, please contact me at my phone described below. ruly.y rs� HUBLAR LOPEZ 3940 RADIO RD STE 103 NAPLES FL 34104 (786) 318-7836 FOR AN OATH OR AFFIRMATION STATE OF FLORIDA COUNTY OF COLLIER Sworn to (or affirmed) and subscribed Oefore me Lopez, by physical presence. NOTARY Produced Identification: FL DL 1-126-320- 6"' day of July, 2023, by Hublar %N%1111111111ff GOy2� r✓,y�� Sn x o floc 929264 led V �'- Ruiiding Contractor 1"86) 3:18 7836 435 3900 1: 2 w Cn O U 00 0 0 M N Packet Pg. 95 8.C.1 �t r�r,.'Ue * N! : ,, iamand Wednesday, March 08, 2023 To whom it may concern: By means of this letter, I, HUBLAR LOPEZ as a President of Blue Diamond Home Builders Corp, hereby certify that Jose M Jimenez and his company JJS Innovation Quality LLC has doing work for my company for more than the four years. He is an excellent person and hard worker. We have done many different projects of constructions specializing in electrical work and supervisor. Mr. Jimenez is a highly committed, responsible, reliable, disciplined, honest person and worker. He is very respectful to all coworkers and customers and maintains a high - quality standard and professionalism in all jobs and projects. He is also capable of reading and interpreting architectural construction blue prints very well, which indicates his experience in this field. He is very competent in coordinating with subcontractors to keep projects moving forward. If you need further information, please contact me at my phone described below. your HUBLAR LOPEZ 3940 RADIO RD STE 103 NAPLES FL 34104 (786) 318-7836 FOR AN OATH OR AFFIRMATION STATE OF FLORIDA COUNTY OF COLLIER Sworn to (or affirmed) and subscribed before e Lopez, by physical presence. J NOTARY I ATuF Produced Identification: FL DL L 1111111GON 110" 111 w ig tILr�8 ••d 18# Q� �k k23, by Hublar rip• 0 ' 2 #GG 929264 p� :FG ode i k\'\ `�.e�.' o�/STF?E W U) 0 U w 0 0 Cl) tC U co Q Hublar Lopez — Building Contractor Cell:(786) 318 7836 Fax:(239) 435 3900 hublarlr@hotnv l rn Packet Pg. 96 � 8.C.1 Coer County Growth Management Community Development Department W to O APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY U 00 VERIFICATION OF CONSTRUCTION EXPERIENCE o JostM A licant's Name:to P P Certificate Category Requested: S / Pr— " /'h- L b Ae5"c_7-b 12 V J 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: ,/&a 6!f Ar , _11>h Z Title: ?&_.51#PA0Wr Business Name: &AeA Anil r: G ," rz?t c 1�%, 4 4 G Phone: 23 C- 02 7- C, 3% License No. (if applicable): CC C d 3 073 Business Address: yS 3 2 l *ovw/+� % RwI L gAv . MAB X 475 FL: 314112 Street City State Zip The applicant was employed by me from M A R C 20 /'% to E/Z-'Ss."ll Applicant's title: PA O 7W-C 11, AD fiflo it The applicant's scope of work (specific duties) included: /4 4 L PA&C C S 6 A - Additional comments: NOTE TO LICENSED CONTRACTORS: Falsifying any information provided herein may subject your license to revocation. Under penalty of perjury, I declare that the facts stated here are true. (1 Signa a of person provi n t tatement State of �� (� k)- County of \JU\l� �c� The foregoing instrument was acknowledged before me y me s of C physical presence or ❑ online notarization on this \Q'ay of I , 20� , by �q . Such person(s) Notary Public must ch applicable box: El are personally known to me has produced a current driver license \\\I111111111it�� ❑ has prod\t�,RY OON,,V// —as identification. N <b p�1..... ��F����/i (Notar ealj*�O\�0KR2,11°ip�..• o (P z #GG 929264 , Notary Signature R'`0 / �f•, ��n;.^ arc,• p \!\ /�//, A/.•.''^... �l. FCC.\1 Contractor Rev. 7/2022 Page 11 of 14 '•itili9l9�" ' Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) Packet Pg. 97 contractors IicensinciaCkolIiercountyfl.gov 8.C.1 Pinnacle Contracting & Framing, LLC March 13", 2023 To whom it may concern, By means for this letter, 1, Jorge A. Diaz as the President of Pinnacle Contracting & Framing, LLC. Hereby certify that Jose Jimenez, 3373 17rn Ave SW, Naples, FI 34117, has doing work for my company since March 201h, 2017. During this time, he has worked as a project advisor, he demonstrated a high level of skills at all stages of project construction. He is a highly committed, responsible, reliable, disciplined, honest person and worker. He is very respectful to all his coworkers, customers and maintains a high -quality standard and professionalism in all jobs and projects. He is capable of reading and interpreting architectural construction blueprints very well, which indicates his experience in this field. He is competent in coordination with subcontractors to keep projects moving forward. Should you have any questions or concerns, please feel free to contact me at your earliest convenience Jorge A. Diaz State of Florida County of Collier The foregoing instrument was acknowledged before me by means of � physical presence or online notarization an this 1�7 day of _� 20� by (� Such person (s) Notary Public must check applicable box: � are personally known to me has produced .- (Notary Seal) Notary Signature HELEN SUMEZ MY COMMISSION #HH339425 EXPIRES: DEC 07, 2026 04ft'Bonded through 1st State Insurance has produced a current driver license. as Identification. 4532 Tamiami Trail East Suite #302 Naples, Florida 34112 239-692-9813 W U) 0 U w 0 0 M cc F4 U 00 Packet Pg. 98 8.C.1 Co� r County Growth Management LU Community Development Department co O APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY co VERIFICATION OF CONSTRUCTION EXPERIENCE o M `° Applicant's Name: � ilYl�.VI�- U Certificate Category Requested: 1ZE'S9E1�1"t7L� GD��i+C.Td1i � 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: A4-g 1 e_o f i56y%jJu6k Business Name: E-1-ZJ-P— �'=-�i�•'S Title: S "_$ Wr Phone: License No. (if applicable): �10.GAG JS��s'� Business Address: � J 72'r04A.y4A.'i /y im , R. • -� T��� Street City State Zip The applicant was employed by me from Ul��f T 4)16 to W_0J6-r_,< L Applicant's title: 4114 C.-rex The applicant's scope of work (specific duties) included: ,�.,1�5'�•..d. a,i�es Additional comments: j5Z C_T=C.&4_ -rO JN4LA,0J7,E. _-,ZZyXACF_ 0�6ELS ( Z J$ NOTE TO LICENSED CONTRACTORS: Falsifying any information provided herein may subject your license to revocation. Under penalty of perjury, I declare that the facts stated here are true. State of '{kZ) 1 , Cam— County of The foregoing instrument was acknowledged ',Q�ay of , 20 22:1 , by _ Such person(s) Notary Public must chec)s..apf of person prgOfdXg the-slaCe,0ent me by11means of N1 physical presence or ❑ online notarization on this licable box: ❑ are personally knowtt1 i1t tl//i�..as produced a current driver license ❑ has produced rod��ts�'��N i p E i� as identification. (Notary Seal) _ #iGG 929254 Oblic ur PC� Notary Signature: �eCIC,.` Contractor Licensing — FIRM Applicati I,%ev. 7/2022 Page 10 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) Packet Pg. 99 contractors IicensingCo)colIiercountyfl.gov 8.C.1 w rn O 3 U w -� N March 10, 2023 �? To whom it may concern, By means of this letter, I, Alejandro J. Espinosa as President of Elite Contractors, Inc., hereby certify that Jose Jimenez has been doing electrical work for my company since February 2010. During this time, he has worked as an electrician, which he has demonstrated a high level of skill at all stages of electrical work. Jose has excelled in the installation of entire home generators and electrical distribution panel replacement. Jose Jimenez is a highly committed, responsible, reliable, disciplined, honest person and talented worker. Jose is very respectful to both customers and coworkers and always maintains a high -quality standard and professionalism in all the projects. Jose is also capable of understanding and interpreting electrical construction plans very well, which indicates his experience in the electrical field. Jose is very competent in coordinating with other trades to keep projects streamlined and moving forward. I highly recommend using Jose for any electrical requirements on both commercial and residential needs. Should you have any questions or concerns please feel free to contact me at your conve 'ence. Alejandro J. spinosa State of Florida County of Collier The foregoing instrument was acknowledged before me by means of physical presence or online notarization on this day of 20- 2Z, by Such person(s) Notary Public must check applicable line: are personally known to me has produced a current driver license has produced `� 1. - r�b�" V as identification. Notary Signature: HELEN SUAREZ W COMMISSION #HH339425 EXPIRES: DEC 07, 2026 Bonded through 1 st State Insurance 3421 Tortuga Way ♦ Naples, FL. 34105 ♦ (239) 253-2683 ♦ (239) 262-8747 FAX L1CFNS1: #CGC1504652 //QB24299 Packet Pg. 100 8.C.1 CO Y C;0141 .ty Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF +— I Dr kcI[, COUNTY OF C having been first duly sworn, state and affirm: I am a resident of CDI {it( County,OYICfa (State) and have resided here for more than five (5) years. During the last five (5) years I have known �� 1��tti►rl VWf (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. (!� State of , 3y.., County of L Thhe� foregoing instrument was acknowledged before me by 1 ,Pl " ay of , 2011, by e rchperson(s) Notary Public must check applicable box: �\\\\11 t t 111111/4/ t/ `/ ' Signature Printed Name Address: Street / Cites State Zip Telephone: J7' ap —<--tw ff of Physical presence or ❑ online notarization on this AID -r are persona\`r��Dln46�ij❑ has produced a current driver license ❑ has pro iE c, �,•. ' as identification. ;moo oa :. z � (Notary Tt* ; ® O 40 _ #GG 929264 ' i� 'Py •. obli� UW �Notary Signature: Page 13 of 14 W N O U cw 0 0 eM to N Contractor Licensing — FIRM Application Rev. 7/2022 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239 Packet Pg. 101 contractors Iicensing6 colIiercountvFl.gov 8.C.1 COLLieY COLLYIty Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF 'FC_!/I�-%�/�' COUNTY OF I, Aml?zj i , having been first duly sworn, state and affirm: I am a resident of �wllGli� County, more than five (5) years. (State) and have resided here for Duringthe last five 5 ears I have known •� �IF790 (applicant). I have had the opportunity O Y `��� to observe his or her business and personal dealings and find him obe a per n of on integrity and good character. i Signature Printed Name Address:101/ 5 Dick Street ty State Zip Telephon o 4-27 / d, State of Rib , L9— County of The foregoing ifr)uent was acknowledge before me by means of (hysical presence or ❑ online notarization on this � O-day of , 20 � by I 1 i S QUA h person(s) Notary Public must check applicable box: are personally know t e ❑ has produced a current driver license Elhas produ \\�PR,(..`'.�N�q('/���ii� as identification. (Notary SEaI) : o� . *� _ ®°�' a� •fir= #GG 929264 5 y0 ° �y' Notary Signature: i : •* ;d - Onded ih'J�t�e• �i 9P`' public UodO;.••���� ��B(IC,STF ,E��\\���� aa \ Contractor Licensing — FItIUlAjf��Ution Rev. 7/2022 uy , 1d W to O U 00 0 0 M N Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) Packet Pg. 102 contractorsIicensing(@colIiercountvfl.gov 8.C.1 USA Floridaa UC 0 210Str Ir1� :{ t' 1 ��'_ �tAA1.; FL 344 77,, a ll&99i +semi "FA 5 aeEity- 9ltiCd026` is"GT a.Or 12 REST. . so ENO NONE !Doran-`, SAFE- ' r res 04ltt12at� T• REPLACED oE.f.00n d i �� �� coMnaftis can.Mro+nY spb'�KUp r�qu.'W by lna�'. Packet Pg. 103 8.C.1 ACOR" CERTIFICATE OF LIABILITY INSURANCE 16.,­/' DATE (MM/DD/YYYY) 1 01/13/2023 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER CONTACT Nestor Telot NAME: P"Ci" ; . (305) 507-9634 FAX, No : (786) 536-2864 Telot Insurance Corp dba Univista Insurance E-MAIL ADDRESS: ntelot@univistainsurance.com univistainsurance.com 61 Gran Canal Dr., #202 INSURERS AFFORDING COVERAGE NAIC # INSURER A: GRANADA INSURANCE COMPANY 10000 Miami FL 33144 INSURED INSURER B INSURERC: Jj S Innovation Quality Lic INSURER D : 4224 19TH PL SW INSURER E : 1 INSURER F : NAPLES FL 34116 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MWDD/POLICYYE YYY MM DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1000000 CLAIMS -MADE FXI OCCUR DAMAGE TO RENTED PREMISES Ea occurrence) $ 100000 MED EXP (Any one person) $ 5000 PERSONAL & ADV INJURY $ 1000000 A 0185FLOO129536 08/29/2022 08/29/2023 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2000000 GEN'L POLICY P O LOC PRODUCTS - COMP/OP AGG $ 2000000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTYDAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS UAB DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE PER OTH- STATUTE ER _ E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? ❑ N / A (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) IL" aG4ll2Ri1: t:NJ4NJ=I h_\0Ltla4At\ILai C COLLIER COUNTY CONTRACTOR LICENSING BOARD 2800 N HORSESHOE DR NAPLES FL 34104 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE NESTOR TELOT ©1988-2015 ACORD CORPORATION. All rights reserved. W CO O U 00 0 0 M N U CO r Q ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Packet Pg. 104 8.C.1 ak s"E W 5,o O r'OD R'E JIMMY PATRONIS U 00 CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES c DIVISION OF WORKERS' COMPENSATION N *' 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: 1/19/2023 PERSON: JOSE M JIMENEZ FEIN: 842856089 BUSINESS NAME AND ADDRESS: JJ'S INNOVATION QUALITY LLC 3373 17TH AVE SW NAPLES, FL 34117 EXPIRATION DATE: 1/18/2025 EMAIL: SPLINCOMETAX@HOTMAIL.COM This certificate of election to be exempt is NOT a license issued by the Department of Business and Professional Regulation. To determine if the certificate holder is required to have a license to perform work or to verify the license of the certificate holder, go to www.myfloridalicense.com. 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 if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT RULE 69L-6.012, F.A.C. REVISED 0112023 E01652600 QUESTIONS? (850) 413-1609 U Do Packet Pg. 105 8.C.1 PLEASE CUT OUT CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA — — — — — — — — — — — — — -c13E — — T — — — — — — — — — — — — — — — — — — — — — — , 1 DEPARTMENT OF FINANCIAL SERVICES q, I IMPORTANT 1 DIVISION OF WORKERS' COMPENSATION _ _ _ CONSTRUCTION INDUSTRY EXEMPTION i F Pursuant to subsection 440.05(13), F.S., an officer of a corporation who elects 1 exemption from this chapter by filing a certificate of election under this section CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA q. - O may not recover benefits or compensation under this chapter. 1 WORKERS' COMPENSATION LAW L Pursuant to subsection 440.05(11). F.S., Certificates of election to be exempt 1 EFFECTIVE DATE: 1119@023 EXPIRATION DATE: 1/18/2025 1 D issued under subsection (3) apply only to the Corporate officer named on the 1 PERSON: JOSE M JIMENEZ EMAIL: SPLINCOMETAXONOTMAIL.COM I notice of election to be exempt. 1 FEIN 842856089 I H Pursuant to subsection 440.05(12), F.S., notices of election to be exempt and 1 1 I certificates of election to be exempt shall be subject to revocation if, at any BUSINESS NAME AND ADDRESS' E time after the filing of the notice or the issuance of the certificate, the person 1 1 JJ'S INNOVATION QUALITY LLC I named on the notice or certificate no longer meets the requirements of this R sec tion for issuance of a certificate. The department shall revoke a certificate 1 1 E at any time for failure of the person named on the certificate to meet the 1 I requirements of this section. 3373 17TH AVE SW NAPLES. FL 34117 1 1 E01652600 1 Th" —f— If —I I b pe exempt ie NOT a license issues by Iha Department p1 Bua�neaa and Prolessional ReguWeon to 4elerm,M i! the ce4Arwla hOMer Is reeune4lp have a Irenee to perform wpM or to vaniy the Irense pl the ceN!rete hpNar, gp b vmwmylbri4aicanseccm. I I QUESTIONS? (650) 413-1609 1 DIS-F2DWC-252CERIIFICITLCFELLCIIONICBLEXLMPT RULE 691L.012. F A.C. REVISED 01,2023 — — — — — — — — — — — — — — — — — — — — — — — — 1 — — — — — — — — — — — — — — — — — — — — — w O U 00 0 0 M tG N U 00 Packet Pg. 106 8.C.1 April 19, 2023 MINUTES OF THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD MEETING April 19, 2023 Naples, Florida LET IT BE REMEMBERED that the Collier County Contractors' Licensing Board, having conducted business herein, met on this date at 9 a.m. in REGULAR SESSION in Administrative Building F, 3rd Floor, Collier County Government Center, Naples, Florida, with the following members present: Chairman: Todd Allen Vice Chairman: Stephen Jaron (excused) Elle Hunt Terry Jerulle Richard E. Joslin Kyle Lantz Robert Meister III (excused) Matthew Nolton Patrick G. White ALSO PRESENT: Kevin Noell, Esq., Contractors' Licensing Board Attorney Timothy Crotts, Contractor Licensing Supervisor Colleen Kerins, Assistant Collier County Attorney Timothy Broughton, Collier County Licensing Investigator Michael Bogert, Collier County Licensing Investigator Mike Rivera, Collier County Licensing Investigator Sandra Delgado, Operations Supervisor, Licensing 1 Packet Pg. 107 8.C.1 April 19, 2023 w believe it's ever been done. Usually, they're $1,000 fines for Licensing. For Code Enforcement, Cn they can get into the high six figures, depending on the daily accruing fines. U 00 Chairman Allen asked whether the county is ever contacted when homesteaded properties are sold so those liens can be cleared from a title perspective. CD Board Member White said although there may appear to be a dollar value number that appears ca substantial, when the analysis is done, all facts come to light and the law is applied, it's a process that for this Board has worked well. He thanked Attorney Kerins. Chairman Allen asked Attorney Kerins if she could provide that information at the next meeting. Attorney Kerins said she'd defer to Sandra (Delgado) about whether that's feasible and easily obtained through CityView. Many times when we get requests to release these liens, they're usually based on people wanting to buy a house or a car and these come up on their credit checks. That's what prompts many to pay off the county to move on and get the lien released. She'll work with staff to determine whether these requests are easily found in the CityView program. Chairman Allen asked if she also could get back to them on how the procedure works, whether it has to go to Code Enforcement or another procedure. Attorney Kerins said it would be through this Board and through staff there would be a memo or recommendation to our office to review for foreclosure. Then eventually there is a request to the county commissioners put it on the consent agenda to proceed with foreclosure proceedings. Board Member White said his understanding is that, according to our rules, this Board is first required to approve it. Attorney Kerins said yes. Her concern is whether it's worth it for a $1,000 fine. Is it worth the time and expense of doing it when there's a good chance we're not first in line in terms of lien order and we wouldn't even see the money? Board Member Joslin asked if that's the only avenue we have to recover that money. Attorney Kerins said that's usually the purpose of the liens. Ten years ago, they used a collection agency, but they take 30% or a percentage of the value to collect. They don't negotiate down the liens, it's purely to collect the full -dollar value, so it becomes an issue that there's no real settlement, just someone taking the time to try to go after them. Board Member White said another time payment could occur, depending on the underlying violation, is that they pay it off when they come in to get a license. They're required to pay it off. Chairman Allen asked if there was any further discussion and called for a vote. 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, 7-0. The Orders of the Board were approved. B. Jose Jimenez — J.J.'s Innovation Quality LLC Building Contractor -Registered — Review of Experience Mr. Jimenez and his daughter, his translator, were sworn in. Supervisor Crotts reported that Mr. Jiminez submitted an application for the issuance of a local registered license as a Building Contractor, which requires 48 months' experience. The applicant was required to submit documentation showing his experience and submitted three Verifications of Experience. A review of these documents shows: 4 Packet Pg. 108 8.C.1 April 19, 2023 5i • Blue Diamond Home Builders Corp., a CBC. The president stated that the applicant was w U) O employed from September 2018 to present, works 20-25 hours a week and is a 1099 employee. He has some experience in roofing, concrete, door and window installations. 00 The applicant's experience with the company has been in residential work only, no commercial. 0 M • Pinnacle Contracting and Framing LLC, a CGC. The president said the applicant was N employed from March 2017 to present and was a part-time employee two or three years v ago. He worked 90% residential, with very little commercial work. The president could J J not remember the scope of work the applicant performed. } • Elite Contractors Inc., a CBC. The Verification of Employment said he was employed from February 2010 to present and the scope of work was that of electrical, with no a mention of building construction or residential construction. Staff repeatedly tried to C'1 contact the president, but was unable to confirm any of the information on the verification. n n Based upon the information received, it's staffs opinion that the applicant does not meet the minimum requirements as set forth in Ordinance 2006.46, as it relates to the experience under Section 1.6.1.2, as a Building contractor. Because the applicant does not meet the qualifications needed, the applicant is being referred to the Board under Section 2.5.2, Referral of the Application to the Contractors' Licensing Board for Decision, and the applicant is here today to answer your question. Chairman Allen told Mr. Jimenez it was his opportunity to convince the Board that he's got the relevant experience. Mr. Jimenez told the Board. • He's been working a long time, about 5-6 years. • He has the most experience through Blue Diamond, which was harder work physically. • He did framing and helped with electricity, depending on what was needed. • He works with the supervisor and subcontractors. During questioning by the Board, the following points were made: • He doesn't have experience with concrete and structural framing. • He's done framing, drywall and electric and levels the concrete to ensure it's OK. • He works with the subcontractor to verify that. • He has four years of experience in different areas with three companies. • He has no structural experience in commercial and has only worked on residential. He wasn't sure how to complete his application. Board Member Jerulle said it doesn't appear that he has the qualifications. Chairman Allen asked Supervisor Crotts if he qualified for residential. Supervisor Crotts said the Verifications of Experience indicate he doesn't. He may qualify for carpentry or drywall. Staff would have to talk to the applicant about that. Chairman Allen said he'd make a motion to not approve his application. He hasn't demonstrated m that he has the experience. Board Member White said he'd second it, but asked the Chairman to see if he'd be willing to 6 withdraw his application since it sounds like he wanted to apply for something limited to c residential. What he applied for would allow residential and commercial, so rather than be denied, E he could withdraw his application and speak to the county about whether he could qualify for 5 a Packet Pg. 109 8.C.1 April 19, 2023 w another license. O n Mr. Jimenez said he wanted to withdraw his application. v 00 Board Member White asked if the county objected. [The county did not.] We will take no action M and remove this from the agenda. N Chairman Allen said if he's withdrawing it, we'll take no action. Board Member Jerulle asked Supervisor Crotts if there was a difference between being denied by the Board and withdrawing. Supervisor Crotts said there wasn't really one. When the application is denied, if the applicant wanted to return to get the Building Contractor's License again, he would have to appear in front of the Board because it was denied the first time. By withdrawing, this provides an avenue to reapply. If he meets the qualifications for a Building Contractor in two or three years, staff could approve it. Board Member Jerulle asked if that's without coming back before the CLB. Supervisor Crotts said correct. Board Member White said it was his understanding that if he withdrew, it won't reflect that he was denied. Supervisor Crotts said that's correct. Board Member Joslin told Mr. Jimenez he can still use the same application but can just change the license. Supervisor Crotts said it's a different test and he'd have to show he has more experience in certain items. C. Sueky Toro — Florida Plumbing Response LLC Plumbing Contractor - Registered — Review of Credit Mr. Toro was sworn in. Supervisor Crotts reported that Mr. Toro submitted an application for the issuance of a local registered license for Plumbing Contractor, which requires a minimum credit score of 660. Under County Ordinance 2006.46, Section 2.3.9, Mr. Toro was required to submit a personal credit report. Mr. Toro's credit report was reviewed and it appears not to meet the financial responsibility as set forth in Section 2.5.1(d), "The applicant or qualifier meets the requirement for financial responsibility set forth in Rule 61 G4-15.006 of the state of Florida. A review of the credit report submitted by Mr. Toro shows the following areas of concern: • The credit report submitted shows a credit score of 566, dated February 2, 2023. The minimum credit score required is 660. • Mr. Toro filed for Chapter 13 bankruptcy on June 18, 2021. The bankruptcy was dismissed by the U.S. Bankruptcy Court on August 4, 2022, for failing to comply with the order of the bankruptcy court by not making the required payments. A review of the credit report shows the following were chargeoffs or placed in collections: • $6, 992 in collections from Cavalry Port, January 23 • $2,218, a charge-offfrom Discovery Card, February 2021. • $12,900, a charge-offfrom Grow FNFCU, January 2021. Packet Pg. 110 8.D 08/16/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 8.13 Doc ID: 26301 Item Summary: 8D. JACOB L. WEITHEMER — REVIEW OF EXPERIENCE - RESIDENTIAL SWIMMING POOL/SPA CONTRACTOR - POOL L Meeting Date: 08/16/2023 Prepared by: Title: — Contractor Licensing Name: Alyshia Morse 08/08/2023 4:04 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 08/08/2023 4:04 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 08/08/2023 5:00 PM Contractor Licensing Tim Crotts Review Item Completed 08/09/2023 3:14 PM Contractor Licensing Tim Crotts Meeting Pending 08/16/2023 9:00 AM Packet Pg. 111 8.D.1 Comer Count Growth Management. Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY FIRM APPLICATION FOR COLLIER COUNTY _ 4 Q CERTIFICATE OF COMPETENCY 3~ � This application must be typewritten or legibly printed. The application fee must be paid upon approval and is NOT refundalAe. 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 El Plumber $230.00 ❑ Residential $230.00 ❑Air Conditioner $230.00 G Mechanical $230.00 Awimming Pool $230.00 ❑ Roofing $230.00 ❑ Specialty $205.00 Specialty Trade: J� rA M4., eo rJ vC1 w55 11 .. i. APPLICANT PERSONAL INFORMATION: Name: �JGt- co �__ � 1NLr'T�►�t �r First Middle Initial Last —� Business Name: Paul LLB ke-sLiA. L L. L C Address: cA s , Street City State Zip Telephc ne: OL-� - 3 1 *SS # (East 4 digits only): 132D Date of 3irth: Q���-� Driver's License # (Last 4 digits only): � s Pursuant ti Collier County Contractor Licensing Ordinance No. 200646 Section 2.1.1., atl applicants a.e 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, Forida Statutes. Contractor Licensing - FIRM Application Rev. 712022 Page 3 of 14 Oiperatiors & Regulatory Management Divisio.,. Contractor Licensing . 2800 North Horseshoe Drive . Naples, FL 34104 . (23 Packet P' 112 contractors licensini;jti oliiercountyfl.�Uo g• 8.D.1 0 Residential Pool/Spa Contractor requires twenty-four (24) months experience cMo N with a passing grade on a4�4}- an approved test and a passing grade on a two (2fir v J business and law test and moans a contractor Whose scope of work involves, but is not limited to, J the construction, repair, and servicing of any residential swimming pool, or hot tub or spa, regardless of use, The scope of work includes the installation, repair, or replacement of existing equipment, any cleaning or equipment sanitizing whicli requires at ]east a partial disassembling, exti]uding filter changes, and the installation of new pooYspa equipment, interior finishes, the installation of package pool heaters, the installation of all perimeter piping and filter piping, and the construction of equipment rooms or housing for poolispa equipment, and also includes the scope of work of ti swimming poollspa servicing contractor. The scope of such work does not include direct connections to a sanitary sewer system or to potable water lines. The installation, construction, modification, or replacement of equipment permanently attached to and associated with the pool or spa for the purpose of water treatment or cleaning of the pool or spa requires licensure; however, the usage of such equipment for the purposes of water treatment or cleaning shall not require licensure unless the usage involves construction, modification, or replacement of such equipment. Water treatment that does not require such equipment dons not require a license, In addition, a license shall not be required for the cleaning of the pool or spa in any way that does not affect the structural integrity of the pool or spa or its associated cquipnrent. Packet Pg. 113 8.D.1 Coffier COWIt Growth Management Community Development Department c cM W APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY N Provide the names and telephone numbers of two persons who will always know your whereabouts. Name: (- re.e-rA L, r.4or Name: \4er .K L (,Me-r Telephone: G (7 `�f�� . — )-I �f o Telephone: II. NAME OF APPLICANT'S BUSINESS: t Business Name: )(A -ea.Yt Pescue Business Address: L� -1 N -&A WnA 3W9 JaLV(J- 25 �_' ±I � FL 3UO6 Street City State zip Telephone: �� �"�q�q` q Email: 1,-4d © �voj i e-J( re-4 ' S U M Federal 1D Tax No.: q I — 3- `( 177 k+ III. FINANCIAL RESPONSIBILITY YES NO ALL APPLICANTS MUST ANSWER THE QUESTIONS BELOW: V Filed for or been discharged in bankruptcy within the past 5 years? V Had a lien filed against you by the Internal Revenue Service or Florida Corporate Tax Division? JUndertaken construction contracts or work that resulted in liens, suits, or judgments being filed? VUndertaken construction contracts or work that a third parry, 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? VBeen 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?* JHad claims or lawsuits filed for unpaid or past due accounts by your creditors as a result of construction experience? Been charged with or convicted of acting as a contractor without a license, or if licensed as a contractor in this or any other state, been "subject to" disciplinary action by a state, county, or municipality? NOTE. If you have answer YES to any of the questions below, you must attach a written explanation including the nature of the charges, dates, and outcomes, sentences of conditions imposed. You must also attach proof of payment, satisfaction of lien or judgement, bankruptcy discharge, or agreements for payment.*If you have had a felony conviction, proof that your civil rights have been restored will be required prior to licensure. Contractor Licensing — FIRM Application Rev. 712022 Page 4 of 14 Operations & Regulatory Management Division. Contractor Licensing • 2800 Noith Horseshoe Drive • Naples, FL 34104 . (23 Packet P 114 contractors lice nsin�colliercount Aft 9 8.D.1 C oVi r C014 Ilt y Growth Management Community Development Department c M CO APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY N c� J IV. EXPERIENCE VERIFICATION J W EDUCATION: v List below and provide transcripts for any formal education you have obtained in the area of competency for which w this application is being made: , r jA Q 6 W J J 0 List below non formal education (on the job training) you have obtained in the area of competency for which this application is being made: A _J ionS C6ll(A(-ti1:,Vaan_ '(LCA. � C!m!�Inkclnn e)U Ot1Jc�r5rt'�r?� �� d �t'_Cv1 S L)A4riA_14:ran e_,G't CURREN'i/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. I AFFIDAVIT Under the penalties of perjury. I declare that I have read the foregoing application and the facts stated in it are true. �u tJyJt.;fi �I'�nl:►�r✓r'. Applicant (please print) VSignature of Applicant State of k-On I QA --County of C044t "The foregoing instrument was acictiowledged before me by means of NOphysical presence or ❑ online notarization on this /'! day of W-V- , 20Z3 , by UrAC06 . wri1L r17 G lir Fyn Such person(s) Notary Public must check applicable box: ❑ are personally known to me 46has produced a current driver license ❑ has produced (Notary Seal) as identification cAHLo,� D. HODRIGUEZ 'AM Notary Public, Stato of Florida Commission# HH 151H6 My axnrn. expire$ Aug.19. 2025 Notary Signature: ` Contractor Licensing — FIRM Application Rev. 712022 Page 5 of 14 Operations & Regulatory Management Division, Contractor licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (23 packet P . 115 contractors licensinq @colliercountyfl.gov 9 Cot-r Co141ltt y Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY CERTIFICATION OF APPLICATION 8.D.1 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 I'Lo n M County of C&I-"Ch. -1kc.0 U 'V r&,,.% PA&r Applicant (please print NcA Let&i PasLL&e LL Dame of Company 44' Az� i nature of Applicant The foregoing instrument was acknowledged before me by means of �?pirysical presence or ❑ online notarization on this -/� day of IYAI%f , 2Q73 , by Tk-e- 0 4/674 rye/ NC' - Such person(s) Notary Public must check applicable box: 0 are personally known to the ®has produced a current driver license 13 has produced (Notary Seal) identification. Notary Signature: C 6 PCARLOS U. RODRIGUEZ otary Puhlic, S1a1Q of FloridaCommission# HH is1636y oomm. erpines AU9, f9 2026 0 M W F4 Contractor Licensing — FIRM Application Rev. 7l2022 Page 6 of 14 Operations R Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive ..Naples, FL 34104 • (23 packet P 116 contractorslicensin colliercou. ntvfl.gov 9 GOU7r C©uVIt 8.D.1 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. BEFORE ME this day personally appeared J uc.A W%,)-r ar Applicant (please print 1R-2Q 1 •—)v, �e_-�L lk t; D, Name of Company OA L�"- VA--, Si nature of Applicant Applicant (please print) who affirms and 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 ACM164 County of COLU&PL The foregoing instrument was acknowledged before me by Ineans of physical presence or ❑ online notarization on this 15 day of N`ttiti , 20 23 , by NCO K06Arj+&11t6-n- Such person(s) Notary Public must check applicable box: © are personally known to me ENias produced a current driver license ❑ llas produced (Notary Seal) as identification. Notary Signature: C41t �y 0AHt.t16 0, +RODRIGUEZ x Notary Public, State of Florida Conrmissionit HH 151636 lily comno. expires Aug.19, 2025 Contractor Licensing — FIRM Application Rev, 712022 Page 7 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 s (23 contractorslicensins9colliercountvfl.gov Packet Pg. 117 Score Report JACOB LOOS Name: WERTHEIMER Sponsor: Collier County 10 #: Score: 80 # Unanswered 0 Questions: Module Subject Area Status LOW FLPRE --- Plan Reading & Estimating -------------------------------- P ---- ---- FL§AFE -- ---------------------------------------------- Safety F ---- FLSEB Site Preparation, Excavation and Backfilling P FLPSC --------------------- Pool Shell Construction P ffl-s�ff Interior S-udac-e-Preparation - andFinishingF-i-n-is`h-in- g ------ ---------------------- P ---- ---- FLTCT ---- Tile, Coping and Trimwork ------- I -------- F ... .... FLAWORK Accessory Work P FLOO Care and Operation P Prot/ Test: Swimming Pool Class "B" - (FLO8329) Date: 04111012023 Test ID: 045152962 Result: Pass CutScore HIGH I Packet Pg. 118 1 8.D.1 Jake Wertheimer <werthejmerjake0@gmaiLcom> Score letter, WE:RTHEIMER c scorenoreply@provexam.com <scoreno€eply@provexam.com> Fri, Apr 7 at 1:33 136Ai N To: wertheimerjake0@gmail.com <wertheimerjake0@gmail.com> V J Score Report Print J Name: JACOB LOOS WERTHEIMER Test: Business and Law, 2nd edition Sponsor: Collier County Date: 04/07/2023 ID #: Test ID: 979512982 Score: 82 Result: Pass 9 Unanswered Questions: 0 Module Subject Area Status LOW Cut Score HIGH ---------------- Business FLBO P 1 Organization FLLIC Licensing P Ir FLTL Tax Laws P---------------------- 11 FLSRR Safety OSHA P 1■ ----------------------------- FLLL Labor Laws P 11 ---- •----•-------•- FLCM Contract F 1 Management -•-----------•------------ Project FLPM F 1. Management FLE&B Estimating & P �! Bidding FLFM Financial " P Management - ---------- Risk -----•-;�-.� FLRM P �p Management ------ - -- --- --. FLLIEN Lien laws P Packet Pg. 119 8.D.1 TransUnion`�u Credit Report Date 05115t2023 Credit Score 776 Balances $3969 Payments $376 Credit Accounts 7 Open Accounts 5 Closed Accounts 2 Delinquent 0 Inquiries (2 years) 5 Derogatory 0 Public Records 0 1 Personalized Recommendations for You! i Personallnformation TransUnioIs n Name 7ACOB L WERTHEIMER Also Known As XVERTI-IE94ER JAKE,L Date of Birth 03128/1994 Current Address 296 CENTRAL ST ACTON MA 0 1720 Previous Address 79 SKYk7ELDS DR GROTON I.4 A 01450 207 VI RGINIA WY BOZEMAN MT 59718 t ` .6perion Complete Your Credit Picture! GET ALL 3 BUREAUS i= Advertiser Disclosure Start a Dispute 9 •experiaii Complete Your Credit Picture! Live Chat Packet Pg. 1 0771 8.D.1 Personal Credit Report for: JACOO WFRTHEEMEL2 File Number: 438228221 Date Created: 04/17/2023 Visit transunion.com/dispute to start a dispute online. j Persona( Information You have been on our files since 08/05/2013. Your SSN has been masked for your protection. Credit Report Date 04/17/2023 Social Security Number XXX-XX-7380 Date of Birth 03/28/1994 Name JACOB L. WERTHEIMER Also Known As AKA JAKE L. WERTHLIMER Addresses Current Address 296 CENTRAL ST ACTON, MA 01720-2444 Date Reported 08/17/2018 Other Address 0 M W F4 Packet Pg. 121 79 SKYFIELDS DR GROTON, MA 01450-1815 Date Reported 08/05/2013 Other Address 207 VIRGINIA WAY BOZEMAN, MT 59718-1842 Date Reported 07/07/2022 Other Address 19 MEADOW VILLAGE DR UNIT 2B GALLATIN GATEWAY, MT 59730 Date Reported 08/06/2021 Other Address PO BOX 943 NORTH CHELMSFORD, MA 01863-0943 Date Reported 07/28/2018 Phone Numbers Phone Number (978) 771-3710 Ernpl.oyers Employer RIDGE ATHLETICS CLUB Location Occupation BOZEMAN, MT TRAINER lil Accounts Date Verified 07/29/2021 Typically, creditors report any changes made to your account information monthly. This means that some accounts listed below may not reflect the most recent activity until the creditor's next reporting. This information may include things such as balances, payments, dates, remarks, ratings, etc. The rating key is provided to help you understand some of the account information that could be reported. Pay Status represents the current status of accounts and indicates how you are currently paying. For accounts that have been paid and closed, sold, or transferred, Pay Status represents the last reported status of the account. Payment/Remarks Key 8.D.1 0 M W N Packet Pg. 122 Ratings OK Current, paying or paid as agreed N/R Not Reported x Unknown 3o Account 30 days late eo Account 60 days late vo Account 90 days late izo Account 120 or more days late COL Transferred to collection vs Voluntarily surrendered repo Repossession c/o Charged off by account provider Fc Foreclosure Remarks AAP: Loan assumed by another party ACO: Acquired from another lender ACR: Account closed due to refinance ACT: Account closed due to transfer AFR: Account acquired by RTC/FDIC AID: Account information disputed by consumer AJP: Adjustment pending I AMD: Active military duty AND: Affected by natural disaster BAL; Balloon payment BKL: Included in bankruptcy BKW: Bankruptcy withdrawn CAD: Dispute account/closed by consumer CBC: Account closed by consumer CBD: Dispute resolved/consumer disagrees/closed by consumer CBG: Canceled by credit grantor CBL: Chapter i bankruptcy CBR: Chapter 11 bankruptcy CBT: Chapter 12 bankruptcy CLA: Placed for collection r' CLO: Closed 6: s CLS: Credit line suspended CRB: Collateral released -balance owing M t0 N Packet Pg. 1 3 CTR: Account closed -transfer to refinance CTS: Contact subscriber DDR: -none- DLU: Deed in lieu DM: Bankruptcy dismissed DRC: Dispute resolved/consumer disagrees DRG: Dispute resolved reported by credit grantor ER: Election of remedy ETB: Early termination/balance owing ETI: Early termination by default ETO: Early termination/obligation settled ETS: Early termination/status pending FCL: Foreclosure FPD: Account paid, foreclosure started FPI: Foreclosure initiated rRD: Foreclosure collateral sold FTB: Full termination/balance owing FTO: Full termination/obligation satisfied FTS: Full termination/status pending INA: Inactive account INP: Debt being paid through insurance INS: Paid by insurance IRS: Involuntary repossession/balance owing IRE: Involuntary repossession IRO: Involuntary repossession/obligation satisfied JUG.- Judgment granted €.A: Lease assumption LMN: loan Modified Not GOVT (government) LNA: Credit line is no longer available MCC: Managed by credit counseling service MOV: No forwarding address NIR: Student loan not in repayment NPA: Now paying PAL; Purchase by another lender PCL: Paid collection PDD: Paid by dealer PDF.: Payment deferred PDI: Principle deferred/initial payment only PFC: Account paid from collateral PLL: Prepaid lease PLP: Profit and loss now paying PNR: First payment never received 8.D.1 ti s1 M t0 N U J J 'a W €F W It � €t W J O O IL W V Z W LU IL X W LL ' O LU W I /L CO) J O O IL Packet Pg. 1 47 PPA: Paying partial payment agreement PPD: Paid by co -maker PPL: Paid profit and loss `j PRD: Payroll deduction >? PRL: Profit and loss write-off` o PWG: Account payment, wage garnish l:. c REA: Reaffirmation of debt F REP: Substitute/replacement account L RFN: Refinanced. G RPD: Paid repossession I RPO: Repossession RRE: Repossession redeemed e L 11. €2VN: Returned voluntarily RVR: Returned voluntarily/redeemed i3 SET: Settled -less than full balance L SOL: Government secured guaranteed f, t SIL: Simple interest loan u SLP: Student loan perm assign government L aPL: Single payment loan t!!; L STU Credit card lost/stolen L C e TRF: Transfer L TRL: Transferred to another lender u TTR: Transferred to recovery e WEP: Chapter 13 bankruptcy t For account information other than payment history, we may show brackets > < to indicate information that may negatively affect your credit health. C i Satisfactory Accounts The following accounts are reported with no adverse information. For your protection, your account numbers have been partially masked, and in some cases scrambled. Please note: Accounts are reported as "Current; Paid or paying as agreed" if paid within 30 days of the due date. Accounts reported as Current may still incur late fees or interest charges if not paid on or before the due date. Account Name AMERICAN EXPRESS349992984054**** Account Information Addross Phone PO BOX 981537 EL PASO, TX 79998 (800) 874-2717 ) Packet Pg. 125 Monthly Payment Date Opened Responsibility Account Type ` Loan Type Balance Date tlpdatekt Nly Status •Perm:s nigh Balance, (Hist.) Credit Limit (Hilt.) Payment History $43 05/05/2022 Individual Account c M t0 N Revolving Account V J CREDIT CARD W V $1,429 w Y 04/06/2023 W J - J O Current; Paid or Paying as Agreed a $43 per month; paid Monthly Z LU High balance of $2,719 from 07/2022 to 04/2023 d X - - ----- - - - -- - -- -- - - — - — . _ _ . W Credit limit of $7,600 from 07/2022 to 11/2022; $10,600 U. p from 12/2022 to 02/2023-, $12,100 from 03/2023 to 3: 04/2023 W ...... --- — -- - _ LU a d Jame 2022 July 2022 August2022 September 2022 October 2022 November 2022 Balance Balance Balance Balance Balance Balance - - - $2.719 $450 $499 $1,893 $1,117 Past Due Past Due Past Due Past Due Past Due Past Due --- $0 $0 $O $0 $O Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment --- $101 $40 $40 $40 $40 Rating Rating Rating Rating Rating Rating OK OK OK OK OK OK Total Montt Packet Pg. 126 8.D.1 Dlecennber 2022 January 2023 February 2023 March 2023 Aped 2023 Balance Balance Balance Balance Balance $1,337 $1,555 $1.108 $1,606 $1,429 Past Due Past Due Past Due Past Due Past Due $0 $0 $0 $0 $0 Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment $40 $40 $40 $90 $43 Rating Rating Rating Rating Rating OK OK OK OK OK Total Mont AMERICAN EXPRESS349992345173**** Account Information Address PO BOX 981537 EL PASO, TX 79998 Phone (800) 874-2717 Date Opened 05/11/2016 Responsibility Individual Account Account Type Open Account Loan Type CREDIT CARD Balance $0 Date Updated 06/06/2019 Ilk High Balance $2,920 Pay Status Paid, Closed; was Paid as agreed Terms Paid Monthly Date Closed 05/22/2019 Remarks Account closed at consumer's request; CLOSED O M W N Packet Pg. 127 Payment History 'i June 2016 i July 2016 August 2016 September 2016 October 2016 November 2016 - Rating Rating Rating Rating Rating Rating OR OR OR OR OR OR t December 2016 January 201-1 February 2011 March 2017 April 2017 May 2017 Rating Rating Rating Rating Rating Rating OR OR ON OR OR OR .]��Inv 7017 1 J;�Ay 2017 August 2017 September 2017 October 2017 November 2017 Rating Rating Rating Rating Rating Rating OR OR OK OK OK OK i i i i December 2017 i Januarry 2018 February 2018 March 2018 April 2018 May 2018 Rating Rating Rating Rating Rating Rating { OR OK OR OR OR OR June 2018 July, 2018 August 2018 September 201a October 2018 November 2018 Rating Rating Rating Rating Rating Rating OR OK OR OK OR OK DvczmLier 2VLG Janua:iy 2019 February 2019 March 2019 April 2019 May 2019 ' Rating Rating i Rating Rating Rating Rating I OR OK OK OK OK OK Totat Monti COMENITYBANK/KAY JEWELERS778850406333"" Account Information 3095 LOYALTY CIRCLE,BUILDING A COLUMBUS, OH Address 43219 Packet Pg. 128 Phone Date Opened Responsibility Account Type Loan Type Balance I Date Updated Payment Received High Balance Credit Limit Pay Status Terms Date Closed Remarks Phone number not available 04/18/2017 Individual Account c M CO N Revolving Account V J J W CHARGE ACCOUNT U N LU $0 W LU Q 05/30/2020 J J O $0 d LU $0 Z W_ W $5,000 d x - W u_ Paid, Closed; was Paid as agreed O W Paid Monthly > W I 04/26/2020 Q d Cn J CLOSED BY CREDIT GRANTOR; CLOSED O Payment History September 2017 October 2011 November 2017 December 2017 January 2018 February 2018 Rating Rating Rating Rating Rating Rating OK OK OK OK OK OK Apri12018 May 2018 June 2018 duty 2018 Rating Rating Rating Rating 0K OK OK OK August 2018 Rating OK Total Monti Packet Pg. 129 Septemb�er 20LB octGh-Eir 2018 Nuvemiher 2018 December 2018 January 2019 February 2019 Rating Rating Rating Rating Rating Rating OK OK OK OK OK OK M N J ` J March 2019 Aural 2019 May 2019 June 2019 July 2019 August 2019 W V I Rating Rating Rating Rating Rating Rating y W OK OK OK OK OK OK Y Q September 2019 October 2019 November 2019 December 2019 January 2020 February 2020 Rating Rating Rating Rating Rating Rating OK OK OK OK OK OK March 2020 ApTR 2020 i j Rating Rating i OK X Total Montt GM FINANCIAL11105191-- Address phon'a Monthly Payment Dato Opened t2esponsibility Account Type Loan Type Balance PO BOX 181145 ARLINGTON. TX 76096-1145 (800) 284-2271 $285 07/29/2021 Individual Account Installment Account AUTOMOBILE $4, 246 Packet Pg. 130 Date updated 04/13/2023 Payment Received $0 Last Vaymc r.i Mack, 12/12/202104 M co Pay Status Current, Paid or Paying as Agreed U J Terms $285 per month, paid Monthly for 60 months LU V W High Balance (Hlst.) High balance of $14.785 from 08/2021 to 04/2023 Y LU J Payment History — - - - J - O O IL August 2021E September 2021 October 2021 November 2021 December 2021 January 2022 W — --- - -. _� --- ----- Z Balance Balance Balance Balance Balance Balance W $14185 $14.608 $14,391 $14,463 $4.246 $4,246 d x Past Due Past Due Past Due Past Due past Due Past Due LULL $0 $0 $0 $0 $0 $0 O Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid W $0 $285 $285 $0 $10.285 $0 LU Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled PaymentIL Q $285 $285 $285 $285 $285 $285 CO J - - O Rating Rating Rating Rating Rating Rating d OK OK OK OK OK OK tn Total Mond Packet Pg. 131 8.D.1 I February 2022 March 2022 Aprit 2022 May 2022 June 2022 JOy 2022 Balance Balance Balance Balance Balance Balance $4.246 $4.246 $4.246 $4.246 $4.246 $4.246 M Past Due Past Due Past Due Past Due Past Due Past Due ... $0 $0 $O $0 $0 $0 J LU Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid $0 $0 $0 $0 $0 $0 V - --- ---- W Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Y $285 $285 $285 $285 $285 $285 Q W Rating Rating Rating Rating Rating Rating J 0 OK OK OK OK OK OK nn August 2022 September 2022 October 2022 November 2022 December 2022 January 2023 Balance Balance Balance Balance Balance Balance $4.246 $4.246 $4.246 $4.246 $4,246 $4,246 Past Due Past Due Past Due Past Due Past Due Past Due $0 $0 $0 $0 $0 $0 Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid $0 $0 $0 $0 $0 $0 Scheduled Payment Scheduled Payment Scheduled Pavment Scheduled Pavment Scheduled Pavment Schadnlad Payment Total Monti Packet Pg. 132 February 2023 March 2023 April 2023 € Balance Balance Balance $4.246 $4.246 $4,246 �O € N Past Due Past Due Past Due ... $0 $0 $0 J _. ...- J W Amount Paid Amount Paid Amount Paid $0 $0 $0 y LU Scheduled Payment Scheduled Payment Scheduled Payment Y $285 $285 $285 Q W Rating Rating Rating J OK OK OK d LU Total Monti V Z - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- W JPMCB CARD SERVICES414720244054*— W a X W Account Information LL O W Address PO BOX 15369 WILMINGTON, DE 19850 LU Phone (800) 945-2000 � I a Monthly Payinent $40 N J _ -- - O -- - O Date Opened 08/17/2018 d - -.... ... _.. Z_ Respnnsibilii.y Individual Account Account Typ i Revolving Account Q Loan Type FLEXIBLE SPENDING CREDIT CARD W 0 Balance $459 W Date updated 04/11/2023 W ll.l - - 2 Last Payment MacIP 04/07/2023 F- LU m Pay Status Current; Paid or Paying as Agreed O V - -------- - Q Terms $40 per month; paid Monthly G -- -- - 00 Packet Pg. 133 High Balance (Hist.) Credit Limit (Hilt.) ent History High balance of $8,393 from 10/2020 to 04/2023 Credit limit of $7.200 from 10/2020 to 11/2022; $9,500 from 12/2022 to 04/2023 September 2018 October 2018 November 2018 December 2018 January 2019 February 2019 Balance I Balance Balance Balance Balance Balance I Past Due I Past Due Past Due Past Due Past Due Past Due Scheduled Payment 1 Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Rating Rating Rating Rating Rating Rating OR OK OR OR OR OR 1 lean c8r 2019 April 2019 May 2019 June 2019 July 2019 August 2019 i Balance I- Balance Balance Balance Balance Balance I Past Due --- Past Due --- Past Due --- Past Due --- Past Due --- Past Due --- G Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Rating Rating Rating Rating Rating Rating I OR OR OR OR OR OR Total Monti, Packet Pg. 134 Sep7tem her 2019 October 2019 November 2019 December 2019 January 2020 February 2020 Balance Balance Balance Balance Balance Balance j Past Due i 1 --- Past Due --- Past Due --- Past Due -- Past Due --- Past Due --- Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment i Rating Rating Rating Rating Rating Rating OK OK OK OK OK OK March 2020 A?rfl 2020 May2020 Jane 2020 Judy 2®20 Auuguust 2020 Balance Balance Balance Balance Balance Balance Past Due Past Due Past Due Past Due Past Due Past Due Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Rating Rating Rating Rating Rating Rating OK OK OK OK OK OK i September 2020 October 2020 November 2020 December 2020 January 2021 Feibruairy 2021 i Balance Balance Balance Balance Balance Balance - - - $1.802 $4,030 $1.823 $4,619 $3,548 Past Due Past Due Past Due Past Due Past Due Past Due --- $0 $0 $0 $0 $0 Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment -- $35 $40 $35 $46 $35 Rating I Rating Rating Rating Rating Rating i OK OK OK OK OK OK Total Montt Packet Pg. 135 i March 202Il April 2021 May 2021 June 2021 July 2021 August 2021 Balance Balance Balance Balance Balance Balance $3,426 $2,513 $4.938 $1,940 $961 $1,060 M N Past Due Past Due Past Due Past Due Past Due Past Due ... $0 $0 $0 $0 $0 $0 v J Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment -- Scheduled Payment LV $35 $40 $49 $40 $40 $40 V U) W Rating Rating Rating Rating Rating Rating Y { OR OR OR OR OK OR w September 2071 October 7021 November 2021 December 2021 January 2022 February 2022 Balance Balance Balance Balance Balance Balance $1.315 $1,154 $2.113 $1.385 $1,362 $1,713 Past Due Past Due Past Due Past Due Past Due Past Due $0 $0 $0 $0 $0 $0 Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment $40 $40 $40 $40 $40 $40 Rating Rating Rating Rating Rating Rating OR OR OR OK OR OR March 2022 April 2022 May 2022 June 2022 July 2022 August 2022 Balance Balance Balance Balance Balance Balance $3,817 $1,038 $688 $968 $1,499 $1.678 Past Due Past Due Past Due Past Due Past Due Past Due $O $0 $0 $0 $0 $0 Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment $40 $40 $40 $40 $40 $40 Rating i Rating Rating Rating Rating - Rating OR OR OR OR OR OR Total Mont[ Packet Pg. 136 8.D.1 September 2072 dcst<s1B er 2022 Homemzber 2022 Ucen-nber 2022 January 2023 Febu-uwy 2023 Balance Balance Balance Balance Balance Balance $1,889 $2.329 $641 $478 $1,052 $965 M N ( Past Due Past Due Past Due Past Due Past Due Past Due ... $0 $0 $0 $0 $0 $0 J ( J W i Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment i $40 $40 $40 $40 $40 $40 y LU I Rating Rating Rating Rating Rating Rating Y OK OK OR OK OK OK W J J O a March 2023 April 2023 W i Balance Balance ZW $900 $459 — --- W — — — -- -- IL Past Due Past Due x W i $0 $0 LL i i Scheduled Payment Scheduled Payment W ' $40 i $40 5; W Rating Rating I OK OK d i CO) Total Montt JPMCB CARD SERVICES464018209738-- i ,Account Information i Address PO BOX 15369 WILMINGTON, DE 19850 tahona (800) 945-2000 Monthly Payment $35 Date Opened 05/08/2014 Respunsibiliiy Individual Account Account Type Revolving Account Loan'Iype FLEXIBLE SPENDING CREDIT CARD Packet Pg. 137 Balance $267 8.D.1 Date Update! 04/07/2023 Last Payment Made 02/03/2023 Pay Status Current; Paid or Paying as Agreed 'terms $35 per month; paid Monthly High balance of $1,366 from 10/2020 to 10/2022, $1,424 High Balance (Hist.) from 11/2022 to 04/2023 Credit limit of $2,500 from 10/2020 to 03/2023; $8,500 Credit limit (Mist.) from 04/2023 to 04/2023 Payment History June 2016 July 2016 August 2016 September 2016 October 2016 Ncovermlher 2016 Balance Balance Balance Balance Balance Balance Past Due Past Due Past Due Past Due Past Due Past Due Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Rating Rating Rating Rating Rating Rating OK OK OK OK OK OK Deceenber 2016 January 2017 February 2017 March 2017 April 2017 May 2017 Balance Balance Balance Balance Balance Balance — I Past Due I Past Due Past Due Past Due Past Due Past Due i Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment f Rating Rating Rating Rating Rating Rating OK OK OK OK OK OR Total Montt Packet Pg. 138 8.D.1 June 2017 July 2017 August 2017 September 2017 October 2017 Noeemher 7017 Balance Balance Balance Balance Balance Ilalance Past Due Past Due Past Due Past Due Past Due Past Due Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Rating Rating Rating Rating Rating Rating OR OK OR OR OR OR DLcemeber 201i Jairmagy W118 February 2018 March 2018 April 2018 May 2018 Balance Oalance Balance Balance Balance Balance Past Due Past Due Past Due Past Due Past Due Past Due Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Rating Rating Rating Rating Rating Rating OR OK OR OR OR OR June 2018 July 2018 Balance Balance August 2018 September 2018 October 2018 Balance Balance Balance November 2016 Balance Past Due Past Due Past Due Past Due Past Due Past Due Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Rating Rating Rating Rating Rating Rating OR OR OR OR OR OR Total Montt Packet Pg. 139 8.D.1 December 20118 January 2019 February 2019 March 2019 ApYR 2029 II-tiay+ 2019 Balance Balance Balance Balance Balance Balance M t0 Past Due Past Due Past Due Past Due Past Due Past Due U J W Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment V W Rating Rating Rating Rating Rating Rating Y w OR OR OR OR OR OR June 2019 July 2019 August 2019 September 2019 October 2019 November 2019 Balance t Balance Balance Balance Balance Balance Past Due Past Due Past Due Past Due Past Due Past Due i Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment j Rating 1 Rating Rating Rating Rating Rating OR OR OR OR OR OR December 2019 January 2020 February 2020 March 2020 April 2020 May 2020 j Balance Balance Balance Balance Balance Balance Past Due i--- i Past Due --- Past Due --- Past Due --- Past Due --- Past Due --- ', Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Rating Rating Rating Rating Rating Rating OR OR ON OK OR OR Total Montl Packet Pg. 140 k Jane 2020 Jaliy 2020 Auugust 2020 September 2020 October 2020 rRovember 2020 iBalance Balance Balance Balance Balance Balance --- --- $0 $0 Past Due Past Due Past Due Past Due Past Due Past Due --- --- ---- --- $0 $0 j Scheduled Payment - - Scheduled Payment -- Scheduled Payment --- Scheduled Payment --- Scheduled Payment Scheduled Payment Rating Rating Rating Rating Rating Rating OR OR OR OR OR OR ®ecember 2020 daurunary 2CI21 Fe" Teary 2021 March 2021 April 2021 May 2021 Balance Balance Balance Balance Balance Balance $15 $0 $0 $0 $0 $0 Past Due Past Due Past Due Past Due Past Due Past Due $0 $0 $0 $0 $0 $0 Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Rating Rating Rating Rating Rating Rating OR OR OR OR OR OR i June 2021 July 2021 August 2021 September 2021 October 2021 November 2021 Balance Balance Balance Balance Balance Balance i $0 $106 $0 $0 $82 $38 I Past Due Past Due Past Due Past Due Past Due Past Due $0 $0 $0 $0 $0 $0 Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment --- $35 --- --- $35 $35 Rating Rating Rating Rating Rating Rating OR OK OR OR OR OR Total Month Packet Pg. 141 Deceirnner 2t12t. Jai marry 2022 February 2022 Harch 2022 April 2022 May 2022 Balance Balance Balance Balance Balance Balance $29 { $0 $69 $0 $134 $0 Past Due Past Due Past Due Past Due Past Due Past Due $0 i $0 $0 $0 $0 $0 Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment $29 --- $35 --- $35 --- Rating Rating Rating Rating Rating Rating OK 1 OK OK OK OK OK June 2022 July 2022 August 2322 September 2022 October 2022 November 2022 Balance Balance Balance Balance Balance Balance $0 $0 $28 $0 $0 $1,424 Past Due Past Due Past Due Past Due Past Due Past Due $0 $0 $0 $0 $0 $0 Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment --- --- $28 --- --- $35 Rating Rating Rating Rating Rating Rating OK OK OK OK OK OK Oecember 2022 January 2023 February 2023 March 2023 April 2023 Balance Balance Balance Balance Balance $0 $58 $0 $0 $267 Past Due Past Due Past Due Past Due Past Due $0 $0 $0 $0 $0 Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment Scheduled Payment --- $35 --- --- $35 Rating Rating Rating Rating Rating OK OK OK OK OK MACYS/CITIBANK, N.A.603534005376*"* Account Information Total Montt Packet Pg. 142 • Address Phone Date Openeta. Responsibility Account Type Loan Type Balance Date Updated Last Payment Macs: Pay Status Term"i Date Paid High BaLancc (Hist.) Credit Limit (Hilt.) History PO BOX 8218 MASON, OH 45050 (800) 289-6229 e 01/27/2017 c c c Individual Account t L Revolving Account L CHARGEACCOUNT C L $0 - 03/22/2023 L t 03/02/2021 u C Current: Paid or Paying as Agreed C L Paid Monthly - -- - -------- e lJ 03/02/2021 L High balance of $122 from 10/2020 to 03/2023 C Credit limit of $600 from 10/2020 to 03/2023 C C Fehr unary 2017 March 2017 ApriL 2017 May 2017 Balance Balance Balance Balance I Past Due Past Due Past Due Past Due I Amount Paid i i Amount Paid Amount Paid Amount Paid Rating i Rai. ng Rating Rating OK i i OK OK OK June 201-1 July 2011 Balance Balance Past Due Past Due Amount Paid Amount Paid Rating Rating OK OK Total Montl Packet Pg. 143 8.D.1 August 20U/ September 2617 October 2017 November 2017 December 2017 January 20118 Balance Balance Balance Balance Balance Balance Past Due Past Due Past Due Past Due Past Due Past Due Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid Rating Rating Rating Rating Rating Rating OK OK OK OK OK OK Febrivary 2018 Marcl.n 2018 April 2016 May 2018 June 2018 Jung 2018 Balance Balance Balance Balance Balance Balance Past Due Past Due Past Due Past Due Past Due Past Due Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid Rating Rating Rating Rating Rating Rating OK OK OK OK OK OK August 2018 September- 2018 October 2018. November 2018 December 2018 January 2019 Balance Balance Balance Balance Balance Balance Past Due Past Due Past Due Past Due Past Due Past Due Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid Rating Rating Rating Rating Rating Rating OK OK OK OK OK OK Total Monti Packet Pg. 144 8.D.1 February 2019 March 2W9 April 2019 Balance Balance Balance Past Due Past Due Past Due Amount Paid Amount Paid Amount Paid Rating Rating Rating OR OK OR May 2019 June 2019 July 2019 Balance Balance Balance Past Due Past Due Past Due Amount Paid Amount Paid Amount Paid Rating Rating Rating OR OK OR August 20119 September 2019 Or -tuber 2019 November 2019 Dumber 2019 January 2020 Balance Balance Balance Balance Balance Balance Past Due --- Past Due - Past Due --- Past Due _-- Past Due --- Past Due --- Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid Rating Rating Rating Rating Rating Rating OR OR OK OR OK OR lFebruary 2020 March 2020 April 2020 Balance Balance Balance Past Due Past Due Past Due Amount Paid Amount Paid Amount Paid Rating Rating Rating OR OR OR May 2020 June 2020 Balance Balance Past Due Past Due Amount Paid Amount Paid Rating Rating OR OR July 2020 • Balance Past Due Amount Paid Rating OR Total Mond Packet Pg. 145 8.D.1 Augast 2020 September 2020 October 2020 November 2020 December 2020 January 2021 Balance Balance Balance Balance Balance Balance - - - - - $0 $0 $0 $0 Past Due Past Due Past Due Past Due Past Due Past Due --- --- $0 $0 $0 $O Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid - - - $O $0 $0 $0 Rating Rating Rating Rating Rating Rating OK OR OR OR OR OK February 202Il Marche 2021 Balance Balance $0 $0 Past Due Past Due $O $0 Amount Paid Amount Paid $0 $0 Rating Rating OR OR Aorrl 2021 1-1 $0 Past Due $0 Amount Paid $0 Rating OK May 7021 Balance $0 Past Due $0 Amount Paid $0 Rating OK June 2021 Balance $0 Past Due $O Amount Paid $0 Rating OR July 2021 Balance $0 Past Due $0 Amount Paid $0 Rating OR August 2021 September 2021 October 2021 November 2021 December 2021 January 2022 Balance Balance Balance Balance Balance Balance $0 $0 $0 $0 $0 $0 Past Due Past Due Past Due Past Due Past Due Past Due $O $0 $0 $0 $0 $0 Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid Amount Paid $0 $0 $0 --- --- --- Rating Rating Rating Rating Rating Rating OR OR OR OR OR OR Total Mond Packet Pg. 146 8.D.1 Fehrcxary 2022 i Marck 2022 April 2022 May 2022 Balance Balance Balance Balance $O $0 $0 $0 Past Due Past Due Past Due Past Due $0 i $0 $0 $0 Amount Paid --- Amount Paid --- Amount Paid --- Amount Paid --- Rating Rating Rating Rating OR OR OK OR August 2022 September 2022 0nttcheir 2022 November 2022 Balance Balance Balance Balance $0 $0 $0 $0 Past Due Past Due Past Due Past Due $0 $0 $0 $0 Amount Paid i Amount Paid Amount Paid Amount Paid Rating Rating Rating Rating j OR OK OK OK February 2023 March 2023 Balance Balance $O $0 Past Due Past Due $0 $0 Amount Paid Amount Paid Rating Rating OR i OK June 2022 July 2022 Balance Balance $0 $0 Past Due Past Due $0 $0 Amount Paid Amount Paid Rating Rating OR OR Decemfter 2022 January 2023 Balance Balance $0 $0 Past Due Past Due $0 $0 Amount Paid Amount Paid Rating Rating OR OK Total Monti Packet Pg. 1 7 Regular Inquiries Regular Inquiries are posted when someone accesses your credit information from TransUnion. The presence of an inquiry means that the company listed received your credit information on the dates specified. These inquiries will remain on your credit fife for up to 2 years. Name BANK OF AMERICA Location Requested On Phone PO BOX 982238 04/12/2023 (800) 421-2110 E L PASO, TX 79998 Inquiry Type Individual ---------------------------------------------------------------------- AMERICAN EXPRESS Location Requested On Phone 4315 S 2700 WEST 03/24/2022 (212) 640-2000 SALT LAKE CITY, UT 84184 Inquiry Type Individual TOYOTA MOTOR CREDIT Location Requested On Phone 3400 WATERVIEW 07/29/2021 (800) 874-8822 SUITE 210 RICHARDSON. TX 75080 Inquiry Type Individual RESSLER TOYOTA SCION via 700CRRESSLER TOYOTA SCIO Location Requested On Phone 8476 HUFFINE LANE 07/29/2021 Phone number not available BOZEMAN, MT 59718 Inquiry Type Individual Permissible Purpose CREDIT TRANSACTION Promotional Inquiries The companies listed below received your name, address and other limited information about you so they could make a firm offer of credit or insurance. They did not receive your full credit report. These inquiries are not seen by anyone but you and do not affect your score. Name BARCLAYS BANK DELAWARE 8.D.1 Packet Pg. 148 Location Requested On Phone PO BOX 8803 08/11/2022 (888) 232-0780 WILMINGTON, DE 19899 ------------------------------------------------------------------- CAPITAL ONE Location Requested On Phone P O Box 31293 07/06/2022, 06/07/2022 (800) 955-7070 Salt Lake City, UT 84131 -------------------------------------------------- JPMORGAN CHASE BANK NA Location Requested On Phone 2500 WESTFIELD DR 05/19/2022 (800) 955-9000 ELGIN, IL 60124 AccOLInt Review Inquiries The listing of a company's inquiry in this section means that they obtained information from your credit file in connection with an account review or other business transaction with you. These inquiries are not seen by anyone but you and will not be used in scoring your credit file (except insurance companies may have access to other insurance company inquiries, certain collection companies rna/ have access to other collection company inquiries, and users of a report for employment purposes may have access to other employment inquiries, where permitted by law). Name TRANSUNION CONSUMER INTE Location Requested On Phone 760 MARKET STREET 10TH FLOOR 04/14/2023 (844) 580-6816 SAN FRANCISCO, CA 94102 AMERICAN EXPRESS Location Requested On Phone PO BOX 981537 04/13/2023 (800) 874-2717 EL PA SO, TX 79998 GM FINANCIAL Location Requested On Phone PO BOX 181145 03/05/2023 (800) 284-2271 AR1_INGTON, TX 76096-1145 JACOB WERTHEIMER via TRANSUNION INTERACTIVE IN Location Requested On Phone 100 CROSS ST 04/17/2023, 04/17/2023 (855) 681-3196 STE 202 SAN LUIS OBISPO, CA 93401 ---------------------------------------------- JAKE WERTHEIMER via KARMATRANSUNION INTERACT Packet Pg. 149 Location Requested On Phone 100 CROSS STREET 04/12/2023 (844) 580-6816 SAN LUIS 0BISPO. CA 93401 ------------------------------------------------------------------- GEICO 0 M t0 Location Requested On Phone F4 ONE GEICO PLAZA 07/29/2021, 07/29/2021 (800) 841-3000 J WASHINGTON, DC 20079 J -----------------------------------------------------------------i LU GMFINANCIAL V W Location Requested On Phone Y 801 CHERRY STREET 07/29/2021 (800) 284-2271 Q LU FORT WORTH, TX 76102 JJ -----------.,u._---------------------------------------------------a O O TOYOTA FINANCIAL S a W Location Requested On Phone 0 6565 HEADQUARTERS DRIVE 07/29/2021 (800) 392-2968 W_ PLANO, TX 75024 W LU --------------- .-..--------------------------------------------------------------------------------- w n- CONSUMERINFO via CIEXP CSIDPROD Location Requested On Phone 535 ANTON BLVD SUITE 100 07/13/2021 (949) 567-3762 COSTA MESA, CA 92626 ----------------------------------------------------------------- TRANSUNION INTERACTIVE Location Requested On Phone 100 CROSS STREET 07/13/2021 (805) 782-8282 SUITE 202 SAN LUIS OBISPO, CA 93401 V A ditio-riai. i nformation The following disclosure of information might pertain to you. This additional information may include Special Messages, Office of Foreign Assets Control ("OFAC) Potential Name Matches, Inquiry Analysis, Military Lending Act ("MLA") Covered Borrower Information, and/or Third Party SupplementaL Information. Authorized parties may also receive the additional information below from TransUnion. Inquiry Analysis The companies that request your credit report must first provide certain information about you. Within the past 90 days, companies that requested your report provided the following information. Name Requested On JACOB LOOS WERTHEIMER 04/12/2023 Packet Pg. 150771 Address 280 EDGEMERE WA E NAPLES. FL 34105 8.D.1 Third Party Supplemental Information In addition to the information maintained in the above credit report, TransUnion will occasionally contact a third party for supplemental information in connection with a particular transaction in response to a request from a particular customer Listed below is the supplemental data that TransUnion obtained from such third parties, as well as the name(s) of the TransUnion customer for whom it was obtained. Checking AccOLmt and Demand Deposit Account (DDA) Activity Data Source: Chex Systems Inc. (7805 Hudson Road, Suite 100, Woodbury, MN 55125, (800) 513-7125) Requested by: TRANSUNION CONSUMER INTE Credit Inquiries in the Last Year: 0 Auto Inquiries in the Last 3 Years: 1 Other Credit Inquiries in the Last 3 Years: 0 Requested on: 03/04/2023 Credit Inquiries in the Last 3 Years: 1 Other Credit Inquiries in the Last 2 years: 0 DDA & Credit/Non-DDA Inquiries in Last 3 Years: 1 Should you wish to contact TransUnion, you may do so, • Online: To report an inaccuracy, please visit: service.transunion com ' For answers to general questions, please visit: www.transunnon.com L�' • By Mail: TransUnion Consumer Relations P.O. Box 2000 Chester. PA 19016-2000 • By Phone: (800) 916-8800 You may contact us Monday - Friday 8 AM - 11 PM Eastern Time and Saturday - Sunday 8 AM - 5 PM Eastern Time, except on major holidays. For all correspondence, please have your TransUnion file number available (located at the top of this report). SUMMARY OF RIGHTS Packet Pg. 151 GENERAL SUMMARY OF RIGHTS UNDER THE FCRA i3.D.1 Para information en espanol, visite www.consumerfinance.00v/learnmore Gr o escribe a la Consumer Financial Protection Bureau, 1700 G Street N.W., Washington, DC 20552. A Summary of Your Rights Under the Fair Credit Reporting Act c M to The federat Fair Credit Reporting Act (FCRA) promotes the accuracy, fairness, and privacy of information in the files of F4 consumer reporting agencies. There are many types of consumer reporting agencies, including credit bureaus and specialty J agencies (such as agencies that sell information about check writing histories, medical records, and rental history records). For J more information, including information about additional rights, go to w-ww.consumerfinance.gov/learnmore C,J', or write to: ua Consumer Financial Protection Bureau,1700 G Street N.W., Washington, DC 20552. n • You must be told if information in your file has been used against you. Anyone who uses a credit report or another type of consumer report to deny your application for credit, insurance, or employment - or to take another adverse action against you - must tell you, and must give you the name, address, and phone number of the agency that provided the information. You have the right to know what is in your file. You may request and obtain all the information about you in the files of a consumer reporting agency (your 'file disclosure'). You will be required to provide proper identification, which may include your Social Security Number. In many cases, the disclosure will be free. You are entitled to a free disclosure if; • a person has taken adverse action against you because of information in your credit report; • you are the victim of identity theft and place a fraud alert on your file: • your file contains inaccurate information as a result of fraud; • you are on public assistance; • you are unemployed but expect to apply for employment within 60 days. In addition, all consumers are entitled to one free disclosure every 12 months upon request from each nationwide credit bureau and from nationwide specialty consumer reporting agencies. See www.consumerfinance.00y/learnmore & for more additional information. • You have the right to ask for a credit score. Credit scores are numerical summaries of your credit -worthiness based on information from credit bureaus. You may request a credit score from consumer reporting agencies that create scores or distribute scores used in residential real property loans, but you will have to pay for it. In some mortgage transactions, you will receive credit score information for free from the mortgage lender. • You have the right to dispute incomplete or inaccurate information. If you identify information in your file that is incomplete or inaccurate, and report it to the consumer reporting agency, the agency must investigate unless your dispute is frivolous. See w s c ov/learnmore C,,4 for an explanation of dispute procedures. • Consumer reporting agencies must correct or delete inaccurate, incomplete, or unverifiable information. Inaccurate incomplete, or unverifiable information must be removed or corrected, usually within 30 days. However, a consumer reporting agency may continue to report information it has verified as accurate. • Consumer reporting agencies may not report outdated negative information. In most cases, a consumer reporting agency may not report negative information that is more than seven years old, or bankruptcies that are more than 10 years old. • Access to your file is limited. A consumer reporting agency may provide information about you only to people with a valid need usually to consider an application with a creditor, insurer, employer, landlord or other business. The FCRA specifies those with a valid need for access. • You must give your consent for reports to be provided to employers. A consumer reporting agency may not give out information about you to your employer, or a potential employer, without your written consent given to the employer. Packet Pg. 152 Written consent generally is not required in the trucking industry. For more information, go to o s r ' ce ov/tearnmore 5,11. You may limit "prescreened" offers of credit and insurance you get based on information in your credit report. Unsolicited "prescreened" offers for credit and insurance must include a toll -free phone number you can call if you choose to remove your name and address from the lists these offers are based on. You may opt -out with the nationwide credit bureaus at M 1-888-567-8688 (888-5OPTOUT) N You have a right to place a security freeze on your credit report which will prohibit a consumer reporting agency from releasing information in your credit report without your express authorization. The security freeze is designed to prevent credit, loans, and services from being approved in your name without your consent. However, you should be aware that using a security freeze to take control over who gets access to the personal and financial information in your credit report may delay, interfere with, or prohibit the timely approval of any subsequent request or application you make regarding a new loan, credit, mortgage, or any other account involving the extension of credit. A security freeze does not apply to a person or entity, or its affiliates, or collection agencies acting on behalf of the person or entity, with which you have an existing account that requests information in your credit report for the purposes of reviewing or collecting the account. Reviewing the account includes activities related to account maintenance, monitoring, credit line increases, and account upgrades and enhancements. • As an alternative to a security freeze, you have the right to place an initial or extended fraud alert on your credit file at no cost, An initial fraud alert is a 1-year alert that is placed on a consumer's credit file. Upon seeing a fraud alert display on a consumer's credit file, a business is required to take steps to verify the consumer's identity before extending new credit. If you are a victim of identity theft, you are entitled to an extended fraud alert, which is a fraud alert lasting 7 years. + You may seek damages from violators. If a consumer reporting agency, or, in some cases, a user of consumer reports or a furnisher of information to a consumer reporting agency violates the FCRA, you may be able to sue in state or federal court. You may also have the right to file suit under state law. Identity theft victims and active duty military personnel have additional rights. For more information, visit w.consumerfinance.gov/ earnmore B". States may enforce the FCRA, and many states have their own consumer reporting laws. In some cases, you may have more rights under state law. For roore information, contact your state or local consumer protection agency or your state Attorney General. For in•forma-don about your federal rights, contact: TYPE OF BUSINESS CONTACT La. Banks. savings associations, and credit unions with total assets of over $10 billion and their affiliates b. Such affiliates that are not banks, savings associations, or credit unions also should List, in addition to the CFPB: 2. To the extent not included in item 1 above: a. National banks, federal savings associations, and federal branches and federal agencies of foreign banks a. Consumer Financial Protection Bureau 1700 G Street, N.W. Washington, DC 20552 b. Federal Trade Commission Consumer Response Center 600 Pennsylvania Avenue, N.W. Washington, DC 20580 (877) 382-4357 a Office of the Comptroller of the Currency Customer Assistance Packet Pg. 153 Group 1301 McKinney Street, Suite 3450 Houston, TX 77010-9050 b. State member banks, branches and agencies of foreign banks (other than federal branches, b. Federal Reserve federal agencies, and Insured State Branches of Foreign Banks), commercial lending companies Consumer Help Center owned or controlled by foreign banks, and organizations operating under section 25 or 25A of P.O. Box 1200 the Federal Reserve Act. Minneapolis, MN 55480 c. FDIC Consumer c. Nonmember Insured Banks, Insured State Branches of Foreign Banks, and insured state Response Center savings associations 1100 Walnut Street, Box #11 Kansas City, MO 64106 d. National Credit Union Administration Office of Consumer Financial Protection (OCFP) d. Federal Credit Unions Division of Consumer Compliance Policy and Outreach 1775 Duke Street Alexandria, VA 22314 Asst, General Counsel for Aviation Enforcement Fi Proceedings Aviation Consumer 3. Air carriers Protection Division Department of Transportation 1200 New Jersey Avenue, S.E. Washington, DC 20590 Office of Proceedings, Surface Transportation Board 4. Creditors Subject to the Surface Transportation Board Department of Transportation 395 E Street, S.W. Washington, DC 20423 Nearest Packers and 5. Creditors Subject to the Packers and Stockyards Act, 1921 Stockyards Administration area supervisor Associate Deputy Administrator for Capital Access 6. Small Business Investment Companies United States Small Business Administration 409 Third Street, S.W., Suite 8200 Washington, DC 20416 8.D.1 0 M W N Packet Pg. 154 7. Brokers and Dealers Securities and Exchange Commission 8. Federal Land Banks, Federal Land Bank Associations, Federal Intermediate Credit Banks, and Production Credit Associations 9. Retailers, Finance Companies, and All Other Creditors Not Listed Above MASdSACHt. sur rs BILL OF RIGHTS 100 F Street, N.E. Washington, DC 20549 Farm Credit Administration 1501 Farm Credit Drive to McLean, VA 22102-5090 N Federal Trade Commission U Consumer Response J J Center W 600 Pennsylvania Avenue, V N.W. w W Washington, DC 20580 Y (877} 382-4357 ,a You have a right to obtain a copy of your credit file from a consumer credit reporting agency. You may be charged a reasonable fee not exceeding eight dollars. There is no fee, however, if you have been turned down for credit, employment, insurance, or rental dwelling because of information in your credit report within the preceding sixty days. The consumer credit reporting agency must provide someone to help you interpret the information in your credit file. Each calendar year you are entitled to receive, upon request, one free consumer credit report. You have a right to dispute inaccurate information by contacting the consumer credit reporting agency directly. However, neither you nor any credit repair company or credit service organization has the right to have accurate, current, and verifiable information removed from your credit report. In most cases, under state and federal law, the consumer credit reporting agency must remove accurate, negative information from your report only if it is over seven years old, and must remove bankruptcy information only if it is over ten years old. If you have notified a consumer credit reporting agency in writing that you dispute the accuracy of information in your file, the consumer credit reporting agency must then, within thirty business days, reinvestigate and modify or remove inaccurate information. The consumer credit reporting agency may not charge a fee for this service. Any pertinent information and copies of all documents you have concerning a dispute should be given to the consumer credit reporting agency. If reinvestigation does not resolve the dispute to your satisfaction, you may send a statement to the consumer credit reporting agency to keep in your file, explaining why you think the record is inaccurate. The consumer credit reporting agency must include your statement about the disputed information in a report it issues about you. You have a right to receive a record of all inquiries relating to a credit transaction initiated in the six months preceding your request, or two years in the case of a credit report used for employment purposes. This record shall include the recipients of any consumer credit report. You have the right to opt out of any prescreening lists compiled by or with the assistance of a consumer credit reporting agency by calling the agency's toll -free telephone number or contacting the agency in writing. You may be entitled to collect compensation, in certain circumstances, if you are damaged by a person's negligent or intentional failure to comply with the provisions of the credit reporting act. FRAUD VICTIM RIGHTS SUI-401A RY OF RIGHTS UNDER THE FCRA OF VICTIMS OF IDENTITY THEFT Packet Pg. 155 Nara informacion en espanol, visite www.consumerfina-n—qtgav/(aaED-more D, o escribe a la Consumer Finar--,)cial Protection $•D.1 Bureau,1700 G Street N.W. Washington, DC 20552 Remedying the Effects of Identity Theft You are receiving this information because you have notified a consumer reporting agency that you believed you are a victim M identity theft. Identity theft occurs when someone uses your name, Social Security Number, date of birth, or other identifyir F4 information, without authority, to commit fraud. For example, someone may have committed identity thefts by using your V personal information to open a credit card account or get a loan in your name. For more information, visit J J wLU ww.consumerfinan -e.gov/learnmore G�' or write to: Consumer Financial Protection Bureau,1700 G Stree- N,W was hingtor DC 20552. M The Fair Credit Reporting Act (FCRA) gives you specific rights when you are, or believe you that you are, a victim of identity theft. Here is a brief summary of the rights designed to help you recover from identity theft. 1. You have the right to place a `security freeze' on your credit report, which will prohibit a consumer— reportirig agency from releasing information in your credit report without your express authorization. The security freeze is designed to prevent credit, loans, and services from being approved in your,narne without your consent. However, you should be aware that using a security freeze to take control over who gets access to the personal and financial information in your credit report may delay, interfere with, or prohibit the tim ply approval. of an} subsequent request or application you make regarding a new loan, credit, mortgage, or any other ac count involving the extension of credit. A security freeze does not apply to a person or entity, or its affiliates, or collection agencies acting on behalf of the person or entity, with which you have an existing account that requests information in your credit report for the purposes of reviewing or collecting the account. Reviewing the account includes activities related to account maintenance, monitoring, credit line increases, and account upgrades and enhancements. As an alternative to a security freeze, you have the right to place an initial or extended fraud alert on your credit file at no cost. An initial fraud alert is a 1-year alert that is placed on a consumer's credit file. Upon seeir19 a fraud alert display on a consumer's credit file, a business is required to take steps to verify the consumer's ider%tity before extending new credit, if you are a victim of identity theft, you are entitled to an extended fLaudalert, which is a fraud alert lasting 7 years. To place either of these alerts, a consumer reporting agency will require you to provide appropriate proof of your identity, which may include your Social Security Number. If you ask for an extended alert, you will have to provide an identity theft report. An identity theft rem includes a copy of a report you have filed with a federal, state, or local law enforcement agency, and additional information a consumer reporting agency may require you to submit. For more detailed information about the identity theft repro t, visitwww.consumerfinance.goy/Learnmore &. You may place a fraud alert in your file by calling just one of the three nationwide credit reporting agencies. As soon as that agency processes your alert, it will notify the other two, which then must also place fraud alerts in your file. • Equifax: 1-800-525-6285; wsvw.equifax com & • Experian:1-888-397-3742; www.experian.com 0 • TransUnion:l-800-680-7289;www.transunion.com& 3. You have the right to free copies of the information in your file (your "file disclosure"). An initial fraud alert entitles you to a copy of all information in your file at each of the three nationwide agencies, and an extended alert entities you to two free file disclosures in a 12-month period following the placing of the alert. These additional disclosures may help you detect signs of fraud, for example, whether fraudulent accounts have been opened in your name or whether Packet Pg. 156 someone has reported a change in your address. Once a year, you also have the right to a free copy of the information in your file at any consumer reporting agency, if you believe it has inaccurate information due to fraud, such as identity theft. You also have the abitity to obtain additional free file disclosures under other provisions of the FCRA. See www.consumerfinance.gov/Learnmore CjJ 0 M 4. You have the right to obtain documents relating to fraudulent transactions made or accounts opened using your N personal information. A creditor or other business must give you copies of applications and other business records V relating to transactions and accounts that resulted from the theft of your identity, if you ask for them in writing. A J J business may ask you for proof of your identity, a police report, and an affidavit before giving you the documents. It also w may specify an address for you to send your request. Under certain circumstances, a business can refuse to provide you V with these documents. See www.consumerfinance.noy/Learnmore 5. You have the right to obtain information from a debt collector. If you ask, a debt collector must provide you with certain information about the debt you believe was incurred in your name by an identity thief - like the name of the creditor and the amount of the debt, 6. If you believe Information in your file results from Identity theft, you have the right to ask that a consumer reporting agency block that Information from your file. An identity thief may run up bills in your name and not pay them. Information about the unpaid bills may appear on your consumer report. Should you decide to ask a consumer reporting agency to block the reporting of this information, you must identify the information to block, and provide the consumer reporting agency with proof of your identity and a copy of your identity theft report. The consumer reporting agency can refuse or cancet your request for a block if, for example, you don't provide the necessary documentation or where the block results from an error or a material misrepresentation of fact made by you. If the agency declines or rescinds the block, it must notify you. Once a debt resulting from identity theft has been blocked, a person or business with notice of the block may not sell, transfer or place the debt for collection. 7. You may also prevent businesses from reporting information about you to consumer reporting agencies if you believe the Information is a result of identity theft, To do so, you must send your request to the address specified by the business that reports the information to the consumer reporting agency. The business will expect you to identify what information you do not want reported and to provide an identity theft report, To learn more about identity theft and how to deal with its consequences, visit www.consumerfinance.gov/Learnmore Gr, or write to the Consumer Financial Protection Bureau. You may have additional rights under state Law. For more information, contact your local consumer protection agency or your state Attorney General. In addition to the new rights and procedures to help consumers deal with the effects of identity theft, the FCRA has many other important consumer protections, They are described in more detail at www.consumerfinance.aoy/learnmore Cr. Packet Pg. 1 7 8.D.1 DIVISION OF CORPORATIONS r �f � dip. iJ�'1'�al���•t �J .Org_��;1rr'1r�� _ ���1-� t1r1 r11/!•,�,r _';,,,�,„1 IL,r�f�fl LEj,•,Ife, Lepartment of State ! Division of Corporations 1 Search Records ! Search by Entity Name 1 Detail by Entity Name Florida Limited Liability Company POOL LEAK RESCUE LLC Filing Information Document Number L23000143064 FEI/EIN Number NONE Date Filed 03/21/2023 State FL Status ACTIVE Prinnal Address 1601-1 N MAIN ST#3159 JACKSONVILLE, FL 32206 Mailing Address 1601-1 N MAIN ST #3159 JACKSONVILLE, FL 32206 Registered Agent Name & Address LEGALCORP SOLUTIONS, LLC 3440 W HOLLYWOOD BLVD. SUITE 415 HOLLYWOOD, FL 33021 Authorized Person(s) Detail Name & Address Title AMBR WERTHEIMER, JAKE 1601-1 N MAIN ST#3159 JACKSONVILLE, FL 32206 Annual Reports No Annual Reports Filed Document Images 03/21/2023 -- Florida Limited liability, View image in PDF formal r O M W N Packet Pg. 158 8.D.1 Electronic Articles of Organization L23000143064 For FILED 8:00 AM March 21 2023 Florida Limited Liability Company Sec. Of state jsdennis Article I The name of the Limited Liability Company is: POOL LEAK RESCUE LLC Article II The street address of the principal office of the Limited Liability Company is: 1601-1 N MAIN ST #3159 JACKSONVILLE, FL. US 32206 The mailing address of the Limited Liability Company is: 1601-1 N MAIN ST #3159 JACKSONVILLE, FL. US 32206 Article III Other proNtisions, if any: ANY AND ALL LAWFUL BUSINESS Article IV The name and Florida street address of the registered agent is: LEGALCORP SOLUTIONS, LLC 3440 W HOLLYWOOD BLVD. SUITE 415 HOLLYWOOD, FL. 33021 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: TRAVIS CRABTREE, OBO LEGALCORP SOLUTIONS Packet Pg. 1 9771 8.D.1 Article V L23000143064 The name and address of person(s) authorized to manage LLC: FILED 8 :00 AM March 21 2023 Title: AMBR Sec. Of Sate JAKE WERTHEIMER jsdennis 1601-1 N MAIN ST #3159 JACKSONVILLE, FL. 32206 US Signature of member or an authorized representative Electronic, Signature: SONIA BECERRA I am the member or authorized representative submitting these Articles of Organization and affirm that the facts stated herein are true. I am aware that false information submitted in a document to the Depar bent 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. 1 0771 8.D.1 IRS INETREASURY NTERNALREVENUESERVICE PHILADELPHIA PA 19255-0023 M 005896.509768.378112.8933 1 MB 0.531 532 III III 11111„111111[1It11111111III1111111111111„111111��111�,11, POOL LEAK RESCUE LLC ,LAKE WERTHEIMER SOLE MBR 16011 N MAIN ST 3159 JACKSONVILLE FL $2206 005896 Date of this notice: d4-10-202z� Employer identification Number: 92-3342774 Form, SS-4 Number of this notice: CP 575 0 For assistance you may call us 03; 1-800-829-4933 IF YOU WRITE, ATTACH THE STUB OF THIS NOTICE. WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER Thank you for applying for an Employer Identification Number (EIN), We assigned you EIN 92-3342774, This EIN will identify your entity, 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 visit, www,irs.gov/ einnotraquested. When filing tax documents, making payments, or replying to any related correspondence, it is very important that you use your EIN and complete name and address exactly as shown above. Any variation may cause a delay in processing, result in incorrect information in your account, or even cause you to be assigned more than one EIN, If the information is not correct as shown above, please make the correction using the attached tear -off stub and return it to us. A limited liability company (LLC) may file Form 8832, Entity Classification Election, and elect to be classified as an association taxable as a corporation. If the LLC is eligible to be treated as a corporation that meets certain tests and it will be electing S corporation status, it must timely file Form 2553, Election by a Small Business Corporation. The LLC will be treated as a corporation as of the effective date of the 5 corporation election and does not need to file Form 8632. IMPORTANT REMINDERS: Keep a copy of this notice in your permanent records. This notice is issued only one time and 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 safiev dppdar at-ITie�op of-Tis no xc� a ---- 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 POOL. You will need to provide this information, along with your EIN, if you file your returns electronically. Safeguard your EIN by referring to Publication 4557, Safeguarding Taxpayer Data: A Guide for Your Business. You can get any of the forms or publications mentioned in this letter by visiting our website at www.irs.gov/forms-pubs or by calling 800-TAX-FORM (800-829-3676). If you have questions about your EIN, you can contact us at the phone number or address listed at the top of this notico. If you write, please tear off the stub at the bottom of this notice and include it with your letter. If you do not need to write us, do not complete, and return this stub. Thank you for your cooperation. 0 M N Packet Pg. 161 (IRS USE ONLY) 5750 N 005896 04-10-2023 POOL 0 0609906505 SS-4 Keep this part for your records. CP 575 a (Rev. 1-2022) Return this part with any correspondence so we may identify your account. Please CP 575 0 correct any errors in your name ar address. 0509906505 Your Telephone Number Best Time to Call DATE OF THIS NOTICE, 04-10-2023 ( ) - EMPLOYER IDENTIFICATION NUMBER, 92-3342774 FORMr SS-4 NOBOD INTERNAL REVENUE SERVICE PHILADELPHIA PA 19255-0023 1111111lilt[ 1,111„111'tl'111111'I1161111„,1"1111�'I111111J11 POOL LEAK RESCUE LLC JAKE WERTHEIMER SOLE MBR 16011 N MAIN ST 3159 JACKSONVILLE FL 32206 Packet Pg. 162 8.D.1 comer c01.1.ty Growth Management ro Community Development Department W N APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY STATEMENT OF OWNERSHIP This certifies that I, e✓ v � W er'f lily am a member or managing APPLICANT'S NAME (please print) member LIABILITY COMPANY NAME) own L 0 C) % 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. W �r -�'�Lcn�► �" J C'tco � State of P l o'- County of & I � The foregoing instrument was acknowledged before me by means of ply' tysic day of i� ,20-,by �a(►fl� L. W4L1-1 Such person(s) Notary Public must check applicable box: ❑ are personally known to me 0;,tfas produced a current driver license ❑ has produced as identification. (Notary Seal) p,W POBe ALYSHIAMORSE _ o Commission a HN 190514 * * Notary Signature �y'OFfLoo tlpAdirr+uoudgvNo,Urye&yk" Applicant (please print) Name of Company Signature of Applicant or ❑ online notarization on this Contractor Licensing - FIRM Application Rev. 712022 Page 9 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 con tractors licensin colliercount fl. gov Packet Pg. 163 8.D.1 c4 Y Count Growth Management Community Development Department ARPLICATION'FOR. COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name: f �%-Ob A_rn my- Certificate Category Requested: Vt ' Sk `t UltiS r �� 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. Thepersonverifying trade experience for the above -named applicant must provide the following information: ✓ Name. tJ1PAC Y J Title: Business Name: _ 5U �5_ Phone: _ License No. (if applicable): Business Address: 23P AV- __-_ v n 5 bor-D /V1 A N M state Zip The applicantwas employed by me from �J t1+f1c? � toA111 r) n A - Applicant's title: The applicant's scope of work (specific duties) included: Additional comments: NOTE TO LICENSED CONTRACTORS: Falsifying any information prov'filed here', may Under penalty of perjury, I declare that the facts stated here are true. � } Signature of State of �"�A' Wb �UK4 County of 1 �� b_� The foregoing instrument was acknowledged b fore me by a of day of.. 20 q, by Such person(s) Notary Public must check aapplicable box: ❑ are personally known to me C3'has produced a current driver license ❑ has produced as identification. (Notary Seal) Ks HANNAN `COHN 1Votaiyy` - bilc . Commonwealth of-Masr,"' 6stit. My Commission lrxxhirps Notary Signature: January 11, 103t) yourlice9se to revocation. providing the statement presence or ❑ online notarisation on this e-5 18., rn n 0 M W N Contractor Licensing —FIRM Application Rav_ 712922 i Packet Pg. 164 8.D.1 A.J. & Sons, Inc P.O. Box 289 73 Nogr•ess Avenue Tyngsbom, MA 01879 Ph: 978 649-2600 1 Fax: 978 649-5666 To whom it may concern, Working alongside Jacob at A.J. & Sons, Inc. I was able to see that his knowledge in general contractors was always growing. He started in a support role and quickly became one of my most dependable workers. His willingness to learn and work hard was on display every day, which allowed him to move up the ranks of my company very quickly. In approaching me about obtaining a license for pool repair I was not surprised given his drive to learn new trades. He will be a great addition to your license contractors in Florida as both a extraordinary moral character aA phenomenal work i-c �ames Patierno A.J. & Sons, Inc 978-835-1876 Packet Pg. 165 8.D.1 Cott County Growth Management M Community Development Department N APPLICATION FOR COLLIER COUNTY CERTIFICATE OF. COMPETENCY v J J LU VERIFICATION OF CONSTRUCTION EXPERIENCE LU Applicant's Name: 1 K r\ l v' C r ��� Q Certificate Category Requested:POD\ U— w J 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: Lwo-f- C.r� 11 �i'_il Title: m� +)E n 1 Business Name: Phone: q7S --- Business Address: 11 + 4� i# �(� tC d License No. (if applicable): Street ` " City The applicant was employed by me from t/ '"! to u- d` Applicant's title: �-! J t n n f t Acd) (_ applicant's scope of work Additional comments: duties) included: �� to ��� tJilt, rt'� V l l l t i r1 c "i Di11iS cLkic , 'Ai6d)d VIA S l c 6 Gan t✓�rD5 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 fru Signature of person providing the statement State of +A IN County of The foregoing instrument was acknowledged before me by means of 0 physical presence or ❑ online notarization on this 5 r` day of A ti 20 2 3 , by V) 0.tttA F-a-- I IC.s_n Such person(s) Notary Public must check applicable box: `P are personally known to me ❑ has produced a current driver license ❑ has produced (Notary Seal) as identification. Notary Signature: Renee R. Johnson NAY R k, CAIw m vem a Manadmaus Arty Coatmission Expires Apiii 27, 2029 Contractor Licensing — FIRM Application Rev. 712022 rinQratinna R M nulatnry Manaaernent Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) Packet Pg. 166 1 8.D.1 ewood COnstruct, 1APo� 0 M CO N �- ��r- 0 7 J J LU Corp. May 4, 2023 To Whom It May Concern: When Jacob was employed at Applewood Construction, I was able to see how adept his construction knowledge is. We do a lot of work with concrete solutions for general contractor jobs. Safety is something that he has adapted and always knows the protocols before going into any situation. His onsite work along with his administrative work have helped grow my business into what it is now. He has the ability to think quickly and adapt to a number of situations. His ability to multitask is well noted. I hope you consider him for this Swimming Pool Class B License. Si -ce el 1 a er, riksen President Applewood Construction Corp 92 Middlesex Rd. Unit #3 • Tyngsboro, MA 01879 • Phone: 978-649-2727 • Fax: 978-649-3540 www.applewoodconstruction.com • awc.walter@comcast.net Packet Pg. 167 awc.carl@comeast.net 8.D.1 COT rJer y Growth Management Community Development Department VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name: - \2 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 apprentlee,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: Brian Cannava Title: Managing Member Business Name: Diversified site Services LLC Phone: 978-833-3317 License No. (if applicable): Business Address: 63 Middlesex Street, Unit 19 North Chelmsford MA 08163 Street City State Zip The applicant was employed by me from �V� to Applicant's title: _.7>I- r� The applicant's scope of work (specific duties) included: Sb� a 'MALJ2,T s f cictr>yS Additional comments, NOTE TO LICENSED CONTRACTORS: Falsifying any information provided herein may subject your license to revocation. Under penalty of perjury, I declare that the facts stated here are true. nWM'0_X Signature of person provid€ng the statement Stake of 44 County of Al The foregoing instrument was acknowledged before me by means of Is4hysical presence or 0 online notarization on this 3�aay of 2U , by i 6 fJ �ta cU1�G� {/C� Such person(s) No ary Public must check applicable box: 8/are personally known to me 0 has produced a current driver license ai�Mdi as 9 i CU �/ �}4Q'yCNiy�Pl�S.'• �1 /// "VO '. SSACHlSSE.• �Cl �\ 'lRY Pt1�����`�� identification. Notary Signature: 7 ELIZABETH A. MACKEY JNotary Public COMMONWEALTHOF MASSACHOSETTS My Commission Expires on M� Octobero7,2027 0 M W N V J J W U N w Y Q w J J O O a w C) Z w 2 W a X w LL O w W W a a J O O a O Z J Q F_ Z w 0 to w w 2 w x F_ w m O U Q 00 c d E t V r Q Contrd6tdr�.ioemlhb — FIRM Application Rev. 712022 Packet Pg. 168 I (lnorafinne !L Ran,iloinnr AAinn !)nni—mnr I innncinn . 9;mn Alnrih I-Immnahnn nri,m .'Amnia. FI W4AA . 11712 d3U.i (LL ."M 0,,J! Diversified Site Services LLC sl���stt p. _, n • m 63 Middlesex Street, Unit 19, North Chelmsford, MA 01863 P: (978) 833-33171 F: (978) 223-4077 z info@diversified-us.com N May 3, 2023 To whom it may concern, Working with Jacob at Diversified Site Services LLC, I have been able to see firsthand how proficient he is in the pool construction business. Working as both a pool shell construction worker and leak repairman He excels at concrete fishing, tying rebar, setting forms and leak detection. Worked on numerous projects spanning from small one day jobs costing $500.00 to long jobs costing $20,000.00. He has the ability to think quickly and adapt to a number of situations. His ability to multitask is well noted He will make an excellent addition to the Florida Licensure for Swimming Pool Construction Class B. Sincer Brian Cannava Managing Member IN WITNESS WHEREOF, with all right, power, and authority required to execute this instrument, this CERTIFICATION AND RELE�i has been exfe�` ted as a sealed instrument under the penalties of perjury on the '3i� day of 20 A3. By: Gl,.a. C�Li I� �. •4t.� Slate of: IV County of: �dsworn to, and acknowledged before me this day of 2(1a 3 :4 Fo; Notary Public: z; ij, YO 'SSS.... . My Commission Expires: (N'6ttarbt ELIZABETH A. MACKEY Notary Public COMMONWEALTH OF MASSACHUSETTS my Commission Expires on october 07, 2027 Packet Pg. 169 8.D.1 Co ier C©u"ty Growth Management Community Development Department c rM CO APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY `V J J AFFIDAVIT OF INTEGRITY AND GOOD CHARACTERLU STATE OF + COUNTY OF Il e-,r— I, _.l c,! C}P ? having been first duly sworn, state and affirm: am a resident of COA f County, PL (State) and have resided here for more than five (5) years. During the last five (5) years I have known —.Z., &OL Q"eA' 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 Printed Name Address:Uo c.rl eMLIL' W44Y Street FL 3 CW OS City state Zip Telephone:—W� — 7 / 1 r 577S State of Cj-A,7) �jl L t\✓ County of The foregoing instrument was acknowledged before the by means of iysil Aj_day ofq 201�a2 , by K (� �x ✓ v S�uchperson(s) Notwy Public must clieck applicable box: L7 ahpre personally known to me ❑ has produced a current driver license ❑ has produced as identification. al presence or ❑ online notarization on this (Notary Seal) 1i Aug CHERI L. MARTIN Notary Public State of Florida Commission f: GG 9632.56 My Cornm. Expires Jun 22, 2024C - X'V'� Bonded through Natiorai notary Assn, Notary Sigttahtre: �rsw��*max �a Contractor Licensing — FIRM Application Rev. 712022 Page 13 of 14 Operations & Regulatory Management Division, Contractor Licensing o 2800 North Horseshoe Drive • Naples, FL 34104 • (23 Packet Pg. 170 contractorslicensingAcolliercountyfi_c,�ov 8.D.1 C;Oter C014-nt Growth Management Community Development Department c rM W APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY `V iJ AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER J STATE OF I'- L COUNTY OF I..11<1i 6 ,having been first duly sworn, state and affirm: I am a resident of C It ej— County, EL— (State) and have resided here for more than five (5) years. During the last five (5) years I have known U..c:o W C'_l-A GI M t'J` (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 I17 ,, f Printed Name Address: Wmere- c & [,�,5 Street ] City State Zip Telephone: 3t' �/ -3 `' / State of Tc County of The foregoing instrument was acknowledged before nie by'lleans of Q pt>y it J/ ILday of , 20 �, by t` r c� F[ Suchperson(,.;)Notary Public must check applicable box: 0are personally known to me 0 has produced a current driver license ❑ has produced (Notary ,Seal) as identification. presence or ❑ online notarization on this ,• �� oe C711 RTIN Notary te of FloridaComG 9632.56 /[f crF°':. My Comm. Expires Jun 22, 2024 Notary SignahU'e: Bonded through National Notary Assn, Contractor Licensing — FIRM Application Rev. 712022 Page 14 of 14 Operations & Regulatory Management Division, Contractor Licensing e 2800 North Horseshoe Drive • Naples, FL 34104 • (239 Packet Pg. 171 contractorslicensing o)coltiercountyfl.goy TS 8.D.1 T 0 N Packet Pg. 172 8.E 08/16/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 8.E Doc ID: 26302 Item Summary: 8E. JOSE A. BETANCOURT PAZ — REVIEW OF EXPERIENCE — DRYWALL CONTRACTOR - J.A.B PAINTING INC. Meeting Date: 08/16/2023 Prepared by: Title: — Contractor Licensing Name: Alyshia Morse 08/08/2023 4:05 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 08/08/2023 4:05 PM Approved By: Review: Contractor Licensing Contractor Licensing Contractor Licensing Sandra Delgado Review item Tim Crotts Review Item Tim Crotts Meeting Pending Completed 08/09/2023 10:16 AM Completed 08/09/2023 3:14 PM 08/16/2023 9:00 AM Packet Pg. 173 8.E.1 LCC2019-0972 Co ier County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY FIRM APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY LCC2023-1980 This application must be typewritten or legibly printed. The application fee must be paid upon approval and is NOT refundable. All checks should be made payable to: Collier County Board of County Commissioners. For further information, consult Collier County Ordinance No. 2006-46, as amended. TYPE OF CERTIFICATE OF COMPETENCY: ❑ General $230.00 ❑ Building $230.00 ❑ Residential $230.00 ❑ Mechanical $230.00 ❑ Roofing $230.00 ❑ Electrician $230.00 ❑ Plumber $230.00 ❑ Air Conditioner $230.00 ❑ Swimming Pool $230.00 ❑ Specialty $205.00 Specialty Trade: b 'f y Vj a (( C on 6c� ©f I. APPLICANT PERSONAL INFORMATION: Name: �05Pi A6 {i �a In C O U 14 First Middle Initial Last Business Name: Address: J-t 3b [(a6, Mha(A Ct fof� Myers F I 's3uog Street City State Zip Email: 6JOLn QUA. Gt' 4,14 @ u ry1a'. 1 •0001 Telephone: 7, [)q - 2? (- dS�� J Date of Birth: 0 • (S - (gib *SS # (Last 4 digits only):P1 a 44 Driver's License # (Last 4 digits only): Z 55,"0 Pursuant to Collier County Contractor Licensing Ordinance No. 2006-46 Section 2.1.1., all applicants are required to submit their social security number, driver's license, and date of birth for the following purposes: a) Assess applicant's ability to satisfy creditors by reviewing their credit history. b) Verification of applicant's test scores and information. c) Verification of applicant's identity. Our office will only use the personal information noted above for those reasons pursuant to Chapter 119, Florida Statutes, and as may otherwise be authorized by law. We are fully committed to safeguarding and protecting your personal information and once collected, will be maintained as confidential and exempt under Chapter 119, Florida Statutes. Contractor Licensing — FIRM Application Rev. 7/2022 Page 3 of 14 i W N O ui 00 N 0 M to Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensing(a colliercountyfl.00v Packet Pg. 174 8.E.1 1.6.3.15. Drywall Contractor requires thirty-six (36) months experience with a passing ci grade on a-Ele w g a{3}�e an a roved test and a passing grade on a two-(2) he business and law 0 test and means those who are qualified to install gypsum drywall products to wood and metal ui CO studs, wood and steel joists, and metal runners in buildings of unlimited area and height. The N 0 scope of work shall include the preparation of the surface over which the drywall product is to be N applied, including the placing of metal studs and runners and all necessary drywall preparation z trim and shall include the placement of fire safing and fire stopping materials as part of the Z Q overall drywall contract. M w CO c a� E M c� a Packet Pg. 175 8.E.1 COMer 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: Se��i,% 6e4aocooi4 Name: Ma�C-o TA Q Telephone: nq - Z?D-0 !Z II. NAME OF APPLICANT'S BUSINESS: Business Name: J . ,f'! • U OQ . tj q Telephone:_ Z3q Z ` 5 6 Business Address: Iq,$� Fra(v1, 0 g n a r4 J r-,0+ 4 M` CL S F( 3 3 q© f' Street c� City State Zip Telephone: //5 q - 7j"l� 1 - OJ ti 1j' Email: 1 .Q.b Da". l9il�(�4�j�o k ola". •ct)A Federal ID Tax No.: — _6 Z - b 1,5 Z ti SDI III. FINANCIAL RESPONSIBILITY YES NO ALL APPLICANTS MUST ANSWER THE QUESTIONS BELOW: / Filed for or been discharged in bankruptcy within the past 5 years? / Had a lien filed against you by the Internal Revenue Service or Florida Corporate Tax Division? / Undertaken construction contracts or work that resulted in liens, suits, or judgments being filed? /Undertaken construction contracts or work that a third party, such as a bonding or surety company, completed or made financial statements on? /Made an assignment of assets in settlement of construction obligations for less than the debts outstanding? /Been convicted or found guilty of, or entered a plea of nolo 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? charged with or convicted of acting as a contractor without a license, or if licensed as a /Been 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. :� W U) O u.i 0 N 0 M to r— O U z w m w Cn O ui 0 d E t .r a Contractor Licensing — FIRM Application Rev. 7/2022 Page 4 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensing(c colliercountyfl.gov Packet Pg. 176 8.E.1 CO�er County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY IV. EXPERIENCE VERIFICATION EDUCATION: List below and provide transcripts for any formal education you have obtained in the area of competency for which this application is being made: List below non formal education (on the job training) you have obtained in the area of competency for which this application is being made: CODS J ,S + f CURRENT/PREVIOUS LICENSE: List below and attach copies any other certificates of competency/licenses you hold/have held in Collier County or any other jurisdiction. Include the license #, Type, and county you hold it in. C ; ce I S6 -4�- bcC Zo lq o00 L! �S AFFIDAVIT Under the penalties of perjury, I declare that I have read the foregoing application and the facts stated in it are true. 3-0 c 6 L 64-o 1v o U �+ Applicant (please print) State of County of l The foregoing instrument was acknowlec lday off, 2023 , by Such person(s) Notary Public must check applicable box: A��1f+►,''�f'I f/ 7�� of Applicant physical presence or ❑ online notarization on this V/are personally known to me ❑ has produced a current driver license ❑ has produced as identification. (Notary Seal) YEREINotary lic State of FloridaMegan Lynchssion GG 93707504/2023 Notary Signature: Contractor Licensing — FIRM Application Rev. 7/2022 r. W to O uj 00 N 0 eM m N w 00 c d s w Q Page 5 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensing�i).colliercountvfl.gov Packet Pg. 177 8.E.1 Ci0 ler C;ouN.ty 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 of'gook County of T e foregoin instrument was acknoN 2o day of 202 , Such person(s) Notary Public must check applicable box: J Os� f3&a ti C O J f+ Applicant (please print toc Name of Company Signature of Applicarl=TE Ephysical presence or ❑ online notarization on this are personally known to me ❑ has produced a current driver license ❑ has produced as identification. (Notary Seal) e r o Notary Public State of �iChda _�`� � Elizabeth Megan Ly Notary Signature: � pY My Commission GG 9370752�U4 U �+ `�'d Expires 1210412G�3 '� of r/ Contractor Licensing — FIRM Application Rev. 7/2022 Page 6 of 14 r W fn 0 u.i 00 N O Cl) to r Q Operations & Regulatory Management Division, Contractor Licensing a 2800 North Horseshoe Drive a Naples, FL 34104 a (239) 252-2431 contractors licensing(cbcolIiercountvfl.gov Packet Pg. 178 8.E.1 COY County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY WORKMEN'S COMPENSATION AFFIDAVIT It is understood and acknowledged by the Collier County Contractors' Licensing Board and myself that if I fail to acquire, or maintain at all times effective Workmen's Compensation Insurance it will result in the possible revocation of my Certificate of Competency. use 640,11 couiJ Applicant (please print Name of Company Signature of Applic BEFORE ME this day personally appeared p s(°i 5 (�4411 C0 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 i,Countyof SD I ( 1 Q i The foregoing instrument was acknowledged before me by means of Vphysical presence or ❑ online notarization on this _Mday of SV1M1p 20 7,'& , by Se Such person(s) Notary Public must check applicable box: Dare personally known to me ❑ has produced a current driver license ❑ has produced (Notary Seal) �o1,PYA O: JOHANS. TABOADA Commisslon # HH 338046 Expires December 4, 2026 •,,OF F�„ Contractor Licensing — FIRM Application Rev. 7/2022 as identification. Notary Signature: ;�415 Page 7 of 14 i LL fn 0 ui tb N O M to N Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensing(rDcoll iercountvfi.gov Packet Pg. 179 8.E.1 C OMer County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY RESOLUTION OF AUTHORIZATION Complete this form if multiple people own part of the company the license will be attached to If there is only 1 owner, then this form is not required for the application. In accordance with Collier County Ordinance 2006-46, as amended, 0 Y OC, {��; (i,9 (1f1C proposes �1 Company Name �1 j to engage in contracting aspa� :nj COf140,J0r in Collier County where 30siC 6Gfan Coy(T OT ffcers'10wners/Partners AA rKt /� Applicant Name proposes to qualify for a Certificate of Competency with company �J� • U POL 111 . nq I n C II - Company / It is hereby agreed upon that we the undersigned 30 S t �8-iO��COV�� of S�. J (�a• 4t-iij !ix, Officers/Owners/Partners Company resolve and represent to the Collier County Contractor's Licensing Board that the proposed qualifying agent, 3bbe/ U40() CO LWL,is active in all matters connected with the company named Applicant Name -V• I .4. I✓4ti n�= nq InC We further resolve and represent that �O5P, &40LnGf1J �� is legally ompany AA Applicant Name empowered to act on behalf of Sft . �OI �Yl+. �Q IAC in all matters connected with its contracting Company V �t business and has the authority to supervise construction undertaken by S A- 5 Pa y �� • nQ I n G Company � Soso 6t-61tcourt Qire s:del Officers/Owners/Partners Witness 13t1r,-,S &JOfic"4 eas.-Jet�, 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 oftiQA County of The forego in instrument was acknowlei day ofU �U , 20 2_3 , by Such person(s) Notary Public must check applicable box: O are personally known to me ❑ has produced a current driver license ❑ has produced (Notary Seal) as identification. Notary Signature: on this °,v Notary 2, I U17-xpres Public Florida beth Megan Lyc0G 937 Omm' Commission75 12/04/2023 r W U) O ui 00 N O M CD N Do c a� E s Q Contractor Licensing — FIRM Application Rev. 7/2022 Page 8 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractors licensinana colIiercountvflgov Packet Pg. 180 8.E.1 GITS, LLC Examination Operations Division Providing the services and products to assist Government Agencies to make informed educated decisions. Official Examination Score Report Official Score Report: Candidate Information: Name — Jose A. Betancourt Paz Candidate #: 21962550B Testing Site: Fort Myers, FL Final Score Result: June 21, 2023 Gypsum Drywall Contractor Score: 78% These results represent the grade that has been achieved on the above named examination(s) administered by Gainesville Independent Testing Service for Collier County, Florida on June 21, 2023. If you have any further questions, please do not hesitate to contact us. Sincerely, Jay E. Bowermeister President PO Box 831127 Ocala, Florida 34483-1127 — Voice (352) 369-GITS — Fax (352) 387-2443 800 997 2129 r W to 0 W 00 N O M W N Packet Pg. 181 8.E.1 GITS, LLC Examination Operations Division Providing the services and products to assist Government Agencies to make informed educated decisions. i W Cn 0 Official Examination Score Report co N CD November 5, 2019 Official Score Report: Candidate Information: Name — Jose A. Betancourt Paz Candidate #: 21962550B Testing Site: Fort Myers, FL Final Score Result: November 5, 2019 N Business Procedures Score: 78% 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 November 5, 2019. If you have any further questions, please do not hesitate to contact us. Sincerely, Jay E. Bowermeister President PO Box 831127 Ocala, Florida 34483-1127 — Voice (352) 369-GITS — Fax (352) 387-2443 800 997 2129 Packet Pg. 182 8.E.1 PERSONAL CREDIT REPORT MERGED REPORT COMPILED FROM NATIONAL RECORDS Entry # 13084 Phone: 850-539-8000 Email: unitedcrsapps(EDgmail.com www.UnitedCRS.com 3590 Frontier Road Tallahassee, FL 32309 June 8, 2023 Personal iniormation Since 09108i15 FAD 0+6 C7 Reported Name BETANCOURT, JOSE Former Name RPTnNCORT, JOSE SSN 4484 DOB: 07/15/1996 Address 1736 FRAMINGHAM CT, FORT MYERS, FL 33907 Address 1737 CYPRESS DR, FORT MYERS, FL 33907 Address 5557 5TH AVE, FORT MYERS, FL 33907 05/19 - 05/23 07/18 - 05/19 04/16 - 05/23 FICO CLASSIC SCORE - 749 Employer City Hired Verified Occupation State Separated Indirect Ind. JAB PAINTING 08/22 08/22 k F PR/OI 0 Rev 5 # Accts 11 30 0 Hist 30 0 Lowest HC $800 Bankruptcies 0 Inst 6 # Inq 4 60 0 Hist 60 0 Highest HC $157,102 Collections 0 Open 0 Curr Accts 11 90 0 Hist 90 0 Type High Balance Past Due Payment %Avail Revolving $19,100 $591 $0 $25 97% Installment $36,956 $28,945 $0 $1,057 Real Estate $157,102 $146,648 $0 $1,219 Open/Other $0 $0 $0 $0 Totals $213,158 $176,184 $0 $2,301 11 21141111I'm, m -r, ...t ., :. .. _ m Current Status Hist Status Acc Name/Address RPTD High PMT Bal PastDue Mths 30 60 90 Rating Date OPND Limit Terms DLA ECOA Pagel of 3 Eq w Cn O u.l 00 N O M O N uJ 00 r c U E t U Y w a Packet Pg. 183 8.E.1 i BK OF AMER 05/23 $25 $591 LU Customer: 801 ON001 19 06/17 $1,400 O CREDIT CARD 05/23 Joint AMOUNT IN H/C COLUMN IS CREDIT LIMIT W 00 SYNCB/SAMS 05/23 $10 $0 03 R 1 Customer:404ON01950 02/23 $6,000 Est. cV CREDIT CARD 03/23 Individual M AMOUNT IN H/C COLUMN IS CREDIT LIMIT CBNA 05/23 $10 $0 Customer:485FP00552 01/20 $9,500 Est. ? CHARGE 03/23 Individual Z AMOUNT IN H/C COLUMN IS CREDIT LIMIT WFB CD SVC 05/23 $10 $0 85 R 1 a m Customer:180BB31395 04/16 $1,400 Est. Q CREDIT CARD 05/22 Individual AMOUNT IN H/C COLUMN IS CREDIT LIMIT fY TD/TARGET 08/18 $800 $10 $0 13 R 1 O Customer:613DC16044 06/17 Est. ~ PAID ACCOUNT/ZERO BALANCE Individual Q CREDIT CARD Revolving Totals $25 $591 S0 z O U �: installment Accounts few ..ryH.p Current Status Hist Status Q Acc Name/Address RPTD High PMT Bal PastDue Mths 30 60 90 Rating Date OPND Limit Terms DLA ECOA 0 SETF/WOFC 04/23 $36,956 $1,057 $28,945 08 I 1 Customer:402FA13866 08/22 uJ U AUTO 04/23 Participant Z FIXED RATE W_ SUNCOASTCU 04/21 $36,323 $0 02 11 2 Customer:728FC00168 02/21 72M a PAID ACCOUNT/ZERO 04/21 individual BALANCE W AUTO LL O SUNCOASTCU 01/21 $34,160 $0 21 ! 1 Customer:728FC00168 01/19 72M W PAID ACCOUNT/ZERO 01/21 Individual BALANCE LUAUTO fY ALLY 02/19 $28,903 $0 16 Customer:613FA16693 10/17 75M PAID ACCOUNT/ZERO 01/19 Individual BALANCE U AUTO U ACCPTNOW 07/16 $1,707 $0 03 11 Z Customer:242HZ00053 04/16 16M Q H PAID ACCOUNT/ZERO 07/16 Individual LU BALANCE m Installment Totals $1,057 $28,945 $0 LU Cn O c:rteacJe'Acco n'f,s ui 00 Current Status Hist Status Acc Name/Address RPTD High PMT Bal PastDue Mths 30 60 90 Rating Date y OPND Limit Terms E DLA ECOA t Page 2 of 3 Packet Pg. 184 8.E.1 PNMAC 05123 $157,102 $1,219 $146,648 Customer: 18GFM22448 03120 REAL ESTATE MORTGAGE 05123 Individual FHA MORTGAGE Mortgage Totals $1,219 $146,648 $6 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 fts report can fluctuate daily and can change drastically. In some cases, over 100 points when making big purchases, etc. Page 3 of 3 211 W to O W w N O M N Packet Pg. 185 8.E.1 Phone: 850-539-8000 Email:unitedcrsapps@gmail.com www.UnitedCRS.com 3590 Frontier Road Tallahassee, FL 32309 BUSINESS CREDIT REPORT Entry # 13084-000000 J.A.B. PAINTING INC. 1736 FRAMINGHAM CT FORT MYERS, FL 33907 PHONE: (239) 271-0543 Trade Lines Found: 5 Credit Standing: Good Standing Business Type: CORP FEIN Number: 82-3132454 Florida SOS Document #: P17000084493 Key Facts Years in Business: Key Personnel: Florida Registered Agent: As of:6/8/23 Credit Summary: ti✓ Bankruptcies: 0 . Liens: 0 Judgments Filed: 0 V Collections: 0 DBPR PUBLIC RECORD STATEMENT PUBLIC RECORDS HAVE BEEN CHECKED AT LOCAL, STATE AND FEDERAL LEVELS RESULTS: NONE FOUND 5 Years President: BETANCOURT PAZ, JOSE ALEXANDER Vice President: OSORTO ORTEGA, BELKIS YOLANDA BETANCOURT PAZ, JOSE ALEXANDER 1736 FRAMINGHAM CT FORT MYERS, FL 33907 Page 1 of 1 i w U) O LLI 00 N O M w N Packet Pg. 186 6/27/23, 3:56 PM Detail by Entity Name 8.E.1 DIVISION OF CORPORIMONS _✓""'�.� tin '# I' m! y!a!e !r/ P rldf; Department of State / Division of Corporations / Search Records / Search by Entity Name / Detail by Entity Name Florida Profit Corporation J.A.B. PAINTING INC. Filing Information Document Number P17000084493 FEI/EIN Number 82-3132454 Date Filed 10/19/2017 Effective Date 10/18/2017 State FL Status ACTIVE Principal Address 1736 FRAMINGHAM CT FORT MYERS, FL 33907-1209 Changed: 03/09/2022 Mailing Address 1736 FRAMINGHAM CT FORT MYERS, FL 33907-1209 Changed: 03/09/2022 Registered Agent Name & Address BETANCOURT PAZ, JOSE ALEXANDER 1736 FRAMINGHAM CT FORT MYERS, FL 33907-1209 Name Changed: 04/01/2019 Address Changed: 03/09/2022 Officer/Director Detail Name & Address 111111111017N BETANCOURT PAZ, JOSE ALEXANDER 1736 FRAMINGHAM CT FORT MYERS, FL 33907-1209 li w O uj 00 N O M w N w 00 r c 0 E t U 2 Q Title V search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder=JA Packet Pg. 187 6/27/23, 3:56 PM Detail by Entity Name BETANCOURT, BELKIS YOLANDA 1736 FRAMINGHAM CT FORT MYERS, FL 33907-1209 Annual Reports Report Year Filed Date 2021 01 /15/2021 2022 03/09/2022 2023 01 /21 /2023 Document Images 01/21/2023 —ANNUAL REPORT View image in PDF format I 03/09/2022 -- ANNUAL REPORT View image in PDF format 01/15/2021 —ANNUAL REPORT View image in PDF format 02/13/2020 — ANNUAL REPORT View image in PDF format 04/01/2019 — ANNUAL REPORT View image in PDF format 02/27/2018 —ANNUAL REPORT 10/19/2017 — Domestic Profit View image in PDF format I View image in PDF format i W U) O ui 0 N 0 M 0 N W 0 C d E t C> l0 Q Packet Pg. 188 search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder=JA 8.E.1 Electronic Articles of Incorporation For ' 11 1� W P17000084493 FILED October 19, 2017 Sec. Of State cmwood 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: J.A.B. PAINTING INC. Article II The principal place of business address: 5557 5TH AVE FORT MYERS, FL. US 33907 The mailing address of the corporation is: 5557 5TH AVE FORT MYERS, FL. US 33907 Article III The purpose for which this corporation is organized is: ANY AND ALL LAWFUL BUSINESS. Article IV I'he number of shares the corporation is authorized to issue is: 1000 Article V The name and Florida street address of the registered agent is: JOSE A BETANCOURT PAZ SR 5557 5TH AVE FORT MYERS, FL. 33907 I certify that I am familiar with and accept the responsibilities of registered agent. Registered Agent Signature: JOSE A. BETANCOURT PAZ r w Cn 0 u.i w N O M t0 N w co E 0 M a Packet Pg. 189 8.E.1 P17000084493 FILED Article VI October 19, 2017 Sec. Of State The name and address of the incorporator is: cmwood JOSE A. BETANCOURT PAZ 5557 5TH AVE FORT MYERS FL. 33907 Electronic Signature of Incorporator: JOSE A. BETANCOURT PAZ. 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: P, T JOSE A BETANCOURT PAZ SR. 5557 5TH AVE FORT MYERS, FL. 33907 US Article VIII The effective date for this corporation shall be: 10/18/2017 5 w O w 00 (N O M N r O U Z Q H W m W U) O W 00 C d E t a Packet P9. 190 8.E.1 q0 IRS IINTERNALNT OF REVENUEESERRVICERY CINCINNATI OH 45999-0023 JAB PAINTING INC 5557 5TH AVE FORT MYERS, FL 33907 Date of this notice: 10-18-2017 Q W Employer Identification Number: 0 82-3132454 W Form: SS-4 O0 N Number of this notice: CP 575 A M N For assistance you may call us at: 1-800-829-4933 Z 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 82-3132454. 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 04/15/2018 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. 114POMM INPDF44RTION 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. Packet Pg. 191 8.E.1 (IRS USE ONLY) 575A 10-18-2017 JABP B 9999999999 SS-4 d W If you are required to deposit for employment taxes (Forms 941, 943, 940, 944, 945, N CT-1, or 1042), excise taxes (Form 720), or income taxes (Form 1120), you will receive a Welcome Package shortly, which includes instructions for making your deposits W electronically through the Electronic Federal Tax Payment System (EFTPS). A Personal 00 Identification Number (PIN) for EFTPS will also be sent to you under separate cover. N Please activate the PIN once you receive it, even if you have requested the services of a M tax professional or representative. For more information about EFTPS, refer to N Publication 966, Electronic Choices to Pay All Your Federal Taxes. If you need to �- make a deposit immediately, you will need to make arrangements with your Financial Institution to complete a wire transfer. Z The IRS is committed to helping all taxpayers comply with their tax filing obligations. If you need help completing your returns or meeting your tax obligations, Authorized e-file Providers, such as Reporting Agents (payroll service providers) are available to assist you. Visit the IRS Web site 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 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. * Keep a copy of this notice in your permanent records. This notice is issued only one time and the IRS will not be able to generate a duplicate copy for you. You may give a copy of this document to anyone asking for proof of your EIN. * Use this EIN and your name exactly as they appear at the top of this notice on all your federal tax forms. * Refer to this EIN on your tax -related correspondence and documents. If you have questions about your EIN, you can call us at the phone number or write to us at the address shown at the top of this notice. If you write, please tear off the stub at the bottom of this notice and send it along with your letter. If you do not need to write us, do not complete and return the stub. Your name control associated with this EIN is JABP. You will need to provide this information, along with your EIN, if you file your returns electronically. Thank you for your cooperation. LU 00 c d E t v R r Q Packet Pg. 192 8.E.1 Collier County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY STATEMENT OF OWNERSHIP This certifies that I, S �'/ A • am a member or managing APPLICANT'S NAME (please print) member of L; v14;A D LIABILITY C I n C, IY NAME) I own q o % 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. State of no& County of Mw— The foregoing instrument was acknowled ed before e by means day of 2023, by -s a 13,04a t?co ()>( ��` Applicant (please print) pa n4;llq lnc Name of Company Signature of Applicant V physical presence or ❑ online notarization on this Such person(s) Notary Public must check applicable box: Q are personally known to me ❑ has produced a current driver license ❑ has produced (Notary Seal) ysY ►4 Notary Public State of Florida x `� Elizabeth Megan Lynch v My Commission GG 937�75 S11 Y � Expires 12104/2023 Of F1- d0 Contractor Licensing — FIRM Application Rev. 7/2022 as identification. Notary Srgnature: Page 9 of 14 i W Cn O ui 00 N O M Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractors licensing (c colIIercountyfl oov Packet Pg. 193 8.E.1 CO Ier County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name: Jose Alexander Betancourt Certificate Category Requested: Drywall Subcontractor 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: Jay Howard Title Business Name: Phone: (239) 594-9984 License No. (if applicable): CGC1518207 Business Address: 950 1st Avenue North Naples FL 34102 Street City State Zip The applicant was employed by me from December 201 Applicant's title: Subcontractor to Present The applicant's scope of work (specific duties) included: Drywall patching, painting and minimal trim work. Additional comments: Has been a pleasure to work with. Always willino to 0o above and exceed our expectations. 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. State of Florida County of Collier Signs r of pers n providing the statement The foregoing instrument was acknowledged before me by means of ® physical presence or ❑ online notarization on this 22 day of June , 20 23 , by Jay Howard Such person(s) Notary Public must check applicable box: IN -are personally known to me ❑ has produced a current driver license ❑ has produced (Notary Seal) as identification. a llotary Public State of FloridaElizabeth Megan Lynch My Commission GG 937075 Expires 12/04/2023 I Notary Signature: i Contractor Licensing - FIRM Application Rev. 7/2022 \; Page 10 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensinala colliercountvfl oov Packet Pg. 194 8.E.1 Collier County Growth Management Community Development Department d W APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY rn O VERIFICATION OF CONSTRUCTION EXPERIENCE Uj Applicant's Name: Jose Alexander Betancourt o M Certificate Category Requested: Drywall Subcontractor 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: Bill Gaston Business Name: WKMJ, LLC Phone: (239) 594-9984 Business Address: 950 1st Avenue North Street Title: Principal -Qualifier License No. (if applicable): CBC1250144 Naples City The applicant was employed by me from August 2019 to Present Applicant's title: Subcontractor FL 34102 State Zip The applicant's scope of work (specific duties) included: Painting, drywall patching, and miscellaneous trim carpentry work. Additional comments: Always went above and beyond for us and our clients. 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. r nn pp���� Signature f person providing the statement State of m ( AW County of W � �(,i� The foregoing instrument was acknowledged before me b means of � physical presence or El online notarization on this 22, day ofJVVKj 20 , by U O&S Such person(s) Notary Public must check applicable box: Q are personally known to me ❑ has produced a current driver license ❑ has produced (Notary Seal 1tI,p P% Notary Public State of Florida Elizabeth Megan Lynch y -; �o� My Commission GG 937075 9?or Expires 12/04/2023 Notary Signature Contractor Licensing — FIRM Application Rev. 7/2022 as identification. Page 11 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractors licensinaCa colliercountvfl oov Packet Pg. 195 8.E.1 C O ICT County Growth Management Community Development Deparlment APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's blame: Jose Betancourt Certificate Category Requested: Drywall Subcontractor The applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate, the applicant must verify hislher experience within this trade. You are being requested to provide information that will aid the applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker (e.g., as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience for the above -named applicant must provide the following information: Name: Craig Swiger Business Name Phone: Swyger Construction, Inc. (239) 776-5208 Title: Owner/President License No. (if applicable): CRC13313995 Business Address: 25273 papillion Dr., Bonita Springs, FL 34135 Street City State Zip The applicant was employed by me from 2016 to Current Applicants title: Subcontractor The app)icant's scope of work (specific duties) included: Drywall, finishing, metal framing, minor trim Additional comments: Jose is a pleasure to work with. He is respectful, timely, and goes above and beyond. 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. State of FL County of Collier Signature of person providing the 611ement The foregoing instrument was acknowledged before me by means of ® physical presence or 0 online notarization on this 27 day of June , 20 23 , by Craig Swi er Such person(s) Notary Public must check applicable box: ® are personally known to me 0 has produced a current driver license ❑ has produced __.N/A _ . as identification. (!Notary Seal) i LU O u.i 00 N 0 M F4 a� LIHOA K /ATTYSON L`; Notary Vubhc - State of Flon4a V s` Commission M HH 091724 Notary Signature: r orrti My Camm. Expires May 27. 2025 Q bonded thfoush National Notary Assr. Contra o n — p 2 Page 11 of 14 Operations & Regulatory Management Division, Contractor Licensing a 2804 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2471 con tractorslicensingra'7colliercountvf). qoy Packet Pg. 196 8.E.1 C0117'er County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF 1" 1— . COUNTY OF L AEr I, J, having been first duly sworn, state and affirm: I am a resident of L. EE County, :FL (State) and have resided here for more than five (5) years. [1 cc) V y During the last five (5) years I have known ��S �, ei 1 1 (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 VC C�sZ Printed Name Address: 6 6 -3,q �( an, CS -�0on Street M�. &Y Fln 33 Ufa Z City State Zip Telephone: V 31 3 (D 6 -6 31 State of loricla County of Cnil e f The foregoing instrument was acknowledged before me by means of RKphysical presence or ❑ online notarization on this ZS day of JpyjG 20, by Ancare,� Perez. Such person(s) Notary Public must check applicable box: ❑are personally known to me Elhas produced a current driver license V//as produced 0`, as identification. (Notary Seal) JOHAH S. TABOADA * ComMls w # HH 338046 Expires Deoembe Notary Signature: Contractor Licensing — FIRM Application Rev. 7/2022 Page 13 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensing a( )colliercountvfl.gov s w O u.i 00 N O eM to Packet Pg. 197 C011ier County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY Q w rn AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER n w 00 N STATE OF F N COUNTY OF L E E �? I, t4a, (a O1, 4c�u having been first duly sworn, state and affirm: I am a resident of 1 County, L (State) and have resided here for more than five (5) years. During the last five (5) years I have known 4o5e, b e,4o►n C OOid�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. <41Lq Signature uvco oy4`- ya Printed Name Address: .SK ? ;Z 11 �11 A V-C Street ja-, ' M% ` s 339ro ? City State Zip Telephone 23 q-- 265- Sz377 State of Umala County of The foregoing instrument was acknowledged before me by means of N physical presence or ❑ online notarization on this day of Tun f, 20 _Lj , by Pico OIrfe� �1 Such person(s) Notary Public must check applicable box: ❑ are personally known to me ❑ has produced a current driver license l(has produced 0 L as identification. (Notary Seal) JOHAN S. TABOADA o« CommissIm # HH 338046 Expires Decembsr4, 2026 Notary Signature: 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 packet Pg. 198 contractorslicensing(dcolliercountvfl.go 8.E.1 Florida uav- SE - upB. -255-0 AME a.ANcouR;�az AiExAtinrcR a 1: 38-FRAMING—AM C7 FORT MYERS. FL 33%7 07/1511996 = N4 SAFE<r;e� = o' st2Q2d - F-06" ;-NCAEvon=_ 3s OgyOlf2ffi.t3 :i ', N721WM34D?Ba J _�:ntE� 96103i3q?9 .r.tW' of7 TObr ��CG+StYd:f swrn'o m*t Svbrbty'ffiIt 'q'Aa't<'d 5'/ •aw �Cp,:� s, w O u.i 00 N O M N Packet Pg. 199 8.E.1 --ON JABPAIN-01 SZAMO ,a►coRl7 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD YYYY) `--� 6/27/2023 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 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 License # L094577 'CONTACT NAME: Great Harbor Insurance Services aH✓c°°, No, Ext 561 451-1900 FAX 561 451 4532 301 Yamato Road #2250 ( ): ( ) (A/c, No):( ) Boca Raton, FL 33431 AIL ADDRESS: commercialservices@greatharborins.com INSURED J.A.B PAINTING INC 1736 FRAMINGHAM CT Fort Myers, FL 33907 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Heritage Property & Casualty 14407 INSURER B: Mercury Indemnity Company Of America 11201 INSURER C.:Technology Insurance Company, Inc. 42376 INSURER D : INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILT R TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LTR WV MM MM DD ri LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS -MADE X OCCUR HCR021918 5/31/2023 5/31/2024 DAMAGE TO RENTED PREMISES (Ea occurrence) S 300,000 10,000 - MED EXP (Any one person)„ S 1,000,000 PERSONAL & ADV INJURY S 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: - GENERAL AGGREGATE S - POLICY PRO- JECT LOC PRODUCTS - COMPiOP AGO S 2,000,000 General Aggregate OTHER: $ B AUTOMOBILE LIABILITY ... COMBINED SINGLE LIMIT (Ea. accident) 250,000 ANYAUTO BA090000017713 6/27/2023 612712024 BODILY INJURY (Per person) S OWNED SCHEDULED X AUTOSONLY AUTOS BODILY INJURY (Par accident) S PROPERTY accidentDAMAGE AUTOS ONLY AUTO ONLYY $ PIP 10,000 $ UMBRELLA LIAB _ OCCUR ''. EACH OCCURRENCE S EXCESS LIAB CLAIMS -MADE AGGREGATE S DED RETENTION $ S C WORKERS COMPENSATION X PER OTH- AND EMPLOYERS' LIABILITY Y / N STATUTE ER _ ANY TWC4161788 9/2312022 9/2312023 PROPRIETOR/ PARTNER'EXECUTIVE E.L. EACH ACCIDENT S 1,000,000 '. OFFICER/MEMBER EXCLUDED N f A OFF (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE S 1,000,000 If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Painting Exterior and Interior COLLIER COUNTY CONTRACTORS LICENSING BOARD 2800 HORSESHOE OR N NAPLES, FL 34102 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 p. -,.i:,er.r.-ram.,;,. •- _ rat.vicu co (LU lows) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD i LU U) 0 7 Uj 00 N 0 M to v Packet Pg. 200 8.E.1 Qt. w4,e W JIMMY PATRONIS U) 0 CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES Uj DIVISION OF WORKERS' COMPENSATION 00 * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * N CD CONSTRUCTION INDUSTRY EXEMPTION N C9 This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. z i= EFFECTIVE DATE: 11/22/2021 EXPIRATION DATE: 11/22/2023 z Q a PERSON: JOSE A BETANCOURT PAZ EMAIL: J.A.BPAINTINGINC96@GMAIL.COM m Q FEIN: 823132454 BUSINESS NAME AND ADDRESS: O J.A.B. PAINTING INC. 1736 FRAMINGHAM CT FORT MYERS, FL 33907 SCOPE OF BUSINESS OR TRADE: Wallboard,Sheetrock,Drywall, Painting NOC & Shop Plasterboard, or Cement Operations, Drivers Board Installation Within Buildings & Drivers IMPORTANT: Pursuant to subsection 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to subsection 440.05(12), F.S., Certificates of election to be exempt issued under subsection (3) shall apply only to the corporate officer named on the notice of election to be exempt and apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to subsection 440.05(13), F.S., notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 E01447138 QUESTIONS? (850) 413-1609 Packet Pg. 201 8.E.1 PLEASE CUT OUT CARD BELOW AND RETAIN FOR FUTURE REFERENCE I----FLORIDA —————————————————I— — ——————————————— — — — — — DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS? (850) 413-1609 5 w co O ui 00 N O M Fill - Packet Pg. 202 %..ee Cc,, Local Business Tax Receipt Tax Collector Na•11• Branning i W In O JOSE ALEXANDER BETANCOURT PAZ BETANCOURT PAZ JOSE ALEXANDER 00 1736 FRAMINGHAM CT FORT MYERS, FL 339071209 Q W N Dear Business Owner: Your 2022 - 2023 Lee County Local Business Tax Receipt is attached below for account number / receipt: number: 1061545 / 2001048 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, ` aWLi(,of�7% Lee County Tax Collector 2022-2023 LEE COUNTY LOCAL BUSINESS TAX RECEIPT Account Number: 1061545 Receipt Number: 2001048 State License Number: Location: 1736 FRAMINGHAM CT FORT MYERS, FL 339071209 JOSE ALEXANDER BETANCOURT PAZ BETANCOURT PAZ JOSE ALEXANDER 1736 FRAMINGHAM CT FORT MYERS, FL 339071209 Account Expires: September 30, 2023 in the business of: ADMINISTRATIVE OR BUSINESS OFFICE ONLY THIS LOCAL BUSINESS TAX RECEIPT IS NON REGULATORY Payment PAID S08-00-00380121 08/23/2022 $ 50.00 Packet Pg. 203 8.E.1 Collier County Board of County Commissioners Certificate of Competency d Collier County * City of Marco' City of Naples * City of Everglades w O Issued Date: 08/23/2022 Company: J.A.B. PAINTING INC. ui 00 Address: 1736 FRAMINGHAM CT N 0 FT MYERS , FL 33907 N Telephone: (239) 271-0543 Qualifier: BETANCOURT PAZ, JOSE ALEXANDER License #: LCC20190002175 F Issuance #: 201900001357 Classification: PAINTING CONTR. Valid Thru: c 09/30/2023 State License #: - State Valid Thru: F It is the Qualifier's responsibility to keep current all records with Collier County. This shall include insurance certificates and/or contact information. F Always verify licenses online at https://cvportal.colliercountyfl.gov/CityViewWeb/ Do not alter this document in any form. This is your license. It is unlawful for anyone other than the licensee to use this document. This Collier County Certificate of Competency's status and expiration date may change on July 1, 2023, due to the State of Florid i House Bill No.735. Please visit our website at www_collie_rcountyfl.gov/government/growth-management/divisions/operations-regL management/con_tractor-licensing for more information as it becomes available. �y- Packet Pg. 204 8.E.1 Community Development LIC2020-00079 J.A.BPAINTINGINC96@GMAIL.COM License Holder Name: JOSE A BETANCOURT PAZ Firm Name: JAB PAINTING INC Address: 1736 FRAMINGHAM CT FORT MYERS, FL 33909 The Lee County Board of County Commissioners approved a plan to phase out local licensing, consistent with House Bill 735. All local licenses will expire June 30th, 2023 and will not be renewed. As such, please find your final Lee County Certificate of Competency below. Please keep this document/file in a safe place. Effective July 1 st, 2023, to perform work in unincorporated Lee County, contractors must have a State -issued license. Thank you, Lee County Contractor Licensing, 239-533-8895 Conditions of Certificate COMPLIANCE NUMBER shall appear on all advertisements including vehicles reflecting a business name. Shall only contract in D/B/A name as it appears on certificate. Board of Approval required on business name changes. Cut Here. LEE COUNTY CERTIFICATE OF COMPETENCY (239)533-8895 NAME: JOSE A BETANCOURT PAZ D/B/A JAB PAINTING INC LICENSED FOR: Painting Cntr COMP. NO.: PT20-00079 NOT VALID AFTER: 06/30/2023 Conditions of Certificate Shall maintain required insurances on active certificates. Shall inform the Contractor Licensing Office of any phone number, email address and/or mailing address change. W O ui Do N O M to N r O U Z Q H W m W U) O W rb C d E t v r Q Signature of License Holder fcrtr1ocren2 rni Packet Pg. 205 June 21, 2023 8.E.2 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 w 00 N 0 M c� N Packet Pg. 206 8.E.2 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. ■ Todd Allen: Reconvenes meeting. 9. Old Business None. 10. Public Hearings oWo ■ Jose A. Betancourt Paz DBA J.A.B. Painting Inc. o ■ Kevin Noell, Esq. Sworn testimony given to both parties, Mr. Betancourt and Mr. Noell. Elk Cn ■ Todd Allen: Do I have a motion to open the public hearing? LU ■ Terry Jerulle: Motion to open. z ■ Elle Hunt: Seconded R 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. 207 8.E.2 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. w ■ Michael Bogart: On May 9, 2023, Collier County Building Review and Permitting m Division Director, Richard Long reported unpermitted interior renovations at 6849 a w Grenadier Blvd. A contractor licensing case was open to investigate further. Upon y 0 investigation, it was discovered on January 18, 2023, JAB Painting, Inc. entered into written contracts with the property owner, Saint Lawrence, at Water Park Place HOA owo for drywall and metal stud replacement at 6849 Grenadier Blvd. through agreed upon o amounts through various contracts and invoices was $730,000. An initial deposit payment of $64,242.50 was paid on February 14 to JAB with business check 1122 v and there were three other subsequent business checks that were paid to JAB Cn 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 z and it revealed no building permits were issued for the drywall installation. A stop w work order was issued. On May 9, Deputy Chief building official, Doug Esposito, w determined a permit was required for the drywall installation. On May 30, a meeting m was scheduled with Mr. Betancourt regarding the drywall installation performed by v his company. During the meeting, he did confirm that he had contracted with Saint o Lawrence at Water Park Place for $730,000 to install roughly 200 sheets of drywall N and 20 metal studs between the first floor and cabanas at 6849 Grenadier Blvd. At the N 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. 208 8.E.2 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 • Metal studs — not much • The price of painting and as well as drywall charged • No demolition • The job was signed off by the Board of Directors with the knowledge from the HOA manager • Was a drywall contractor before with my uncle • Working for the building a couple of years y • Close to $400,000 in drywall alone ■ Michael Bogart: A case is being referred to Code Enforcement as we speak at the end of today. N ■ Mr. Betancourt: I have an application already for drywall and today at 1:00 is my M c� exam. N ■ Michael Bogart: There was no permit ever applied for. There was a general w 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. 209 8.E.2 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. • The fine seems very light. • The respondent is taking his drywall exam for Collier County later today. m • The county could issue the drywall license if respondent meets the experience. w • Or the Board could require the respondent to appear in front of the Board just to p make sure that he understands there would be no issues working outside the scope ui of that license. O0 • The fine is not enough and the respondent could go outside his license in M particular if there's another hurricane. N • The management company and the HOA have culpability but this doesn't have Cn 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. 210 8.E.2 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 w Board has jurisdiction over the respondent and subject matter raised in the a. administrative complaint. The respondent committed the violations as set forth in w LL Count 1 and Count 2 of the administrative complaint. Therefore, by a vote of seven in 0 favor and one opposed the respondent is found guilty as set forth in Count 1 and w Count 2 in the administrative complaint, and the Board imposes the following w sanctions against the respondent. For Count 1: respondent shall pay a $4000 fine within 30 days. If the fine is not paid within the 30 days, his license will be Q automatically revoked and his license will be placed on probation for 24 months. On a 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? w ■ Matthew Nolton: The guilty verdict was actually unanimous. The seven to one was m just on the fine. a w ■ Todd Allen: I'll amend that. Therefore by a vote of 8 in favor and 0 opposed, the y 0 respondent is found guilty of the violation set forth in Count 1 and Count 2 of the Ui administrative complaint. Did I miss anything on the sanctions? This concludes the 00 Board on this matter. N 0 M 11. Next Meeting Date Elk ■ 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. 211 8.F 08/16/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 8.17 Doc ID: 26303 Item Summary: 8F. RAFAEL AGUILAR — REVIEW OF CREDIT — SWIMMING POOL/SPA SERVICING/REPAIR CONTRACTOR Meeting Date: 08/16/2023 Prepared by: Title: — Contractor Licensing Name: Alyshia Morse 08/08/2023 4:07 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 08/08/2023 4:07 PM Approved By: Review: Contractor Licensing Contractor Licensing Contractor Licensing Sandra Delgado Review item Tim Crotts Review Item Tim Crotts Meeting Pending Completed 08/09/2023 10:21 AM Completed 08/09/2023 3:14 PM 08/16/2023 9:00 AM Packet Pg. 212 AIW COer County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY 8.F.1 FIRM APPLICATION FOR COLLIER COUNTY LC cQ,10a1000 l 310, CERTIFICATE OF COMPETENCY LCA2- 1 3,5(9 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 ❑ Residential $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: First Middle Initial Business Name:.,--- Address: 3 Zlb W L-A`(\C 0 Street City Email: V \h A(Akic 4 S k Telephone: 7, jA- VV) - 0 5aoo Date of Birth: 01 1011100-b Aay- Last V-7L, �r) 'SS # (Last 4 digits only): 0 to 5b Driver's License # (Last 4 digits only): U QT-0 Pursuant to Collier County Contractor Licensing Ordinance No. 200646 Section 2.1.1., all applicants are required to submit their social security IX number, driver's license, and date of birth for the following purposes: a) Assess applicant's ability to satisfy creditors by reviewing their credit LL 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. m Contractor Licensing — FIRM Application Rev. 7/2022 Page 3 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 . (239) 252-2431 contractorslicensing,aecolliercountyfl.gov Packet Pg. 213 Ci0Y C01411ty 8.F.1 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: Q�kc,1 LdOGZ Name GYvG) SU Telephone: ��� ` `J Z) " LA(6�b Telephone: II. NAME OF APPLICANT'S BUSINESS: Business Name �, k-- V\i`-Au\kc s Business Address: C,�r We State Telephone: `i� s�, o — c)�)35 • L ` Email: )( \ .4\s\ � eN Federal ID Tax No.: III. FINANCIAL RESPONSIBILITY YES NO ALL APPLICANTS MUST ANSWER THE QUESTIONS BELOW: V 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 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. 712022 Page 4 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 a (239) 252-2431 contractorsticensing(a-ocolliercountyfl.gov Packet Pg. 214 Contractor Licensing CO Ter Comity 2800 N. Horseshoe Dr. -�L Naples, FL 34104 Growth Mana dement Department Phone - 239-252-2431 V Fax - 239-252-2469 z APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY IV. EXPERII=NCE 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 b )ing made: CURRENT/PREVIOUS LICENSE: List below and ;attach copies any other certificates of competency/licenses you hold/have held in Collier County or any other jurisd ction. Include the license #, Type, and county you hold it in. C.o k� % e.,- -� AFFIDAVIT Under the penalties of perjury, I declare that I have read the foregoing true. , Applicant (please print) State of �,.d`{ 8fl. County of Co \ r The foregoing instrument was acknowledged b forc me b means ot`e ni day of �--1 Cam, 20 15, by Such person(s) No:ary Public must check applicable box: tf are personally k down to me ❑ has produced _ (Notary Seal) ❑ has produced a current driver license identification Notary Signature: C and the facts stated in it are of presence or ❑ online notarization on this *MA ala M s• •OGGI3280 E001. f 25,2024 Bonded AmNotar �f' Firm_Application.docx Rev 4/06/2020 Page 5 of 15 Packet Pg. 215 Ci017E W Ci014VEty 11 Growth Manz igenient Department Contractor Licen 8.F.1 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 v 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 at d that the facts stated in it are true. The undersigr ed hereby certifies that he is legally qualified to act on behalf of the business organization sought to be licensed it, all matters connected with its contracting business and that he has full authority to supervise construction u idertaken by himself or such business or organization and that he will continue during this registration to be able to s o 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 fail fication of any information contained herein is grounds for disqualification. RJA lgEL __A6utL'f4it Applicant (please print P_t- Jtl)SJ f\(,_t. e 2 S ( N L ---- Name of Company 1 Signat e f 'ApplicaAt r� State of q �-CeNZ4� Countyof oL1lrr _ The foregoing inr trument was acknowledged before me by in ns of physical presence or 0 online notarization on this day of 2o?,-2), by — Such person(s) N atary Public must check applicable box: f arc personally mown to me 0 has produced a current driver license VINMAY318 ❑ has produced _ as identification. i . C 0 m m O GG J' 3280 • Exp+res: Marr;;h 25, 2Q24 (Notary Seal) Bon* Thru AM Notary Signaturc: �- Firrri—Application.docx Rev 4l06/2020 packet Pg. 216 8.F.1 Collier County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY WORKMEN'S COMPENSATION AFFIDAVIT It is underst )od 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 Certifi ;ate of Competency. fZ►fAECyU�t_AC Applicant (please print Name of Comoanv of BEFORE ME this day personally appeared IL A CAB_ J1 CGy i j y+( -- 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 ofPX��L County of T e foregoing i tstrument was ac owledged day of �Ij' , 20 , by _ means of physical presence or ❑ online notarization on this Such person(s) �otary Public must check applicable box: 'Tias prod ❑ are personall,; known to me 19uced a current driver license ❑ has produced as identification. (Notary Seal) .4 ALYSHIA MORSE Commission # HH 180514 Now Signature: Expires October 25, 21125 F,f oP 8"*dThm&4*N*jySllrbN Contractor Licensing - FIRM Application Rev. 7/2022 Page 7 of 14 Operations & Regulato y Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensin-gacolliercountvFl aov Packet Pg. 217 8.F.1 Name. Sponsor ID# Score. # Unanswered ]ueshons Score Report RAFAEL AGUILAR Test Collier County Date Test ID 76 Result 0 Module Subject Area Status LOW FLPRE Plar Reading & Estimating P FLSAFE Safety P FLSEB Site Preparation, Excavation and Backfilling P FLPSC Poo Shell Construction F FLISPF Inteuor Surface Preparation and Finishing P FLTCT Tile, Coping and Thmwork P FLAWORKAcc(ssory Work P FLCO Care and Operation F Pro Swimming Pool Class "B" - (FL08329) 10/17/2022 657849380 Pass Cut Score HIGH Packet Pg. 218 Score Rc;x rt 8.F.1 1"Iv I tt1 I Score Report RAFAEL AGUILAR Vest. CoFm County Hate Test ID SO Resuit 0 Module Subject Area FLBO B isiness Organization FLLIC Lii:ensrng FLTL T; ,x Laws FLSRR S:d®ty OSHA FLLL L. bar Laws FLCM CA"racl Management FLPM Pr elect Management FLF$R Es timaling & Bidding FLFM Fir uncial Management FLRM Rr ;k Management FLLIEN Lac n laws Statula LOW P F P P P P P P F F F Prov Business and Law - (FL08100) 07117i2021 928832112 Pass Cut Score HIGH Packet Pg. 219 �r CREDITCHECK CONFIDENTIAL Individual Credit Report Name ... :AGUILAR, RAFAEL Ordered By:18427 Address:3220 WALKER LANE APT. 1 Customer :9999 NAPLES, FL 34112 Received :06/19/23 Social#: Applicant: -0658 Completed :06/19/23 CREDIT SCORE: APPLICANT FICO SCORE: 536 (scores range from 300 to 850) SOURCE(S): TRANSUNION EXPERIAN PUBLIC RECORDS: PUBLIC RECORDS HAVE BEEN CHECKED AT THE LOCAL, STATE AND FEDERAL LEVELS WITH THE FOLLOWING RESULTS AS OF 06119/23: CLEAR CREDIT RECORD (Credit history has been checked for a period of seven years or from open date.) Cred_tor Date Date 1li9t Jcpaid Past Historic Status Current fides Account Number Feperled Opened Crp,Oil ralan-e Die io 60 9C sLaLus Rev ECOA AMEX 3499929244592783 05/23 11/21 2069 DLA=05/23 CAPITAL ONE 517805766590 03/23 05/21 428 DLA=03/23 GS BANK USA 1200 04/23 12/21 2378 DLA=04/23 WELLS FARGO 414718140015 03/23 08/21 2406 DLA=03/23 1352 1352 COLLECTION 009 00 I PDCOLLECT 0 0 R09 00 1 PDCOLLECT 0 0 R9P 00 1 PD WAS 90 0 0 01 01 01 R01 18 I Total trade lines on this report: 4 INQUIRIES: 11/09/22 by CROSSCOUNTRY (TU) #5746472 12/06/21 by GS BANK (TU) #4134811 11/06/21 by SYNCB/AMAZON (TU) #53712B4 09/17/21 by AMEX (TU) #5066013 Licensee Applicant: APPLICANT - SEE NAME ABOVE Reporting Agency: Credit Check, Inc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409. (561) 616-5556 8.F.1 Packet Pg. 220 CREDITCHECK CONFIDENTIAL Name: A(`UILAR, RAFAEL Customer: 9999 Page:2 U INQUIRIES - continued: z RESIDENCE HISTORY: 3220 WALKER LN, APT 4 NAPLES FL 34112 2124 ARPRT PULLNG RD, APT 110 NAPLES FL 34112 2124 S AIRPORT RD, APT 110 NAPLES FL 34112 COMMENTS: ***OFAC NAME SCREEN ALERT - CLEAR*** OFAC (OFFICE OF FOREIGN ASSET CONTROL) IS A FEDERAL AGENCY WHICH MAINTAINS A DATABASE OF TERRORISTS, DRUG TRAFFICKERS AND CRIMINAL ORGANIZATIONS. FRAUD RECORDS HAVE BEEN SYSTEMATICALLY CHECKED BY THE ACCESSED BUREAUS. CHECKS FOR IDENTITY THEFT, FAKE SSN, DECEASED SSN AND OFAC DATABASE PERFORMED CREDITOR PHONE DIRECTORY: CAPITAL ONE BClDTV001 (800) 955-7070 PO BOX 31293 SALT LAKE CITY UT. 84131 AMEX BC21WB001 (800) 874-2717 P.O. BOX 961537 EL PASO TX. 79998 GS BANK USA BC2GSZ001 (877) 255-5923 LOCKBOX 6112 PHILADELPHIA PA. 19170 WELLS FARGO BC908N750 (800) 462-4720 PO BOX 14517 DES MOINES IA. 50306 CROSSCOUNTRY F 5746472 (440) 845-3700 PO BOX 530090 ATLANTA GA. 30353 CREDIT CHECK Z 0630273 (877) 616-5556 3017 EXCHANGE COUR WEST PALM BEAC FL. 33409 GS BANK B 4134811 (877) 255-5923 PO BOX 45400 SALT LAKE CITY UT. 84145 SYNCB/AMAZON B 5371284 (855) 597-4891 PO BOX 71736 PHILADELPHIA PA. 19176 AMEX B 5066013 (212) 640-2000 4315 S 2700 WEST SALT LAKE CITY UT. 84164 *** END OF REPORT *** This information is confidenhal and is not to be diwlged except as raquired by the Fair Credit Reporting Act. This personal report is furnished smpty as an aid in determining the credit desirability of the applicaotlsl. It is based upon information obtained in �aod faflh by this agerxy from sources tleemed reliable. The accuracy of same, however, is in no way guaranteed. By your acceptance and use of this report, you specifically agree to hold Credit Inc. hanryess from any liability whatsoever. Licensee Applicant: APPLICANT - SEE NAME ABOVE Reporting Agency: Credit Check, Inc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409. (561) 616-5556 Packet Pg. 221 CONFIDENTIAL 8•F.1 CREDIT CHECK Commercial Credit Report Company: RL INSTALLERS, INC. Address: 3220 WALKER LANE, APT. i Date: 03/10/23 Cust. No: 9999 Ordered By: 17376 NAPLE:;, FLORIDA 34112 Page: 1 Telephone: (239) 330-0335 (X) Corporation EIN:47-5098039 PRINCIPALS: _ PRESIDENT LOPEZ, RAFAEL r. Address: 2124 AIRPORT PULLING ROAD, #110 NAPLES, FLORIDA 34112 Social Security NL mber: N/A Stock Ownership: 0% -_ PARTNFR AGUILAR, RAFAEL Address: 3220 WALKER LANE, APT. 4 NAPLES, FLORIDA 34112 Social Security Number: -0658 Stock Ownership: 100% Address: Social Security Number: Stock Ownership. Address: Social Security Number: Stock Ownership: RISK SCORE: _ .F Experian Financial Stability Risk Score I Low Risk 33 _ ♦ 2 Lo„ to Med 3 Medium Risk 4,Nled to High Excellent-100 -5 High Risk 33 CRED' l' RISK 3CORE The score uses tradeline and collections information, public filings as well as other variables to predict future risk. Higher scores indicate lower risk FACTORS LOWERING THE SCORE: * number of active commercial accounts * risk associated with the company's industry sector Reported for: APPLICANT - SEE NAME ABOVE Reported by: Credit Check, Inc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409 . (561) 616-5556 Packet Pg. 222 CR£DIT CHECK CONFIDENTIAL 8•F.1 Commercial Credit Report Company: RL INSTALLERS, INC. Address:3220 WALKER LANE, APT. 4 NAPLES, FLORIDA 34112 Date: 03/10/23 Cust. No: 9999 Ordered By: 17376 Page: 2 RL INSTALLERS, INC. was INCORPORATED in the county of COLLIER, state of FLORIDA, on 09/16, 2015. The charter number is P15000076626. The registered agent is LOPEZ, RAFAEL A. of 2124 AIRPORT PULLING ROAD, #110, NAPLES, FLORIDA 34112. Offices are LEASED from N/A at N/A per month. The company employs N/A. NET WORTH: ON FILE WITH STATE The company maintains banking relations with WELLS FARGO The officer handling the account is N/A - NAPLES, FLORIDA PUBLIC RECORDS WERE CHECKED FOR COLLIER COUNTY, FLORIDA. A SEARCH OF LOCAL, STATE, AND FEDERAL RECORDS HAS BEEN CONDUCTED WITH THE FOLLOWING RESULTS: CLEAR AS OF 03/10/23 - SEVEN YEAR SEARCH. *** Credit Profile "* BUSINESS DATE LAST PAY HIGH CATEGORY RPTD ACTIV TERMS CREDIT BALANCE CUR 30 --- 60 --- 90 --- 91+ COMMENTS -------------- ---------- COMMUNICTN ----- 12/22 ----- 00/00 -------- VARIED ------ 1200 ------- 600 ---- 100% 0% 0% 0% 0% FINCL SVCS 01/23 01/23 VARIED 124300 14300 100% 0% 0% 0% 0% SATSFTRY PINCL SVCS 02/23 00/00 NET 30 107400 69800 97% 1% 1% 1% 0% NOT PAY AA REMARKS: N/A = NOT APPLICABLE/NOT AVAILABLE REPORT WORKED BY KELLY END OF REPORT. This rommercal report is fumished smply as an a,d rn !et r wwg the aedn dasirabirry of th.: applicanttsl, it is based upon informatiu+r obtaned nt grail faith by this agency from sources deemed refable, The accuracy of same. howeverc n no way guaranteed. By yarr acceptance and use of this report, you speei twltj agree to haW Credit Check, Inc.. harmless from any halapry whalsocver. Packet Pg. 223 5/3/23, 8:48 AM Detail by Entity Name 8.F.1 :org Detail by E Florida Profit Co RL INSTALLER: Filing Inform-atio. I Document Nurr FEVEIN Numbe Date Filed Effective Date State Status Prin_gjp� A res 3220 WALKER . APT 4 NAPLES, FL 34' Changed: 10/17 i Mailing Address 3220 WALKER . APT 4 NAPLES, FL 34' Changed: 10/1 Registered Agei i LOPEZ, RAFAF." 2124 AIRPORT 110 NAPLES, FL 3- Address Chanc e Officer/Director I Name & Addr( Title P LOPEZ, RAFA =L A �g 2124 AIRPOR". PULLING RD Q 110 NAPLES, FL 31112 https://search.sunbiz.org/Irquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&searchName Packet Pg. 224 5/3/23, 8:48 AM Title PARTNER Detail by Entity Name AGUILAR, RAFAEL 2124 AIRPORT PULLING RD S # 110 NAPLES, FL 34112 Annual ReRonts Report Year Filed Date 2021 03/23/2021 2022 03/16/2022 2023 04/27/2023 Document Image] 04127/2023 -- ANNUAL REPORT View image in PDF format 03/16/2022 --ANNUAL REPORT View image in PDF format 03123/2021 — ANNUAL REPORT View image in PDF format 03112/2029 -- ANNUAL REPORT View image in PDF format 0310912019 -- ANNUAL REPORT View image in PDF format 03/19/2018 — ANNUAL REPORT View image in PDF format 02109/2017 —ANNUAL REPORT View image in PDF format 0311612016 — ANNUAL REPORT View image in PDF format 09,16/2015 — Domestic Profit View image in PDF format https:llsearch.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityNameBdirectionType=lnitial&searchNameO Packet Pg. 225 2023 FLORIDA PROFIT CORPORATION ANNUAL REPORT DOCUMENT# P1 5000)76826 Entity Name: RL INSTALLERS, INC Current Principal Place of Business: 3220 WALKER LN - APT 4 NAPLES, FL 34112 Current Mailing Addr ass: 3220 WALKER LN - APT 4 NAPLES, FL 34112 US FEI Number: 47-5098139 Name and Address o ` Current Registered Agent: LOPEZ. RAFAEL A 2124 AIRPORT PULLING F:D 110 NAPLES, FL 34112 US FILED Apr 27, 2023 Secretary of State 7183846044CC Certificate of Status Desired: No The above named entity submit; this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida. SIGNATURE: Electron c Signature of Registered Agent Date Officer/Director Detail Title P Name LOPEZ, RAFAEL A Address 2124 AIRF ORT PULLING RD 110 City -State -Zip: NAPLES 'L 34112 Title PARTNER Name AGUILAR, RAFAEL Address 2124 AIRPORT PULLING RD S # 110 City -State -Zip NAPLES FL 34112 I hereby certify that the information a dicated on this report or suppiemantal report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath. that I am an offer or director c f the corporation or the receiver or tnistee empowered to execute this report as required by Chapter 607, Florida Statutes, and that my name appears above, or on an attachment with sit Cher like empowered. SIGNATURE: LOPEZ, RAFAEL A P 04/27/2023 Electronic Signature of Signing Officer/Director Detail Date 8.F.1 Packet Pg. 226 8.F.1 Electronic Articles of Incorporation For RL INSTALLERS, INC. P15000076826 FILED September 16, 2015 Sec. Of State ialbritton 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: RL INSTALLERS, INC. Article II The principal place of business address: 2480 AN DREW DRIVE NAPLES, FL. 34112 The mailing address of the corporation is: 2480 ANDREW DRIVE NAPLES, FL. 34112 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: 1000 Article V The name and Florida street address of the registered agent is: RAFAEL A LOPEZ 2480 AN 3REW DRIVE NAPLES, FL. 34112 I certify that I am familiar with and accept the responsibilities of registered agent. Registered Ag -nt Signature: RAFAEL A LOPEZ Packet Pg. 227 8.F.1 Article VI The name avid address of the incorporator is: RAFAEL A LOPEZ 2480 ANDREW DRIVE NAPLES, FL 34112 Electronic Signature of Incorporator: RAFAEL A LOPEZ P15000076826 FILED September 16, 2015 Sec. Of State ialbritton I am the incorporator submitting these Articles of Incorporation and affirm that the facts stated herein are true. I am aw are that false information submitted in a document to the Department of State constitutes a third degree f ,lony as provided for in s.817.155, F.S. I understand the requirement to file an annual report between Janu�uy 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 cfficer(s) and/or director(s) of the corporation is/are: Title: P RAFAEL A LOPEZ 2480 ANDREW DRIVE NAPLES, FL. 34112 Article VIII The effective; date for this corporation shall be: 09/16/20 t 5 Packet Pg. 228 8.F.1 !I RS IDNTERNTA JNREVENUEESERVICERY Y CINCINN,ITI OH 45999-0023 RL INSTALLERS INC 24t0 ANDREW DR NAPLES, FL 34112 Date of this notice: 09-21-2015 Employer Identification Number: 47--5098039 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 47-5098039. 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 =o 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 uss- Based on the information received from you or your representative, you must file the following form(s) by the date(s) shown. Form 1120 09/21/2015 After our review of your information, we have determined that you have not filed tax returns for the above -mentioned tax period(s) dating as far back as 2011. Please file your eturn(s) by 10/06/2015. If there is a balance due on the return(s), penalties ,.nd interest will continue to accumulate from the due date of the return(s) until it is filed and paid. If you were not in business or did not hire any employees for the ta:: period(s) in question, please file the return(s) showing you have no liabilities; . 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 :n 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 Frivate letter ruling from the IRS under the guidelines in Revenue Procedure 2004-1, 20(4-1 I.R.B. I (or superseding Revenue Procedure for the year at issue). Nnte: Certain ta> classification elections can be requested by filing Form 8832, Entity Classification Election. See Form 8832 and its instructions for additional informati�)n. IMPORTANT INFORMATION FOR S CORPORATION ELECTION: If yoL intend to elect to file your return as a small business corporation, an election tc file a Form 1120-S must be made within certain timeframes and the corporatior must meet certain tests. All of this information is included in the instructions for Form 2553, Election by a Small Business Corporation. Packet Pg. 229 8.F.1 (IRS USE (NLY) 575A 09-21-2015 RLIN B 9999999999 SS-4 If ycu are required to deposit for employment taxes (Forms 941, 943, 940, 944, 945, CT-1, or 1042), excise taxes (Form 720), or income taxes (Form 1120), you will receive a Welcome Package shortly, which includes instructions for making your deposits electronically through the Electronic Federal Tax Payment System (EFTPS). A Personal Identification Number (PIN) for EFTPS will also be sent to you under separate cover. Please activate the PIN once you receive it, even if you have requested the services of a tax professional or representative. For more information about EFTPS, refer to Publicaticn 966, Electronic Choices to Pay All Your Federal Taxes. If you need to make a deposit immediately, you will need to make arrangements with your Financial Instituticn to complete a wire transfer. The IRS is committed to helping all taxpayers comply with their tax filing obligations. If you need help completing your returns or meeting your tax obligations, Authorized e-file Providers, such as Reporting Agents (payroll service providers) are available to assist you. Visit the IRS Web site at www.irs.gov for a list of companies that offer IRS e-file for business products and services. The list provides addresses, telephone lumbers, and links to their Web sites. To obtain tax forms and publications, including those referenced in this notice, visit our qeb 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. * Keep a copy of this notice in your permanent records. This notice is issued only ona time and the IRS will not be able to generate a duplicate copy for you. You ma, 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 yoir federal tax forms. * Re_er to this EIN on your tax -related correspondence and documents. If yoi have questions about your EIN, you can call us at the phone number or write to us at the ,address shown at the top of this notice. If you write, please tear off the stub at the bottom of this notice and send it along with your letter. If you do not need to write us, 410 not complete and return the stub. Your name control associated with this EIN is RLIN. You will need to provide this information, along with your EIN, if you file your returns electronically. Thank you for your cooperation. Packet Pg. 230 t 8.F.1 (.IRS USE JNLY) 575A 09-21-2015 RLIN B 9999999999 SS-4 Keep this part for your records. CP 575 A (Rev. 7-2007) ------------------------------------------------------------------------------------ Return this part with any correspondence so we ma:7 identify your account. Please correct any errors in your name or address. CP 575 A 9999999999 Your Telephone Number Best Time to Call DATE OF THIS NOTICE: 09-21-2015 ( ) - EMPLOYER IDENTIFICATION NUMBER: 47-5098039 FORM: SS-4 NOBOD INTERNAL FEVENUE SERVICE CINCINNATI OH 45999-0023 (i1u11111i1i1n1i RL INSTALLERS INC 2480 ANDREW DR NAPLES, FL 34112 Packet Pg. 231 8.F.1 COY County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY STATEMENT OF OWNERSHIP This certifies th.3t 1, -7,PAf P£ L A GV " LA \Z, am a member or managing APPLICANTS NAME (please print) member of (LIM I own _�3 % 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 tt ie best of my knowledge. State of ::IF-, I 0 Y"a- County of C' //" 6i' Th foregoing m., trument was acknowle< day of, 20 7*9 , by Applicant (please print) Name of Company Signature of Applicant me by means of fd(physical presence or 0 online notarization on this / A if _ Such person(s) N )tary Public must check applicable box: Lg are personally mown to me ❑ has produced a current driver license ❑ has produced_ (Notary Seal) ll C � '� .'I.; GG 9732s0 « ;. F�.Aofes: MarIAWQc�h 2255, 2024 �NNt1f*' � �N' identification. Notary Signature: Contractor Licensing - FIRM Application Rev. 7/2022 Page 9 of 14 Operations & Regulato y Management Division, Contractor Licensing . 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensing0colliercountvFl.gov Packet Pg. 232 8.F.1 CO�eY County tviror;ttiR•la��aUert;nt Community Deveeopinenl Depart+r:ew U APPOCAT;0N F R ('0I_LIER )1.jNTY CEF TIr-I A1'E"- OF Cr>l+MV'UEP C RESOLUTION OF AUTHORIZATION Completf 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 Nith Collier County (Ordinance 200646, as amended, P-JL 1n5�calltti \t proposes YUY }trtt I s Company Name to engage in cor tracting as &&RL4ar in Collier County where CLcX Officers/QWnerslPartners Applicant arise proposes to qua ify for a Certificate of Competency with company PV1­'1Nca\1Cr s \erne . Company It is hereby agread upon that we the undersigned of I\- �_r�•� ire�s lric OtficerwOwnerslPartrlers Company resolve and reprnent to the Collier County Contractor's Licensing Board that the proposed qualifying agent, '[L,�,fbe)i , is active in all matters connected with the company named Applica+ rise �Lt_- \'\C • We further resolve and represent that 9-4e4 _ f\?R'A(A✓ is legally Company Applicant tWrne empowered to a A on behalf of V-- L--- \1%- tN( C_V 'S \YRC• in all matters connected with its contracting Company i the au rit o pervise construction undertaken by rs OfficerslOwnerslParl )ers �L\— Inc. Comoanv Witness Officers/Owners/Part iers of the above -mentioned company need to sign on the left and a witness to the signature signs on the right. State of , C.�. County of The foregoing insturrtent was acknowledged 4bbre me by ma s of Q�hysical prey nee or O online notarization on this day of t+ 20 by - O Z Such persons) Noury Public must check applicable box: are personally k aomm to rise ❑ has produced a current driver license 0 has produced — _as identification {Notary . 'f'y Venass Ayala .�'' "' Comm.#GG973280 ElIQI m: March 2'5, 2U4 Notary Signature: — a �► V Burl M Tani Aamrl Notary Q Contractor Licensing —" tRM Appilcation Rev 7/2022 Page Sol Operations & Regulalor� Management Division, Contractor Licensing • 2800 North Horseshoe Drive Naples, FL 34104 . (23 r.aract;rsGcenst, c;,ccRE_!!�.?urifi c Packet Pg. 233 r LL 00 NlVd9&DNI3IAN9S VdSl00d ONIWWIMS-1109ND d0 M3 ABA l - 2Nviinov igv:j N d8 :;uauayae;;y N L Q} C O v Uy C E Q O O ...� 0 C 0 cv U U O t � N c� m V) Q) m W 4- 0 _T U OL ra Z 0 T ar U O u m O T J C O J a� O N N Q N ti O O r Q) rts 0 d a V) N d Q U W Z Z cV Q r- fn Q r Y W W M 0Op Q N N U -j =G LL p O � O Z J N O Z O fL am > U N M Q! m Z N Q ., N a. O O 0 F— C L (D �± C fn O O O V V t u E (D �v Q) = 0< i-'U' � 0G>inin 3 a L 0 C cQ C U O .O L_ L CD 76 0 C O 0 ro ro 0 LL 0 0 m m r 0 a� 0 a ch N O N cu ��v U) E F— 2 4� Col yer County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPFTFNC`Y VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name: Certificate Catego 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: Business Name: Phone: License No. (if applicable): Business Address: _ Q _ 11 �dey'r T 1iud 1yv_p � F1, � `7I I Street 7 City State Zip The applicant wa V 1 Is-emp by me from _ ,1� ICJ 1( 1,s� to :J:�Ce,�4A 7 • • Z/.!FL�IifL II�iT The applicant's scope of wprk (specific duties) included i i J y I Additional comments: NOTE TO LICENSED CONTRACTORS: Falsifying any information provided herein may subject your license to revocation. Under penalty of perjury, I declare that the facts stated here are true. ture of person providing the statement State of [. L)�L County of The foregoing instrument was acknowledged before me by means of d physiclal presence or ❑ online notarization on this 2_5 day of , 20 Z� , by �j}U° IrC S �— ,L r- kt T Such tson(s) Notary Public must check applicable box: arc personally known to me ❑ has produced a current driver license ❑ has produced (Notary Seel) as identification. Notary Public State of Florida Ak Coiby Rieger My Commission Notary Signature: tltl hH 262051 Exp. 612=026 Contractor Licensing — FIRM Application Rev. 712022 Page 12 of 14 Operations & Regulatory Management Division, Contractor Licensing a 2800 North Horseshoe Drive • Naples, FL 34104 a (239) 252-2431 contractorslicensing,c colliercountvfl.aov 8.F.1 Packet Pg. 235 8.F.1 Theresa Burkett Jeff Wilson Pool Service, Inc. 5365 Jaeger Road Naples, FL 34109 April 13, ,'023 Collier Cc unty Growth Management Dept. Contractc r Licensing 2800 N. F- orseshoe Drive Naples, FL 34104 To Whom it May Concern: This letter serves as a letter of reference for Rafael Aguilar. I met Rafael through a business associate approximately 4 years ago. Rafael is a reliable, hard-working and caring person. He has hefped in many pool related projects, including but not limited to, paver repairs, the repairs and equipment replacement. He is a dedicated worker who is honest and dependable. He is always willing to go above and beyond to help in any way he could. It is an honor to know him and a privilege to be his friend. Should you require any further information regarding Rafael, please feel free to contact m= via phone, at 239-293-7104. I will be more than happy to answer your questions in this regard. Thank yoL for your time. Respectfu ly, L Are Oket Director, S ales & Renovations Packet Pg. 236 8.F.1 C M[ler County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name: V—Wr0-f—\ WC "')10Y 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: �/_) S' 1 a� �� � / '^Tittle: �j Business Name: f L GP_.S,5(l Ll. �vD7_S Phone: 3 License No. (if applicable): Business Address: 0J Street City v State Zip The applicant was employed by me from _ as t to nv rCs r Applicant's title: _ The applicant's scope of work (specific duties) included: I ! CM ^e. k,5I /" L, , Lv" GrJe_ Additional comments: W 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. VP CONSTRUCTION r BRIAN HICKS Signature of person providing the statement State of T1 6'r ut.tt County of C_oI I l e r The foregoing instrument was acknowledged before me byrmeans of.IN physical presence or ❑ online notarization on this day of ')U)jk j , 20 , by %r i 4 , k.CACS Such persons) Notary Public must check applicable box: >are personally known to me ❑ has produced a current driver license ❑ has produced as identification. "". DINA C. DEMORY � t1AV PISS �i r: k,,: Notary Public -State of Florida Commission # HH 170420 .�+®`' My Commission Expires August 26. 2025 Contractor Licensing - FIRM Application Rev. 7/2022 Notary Signature: t Page 11 of 14 Operations & Regulatory Management Division, Contractor Licensing a 2800 North Horseshoe Drive • Naples, FL 34104 . (239) 252-2431 co n tra ct orsl ice nsi ng Co�col I i e rcountvfLgov Packet Pg. 237 8.F.1 RO ill Ywr aaaa« raooLs CONSTRUCT ION. INN, 3420 WEST -VIEW DR., NAPLES, FL 34104 Dear Collier Courty, Phsne: 2391643-0990 Fax: 239/643-6983 I have kn )wn Rafael Aguilar since 2019. He is a hard worker and does many things for us here at Nassau Pools froin Pressure washing, repairs, paver deck installations as well as coping and the on pools. Rafael is trusting and cares about the quality of his work. If you have any other questions on Rafael please don't hesitate to reach out. Sincerely, NASSAU POOLS f ONSTRUCTION, INC. Brian Hicks V.P. OF CONSTRLCTION (239)643-0990 i vP CONSTRUCTION 3RIAN HICKS Packet Pg. 238 CoI[ier County Growth Management Community Development Department U Z APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY N w VERIFICATION OF CONSTRUCTION EXPERIENCE a Applicant's Name: , Y l z Certificate Category Requested:eG1r 1 W 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: '?% �/9z /.. Title: Business Name: Phone: IZ/License No. (if applicable): � l I % &7 d Business Address: / �/�`�✓�� ���� AIV- A�5' Street City rtStaattee Zip The applicant was employed by me from , r to -¢ Applicant's title: f L�C������ r��' ` r�U��i ����✓s The applicant's scope of work (specific duties) included: Additional comments: 6�11 gvv -, /! Px��-S7 /l ofxol NOTE TO LICENSED CONTRACTORS: Falsifying any information provided herein may subject your license to revocation. Under penalty of perjury, t declare that the facts stated here are true. Fes✓ Signature of person providing the stateme State of County of �_�� The foregoing instrument was acknowledged before me by means of /physical presence or 0 online notarization on this ,L_4a__day of 1 , 20 by Such person(s) Notary Public must check applicable box: Xarc personally known to me ❑ has produced a current driver license ❑ has produced ( 4P ea DINA C. DEMORY rg Notary Public -State of Florida _ = Commission iw HH 170420 r' My Commission Expires August 26, 2025 as identification. Notary Signature: Contractor Licensing - FIRM Application Rev. 7l2022 Page 10 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 e (239) packet Pg. 239 co ntractorsl icensi nq (a)coll iercou nto.gov R\ COY County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPFTFNCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF COUNTY OF 610) Le - I, &� 4,tc `l having been first duly sworn, state and affirm: I am a resident of jfiQ `lit�S`" County, (State) and have resided here for more than five (5) years. During the last five (5) years I have known d- (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. Statc of f—l o y- (l -mot County of C a 1l [ elv- &etrt�c '9�4 VP CONSTRUCTION Signature BRIAN HICKS Printed Name Address: Street & rL 34I1r.3 City V State Zip Telephone: ltil 73 -a The foregoing i strument was acknowledged before me by means of g physical presence or ❑ online notarization on this A day of U-*\O- 20 X33 , by Such person(s) Notary Public must check applicable box: Aare personally known to me ❑ has produced a current driver license ❑ has produced ea DINA C. DEMORY cf„Notary Public -State of Florida Commission 0 HH 170420 =' j My Commission Expires '�a,^��' August 26, 2025 Contractor Licensing — FIRM Application Rev. 712022 identification. Notary Signature: Page 13 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorsficensina colliercountvfI.gov 8.F.1 Packet Pg. 240 �"` CD ler County Growth Management Community Development Department U APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF T 1 of [d rt COUNTY OF ako having been first duly sworn, state and affirm: I am a resident of l - I �, �1� County, (State) and have resided here for more than five (5) years. During the last five (5) years 1 have known (applicant). I have had the opportunity to observe his or her business and personal dealings and d him or her to be a person of honesty, integrity and good character. Signature Printed Name Address-63(Pe2_ 1]e22-XE street �J"L& n — L Cit state Zip Telephone: O131.213 _ �/ 0 Lj / State of P—WP4 0ri County of The foregoing instrument was acknowledged before day of LItiLL_ , 20 �, by SSuchhpperson(s) Notary Public must check applicable box: ["are personally known to me ❑ has produced a current driver license ❑ has produced (Notary Seal) ==A,,,,=%CoMMi.ission blic State:ofFlorida y Rieger 6251 123/2026 Contractor Lice ' I M A identification. 1 , Notary Signature: nstng — lippcatlon ev. 7 022 Page 13 of 14 Operations & Regulatory Management Division, Contractor Licensing a 2800 North Horseshoe Drive • Naples, FL 34104 a (23' ccntractorsiice nsino )colItercountyfl qov Packet Pg. 241 8.F.1 Collier county Growth Management Community De •tment APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF COUNTY OF 1, (({ k�" �G� , having been first duly sworn, state and affirm: I am a resident of more than five (5) years - County, (State) and have resided here for During the last five (5) years I have known4—i"ant). I have had the opportunity to observe his or her business and personal dealings and find him or her perso f honesty, integrity and good character. z7- Signature Printed Name Address:-7 w�� Q DD Street rv� Srl/ Oty State p Telephone:_ _ 2 ! ,4(�O State of i L c5y l (xX.h County of The foregoing instrument was acknowledged before me by means ofkphysical presence or 0 online notarization on this day of I LAWLT, 20 P-a , by l l>(�F;2 . [ Such person(s) Notary Public must check applicable box: ,,are personally known to me ❑ has produced a current driver license ❑ has produced as identification. ( oC�fC��eal) DINA C. DEMORY Notary Public -State of Florida 2 Commission 0 HH 170420 %�o,�e; My Commission Expires P� " August 2fi, 2025 Notary Signature: t Contractor Licensing - FIRM Application Rev. 712022 Page 14 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensino(c0Dcolllercountyrl.goy Packet Pg. 242 8.F.1 'Florida y E .r. OtfO�JilP�3 0 ?7 rs Ai".W4 1010iF�ilf W iMM A4 ,, -002-0 ,AMR +s 2124 AWPC I PM LOU k 110 MAN FS. F1 34112 OGN (*".. .... n . � wp. r.11wM 41 446mu '— , awpn w .xry fmpk , b A - "p, OQ0 M Iw Packet Pg. 243 -I CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDlYYYY) nlr-oRn 8.F.1 �--� 10310912023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT ;FFIRMATIVELY OR NEGATIVELY AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICA rE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S). AUTHORIZED REPRESENTATIVE OR PRODUCER. AND THE CERTIFICATE HOLDER. U IMPORTANT: If the certific Ite holder is an ADDITIONAL INSURED. the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to Z the terms and conditions of the policy. certain policies may require an endorsement. A statement on this certificate does not confer rights to the fn certificate holder in lieu of sl Ich endorsement(s)- PRODUCER Weems Insurance of Naples Inc 3400 Tamiami Trail North S Ate 201 Naples FL 34103 INSURED RL Installers In 2124 Airport PL ding Road South Ste 110 Naples FL 34112 i,, No,,L (239) 775-8705 ADDRESS Susan@Weemsins.com .. INSURERIS) AFFORDING COVERAGE INSURER A _Frank Winston Crum Ins CO INSURER B - Progressive. - INSURER C . INSURER D INSURER E FAX Noe (239) 77.5.8676 .. .. NAtC9 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: PHIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANEING 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 CONDITIChS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR TYPE OF INSURANCE �ADDL ,SUER POLICY EFF POLICY EXP INSn POLICY NUMBER tMWDONYYYI fMWDDNYYYI LIMITS X COMMERCIAL GENERAL U hBILITY EACH OCCURRENCE $1,�0,000 A CLAIMS -MADE X OCCUR DAMAGE TO RENTED 100 000 PREMISESIE1=1 11W _ 5 _ , X FGFL0010854406 0210112023 0210112024 Mm_EJW(Any one person) _;55,000 PERSONAL & ADV INJURY $1,000,000 EN'L AGGREGATE LIMIT APPLI S PER GENERAL AGGREGATE ; S 2,000,000 PRO- X POLICY J LOC PRoouc:T5. COMPIOP AGG w S 2.000,000 TH S AUTOMOBILE LIABILITY SINGLE LIMIT I S 100,000 I� .. B _ ANY AUTO I BODILY INJURY (Per person) S __.. ALL OMED X Sc AEDULFD 01775581-2 OV0612023 02106/2024 AUTOS AUf09 BODILY INJURY Y _ ( accident)_Ti NC V-OJNJED PROPERTY DAMAGE S _ HIRED A'JTOS ALTOS ..(paL-wGdew I S UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS -MACE AGGREGATE 5 RETENTION5 WORKERS COMPENSATION PER AND EMPLOYERS' LIABILITY YIN i_STATUTE ER ANY PROPRIETORIPARTNERIEX=CUTlVE E L EACH ACCIDEtfT 5 OFFICEIZ'MEMBER EXCLUDED? N f A _ (Mandatory in NH) E L DISEASE • EA_EMPLOYEEl4 tf es. d,—'npe under . F OPERATIONS xlaw _ - - _ E L DISEASE • POUCY LIMIT 5 . DESCRfPTION OF OPERATIONS I LOC ATIONS i VEHICLES (ACC f01, Additionaf Remarks Schedulemaybe attached d more space Is required) GtKIIrK AIL MULUtK Collier County Licensing Board 2800 N. Horseshoe Or. 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 ®illi1±v �D 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD Packet Pg. 244 COLLIER COUNTY BUSINESS TAX BUSINESS TAX NUMBER 221180 COLLI :.R COUNTY TAX COLLECTOR - 2800 N HORSESHOE DRIVE - NAPLES FLORIDA 341D4 - (239) 252-24T7 VISIT OUR WEBSITE AT www.colliertaxookctx com THIS RECEIPT EXPIRES SEPTEMBER 30, 2023 DLa'LAY AT PLACE OF BUSH ii .;S "r ON i'UBLIC INSPECTION LOCATION: 3220 WALKER LN APT 4 FAILURE TO DO SO IS CONTRARY TO LOCAL LAWS ZONED HOME OCCUPAI ION BUSINESS PHONE: 239-245 05W LEGAL FORM STATE OR COUNTY L1C * LCi;Corporation 2021-2179 Cor RL INSTALLERS. INC. 1-10 EMPLOYEES CLASSIFICATION PAVING BLOCKS CONTRACTOR CLASSIFICATION CODE 02108801 This document is a business tax only This is not certification that licensee is qualified It does not permit the licensee t� , violate any existing regutatory zoning laws of the state. county. or cities nor does it exempt the licensee rom any other taxes or perm{ts that may be required by law AGUILAR, RAFAEL 3220 WALKER LN APT 4 NAPLES. FL 34112 -THIS TAX IS NOIWREFIOMMLE- DATE 09/30/2022 AMOUNT 18,00 RECEIPT WWW-23-00159192 8.F.1 Packet Pg. 245 June 21, 2023 8.F.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. 246 June 21, 2023 8.F.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 Crotts: 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 61G415-006 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. 247 June 21, 2023 8.F.1 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. ■ Mr. Aguilar: I have an updated credit report where I paid off Capital One, GS Bank and Wells Fargo. I am still in contact with AMEX. They told me they had passed my balance to a collector, but then we're going to get it back so I can negotiate with them and they could probably remove it from my report but pay the full amount to them. I have an updated report yesterday. ■ Todd Allen: Yes, can we see that? ■ Richard Joslin: While we're looking at that can you give me insight on your 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. 248 June 21, 2023 8.F.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 Crotts: 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. 249 8.F.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 cuiTent 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) $10,000 for Division 11 applicants. (3) Fifty percent of the financial stability bond or the letter of credit requirement may be met by completion of a 14-hour financial responsibility course approved by the Board. (4) An applicant may meet both the financial responsibility and financial stability requirements by providing proof of a current consumer credit report, as defined in Rule 61 G4-12.01 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(3), (6) FS. Law Implemented 489.115(5), (6) FS. History --New 1-6-80, Amended 5-4-80, Formerly 21E-15.015, 21G 15.006, Amended 10-31-96. 11-13-9Z 2-12-0&. Packet Pg. 250 8.G 08/16/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 8.G Doc ID: 26305 Item Summary: 8G. ADELA SANTOS — SECOND ENTITY APPLICATION - TREE REMOVAL & TRIMMING CONTRACTOR - D SANTOS TREE Meeting Date: 08/16/2023 Prepared by: Title: — Contractor Licensing Name: Alyshia Morse 08/08/2023 4:08 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 08/08/2023 4:08 PM Approved By: Review: Contractor Licensing Contractor Licensing Contractor Licensing Sandra Delgado Review item Tim Crotts Review Item Tim Crotts Meeting Pending Completed 08/09/2023 11:53 AM Completed 08/09/2023 3:14 PM 08/16/2023 9:00 AM Packet Pg. 251 8.G.1 w6'-o-U4&A7re-c- C�o*e-r c07414ty GMD Operations & Regulatory Management Licensing Section + 2800 North Horseshoe DriveD � 2 Naples, FL 34104 L ,^P APPLICATION FOR COLLIER COUNTY/CITY OF NAPLES/CITY OF MARCO FIRM -SECOND ENTITY INSTRUCTIONS: This application must be typewritten or legibly printed. The application fee must be paid upon approval and is not refundable. All checks should be made payable to: Collier County Board of County Commissioners. For further information, consult Collier County Ordinance No. 90-105, as amended. NAME OF COMPANY CURRENTLY UALIFI D: �q4 Te e d J[^UL lil Exact Corporate/Business.Name: Pe— 4�Cl Fiction Name/ DBA: Qualifier Name: Physical Address: 2 (-P / 19 4—� (Number & Street) Mailing Address: 2b 1 194 'S_Isry (Number & Street) S � Sw (City) f� as le �0f)[ S, Q _. !>4-ti�� (Stake) (Zip Code) RL 3411_? (State) (Zip Code) Telephone: 1�31q r wra / _�? DD 7_ E-mail: 2 6 eel a S a 40 S 9 '5 01 - Lo m IrdW3KI)21 [40►5-114 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 Specialty $205.00 Specialty Trade:_Tr_e-e_ �r'MMI'n K eM twos = Application Fee $105.00 CHANGE OF STATUS: ( ) Reinstatement ( ) From One Business to Another ( ) Dormant License to Active 0 eo a Packet Pg. 252 8.G.1 1. The names, titles, home address and phone numbers of all Officers/Managing Members of the Firm. AJA(I Jos 2Cp 1 1 al -�-h S- - s w 1�1 1 �s , FL 3 4� 7 Bohn Ini�, Sinn- as P rc-sI-jefr 4- sTw o ple s , rL 34117 2. List all businesses, firms, entities or contracting businesses you have been associated with during the last ten years (i.e. held a license for or been a partner). Attach extra pages if needed. 3. List all debts you or any conrpany(s) associated with you that you refused to pay and the reasons for the refusal to pay. Attach extra pages if needed. 1\�1N- AFFIDAVIT Under the penalties of perjury I declare that I have read the foregoing application and that the facts stated in it are true. Authorized Officer of the Firm State of County of 9t The foregoing instrum nt was acknowledged before me by means of physical presence or El online notarization or] this 7 day of 3ll-1 CA 20 el*? , by Such person(s) Notary Public must check applicable box: ❑ a%personally known to me has produced a current driver license ❑ has produced as identific. (Notary Seal) gyp{ .Y rus��c ALYSHIMAORSE Commission # NH 19050 s a F.xplres October 25. 2025 Notary Signature: 7lFOFf�°�o adihN8ud9olHolerySarScas 0 00 m t V a Packet Pg. 253 8.G.1 QUALIFIER INFORMATION: Name: Address: C� l.01 (q9� -� (Number & Street) Telephone: tS �S �ro2�Or% Driver's License #: S. .. _. _ -t 3401 (State) (Zip Code) Date of Birth: — 22 r l -1 b4 ? E-mail: 1.. Type of Certificate of Competency for which application is made. l --I-r M Yn E r7 1 Ct Vic (- K.e m0 0 2. The names and telephone numbers of two persons who will know your whereabouts. porn in iL S-g-Ar4y_S a39 0 9a-�1/ 3. Have you ever been convicted of a crime related to Contracting? NO (If yes, attach extea sheet with explanation.) 4. Have you or any firms you have been associated with ever filed bankruptcy? 5. List all debts you or any company(s) associated with you that you refused to pay and the reasons for the refusal to pay and reasons why. EN 6. List your business or work experience during the last ten years. A per ec -Yee SeFyce, -J_--N- 7. Statement of any formal training you have had in the area for which the application is made. nG4r) :jLee- &e-r\JI 2003 0 00 E a Packet Pg. 254 8.G.1 AFFIDAVIT 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. A S2 0102 Applicant (please print) T4PP�1(4+, Nacre of Company rgnature of Applicant State of I County of LI-1) �P/)� The foregoing instrument was ackn wte ged before me by means of r physical presence or ❑ online notarization on this _day of , 20 623— , by Such person(s) Notary Public must check applicable box: Dare ally known to me CYhdspprroodouced a current driver license ❑has produced 1N LI as id (Notary Seal) At.YSHIAMORSE �o1enYA�srn Commission q HH 190514 Notary Signature: s aw Expires October25,2026 �rFOF FL�F, �Of16�ihtUBUd�Bi Nolar/8avkeY V 00 a Packet Pg. 255 8.G.1 Corr 4Z,�oT- mrty GMD Operations & Regulatory Management Licensing Section 2800 North Horseshoe Drive Naples, FL 34104 APPLICATION TO QUALIFY SECOND ENTITY THIS FORM MUST BE COMPLETED IF YOU WISH TO INITIATE OR CHANGE THE STATUS OF AN EXISTING LICENSE. READ ALL INSTRUCTIONS AND MAKE SURE YOU HAVE SIGNED WHERE INDICATED. TYPE OR PRINT IN INK. MPANY Exact CoiporateBusiness Name: Fiction Name/ DBA: Qualifier Name:---��1,-� '.',-r r� ' ' S n }—r- r- Ae,1; a Sn 140S . Physical Address: MailUig Address: (o I I q -11, .s (Number & Street) � L 3 (State) (Zip (Number & Street) (City) (State) (Zip Code) C Telephone: F1 >3 �ji _ 3 0 -1 9 7 j q E-mail: d S o y4 p S I Y e emy I c e l" v h o o- C 0 ro Federal ID Tax Number: 9 1 - I 14 "�) 1 ,r) tf ALL APPLICANTS MUST APPEAR BEFORE THE CONTRACTOR LICENSING BOARD FOR FINAL APPROVAL. THE BOARD, AT THEIR SOLE DISCRETION, MAY REQUIRE ADDITIONAL DATA IN ORDER THAT THE WELFARE OF THE CONSUMER IS PROTECTED AT ALL TIMES. 0 00 r m E a Packet Pg. 256 8.G.1 AFFIDAVIT It is understood and acknowledged by the Collier County Contractor's Licensing Board and myself that if I fail to acquire, or maintain at all times effective Workmen's Compensation Insurance it will result in the possible revocation of my Certificate of Compet 54cy. -2", Signature of Applicant Business Narn 6) Date State of ��` Lo- County of C O The foregoing instrument was ackno le ged before me by means of physical presence or ❑ online notarization on this —:7 day of , 20 , n I 1 - r, by Such person(s) Notary Public must check applicable box: ❑are onally known to me as produced a current dr• er jicense ❑has produced (Notary Seal) ALYSHIA MORSE i' • ' kV.1 * Commission#HH190514 v 7: 'A E:..giros October 25, 2025 66i ��^^�„;o°�vcNotensavlass Notary Signature: 0 00 a Packet Pg. 257 8.G.1 UESTIONNAIRE FORQUALIFYING A SECOND ENTITY THIS FORM MUST BE COMPLETED BY THE APPLICANT REQUESTING TO QUALIFY A SECOND ENTITY OR REQUESTING A CHANGE TO AN EXISTING SECOND ENTITY QUALIFICATION. THE APPLICANT AND PRESIDENTSIPARTNERS/OWNERS OF ALL COMPANIES INVOLVED MUST SIGN WHERE INDICATED. USE THIS SHEET, AND ADDITIONAL SHEETS IF NECESSARY. 1. Explain why you wish to maintain your present license(s while qualifying this additional business. T W o li -�- to Ke e r m I c e 6Help m� son get on �-1,5 feet .to be Vmc eY h� � Coh oJDt 5 h(ensv 2. Has the proposed entity been previously qualified? If so, explain why the previous qualifier is no longer willing to continue to qualify this entity. N 3. If the proposed entity has been qualified within the last 12 months, list three recent jobs completed by the proposed entity. Include dates of ompletion, address, description of work, name of previous qualifier and name of owner. 4 A- 4. List the last three jobs completed by you under your existing license. Include dates of compl tion, address, description of work, name of previous ualifiFr and name of owner. �eq s e see r��C�e d M" 5. Does the business(es) you presently qualify and/or wish to qualify have any outstanding liens against them or against the property of consumers as a result of construction work or a contract they had with your firm? YES_ NO_V If yes, identify business and provide explanation. 6. List principal suppliers for the past six months for the business you presently qualify. CA-4p's OM 'I cc q 7. List principal suppliers for the past six months for the business you are applying to qualify. w a c� 00 S. List persons authorized (currently and in the past 6 weeks) to pull permits on your Iicense(s). �' E a Packet Pg. 258 8.G.1 9. How are you being paid by the business(es) you presently qualify (salary, % of profit, etc.)? N, A- 10. How will you be paid by the business you are applying to qualify? K I- 1 1. What percentage of ownership do you have in the present business(es) you qualify and what percentage of ownership will you h ve in the business you are attempting to qualify? A00�/o- A-9od2 12. Do you (applicant)ave check writing authority for the present and proposed entities? YES NO V If yes, provide a ldtter from the bank. ' 13. List all officers/partners/owners of the business you are applying to qualify and position held. In �r,ZntbS 14 List all officerslpartnerslowners of the business you presently qualify and position held. 19 A J-�in E C_ n - C) S 15. Do the business(es) you presently qualify and wish to qualify have any other licenses presently qualifying t ose businesses? YES NO If yes, list licensee's name, license number and address. 16. Submit notarized statements signed by an authorized agent of the entity(ies) you presently o qualify and from an authorized agent of the proposed entity attesting to the fact that each is Q aware of what entity you presently qualify, and what entity you are requesting to qualify. d 00 as i E a Packet Pg. 259 8.G.1 FINANCIAL RESPONSIBILITY ALL APPLICANTS/LICENSEES MUST ANSWER THE QUESTIONS BELOW. If you answer yes to any of the questions, a written explanation is required. Additional documentation is also required, as indicated. If you are applying to qualify a corporation, partnership or other legal entity, ALL OFFICERS OF THAT ENTITY MUST ALSO EXPLAIN IF ANY OF THE BELOW WOULD PERTAIN TO THEM. This would include the president, vice president, secretary, and/or partners or owners of the proprietorship. Have you, the business organization, or any of the above mentioned individuals in any capacity ever: YES NO 1. Undertaken construction contracts or work for a third patty, such as a bonding or surety company, completed or made financial settlements? 2. Had claims or lawsuits fled, or unpaid or past due accounts by your creditors as a result of construction experience? V 3. Undertaken construction contracts or work which resulted in liens, suits or judgments being filed? 4. Had a lien filed against you by the Internal Revenue Service or Florida Corporate Tax Division? If yes, you MUST attach a copy of the Notice of Lien, and any payment agreement, satisfaction, Release of Lien or other proof of payment. S. Made an assignment of assets in settlement of construction obligations for less than the debts outstanding? V1 6. Been charged with or convicted of acting as a contractor without a license, or if licensed as a contractor in this or any other state, been "subject to" disciplinary action by a state, county, or municipality? If yes, you must attach a copy of any state, county, municipal or out of state disciplinary order of judgment. V 7. Filed for or been discharged in bankruptcy within the past five years? If yes, you must attach a copy of the Discharge Order, Order Confirming Plan, or if a Corporate Chapter 7 case, a copy of the Notice of Commencement. 8. Been convicted or found guilty of, or entered a plea of nolo contendere to, regardless of adjudication, a crime in any jurisdiction within the past 10 years? NOTE: IF YOU, THE APPLICANT/LICENSEE, HAVE HAD A FELONY CONVICTION, PROOF THAT YOUR CIVIL RIGHTS HAVE BEEN RESTORED WILL BE REQUIRED PRIOR TO LICENSURE. 0 00 r m E a Packet Pg. 260 8.G.1 A Perfect Cut Tree Service, INC Name of owner: KNB Properties LLC Address: 1895 Seward Ave Ste 4 Naples, FL 34109 Date of completion: January 12th 2023 Description of work: Trimmed 4 Oak trees and hauled away all debris. Name of owner: Rogrick Hires Address: 281 19th st sw Naples, FL 34117 Date of completion: February 8th 2023 Description of work: Trimmed 32 Palm trees and removal of Pepper trees. All debris hauled away. Name of owner: Armando Lobaina Address: 3970 6th ave se Naples, FL 34117 Date of completion: February 13th 2023 Description of work: Underbrush clearing a 00 E M a Packet Pg. 261 8.G.1 D Santos Tree Service, LLC Name of owner: Catherine Frecker Address: 1024 6th Lane N. Naples, FL 34102 Date of completion: February 22" d 2023 Description of work: Removed large branches off of a Ficus tree. Debris hauled away. Name of owner: Tracy Bartholf Address: 6676 Huntley Lane North Naples, FL 34104 Date of completion: April Yd 2023 Description of work: Trimmed 2 Palm trees and 1 Oak tree. All debris hauled away. Name of owner: Robert Sellars Address: 14553 Maxwell Court Naples, FL 34109 Date of completion: June 201h 2023 Description of work: Trimmed 3 Palm Trees and hauled away all debris. a 00 E a Packet Pg. 262 11 PO MI n I C Sonfos motHe r Adel 01 San+o s co�►pa�y (D sontosTWe well ors (rev covnPo�n� service Vic Cam' U� fond C4- C MA 0� b UA*42K� jutLi i✓y ��e`•• NYDIANETTE TOL40r�a RRI S Notary Public - Stl oa?'` Commission N NIi 390143 "�F• "' My Comm. Expires Apr 24, 2027 o , �'�'�1�1+C, ���• bS AcKnowled gQ MI tD q Vol I i-Fy VYl seYvi ce LLc � Gs (fl per-fe cf CU+ Tree 8.G.1 a 00 E r a Packet Pg. 263 -T A j e 10 Sani-os D vi -I C S(Av,fo s Service LLc i-o bc licev�s¢ . As well Company with A- SQry i c e, I n c. -� s f�ivl9 m� sorl Tree my contYgc-fors ors qvolhfyivlj my own Perfect C Kf Tree CAP, S411k 4 w i eo,� o f L.� P��-jsi�� i�rc.;trc�. �lur'df� pv►;�.+,i� L.� I- NYDIANETTETOLEDOTORRES Notary public - State of Florida >�t.oF or`O,r Commission # HH 390143 My Comm. Expires Apr 24, 2027 d�" ja-u- - 8.G.1 00 r Q Packet Pg. 264 8.G.1 Comer County Growth Management Community Dovelopmenl Department RESOLUTION OF AUTMORIZATION Not required for non -business licenses (individual). In accordance with Collier County Ordinance 2006-46, as amended, Sonlus -TYce Service LL C Business Name, include DBA, if applicable. intends to engage in contracting as Type of license in Collier County where 'J 0 n Q S Applicant Name is applying to qualify for a Certificate of Competency. It is hereby agreed upon that I/we the undersigned ❑Officer(s) ❑Owner(s) (V(Partner(s) of said business resolve and represent to the Collier County Contractor's Licensing Board that the applicant is active in all matters connected with the business. We further resolve and represent that the applicant is legally empowered to act on behalf of the business in all matters connected with its contracting business and has the authority to supervise construction activities underta en by the business. v Officer / Owner 1 Pa ner Signature Yl U �Cl[ () toS Officer 1 Owner ! Partner Signature Officer ! Owner / Partner Signature Witness z w 0 State of Fun and ct� County of � � � IQ {� z W The foregoing instrument was acknowledged before me by means of physical presence or ❑online notarization this I day of- 2,023, by A*(e% �r-6,s end xr••�c Sc��,-jo� � Such person(s) Notary Public must check applicable box: z Q ❑ are personally known to me as produced a current driver's license a ❑ has produced as identification 0 Q (Kota Notary Public • State e ems:. Ntary P TTE TOtate ]2027 7 *.. 00 �.; ao Commission 9 HH 3 "°F• My Comm. Expires Apr Signattire L v Contractor Licensing — Reinstatement Application Rev. 812022 Page 6 of 9 R Q Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensinp(a7calliercormtyfl.gov Packet Pg. 265 '716/23, 4:53 PM .experian. a At a glance FICds Score 8 300 Account summary Open accounts Self -reported accounts Accounts ever late i Closed accounts Collections Average account age li Oldest account Experian 7 2 FICO Experian data Jul 6, 2023 Overall credit usage 14 0 3 5 51 % 0 6 yra 6 mas 19 yrs 3 mos U000i A Credit used: $36,146 Credit limit: $71,000 https:llusa.experian.com/mfe/member/priniable-repoftlexperian/now 8.G.1 Prepared For ADELA SANTOS W Personal S confidential Date generated: Jul 6, 2023 N B50 ` Debt summary Credit card and credit line debt $36,146 Self -reported account balance $0 Loan debt $14D,903 Collections debt s0 Total debt $177,049 (,7 00 a+ C d E L V tC r Q Packet Pg. 266 ' 716123, 4:53 PM !experian. Experian 8.G.1 Prepared For ADELA SANTOS bate generated: Jul 6, 2023 Personal information 11'ai,,: ADELA SANTOS A[10 Ih,r;:vn ,„ ADELA S SPINNEY LIGIO SANTOS SAHTDS ADELA SPINNEY GenHalianal idenufler YLa, Gf blrin 1968 Prasonal stalentenm No Slatement(s) present at Ibis time 261 19TH STSW NAPLES, FL 34117.3323 361 14TH AVE NW NAPLES, FL 341203323 Fm p',,:'; CHILD CARE SERVICES A PERFECT GOT TREE SERV 0 00 Q Packet Pg. 267 hitpsalusa.experian.comlmfelmemberlprintable-repartlexperianlnow 716123, 4.53 PM pperian. Open accounts SAMMUNA Exceplionu I payment history 9 Account info Account name Account number Original creditor Company sold Account type Date opened Open/closed stalus Status updated At Payment history Jan 2023 ✓ 2022 ✓ 2021 ✓ 2020 — CurrenllTermsmer u Contact Info Address Phone number Experian Prepared For ADELA SANTOS Date generated: Jul 6, 2023 $4,921 Balance updated Jun 24, 2023 AMEXICBNA Balance $4,921 377481XXXXXXXXX Balance updated Jun 24, 2023 - Credit limit $12,000 - Credit usage 41%r Credit card Monlhly Payment $162 Sep 10, 2020 Last Payment Rate Jun 21, 2023 Open Highest balance $4,921 Open/Never late, Terms - Jun 2D23 Responsibility Individual Your statement - Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ✓ ✓ ✓ J ✓ ✓ ✓ ✓ J ✓ ✓ — asta U—O.Ve N Comments FCBA dispute resolved - consumer disagrees 9111 DUKE BLVD MASON, OH 45040 (BOO)243-6552 a 00 �.i C cdc G L V R Q https:tlusa.experian.com/mfe/member!printable-reportlexperian/now Packet Pg. 268 716123, 4:53 PM ,ppencin. 4CB iNDIG07GF Unknown payment history r Account info ACCOUnt name Account number Original creditor Company sold Account type Date opened Open/closed Status Status updated Payment history No payment history ayartable to display. ID Contact info Address Phone number r Comments Account in dispute under Fair Credit Billing Act CB INBIGO/GF 534348XXXXXXXXXX May 06, 2019 Open NO STATUS PO BOX 4499 BEAVERTON, OR 97076 (866) 946-9545 Experian Prepared For AQELA SANTOS Date generated: Jul 6, 2023 Balance Balance updated Credit limit Credit usage Original balance Monthly payment Terms Responsibility Your statement Balance updated - individual Q hltpsalusa.experian.cflmlmfelmemberlprintable-reporUexperianlnow Packet Pg. 269 716123, 4.53 PM ■, !expenan- OUTICARDS CDRA Exceptional payment history C Account info Account name Account number Original creditor Company sold Account type Date opened Openlclosed Status Status updated T Payment history Jan 2023 ✓ 2022 ✓ 2021 Cu—I (Terms met Contact Info Address Phone number r, Comments Experian CITICARDS CBNA Balance 54241OXXXXXX Balance updated - Credit limit Credit usage Credit card Monthly payment Sep 05, 2D21 Last Payment Date Open Highest balance Open/Never late. Terms Jul 2023 Responsibility Your statement 8.G.1 Prepared For ADELA SANTOS Date generated: Jul 6, 2023 W $11,095 Balance updated Jul 04, 2023 Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec — Dalaunavalable PO BOX 6241 SIOUX FALLS, SO 57117 (silo) 950-5114 https:ttusa.experian.com/mfe/member/printable-report/experian/now $11,095 Jul 04, 2023 $14,100 77% $241 Jun 15, 2023 $11,095 Individual 0 00 r Q Packet Pg. 270 716/23, 4:53 P M 'experian. k%COMENFTYBANKIVICTORIA I wcaptionnl payment Watery E Accortnl info Account name Account number Original creditor Company sold Account type Date opened Open/closed Status Status updated D Payment history Jan 2023 ✓ 2022 ✓ 2021 ✓ 2020 — J Current/Temsmet o Contact Info Address Phone number 6 Comments COM EN ITYRANKNICTORIA 539176XXXXXXXXXX Charge Card Nov 08, 2020 Open Open/Never late, Jun 2023 Experian Balance Balance updated Credit limit Credit usage Monthly payment Last Payment Date Highest balance Terms Responsibility Your statement 8.G.1 Prepared For ADELA SANTOS Date generated: Jul 6, 2023 W $2 U Balance updated Jun 23,2023 Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ✓ J ✓ ✓ J ✓ ✓ ✓ J J ✓ — Data Dnavalable PO BOX 182789 COLUMBUS, OH 43218 $2 Jun 23, 2023 $95D 0% $2 Jun 18, 2023 $346 Indlvldual Ur 00 r Q https://usa.experian.com/mfe/member/printable-reportlexperian/now I Packet Pg. 271 716123, 4:53 PM !experian. SCREDrT ONE BANK NA Exceptianai payment history 97 Account info Account name Account number Original creditor Company sold Account type Date opened Open/closed Status Status updated -11 Payment history, Jan 2023 ✓ 2022 ✓ 2021 ✓ 2020 — Cu,rent/Tenns met r�j Contact Info Address Phone number 6 Comments CREDIT ONE BANK NA 444796XXXXXXXXXX Credit card Dec 14, 2020 Open Open/Never late. Jun 2023 Experian Balance Balance updated Credit limit Credit usage Monthly payment Last Payment Date Highest balance Terms Responsibility Your statement 8.G.1 Prepared For ADELA SANTOS Date generated: Jul 6, 2023 W $285 Balance updated Jun 19, 2023 Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec J J ✓ J J ✓ ✓ ✓ J ✓ J ✓ ✓ ✓ J J ✓ ✓ ✓ ✓ ✓ ✓ — Data UnavMab!a PO BOX 98875 LAS VEGAS, NV 89193 (702)269-1000 https:tiusa.experia n.r,om/mfelm a mber/printable-report/experian/now $285 Jun 19,2023 $800 35% $30 Jun 12, 2023 $772 Individual Q Packet Pg. 272 716123, 4:03 PM 'experian. •CREDIT ONE BANK NA Exceptional payment history G Account info Account name Account number Original creditor Company sold Account type Date opened Open/closed Status Status updated 11 Payment history Jan 2023 ✓ 2D22 ✓ 2021 ✓ 2020 � Currenll terms met Ea Contact Info Address Phone number 6 Comments CREW ONE BANK NA 444796XXXXXXXXXX Credit card Dee 22, 2019 Open Open/Never fate, Jun 2023 Experian Balance Balance updated Credit limit Credit usage Monthly payment Last Payment Date Highest balance Terms Responsibility Your statement 8.G.1 Prepared For ADELA SANTOS Date generated: Jul 6, 2023 W $202 tJ Bela nce updated Jun 19, 2023 Feb Mar Apr May JU0 Jul Aug Sep Oct Nov Dec J J ✓ ✓ ✓ J ✓ J J ✓ ✓ — Data Urtavalab!e PO BOX 08875 LAS VEGAS, NV 80193 (702)269-1000 https:tiusa.experian.r-orn/mfe/member/printable-reporUexperian/now $202 Jun 19, 2023 $950 21% $30 Jun 12, 2023 $624 Individual 0 00 r Q Packet Pg. 273 716123, 4M PM R pperian. 0DISCOVER BANK Lxceptrrnal payment history L'Account info Account name Account number OdglnaIcreditor Company sold Account type Date opened Opentclosed Status Status updated D Payment history Jan 2023 ✓ 2022 — � Current! Terms met w Contact Info Address Phone number G Comments DISCOVER BANK 6a1101XXXXXX Credit card Jun 03, 2022 Open Open/Never late. Jun 2D23 Experian Balance Balance updated Credit limit Credit usage Monthly payment Last Payment bate Highest balance Terms Responsibility Your statement 8.G.1 Prepared For ADELA SANTOS Date generated: Jul 6, 2023 W $9,170 U Balance updated Jun 16, 2023 Feb Mar Apr May Jun Jul Aug Sep 001 Nov Dec ✓ ✓ J ✓ ✓ _ _ _ ._ — — Data Unavailable PO BOX 30939 SALT LAKE CITY, UT 84130 (SOD) 347-2683 $9,170 Jun 16, 2023 $12,500 73% $1B4 Jun 11, 2023 0,170 Individual a 00 r Q httpsalusa.experian.comlmfelmemberlpriniable-reporVexperianlnow Packet Pg. 274 716/23, 4:53 PM ■. 'experian. •KOHLSICAPONE 2 late payments 6 Account info Account name Account number Original crud«tor Company sold Account type Date opened Opentclosed Status Status updated Payment history KOHLSICAPONE 63930SXXXXXXXXXX Charge Card Nov 25, 2015 Open Open. Oct2018 Jan Feb hlar Apr May Jun 2023 ✓ J ✓ ✓ ✓ ✓ 2022 ,. ✓ ✓ ✓ ✓ ✓ 2021 ✓ ✓ ✓ ✓ ✓ ,� 2020 J J ✓ ✓ ✓ ✓ 2019 J J ✓ ✓ ✓ ✓ 2018 '� J J ✓ ✓ ✓ 2017 J 36 ✓ J J ✓ 2016 ✓ Current /Terms met 30 Past due30 days -- Data Onavaibb% U Contact Info Address N56 RIDGEWOOD DR MENOMONEE FAL, Wi53051 Phone number (262) 703-70DO U* Comments Completed Investigation of FCRA dispute -consumer disagrees https:tlusa.experian.com/mfe/member/printable-reporVexperian/now Experian Balance Balance updated Credit limit Credit usage Monthly payment Last Payment Date Highest balance Terms Responsibllrty Your statement 8.G.1 Prepared For ADELA SANTOS Dale generated: Jul 6, 2023 W $0 U Balance updated Jun 16, 2023 Jut Aug Sep Oct Nov Dec ✓ ✓ 30 ✓ ✓ ✓ so Jun 16, 2023 $1,SQ0 016 SO Feb 12, 2023 Ssol individual (' 00 a+ C cd G L V tC Q Packet Pg. 275 716123, 4:53 PM pperian. 1•WSMSICAL 3 tale payments e Account info Account name Account number Original creditor Company sold Account type Date opened Open/closed Status Status updated D Payment history Jon 2023 ✓ 2022 J 2021 ✓ 2D20 30 2019 — ✓ CwrerdlTetmsmet ® Contact info Address Phohe number F Comments Feb ✓ ✓ Mar Apr ✓ J J J 30 ✓ 30 Pasldue30days NRISMSICAL 570453XXX Mortgage Apr 07,2004 Open Open. Apr 202O — Data IlnavaaaNe 75 BEATTIE PL STE 300 GREENVILLE, SC 29601 (066) 637-0744 Experian Balance Balance updated Original balance Paid off Momhty payment Last Payment Date Terms Responsibility Your statement 8.G.1 Prepared For ADELA SANTOS Date generated: Jul 6, 2023 W $139,030 Balance updated May31,2D23 Jul Aug Sep Oct Nov Dee $139,030 May 31, 2023 $200,000 30% $1,110 May 22, 2023 40 Years Individual 00 r Q https://usa.experian.com/mfe/member/printable-report/experian/now I Packet Pg. 276 '716123, 4:53 PM ■e 'experian. 0SANTANDER CONSUMER USA Exceptional payment history C Account info Account name Account number Original creditor Company sold Account type Date opened Open/closed Status Status updated I Payment history Jan 2023 ✓ 2022 J 2021 ✓ 202n — ✓ Current!Termsmet sa Contact info Address Phone number C' Comments SANTANDERCONSUMER USA 300002XXxxxxxxxxx Auto Loan May 25, 2020 Open Open/Never late. May 2023 Experian Balance Balance updated Original, balance Paid off Monthly payment Last Payment Date Terms Responsibgity Your statement 8.G.1 Prepared For ADEt_A SANTOS Date generated: Jul b, 2023 LU $1,873 V Balance updated May 31,2023 Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ✓ ✓ ✓ ✓ J J ✓ ✓ J ✓ ✓ — — -- — J J ✓ J ✓ J ✓ — oala UnavalWe PO BOX 961245 FT WORTH, TX 76161 {a6b)923-9202 https:llusa.experian.wmlmfe/member/printable-reporUexperian/now $1,873 May 31, 2023 $8,358 78% $192 May 08, 2023 49 Months Individual 00 r Q Packet Pg. 277 7/6123, 4:53 PM !experian. ASYNCBICARE CREDIT DC E.xceptioncI payment history 6 Accountlnfo Account name Account number Original credilor Company sold Account type Pate opened Open/closed Status Status updated Payment history Jan 2023 ✓ 2022 ✓ 2021 ✓ 2020 ✓ currentlTerms met rQ Contact info Address Phone number F Comments SYNCBICARE CREDIT OC 524306xxxxXX Credit card Feb 07, 2020 Open Open/Never late. Jun 2023 Experian Balance Balance updated Credit limit Credit usage Monthly payment Last Payment Date Highest balance Terms Responsibility Your statement 8.G.1 Prepared For ADELA SANTOS Date generated: Jul 6, 2023 W $7,725 Balance updated Jun 25, 2023 Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ✓ J ✓ ✓ ✓ ✓ ✓ ✓ J ✓ ✓ — Data DnavatlaWa 950 FORRER BLVD KETTERING, OH 45420 (866) 396.8254 https:liusa.experian.com/mfe/member/printable-reportlexperian/now $7,725 Jun 25, 2023 015,000 51% $252 Jun 13, 2023 $7,725 individual 00 r Q Packet Pg. 278 716123, 4:53 PM pperian. •SYNCBIROOMS To 00 Exceptional payment history L Account info Account name Account number Origina I creditor Company sold Account type Date opened Openfclosed Status Status updated Payment history Jan 2023 ✓ 2022 ✓ 2021 ✓ 2020 — � Cuneal! Terms met © Contact Info Address Phone number U Comments SYNCBIROOMS TO GO 601919XXXXXX Charge Card Jun 19, 2020 Open Open/Neverlate. Jain 2022 Experian Balance Balance updated Credit limit Credit usage Monlhfy payment Last Payment Date Highest balance Terms Responsibility Your statement 8.G.1 Prepared For ADELA SANTOS Date generated: Jul 6, 2023 W U $2,529 ; Balance updated Jun 16, 2023 Feb NUT Apr May Jun Jul Aug Sep Oct Nov Dee ✓ J ✓ ✓ ✓ J ✓ ✓ J J ✓ — Data Dnavadable PO BOX 965036 ORLANDO, FL 32B96 (966) 396-8254 https:llusa.experian.comlmfelmember/printable-report/experian/now $2,529 Jun 16, 2023 $10,DOD 25% $185 Jun 06, 2023 $5,162 Individual a 00 r Q Packet Pg. 279 716123, 4:53 PM 'experianw SWELLS FARGO BANK Exceptional payment history G Account info Account name Account number Original creditor Company sold Account type Date opened Open/closed Status Status updated Payment history Jan 2023 ✓ 2022 ✓ 2021 ✓ 2020 v 2019 v ✓ eur[mllltrms met © Contact Info Address Phone number Comments Feb Mar ✓ J — Dara unavadab! WELL$ FARGO BANK 442644XXXX Credit card Jan 10, 2019 Open OpenlNever late. Jon 2023 Experian Balance Balance updated Credit limit Credit usage Monthly payment Last Payment Date Highest balance Terms Responsibility Your statement 8.G.1 Prepared For ADELA SANTOS Date generated: Jul 6, 2023 LU so U Balance updated Jun 21, 2023 Apr May Jun Jul Aug Sep Oct Nov Dec PO BOX 14517 DES MINES, IA 50306 (800) 642-4720 $0 Jun 21, 2023 $300 n% $0 Mar 14, 2023 $320 Individual 0 00 r Q hllps://usa.experian.comlmfelmember/printable-reporUexperian/now I Packet Pg. 280 7/6123, 4:53 PM a. expenan. CiWF/DILLARD Lxceptinnel payment history G Account info Account name Account number Original creditor Company sold Account type Date opened DpeMclosed Status Status updated 33 Payment history Jan 2023 ✓ 2022 ✓ 2021 J 2020 ✓ 2019 2010 ✓ Current 1 Terms met va Contact info Address Phone number IF Comments Feb J J Mar Data urav813toe Experian WF/OILLARD Balance 377717XXXXXXXXXX Balance updated - Credit limit Credit usage Credll card Monthly payment Aug 06, 2018 Last Payment Date Open Highest balance Open/Never late. Terms Jun 2023 Responsibility Your statement 8.G.1 Prepared For AD€LA SANTOS Date generated: Jul 6, 2023 W $217 Balance updated Jun 14, 2023 $217 Jun 14, 2073 $2,70D 8% $29 Jun 05, 2023 $2,417 Authorized user Apr May Jun Jul Aug Sep Oct Nov Dee J J ✓ ✓ J ✓ ✓ J ✓ PO BOX 14517 DES MOINES, IA 50306 (On) 302-6157 ilttps:llusa.experian.comlmfelmemberlprintable-report/experianlnow a 00 r Q Packet Pg. 281 716123, 4:53 PM 'experiann Closed accounts Experian Prepared For ADELA SANTOS Date generated: Jul 6, 2023 OCAPITALONE W Closed LU 29 potentlalbnegalive months A Account info 0 Account name CAPITAL ONE Balance - Q Account number $17805XXXXXX Balance updated Original creditor Credit limit $600 r Company sold - Monthly payment - 0 Account type Credit card Last Payment Date Feb 24, 2021 ~ U Hate opened Oct 13, 2D14 Highest balance $712 Open/closed Closed Terms - Z Status Paid In settlement. $712 written off. Responsibility Indlvldual O U Status updated Apr2021 Your statement - Ur Z Payment history H 06 Jan Feb filar Apr May Jun Jul Aug Sep Oct Noy Dec J 2021 CO CO CO CLS — — — — -- _ _ _ Q 2020 CO CO Co Co NO CO CO Co NO CO CO CO 2019 CO CO CO CO CO Co CO CO Co CO C4 ND W 2018 ✓ ✓ ✓ ✓ J 30 60 90 120 120 150 NO W 2017 ✓ ✓ ✓ ✓ ✓ ✓ J J ✓ ✓ ✓ ✓ LU LU 2016 ✓ ✓ ✓ ✓ ✓ ✓ J J ✓ ✓ ✓ J 2015 ✓ ✓ J J J ✓ J ✓ ✓ J J J r 2014 ✓ Cvrrenl/Terms met CO chargeoff ND no data rot this period a CLS Closed 30 past due 30 days 60 Past due 60 days 90 Pastdue90days 120 Paatdue120days 150 Pasldue150days J -- Data Onayallable ti tl Q u Contact info F- Address PO BOX 31293 SALT LAKE CRY, Z LU UT 84131 0 Phone number (800) 955-7070 Z 0 U W IN Comments I Account paid In full for less than full balance O Account Previously in dispute - investigation complete, reported by data furnisher F- Q W a J W 0 Q 00 r C d E L v R r Q https:llusa.experian.coralmfe/member/printable-report/experian/now Packet Pg. 282 716123, 4:53 PM Experian ! experian. Prepared For ADELA SANTOS Date generated: Jul 6, 2023 W *COMENITYaANK(VICTORIA 0 Closed Exceptional payment history w W 0) e Account into W LU Account name COMENITYBANKNICTORIA Balance - Account number 539176XXXXXXXXXX Balance updated - Cl) 0 Original creditor - Credit limit $250 Z Companysold - Monthly payment - Account type Charge Card Last Payment Date Jul 16,2018 0 Date opened Aug 24, 2016 Highest balance $273 Opentclosed Closed Terms 0 Status Paid, Msed/Never late. Responsibility Individual Q Slalus updated Nov 2020 Your statement Z 0 Di Payment history U � Z_ Jan Feb Mar Apr May Jun Jul Aug Sep Cct Nov Dec 2020 ✓ ✓ ✓ ,✓ ✓ J ✓ ✓ ✓ ✓ CLS — 2019 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 06 2018 ✓ ✓ ✓ J ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ J 2017 ✓ ✓ J ✓ ✓ ✓ ✓ ✓ J ✓ ✓ ✓ ; 2016 — — — — — — — — ✓ ✓ ✓ ✓ L—M/Termsm t CLS CiN sed — Data Unavaaab:e LU LU LU E�i Contectinfo � Address PO BOX 182789 COLUMBUS, r OH 43218 Z 0 Phone number a U J 5 Comments IL d A"ount eWsed at credit grantors request Q F- F— P: Z W 0 Z 0 U W I 0 H Z Q a J W 0 Q 00 r C d E L v R r Q Packet Pg. 283 httpsalusa.experian.com/m(elmemberlpriniable-reporVexperianlnow 716/23, 4:53 PM •■ 'expenann 41NATIO14STAPJMR COOPER 2 late payments k Account info Account name Account number Original creditor Company sold Account Type Dale opened Open/cbsed Status Status updated Payment history Jan 2019 — � Current/iesmg met Data Dnava!Sah!e ® Contact Info Address Phone number G Comments Transferred to another lender NATIONSTAWMR COOPER 658106XXX Mortgage Apr02,2004 Closed Transferred,closed. Nov 2019 Feb Mar Apr May Jun ✓ ✓ ✓ CLS Cl sed 60 Past due W days 8950 CYPRESS WATERS BLVD COPPELL, TX 75019 (888) 480.2432 Experian Prepared For ADELA SANTOS Date generated: Jul 6, 2023 Balance Balance updated Original balance Monthly payment Last Payment Dale Terms Responsibility Your statement Jul Aug Sep Oct Nov Dec 60 60 ✓ ✓ CLS — Closed S700,o00 Oct 31, 2019 individual (,7 00 Q https:llusa.experian.com/mfelmemberiprintable-report/experiantnow I Packet Pg. 284 7/6/23, 4:53 PM so pperianr. OSETERU INC 2 late payments Account Info Account name Account number Original creditor Company sold Account type Date opened Open/closed Status Status updated 31 Payment history SETENUINC 6590DOXXXXXXX Mortgage Apr 02, 2004 Closed Transterred,closed. Mar 2019 Jan Feb filar Apr May Jun 2019 30 30 CLS — — — 2019 ND ND ND ND ND ND 2017 ND ND ND No ND ND 2016 ND ND ND No NO ND 2015 ND ND ND ND ND ND 2014 '� '� ND NO ND ✓ 2018 Curr WT—n}et NO Nodalafor Urisperiod CLS Cbsed 30 Pastdve30days — Dala Un9wA.N6te 63 Contact Info Address Phone number G Comments Transrerred to another lender 14523 SW M ILLIKAN WAY ST BEAV ERTON, ON 97005 (866) 570.5277 hUps:llusa.experian.com/mfelmember/printable-reporUexperian/now Experian Prepared For ADELA SANTOS Date generated: Jul 6, 2023 Balance Balance updated Original balance Monthly payment Last Payment Date Terms Responsibility Your statement Jul Aug Sep Oct PJov Dec ND ND ND ✓ ✓ ✓ ND ND ND NO ND NO ND ND ND NO ND NO ND ND ND NO ND ND ✓ ND ND ND ✓ ND — — ✓ ND ND ✓ Closed $200,000 Feb 28, 2019 Individual 0 00 a+ C d E L U 1C r Q Packet Pg. 285 716123, 4:53 PM ■ el 'expenan- eSSTIMEOALLION Exceptional payment history rk Account info Account name Account number Original creditor Company sold Account type Date opened Open/closed Status Status updated D Payment history Jan 2021 ✓ ✓ CurrentlTermsmet © Contact info Address Phone number V Comments Experian Prepared For ADELA SANTOS Date generated: Jul 6, 2023 Closed SST/MEDALLION Balance - 382171XX Balance updated - Original balance $4,647 Monthly payment Secured Loan Last Payment Date Dec 13, 2021 Dec D2, 2020 Terms 48 Months Closed Responsibility Individual Paid, Closed/Never late. Your statement - Dec 2021 ;eb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ CLS CLS Closed 4315 PICKETT RD SAINT JOSEPH, MO 64503 (Soo) 789.8001 httpsaiusa.experian.com/mfe/member/printable-reporUexperian/now (D 00 r Q Packet Pg. 286 7I6123, 4:53 PM pperiand Experian Prepared For ADELA SANTDS Date generated: Jul 6, 2023 Collection accounts No collection accounts reported. (D 00 C d E L V fti Q hfEps:l/usa.experian.com/mfe/memberlpriniable-reportlexperianlnow Packet Pg. 287 7I6123, 4:53 PM pperiann Experian Prepared For ADELA SANTOS Date generated: Jul 6, 2023 Public records No public records reported. (D 00 Q Packet Pg. 288 https:llusa,experian.comlmfe/member/printable-report/experianlnow 7/6123, 4:53 PM 'experian. Experian 8.G.1 Prepared For ADELA SANTOS Date generated: Jul 6, 2023 Inquiries CITI CARDS CBNA Inquired on Sep 5, 2021 Business Type: Bank Credit Cards PO Box 6000 SIOUX FALLS, SD 57117 (800) 960-SI 14 This inquiry Is scheduled to continue on record until Oct 2023 OISCOVER FINANCIAL SER Inquired on Jun 3, 2022 Business Type: Bank Credit Cards 12 READS WAY NEVI CASTLE, DE 19720 By mail only This inquiry Is scheduled to continue on record until Jul 2024 DISCOVER FINANCIAL SER Inquired on Sep 5, 2021 Business Type: Bank Credit Cards 12 READS WAY NEW CASTLE, DE 19720 By mail only Thls inquiry is scheduled to continue on record until Oct 2023 0 tb Q hitps:1/1Jsa.experian.com/mfe/memborlprintable-repprtlexperianlnow Packet Pg. 289 716123, 4.53 PM Experian 'experian. ra Credit scores FICO�') Score 8 8.G.1 Prepared For ADELA SANTOS Date generated: Jul 6, 2023 Ill 670 - 139 722 v Yourscore lsril all above the average of U.S. con sonnets and most lenders consider this a good score. 300 950 FiC�'1;s �'i fi Uperienawtnrmt, What's helping Bills paid on time recently • You've tecendy been paying your bids on time. • Your most recent missed payment happerted:3 Years, 4 Months ago • About 98% of Fleo High Achievers have no missed payments stall. But of those who do, the missed payment happened nearly 4 years ago, on average, • White you have missed payments In the past, you have recently been paying your bills on time. Staying current and paying bills on time demonstrates lower risk. Many accounts paid on time • You have a sufficient number of accounts that are currently paid as agreed. Number of your accounts currently being paid as agreed: 12 accounts • FICO High Achievers have ON average of 6 accounts currently being paid as agreed. FICO2, Scores consider the number of accounts that are being paid as agreed -in your case this number is high. Staying current and paying bill s on f ime demonstrat es bwer risk. Recent revolving account usage • You've shown recent use ofievoNing andfor opertended accoums. • FICO:D Scores evaluate the mtx of revolvingcredi, Installment loans and mortgages. People who demonstrate recent and responsible use of revolving credit and/or open-ended accounts are generally considered less risky to lenders. What's hurting — serious delinquency • You have a serious delirquency(60days past due or greater) or derogatory Indicator on your credit report. • Humber ofyour accounts that were ever 60 days late or worse or have a derogatory indicator:2 accounts • Virtually nor FICO ll Achievers have a 60 days late payment or worse listed on thelf credit iep.1 • The presence of a serious delinquency or derogatory Indicator is a highly rximerated predictor of future payment risk. People with previous late payments are more 6keyto pay late In the future. As these items age, they will have less Impact on the FICOh Score. Most late payments stay on your report for no more than seven years. — High credit usage • You've made heavy use ofyour avaliable revoMng credit_ • Minify .. revolving balances toyour credit fm115: 53� • For FICO High Achievers, the average ratio of the revolving account balances to credit limits is less than 7%. The MD'D Score eval les balances In rclallo to available credll on fevolving accounts. The extent ofa persons credit usage Is one of the most important factors considered by a 1`1 09 Score, people who keep their ratio of balances to credit limits lower ere generally considered less risky to lenders than those with higher ratios. Note, consolidating of moving debt from one account 10 another will usually not change the total amount owed. — Short accounthlstory You have a short credit history. Your oldest account was opened: 19 Years, 3 Months ago • FICO High Achievers opened their oldest acesin125 years ago, on average. https://usa.experian.com/mfe/member/printable-reportfexpe riantrow 25127 V 00 a Packet Pg. 290 7/6123, 4:53 PM Average age of your accounts: 6 Yews, 7 Months Experian 8.G.1 • Most FiC6 High Achievers have an average ageof accounts of 9 years or more. • People with ronger 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 aceounis is relalively low. 0 00 a+ C d E L U fC r Q httpsa/usa.experian.com/mfelmember/printable-reporllexperianlnow Packet Pg. 291 ' 716123, N:63 PM Experian ■ 0 'experian. 8.G.1 Prepared For ADELA SANTOS Date generated: Jul 6, 2023 Disclaimer About your FIC0 Score a or other FICV Scores Your FICO"' Score 8 powered by Experian data is formulated using the information in your credit file at the time it is requested. litany but not all lenders use FfCOa Score a. In addition to the FICW Score 8, we mayoffef and provide other base or Industry -specific FICO= Scores (such as FICO" Auto Scores and FICO' Bankcard Scores). The other FIC0 Scores made available are calculated from versions of the hose and Industry -specific FICOa Score models, Base FICOs Scores (including the FICOa Scorn 8) range from 300 to 950. Indusiry-specific FICOa Scores range from 250-900. Higher scores represent a greater likelihood that you'd pay back your debts so you are viewed as being a lower credit risk to lenders. A lower FIC0 Score indicates to lenders Iholyou may be a hlghercredil risk. There are many scoring models used in the markelplace. The type of score used, and its associated risk levels, may vary from lender to lender. But regardless of whal scoring model is used, they all have one purpose: to summarize your creditworthiness. 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 emp!oyment, may also be considered by lenders when you apply for a loan. What thts means to you: Cfedit 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 credit approvals, reduction in human error and bias, consistency, and betterterms and rates for American Consumers through reduced costs and losses for lenders. Your lender or insurer may use a ddfereal FICO'3 Score than FICO� Score B or other base or Industry- specifie FICOs Scores provided by us, or different scoring models to determine howyou score. a 00 Q httpsalusa.experian.com/mfelmomberlprintab]e-reportlexperian/now Packet Pg. 292 8.G.1 data axle � credit: solutions Report generated on 07/07/2023 by adelasantos@aol.com Business Credit Report for A Perfect Cut Tree Svc Inc in Naples, FL A+ 95+ A 90-94 B+ 85-89 C+ 75-79 C 70-74 ' Unknown 83I1UU Business Credit Score: B (83) Recommended Credit: $750 10 Pre -verified record: Record that needs to be contacted in order to be fully verified. Add additional insights .earn more about this company by addin enhanced data services Payment Trade Data & Monitoring Historical Payment Data Location & Contact Information Address 261 19th St SW Fax Not Available City Naples Website Not Available State FL ZIP Code 34117-3323 Phone Not Available Toll -free Phone Not Available ORnmPr-- vmljlILelI11Fill l*]1 No. of Employees 1-4 EINs 201245221 Type of Business Private Years in Database 1 Parent Company Not Available Year of Incorporation Not Available Location Type Single Loc Metro Area Naples -Marco, FL Credit Cards Accepted Not Available County Collier InfogroupID 77/812330 Ticker Symbol Not Available Le al Name A Perfect Cut Tree Svc Inc _egal Filing Summary 3ankruptcy No Sum of Legal Filings $0 Judgment Filings 0 JCC Filings 1 Tax Lien Filings 0 Manaaement Dire Operations Sergio M Muro Other Dominic L Santos President Adela L Santos Company Description c� U r a Packet Pg. 293 data axle - credit solutions Report generated on 07/07/2023 by adelasantos@aol.com No Company Description Available SIC Code Line of Business 0783-01 Tree Service Primary NAICS Code Description 56173022 Landscaping Services Primary Business Hours Not Available tiusiness Expenditures Spending Category Range Spending Category Range Accounting Not Available Package/Container Not Available Management/Administration Not Available Payroll Not Available Technology Not Available Printing Not Available Telecommunications Not Available Rent and Leasing Not Available Insurance Not Available Utilities Not Available Legal Not Available Advertising Not Available Office Equipment and Supplies Not Available Contract Labor Not Available _egal Filings Filing Date State County Type Amount Case Number 2/15/2013 FL COLLIER State Tax Lien Release $300 5756747 UCC Filings Filing Date Type 3/29/2022 UCC1 Exp. Date Filing Number NIA 202200986041 Similar Local Businesses Jurisdiction Secured Party Collateral Commercial Industrial Finance Inc 10024 FLORIDA Office Center Ave Ste Undefined 150 Saint Louis MO 63128 Business Name Location Credit Score Anchor Tree Svc 3421 White Blvd , 34117 A (90) Arrow Tree & Land Svc 1291 24th Ave NE , 34120 C+ (76) Bobcat Tractor Tree -Eager 15275 Collier Blvd # 201 , 34119 B (80) Dans Grading 2551 2nd Ave NE , 34120 C+ (78) General Tree & Landscaping 3190 25th Ave SW, 34117 C+ (76) General Tree & Lawn Svc 1801 42nd St SW, 34116 C (73) Monster Tree Svc -SOUTHWEST FI 3710 3rd Ave SW # A, 34117 C+ (78) Parker's Tree Svc 4050 13th Ave SW , 34116 B+ (85) Total Care Tree Svc 5880 English Oaks Ln , 34119 B (80) Williams Lawn Care Svc Inc 5821 Painted Leaf Ln , 34116 B (81) Page 2 0 00 a Packet Pg. 294 8.G.1 data a;rle - credit Solutions Report generated on 07/07/2023 by adelasantos@aol.com Neart)y Businesses _ Business Name Air Flow Air Cond Systs Inc Appraisal Source LLC C Blanco Lawn Care Inc Freedom Rehabilitation Ent LLC Golden Home Builders Inc Lister -Kemp Advertising Preventive Maintenance A C Pro Site Inc Sure -Lock Locksmith Tarvate, Ketan G Location 495 19th St SW, 34117 375 21st St SW , 34117 370 23rd St SW, 34117 2160 Golden Gate Blvd W , 34120 361 17th St SW , 34117 95 17th St SW , 34117 341 17th St SW , 34117 110 21 st St SW , 34117 122 21 st St SW , 34117 2160 Golden Gate Blvd W , 34120 %.,V111Na11y rvtvwb Date Article 717/2023 10:42:00 AM Maine Legislature approves budget addendum that includes 12-week paid family leave program 7/7/2023 3:23:00 AM California Avocado -Coffee Estate Merges Progress With Tradition 7/612023 10:26:21 PM Maine worker killed after being pulled to the ground by portion of cut tree 7/512023 4:23:58 PM I turned PUBG into a racing game, and now it's fun again 7/3/2023 11:21:00 AM Tree Service Company Sets Green Standards with Eco-Friendly Practices 712/2023 11:59.00 AM Husqvarna Automower 45OXH EPOS review: A breakthrough for robot lawn mowers 7/1/2023 8:00:00 AM How Much Does It Cost to Plant a Tree? 6/9/2023 5:16:00 PM How Much Does Tree Stump Removal Cost? Cost to Remove a Tree Stump, Explained 9/20/2022 7:34:00 PM Wantage residents warned about 'scam' tree cutting service 11t25/2021 3:02:00 PM 25 places across Southern California to pick up the perfect Christmas tree Company Notes No Notes Available Payment Ratings I No Payment Ratings Available Source Fox News Forbes Bangor WABI-TV on MSN.com TechRadar on MSN.com Benzinga.com Tom's Guide bobvila bobvila Oxford Mail Los Angeles Times 3rou ht to you by _ clata axle • Credit solutions 1020 E 1st Street Toll free: (800) 993-5323 Papillion, NE 68046 customerserviceQcredit.net Fax: (402) 836-1200 Terms & Conditions The information contained in this report is exclusively provided to you for your own use for legitimate business purposes and may not be transferred to any other party. By necessity, credit decisions must be based on the credit provider's Page 3 t:0 00 a Packet Pg. 295 8.G.1 A CERTIFICATE OF LIABILITY INSURANCE DATE {Mo7ro712023 Y) r2oz3 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed, If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NATACT kNte: Ezinsurance of Naples Ezinsurance of Naples PHONE 4127 Tamiami Trail ��A1Ns,EX11; (239)353f6207 FAx 239 3 .(AIC. Not: ( ) 53-6432 INSURER(S) AFFORDING COVERAGE _ Naples FL 34112 _ _ _ NAM N - - - - - INSURER A: Burlington Insurance Company INSURED - -- - ----- -. B: _INSURER A Perfect Cut Tree Service INSURER C 261 191h St SW INSURER D INSURER E: Naples FL 34117 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS TS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER ABOVE FOR THE DOCUMENT POLICY PERIOD WITH RESPECT CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED TO WHICH THIS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. HEREIN IS SUBJECT TO ALL THE TERMS, INSR - ---- LTR TYPEOFINSURANCE POLICYNUMBER MMIDDY EFF MM DDIYYYY LIMITS _ GENERAL LIABILITY EACH OCCURRENCE S 1,000.000 COMMERCIAL GENERAL LIABILITY DAVAOE-TORENTED --- 100,000 ®OCCUR PREMISES IEa occurrence) _ S_ CLAIMS -MADE IAEOE%P(Anyone person) S 5,000 A 6268015645 07/0612023 07106/2/124 PERSONAL & ADV INJURY S 1.000,000 GENERAL AGGREGATE S 2,000.000 GFN'L AGGREGATE LIMIT APPLIES PER PRODUCTS -_C_ OMPIOP AGG S Ind.in.Gen.Agg POLICY I I PRA LOC S AUTOMOBILE LIABILITY MBINED SINGE IT LEa a[cidenll. S ANY AUTO _ __ BODILY INJURY (Per person) S _ ALL OWNED SCHEDULED -- -- - -__ AUTOS AUTOS BODILY INJURY (Per accident) S NED HIREDAUTOS AUTOS A AUTOS RTY DAMAGE 511 PE S - f S UMBRELLA LIAB OCCUR - EACH OCCURRENCE EXCESS LIAR CLAIMS -MADE - - i _ _S AGGREGATE f DED RETENTIONS I _ - WORKERS COMPENSATION S WC STATU- OTH- AND EMPLOYERS' LIABILITY YIN —_ 1QPY LIMITS ANY PROPRIETOAdPARTNERIEXECUTiVE OFFICERIMEMBER E%CLUDFO7 N1A E.L. EACH ACCIDENT )Mandatory in NH)li yes, describe under F..L.MPLDISEASE - EA EOYEEN_ rS DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIM DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more apace re requlretl} Tree pruning, dusting, spraying, repairing, Irimming or fumigating CERTIFICATE HOLDER _ _ CANCELLATION Collier County Contfactor Licensing Board 2800 Horseshoe Drive N 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 REPRESEN TATIVE Naples FL 34104 Ezinsurance of Naples ACORD 25 (2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORO name and logo are registered marks of ACORD a 00 r Q Packet Pg. 296 of iB _ � C0 JIMMY PATRONIS CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * NON -CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 10/13/2021 PERSON: ADELA SANTOS FEIN: 201245221 BUSINESS NAME AND ADDRESS: A PERFECT CUT TREE SERVICE INC +K-11<t&011:1611�3TITI NAPLES, FL 34117 SCOPE OF BUSINESS OR TRADE: Tree Pruning, Spraying, Repairing -All Operations & Drivers EXPIRATION DATE: 10/13/2023 EMAIL: ADELASANTOS@AOL.COM IMPORTANT: Pursuant to subsection 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to subsection 440.05(12), F.S., Certificates of election to be exempt issued under subsection (3) shall apply only to the corporate officer named on the notice of election to be exempt and apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to subsection 440.05(13), F.S., notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 E01428324 QUESTIONS? (850) 413-1609 8.G.1 a 00 r m E t U r Q Packet Pg. 297 8.G.1 JIMMY PATRONIS CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * NON -CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 10/15/2021 PERSON: DOMINIC L SANTOS FEIN: 201245221 BUSINESS NAME AND ADDRESS: A PERFECT CUT TREE SERVICE INC 261 19TH ST SW NAPLES, FL 34117 SCOPE OF BUSINESS OR TRADE: Tree Pruning, Spraying, Repairing -All Operations & Drivers EXPIRATION DATE: 10/15/2023 EMAIL: DSANTOSTREESERVICE@YAHOO.COM IMPORTANT: Pursuant to subsection 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to subsection 440.05(12), F.S., Certificates of election to be exempt issued under subsection (3) shall apply only to the corporate officer named on the notice of election to be exempt and apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to subsection 440.05(13), F.S., notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 E01430041 QUESTIONS? (850) 413-1609 a 00 r s= ry E t U r Q Packet Pg. 298 ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE (MM!°DfYYYY) 1 07/07r2023 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 endorsemeni(s). PRODUCER Gaslamp Insurance Services, LLC Bruce Carli]e NAME CT Customer Service Department PHONki Ext: B00 920-4125 Fa c No: (Boo) 920-4107 EMAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC N 2244 Faraday Avenue #125 Carlsbad, CA 92008 INSURERA: Preferred Contractors Insurance Company, RRG 12497 INSURED D Santos Tree Service LLC INSURER B : INSURER C INSURER D : 261 19th Street Southwest, INSURERS: Naples, FL34117 INSURER F COVERAGES CERTIFICATE NUMBER: 2799299-001 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICYEFF MMIDDIYYYY POLICY EXP MMlDD LIMITS X COMMERCIAL GENERALLIABILITY X CLAIMS -MADE DOCCUR PCCM450705 04105f2023 04/05r2024 EACHOCGURRENCE $ $1,000,000 PREMISES Ea occurrence $ $50,000 MED EXP (Any one person) S $5,000 PERSONAL&ADV INJURY $ $1,000,000 A GEN'L AGGREGATE LIMIT APPLIES PER. X POLICY1:1 JERCOT r7 LOC GENERAL AGGREGATE $2,000,000 PRODUCTS - COMPIOPAGG $ $1,000,000 $ OTHER: AUTOMOBILE LIABILITY COM BINEO SINGLE LIMIT Ea cderri $ ANYAUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) S HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident S $ UMBRELLALIA9 EICLAIMS-MADE OCCUR E-ACHOCCURRENCE $ AGGREGATE $ EXCESS UAB DIED I I RETENTION S $ WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY YIN PER OTH- STATUTE ER E.L. EACH ACCIDENT $ ANY PROPRIFTORIPARTNERIEXECUTIVE ElN OFFICER/MEMBER EXCLUDED? f A E.L. DISEASE - FA EMPLOYEE $ (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS belus DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Verification of Coverage *Subject to all policy terms, exclusions and conditions* CERTIFICATE HOLDER CANCELLATION Collier County Licensing Board SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 2800 Horseshoe Dr N, Naples, FL 34104 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Bruce Carlile mil/«f(�X4�wl 019BB-2015 ACORD CORPORATION. All rights reserved ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 8.G.1 a 00 r Q Packet Pg. 299 of rt�s ` COD WE a JIMMY PATRONIS CHIEF FINANCIAL_ OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law EFFECTIVE DATE: 3/23/2023 PERSON: DOMINIC L SANTOS FEIN: 921143756 BUSINESS NAME AND ADDRESS: D SANTOS TREE SERVICE " LLC" 261 19TH ST SW NAPLES, FL 34117 EXPIRATION DATE: 3/22/2025 EMAIL: DSANTOSTREESERVICE@YAHOO.COM This certificate of election to be exempt is NOT a license issued by the Department of Business and Professional Regulation. To determine if the certificate holder is required to have a license to perform work or to verify the license of the certificate holder, go to www.myfloridalicense.com. 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 if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT RULE 69L-6,012, F.A.C. REVISED 01/2023 E01692903 QUESTIONS? (850) 413-1609 8.G.1 a eo r Q Packet Pg. 300 I���l i©�� ]Jl Statement Period Date: 6/1/2023 Account Type: 5/3 BUS FIFTH THIRI] BAAIK Account Number: 1224 (SOUTH FLORIDA) P.O. BOX 630900 CINCINNATI OH 45263.0900 Lai Banking Center; Mission Hills U A PERFECT CUT TREE SERVICE 0 Banking Center Phone: 239-354569E j 261 19TH ST SW Business Banking Support: 877-534-2264 W NAPLES FL 34117-3323 16 V) Account Summary - 224 06/01 Beginning Balance $2.56 Number of Days in Period 1 Checks 1 Withdrawals / Debits $(5.00) 1 Deposits / Credits $2.44 06/01 Ending Balance $0.00 Analysis Period: 04/01/23 - 04/30/23 Standard Monthly Service Charge $0.00 Standard Monthly Service Charge Waived (see below) $0.00 PAPER ACCOUNT STATEMENT FEE $3.00 Service Charge withdrawn on 05/10/23 $3.00 Withdrawals / Debits 1 Item totaling $5.00 Date Amount Description 06/01 5.00 DORMANT ACCOUNT FEE Deposits / Credits 1 item totaling $2.44 Date Amount Description 06/01 2.44 DORMANT ACCOUNT FEE REVERSED Daily Balance Summary Date Amount 06/01 0.00 IF YOU USE TREASURY MANAGEMENT SERVICES, PLEASE NOTE THAT WE HAVE UPDATED OUR TERMS & CONDITIONS. GO TO 53.COM/TM-TC TO VIEW, a 00 r Q For additional information and account disclosures, please visit www.53.com/businessbanking Packet Pg. 301 u F11FTH THIRD BANK 8.G.1 This page Intentionally left blank. a 00 r c m E t u r Q Packet Pg. 302 W Statement Period Date; 5/1/2023 - Account Type: 5/3 BUS 8•G.1 FIFTH THIRD BANK Account Number: 224 (SOUTH rLOwoA) P.O. BOX 630900 CINCINNATI OH 45263.0900 Banking Canter: Mission Hills U A PERFECT CUT TREE SERVICE 0 Banking Center Phone: 239-354-569( 261 19TH 5T SW Business Banking Support: 877-534-2264 W NAPLES FL 34117-3323 LU Cn 11345 Account Summary - _ , _224 05/01 Beginning Balance $5.56 Number of Days in Period 31 Checks 1 Withdrawals / Debits $(3.00) Deposits / Credits 05/31 Ending Balance $2.56 OUR RECORDS INDICATE THAT YOUR ACCOUNT HAS HAD NO ACTIVITY FOR SOME TIME AND FOR YOUR PROTECTION IT IS NOW CONSIDERED DORMANT. A FEE OF FIVE DOLLARS MAY BE ASSESSED MONTHLY UNTIL ACTIVITY IS RESUMED ON THIS ACCOUNT. BY MAKING A DEPOSIT TO OR WITHDRAWAL FROM THIS ACCOUNT THE DORMANT STATUS WILL BE REMOVED AND FEES WILL NO LONGER BE INCURRED. FOR ADDITIONAL INFORMATION, PLEASE CONTACT YOUR RELATIONSHIP MANAGER OR CALL THE COMMERCIAL SUPPORT CENTER AT 866-475-0729, MONDAY THROUGH FRIDAY, 7 A.M. TO 10 P.M., ET. Analysis Period: 04/01/23 - 04/30/23 Standard Monthly Service Charge $0,00 Standard Monthly Service Charge Waived (see below) $0.00 PAPER ACCOUNT STATEMENT FEE $3.00 Service Charge withdrawn on 05/10/23 $3.00 Withdrawals / Debits 1 item totaling $3.00 Date Amount Description 05/11 3.00 SERVICE CHARGE Daily Balance Summary Date Amount 05/11 2.56 IF YOU USE TREASURY MANAGEMENT SERVICES, PLEASE NOTE THAT WE HAVE UPDATED OUR TERMS & CONDITIONS. GO TO 53.COM[TM-TC TO VIEW. a 00 r Q For additional information and account disclosures, please visit www.53.com/businessbanking Packet Pg. 303 u FIFTH THIRD BANK 8.G.1 This page intentionally left blank. a 00 r m E t u r Q Packet Pg. 304 ® Statement Period Date; 4/1/2023 - r" Account Type: 5/3 BUS 8.G.1 FIFTH THIRD BANK Account Number: 224 (SOUTH FLORIDA) P.O. BOX 630900 CINCINNATI OH 45263-0900 Banking Center: Mission Hills U A PERFECT CUT TREE SERVICE 0 Banking Center Phone: 239-354-569t 261 19TH ST SW NAPLES FL 34117-3323 Business Banking Support: 877-534-2264 W 11776 Cn Account Summary - 2224 04/01 Beginning Balance $8.56 Number of Days in Period 30 Checks I Withdrawals / Debits $(3.00) Deposits / Credits 04/30 Ending Balance $5.56 Analysis Period: 03/01/23 - 03/31/23 Standard Monthly Service Charge $0.00 Standard Monthly Service Charge Waived (see below) $0.00 PAPER ACCOUNT STATEMENT FEE $3.00 Service Charge withdrawn on 04/12/23 $3.00 Withdrawals / Debits 1 item totaling $3.00 Date Amount Description 04/12 3.00 SERVICE CHARGE Daily Balance Summary Date Amount 04/12 5.56 IF YOU USE TREASURY MANAGEMENT SERVICES, PLEASE NOTE THAT WE HAVE UPDATED OUR TERMS & CONDITIONS, GO TO 53.COM/TM-TC TO VIEW. a 00 r m E t U R r Q For additional information and account disclosures, please visit www.53.com/buslnessbanking Packet Pg. 305 u FIFTH THIRD BANK 8.G.1 This page intentionally left blank. 0 00 r m E t u r Q Packet Pg. 306 8.G.1 Suncoast Account Statement Member Number. -- •812 106/01 /2023 - 06/30/2023 I Page 1 of 5 D SANTOS TREE SERVICE LLC 261 19TH ST SW NAPLES FL34117-3323 Take Care of Business with a Business Credit Card. J6 Suncoast Credit Union When it's time to streamline your business expenses or easily pay for purchases, we've got you covered with the Suncoast Business Platinum Visa' Credit Card. Low rates, no hidden fees and rewards for you and your community! Learn more and apply online at suncoastereditunion.com/business-cc. Year to Date Summary Dividends Paid YTD $0.41 BUSINESS REGULAR SAVINGS Suffix OOf Transaction History Post Date Eff Date Transaction Description 06/01/2023 Balance Forward No transactions for this cycle Dividends Paid Year to Date Access Your Account: SunNet Online Banking SunMobile App Sun7el Phone Banking For Direct Deposit and Automatic Payments use Routing Number (RTN): 263182817 Authorized Signer- DOMINIC LEE SANTOS Amount New Balance 15.71 0.41 ................................._........................................... .................................. € Total for this ' Statement Period Total Year to Date r........................................................ ........................... ........ ......................................................._............................! E Total Overdraft Fees ; $0.00 $0.00 ......._........................................................................................................... r.......................................................--........................................ .......... ..............................................i Total Returned Item Fees ! $0.00 $0.00 ..........................._.._.................................................x............... BUSINESS CLASSIC CHECKING Suffix OC Activity Summary Previous Balance 06/01/2023 $2,272,56 Deposits $22,817.75 Withdrawals $-10,373.18 Ending Balance 06/30/2023 $14,717.13 Transaction History Post Date Eff Date Transaction Description 06/01/2023 05/31/2023 Withdrawal POS4315121743098 7-ELEVEN 37114 NAPLES FL 06/01 /2023 06/01/2023 Withdrawal POS #315207632640 RACETRAC602 NAPLES FL 06/0112023 06/01/2023 Deposit Authorized Signer - DOMINIC LEE SANTOS Amount New Balance -54.36 2,218.20 -4.16 2,214,04 250.00 2,464.04 Continued on next page R00.999.59R7 I 21'4.621.7S11 1 ainrnactrrPrIltiininn.rnm I P-0. Rnx 11904. Tamna. FI R36R0 C9 00 r Q Packet Pg. 307 8.G.1 Member Number: 12I06/01 /2023 - 06/30/2023I Page 2 of 5 BUSINESS CLASSIC CHECKING Suffix 00 Transaction History (continued) Post Date Eff bate Transaction Description Amount New Balance 06/03/2023 06/03/2023 Recurring Withdrawal Debit Card -328.51 2,135.53 ANGI LEADS 833-922-2897 CO 06/03/2023 06/03/2023 Withdrawal POS #315407568368 -6.57 2,128.96 CIRCLE K # 23860 NAPLES FL 06/03/2023 06/03/2023 Withdrawal POS #315407574081 -84.43 2,044.53 CIRCLE K # 23860 NAPLES FL 06/03/2023 06/03/2023 Withdrawal POS #315409312514 -9.31 2,035.22 7-ELEVEN 37114 NAPLES FL 06/03/2023 06/03/2023 Withdrawal POS #315409614442 -62.92 1,972.30 7-ELEVEN 37114 NAPLES FL 06/04/2023 06/04/2023 Withdrawal POS #315508994695 -48,98 1,923.32 7-ELEVEN 37114 NAPLES FL 06/05/2023 06/05/2023 Withdrawal POS #315609963798 -50.07 1,873.25 7-ELEVEN 34891 NAPLES FL 06/05/2023 06/0512023 Withdrawal POS#315609964422 -9.83 1,863.42 7-ELEVEN 34891 NAPLES FL 06/05/2023 06/05/2023 Deposit by Check 2,500.00 4,363,42 06/05/2023 06/05/2023 Withdrawal POS #315612206828 -100.56 4,262.86 ADVANCE AUTO PARTS 49242 NAPLES FL 06/06/2023 06/06/2023 Withdrawal Adjustment Debit Card Credit Voucher 478.40 4,741.26 TRACK LOADER PARTS LITHONIA GA 06/07/2023 06/07/2023 Withdrawal POS #315839059930 -266.55 4,474.71 NNT SHERWIN WILLIAM000802 12025 COLLIER BLVD NAPLES FL 06/07/2023 06/07/2023 Withdrawal POS #315800299492 -27.52 4,447,19 WM SUPERCENTER #5055 Wal-Mart Super Center NAPLES FL 06/07/2023 06/07/2023 Draft 104 -3,050.00 1,397.19 06/07/2023 06/07/2D23 Withdrawal POS #315820333420 -70.98 1,326,21 7-ELEVEN 37114 NAPLES FL 06/08/2023 06/08/2023 Withdrawal Debit Card -455.81 870.40 VIOC GA0015 NAPLES FL 06/08/2023 06/08/2023 Withdrawal Debit Card -51.12 819.28 TROPIC TRAILER FORT MYERS FL 06/09/2023 06/09/2023 Withdrawal ACH PROG EXPRESS -252.00 567.28 TYPE: INS PREM CO: PROG EXPRESS 06/09/2023 06/09/2023 Deposit 3,250.00 3,817.28 06/09/2023 06/09/2023 Withdrawal POS #316020134646 -87.84 3,729.44 7-ELEVEN 37114 NAPLES FL 06/09/2023 06/09/2023 Withdrawal POS #316020134422 -125.00 3,604.44 7-ELEVEN 37114 NAPLES FL 06/09/2023 06/09/2023 Withdrawal POS #316020974860 -75.22 3,529.22 7-ELEVEN 37114 NAPLES FL 06/10/2023 06/10/2023 Recurring Withdrawal Debit Card -172.74 3,356.48 ANGI LEADS 833-922-2897 CO 06/10/2023 06/10/2023 Withdrawal POS #316100092420 -61.71 3,294,77 7-LLEVEN 8920 COLONIAL CENT US FT. MYERS FL Continued on next page RDA.999.5RR7 I R13.621.7511 I -unrna-,trradituninn.rnm I P_0, Rnx 11904. Tim na. FI 3RA,Rn 0 00 a Packet Pg. 308 8.G.1 Member Number. 5812106/01/2023 - 06/30/20231 Page 3 of 5 BUSINESS CLASSIC CHECKING Suffix 00! Transaction History (continued) Post Date Eff Date Transaction Description Amount New Balance 06/12/2023 06/12/2023 Withdrawal ACH AGILE PF -219.32 3,075.45 TYPE: DRAFTS CO: AGILE PF 06/12/2023 06/12/2023 Deposit 1,300.00 4,375.45 06/12/2023 06/12/2023 Withdrawal Debit Card -159.49 4,215.96 CUTTERS CHOICE BONITA SPRING FL 06/12/2023 06/12/2023 Withdrawal POS #316400305111 -71.87 4,144.09 7-ELEVEN 4704 GOLDEN GATE P US NAPLES FL 06/13/2023 06/12/2023 Withdrawal Debit Card -1,380.00 2,764.09 MLA CUSTOMS mlacustoms1 @g FL 06/14/2023 06/14/2023 Withdrawal POS #316519784521 -30.73 2,733.36 7-ELEVEN 37114 NAPLES FL 06/14/2023 06/14/2023 Withdrawal POS #316519141258 -49,27 2,684.09 7-ELEVEN 37114 NAPLES FL 06/15/2023 06/15/2023 Withdrawal Debit Card -93.94 2,590.1 S B B HYDRAULICS NAPLES FL 06/16/2023 06/16/2023 Withdrawal POS #316711768124 -81.98 2,508.17 7-ELEVEN 37114 NAPLES FL 06/16/2023 06/16/2023 Withdrawal POS #316711668317 -103.44 2,404.73 7-ELEVEN 37114 NAPLES FL 06/16/2023 06/16/2023 Deposit at ATM #000000008674 1,000.00 3,404.73 SUNCOAST CREDIT UNION 7465 VANDERBUILT BEACH NAPLES FL 06/17/2023 06/17/2023 Recurring Withdrawal Debit Card -378.02 3,026.71 ANGI LEADS 833-922-2897 CO 06/17/2023 06/17/2023 Withdrawal POS #316811436957 -76.31 2,950.40 RACETRAC2439 NAPLES FL 06/19/2023 06/19/2023 Withdrawal POS #317009382235 -6.78 2,943.62 7-ELEVEN 37113 NAPLES FL 06/19/2023 06/19/2023 Withdrawal POS #317000126117 -4.06 2,939.56 7-ELEVEN 14004 IMMOKALEE RD US NAPLES FL 06/19/2023 05/19/2023 Withdrawal POS #317020973910 -49.04 2,890.52 7-ELEVEN 37114 NAPLES FL 06/19/2023 06/19/2023 Withdrawal POS #317020974193 -125.00 2,765.52 7-ELEVEN 37114 NAPLES FL 06/19/2023 06/19/2023 Withdrawal POS #317020779549 -70.02 2,695.50 7-ELEVEN 37114 NAPLES FL 06/20/2023 06/20/2023 Withdrawal Debit Card -160.07 2,535.43 B B HYDRAULICS NAPLES FL 06/20/2023 06/20/2023 Withdrawal POS #317107859615 -67.34 2,468.09 CIRCLE K # 23860 NAPLES FL 06/20/2023 06/20/2023Withdrawal POS #317107878002 -12.04 2,456.05 CIRCLE K # 23860 NAPLES FL 06/21/2023 06/21/2023 Deposit Debit Card 687.75 3,143.80 VENMO*Santos Dominic New York City NY Date 06/21/23 14248183172154618546186 4829 06/21/2023 06/21/2023 Withdrawal POS#317213594201 -17.66 3,126.14 CIRCLE K # 23860 NAPLES FL 06/21/2023 06/21/2023 Withdrawal POS #317213600060 -77.29 3,048.85 Continued on next page R00.999.,R87 1 R13.621 7S11 I aunrnaetrrPdihinion.rnm I P.O. Rnx 11904. Tamnn. FI 84FiR0 0 00 a Packet Pg. 309 8.G.1 Member Number: 312 106/01 /2023 - 06/30/2023 I Page 4 of 5 BUSINESS CLASSIC CHECKING Suffix 00 Transaction History (continued) Post Date Eff Date Transaction Description Amount New Balance CIRCLE K # 23860 NAPLES FL 06/22/2023 06/22/2023 Deposit by Check 4,350.00 7,398.85 06/23/2023 06/23/2023 Deposit by Check 900.00 8,298.85 06/23/2023 06/23/2023 Deposit by Check 1,180.00 9,478.85 06/23/2023 06/23/2023 Withdrawal POS #317416950807 -205.39 9,273,46 AUTOZONE 4992 7575 VAN DE NAPLES FL 06/24/2023 06/24/2023 Recurring Withdrawal Debit Card -598.21 8,67S.25 ANGI LEADS 833-922-2897 CO 06/24/2023 06/24/2023 Withdrawal POS #317507562061 486 8,665.39 CIRCLE K # 23860 NAPLES FL 06/24/2023 06/24/2023 Withdrawal POS #317507566177 -75.96 8,589.43 CIRCLF K # 23860 NAPLES FL 06/24/2023 06/24/2023 Withdrawal POS #317507572143 -92.98 8,496.45 CIRCLE K # 23860 NAPLES FL 06/24/2023 06/24/2023 Withdrawal POS#317500915723 -10.01 8,486.44 7-ELEVEN 4831 E. TAMIAMI TR US NAPLES FL 06/25/2023 06/25/2023 Withdrawal POS #317608779619 -54.75 8,431.69 7-ELEVEN 37114 NAPLES FL 06/25/2023 06/25/2023 Withdrawal POS #317608677798 -57.83 8,373,86 7-ELEVEN 37114 NAPLES FL 06/26/2023 06/26/2023 Withdrawal POS #317722621060 -164.45 8,209A1 AUTOZONE 4992 7575 VANDE NAPLES FL 06/26/2023 06/26/2023 Withdrawal Debit Card -261.39 7,948.02 CUTTERS CHOICE BONITA SPRING FL 06/27/2023 06/27/2023 Withdrawal Debit Card -115.51 7,832.51 THOROUGHBRED PERFORMANC 859-7374966 KY 06/27/2023 06/27/2023 Withdrawal POS #317812880702 -30.53 7,801.98 CIRCLE K # 23860 NAPLES FL 06/27/2023 06/27/2023 Withdrawal POS #317812884464 -75.53 7,726.45 CIRCLE K # 23860 NAPLES FL 06/27/2023 06/27/2023 Withdrawal POS #317812888270 -6.88 7,719.57 CIRCLE K # 23860 NAPLES FL 06/27/2023 06/27/2023 Withdrawal POS #317812899380 -100.00 7,619.57 CIRCLE K # 23860 NAPLES FL 06/27/2023 06/27/2023 Withdrawal POS #317812907803 -100.00 7,519.57 CIRCLE K # 23860 NAPLES FL 06/28/2023 06/28/2023 Withdrawal POS #317907778784 -100.00 7,419.57 CIRCLE K # 23860 NAPLES FL 06/28/2023 06/28/2023 Deposit by Check 7,400.00 14,819.57 06/28/2023 06/28/2023 Withdrawal POS 9317921626783 -23.53 14,796.04 AUTOZONE 4992 7575 VAN DE NAPLES FL 06/29/2023 06/29/2023 Withdrawal POS #318007140949 -32.17 14,763.87 7-ELEVEN 37114 NAPLES FL 06/29/2023 06/29/2023 Withdrawal POS #318007682219 -16.67 14,747.20 7-ELEVEN 37114 NAPLES FL 06/29/2023 06/29/2023 Withdrawal POS #318007141444 -2.77 14,744.43 7-ELEVEN 37114 NAPLES FL 06/29/2023 06/29/2023 Withdrawal POS #318007381779 -7.30 14,737.13 Continued on next page Rnn.999.5RR7 1 91 R_h71.7911 1 -,unrnactrrPdifttninn.rnm I P.O. Rnx 11904. Tamna. FI 33f,R0 0 00 a Packet Pg. 310 8.G.1 Member Number: 312106/01/2023 - 06/30/20231 Page 5 of 5 BUSINESS CLASSIC CHECKING Suffix M Transaction History (continued) Post Date Eff Date Transaction Description Amount New Balance 7-ELEVEN 37114 NAPLES FL 06/30/2023 06/30/2023 Withdrawal MAINTENANCE FEE -20.00 14,717.13 Share Draft Summary No. Amount 104 3,050.00 .................. _.......................................... ................. ... .................. ........ ... ..... ...... ._......................................................... ..... ... .... .................. ....................._....................... _........... Total for this Statement Period Total Year to Date Total Overdraft Fees $0.00 Totalet Rurned Item Fees .._......_.._.................................._........_.........._......................................................._......................................................................................._..........a ...._.._......._........................_......................._...._.. $0.00 -------- —-------- � $0.00 0 00 r Rn(1.999.SRR7 1 913.621.7911 1 cunrnaetrrPditimion.rnm I P.O. Rnx 11904. Tamna. FI 336RO d E t a Packet Pg. 311 8.G.1 Suncoast Account Statement Member Number: 912I05/01/2023-05/31/20231 Page of D SANTOS TREE SERVICE LLC 261 19TH ST SW NAPLES FL 34117-3323 Enjoy a Flexible Way to Save! Open a business money market account today to benefit from the higher returns on your deposits but keep the flexibility of having access to your funds when you need them for your business. It's like a savings account with the benefits of a checking account! Explore our great rates and terms at suncoastcreditunion.com Year to Date Summary Dividends Paid YTD $0.41 BUSINESS REGULAR SAVINGS Suffix OG Transaction History Post Date Eff Date Transaction Description 05/01/2023 Balance Forward No transactions for this cycle Dividends Paid Year to Date Suncoast Credit Union Access Your Account: SunNet Online Banking SunMobile App SunTel Phone Banking For Direct Deposit and Automatic Payments use Routing Number (RTN): 263182817 Authorized Signer- DOMINIC LEE SANTOS Amount New Balance 15.71 0.41 .............._......_......................................._.............................................................................................. ........................... Total for this i Statement Period ; Total Year to Cate ! .................................. .................................... -... ... ............... .......... ......... ....i.............................................................................................. ........................ .......................................� Total Overdraft Fees , $0.00 $0.00 ; j.. ........... .... ...._.......... ._.... ..........................................................................._...r._...................._.....$ O.00...............................t..............................$ 0.00............................. Total Returned Item Fees , z............................................._..............................._..---.................---......_......................................, BUSINESS CLASSIC CHECKING Suffix 00 Activity Summary Previous Balance 05/01/2023 $2,246.79 Deposits $4,972,13 Withdrawals $-4,946.36 Ending Balance 05/31/2023 $2,272.56 Transaction History Post Date Eff Date Transaction Description 05/02/2023 05/01/2023 Deposit Debit Card VENMO*Santos Dominic New York City NY Date 05/02/23 04248183122537484374841 4829 05/02/2023 05/02/2023 Withdrawal POS #312207703741 CIRCLE K # 23960 NAPLES FL 05/02/2023 05/02/2023 Withdrawal POS #312207712304 Authorized Signer- DOMINIC LEE SANTOS Amount New Balance 442.13 2,688.92 -93.97 2,594.95 -16.12 2,S78.83 Continued on next page Rnn.999.5RR7 I R13.621.7511 1 ;unrna<trre,8iruninn.rnm I P.(). Rnx 11A04. Tamna. PI RR6Rn C9 00 r Q Packet Pg. 312 8.G.1 Member Number: 12 J 05/01 /2023 - 05/31 /2023 1 Page 2 of 4 BUSINESS CLASSIC CHECKING Suffix 00 Transaction History (continued) Post Date Eff Date Transaction Description Amount New Balance CIRCLE K # 23860 NAPLES FL 05/02/2023 05/02/2023 Withdrawal POS #312207719236 -100.00 2,478.83 CIRCLE K# 23860 NAPLES FL 05/02/2023 05/02/2023 Withdrawal POS #312208729329 -100.00 2,378.83 CIRCLE K # 23860 NAPLES FL 05/02/2023 05/02/2023 Deposit by Check 300.00 2,678.83 05/02/2023 05/02/2023 Withdrawal Adjustment Debit Card Credit Voucher 146.40 2,825.23 THE HOME DEPOT#0280 NAPLES FL 05/04/2023 05/04/2023 Withdrawal POS #312411712456 -9.89 2,815.34 7-ELEVEN 37114 NAPLES FL 05/05/2023 05/05/2023 Withdrawal POS #312508649386 -10.50 2,804.84 CIRCLE K # 23860 NAPLES FL 05/05/2023 05/05/2023 Withdrawal POS #312508656853 -11.03 2,793.81 CIRCLE K # 23860 NAPLES FL 05/05/2023 05/05/2023 Withdrawal POS #312508663570 -100.00 2,693.81 CIRCLE K# 23860 NAPLES FL 05/05/2023 05/05/2023 Withdrawal POS #312508688920 -100.00 2,593.81 CIRCLE K # 23860 NAPLES FL 05/05/2023 05/05/2023 Withdrawal POS #312508720692 -57.22 2,536.59 CIRCLE K # 23860 NAPLES FL 05/0S/2023 05/05/2023 Deposit by Check 1,955.00 4,491.59 05/06/2023 05/06/2023 Recurring Withdrawal Debit Card -276.86 4,214.73 ANGI LEADS 833-922-2897 CO 05/07/2023 05/07/2023 Withdrawal POS #312715493184 -77.13 4,137.60 THE HOME DEPOT #8444 FORT MYERS FL 05/08/2023 05/08/2023 Withdrawal POS #312807633008 -71.62 4,065.98 CIRCLE K # 23860 NAPLES FL 05/08/2023 05/08/2023 Withdrawal POS #312807650358 -100.00 3,965.98 CIRCLE K # 23860 NAPLES FL 05/08/2023 05/08/2023 Withdrawal P05 #312807664630 -53.23 3,912.75 CIRCLE K # 23860 NAPLES FL 05/08/2023 05/08/2023 Withdrawal Debit Card -795.81 3,116.94 CUTTERS CHOICE BONITA SPRING FL 05/09/2023 05/09/2023 Deposit by Check 75.00 3,191.94 05/09/2023 05/09/2023 Withdrawal Debit Card -184.25 3,007.69 TROPIC TRAILER FORT MYERS FL 05/11/2023 05/11/2023 Withdrawal ACH AGILE PF -225.27 2,782.42 TYPE; DRAFTS CO: AGILE PF 05/11/2023 05/11/2023 Withdrawal POS #313107141244 -5.08 2,777.34 7-ELEVEN 37114 NAPLES FL 05/12/2023 05/12/2023 Withdrawal POS #313200077306 -19.58 2,757.76 7-ELEVEN 7445 DAVIS BLVD. US NAPLES FL 05/13/2023 05/13/2023 Recurring Withdrawal Debit Card -49.37 2,708.39 ANGI LEADS 833-922-2897 CO 05/13/2023 05/13/2023 Withdrawal Debit Card -38.86 2,669.53 DOMINO'S 5043 239-354-2444 FL 05/15/2023 05/15/2023 Withdrawal POS #313509228639 -38.69 2,630.84 CIRCLE K # 03919 NAPLES FL Continued on next page R00.Q9A_5RR7 I R13.6')1.7511 1 sunroa¢trrPdiNjnion.rom I P.O. Rom 11G04.Tamna. FI 3'3680 (9 00 d E t a Packet Pg. 313 8.G.1 Member Number 3812�05/01/2023 - 05/31/2023I Page 3 of 4 BUSINESS CLASSIC CHECKING Suffix 00 Transaction History (continued) Post Date Eff Date Transaction Description Amount New Balance 05/15/2023 05/15/2023 Withdrawal POS #313512272779 -81.39 2,549.45 CIRCLE K # 06617 LAKELAND FL 05/15/2023 05/15/2023 Withdrawal POS #313512345748 -0.88 2,548.57 CIRCLE K # 06617 LAKELAND FL 05/15/2023 05/15/2023 Withdrawal Debit Card -17.77 2,530,80 CHEVRON 0380443 LAKELAND FL 05/16/2023 05/16/2023 Withdrawal POS #313607997839 -7.12 2,523,68 CIRCLE K # 23860 NAPLES FL 05/16/2023 05/16/2023 Withdrawal POS #313607510924 -58.74 2,464.94 CIRCLE K # 23860 NAPLES FL 05/16/2023 05/16/2023 Withdrawal POS #313607523652 -90.44 2,374.50 CIRCLE K # 23860 NAPLES FL 05/16/2023 05/16/2023 Withdrawal POS #313600649255 -6.36 2,368.14 7-ELEVEN 7445 DAVIS BLVD. US NAPLES FL 05/17/2023 05/17/2023 Deposit by Check 2,200.00 4,568,14 05/18/2023 05/18/2023 Withdrawal POS #313808120348 -125.00 4,443.14 7-ELEVEN 37114 NAPLES FL 05/19/2023 05/18/2023 Withdrawal POS #313821982283 -48.86 4,394.28 7-ELEVEN 34816 NAPLES FL 05/19/2023 05/19/2023 Withdrawal POS #313909192084 -24.57 4,369.71 7-ELEVEN 37114 NAPLES FL 05/20/2023 05/20/2023 Withdrawal POS #314009921657 -74.40 4,295.31 7-ELEVEN 37114 NAPLES FL 05/21/2023 05/20/2023 Withdrawal Debit Card -499.35 3,795.96 TRACK LOADER PARTS 707-808-5500 GA OS122/2023 05/22/2023 Withdrawal POS #314213299583 -17.13 3,778.83 RACETRAC2323 FT MYERS FL 05/22/2023 05/22/2023 Withdrawal POS #314213641879 -93.10 3,685.73 RACETRAC2323 FT MYERS FL 05/22/2023 05/22/2023 Withdrawal Debit Card -119.62 3,566.11 CUTTERS CHOICE BONITA SPRING FL 05/23/2023 05/23/2023 Withdrawal POS #314300440946 -181.88 3,384.23 TRACTOR SUPPLY #119913235 TAMIAMI TRL EA NAPLES FL 05/24/2023 05/24/2023 Withdrawal POS #314408992899 -20,21 3,364.02 7-ELEVEN 37114 NAPLES FL 05/24/2023 05/24/2023 Withdrawal POS #314408393781 -100.30 3,263.72 7-ELEVEN 37114 NAPLES FL 05/24/2023 05/24/2023 Withdrawal POS #314408993519 -11.31 3,252.41 7-ELEVEN 37114 NAPLES FL 05/24/2023 05/24/2023 Withdrawal POS #314416517275 -85.04 3,167.37 AUTOZONE 4992 7575 VANDE NAPLES FL 05/24/2023 05/24/2023 Withdrawal POS #314412878024 -73.66 3,093.71 RACETRAC2439 NAPLES FL 05/25/2023 05/25/2023 Withdrawal Debit Card -148.42 2,945.29 CUTTERS CHOICE BONITA SPRING FL 05/26/2023 05/26/2023 Withdrawal POS #314609972373 -10.81 2,934.48 7-ELEVEN 37114 NAPLES FL Continued on next page R(1O.AAA.SRR7 I R1R,671.7511 I eunrnactrrPdItuninn.rom I P.('). Rox 11A04.Tamna. FI 'IA690 (9 00 a Packet Pg. 314 8.G.1 Member Number: '12105/01/2023 - 05/31/20231 Page 4 of 4 BUSINESS CLASSIC CHECKING Suffix 00, Transaction History (continued) Post Date Eff Date Transaction Description Amount New Balance 05/26/2023 05/26/2023 Withdrawal POS #314609131166 -60,28 2,874.20 7-ELEVEN 37114 NAPLES FL 05/26/2023 05/26/2023 Withdrawal POS #314609374906 -125.00 2,749.20 7-ELEVEN 37114 NAPLES FL 05/28/2023 05/28/2023 Withdrawal POS #314800357400 -32,29 2,716.91 7-ELEVEN 12125 COLLIER BLVD US NAPLES FL 05/29/2023 05/29/2023 Withdrawal POS #314909770949 -10.87 2,706.04 7-ELEVEN 37114 NAPLES FL 05/29/2023 05/29/2023 Withdrawal POS #314914013818 -72.65 2,633.39 CIRCLE K 09773 FT MYERS FL 05/29/2023 OS/29/2023 Withdrawal POS #314918908110 -14.97 2,618.42 AUTOZONE 4992 7575 VANDE NAPLES FL 05/30/2023 05/3D/2023 Withdrawal POS#315007612366 -22.46 2,595.96 CIRCLE K # 23860 NAPLES FL 05/30/2023 05/3D/2023 Withdrawal POS #315007619404 -81.00 2,514.96 CIRCLE K # 23860 NAPLES FL 05/31/2023 05/31/2023 Withdrawal Debit Card -242.40 2,272.56 WECARE FORT MYERS FORT MYERS FL ........_......................_._._.............,........ ....... ...... ......_..._......_._.._................................. ......_......_....Y....._.._.._.._ Total for this ................ ............ ........ ................. I Statement Period .._......................................._...............................................__..._........_.._.....__.._........... ..... ._..............._.........._..................._._{_.._..._.._..................._.._._.._..........._ I Total Year to Date Total Overdraft Fees $0.00 ............. .A ! $0.00 E Total Returned Item Fees $0.00 ._...._..._....................._..................._.._..........._.._..............................._.__..._......_.._..............._.._._.._......_.._................� f $0.00 R00_A99.SRR7 I R13.621.7511 I C!!nfnaStrrPrflt!!n1nn.fnm I P11 Roy 119n4. Timna. FI ' 316R0 0 00 a Packet Pg. 315 8.G.1 Suncoast Account Statement Member Number 12 104/01 /2023 - 04/30/20231 Page 1 of 3 D SANTOS TREE SERVICE LLC 261 19TH ST SW NAPLES Ft- 34117-3323 Enjoy a Flexible Way to Save! CI Open a business money market account today to benefit from the higher returns on your deposits but keep the flexibility of having access to your funds when you need them for your business. It's like a savings account with the benefits of a checking account! Explore our great rates and terms at suncoastcreditunion.com Suncoast Credit Union Access Your Account: SunNet Online Banking SunMobile App SunTel Phone Banking For Direct Deposit and Automatic Payments use Routing Number (RTN): 263182817 Year to Date Summary Dividends Paid YTD $0.41 BUSINESS REGULAR SAVINGS Suffix Ot Authorized Signer- DOMINIC LEE SANTOS Transaction History Post Date Eff Date Transaction Description Amount New Balance 04/01/2023 Balance Forward 465,64 04/21 /2023 04/21 /2023 Withdrawal Transfer To Share C '10-400.00 65,64 04/27/2023 04/27/2023 Withdrawal Transfer To Share 0 -50.00 15.64 04/30/2023 04/30/2023 Deposit Dividend 0.07 15,71 Annual Percentage Yield Earned 0,2600.E from 04/01/2023 through 04/30/2023 Dividends Paid Year to Date 0.41 ............................................................................................ ............................. ....................... _...... ...... ....................................... , Total for this i Statement Period E Total Year to Date Total Overdraft Fees $0.00 $0.00 ............................_............................................. ---------------- ! Total Returned Item Fees $0.00 $0.00 ..............-.....I................................-................................................. ..................................................... ....................... , BUSINESS CLASSIC CHECKING Suffix 00 Authorized Signer - DOMINIC LEE SANTOS Activity Summary Previous Balance 04/01/2023 $8,440.89 Deposits $5,200.00 Withdrawals $-11,394.10 Ending Balance 04/30/2023 $2,246.79 Transaction History Post Date Eff Date Transaction Description Amount New Balance 04/01/2023 03/31/2023 Recurring Withdrawal Debit Card-358.75 8,082.14 ANGI LEADS 833-922-2897 CO 04/02/2023 04/02/2023 Withdrawal POS #309213701642 -42.18 8,039.96 Continued on next page R00.994.SRR7 I R13.F71.7511 I eiinrnaetrrar!itunion.rom I P_O7 Rnx 11404.Tamna. PI ' 3I(M C9 00 r Q Packet Pg. 316 8.G.1 Member Number: C_-,-.,,312104/01/2023-04/30120231 Page 2 of 3 BUSINESS CLASSIC CHECKING Suffix 00 Transaction History (continued) Post Date Eff Date Transaction Description Amount New Balance 7-ELEVEN 37114 NAPLES FL 04/02/2023 04/02/2023 Withdrawal POS #309213303637 -10.00 8,029.96 7-ELEVEN 37114 NAPLES FL 04/02/2023 04/02/2023 Withdrawal POS #309214118454 -7.47 8,022.49 7-ELEVEN 37114 NAPLES FL 04/05/2023 04/05/2023 Withdrawal Debit Card -16.42 8,006.07 B B HYDRAULICS NAPLES FL 04/05/2023 04/05/2023 Withdrawal Debit Card -93.94 7,912.13 B B HYDRAULICS NAPLES FL 04/05/2023 04/05/2023 Withdrawal POS 4309520319897 -64.83 7,847.30 7-ELEVEN 37114 NAPLES FL 04/05/2023 04/05/2023 Withdrawal POS #309520921551 -12S.00 7,722.30 7-ELEVEN 37114 NAPLES FL 04/06/2023 04/05/2023 Withdrawal Debit Card -721.65 7,000.65 GASLAMP INSURANCE HTTPSGASLAMPI CA 04/06/2023 04/06/2023 Withdrawal POS #309607769401 -7.00 6,993,65 7-ELEVEN 37114 NAPLES FL 04/06/2023 04/06/2023 Withdrawal Debit Card -161.01 6,832.64 AMZN Mktp US*HS6S54V41 Amzn.comlbill WA 04/08/2023 04/08/2023 Withdrawal POS #309816786968 -50.50 6,782.14 REBEL#846 NAPLES FL 04/11/2023 04/11/2023 Withdrawal ACH PROG EXPRESS -412.91 6,369.23 TYPE: INS PREM CO: PROG EXPRESS 04/11/2023 04/11/2023 Withdrawal POS #310118961426 -81.04 6,288.19 7-ELEVEN 37114 NAPLES FL 04/12/2023 04/12/2023 Withdrawal POS#310207920672 -100.00 6,188.19 CIRCLE K # 23860 NAPLES FL 04/13/2023 04/13/2023 Withdrawal Debit Card -3,649.49 2,538.70 VERMEER SOUTHEAST FT M 239-337-5900 FL 04/13/2023 04/13/2023 Deposit 1,000.00 3,538.70 04/13/2023 04/13/2023 Withdrawal Debit Card -150.00 3,388.70 THE HOME DEPOT #0280 NAPLES FL 04/13/2023 04/13/2023 Withdrawal Adjustment Debit Card Credit Voucher 3.60 3,392.30 THE HOME DEPOT #0280 NAPLES FL 04/13/2023 04/13/2023 Withdrawal Debit Card -364.50 3,027.80 CUTTERS CHOICE BONITA SPRING FL 04/14/2023 04/14/2023 Withdrawal POS #310482334386 -202.34 2,825.46 NNT BASS PRO STORE 000928 10040 GULF CENTER DRIVE FORT MYERS FL 04/15/2023 04/15/2023 Withdrawal Debit Card -76.18 2,749.28 VERMEER SOUTHEAST FT M 239-337-5900 FL 04/15/2023 04/15/2023 Recurring Withdrawal Debit Card -115.76 2,633.52 ANGI LEADS 833-922-2897 CO 04/15/2023 04/15/2023 Withdrawal Adjustment Debit Card Credit Voucher 202.34 2,835.86 BASS PRO STORE FORT MYE FORT MYERS FL 04/15/2023 04/15/2023 Withdrawal POS #310516966326 -32.34 2,803.52 7-ELEVEN 34888 NAPLES FL 04/17/2023 04/17/2023 Deposit 2,450.00 5,253.52 Continued on next page R(]0.99A.5RR7 I R14_E�1.7511 I ¢unrnaetrrPditunInn_rnm I P.O. Rnx 11 CM4. Tarnnn. FI 136R0 0 00 a Packet Pg. 317 8.G.1 Member Number: 112104/01/2023 - 04/30/2023! Page 3 of 3 BUSINESS CLASSIC CHECKING Suffix 00 Transaction History (continued) Post Date Eff Date Transaction Description Amount New Balance 04/18/2023 04/18/2023 Withdrawal ACH IRS -2,395.00 2,858.52 TYPE: USATAXPYMT CO: IRS NAME: DOMINIC SANTOS 04/18/2023 04/18/2023 Withdrawal POS #310814069158 -100.00 2,758.52 CIRCLE K 09773 FT MYERS FL 04/19/2023 04/19/2023 Withdrawal Debit Card -161.01 2,597.51 AMZN Mktp US*HV7XZ3D50 Amzn.com/bill WA 04/21/2023 04/21/2023 Withdrawal POS#311109433418 -54.27 2,543.24 RACETRAC2439 NAPLES FL 04/21/2023 04/21/2023 Withdrawal POS #311117770320 -64,40 2,478.84 7-ELEVEN 34888 NAPLES FL 04/21/2023 04/21/2023 Deposit Transfer From Share 0000 400.00 2,878.84 04/22/2023 04/22/2023 Recurring Withdrawal Debit Card -374.68 2,504.16 ANGI LEADS 833-922-2897 CO 04/24/2023 04/24/2023 Withdrawal ACH HarlandClarke-Li -80.15 2,424.01 TYPE: CHK ORDER CO: HarlandClarke-Li 04/24/2023 04/24/2023 Deposit 1,000.00 3,424.01 04/25/2023 04/25/2023 Deposit by Check 300.00 3,724.01 04/25/2023 04/25/2023 Withdrawal Debit Card -500.00 3,224.01 NETWORX SYSTEMS INC. 888-612-8043 WY 04/25/2023 04/25/2023 Withdrawal POS #311600724341 -50.07 3,173.94 7-ELEVEN 76 BLACKSTONE DR US FORT MYERS FL 04/26/2023 04/26/2023 Withdrawal POS #311611858316 -92.58 3,081.36 CIRCLE K # 23860 NAPLES FL 04/27/2023 04/27/2023 Withdrawal POS #311707946572 -125.00 2,956.36 7-ELEVEN 37114 NAPLES FL 04/27/2023 04/27/2023 Withdrawal POS #311707645965 -58.02 2,898.34 7-ELEVEN 37114 NAPLES FL 04/27/2023 04/27/2023 Withdrawal POS #311707345957 -88.97 2,809.37 7-ELEVEN 37114 NAPLES FL 04/27/2023 04/27/2023 Withdrawal POS #311707105139 -125.00 2,684.37 7-ELEVEN 37114 NAPLES FL 04/27/2023 04/27/2023 Withdrawal POS #311707346764 -6.27 2,678.10 7-ELEVEN 37114 NAPLES FL 04/27/2023 04/27/2023 Deposit Transfer From Share 0000 50.00 2,728.10 04/28/2023 04/28/2023 Withdrawal POS #31180760S005 -23.11 2,704.99 7-ELEVEN 37114 NAPLES FL 04/29/2023 04/29/2023 Recurring Withdrawal Debit Card -458.20 2,246.79 ANGI LEADS 833-922-2897 CO ............................_....._._........_........................................... ......... ............. ................ ............ ..._....... .................................... I Total for this ............... _........................ ............................... . i Statement Period_ Total Year to Date Total Overdraft Fees $0.00 $0.00 Total Returned Item Fees ..................... _............. .................... -......_ . 10.00 -------------- $0.00 R00-q 9.5RR7 I R1'A.621.7511 I sunrna-,tfrPditimlon.rom I P.O. Rnx 11404. Tamna. FI '336RO 0 00 a Packet Pg. 318 713123, 2:57 PM Detail by Entity Name 8.G.1 DIVISION Or CORPORATIONS hitpOY �� _ , r:rr .if/irr{lI `�flll ��Ij f /lllfrlr! ;;': i,'.11r• Department of State / Division of Corporations 1 Search Records I Search by En i Name I Detail by Entity Name Florida Profit Corporation A PERFECT CUT TREE SERVICE, INC FI ing Information Document Number P04000092208 FEIIEIN Number 20-1245221 Date Filed 06/15/2004 Effective Date 06/15/2004 State FL Status ACTIVE Last Event AMENDMENT Event Date Filed 1010512015 Event Effective Date NONE Principal Address 261 19TH ST SW NAPLES, FL 34117 Mailing Address 261 19TH ST SW NAPLES, FL 34117 Registered Agent Name & Address SANTOS, ADELA L 261 19TH ST SW NAPLES, FL 34117 Name Changed. 04/30/2023 Office dDirector Detail Name & Address Title P SANTOS, ADELA L 261 19TH ST SW NAPLES, FL 34117 Annual Reports Report Year Filed Date 2021 08/09/2021 search.sunbiz.orgllnquirylCorporationSearch/SearchResu[tDetalI?inquirytypo=EntityName&directionType= C9 00 r m E t U r Q Packet Pg. 319 1 2023 FLORIDA PROFIT CORPORATION ANNUAL REPORT DOCUMENT# P04000092208 Entity Name: A PERFECT CUT TREE SERVICE, INC Current Principal Place of Business: 261 19TH ST SW NAPLES, FL 34117 Current Mailing Address: 261 19TH ST SW NAPLES, FL 34117 US FEl Number: 20-1245221 Name and Address of Current Registered Agent: SANTOS, ADELA L 261 19TH ST SW NAPLES, FL 34117 US FILED Apr 30, 2023 Secretary of State 8855428318CC Certificate of Status Desired: No Tho above named entity submits this statement for the purpose of changing its registered ofrco or registered agent, or both, in the State of Florida. SIGNATURE: ADELA SANTOS O4130/2023 Electronic Signature of Registered Agent Date Officer/Director Detail Title P Name SANTOS, ADELA L Address 261 19TH ST SW City -State -Zip: NAPLES FL 34117 I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath; that Ion? an officer or director of the cerporaQon or the receiver or trustee empowered to execute this report as required by Chapter 607, rtarida statutes; and that my name appears above, or on an allachment with all other like empowered. SIGNATURE: ADELA SANTOS PRESIDENT 04/30/2023 Electronic Signature of Signing Officer/Director Detail Date 8.G.1 a 00 r Q Packet Pg. 320 713/23, 2:57 PM Detail by Entity Name 8.G.1 DIVISION OF CORPS RAI ION8 �i j_/,,oig Depa invent of State ! Division of Corporations 1 Search Records ! Search by Entity Name 1 Detail by Entity Name Florida Limited Liability Company D SANTOS TREE SERVICE " LLC" Filing Information Document Number L22000478987 FEIIEIN Number 92-1143756 Date Filed 11/08/2022 \ Effective Date 11/15/2022 State F L Status ACTIVE Principal Address 261 19TH ST SW NAPLES, FL 34117 Mailing Address 261 19TH ST SW NAPLES, FL 34117 Registered Agent Name & Address SOLOW, NICOLE 510 15TH ST SW NAPLES, FL 34117 Address Changed: 02/01/2023 Authorized Person(s) Detail Name & Address Title AMBR DOMINIC, SANTOS 261 19TH ST SW NAPLES, FL 34117 Annual Reports Report Year Filed Date 2023 02/01/2023 Document Images a 00 r Q https:1lsearch.sunbiz.orgllnquirylCorporalfon5earchl8earchResultDelail?inquirytype=EntityNameUirectionType=Initial&sea Packet Pg. 321 1 8.G.1 Electronic Articles of Organization For Florida Limited Liability Company Article I The name of the Limited Liability Company is: D SANTOS TREE SERVICE " LLC" Article II L22000478987 FILED 8:00 AM November 08, 2022 Sec. Of State amrivers The street address of the principal office of the Limited Liability Company is: 261 19TH ST SW NAPLES, FL. 34117 The mailing address of the Limited Liability Company is: 261 19TH ST SW NAPLES, FL. 34117 Article III The name and Florida street address of the registered agent is: NICOLE SOLOW 510 15TH ST SW NAPLES, FL. 34117-330 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 fiirther 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: NICOLE SOLOW 0 00 a� E a Packet Pg. 322 8.G.1 Article IV L22000478987 The name and address ofperson(s) authorized to manage LLC: FILED 8:00 AM November 08, 2022 Title: AMBR Sec. Of State SANTOS DOMINIC amrivers 261 19TH ST SW NAPLES, FL. 34117 Article V The effective date for this Limited Liability Company shall be: 11/15/2022 Signature of member or an authorized representative Electronic Signature: DOMINIC SANTOS I am the member or authorized representative submitting these Articles of Organization and affirm that the facts stated herein are true. I am aware that false infonnation submitted in a document to the Deparlruerrt of State constitutes a third degree felony as provided for in s.817.155, F.S. I understand the requirement to file an arnnial re ort 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. 0 00 a� E a Packet Pg. 323 ONIWWRIl $ IVAOIN3N 33Ni - NOIIV011dd`d AIIIN3 aNO03S - SOiNVS V130V '08 :IuGWLI3ellVf 06 Z 13 0 Collier County * City of Marco * City of Naples City of Everglades * Contractor Licensing TREE REMOVAL & TRIMMING CONTR. Cert Nbr: Exp: Issuance Nbr: C26120 04/30/2023 26120 State Nbr: State Exp: A PERFECT CUT TREE SERVICE, INC. ADELA LEA SANTOS 261 19TH STREET SW NAPLES, FL 34117 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 MM-I colliercountvfl eov for more infortnation as it becomes available. Signed: 8.G.1 (U 00 r Q Packet Pg. 325 7 0 06 ONIMINI 8 IVAOW3N 33MI - NOIIVDllddd AIIIN3 4N033S - SOINVS V130V 'J8 :Iu6WLI3ePV it m z � N <` N L M W y Z c a m d o OM LL .N LU CD ViaM W W Z W Im 6 W 0 iL W r W ~N a z U) UJ 0 F- u) V Z W n. wgj J O w �(>w Uwy(n J = O ~ xV F Z O O W_ 0 U U z LLl U w .J U ¢ eL 4 rnLU r rl ¢ U)(C4 z Z (v �- d N U) W Z :z Z 7: w O a 0 6 w O 0 m N O (O (N'q C ) NLO � Io QN 0 M c1. o M (V a � z k U) a z z �p 7us [V1�, F Z d In W W � ¢ Ow N �CD � o ra 5 rn Z m F m V D K U) OLU 06 h T y �a @ E w o o s M _o w o �; w N V -Zw O N U LLI ? q 0 O U x a m d o Wtwi n cn ,` v o (n O a a v 04 Z 0 U F c Search all services we offer.. COLLIER COUNTY TAX COLLECTOR Vehicle Registration Property Tax Search ? Account Summary Business Tax Account #950879 A PERFECT CUT TREE SERVICE, INC Current owner: Current business address: Current business phone. SANTOS, ADELA 2G1 19TH ST SW 455-4756 (1) More Details Amount Due RECEIPTS AMOUNT DUE 024 ReceiptM950879 10/01/2023 - 0913012024 $22.00 Total Amount Due; $22.00 Account History RECEIPTS 2024 Receipt 950879 2023 Receipt 95fi 0879 2022 Receipt #950879 2021 Receipt #95OB79 2020 Receipt 11950879 2019 Receipt 950879 2018 Receipt, #950879 2017 Receipt #950879 2016 Receipt 4950879 2015 Receipt 4950879 2014 Receipt 4950879 2013 Receipt #950879 Total Amount Due 10/O1/2023- 09/30/2024 10/01/2022 - 09/30/2023 10/01/2021- 09/30/2022 10/01/2020- 09/30/2021 10/01/2019 - 09/30/2020 10/01/2018- 09/30/2019 10/01/2017- 09/30/2018 10/01/201G- 09/30/20W 10/01/2015 - 09/30/2016 10/01/2014- 09/30/2015 10/01/2013- 09/30/2014 10/01/2012- 09/30/2013 AMOUNT DUE $22.00 Unpaid MOD Paid $26.40 $0.00 Paid $22.00 $0.00 Paid $26.40 SO.00 Paid $22.00 $0.00 Paid $26.40 $0.00 Paid $24.20 $0.00 Paid $26.40 $0.00 Paid S22.00 $0.00 Paid $26.40 S0,00 Paid $24.20 $0.00 Paid $25.30 $22.00 M 8.G.1 Business Tax Tourist Tax r,$►, Get bills by email Lill iI,rar6 1 STATUS 12/30/2022 Receipt4'500-23-00405536 08/27/2021 Receipt11502-22-00120478 12/30/2020 Receipt#502-21-00386889 09/16/2019 ReceiptP502-20-00122178 12/28/2018 Receipt1501-19-00334043 10116/2011 Receipt4120171016-400440- 950879 12/28/20AG Receipt#20161228-848542- 950879 09/23/2015 Receipt#20150923-690642- 950879 1211812014 Receipt # 120141218-559541- 950879 10/29/2013 Receipt # 120131029-576040- 950879 11/27/2012 Receipt020121127-613740- 950879 ACTION 00 a+ a Packet Pg. 327 8.G.1 Receipt Number: Transaction Number: Date Paid: Amount Due: Payment Details: Amount Paid: Change / Overage: Contact: FEE DETAILS: Fee Description Second entity application fee Cashier Name: Batch Number: Entered By: Collier County Growth Management Division 2800 Horseshoe Drive N. Naples, FL 34104 239-252-2400 RECEIPT OF PAYMENT 20231105184 2023-060857 07/12/2023 $105.00 Payment Method Amount Paid Check Number Cash $110.00 $110.00 $5.00 A PERFECT CUT TREE SERVICE, INC 261 19TH STREET SW NAPLES, FL 34117 Reference Number Original Fee C26120 $105.00 Vanessa.McHenry 12188 Alyshia.Morse Amount GI_ Account Paid $105.00 113-138900-321210 a 00 r m E U r Q Packet Pg. 328 9.A 08/16/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 9.A Doc ID: 26306 Item Summary: 9A. ROBERTO SUAREZ SANCHEZ - REVIEW OF CREDIT — SWIMMING POOL/SPA SERVICING CONTRACTOR - ALPHA POOL Meeting Date: 08/16/2023 Prepared by: Title: — Contractor Licensing Name: Alyshia Morse 08/08/2023 4:10 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 08/08/2023 4:10 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 08/09/2023 11:54 AM Contractor Licensing Tim Crotts Review Item Completed 08/09/2023 3:15 PM Contractor Licensing Tim Crotts Meeting Pending 08/16/2023 9:00 AM Packet Pg. 329 9.A.1 Findings of Fact, Conclusions of Law and Decision of the Board Collier County Contractor Licensing Board For Applications Submitted to the Board for Review Type of Application: Credit Report Review Waiver of Testing Requirements Reinstatement of License _ Request to Qualify Second Entity Other (specify) THIS CAUSE came on for public hearing before the Contractor Licensing Board (hereafter Board) on July 19, 2923, for consideration of an application submitted to the Board for review. The application submitted is for a license as a Swimming Pool/Spa Servicing Contractor. Roberto Suarez Sanchez, d/b/a Alpha Pool Guys West Coast, L.L.C. (hereinafter "Applicant") is before the Board for review of his credit score and a determination of whether the Applicant's credit should prevent the license from being issued to the Applicant. The Board, having heard testimony under oath, received other evidence, and heard arguments relative to all appropriate matters thereupon, issues its Findings of Fact, Conclusions of Law and Order of the Board as follows: FINDINGS OF FACT 1. The Applicant applied to the Collier County Contractor Licensing Supervisor, or his designee, for issuance of a license as a Swimming Pool/Spa Servicing Contractor 2. Based on the credit report supplied by the Applicant to the Licensing Supervisor, a review of the creditworthiness of the Applicant by the Board is necessary. 3. The Applicant was present at the public hearing and was not represented by counsel. Packet Pg. 330 9.A.1 4. The Applicant has demonstrated to the Board's satisfaction that the Applicant is working to improve his creditworthiness to be issued the subject license to be valid until August 16, 2023, at 5:00 p.m. CONCLUSIONS OF LAW 1. All notices required by the Code of Laws and Ordinances of Collier County, as amended, have been properly issued and the Board has jurisdiction over the matter 2. Pursuant to Section 22-184(b) of the Code of Laws and Ordinances of Collier County, as amended, the subject application met the requirement(s) requiring Board review and approval of the application. 3. The Applicant has sufficiently demonstrated to the Board that he is taking meaningful steps to improve his creditworthiness and should be issued a probationary license as a Swimming Pool/Spa Servicing Contractor to be valid until August 16, 2023, at 5:00 p.m. RDER OF THE BOARD 1. Based upon the foregoing Findings of Fact and Conclusions of Law, and pursuant to the authority granted as applicable in Chapter 489, Florida Statutes, and Code of Laws and Ordinances of Collier County, as amended, by a vote of 4 in favor and 2 opposed, a majority vote of the Board present, the application for licensure as a Swimming Pool/Spa Servicing Contractor is hereby granted. 2. The subject license is placed on a probationary term and is only valid until August 16, 2023, at 5.00 p.m. 3. The Applicant shall appear at the August 16, 2023, Contractor Licensing Board meeting with his attorney and provide a detailed explanation of how his 2 Packet Pg. 331 9.A.1 creditworthiness has been negatively impacted in the past, his involvement in the same and a detailed explanation, including a plan and pertinent documentation, of the action steps that he is, and will be, taking to improve his creditworthiness and resolve the current debts he owes creditors. ORDERED by the Contractor Licensing Board effective the 1911 day of July 2023 CONTRACTOR LICENSING BOARD COLLI JCI TY, FLQRIDA r By: Stephen M. Jaron, Chair Pro Tern I HEREBY CERTIFY that a true and correct copy of the above and foregoing Findings of Fact, Conclusions of Law, and Order of the Board has been furnished to the Applicant, and Timothy Crotts, Contractor Licensing Supervisor, 2800 North Horseshoe Drive, Naples, FL 34103 on this day of 2021 Secretary/Contractor Licensing Board 3 Packet Pg. 332 July 19, 2023 9.A.1 MINUTES OF THE COLLIER COUNTY CONTRACTOR LICENSING BOARD MEETING DULY 19, 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: Vice Chairman: Stephen Jaron Robert Meister Terry Jerulle Richard Joslin Jr. Kyle Lantz Elle Hunt Todd Allen (excused) Matthew Nolton (excused) ALSO PRESENT: Ronald Tomasko, Esq. Timothy Crotts, Contracting Licensing Supervisor Kevin Noell, Esq. Sandra Delgado, Operations Supervisor 1 Packet Pg. 333 July 19, 2023 9.A.1 ■ Terry Jerulle: And document it. Get people to sign off that you're doing that work and you have that experience. ■ Stephen Jaron: Try and keep a diary of what you do every day and if you can get someone to sign off, whoever is paying you, the work you did or however you invoice. You know something that's concrete that we can look at. ■ Timothy Crotts: Mr. Vice Chair, could we take a five minute break? ■ Stephen Jaron: Five minute break until 9:40. (E) ROBERTO SUAREZ SANCHEZ - REVIEW OF CREDIT — SWIMMING POOL/SPA SERVICING CONTRACTOR - ALPHA POOL GUYS WEST COAST, LLC ■ Roberto Suarez Sanchez: Sworn testimony given. ■ Timothy Crofts: Mr. Sanchez has submitted an application for the issuance of a swimming pool spa servicing contractor. This license requires a minimum credit score of 660. As part of the application process under Collier County Ordinance 2006-46, Section 2.3.9, Mr. Sanchez was required to submit a personal and business credit report. Mr. Sanchez'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 financial requirement or under responsibility as set forth in Rule 61 G4-15.006 of the State of Florida. A review of the personal credit report submitted by Mr. Sanchez showed the following areas of concern. Mr. Sanchez's credit report shows a score of 432. The credit report shows the following: 13 charge offs and collections; five accounts closed by the credit grantor due to past due amounts still owed; 59 hard credit inquiries — 2023, one; 2022, 53; and 2021, five. Due to the large number of charge offs, collections and accounts closed by credit grantors and the number of hard inquiries on Mr. Sanchez's credit report, I'll refer you to pages 115, 116, 117, 118 of your packet for review of the credit issues -- the total amount due for these are $503,000. It should be noted that Mr. Sanchez was issued a swimming pool, spa and servicing license on July 20, 2021, and at that time Mr. Sanchez's credit score was 712 with no outstanding balances due. Mr. Sanchez has since closed this company in order to become the license holder for this new company. Based upon the information received, Mr. Sanchez does not meet the minimum requirements set forth in Ordinance 2006-46 as it relates to the financial responsibility. Mr. Sanchez is being referred to the Board under Section 2.5.2 referral of the application to the Contractor License Board for decision, and Mr. Sanchez is here today to answer your questions regarding his credit. ■ Stephen Jaron: Mr. Sanchez, can you explain to us the credit issues that you've had? ■ Roberto Suarez Sanchez: The thing is we had a friend, a close friend, from where I was born. So we got a business. We did a business and we were going to use my credit to get equipment to be rented and those stuff. And he was going to pay me like $20,000 monthly after we did all these things. He got all the equipment and that stuff and he disappeared. So I got scammed. He doesn't answer anymore. So I had all these responsibilities and that's what I want to do to keep working because my lawyer is �i Packet Pg. 334 July 19, 2023 9.A.1 renegotiating the debts, so I can keep working and make a deal with the creditors to pay all the debts. ■ Stephen Jaron: What kind of equipment did you say you purchased? ■ Roberto Suarez Sanchez: It's something like an excavator but not an excavator. It is something to do for minor work, no heavy work. I don't know the name in English. ■ Richard Joslin: What kind of machine or equipment? Was it a loader or bobcat? ■ Roberto Suarez Sanchez: Yes, bobcat. ■ Terry Jerulle: For what purpose? ■ Roberto Suarez Sanchez: He told me that he was going to rent it so he will give me a profit monthly. He would be in charge of paying all the bills. I trusted him because he's from my homeland. He disappeared. So here if I have to pay anything, I will pay. So I just need to keep working. ■ Stephen Jaron: So where's the equipment now? Was it repossessed? ■ Roberto Suarez Sanchez: I don't know. I've been trying to reach him for months. ■ Richard Joslin: So he has all the equipment now. ■ Roberto Suarez Sanchez: He got everything. He was going to pay me monthly, like a profit. So I said it is a good business. The equipment was purchased under my name. ■ Terry Jerulle: Did you file a police report? ■ Roberto Suarez Sanchez: No. He took it with my consent because he was going to pay me. He paid me for two months of the agreement. After that he disappeared. ■ Terry Jerulle: When he disappeared, was that with your consent? Did you file a police report? ■ Roberto Suarez Sanchez: No. I didn't know what to do because that would be affected and I would answer to the creditors if I have to settle the debts. So I have to file a police report? ■ Terry Jerulle: I would. And a lawyer. ■ Roberto Suarez Sanchez: I already got a lawyer taking care of that. ■ Elle Hunt: I would follow the advice of the attorney on this. If they tell you to contact the police, all of their advice. ■ Roberto Suarez Sanchez: I got his information. So whenever they ask me for his information, I will give it to them. ■ Richard Joslin: What other type of equipment did you have or buy or sign for that you purchased for this company? What other type of equipment did you buy or get? Besides the bobcat. ■ Roberto Suarez Sanchez: We got loans. We got cars that would be rented, anything that he told me that he had customers, you know to rent equipment, cars and he would give me that profit so as long as he doesn't have a credit. So he told me to do the business with him. ■ Stephen Jaron: Most of these cars and equipment and whatever else happened in 2022, right? I mean, it looks like a pretty short time period where you were applying for car loans, several car loans, Mercedes, BMW, it looks like VW, another Mercedes and Audi and another VW, it looks like a John Deere app, a motorcycle, I mean, this is all in a couple months time. So this person is your friend? ■ Roberto Suarez Sanchez: Yes, he's from my home. 10 Packet Pg. 335 July 19, 2023 9.A.1 ■ Stephen Jaron: He wanted you to buy this equipment and cars and then you were going to lease them to someone else. ■ Roberto Suarez Sanchez: He would rent them to his customers. He was going to take care of this part of the business. And he was going to give me monthly like a profit for that. ■ Stephen Jaron: But he took possession of the cars and the equipment? ■ Roberto Suarez Sanchez: It was never on my property. It was on his. He took it. He took them. ■ Stephen Jaron: You have no idea where any of this stuff is now? ■ Roberto Suarez Sanchez: I have his information. I thought he was going to put it in a safe place because I trust him. ■ Terry Jerulle: So whose fault is all of this? ■ Roberto Suarez Sanchez: I think it's mine. ■ Terry Jerulle: I do too. So it's your fault. Why should we give you a license if you make poor decisions? ■ Roberto Suarez Sanchez: Because I am financially responsible but the thing is that I trusted someone else. ■ Stephen Jaron: But this is a big boo-boo, a half million dollars worth of debt. ■ Roberto Suarez Sanchez: Yes, that's what I'm trying with my lawyer. He is friend of mine too. We are trying to renegotiate all the debts. So I will pay and be responsible. ■ Stephen Jaron: And you never filed a police report? ■ Roberto Suarez Sanchez: No. ■ Elle Hunt: I'm leaning to deny this because the credit score is too low. And it's a half a million dollars in debt. You've got nothing to show us that you're even taking care of it yet. So my suggestion would be that you come back to us after working with the attorney and whatever the attorney is doing so we can see that maybe this is an accurate set of circumstances that you're explaining to us. Right now, we only have your word and its sworn testimony, but we have nothing else. You know something from the attorney saying that they've gotten a hold of all of these people, they've put freezes on your credit, and you're working through it. What the attorney is going to do for you will give us a better indicator of what we should or should not do. ■ Roberto Suarez Sanchez: The thing that what I was trying to do with this is to keep working. So any debts that they send to me I can pay. Keep working to pay all. ■ Elle Hunt: I understand it's a catch 22, but there are these parameters in place to help protect consumers. You owe over $500,000 in debt. That doesn't give us a lot of security that you're going to be able to pay for equipment or pay for everything that you need to run a business. ■ Roberto Suarez Sanchez: And if they give me a plan or something to pay them. ■ Elle Hunt: That's what we're asking is once the attorney comes back and shows that he's contacted all of these creditors and you have a plan or they're going to write off. You don't have any of that information. ■ Roberto Suarez Sanchez: I got his contact. He is already doing it. ■ Richard Joslin: I would suggest also if you were going to do this, not speaking for everybody on the Board, but I can tell you that we're not going to grant this license I don't 11 Packet Pg. 336 July 19, 2023 9.A.1 believe. But your best choice would be to get your attorney to come with you the next time you decide to appear with us so that we can have some knowledge of what's happening with your credit. How is he handling this and how is he going to recover all these debts that you have or get them into a bundle to make a payment? A payment on half a million dollars is going to be a lot of money per month or per whatever, and I don't know that you'll be able to afford that. ■ Elle Hunt: And it may be going down a direction of bankruptcy or something. I don't know what his attorney is thinking. So we don't have enough information to really help you here. We know nothing other than this huge debt, but we don't have a payment plan. We don't have that you've worked on things and we don't have any information. And we sympathize with the fact that you're going to have to deal with this, but as you said earlier, this is a problem of yours and you just I think need to be further along in the recovery or the addressing of these before we would be able to consider a license, at least this is my opinion at this point. ■ Richard Joslin: The other portion of it I don't understand is how you would be able to as a pool company or just a business be able to buy all these expensive vehicles and then plan on renting them to someone to pay them off or to pay the debt. I mean you didn't see this coming or you had no input in how to stop it or ask him why? ■ Roberto Suarez Sanchez: No, because the first two months it was normal. He was paying everything. Everything was normal. After that, he disappeared. ■ Kyle Lantz: There's probably a reason why he didn't have the credit. But you currently have a license, right? ■ Roberto Suarez Sanchez: Yes, I got it. ■ Kyle Lantz: Why don't you just operate under that business for now until you get it? ■ Roberto Suarez Sanchez: Because as the company you have to get in the process. So I don't know if it will be closed later, so I cannot work. The thing that I'm trying to ensure is my job so I can earn money and any plan that the court or the lawyer put (in place) I can keep working so I can pay the plan they give me. ■ Timothy Crotts: I do want to bring it to the Board's attention that he no longer does have a company, that he has closed that company. He had a company with him and his father as 50% partners. He has since closed that company in order to qualify this other company. ■ Richard Joslin: So that was an active company that was actually operating? ■ Timothy Crotts: It was and then they closed that company. As you'll see the documentation up there that in order to operate or qualify this company that he's trying to qualify now. ■ Elle Hunt: But he had a license? ■ Timothy Crotts: He had a license for pool servicing and pool cleaning. He cancelled that license in order to qualify this company and not go through with a second entity. ■ Richard Joslin: Can that license be reactivated? ■ Timothy Crotts: It would have to be approved by the Board. Obviously, we have credit issues now. He could do a reinstatement, but we'll be back here for the same issues. ■ Kyle Lantz: But what do you do? You do just pool cleaning? ■ Roberto Suarez Sanchez: Yes, pool cleaning and maintaining some of the stuff. 12 Packet Pg. 337 July 19, 2023 9.A.1 ■ Kyle Lantz: So what kind of equipment does a pool cleaning business own? ■ Roberto Suarez Sanchez: Like a loader maybe to get heavy -like turbines, the pipes. So while we were in the business he told me that any equipment needed he will rent it. ■ Kyle Lantz: No, I understand. But in order to run a pool cleaning business, you don't need a loader. What kind of equipment do you need to run a pool cleaner? A brush or vacuum? ■ Roberto Suarez Sanchez: Yes, vacuums. ■ Kyle Lantz: Do you already own all this equipment? Do you already own whatever is required to clean pools? ■ Roberto Suarez Sanchez: Yes. ■ Kyle Lantz: And when you're cleaning pools, you're buying a bunch of chemicals, right? Is the customer supplying them or you're supplying them? ■ Roberto Suarez Sanchez: From a supplier. ■ Kyle Lantz: And how do you get them? Do you pay cash when you pick them up or do you have an account? ■ Roberto Suarez Sanchez: Right now I'm paying with the company card. The company card is already open so I'm using the company account because it is not closed. ■ Stephen Jaron: What company is the account under? Alpha Pool Guys? ■ Roberto Suarez Sanchez: Yes, Alpha Pool. It has its own account with the bank with a debit card. ■ Richard Joslin: You're talking about the supplier that you're going to that sells you the merchandise, the pool company's debit card. But we're being told that you don't have a license to do that any longer. Is that correct? ■ Roberto Suarez Sanchez: No, I have the license. ■ Timothy Crofts: He does not have a license. He relinquished that license in order to qualify this second company that he's trying to do today. ■ Roberto Suarez Sanchez: I already have the license. ■ Kyle Lantz: And how many customers do you have? How many pools do you serve? ■ Richard Joslin: You say you have a license and you say he doesn't? ■ Timothy Crotts: He doesn't. That license has been relinquished. ■ Richard Joslin: Okay, so you don't have a license at all. ■ Kyle Lantz: You had a license, but you cancelled your license on your old company to start the new company. ■ Roberto Suarez Sanchez: I have not cancelled yet. So I'm what I'm trying to do is to transfer my license to keep working. ■ Kyle Lantz: So how many pools do you clean? ■ Roberto Suarez Sanchez: Right now I have around 75 pools. ■ Kyle Lantz: And how do you get paid? People write you checks, give you credit card? ■ Roberto Suarez Sanchez: Checks or credit card. They pay monthly before and a month in advance. ■ Kyle Lantz: So if I hire you to clean my pool starting August 1 st, I'm going to pay you August I st. And then you're going clean it for the month. ■ Timothy Crofts: I would ask the board to look at page 133 and you'll see the documentation that was signed by Mr. Sanchez. 13 Packet Pg. 338 July 19, 2023 9.A.1 ■ Elle Hunt: Why did you cancel your license in that current company versus just try to get a second entity on the current license? ■ Roberto Suarez Sanchez: I don't know. I thought that was the procedure. ■ Kyle Lantz: I would say that's what we've been preaching since I've been on the Board is we'd rather you cancel one company and finally somebody listens. ■ Richard Joslin: So Alpha Pool Guys was the original company and Alpha Pool Guys West Coast is the new company. ■ Richard Joslin: So right now you think you have a license to work with the business and the credit card through your bank and all that. But in reality you don't have a license because it's been cancelled. ■ Timothy Crotts: If you look right up on the screen there you'll see the document you signed. ■ Roberto Suarez Sanchez: But I thought after it was transferred that it would be closed? ■ Kyle Lantz: So here's what I'm wondering. I think our job on this Board is to protect the residents of Collier County. I don't care about the creditors. How much risk are we putting the residents of Collier County in if we give a guy with absolutely horrible credit a license to clean pools? I know it goes against what we're saying, but realistically. ■ Elle Hunt: And it almost sounds as if he did this by accident? ■ Timothy Crofts: No, this was explained when he came into the office He was explained to by staff. ■ Elle Hunt: That he was relinquishing his license that it was a crap shoot coming to us because of his low credit? ■ Timothy Crofts: We didn't know about the low credit until afterwards but he cancelled the application on this one. He was explained to by staff and he decided to cancel this one in order to apply for the second one not to have to go through the second entity application process. ■ Richard Joslin: Now we have another problem then because if he's still operating as a business in pool cleaning and he has 75 customers out there that may or may not have already paid for a monthly service and his license is no longer valid, he's no longer allowed to go and work so we've got people out there now that have paid. And it's not our fault. But we're servicing the people of Collier County and now they're going to be damaged. ■ Terry Jerulle: Mr. Crotts, do you have a recommendation? ■ Timothy Crofts: Recommendation from staff is going to be that the license be denied until such time he can get his credit issues under control by means of being able to show that he is paying off the amount due or has entered into payment plans. Once he has been able to come up with documentation showing that then he would be allowed to come back in front of the Board for a decision by the Board. ■ Elle Hunt: Did his previous license have any marks against it? Did he have any complaints? Does he have any issues the County? ■ Timothy Crofts: As previously stated, when he came and got the license two years ago, his credit score was 712. He had no credit issues at all, so this is all occurred within the last two years with the majority of it taking place in 2022. 14 Packet Pg. 339 July 19, 2023 9.A.1 ■ Kyle Lantz: I'm going to make a motion, but I'm going to go against the recommendation and I don't know if it's going to pass or not, but personally I feel we're not putting the residents of Collier County in danger by giving him a license. In my opinion more than likely he's going to continue cleaning pools on a regular basis, so I'm going to make a motion that we approve his license with a one-year probation where he has to report back every four months with an updated credit report and an update on where he's going. ■ Richard Joslin: I would second that motion but I'm going to see the credit report sooner. And I want to see some kind of verification from his the attorney that he says he has, that will come in here and give us a little bit more insight into what's happening with this amount. It's a great amount. And I think that we would want to see that sooner than a year. (Clarified that it is every four months.) ■ Timothy Crofts: Mr. Vice Chair, if I may, could I get clarification on what you're actually going to be looking for during these four month periods? Are you looking for an increased credit score? Are you looking for pay offs and if there are any other issues that pop up above and beyond what we have today? What would be the pleasure of the Board. ■ Richard Joslin: I don't think we would be looking for another credit report because I don't think that credit report is going to change at all coming back with another credit report. But I would like to have definitely the attorney here present and that will be your responsibility to bring him here to verify what's going on with that account and at that time we can make another decision on the credit score and what the attorney feels like it's going to take to get that credit score back up. I mean, that's a lot of money. ■ Timothy Crofts: Would it be easier to table this matter for 90 days to give the applicant a chance? ■ Kyle Lantz: That would be easier but I want him to be able to go to work tomorrow. And I don't want everybody who has paid to get their pool cleaned for the month to not get their pool cleaned. ■ Richard Joslin: Do you service all of the pools yourself? ■ Roberto Suarez Sanchez: Me and my dad. ■ Terry Jerulle: What about giving him 30 days to come back in front of us with his attorney and a plan? Just 30 days. No guarantees. You can clean for the next 30 days because I have a feeling you'll probably do it anyway. And in 30 days he'll have his attorney here and he has a plan. And if it meets our satisfaction, then we can put him on probation like you said. If not, then we'll deny it. ■ Timothy Crofts: Just one other thing to bring up is the reminder for the Board that the company that he is looking to qualify now he has zero ownership in this company. So he's only going to be the license holder. He has no ownership in this company. This is a totally separate company. ■ Elle Hunt: So who owns this new company that you're trying to license? ■ Roberto Suarez Sanchez: My mom. ■ Elle Hunt: Your mother — 100%. Why don't you own any? ■ Roberto Suarez Sanchez: Because I didn't know and they're worried about the creditors coming towards the company. 15 Packet Pg. 340 July 19, 2023 9.A.1 ■ Kyle Lantz: I'll make a motion that we give him a temporary license for 30 days and in 30 days he comes back to the Board with his attorney and a plan. ■ Richard Joslin: I'll second that motion. ■ Stephen Jaron: Do you understand? So you have 30 days to get a hold of your attorney and to get all of your paperwork in order. ■ Elle Hunt: You'll need to be back here on August 16 with your attorney. The county will give you more information, but the current motion is that we would give you a 30 day license so you could work for 30 days. But you will be here in front of the Board in August with the attorney. And at that point, depending on that information, we'll either give you a probationary license or not, but it will be dependent on the testimony given next month with you and the attorney. We haven't voted on it yet. So like if in the next 30 days the attorney contacts these various creditors and or is going to be filing for bankruptcy, we want to see documentation. So please ask the attorney to document anything he or she does in the next 30 days and to bring that with him. ■ Timothy Crotts: I would recommend that the applicant have his attorney contact me so that we can make sure he understands or she understands exactly what the Board is going to be looking for. ■ Elle Hunt: This week have your attorney contact Mr. Crotts on that. ■ Roberto Suarez Sanchez: Alright, so you will give me a phone number? Alright, no problem. ■ Terry Jerulle: So before we vote, what is the downside of doing this? I know it goes against your recommendation. I'm just wondering if there something that we're not seeing? Is there a downside here, just giving him a 30 day license? ■ Timothy Crotts: A 30 day license for him to continue to work under this new company may not create any issues. We're going to assume, which we hate to do, that the credit and the materials will we bought under the new company name with Mr. Sanchez's mother. The downside to this, I think we're setting a bad precedence on this when we have a credit score as low as what this is and the amount of credit due where this was not done over time, it was done in a very short period of time, two years, to be exact almost one year where all the credit was done with that. So that is the staff's concern. ■ Elle Hunt: I want to make clear the only reason that I will be voting for this is because the applicant had a license and changed it over and I feel as if perhaps he didn't fully understand. And that's my position. ■ Richard Joslin: I think so too. Maybe it was explained, but I don't think he really was able to figure out exactly what he was doing when he did that. At this moment, I mean, he could have done easily a second entity and kept that license active and he wouldn't be here. He wouldn't get the second entity, but he would still have the license to clean pools. And pool cleaning isn't all that dollar and cents; no Mercedes or bobcat. ■ Kevin Noell: If I may, just for clarity on the motion, because 30 days will be longer than the next board meeting date, so is the motion that he's granted a license until August 16 at 5:00 PM or end of day August 16 and within 10 days he's going to have his representative contact Tim Crotts with a payment plan and to discuss what the Board needs? Is that part of the probation area, the 30 day probationary requirement? 16 Packet Pg. 341 July 19, 2023 9.A.1 ■ Richard Joslin: Oh no, he'll be able to hook up a payment plan within ten days, but at least to contact as far as information and what his obligations are going to be when he gets here, right? ■ Discussion continued with regard to: the date of August 16; the attorney and Mr. Sanchez make contact within a week; formulate a plan in writing prior to meeting on August 16. ■ Kevin Noell: Who was the motion maker? Mr. Lantz, so then is your motion just for granted, August 16, and then have him come back before the Board with the payment plan and your motion is that succinct? And then as far as whatever he's going to work out in the interim, he's on notice that his attorney should reach out to Mr. Crotts and all of that but that's not part of your motion. But it's understood that it's the will of the Board. Does that make sense? So that's the motion before the Board. ■ Discussion continued with regard to: bring a reasonable explanation and plan; typically we don't go against what the County recommends; this is a first; this is your fault; still questioning why the police haven't been involved; your property was stolen; your credit score dropped; no debtor's prison anymore; first time giving a license with a low credit score; make it right. ■ Stephen Jaron: Is your insurance current? Bring a current certificate of insurance to the August 16 meeting. ■ Kevin Noell: For purposes of the motion I need to make sure because I'm going to draft the order that's going to be, to an extent legally binding on this gentleman, and so if he comes before the Board and he doesn't comply with that order, I'm sure the Board is going to have questions and that's going to be an issue. So I just need to procedurally make sure Mr. Lantz, do you want that included in your motion that you want certificate of insurance? And those were the requirements that Mr. Jaron had just stated. Is that part of your motion? ■ Kyle Lantz: It is not. ■ Kevin Noell: Can you restate then your motion so that we understand, and I understand it's procedural lifting, but I need to be able to draft an order that's the will of this Board. ■ Kyle Lantz: So my motion is that we grant him a temporary probationary license from now until 5:00 PM on August 16. At the August 16 meeting, we expect him to be here with an attorney with an explanation of how he got in the situation he's in and a plan of how he plans to get out of the situation he's in. ■ Elle Hunt: Not necessarily a payment plan, but a plan on what they're doing in writing. ■ Richard Joslin: And I will second my motion to the amendment. ■ Stephen Jaron: All in favor, say aye. Aye — four. Terry Jerulle and Stephen Jaron — nay. (Disunited vote, 4-2.) 9. Old Business (A) SIMON J. AGUIRRE — REVIEW OF EXPERIENCE — RESIDENTIAL CONTRACTOR - RED LEVEL CONSTRUCTION LLC ■ Simon J. Aguirre: Sworn testimony given to Mr. Aguirre and his spouse. ■ Timothy Crofts: Mr. Aguirre has submitted an application for the issuance of a residential building contractor license, which requires 48 months experience in the trade. 17 Packet Pg. 342 July 19, 2023 9.A.1 There being no further business for the good of the County, the meeting was adjourned at 10:38 AM. Collier County Contractor Licensing Board Stephen Jaron, Vice Chairman These minutes were approved by the Vice Chairman of the Contractor Licensing Board on , (check one) as submitted or as amended 22 Packet Pg. 343 ofld (bmr, Contractor Licensi g A CO�BY C01LiYRt 2800 N. Horseshoe Dr. y Naples, FL 34104 Growth Management Department ��> �� (�� Phone - 239-252-2431 Cn 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. 344 CD*BY Ci014"ty Growth Management Department Contractor Licensi 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 N 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. 345 C AV 'C' 0147lty Growth Management Department Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 cn 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. 346 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 0 CERTIFICATION OF APPLICATION 0 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 Z3 , 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. 347 Contractor Licensing Ciolfie7' Ci014 "ty 2800 N. Horseshoe Dr. Naples, FL34104 Growth Management Department Phone - 239-252-2431 Fax - 239-252-2469 rn 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. 348 9.A.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. 349 9.A.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 I09 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 R09 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. 350 9.A.1 C AUTOMOBILE 1/23F $68.1K DISCOVER PL B 799UO06 6/22 $25.0K 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 $73.0K 12216910525300 2/23A C AUTOMOBILE 1/23F $74.7K VERIZON U 1R2W002 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 $65.0K 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 ZC08256968(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. 351 9.A.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. 352 9.A.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. 353 9.A.1 USA CREDIT BUREAU Credit Reporting & Collections 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 ROBERTO SUAREZ JR ROBERTO SUAREZ FINANCIAL RECORDS CREDITOR/BANK ACCOUNT NUMBER NC 71, APPLICABLE OFFICE SSN MGR NONE PROVIDED MGR NONE PROVIDED TYPE OF HIGH RET PAST ACCOUNT OPENED BALANCE LIMIT CHECKS DUE BAN"UPTCYIJUDGMENTIIJEN 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. 354 9.A.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. 355 1 9.A.1 Electronic Articles of Organization L23000182905 For FILED 8:00 AM April 13, 2023 Florida Limited Liability Company Sec. Of State rlrichardson 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. 356 9.A.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. 357 9.A.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. 358 9.A.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. 359 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 as identification. Notary Signadue: c m E s Page 9 of 14 -- r a Packet Pg. 360 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. 361 9.A.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. 362 9.A.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. 363 9.A.1 Florida DwmxvgsE O SUAREZSANCHEZ ?ROBER'O s14875 MYSTIC LAKE CIR #6206 MAPLES. FL 34119 oop 08/2111998 ?s: .. M m cxP 0&21r2028 ±- ;- 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. 364 9.A.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. 365 9.A.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. 366 9.A.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-4Ui,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 kN�.. J Expires: October 26, 20 I "e - Notary Public - Stated Flor 1lRI1 Packet Pg. 367 9.A.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. 368 9.A.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. 369 9.A.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. 370 9.A.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. 371 9.A.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 61G4-12.01 I, 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 61G4-15.002i, F.A.C., for Financially Responsible Officers in the amount of: (a) $20,000 for Division 1 applicants. (b) $10,000 for Division 11 applicants. (3) Fifty percent of the financial stability bond or the letter of credit requirement may be met by completion of a 14-hour financial responsibility course approved by the Board. (4) An applicant may meet both the financial responsibility and financial stability requirements by providing proof of a current consumer credit report, as defined in Rule 61 G4-12.011, F.A.C, with a credit score, FICO derived, of 660 or higher, which consumer credit report does not disclose any unsatisfied judgments or liens against the applicant. In addition, there must not be any unsatisfied judgments or liens against the business entity which the applicant previously qualified as a primary qualifier or which the applicant has applied to qualify. 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. 372 9.B 08/16/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 9.13 Doc ID: 26307 Item Summary: 9B. TERESA QUIROZ — PROBATION REVIEW (CREDIT) - ELITE PAINTERS OF SWFL LLC Meeting Date: 08/16/2023 Prepared by: Title: — Contractor Licensing Name: Alyshia Morse 08/08/2023 4:13 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 08/08/2023 4:13 PM Approved By: Review: Contractor Licensing Contractor Licensing Contractor Licensing Sandra Delgado Review item Tim Crotts Review Item Tim Crotts Meeting Pending Completed 08/09/2023 11:56 AM Completed 08/09/2023 3:15 PM 08/16/2023 9:00 AM Packet Pg. 373 9.B.1 Findings of Fact, Conclusions of Law and Decision of the Board Collier County Contractor Licensing Board For Applications Submitted to the Board for Review Type of Application: X Credit Report Review Waiver of Testing Requirements Reinstatement of License Request to Qualify Second Entity Other (specify) THIS CAUSE came on for public hearing before the Contractor Licensing Board (hereafter Board) on September 21, 2022 for consideration of an application submitted to the Board for review. The application submitted is for a license as a Painting Contractor. Teresa Quiroz, d/b/a Elite Painters of SWFL, L.L.C. (hereinafter "Applicant") is before the Board for review of her credit report and a determination of whether the Applicant's credit report should prevent the license from being issued to the Applicant. The Board, having heard testimony under oath, received other evidence, and heard arguments relative to all appropriate matters thereupon, issues its Findings of Fact, Conclusions of Law and Order of the Board as follows: FINDINGS OF FACT 1. The Applicant applied to the Collier County Contractor Licensing Supervisor, or his designee, for issuance of a license as a Painting Contractor. 2. Based on the credit report supplied by the Applicant to the Licensing Supervisor, a review of the creditworthiness of the Applicant by the Board is necessary. 3. The Applicant was present at the public hearing and was not represented by r 00 counsel. aD E 4. The Applicant has demonstrated to the Board's satisfaction that the Applicant r Packet Pg. 374 9.B.1 has taken affirmative and sufficient actions to begin to improve her creditworthiness to a N O W sufficient level to be issued the license and has a plan in place to continue to improve 5 her credit report. w W LU 5. The Applicant has demonstrated to the satisfaction of the Board that she should 00 be issued a twelve (12) month probationary license as a Painting Contractor and should 0 M continue to provide evidence of improvement to her credit score. N CONCLUSIONS OF LAW 1. All notices required by the Code of Laws and Ordinances of Collier County, as amended, have been properly issued and the Board has jurisdiction over the matter. 2. Pursuant to Section 22-184(b) of the Code of Laws and Ordinances of Collier County, as amended, the subject application met the requirement(s) requiring Board review and approval of the application. 3. The Applicant has sufficiently demonstrated to the Board that she meets the creditworthiness standard(s) as set out in Code of Laws and Ordinances of Collier County, as amended, to be issued a license as a Painting Contractor subject to a probationary term through July 1, 2023 and ongoing review of her credit. ORDER OF THE BOARD 1. Based upon the foregoing Findings of Fact and Conclusions of Law, and pursuant to the authority granted as applicable in Chapter 489, Florida Statutes, and Code of Laws and Ordinances of Collier County, as amended, by a vote of 8 in favor and 0 opposed, a unanimous vote of the Board present, the application for license as a Painting Contractor is approved and the license is placed on probationary status subject C6 CD to certain conditions as set for the below. The Applicant shall provide to the Contractor 2 a Packet Pg. 375 9.B.1 Licensing Supervisor or his designee an updated credit report at the six (6) month N 0 W period of the probationary status evidencing an improved credit score and charge -offs 5 cY have been resolved or a repayment plan is in place and the repayments are current. If w the Applicant meets these requirements the probationary status shall be lifted from the subject license. If the Applicant fails to meet these requirements the probationary term 00 ti 0 M shall be extended through July 1, 2023 at which time the Applicant shall provide to the N Contractor Licensing Supervisor or his designee an updated credit report evidencing an improved credit score and resolution of the charge -offs or a repayment plan in place and the repayments are current. 2. Failure to meet these requirements at the end of the July 1, 2023 probationary term shall result in the Applicant being brought back before the Board for the Board to take any further lawful action as deemed necessary. In the event of compliance with this order, as determined by the Contractor Licensing Supervisor or his designee, the probationary status on the license shall be automatically lifted at the end of the July 1, 2023 probationary period. ORDERED by the Contractor Licensing Board effective the 21 st day of September 2022. CONTRACTOR LICENSING BOARD COLLIER COUNTY, FLORIDA By: Kyle Lantz, Chairman m I HEREBY CERTIFY that a true and correct copy of the above and foregoing Findings of Fact, Conclusions of Law, and Order of the Board has been furnished to the E 3 a Packet Pg. 376 9.B.1 Applicant, and Timothy Crotts, Contractor Licensing Supervisor, 2800 North Horseshoe o Drive, Naples, FL 34103 on this — �% day of 2022. 0 cY a Secretary/Contractor Licensing Board w M w m 4 r a Packet Pg. 377 9.B.1 September 21, 2022 MINUTES OF THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD MEETING September 21. 2022 Naples, Florida LET IT BE REMEMBERED that the Collier County Contractors' Licensing Board, having conducted business herein, met on this date at 9:00 a.m. in REGULAR SESSION in Administrative Building F, P Floor, Collier County Government Center, Naples, Florida, with the following members present: Chairman: Kyle Lantz Vice Chairman: Terry Jerulle Matthew Nolton (excused) Richard E. Joslin Patrick G. White Todd Allen Robert Meister III Elie Hunt Stephen Jaron ALSO PRESENT: Kevin Noell, Esq., Contractor Licensing Board Attorney Timothy Crotts, Contractor Licensing Supervisor Colleen Kerins, Assistant Collier County Attorney Michael Governale, Collier County Licensing Investigator Q Packet Pg. 378 9.B.1 September 21, 2022 i • The looming cancelation deadline shouldn't play a part in their decision; Ms. Rea agreed. p • Her husband's health took up a lot of her time, so she wasn't able to resolve her credit issues. • She's not a risk to the public and hasn't mismanaged the business. of • If she gets a license and a complaint is fled, she'll be back before the CLB or it could be handled -ct in court. w • The state license is still valid. tY w • She doesn't have a roofing license in Lee County, just stucco. ~ • She was aware of no letters to her stucco company demanding payment. Board Member White withdrew his motion. r` CD cc N A discussion ensued over Ms. Rea awareness of her company's credit issues and the following points V were made: J • She needs to stay on top of finances for her company. _J • if the Board tables this for 30 days, it will give her time to work on her credit issues. u_ 3: • It would be helpful if she asked her partner to appear before the CLB with her next month. rn • She could take 60 or 90 days but needs to get the issues resolved. u_ O • Her license will go into cancelation status, but she won't have to take the test again. W • She can go to Supervisor Crotts' office for assistance on what documentation she needs to move W forward. z Ms. Rea agreed to table both applications for 30 days. Board Member White made a motion to table Ms. Rea's Review of Credit and Reinstatement of Roofing Contractor License and the New Application for Plastering & Stucco Contracting for 30 days. Second by Board Member Joslin. The motion passed unanimously, 8-0. Vice Chairman Jerulle advised Ms. Rea that as the qualifier of the stucco company, it's her duty to get all the information and find out why there is a credit issue from three years ago. It may have been paid, but it's her responsibility to make sure that happens. Board Member Joslin told her if it's her partner's credit issue, that should be easy for her to resolve. Ms. Rea said he's going through a divorce and his ex-wife has credit problems. F. Teresa Quiroz —Elite Painters of SWFL LLC —Painting Contractor —Review of Credit Chairman Lantz called Ms. Quiroz to the podium and she was sworn in. Supervisor Crofts reported that Ms. Quiroz has submitted an application far the issuance of a specialty license of Painting Contractor, which requires a minimum credit score of 660. As part of the application process under Collier County Ordinance 2006-46, Section 2.3.9, M. Quiroz was required to submit a personal credit report. Staff reviewed the report, which appears not to meet the financial responsibility as set forth in Section 2.5.1, Subsection D: "The applicant or qualifier meets the requirement for f nancial responsibility set forth in Rule GIG4-15.006 of the state of Florida. " A review of the credit reports submitted by Ms. Quiroz shows the following areas of concern:LU • An average credit score of 642. This is based upon a Trans Union credit score of 650, an Experian m rn credit score of 623, and an Equifax credit score of 653. The minimum required is 660. a • A $2, 392 charge -off by Capital One Bank dated July of 2019. During an in person interview with Ms. Quiroz, she confirmed the charge -off amount was correct. Because Ms. Quiroz does not meet the required minimum credit score under the Ordinance, she is being referred to Q Packet Pg. 379 9.B.1 September 21, 2022 i the Board under Section 2.5.2, Referral of the Application to the Contractors ' Licensing Board for a N Decision. Ms. Quiroz is here today to uns'wer questions regarding her credit. W Chairman Lantz asked Ms. Quiroz to provide more information. During questioning, Ms. Quiroz testified about the following: LU W • She contacted creditors and are working on a payment plan. H • She has documentation showing she has a $50 monthly automatic -withdrawal payment plan. m • The woman handling her credit issues is asking about removing interest from that and will get rn back to her today. M • She's also working with an accountant on credit repair and lie's going to help her increase her N credit score. • She offered to submit all those records to the CLB. Board Member White made a motion to accept her records into evidence. Second by Board ,vember Joslin. The motion passed unanimously, 8-0. Board Member White asked for Supervisor Crotts' recommendation. Supervisor Crotts said the County recommends that the license be granted and placed on a probationary period until July 1, 2023. Ms. Quiroz must submit a new credit report after six months to show an improved credit score and submit documentation showing that all charges have been paid in full or a payment plan has been entered into and is current and active. If Ms. Quiroz fails to meet the requirements of this order, the probationary period would continue until July 1, 2023. At the end of the six months, if the credit report does not satisfactorily meet the requirements of this order, then she would be required to appear back in front of the Board. Board Member Allen made a motion to grant the license with a probationary period until July 1, 2023; ordered Ms. Quiroz to submit a new credit report after six months that shows an improved credit score. - submit documentation showing that all charges have been paid in full or a payment plan has been entered into and is current and active. If sire fails to meet those requirements, the probationary period will continue until July 1, 2023. If the credit report does not satisfactorily meet the requirements of this order after six months, then Ms. Quiroz is required to appear in front of the Board again. Second by Board Member Jaron. The motion passed unanimously, 8-0. 9. OLD UUSINESS: Board Member Joslin submitted an 813 Form, a Memorandum of Voting Conflict for County. Municipal and other Local Public Officers, for last month"s hearing on Dale P. Dear — Dear Home Services Inc. -- and asked if it was sufficient. Attorney Noell accepted it, saying it was sufficient. [The Board took a hreak from 10:10 a. m. to 10: 26 a.m.] A. 2022-09 — Cullen Z. Walker, dba Work-A-Holics Landscape Management Inc. m (CEMIS20220005387) rn Chairman Lantz called Mr. Walker to the podium and he and Investigator Governale were sworn c in. d E t U Investigator Governale said a copy of the case packet and complaint was presented and signed and dated f6 Q 9 Packet Pg. 380 9.B.1 September 21, 2022 i Commissioners' Chambers, Third Floor, N O Administrative Building F, Collier County Govemment Center, 3299 E. Tamiami Trail, Naples, FL Cl Board Member White made a motion to adjourn. Second by Board Member Joslin. The motion passed W unanimously, 8-0. H m rn There being no further business for the good of the County, the meeting was adjourned at 10:38 a.m. o M N Collier County Contractors' Licensing Board I-Iti % � Kyle Lantz, Board Chair an These minutes were ap roved by the Chairman or Vice -Chairman of the Contractors' Licensing Board on E r , ; UQI.?- , (check one) as submittedV or as amended 12 Q Packet Pg. 381 Three Bureau Credit Report 9.B.1 Reference # M47103521 Report Date: 07/11/2023 Personal Information e Below is your personal information as it appears in your credit file. This information includes your legal name, current and previous addresses, employment information and other details. i Transtnion Experian Equifax Credit Report Date: 07/11/2023 07/11/2023 07/11/2023 Name: TERESA R QUIROZ TERESA QUIROZ TERESA R QUIROZ Also Known As: RODRIQUEZ,TERESA TERESA RODRIQUEZ TERESA RODRIGUEZ TERESA TERESA TERESA RODRIQUEZ Former: - - - Date of Birth: 1985 1985 1985 2831 NE 47TH AV 104 2831 47TH AVE NE 2831 47FH AVE NE Current Address(es): NAPLES, FL NAPLES, FL NAPLES, FL 34120 34120-7448 34120 12/2011 11/2021 07/2023 1145 TURTLE CREEK BLVD APT 733 NAPLES, FL 8664 DILIP LN 104 8664 DILIP LN APT 104 34110 NAPLES, FL NAPLES, FL 04/2023 34104 34104-1528 8664 DILIP LN APT 104 Previous Address(es): 06/2009 02/2012 NAPLES, FL 5200 SW 16TH PL 3 520016TH PL SW APT 3 34104 NAPLES, FL NAPLES, FL 01/2023 34116 34116-9093 72 ISLE OF SAINT THOMAS ST 03/2009 APT 111 NAPLES, FL 34114 03/2011 Employers: - FICO � Score B Your Credit Score is a representation of your overall credit health. Most lenders utilize some form of credit scoring to help determine your credit worthiness. FICOO Score 8: Lender Rank: FICO® Score 8 Scale: Score Factors TransUnion I N O C� Q W W W I— tb Os ti 0 M co N TransUnion Experian Equifax N O 651 633 648 Fair Fair Fair C'1 300-850 300-850 300-850 Q In W W H FICO® Score 8: [-] [+] Bad payment history. m You have one or more accounts showing missed payments or derogatory indicators. 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 FICOV Score was lowered v due to the number of missed and late payments and/or accounts with derogatory indicators reported. As the number of r accounts with delinquency or derogatory indicators decreases, they have less impact on a FICOO Score. Q High credit usage. You've made heavy use of your available revolving credit The FICOS Score evaluates balances in relation to available credit on revolving accounts. The extent of a person's credit usage is one of the most important factors considered by a FICOO Score. Your FICOO Score was lo\�ri Packet Pg. 382 9.B.1 Three Bureau Credit Report Reference # M39774265 il.r'•,fi1:;tJ It?ii?Ylbi:;i7.fYYS Report Date: 07/27/2022 Below is your personal information as it appears in your credit file. This information includes your Jegal name, current and previous addresses, employment information and other details. I'r.tlrt �liutt I.�;,'ri.u, i.r;nil;l\ Credit Report Date: 07/27/2022 07127/2022 07/27/2022 Name: TERESA R QUIROZ TERESA QUIROZ TERESA R QUIROZ Also Known As: RODRIQUEZ,TERLSA TERESA RODRIQUEZ TERESA RODRIQUEZ TERESA TERESA Former: - - - Date of Birth: 1985 1985 1985 283I NE 47TH AV 104 293147TH AVE NE 283147TH AVE NE NAPLES, FL NAPLES, FL NAPLES, FL Current Address(es): 34120 34120-7448 34120 1212011 11/2021 0712022 1145 TURTLE CREEK BLVD APT 733 NAPLES, FL 8664 DILIP LN APT 104 34110 8664 DILIP LN 104 NAPLES, FL 06/2022 NAPLES NAPLES, FL 34104-1528 8664 DILIP LN APT 104 34104 02/2012 NAPLES, FL Previous Address(es): 0612009 520016TH PL SW APT 3 34t0, 5200 SW 16TH PL 3 NAPLES, FL 09/2016 NAPLES,FL NAPLES 34116-9093 721SLE OF SAINT' THOMAS ST 3 03/2009 APT III NAPLES, FL 34114 03/2011 Employers: Your Credit Score is a representation of your overall credit health. Most lenders utilize some form of credit scoring to help determine your credit 0 worthiness. I1'r.,,f ,.!a;i I..,L,.•..Ili b�l;tfll'.,Y FICOO Score 8: 650 623 653 Lender Rank: Fah- Fair Fair FICOO Score 8 Scale: 300-850 300-850 300-850 l rill, „i,,,, FICO® Score 8: 1-1 (+1 High credit usage. You've made heavy use of your available revolving credit. The FICOO Score evaluates balances in relation to available credit on revolving accounts. The extent of a person's credit usago is one of the most important factors considered by a FICO(& Score. Your FICOO Score was lowered due to higher credit utilizntion. Note, consolidating or moving debt from oneaccount to another will usually not change the total amount owed. Too many credit cards. You have too many credit cards. The FICOO Score considers the total number of credit cards a person has, People with a moderate number of credit cards on thou credit report gmomlly ropresent lower risk than people with either a relatively largo number or a very limited number of credit cards, Note, closirig an existing credit card account doesn't make it disappear from your credit report immediately. I N O a Q to W W W H m a) ti 0 M W rl m W Packet Pg. 383 Three Bureau Credit Report 9.B.1 Reference# M44404445 Personal information Report Date: 03/03/2023 O Below is your personal information as it appears in your credit file. This information includes your legal name, current and previous addresses, employment information and other details. TramUnion FNperian Fquita< Credit Report Date: 03/03/2023 03/03/2023 03/03/2023 Name: TERESA R QUIROZ TERESA QUIROZ TERESA R QUIROZ Also Known As: RODRIQUEZ,TERESA TERESA RODRIQUEZ TERESA RODRIGUEZ TERESA TERESA TERESA RODRIQUEZ Former: - - - Date of Birth: 1985 1985 1985 2831 NE 47TH AV 104 2831 47TH AVE NE 2931 47TH AVE NE Current Address(es): NAPLES, FL NAPLES, FL NAPLES, FL 34120 34120-7448 34120 12/2011 11/2021 02/2023 1145 TURTLE CREEK BLVD APT 733 NAPLES, FL 8664 DILIP LN 104 8664 DILIP LN APT 104 34110 01/2023 NAPLES, FL NAPLES, FL 34104-1528 8664 DILIP LN APT 104 34104 02/2L NAPLES, FL Previous Address(es): 06/2009 5200 S APT 3 34104 5200 SW 16TH PL 3 NAPFL NAPLES, F 01/2023 NAPLES, FL , 34116-9093 72 ISLE OF SAINT THOMAS ST APT 34116 03/2009 111 NAPLES, FL 34114 03/2011 Employers: - FICd ' Scorc 0 Your Credit Score is a representation of your overall credit health. Most [enders utilize some form of credit scoring to help determine your credit worthiness. Score Factor-S TramUnion FICOS Score 8: 643 Lender Rank: Fair FICOO Score 8 Scale: 300-850 Experimi Fquita< 621 6" Fair Fair 300-850 300-850 FICe Score 8: 1-1 I+I Bad payment history. You have one or more accounts showing missed payments or derogatory indicators. 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 FICOO 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 FICOV Score. High credit usage. Crattst'uion: You've made heavy use of your available revolving credit. The F1C(W Score evaluates balances in relation to available credit on revolving accounts. The extent of a person's credit usage is one of the most important factors considered by a FiCO® Score. Your FICO® Score was lowered due to higher credit utilization. Note, consolidating or moving debt from oneaccount to another will usually not change the total amount owed. 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 indicator is a highly correlated 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 FICOO Score. Most late payments stay on your report for no more than seven years. I N O IY Cr Q W W W I— m ti C M 19 N m (n C d E t V to Q FICO®Score 8: [-]1+1 Packet Pg. 384 To: 2398931B25 From: Ronez V. Dollar 7/12/2023 3:52:18 PM p. 3 of 3 9B1 Robert A. Winter (FL, GA) Joseph C. Cooling (GA) S Louis Schiappa (GA, NC, SC) Rebeca M. Fleischer (FL) Joy L. Kundawala (FL) M. Scott Peskin (GA) Louis R. Feingold (GA) Kristian Knochel (FL, GA) TERESA QUIROZ 283147TH AVE NE NAPLES FL 34120-7448 Date: Creditor: Account Number: File No: Case No: Court: Balance: Ck�� COOLING &WINTER ATTORNEYS AT LAW P.O. Box 100150 Marietta, GA 30061-9918 Toll Free: (866) 949-6996 Email: legaI@coolingwinter.com Web: www.coolingwinter.com July 12, 2023 CAPITAL ONE, N.A. ************0218 C0758159 11-2019-SC-002016 COUNTY COURT OF COLLIER COUNTY $1,892.58 Joseph E. Brown (5C) Melissa Alvarez (FL) Adam A. Tesh (SC) Courtney M. Hollis (GA) Briana Boev (FL) Natalie A. Johns (GA) Brooke E. Teal (GA) Pursuant to your recent request, please be advised that you have paid $S00,00. Your last payment was received on June 20, 2023 in the amount of $50.00. Your balance is $1,892.58. However, if you have made payments on a settlement arrangement, then your payoff balance may be less and you may contact us to discuss the remaining settlement balance due at (866) 375-4232. Please refer to file number C0758159 on all payments. This firm practices law in Georgia, Florida, North Carolina, and South Carolina. This communication is from a debt collector and is an attempt to collect a debt, Any information obtained will be used for that purpose. Sincerely, Cooling & Winter, LLC ca rn TL 120230712 IC0758159I LST516.V71 HOURS OF OPERATION ARE MONDAY - FRI DAY 8:30AM - 5:30PM EST Packet Pg. 385 011 IdMS d0 SM31NIVd 31113 - Waamo) M31n321 NOIIVElOMd - zomi t) VS32131 '86 :;ugwLl3e;;d CD 00 � M 6 a1 F1 rr Y V fC d 4} Ln LQ Lq Lq� LQ� Lq�� U N N N N N N N N N N �• O1 V al T �• 01 V a) 01 Q1 00 N N N N N N N v-1' c-1' -1 Q m i W c W M No 0 0 0 0 0 0 0 0 0 O > O O o 0 0 0 0 O O o o 0 m m m M �n in in 0 0 M m V in In �n �n �n �n In a Q z W� Il:.s� m o 0 0 L Y Y Y Y Y Y Y Y Y Q_ V V V U V U U V u Y u u u u u u u u v 0 0 0 0 0 0 0 0 0 0 N N N N N N N N N N C C C C C C C C C C U U U U U U U V U U 04 a� LM a 0 0 0 0 0 0 0 0 0 0 U V V U V U V V U V n O n O O ono o V �O In tD m Ln O N u M O v W ci o m m w m n It = M M M M M M M M M M L O O O O O O O O O O N N N N N N N N N N 1-I O O O O O N O m O -11 N -I-I N M 11 l\D d--+ N N N N M M M M m M •� (� N N N N N N N N N N N N N N N N N N N N in -,:r U) H w I-, H V I- c-I v O m O:j- O m w LD I� m Y+ 1, M rA (D m Ln w m N M Q O I:t w�l u1 m m o0 N h M m m m m M M M M m £ 3o Z 'd ➢dd 8T:Z5:£ £ZOZ/ZT/L aL-TToQ •n zauag :UIOJ 3 5Z8TE686£Z :oy To: 2398931825 From. Ronez V. Dollar 7/12/2023 3:52:18 PM P. 1 of 3 9 B Fax Date: 7/12/2023 3:52:13 PM To: 2398931825 From: Ronez V. Dollar Subject: REQUEST FOR PAYMENT LEDGER-00758159 [cid:image002.jpg@OID9B4D8.CF009DCO]Ronez Dollar Collections Manager I Cooling & Winter, LLC P: 770.988.9055 ext. 3515 1090 Northchase Parkway, Suite 3000 1 Marietta, GA 30067 THIS COMMUNICATION IS FROM A DEBT COLLECTOR. THE DEBT COLLECTOR IS ATTEMPTING TO COLLECT A DEBT AND ANY INFORMATION OBTAINED WILL BE USED FOR THAT PURPOSE. This transmission is intended for the sole use of the individual and entity to whom it is addressed. Privileged and confidential information may be contained in this message. You are hereby notified that any dissemination, distribution, or duplication of this transmission by someone other than the intended addressee or its designated agent is strictly prohibited. Opinions, conclusions and other information in this message that do not relate to official business of my organization shall be understood as neither given nor endorsed by it. If your receipt of this transmission is in error, please notify this company immediately by reply to this transmission. r a Packet Pg. 387 9.0 08/16/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 9.0 Doc ID: 26308 Item Summary: 9C. SIMON J. AGUIRRE — REVIEW OF EXPERIENCE — RESIDENTIAL CONTRACTOR - RED LEVEL CONSTRUCTION LLC Meeting Date: 08/16/2023 Prepared by: Title: — Contractor Licensing Name: Alyshia Morse 08/08/2023 4:17 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 08/08/2023 4:17 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 08/09/2023 11:59 AM Contractor Licensing Tim Crotts Review Item Completed 08/09/2023 3:15 PM Contractor Licensing Tim Crotts Meeting Pending 08/16/2023 9:00 AM Packet Pg. 388 9.C.1 Co -je-r County Growth Management Department Contractor Licensing 2500 N. Horseshoe Dr. Naples, FL 34104 0 Phone - 239-252-2431 M m Fax - 239-252-2469 F4 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 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: it 1—1 C-I ra n+ B\\Jcl V Q k I oy) .. ;T 1 G-�--es t—u Street City 1j State Zip Email l' 1(r Y v r Y . C U rY Telephone: s a `tom' �D "SS # (Last 4 digits only):Eo W Q Date of Birth: D I I vi O I z Driver's License # (Last 4 digits only): 0 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. ( j 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. y E L U r r Q Firnt_Application.dou Rev 4/06/2020 Pago 3 of 15 Packet Pg. 389 9.C.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. 0 0 rM W N r Q Packet Pg. 390 9.C.1 C o -,e,- county Growth Management Department Contractor Licensing 2800 N. Horseshoe Dr. 00 Naples, FL 34104 M Phone - 239-252-2431 W 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. U a� c m E U r r Q Firm Application.docx Rev 4/06/2020 Pago 4 of 15 Packet Pg. 391 9.C.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, U a� c m Notary Signature:I t v r Q Firm_Application.docx Rev 4/06/2020 Page 5 of 15 Packet Pg. 392 9.C.1 Contractor Licensing CO 7e�' CO�fY1ty 2800 N. Horseshoe Dr. Growth Management Department Naples, FL 34104 0 g Phone - 239-252-2431 W 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 r Q Firni_Application.doex Rev 4/06/2020 Page 6 of 15 Packet Pg. 393 9.C.1 COer CO-m4ty Growth Management Department Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 0 Phone - 230-252-2431 W 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:,/ r Q Firrn_Application.docx Rev 4/06/2020 Page 7 of 15 Packet Pg. 394 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 terior Finishes ishes F 7 ---- T i- - , - ---------------- �x�nor Finishes --- -- ---------- --------- FLSAFE P ---------- FLPR -Safety -------------------------------- Plan Reading F FLS&Fl - ------ ---------- Sitework & Foundations ----------- FLCARPCarpentry---------------- F ------------ --- FLEiR --- ----- Concrete and Reinforcement P Cut Score HIGH Co CO 0 E U I Packet Pg.3 577] 9.C.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 ---------------------------------------------------- ---------------- ---------------- Packet Pg. 396 9.C.1 •r !experian, board MY unt acco- 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 M: 449508716 Agent: Aguirre Simon J Agent Address: 3611 Lee BLVD Lehigh Acres, FL Experian Business Credit Score sign out 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 0 0 rM CO N r Q 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. 397 9.C.1 Business Credit t4FFk 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 v Stability Risk AAeriir+nr f'.,. 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 r Q h�t�; i�tlhusenr•:ti.rr:peri� .;Um/report.rtit}x7rr;=449Lit)P7rf;u..e177i0r.�nt�6iVd`i;,7eLehryt•Ar,.,s"%oLr�FL+33�1;4 R,37',¢�,t,..:', l;t±)r?, ' .brit, Packet Pg. 398 9.C.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. (oorstooaa) © 2022 Experlan Information Solutions Inc. Bj3Ck tU 101 r Q ;'i;r.;hsmafkiw.inr5s.!,xilBrian.cnrnfrOpO11.ray.px?fIs_4A950a?lC,&...0177r(]raj)14RLVn?!,7e1r'highrAcresF<'!ciF!-t33n74-19477''-O�.�.. .!�!*�,_�,•, �: Al ni;t Packet Pg. 399 !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.C.1 Prepared For SIMON AGUIRRE Personal & confidential tb Date generated: May 25, 2023 0 rM CO - N 050 $560 $0 $42,025 $0 $43,385 Packet Pg. 400 9.C.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. 00 0 rM CO N r Q Packet Pg. 401 9.C.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 00 0 rM tp N Packet Pg. 402 !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.C.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 w Balance updated Ayr 21, 2023 N $0 Apr 21, 2023 $800 0% $0 Feb 16, 2023 $919 Individual Nov Dec Packet Pg. 403 !experian. •FO&TIMFRCURY Exceplianal payment history 0 Account info Account name FB&T/MERCURY Account number D05356XXXX Original creditor - Company sold - Account type Credit card Date opened May 09, 2022 Openlclosed Open Status Open/Neverlate. Status updated May 2023 M Payment history Jan Feb Mar Apr May 2023 2022 -- — — — — Curd/Terms met — Data U�araaab'e t,a Contact info Address 2220 6TH ST BROOKINGS, S0 57006 Phone number (605) 696-2265 1) Comments 9.C.1 Prepared For SIMON AGUIRRE Date generated: May 25, 2023 O O $560 M w Balance updatedMay09,2023 N Balance $560 Balance updated May 09, 2023 Credit limit $1,500 Credit usage 37% Monthly payment $0 Last Payment Pale May 02, 2023 Highest balance $1,430 Terms Responsibility Individual Your statement Jun Jul Aug Sep Oct Nov 13 c r Q Packet Pg. 404 9.C.1 ! experian. Prepared For SIMON AGUIRRE Date generated: May 25, 2023 00 G *WELLS FAR00 DEALER SVC $22,741 CV) w 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. 405 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.C.1 Prepared For SIMON AGUIRRE Date generated: May 25, 2023 $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. 406 9.C.1 ! experian. Prepared For SIMON AGUIRRE Date generated: May 25, 2023 00 O *SANTANDER CONSUMER USA CV) 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. 407 9.C.1 i■ !ppenan. Collection accounts No eollpNlon *"*unto eeparted. Prepared For SIMON AGUIRRE Date generated: May 25, 2023 r Q Packet Pg. 4 8771 9.C.1 !ppenann Public records No public records reported. Prepared For SIMON AGUIRRE Date generated: May 25, 2023 rb 0 rM RO N r Q Packet Pg. 4 9771 9.C.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 O O M to N Packet Pg. 410 9.C.1 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 SUNCOAST CREDIT UNION Inquired on Apr 16.2022 Business Type: Credt Unions 6801 E HILLSBOROUGH AVE TAMPA, FL 33610 (813) 621.7511 This inquiry Is scheduled to continue on record until May 2074 00 O rM w N r Q Packet Pg. 411 9.C.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. 412 9.C.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 . . 00 • 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 rM • 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 w 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- r Q Packet Pg. 413 9.C.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. 00 O rM 6p N r Q Packet Pg. 414 9.C.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. 00 O M co N Packet Pg. 415 9.C.1 'experian_. Prepared For SIMON AGUIRRE Date generated: May 25,2023 00 0 M tfJ 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. 416 9.C.1 ! exper tan. Prepared For SIMON AGUIRRE Date generated: May 25, 2023 00 O rM tp 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. U a� c 0 E t U r r Q Packet Pg. 417 9.C.1 experian, Prepared For SIMON AGUIRRE pate generated: May 25, 2023 00 G rM 1p 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. r Q Packet Pg. 418 9.C.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. r Q Packet Pg. 419 9.C.1 •a !experian Prep a red For SIMONAGIJIRRR Date generated: May 25,2023 ffi 00 Disclaimer M �O 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. 420 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 9.C.1 Prepared For SIMON J. AGUIRRE Personal & confidential 00 Oate generated: May 16, 2023 M rp 850 Debt summary Credit card and credit line debt $56D Loan debt $43,072 Collections debt $0 Total debt $43,632 r Q Packet Pg. 421 9.C.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 00 0 rM Cp N r Q Packet Pg. 422 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.C.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. 423 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.C.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 00 $0 C w Balance updated Apr 21, 2023 N $0 Apr 21, 2023 $Bog 096 $0 $919 Individual account Jul Aug Sep Oct Nov Dec ✓ ✓ ✓ 30 J ✓ r Q Packet Pg. 424 u TransUnion. OF86T/MERCURY Exceptional payment history 9 Account info Account name Account number Original creditor Company sold Accounttype Date opened Openyclosed Status Status updated IT Payment history Jan 2823 ✓ 2022 — ✓ On Tme ® Contact info Address Phone number Comments FS&TIMERCURY 005356XXXX Revolving account May 09, 2022 Open Paid or paying as agreed May 2023 Feb Mar Apr May aara Unava,-able PO BOX 84064 COLUMBUS, GA 31903 (866) 686.2158 9.C.1 Prepared For SIMON J. AGUIRRE (late generated: May 16, 2023 Balance Balance updated Credit limit Credit usage Monthly payment Past due amount Highest balance Terms Responsibility Your statement e0 $560 M rp Balance updated May 08, 2023 N $560 May 08, 2023 $1,500 37% so $1,430 Individual account Jun Jul Aug Sep Oct Nov Dec ✓ ✓ ✓ ✓ ✓ ✓ ✓ r Q Packet Pg. 425 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 (11 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.C.1 Prepared For SIMON J. AGUIRRE Date generated: May 16, 2023 00 $22,988 CVC) w 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. 426 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.C.1 Prepared For SIMON J. AGUIRRE Date generated: May 16, 2023 Balance Balance updated original balance Monthly payment Past due amount Terms Responsibility Your statement 00 0 rM Rp N Sg V Closed J $0 Aug 09, 2021 $33,690 $0 73 Months Indh1dual account Jul Aug Sep Oct Nov Dec ✓ — _ _ _ — ✓ ✓ ✓ ✓ J ✓ Packet Pg. 427 9.C.1 u TransUnion: Collection accounts no collection accounts reported. Prepared For SIMON J. AGUIRRE Date generated: May 16, 2023 eO 0 rM CO N r Q Packet Pg. 4 8771 9.C.1 u TrQnsUniorn Public records No pubtk recoide reported. Prepared For SIMON J. AGUIRRE Date generated: May 16, 2023 00 0 rM CO N r Q Packet Pg. 4 9771 9.C.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 00 0 rM 6p N Q Packet Pg. 430 9.C.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 O O M to N Packet Pg. 431 9.C.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 • You recently missed a payment or had a derogatory indicator reported on your credit report. Your most recent missed payment happened, 7 idonths ago • 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. • The presence of missed or late payments or derogatory indicators on a credit report, including the comber of missed payments, how late they were and howiecertly they occurred. are correlated with hrture coedit risk. Generally speaking, people who consistentfy 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 FICOt Score. O O rM W N r Q Packet Pg. 432 9.C.1 u TransUn ion. Prepared For SIMON J. AGUIRRE bate generated: May 16, 2023 Disclaimer O0 0 M �O 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. 433 Detail 1'LQiiik�h UI:PAkCi'�kLNTci� STATP, DivsssoN or eO12PORr\TIgNS Q s�itnt of State 1 Division of Cq pQrnt1 1 Se7rcit 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 O O rM w F4 U a� c m E U a r r Q hlips:llsearch.sunbiz.orglinquirylCorporationSearchlSearcl)ResultDetail?inquirytypa=EntilyNama&direclian7ype=Initial&searcliNameOrde packet Pg. 434 9.C.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 c) W F4 r Q htlps:llsearch.sunbiz,orglInquiry/CorporationSearchlSearchResuliDetail?inquirytype=EntityName&dlrer,tionType=initial&searchNameOrd Packet Pg. 435 9.C.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 00 0 rM w F4 r Q Packet Pg. 436 9.C.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 r Q Packet Pg. 437 9.C.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. 438 9.C.1 �yq ] 1�J I RC" D .PARTI F!Tl` CIV THE TRSASURY 1U� IRS INTERNAL REIvi NNE SERVICE CINCINNATI OH 45999-0023 RED LEVEL CONSTRUCTION LLC S1N,ON JI.RONIMO AGUIRRI 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 ((;IN). 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. 0 0 M co N Packet Pg. 439 9.C.1 (iR5 '3. F ONLY) 575A 03-05-201 B ItKDL B 9999999999 Sq -4 p M �O 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. 440 9.C.1 co�er c014"ty Growth Management Department Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 0 239-252-2400 0 F4 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 vy\ 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 r Q Firm_Application.docx Rev 4/06/2020 Page 9 of 15 Packet Pg. 441 9.C.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 nolarization 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 r Q Firm—Applicaiion.docx Rev 4/06/2020 Page 8 of 15 Packet Pg. 442 9.C.1 4 CO 7BY C,014"ty Growth Management Department Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 00 239-252-2400 m 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 ,,��ttttttrr��r � GRO �i �.�vP,,.�aoTaRY''• �G'� z my Comm. Expires S ' December 1, 2024 to _ P No. HH 88469 l V �i Yk V m !_ t U r r Q Firm Application.docx Rev 4/06/2020 Page 12 of 15 Packet Pg. 443 9.C.1 ,Artisan _00 DESIGN • BUILDING • REMODELING CV) N 0- 865 95t1i Ave IV, Naples, FL 34108 • (239) 431-8973 • www,Artis la �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 �lclay of , 20- , by (Name of Person Making Statement). w (Seal) CL a chroulh Ig ature of No Puublic Srlic jN(M'tJrYAssmn .lJ pu6fic - Sm0Print, Type or Stamp Name of Notarym. Expireuyh Nation✓ U Personally Known. OR Produced Identification: Type of Identification Produced: U Packet Pg. 444 9.C.1 co >rer County Growth Management Department Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 0 239-252-2400 0 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. U c v a) Notary Signatur a) L r Q Firm—Applicalion,doex Rev 4/06/2020 Page 11 of 15 Packet Pg. 445 9.C.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 Q Packet Pg. 446 9.C.1 x Ci0 7t3Y Ci07�i'19ty Grovvth Management Department Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 0 239-252-2400 0 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�tiu Co!-? ��aG�OrtS 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 histher experience within this trade. You are being requested to provide information that will aid the applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker (e.g., as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience for the above -named applicant must provide the following information: Name: i Title: 5i dZ-, f Business Name: CoYy �t�rl (7rt�u Phone: a3q- SiLi - aooq License No. (if applicable). C I (V3-Lfag Business Address: S qj L1b.5 h �� �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: Uvj 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: !Imtln 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. '� State of Fja Signature of person pro ding the statement LI•I ' County of Co11 i �.r-. — W tY The foregoing instrument was acknowledged before me by means f Physical presence or ❑ online notarization on this I LU day of �, 20 � , by Sinn til�1l tY Such person(s) Notary Public must clieck applicable box: � Q K arc personally known to me © has produced a current driver license Z ❑ has produced as identification. 0 (Notary Seal) U an c ram` Notary Signaturc: E nJ1°'u Nolary Public State of Honda + Mau HOmbeck V �o My Commission HH 045978 to m n¢ Expires 09123Q024 r Firm_Application.docx Rev 4/06/2020 Pa go 10 of 15 Packet Pg. 447 9.C.1 BOYETTE CONSTRUCTION GROUP, LLC 5741 Washington Strect N Naples, FL 34109 Ph: (239) 514-2009 * Fax: (239) 514-3199 CI3C1261424 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� r Q Packet Pg. 448 03H - NOIDVNINOO IVI1N30IS3N - 33N9IN3dX3 =10 MgIA3N - 3NNinov f NOWIS '06 :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 (t F_E 03H - NOIDVNINOO IVI1N30IS3N - 33N9IN3dX3 =10 MgIA3N - 3NNinov f NOWIS '06 :IUG LPBPV U J � J � Z z O 0 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� -o O L LL ijy O p a) '+s 4 UJ (V O 1 O '0_ cei f-- Cal (U Q E (1) a� E 0 O)L U� Q3 E 4i C9 E L M O O N = E •a c- U X 4 ° 0 E Y L U � � (U N � 0 Q- (U E E 3 U `-- O c O ._ W' (V U_ CD U 4E in i 'C C6 L Q) O 05 U L) m L to 73CO 0 U7�� L Z L E O CA O U 0 m �_E O In d m cc a 9.C.1 Co >ler C01414ty Growth Management Department Contractor Licensing 2800 N. Horseshoe Dr. Naples, Fl. 34104 0 239-252-2400 0 F4 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 CommiEkpuee091 Notary Signatu Q Firm_Applica[ion.docx Rev 4/06/2020 Page 13 of 15 Packet Pg. 451 9.C.1 Co�er County Growth Management Department Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 00 0 239-252-2400 � F4 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 Seal) Notary Signature: presence or ❑ online notarization on this GPO Aj I y • My Comm. Expires' December 1, 2024 .. No. HH 68469 � r Q Firm Application.docx Rev 4/06/2020 Page 14 of 15 Packet Pg. 452 03H - NOIDVNINOO IVIIN30IS3N - 33N3RI3dX3 =10 M9IA3N - 3UNinov f NOWIS '06 :Iuai. L13BPVy M LO a m m a 8 ::1 �- jz< L ts 0 9.C.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) 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. 454 9.C.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 00 0 rM W N to SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE U THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Collier County Contractor Licensing Board d 2800 N Horseshoe Dr. AUTHORIZED REPRESENTATIVE E t �> v Naples FL 34104 r r ap 1988-2015 ACORD CORPORATION. All rights reserved. Q ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Packet Pg. 455 9.C.1 DelgadoSandra 00 0 M 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 r Q Packet Pg. 456 9.C.1 August 17, 2022 CO M 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. 457 9.C.1 August 17, 2022 CO M 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. 458 9.C.1 August 17, 2022 0 M �O 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. 459 9.C.1 ERINTASA, Inc. co RECEIVED M N June 8, 2023 By SandraDelgado at 11:52 am, Jul 13, 2023 J 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, Ingrid Almonte President/Owner Building Affordable Dream Homes in Lehigh Acres, FL 1 (908) 482-3452 Packet Pg. 460 7/18/23, 1:20 PM Detail by Entity Name 00 M pepzrtment of State / Division of Corporations / 5earch Records / Search b L Entity Name / Detail by Entity Name Florida Profit Corporation ERINTASA INVESTORS, INC. Filing Information Document Number P18000022786 FEI/EIN Number 82-4756629 Date Filed 03/07/2018 Effective Date 03/07/2018 State FL Status ACTIVE Principal Address 2509 6TH ST W LEHIGH ACRES, FL 33971 Mailing Address 2509 6TH ST W LEHIGH ACRES, FL 33971 Registered Aaent Name & Address ALMONTE, TAERIS 2509 6TH STREET W LEHIGH ACRES, FL 33971 Officer/Director Detail Name & Address Title P ALMONTE, INGRID 2509 6TH STREET W LEHIGH ACRES, FL 33971 Title VP ALMONTE, TAERIS 2509 6TH STREET W LEHIGH ACRES, FL 33971 Annual Reports Report Year Filed Date search.sunbiz.org/Inquiry/corporationsearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder=Ed Packet Pg. 461 7/18/2' 1:20 PM 2021 02/23/2021 2022 04/10/2022 2023 01 /26/2023 Document Images 01/26/2023 —ANNUAL REPORT 04/10/2022 —ANNUAL REPORT 02/23/2021 --ANNUAL REPORT 06/24/2020 --ANNUAL REPORT 04/15/2019 --ANNUAL REPORT 03/07/2018 — Domestic Profit View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format Detail by Entity Name fi�-:r: ^air:::-,n! nf Stat a, �..,.... of Cr,.,,.- N 00 0 M CD N NZ search.sunbiz.org/Inquiry/corporationsearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder=E Packet Pg. 462 9.C.1 July 19, 2023 MINUTES o M �O OF THE COLLIER COUNTY CONTRACTOR LICENSING BOARD MEETING DULY 19, 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: Vice Chairman: Stephen Jaron Robert Meister Terry Jerulle Richard Joslin Jr. Kyle Lantz Elle Hunt Todd Allen (excused) Matthew Nolton (excused) ALSO PRESENT: Ronald Tomasko, Esq. Timothy Crotts, Contracting Licensing Supervisor Kevin Noell, Esq. Sandra Delgado, Operations Supervisor r`! r c as E z 1 a Packet Pg. 463 9.C.1 July 19, 2023 ■ Richard Joslin: Oh no, he'll be able to hook up a payment plan within ten days, but at M least to contact as far as information and what his obligations are going to be when he N gets here, right? ■ Discussion continued with regard to: the date of August 16; the attorney and Mr. Sanchez make contact within a week; formulate a plan in writing prior to meeting on August 16. Z ■ Kevin Noell: Who was the motion maker? Mr. Lantz, so then is your motion just for granted, August 16, and then have him come back before the Board with the payment D W plan and your motion is that succinct? And then as far as whatever he's going to work out co in the interim, he's on notice that his attorney should reach out to Mr. Crotts and all of 0 that but that's not part of your motion. But it's understood that it's the will of the Board. v J Does that make sense? So that's the motion before the Board. w ■ Discussion continued with regard to: bring a reasonable explanation and plan; typically we don't go against what the County recommends; this is a first; this is your fault; still questioning why the police haven't been involved; your property was stolen; your credit score dropped; no debtor's prison anymore; first time giving a license with a low credit score; make it right. ■ Stephen Jaron: Is your insurance current? Bring a current certificate of insurance to the August 16 meeting. ■ Kevin Noell: For purposes of the motion I need to make sure because I'm going to draft the order that's going to be, to an extent legally binding on this gentleman, and so if he comes before the Board and he doesn't comply with that order, I'm sure the Board is going to have questions and that's going to be an issue. So I just need to procedurally make sure Mr. Lantz, do you want that included in your motion that you want certificate of insurance? And those were the requirements that Mr. Jaron had just stated. Is that part of your motion? ■ Kyle Lantz: It is not. ■ Kevin Noell: Can you restate then your motion so that we understand, and I understand it's procedural lifting, but I need to be able to draft an order that's the will of this Board. ■ Kyle Lantz: So my motion is that we grant him a temporary probationary license from now until 5:00 PM on August 16. At the August 16 meeting, we expect him to be here with an attorney with an explanation of how he got in the situation he's in and a plan of how he plans to get out of the situation he's in. ■ Elle Hunt: Not necessarily a payment plan, but a plan on what they're doing in writing. ■ Richard Joslin: And I will second my motion to the amendment. ■ Stephen Jaron: All in favor, say aye. Aye — four. Terry Jerulle and Stephen Jaron — nay. (Disunited vote, 4-2.) 9. Old Business (A) SIMON J. AGUIRRE — REVIEW OF EXPERIENCE — RESIDENTIAL (0) CONTRACTOR - RED LEVEL CONSTRUCTION LLC v CD ■ Simon J. Aguirre: Sworn testimony given to Mr. Aguirre and his spouse. ■ Timothy Crofts: Mr. Aguirre has submitted an application for the issuance of a E residential building contractor license, which requires 48 months experience in the trade. 17 Q Packet Pg. 464 9.C.1 July 19, 2023 Mr. Aguirre appeared before the Contractor Licensing Board on August 17, 2022, for a M review of his credit and experience. At this time a motion was made and passed that the N application be tabled for 90 days regarding the review of experience and credit. See pages 207 and 208 in your packet for the Minutes of this meeting. At this time, Mr. Aguirre has improved his credit score to an acceptable under the County Court Ordinance and is no Z longer an issue. With regards to experience, Mr. Aguirre submitted one additional letter regarding his experience from Erintasa Investors Incorporated, Ingrid Almonte, president and owner. I spoke to her and she advised that they are solely an investment company.co They do not hold any type of license for any type of trade in Collier County or the state p of Florida. Erintasa Investors has hired Elton Silcox to build two homes currently in Lee v J County and that Mr. Aguirre is a subcontractor of his. Based upon this information received from Mr. Aguirre, it is the opinion of the staff that Mr. Aguirre does not meet the experience requirements under Ordinance 2006-46 Section 1.6.3 as it relates to the trade of a residential building contractor. Mr. Aguirre is being referred to the Board under section 2.5.2 referral the application to the Contractors Licensing Board for decision and Mr. Aguirre is here today to answer your questions. ■ Stephen Jaron: You've been here a couple of times. I think this is your third time in the last year. I believe you had Mr. Silcox with you the last time and he's not here (today). And your goal is to basically do what he's been doing for the last couple of years to build homes for the same investor. And you have another business that you that you also run. The issue we're having with you is experience. If you could explain in more detail your experience as far as home building. ■ Simon J. Aguirre: I thought I would just have to present my credit from last time we spoke. ■ Kyle Lantz: Your credit seems to be improved. ■ Simon J. Aguirre: My experience was all right and that we were just going to talk about my credit; on the minutes of June 15. So I thought I was just here to provide my credit score that was going up. My experience and credit says experience was already covered in the last meeting. ■ Stephen Jaron: So you don't want to explain it again to us. ■ Simon J. Aguirre: But what do you need me to explain? ■ Richard Joslin: How to build a house. ■ Stephen Jaron: We want you to document four years of residential construction building experience. ■ Simon J. Aguirre: I've been building houses for five years with Elton Silcox. We buy the land. We clear the lot. We get the loads in. We get the pad, we get that passed. Then we start doing the underground plumbing and underground electric. We get that poured. We do the shell, we do the trusses, the sheeting, interior framing and rough plumbing, rough air conditioning. That's what we do. We build specs, homes or small homes. There really isn't much to it. ■ Stephen Jaron: There is a lot to it. 0 ■ Simon J. Aguirre: Once you've been doing it for four or five years, homes back to back. ■ Terry Jerulle: Are we arguing? E ■ Simon J. Aguirre: I'm just excited. That's how I speak. 18 Q Packet Pg. 465 9.C.1 July 19, 2023 ■ Stephen Jaron: And the homes you're building are slab on grade, is that right? (Yes.) CO Have you ever built anything on pilings or stem walls? (No.) Anything more than one N story? (No.) ■ Richard Joslin: I think that was part of the issue though. That he had no experience with pilings, even though he was only building on grade. Z ■ Kyle Lantz: I think there are a lot of residential builders who have no experience with pilings. D W ■ Kyle Lantz: I'd like to congratulate you on getting your credit up, because I think we've CO had three lengthy conversations about your credit and you were pretty low and now 0 you're up there. So that's a huge stepping stone I think you've overcome. So J congratulations. I know it goes up a lot slower than it goes down. ■ Stephen Jaron: Do you have employees? Because your workman's comp is specifically for employees. w ■ Simon J. Aguirre: I had employees at the time, but after Coronavirus I don't. It's just me right now. O ■ Kyle Lantz: Mr. Crotts, do you have a recommendation? v ■ Timothy Crotts: Staff would recommend that the license be denied based upon the 9 experience at the August 17, 2022, meeting. Vice Chair Jerulle made a motion to table the hearing for review of credit and experience for 90 days. At that time, the only document that we have received for additional experience has been from an investment company, not a licensed contractor. ■ Simon J. Aguirre: When I went into his office last month and provided him with my credit score I said, what else? What do I need to do and he said you need to convince me and you need to bring more letters. I said can I bring letters of people that I've worked with? He said yes, that'll be fine. So I reached out to the investor and I said, hey, look, this is what I'm dealing with. She said okay, I'll write you a letter. ■ Kyle Lantz: I think people you work with are the person you're hanging block next to or the person who's helping you make the forms as opposed to people you work for. I think a there's a clear difference between the two. And you don't physically do the work on the w homes without you guys subbing everything out. You do the drywall metal framing, or p you're subbing that out now? And are you doing any metal on these? Is it all wood inside? w ■ Simon J. Aguirre: These homes are just wood. I do the drywall by myself. w ■ Terry Jerulle: Mr. Crotts, he was to come back today to improve his credit score and to o! provide more documentation of his experience? w ■ Timothy Crofts: That is correct under the last time he was here, August 17, 2022, and that's reflected in the meeting minutes. O ■ Terry Jerulle: And you did include your credit score. And as Mr. Lantz said, that's to be Q commended. So thank you for doing that. You need to provide or prove to us that you Z have more experience. 2 ■ Kyle Lantz: We want to see hands on experience. We understand you're a great project 55 manager. I think we've been telling you for probably close to two years now we want toCD see hands on experience. That's what we're looking for. I don't think anyone doubts that you've been working with Elton building homes. I think Elton's made that very clear. We E want to see hands on as opposed to supervisory. 19 Q Packet Pg. 466 9.C.1 July 19, 2023 ■ Simon J. Aguirre: You guys want to see me flying trusses, laying blocks, troweling CO cement, doing all that stuff. N ■ Terry Jerulle: There's no need to be sarcastic. It's incumbent upon you to provide us with the document, the package. Again, you can't talk over me. It's incumbent upon you to provide us the experience and documentation. It's easy to get documentation. You get z people to vouch for you and you get letters. You have pictures. You have a diary. You have somebody sign off on it. It's easy to get that experience if you have done that. I'm D W not here to argue with you. The County says you're not getting the license. You're askingCO us to go against the County. So again, you let me finish speaking. The County says you 0 don't have a license. They're not going to give you a license. You're asking us to go J against the County. And all we're asking is provide us with some proof to help us make that decision. You did it with the credit score. Good for you. That's awesome. And you're LU also supposed to do it on the experience. w ■ Simon J. Aguirre: I provided you with the three letters of affidavit with the years of experience from the three companies I've worked for. 0 ■ Terry Jerulle: We're not arguing. We're trying to help you. Don't make it an argument. v We're trying to help. ■ Simon J. Aguirre: Then help me help myself. What more do I need to do? I provided the z package with two letters of character and the three layers of affidavit. I got my credit v score up. I've been in front of you guys three times. I don't know what else to do? Q ■ Spouse: He (Mr. Aguirre) went to his (Mr. Crotts') office and we asked him, what more z do you want? What kind of documents do you want? Do you want to follow him? What c do you want? He said just convince me. He couldn't provide us with pictures, letters. He w didn't say any of that. So that's why he's (Mr. Aquirre) so frustrated. Because right now you guys are telling us we can get letters from other people other than just the investors. w ■ Terry Jerulle: I understand it may be frustrating. And that's the way the system is. When z I got my license, I had to provide to the State a whole bunch of documentation to prove that I had that experience, which I did. Yours wasn't sufficient enough for the last meeting a. minutes. w ■ Discussion continued with regard to: past meetings; credit score; new documentation on 0 experience; more work experience. w ■ Elle Hunt: Do you want to withdraw and just apply for the next month to be in front of > w us? o! ■ Timothy Crotts: I would recommend that we're going to do that. Then we just table the w application until next month. This will allow the applicant to bring in documentation documenting his experience and then he can come back in front of the Board so the 0 Board will have an opportunity to review those documents. Q ■ Elle Hunt: I move that we table it until the August 2023 meeting. z ■ Richard Joslin: I'll second the motion. 2 All in favor, say aye. 55 Aye — five.CD Terry Jerulle— nay. (Disunited vote, 5-1.) as E z 20 Q Packet Pg. 467 9.C.1 From: ContractorsLicensin To: Simonaauirre(cbme.com o 0 Cc: CrottsTimothy Subject: Tabled Application LCC20220001028 - Reminder v Date: Tuesday, August 8, 2023 12:31:00 PM U Attachments: 07-19-23 CLB MINUTES (Draft).pdf J J Z O Hello Mr. Aguirre, Please see the attached pages from the draft minutes from the Contractor Licensing Board meeting of July 19, 2023. As discussed at the July meeting, if you have any additional documentation for verification of experience, they would be due to be submitted with sufficient time before the next meeting date. Wednesday August 9th will make 5 business days before the next meeting date of August 16, 2023. We have not received additional documentation at this time but please reach out if you have anything to provide before the scheduled date. Thank you. Respectfully, 5gMl,&M ud"" Supervisor —Operations, Licensing co*ler county Growth Management Community Development Department Operations & Regulatory Management Division Exceeding Expectations, Every Day! 2800 North Horseshoe Drive, Naples FL 34104 Phone: 239.252.2431 Sandra. Delgado0colliercountyfl.gov ContractorsLicensingCcDcolliercountyfl.gov How are we doing? The Operations & Regulatory Management Division wants to hear from you! Please take our online SURVEY. We appreciate your feedback! r Q Packet Pg. 468 10.A 08/16/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 10.A Doc ID: 26310 Item Summary: 10B. 2023-15 - NICHOLAS ANTHONY MAZZOLA DBA ABOVE & BEYOND PAINTING AND DECORATING L.L.C. (CEMIS2023 Meeting Date: 08/16/2023 Prepared by: Title: — Contractor Licensing Name: Alyshia Morse 08/08/2023 4:20 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 08/08/2023 4:20 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 08/09/2023 1:11 PM Contractor Licensing Tim Crotts Review Item Completed 08/09/2023 3:12 PM Contractor Licensing Tim Crotts Meeting Pending 08/16/2023 9:00 AM Packet Pg. 469 10.A.1 BEFORE THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD 0 0 0 BOARD OF COUNTY COMMISSIONERS, o COLLIER COUNTY, FLORIDA, N O Petitioner,CIA w V. U Case No: 2023-15 6 Licensee No: LCC20110002347 J 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 N gate installation at 5105 Cobble Creek Ct. done by a county licensed contractor. A m Contractors' Licensing case # CEMIS20230005099 was opened June 7, 2023, to investigate further. E 6. Upon investigation, it was discovered on April 27, 2023, ABOVE & BEYOND PAINTING AND DECORATING L.L.C. submitted an invoice to property owner, Q Edgewater at Carlton Lakes Commons Association Inc., to clean and paint all Packet Pg. 470 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. N 7. On May 19, 2023, Fred Clum, Collier County Chief Building Official, determined a 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. Packet Pg. 471 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 0 LO 0 0 0 M N O N co 2 w U Packet Pg. 472 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. 473 10.A.1 Date of contract: May 1, 2023 Date job started: May 8, 2023 c 0 0 Date job completed or new home occupied: May 8, 2023 c N N Were there plans and specifications? No w U_ Is there a written contract? Yes If yes, amount of Contract: $2,189.00 v 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. Packet Pg. 474 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 M county building review and permitting department. o 0 0 M N 1. Upon review of County permitting records, a building permit was never issued N prior to commencing work, and a permit was required to perform the subject `n work. w U 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. 475 10.A.1 CO eY COLLYLt� Growth Management Division Planning & Regulation Operations Department Licensing Section JULY 25, 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, AUGUST 16, 2023, at 9:00 AM in the Board of County Commissioner's Room, Third Floor, Administration Building (W. Hannon 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*234 252-2400*www.co{liergov.nei. Packet Pg. 476 10.A.1 �i0` giCGY �.C7L[Ylty 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 Growth I lanagement Division* Planning & Regulation*2800 North Horseshoe Drive*Naples, Florida 34104*239-252-2400*www.colliergov.net Packet Pg. 477 10.A.1 BogertMichael From: Nicholas Mazzola <nick.aboveandbeyond @gmail.com> Sent: Wednesday, August 2, 2023 10:56 AM To: BogertMichael Subject: Re: COLLIER COUNTY COMPLAINT CASE # CEMIS20230005099 - 5105 COBBLE CREEK CT. 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. Yes sir will be there my apologies for falling ill the last time Sent from my iPhone On Jul 25, 2023, at 1:54 PM, BogertMichael <Michael.Bogert@colliercountyfl.gov> wrote: Good afternoon. Please find the new Notice of Hearing for August 16, 2023, at 9:00 am. Please respond back to this email that you have received this notice. Thank you. Respectfully, Michael P. Bogert Code Enforcement Investigator (Licensing) (Office) 239-252-2450 (Mobile) 239-920-1846 (Email) michael.bog-ert@colliercountyfl.gov 2800 North Horseshoe Drive Naples, FL 34104 <image001.jpg> Operations & Regulatory Management Division Hours of Operation : Monday -Friday 8:00 am to 5:00 pm From: Nicholas Mazzola <nick.aboveandbeyond@gmail.com> Sent: Wednesday, July 19, 2023 12:54 PM To: BogertMichael <Michael.Bogert@colliercountyfl.gov> Cc: CrottsTimothy <Timothy.Crotts@colliercountyfl.gov>; DelgadoSandra <Sandra.Delgado@col lie rcountyfl.gov> Subject: Re: COLLIER COUNTY COMPLAINT CASE # CEMIS20230005099 - 5105 COBBLE CREEK CT. Packet Pg. 478 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. Thank you sir much appreciated please let me know the time and I will be there sir Sent from my iPhone On Jul 19, 2023, at 10:21 AM, BogertMichael <Michael.Bogert@colliercountyfl.gov> wrote: Good morning, Mr. Mazzola. Per our phone conversation this a.m., your request for a continuance has been granted by Code Enforcement Manager Timothy Crotts. Your new hearing date will be Wednesday August 16, 2023. 1 will be reissuing the Notice of Hearing to reflect the new hearing date shortly. Thank you. Respectfully, Michael P. Bogert Code Enforcement Investigator (Licensing) (Office) 239-252-2450 (Mobile) 239-920-1846 (Email) michael.bogert@colliercountvfl.gov 2800 North Horseshoe Drive Naples, FL 34104 <image001.jpg> Operations & Regulatory Management Division Hours of Operation : Monday -Friday 8:00 am to 5:00 pm From: Nicholas Mazzola <nick.aboveandbeyond @gmail.com> Sent: Monday, July 3, 2023 1:46 PM To: BogertMichael <Michael.Bogert@colliercountvfl.gov>; Kevin@premierfenceswfl.com Subject: Re: COLLIER COUNTY COMPLAINT CASE # CEMIS20230005099 - 5105 COBBLE CREEK CT. 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. Thanks Michael 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 Packet Pg. 479 10.A.1 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 safety due to it being gates to a community pool. Does he have permission to get this work done asap in midst of pulling 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 work asap since permits are taking some time these days due to the high quantity per kevin. Can he get going on this? On Wed, Jun 28, 2023 at 11:54 AM BogertMichael <Michael.Bogert@colliercountyfl.gov> 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 <image001.jpg> Operations & Regulatory Management Division c c m E s Hours of Operation c� .r a Packet Pg. 480 Monday -Friday 8:00 am to 5:00 pm | Under Florida Law.e-mail addresses are public records. |fYou dVnot want Your e-mail � address released inresponse hzapublic records request, donot send electronic mail to | this entity. |na#eed, contact this office bytelephone orinwriting. — Kind Regards, Nicholas Mazzola Owner Above 8'Beyond Painting and Decorating, LLC [eU:Z39'29D'4SS1 Office Z39'9O8'1Z11or239'381'94SO I Packet Pg. 481 July 19, 2023 10.A.1 MINUTES OF THE COLLIER COUNTY CONTRACTOR LICENSING BOARD MEETING JULY 19, 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: Vice Chairman: Stephen Jaron Robert Meister Terry Jerulle Richard Joslin Jr. Kyle Lantz Elle Hunt Todd Allen (excused) Matthew Nolton (excused) ALSO PRESENT: Ronald Tomasko, Esq. Timothy Crotts, Contracting Licensing Supervisor Kevin Noell, Esq. Sandra Delgado, Operations Supervisor 1 Packet Pg. 482 July 19, 2023 10.A.1 Further discussion given to Mr. Aguirre: find out from the County what you're going to need; take notes when you talk with the County today; pictures; letters; documentation of experience when you built a house from the dirt up — we need other people authenticating it; letters from inspectors. 10. Public Hearings (A) 2023-15 - NICHOLAS ANTHONY MAZZOLA DBA ABOVE & BEYOND PAINTING AND DECORATING L.L.C. (CEMIS20230005099) ■ Timothy Crotts: Vice Chair, if I may. The respondent is not here today. We actually had to call him to find out where he was. Investigator Mike Bogart had to make several phone calls. We finally got a hold of him. He is saying that he is sick and is asking that this be postponed or tabled to the next meeting in August. ■ Richard Joslin: Is that okay with staff? ■ Timothy Crotts: It is okay with staff. Obviously if you're sick, it's kind of hard to get around that. This would be his first time asking for a continuance on this matter. He was served proper notice, but we will ask that it be postponed until the August 16 meeting. ■ Kevin Noell: And just for the minutes, Mr. Crotts you had your witnesses present. Is that correct? And you had three witnesses present and two staff members and then the homeowner. Is that right? ■ Timothy Crotts: Homeowner, three witnesses and actually three staff members, two from the Building Department (Fred Clum, Doug Sposito) and one from my staff, (Alyshia Morse) and then the witness. ■ Kevin Noell: And you're not objecting to a one-time continuance and certainly next month, when it's set on the August 16 meeting, if he doesn't appear, then I would assume the County will object and it can be handled by the Board at that time, correct? ■ Timothy Crotts: That is correct. ■ Kevin Noell: I think the Board just for procedural sake should make a motion to continue it, especially since the agenda has been approved. Make a motion to continue the administrative hearing until next meeting given the sickness. I would just say that the continuance is granted until August 16. ■ Terry Jerulle: Motion so moved. ■ Kyle Lantz: Second. ■ Stephen Jaron: All in favor say aye. All in favor — aye. (Carried unanimously, 6-0.) 11. Next Meeting Date Wednesday, August 16, 2023 ■ Stephen Jaron: Motion to adjourn. ■ Kyle Lantz: Second. All in favor — aye. (Carried unanimously, 6-0.) 21 Packet Pg. 483 CAff.'-L7c,7,JUI Report Title: Code Case Details .F . 8/2/2023 11:02:45 AM 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:I5105 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 Packet Pg. 484 Code Case Details Execution Date 8/2/2023 11:02:45 AM 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 docs 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. Business Management & Budget Office 2 Packet Pg. 485 Code Case Details Execution Date 8/2/2023 11:02:45 AIV 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, FL34135 USPS CERTIFIED MAIL TRACKING # 7017 3040 0000 0785 6233 ABOVE & BEYOND PAINTING AND DECORATING LLC 24551 PRODUCTION CIRCLE UNIT 1 BONITA SPRINGS, FL34135 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) CE Phone Call MichaelBogert 7/19/2023 7/19/2023 Complete 239.298.4551 Nicholas Mazzola (Qualifier) I called the qualifier at 9:1lam as he was not present at the hearing. The qualifier answered and stated that "he was ill, and that I just woke him up as he didn't get any sleep last night". He then requested that his hearing be rescheduled. I advised that I would submit his request to Code Enforcement Manager Timothy Crotts for a decision. I then let him know that I would call back with a response. He stated he understood and had no questions. Cont. Investigation MichaelBogert 7/19/2023 7/19/2023 Complete CONTINUANCE REQUEST I advised Code Enforcement Manager Timothy Crotts (9:15am) while at the hearing, that the qualifier requests a continuance due to being ill and just waking up as he did not get any sleep last night. Mr. Crotts advised me that he had to consult counsel. Business Management & BUdget Office .r a Packet Pg. 486 Code Case Details Execution Date 8/2/2023 11:02:45 AM 10.A.1 Desc Assigned Required Completed Outcome Comments Cont. Investigation MichaelBogert 7/19/2023 7/19/2023 Complete COUNSEL DISCUSSION Code Enforcement Manager Timothy Crotts Contractors' Licensing Board Attorney Kevin Noell Assistant County Attorney Ronald Tomasko Discussion for continuance for qualifier. The decision to approve the continuance was made. Decision of continuance to be presented to board members upon Public Hearings portion of agenda. Cont. Investigation MichaelBogert 7/19/2023 7/19/2023 Complete MOTION TO APPROVE CONTINUANCE The sitting Contractors' Licensing board members on July 19, 2023 voted 6-0 to approve continuance request until August 16, 2023 meeting for Above & Beyond Painting and Decorating L.L.C. CE Phone Call MichaelBogert 7/19/2023 7/19/2023 Complete 239.298.4551 Nicholas Mazzola (Qualifier) (9:46am) I called and he did not answer. I left a voicemail that his continuance request was approved and the new hearing date was August 16, 2023. 1 also advised that I would reissue a new Notice of Hearing. Cont. Investigation MichaelBogert 7/25/2023 7/25/2023 Complete NOTICE OF HEARING Notice of Hearing issued via email July 25, 2023 at qualifier's request to nick.aboveandbeyond@gmail.com. CE Phone Call MichaelBogert 8/2/2023 8/2/2023 Complete 239.298.4551 Nicholas Mazzola (Qualifier) I called and spoke to the qualifier. When asked, the qualifier stated he did receive the new Notice of Hearing for August 16, 2023. 1 requested he respond to the email (that it was attached to on July 25, 2023) that he received the notice. He stated he would. Cont. Investigation MichaelBogert 8/2/2023 8/2/2023 Complete EMAIL I received an email from the qualifier confirming he received the Notice of Hearing (see in docs and images). Enter Hearing Results MichaelBogert 8/17/2023 Pending July 19, 2023 Contractors' Licensing Board Meeting Case # 2023-15 Above & Beyond Painting and Decorating L.L.C.; Qualifier - Nicholas Anthony Mazzola (Qualifier) 22-201(2) Out of scope, 22-201(18) Commencing work without a permit Continued to August 16, 2023 CLB meeting. Qualifier request. Health. Business Management & Budget Office 4 Packet Pg. 487 Code Case Details Execution Date 8/2/2023 11:02:45 AM 10.A.1 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 5 Packet Pg. 488 10.A.1 COY COLIY! ty 0 Growth Management Division o Planning & Regulation M Operations Department N Licensing Section Cn r- w U 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. 489 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 rn rn 0 LO 0 0 0 M fV O N U) W U Growth Management Division*Planning & Regulation*2800 North Horseshoe Drive*Naples, Florida 34104*239-252-2400*www.colliergov.net Packet Pg. 490 x t ! tl1F�Nt 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 11.0 0 0 CD M N O N 5 LU U Packet Pg. 491 4 10.A.1 I M jj�nMWffJ10M ran ru -0 I C r". Ln cp Certified Mail Fee l,- $ Extra Services & Fees (check box, add fee as appropriate) ❑ Return Receipt (hardcopy) $ ❑ 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.comO. Certified Mail Fee rl- u1 $ 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 1 ❑ Adult Signature Restricted Delivery $ t r NICHOLAS MAZZOLA r 24551 PRODUCTION CIRCLE UNIT 1 BONITA SPRINGS, FL 34135 Packet Pg. 492 10.A.1 BoaertMichael From: BogertMichael 0 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 cq CT. w U 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> Sent: Monday, July 3, 2023 1:46 PM To: BogertMichael <Michael.Bogert@colliercountyfl.gov>; Kevin@premierfenceswfl.com Subject: Re: COLLIER COUNTY COMPLAINT CASE # CEMIS20230005099 - 5105 COBBLE CREEK CT. 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. Thanks Michael Packet Pg. 493 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 6 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 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? Q On Wed, Jun 28, 2023 at 11:54 AM BogertMichael <Michael.Bogert@colliercountvfl.goy> wrote: U 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. 494 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 Packet Pg. 495 ., 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 Packet Pg. 496 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 .r a Packet Pg. 497 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 .r a Packet Pg. 498 10.A.1 BogertMichael From: DelgadoSandra Sent: Wednesday, May 31, 2023 2:49 PM To: BogertMichael Cc: CrottsTimothy; CollierAdam; AmbachChristopher Subject: FW: CESD20230004362 - 5105 Cobble Creek - POOL GATE SWAP NO PERMIT Attachments: CESD20230004362 Violation Determination Checklist Attachment C.pdf Mike, Please look into this one as a fence license may be required at minimum. Respectfully, rocwu,Na ud"" 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@colliercountyfl.eov> 00 Date: May 31, 2023 at 11:53:46 AM EDT To: CrottsTimothy <Timothy.Crotts@colliercountyfl.gov> _ m Subject: FW: CESD20230004362 - 5105 Cobble Creek - POOL GATE SWAP NO PERMIT t m w 1 Q Packet Pg. 499 10.A.1 Tim, Please see below.. interested or no? Either way be will address rn rn From: CollierAdam <Adam.Collier@colliercountyfl.gov> LO 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 CD Hey Chris, w U 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. 500 10.A.1 BoaertMichael From: M S <askmarius@gmail.com> 0 LO c Sent: Friday, May 12, 2023 3:47 PM CD To: Collier -Adam M c Subject: 5105 Cobble Creek Ct - pictures w/pool enclosure original gates w U_ EXTERNAL EMAIL: This email is from an external source. Confirm this is a trusted sender and use extreme caution when (j 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. 501 10.A.1 a� 0 LO 0 0 0 M N O N w U U J J c.� z H a O U w 0 z Q 0 z H z_ Q a 0 z O w m 06 w O m Q Q m 0 Q J O N N a z O m F- z Q Q J O 2 U Z Ln T M N O N m O T C d L V R r r Q Packet Pg. 502 - � ,i�y !. • � � /. � girl. 6 i A } it t S � t L D A •.� M i r t_ ' a�� .� i 7NT,Y �� ��I��•.l� ,J �1. � � _.'�.. _ .>� _'�,. 4'i� S 1 ,altp aw _ r' • •' • -R AA. r ...ate .Y. .. . J 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 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: 0 0 0 0 M N 0 N M ul U Rev. 10/14/15 Packet Pg. 509 10.A.1 PrIfe r IRED 4v� REF FBC 105. 1 lee 18S 4 6 �25 List Compliance Options: ❑ unable to Determine - additional information is required: Rev.10/14/15 O 0 0 0 M N CO N U) 2 W U Packet Pg. 510 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 P9inlim,and Q Deco LLC 24551 Production Circle, Unit 1 Bonita Springs, FL 34135 (239) 9o8-1211 239-301-9450 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 ourfamily to yours now and in the future to come. Thank you and God Bless Sam Mazzola Jr. Payment Payment Terms 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 $o.00 Non $4,039.00 Deposit Paid $2,019.50 Balance Due Upon > .o19.,o Packet Pg. 511 10.A.1 MAM SANDCASTLE AN ASSOCIi' COMP i NY Sandcastle Community Management 9150 Galleria Court, Suite 201 Naples, FL 34109 CHECK REQUEST FORM 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 r Q Packet Pg. 512 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** O O L0 O O O M N O N 5 W U Created with mHelpDesk Packet Pg. 513 ONV JNIlNIVd 4NOA38'8 BAOSV vea vIOZZvw ANOH1NV SVIOHOIN - S4-£ZOZ 13U :IUOWL43BPV d 0 Lz C ll H T � a T d � � 40 E T T m d n v m J� 16 O O `o. O a L m C .2aj T Y lO C al j C Y E � aJ V U � y O G W E L j •- U !0 � � � a C c C E � E cL ° O d 3 E E c O m In •� U Z Ol E O C a N aj L a Y O C a7 "w N Y C— V O c m N g 3 M dvCdi O R ; m 3 C M N w� g i m3� E ° O V c C ro Eai u E y N � h Y @j o Qi m 2 p i� C ` m A` v vi a! U U O 0 •— y V— o ^ nn L D T c 0 m A N .1 � a m LL i O a w E _a h — //) •� t M m O aO g a a, a > • • v y w o W ` J } z F O H O al x W 2 v LO a u m 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 Packet Pg. 515 Detail by Entity Name Page 1 10.A.1 Florida Department of State DIVISION OF CORPORATIONS 01 01 O O O O rtar r,t/rrrc;! ,;`ttra� rt1fY*irt¢1it aa-t%,i� W U Department of State / Division of Corporations / Search Records / Search by Entity Name / Detail by Entity Name Florida Limited Liability Company ABOVE & BEYOND PAINTING AND DECORATING L.L.C. Filing Information Document Number L11000102568 FEI/EIN Number 45-3182855 Date Filed 09/07/2011 Effective Date 09/07/2011 State FL Status ACTIVE Principal Address 24551 Production Cir Unit #1 Bonita Springs, FL 34135 Changed: 02/12/2019 Mailing Address 24551 Production Cir Unit #1 Bonita Springs, FL 34135 Changed: 02/12/2019 Registered Aqent Name & Address MAZZOLA, NICHOLAS A 24551 Production Cir Unit #1 Bonita Springs, FL 34135 Address Changed: 02/12/2019 Authorized Person(s) Detail Name & Address Title MGRM MAZZOLA, NICHOLAS A 21715 Helmsdale Run Estero, FL 33928 Annual Reports Report Year Filed Date 2021 03/30/2021 2022 04/01/2022 http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... I Packet Pg. 516 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 I 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 forir:at 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 to 0 0 O M N O N W U U J J 0 z H Q FY O U W ❑ ❑ z Q z H z_ Q a 13 O W m 06 Lu O m Q Q m Q J O N N Q z O 2 H z Q Q J O 2 U_ z u7 V— A N O N m O r C d E M V !Q r Q http://search.sunbiz.org/Inquiry/CorporationSearchISearchResultDetail?inquirytype=Entity... 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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: O O O O O M N O N 2 W U Packet Pg. 519 Q O T- aNV JNIlNIVd 4NOA913 T BAOSV VSO VIOZZVW ANOH1NV SVIOHOIN - 94-EZOZ 80� :;u8wLl3e44V N N O N 0000 N 0 m m N H } Z D Z O W N�J LL � Z Q Z U c) O Z LL J U O H U) O ti J U Z_ L U Z c c FQ•- O a I c o 0 0 Z M d Q rn J � o w c ^N N 0 Z o LO Z M M N Q U C � m M ` N m N J N U O c (D s O N H c L c N O L Q% Q: O V U v c6 m Q' U) L ;F N c E L C a) mQ � N — y +0+ c� N 2ca c4 0 Q H cy J N 0> C"/") N F M MAI a� cn �. c O o '> -0-0 M N EO N N ca E C O 3 a� CD L M C C: U E a) EL Qi Ca > ' ca ca O > M 0 N O E w O Q U X Q) a) o m c� u) — c U O E `O U M C C: �. C QUo Q E i L U % O p O c CD N O U ch '� c6 a) a) cu U LO M ti O O U U O Z E O m a: U N cB cn c 0 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: Packet Pg. 521 J-u n 7, 2023 at taken b Investi ator B� �.o Ski I J ` ESPA- ,aim Sew SS <� Niatert;e IN �.. _ sitl G Y 1.= — >' �a11 Hours; U ants ONLY �_ �� collier you awn to Ous �- t0 report my Sheriff,, k trespasser Office 71q.g434 s ■ Jun 7, 023 at`3:48r39 P ken]y V!stfgat'0r Bogert Ftv i 2 l l- NO TRESPASSING Edgewater Residents ONLY Pool Hours: Dawn to Dusk :all Collier County Sheriff's Office to report trespassers: 239-774-4434 k, 4N 3 d , �s 10.A.1 rn rn 0 0 0 0 0 M N O N _N E w V V J J z H Q O V w 0 0 z Q z z Q a. 0 z O w m oa w O Co Q Q m 0 Q J O N N Q z O 2 H z Q Q J O 2 U_ z LO T- A N O N m O r C d s v �a Q Packet Pg. 524 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 am Sec. 22-201. - Misconduct —Collier County/city certificate of competency. o u� 0 0 The following actions by a holder of a Collier County/City Certificate of Competency shall M N constitute misconduct and grounds for discipline pursuant to section 22-202: (1) Knowingly combining or conspiring with an unlicensed contractor by allowing v one's Certificate of Competency to be used by an unlicensed contractor with U intent to evade the provisions of this Ordinance. When a licensed contractor J J acts as the qualifying agent for any firm without first making application 0 Z 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 0 w certificate holder allows his certificate to be used by one or more companies o without having any active participation in the operations, management, and a control of such companies, such act constitutes prima facie evidence of an Z intent to evade the provisions of this Ordinance. Active participation requires i= Z a job site supervision, knowledge of and participation in the business o operations of the company(s), including all contractual matters. Z 0 a. If any individual qualifying any business organization ceases to be w m 06 affiliated with such business organization, he shall so inform the Board. w 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 (60) days from the date of termination of the individual's affiliation with the business organization in which to affiliate with another person certified under the provisions of this article. 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 about blank l I Packet Pg. 526 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). 2 w U about:blank I I I Packet Pg. 527 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. about:blanlc 1 1; Packet Pg. 528 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, partnership, corporation, trust, or other legal entity that offers to sell or sells completed residences about:blank l I r Packet Pg. 529 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. rn rn 0 LO 0 0 0 M N 0 N N 2 w U about:blank I I il Packet Pg. 530 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 about:blank 1 l I Packet Pg. 531 Collier County, FL Code of Ordinances Page 49 of 16 10.A.1 (26) Liquefied petroleum gas installation contractormeans any person qualified and licensed pursuant to F.S. ch. 527 to install apparatus, piping and tubing, and appliances and equipment necessary for storing and converting liquefied petroleum gas into flame for light, heat, and power, Placement of fire safing and fire stopping materials shall be permitted on wall, ceiling and floor penetrations created within the scope of the work allowed by this section. (27) Marine seawall, and dock construction 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. 532 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. r w C E Plumbing: t v w 21 1 of 7 Exported from Q UpCodes Packet Pg. 533 10.A.1 BooertMichael From: ClumFred 0 "' 0 Sent: Tuesday, July 11, 2023 2:52 PM M To: CrottsTimothy c Cc: BogertMichaelCn Subject: FW: 5105 Cobble Creek - Carlton Lakes 2 w tU 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. 534 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. I1I I'}T 1I7! I Respectfully, Robert Moore Plans Reviewer Robert. Moore CcDcoI Iiercountvfl.Rov Corer COUVIty Growth Management Department z F�1 z Packet Pg. 535 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 w 0 LO 0 0 0 M N 0 N Cn M. W V Packet Pg. 536 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. 0 LO 0 0 0 M N 0 N Cn 2 w V Packet Pg. 537 10.A.1 Thank you for your time and consideration of the information provided. rn rn 0 W) 0 Ryan J.K. c M N ---------- Forwarded message --------- N From: Contractors Licensing <ContractorsLicensingcolliercountyfl.gov> M Date: Mon, May 22, 2023, 3:23 PM w U Subject: Fencing Question v 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! Please take our online SURVEY. We appreciate your feedback! 5 Packet Pg. 538 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. 0 Un 0 0 0 M N O N Cn M w U U J J CD Z_ H a O U W Z a c� Z Z Q 0- 0 z O w m 06 w O m Q Q In 0 Q J O N N Q Z O x H z Q Q J O x U Z N M N O N CO O r a-� C E t V fC a� a� a Packet Pg. 539 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 . 0 0 LO 0 0 0 M N 0 N U) 2 w U Packet Pg. 540 10.A.1 Contractor Licensing Co Ter C 014 Lty 2800 N. Horseshoe Dr. Growth Management Department Naples, FL 34104 Phone - 239-252-2431 c Fax - 239-252-2469 c 0 0 M SWORN STATEMENT N 0 N U) 2 W tU �6�wj Signature of person providing the statement State of C ► "t County of The foregoing instrument as acknowledged before me this �I — I (D by date 1l- ` r ^'� who has produced oa)-L"r—' as identification name of person acknowledging V type of ide Pfication or�l nown and did not take an oath. ti►�YN� SANDRADELGADO �� ....��V Commission# HH 101718 GNATURE OF NOTARY N��.o: Expires March 8, 2025 "-"'gyp Bonded Tlw Bv0* NoWy $DIY m NOTARY'S SEAL Packet Pg. 541 10.A.1 rn While I was on the phone, I received an IM for Alyshia Morse, who works in contractor licensing, asking if LO a permit was required the replace a fence gate. My answer was No as long as it was like for like. (I was c 0 assuming it was residential property and not for pool protection). In hindsight I should have responded N by asking if this was a commercial property and if the fence is being used for pool protection. With that CN information my answer would have been Yes. A permit would be required. I have attached an email I CO sent out on 6/9. LU v Packet Pg. 542 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 111111���111111111ii��11��1j1 y � � Above and Beyond Painting Estimate # 2971 Date 6/27/2023 Item Description Qty ';'; Price Amount chainlink walk gate Replace 3 - 4' wide pool code chainlink walk gates 1.00 $3,000.00 $3,000.00 with all self closing self latching. RUSH order on install if approved. 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. 543 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 Packet Pg. 544 10.A.1 CO GY C�OT�I.H�y Growth Management Division Planning & Regulation Operations Department Licensing Section JULY 25, 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, AUGUST 16, 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 Div;sion* anning & Regulation"2800 North Horseshoe Drive*Naples, Florida 34104*239-252-2400*www.colliergov.net Packet Pg. 545 10.A.1 Co e-� +CoHv,.ty Growth Management Division Planning & Regulation Operations Department Licensing Section See. 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 Growth Management Division*Planning & Regulation`2800 North Horseshoe Drive*Naples, Florida 34104*239-252-2400*www.colliergov.net Packet Pg. 546 10.A.1 BogertMichael From: Nicholas Mazzola <nick.aboveandbeyond@gmail.com> Sent: Wednesday, August 2, 2023 10:56 AM To: BogertMichael Subject: Re: COLLIER COUNTY COMPLAINT CASE # CEMIS20230005099 - 5105 COBBLE CREEK CT. 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. Yes sir will be there my apologies for falling ill the last time Sent from my iPhone On Jul 25, 2023, at 1:54 PM, BogertMichael <Michael.Bogert@colliercountyfl.gov> wrote: Good afternoon. Please find the new Notice of Hearing for August 16, 2023, at 9:00 am. Please respond back to this email that you have received this notice. Thank you. Respectfully, Michael P. Bogert Code Enforcement Investigator (Licensing) (Office) 239-252-2450 (Mobile) 239-920-1846 (Email) michael.boRert@colliercountyfl.gov 2800 North Horseshoe Drive Naples, FL 34104 <image001.jpg> Operations & Regulatory Management Division Hours of Operation : Monday -Friday 8:00 am to 5:00 pm From: Nicholas Mazzola <nick.aboveandbeyond @gmail.com> Sent: Wednesday, July 19, 2023 12:54 PM To: BogertMichael <Michael.Bogert@colliercountyfl.gov> Cc: CrottsTimothy <Timothy.Crotts@colliercountyfl.gov>; DelgadoSandra <Sandra.Delgado@colliercountyfl.gov> Subject: Re: COLLIER COUNTY COMPLAINT CASE # CEMIS20230005099 - 5105 COBBLE CREEK CT. Packet Pg. 547 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. Thank you sir much appreciated please let me know the time and I will be there sir Sent from my iPhone On Jul 19, 2023, at 10:21 AM, BogertMichael <Michael.Bogert@colliercountvfl.gov> wrote: Good morning, Mr. Mazzola. Per our phone conversation this a.m., your request for a continuance has been granted by Code Enforcement Manager Timothy Crotts. Your new hearing date will be Wednesday August 16, 2023. 1 will be reissuing the Notice of Hearing to reflect the new hearing date shortly. Thank you. Respectfully, Michael P. Bogert Code Enforcement Investigator (Licensing) (Office) 239-252-2450 (Mobile) 239-920-1846 (Email) michael.bogert@colliercountvfl.gov 2800 North Horseshoe Drive Naples, FL 34104 <image001.jpg> Operations & Regulatory Management Division Hours of Operation : Monday -Friday 8:00 am to 5:00 pm From: Nicholas Mazzola <nick.aboveandbeyond @gmail.com> Sent: Monday, July 3, 2023 1:46 PM To: BogertMichael <Michael.BogertCc@colliercountyfl.gov>; Kevin@Premierfenceswfl.com Subject: Re: COLLIER COUNTY COMPLAINT CASE # CEMIS20230005099 - 5105 COBBLE CREEK CT. 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. Thanks Michael 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 Packet Pg. 548 10.A.1 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 safety due to it being gates to a community pool. Does he have permission to get this work done asap in midst of pulling 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 work asap since permits are taking some time these days due to the high quantity per kevin. Can he get going on this? On Wed, Jun 28, 2023 at 11:54 AM BogertMichael <Michael.Bogert@colliercountyfl.Qov> 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@colliercountvfl.gov 2800 North Horseshoe Drive Naples, FL 34104 <image001.jpg> Operations & Regulatory Management Division Hours of Operation : Packet Pg. 549 10.A.1 Monday -Friday 8:00 am to 5:00 pm w w 0 LO 0 0 M N 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 W this entity. Instead, contact this office by telephone or in writing. w U Kind Regards, Nicholas Mazzola Owner Above & Beyond Painting and Decorating, LLC Cell: 239-298-4551 Office 239-908-1211 or 239-301-9450 <NWRDO000.' > <NOH - ABOVE & BEYOND (081623).pdf> Packet Pg. 550 Ar-- Cffemov.not Report Title: Code Case Details Dafe: 8/2/2023 11:02:45 AM Case Number: CEMIS20230005099 ':�'s�.. �t •xc-,-����+`�cS� �#��*n���.�k-,�°aw«��,_>w>a&ak�..��s �..� �r� � c �Y� �is�:,:z�;:� 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 Qualitior MAZZOLA, NICHOLAS ANTHONY Business Management & Budget Office E in 0 LO 0 0 0 M N O N CO) w U Packet Pg. 551 Code Case Details Execution Date 8/2/2023 11:02:45 AM 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 docs 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. Business Management & Budget Office: 2 rn rn O O O O M N O N N u Packet Pg. 552 Code Case Details Execution Date 8/2/2023 11:02:45 AM 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, FL34135 USPS CERTIFIED MAIL TRACKING # 7017 3040 0000 0785 6233 ABOVE & BEYOND PAINTING AND DECORATING LLC 24551 PRODUCTION CIRCLE UNIT 1 BONITA SPRINGS, FL34135 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) CE Phone Call MichaelBogert 7/19/2023 7/19/2023 Complete 239.298.4551 Nicholas Mazzola (Qualifier) I called the qualifier at 9:1 lam as he was not present at the hearing. The qualifier answered and stated that "he was ill, and that I just woke him up as he didn't get any sleep last night". He then requested that his hearing be rescheduled. I advised that would submit his request to Code Enforcement Manager Timothy Crofts for a decision. I then let him know that I would call back with a response. He stated he understood and had no questions. Cont. Investigation MichaelBogert 7/19/2023 7/19/2023 Complete CONTINUANCE REQUEST I advised Code Enforcement Manager Timothy Crotts (9:15am) while at the hearing, that the qualifier requests a continuance due to being ill and just waking up as he did not get any sleep last night. Mr. Crofts advised me that he had to consult counsel. Business Management & BUdget Office rn rn 0 0 0 0 M N 0 N N 2 W U Packet Pg. 553 Code Case Details Execution Date 8/2/2023 11:02:45 AM 10.A.1 Desc Assigned Required Completed Outcome Comments Cont. Investigation MichaelBogert 7/19/2023 7/19/2023 Complete COUNSEL DISCUSSION Code Enforcement Manager Timothy Crotts Contractors' Licensing Board Attorney Kevin Noell Assistant County Attorney Ronald Tomasko Discussion for continuance for qualifier. The decision to approve the continuance was made. Decision of continuance to be presented to board members upon Public Hearings portion of agenda. Cont. Investigation MichaelBogert 7/19/2023 7/19/2023 Complete MOTION TO APPROVE CONTINUANCE The sitting Contractors' Licensing board members on July 19, 2023 voted 6-0 to approve continuance request until August 16, 2023 meeting for Above & Beyond Painting and Decorating L.L.C. CE Phone Call MichaelBogert 7/19/2023 7/19/2023 Complete 239.298.4551 Nicholas Mazzola (Qualifier) (9:46am) I called and he did not answer. I left a voicemail that his continuance request was approved and the new hearing date was August 16, 2023. 1 also advised that I would reissue a new Notice of Hearing. Cont. Investigation MichaelBogert 7/25/2023 7/25/2023 Complete NOTICE OF HEARING Notice of Hearing issued via email July 25, 2023 at qualifier's request to nick.aboveandbeyond@gmail.com. CE Phone Call MichaelBogert 8/2/2023 8/2/2023 Complete 239.298.4551 Nicholas Mazzola (Qualifier) I called and spoke to the qualifier. When asked, the qualifier stated he did receive the new Notice of Hearing for August 16, 2023. 1 requested he respond to the email (that it was attached to on July 25, 2023) that he received the notice. He stated he would. Cont. Investigation MichaelBogert 8/2/2023 8/2/2023 Complete EMAIL I received an email from the qualifier confirming he received the Notice of Hearing (see in dots and images). Enter Hearing Results MichaelBogert 8/17/2023 Pending July 19, 2023 Contractors' Licensing Board Meeting Case # 2023-15 Above & Beyond Painting and Decorating L.L.C.; Qualifier - Nicholas Anthony Mazzola (Qualifier) 22-201(2) Out of scope, 22-201(18) Commencing work without a permit Continued to August 16, 2023 CLB meeting. Qualifier request. Health. Business Management & Budget Office 4 rn rn 0 0 0 0 M N 0 N N W u Packet Pg. 554 Code Case Details Execution Date 8/2/2023 11:02:45 AM 10.A.1 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 5 rn rn 0 0 0 0 M N 0 N CO) W U Packet Pg. 555 10.B 08/16/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 10.13 Doc ID: 26311 Item Summary: 10A. DANIEL FEIERTAG — CONTESTING CITATIONS 11927 (CEUL20230005328) & 11928 (CEUL20230005446) Meeting Date: 08/16/2023 Prepared by: Title: — Contractor Licensing Name: Alyshia Morse 08/08/2023 4:21 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 08/08/2023 4:21 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 08/09/2023 12:01 PM Contractor Licensing Tim Crotts Review Item Completed 08/09/2023 3:12 PM Contractor Licensing Tim Crotts Meeting Pending 08/16/2023 9:00 AM Packet Pg. 556 10.B.1 COLLIER COUNTY 11928 GROWTH MANAGEMENT DIVISION CITATIQN Pursuant to ,ection 489 Florida Statuses, the undersigned hereby certifies that upon personal rntextigation, he/she has reaunahle and probable grounds to believe that the person whose nano appears below as issued to did violate sube.s,-�n s* --.roues, and the Collier County Contractor's License g d n. � u dedr by committing the violation stated belon Issued To `i 4(, I ►t�rr Address t-4 CitvState (,L.e ho "u-n j I.D. AM1PM 'F-L Zip Date of Birth Vehicle Make/Type (if applicable )^ Year cu7j Tag Nil_ Location of Violation f�.� � jL �i i�►� ._ f �C.. 1+[ ^t T Q! I�i� OPTIONS I have been informed of the %ioldtion. for t, lmh I have been charged and elect the following option (Check one) t) ❑ 1 choose to pay the penalty ofjooccll a co _' I © t choose not to pay the penalty, and will nest in Wntin* by certified mail �r ha n� delivery an Administrative Hearing before the Contractors Licensing B; a I Description of Violation Date Violation ON a) Malsely hold self or business organization out as a licensee, or registrant; �:/50 b) ❑ Falsely impersonate a certificate holder or registrant: c) [3Present as his/her own the certificate or registration of another; d) ❑ Knowingly give false or forged evidence to the Board or a member thereoF e) ❑ USe or attem to use a certificate oryapa"city istration which has been suspended revoked; �w�5b��§igage in the businessaractin a a` canoe ar verttse self / �r business organization as available to engage in the business or act in the capacity of contractor without being duty registered or certified; g) (3operate a business organization engaged in contracting after (60) days; h) [3Commence or perform work for which a building permit is required Pursuant to an adopted state minimum building code or without such permit being in effect: 0 O Willfully or deliberately disregard or violate any Collier County ordinance relating to uncertified or unregistered contractors. A person or business organization operating on an inactive or sus ded certittcate. or registration, or operating beyond the scope of work or'ccope of the registration, is not duly certified or registered. , N S rS U"ha-, v A& I SIGNATURE (RECIP1EN ► Sl a 1 NVI SI-IGAT0R) iW330 opoo 1 1176 d-rkj PRINT (RECIPIENTS NAME) PRINT (INVESTIGATOR'S NAME) Pursuant to 489.127. Florida Statues, willful refusal to sign and accept this citation constitutes misdemeanor of the second degree, punishable as provided in section 775.082 or 7'5.083 Florida Statutes. (SEE RFVERSE FOR INSTRUCTIONS) SSiST" 601AaTe&:?>PS-- tVZ9,.60tj ,'Ot E_ FR COUNTY CONTRACTORS L IC_ EWE J W z a c d O r M to N Packet Pg. 557 10.B.1 J W_ Z Q 0 Q 0 T T T M INSTRUCTIONS N PAYMENT OF CITATION: The penalty for each uncontested violation has been set by the Board of Col- lier County Commissioners, and shall be payable to the Board of Collier County Commissioners, 2800 North Horseshoe Drise, Naples, Florida 34104, no later than 10 days of notice receipt, excluding weekends and legal holidays. PAYMENTS All CST BE MADE RI. CASH, CHECK OR MONEY ORDFR, ALL FEES.NUST BE REMITTED IN U.S. FUNDS. FiNE SCHEDULE - UNCONTESTED VIOLATIONS I st uncontested Offense $1.000.00 _nd Uncontested C)tfensc �2,000.00 Notwithstanding the above -referenced penalties, in tite event a first uncontested ymlation is the result of the \ iolatcor,engagiag in the business or acting to the :apa is of a contractor err adsertisi►ig himse for herself or a business organization as available to engage in the business or act in the capacity of a contractor without being du l Xegistered or certified. The penalty shall abated from $1,000.00 too 4308.80 if the violator submits a aim kted application in accordance with sec- tion 2.1 and 2.2 of this Ordinance within forty -tire (I5) days of the date of issu- ance of the Citation for the violation. REQUEST FOR HEARING: lou may request an Administrative Hearing within the sarrke ten (10) day time frame before the Collier Countv Contractor's Licensing Board upon n ice, in writing, to the Contractor's Licensing Supervisor if you do not request a Kraring or pay the penalty lee as described, the citation :hall automatically become it Pinal Order of the Contractor's Licensing Board. ordering the violator to day the civil penalty set forth on the citation without a hearing. A certified copy of such Order shall he recorded in public records and thereafter shall constitute a lien against mnct real and personal property owned by the violator. Upon petition to the 0r- cuit Court, such Order may be eniimced in the same manner as a Court Judgment by the Sheriff's Office or the State. If after three (3) months from filing such lien, the lien remains unpaid, :he t:ontractor`,� Licensing hoard may authorize the County Attornev's Office to foreclose on the lien. .,iv inaaunum prnalty for a contested citation is S2,;00.0(for each day the iolation exists. Each day a ,,y!iIful know;ra Violation continues it shali :,-Pstitute a set)arate m4asc and penalties shaliscontinue i+, accrue. Any agWieced parts may appeai a �%dnli4tstrative Ocder of the Boars -.o the Circlif Court: Suc-n aprycai shalt 'tot tie d hearing de holy. but chall be tim;ted to arr+ellate reyieu c! the rft-ord ,.ated before the Board. Anaueal frlia be i:ea its 3o, o'.;o' c:f -xecution of the Ordet u 'Wed ""+drier T4n D c,, Px�'Oh.�r C -- II r eat" No L, WSc- Pao, S,Ail� C'40L �f oso'v Packet Pg. 558 10.B.1 THE MCINTYRE LAW FIRM, PLLC 1520 Royal Palm Square Blvd., Suite 210 Fort Myers, FL 33919 Phone: (239) 935-8426 www.mcintyrelawfirm.com July 6, 2023 VIA UNITED STATES POSTAL SERVICE CERTIFIED MAIL RETURN RECEIPT REQUESTED No.-lb22 1 u-j() LA 0Z 1 LU lA-10 Mr. Timothy Crotts, Contractor Licensing Supervisor Collier County Growth Management Department Operations & Regulatory Management Division, Contractor Licensing 2800 Horseshoe Drive N. Naples, FL 34104 RE: Request for Administrative Hearing before Collier County Contractor Licensing Board, pursuant to Collier County Growth Management Division Citations CEUL20230005328 and CEUL20230005446 Issued to Daniel Feiertag Dear Mr. Crotts: Please be advised that the undersigned serves as general counsel to FBC Home Concept, LLC d/b/a Countertops and More ("Client"). On June 28, 2023, my Client received the following Collier County Growth Management Division Citations, CEUL20230005328 and CEUL20230005446, issued to Mr. Daniel Feiertag of Countertops and More via United States Postal Service Certified Mail No. 7022 3330 0000 1433 1176 (hereinafter "Citations"). Accordingly, please allow the instant correspondence to serve as written notice of my Client's request for an administrative hearing before the Collier County Contractor Licensing Board, pursuant to the above - referenced Citations and Section 489.127(5)(d)1, Florida Statutes. Should you wish to further discuss this matter, please do not hesitate to contact me via telephone at (239) 935-8426, or via email at \ ictor a mciny\ rela\\ Itniixoni. Thank you. Page 1 of 2 Packet Pg. 559 10.B.1 f,RB/EAZ CC: Client, FBC Home Concept, LLC Sincerely yours, w z Q r Victor R. Bermudez, Esq. T T M N Page 2 of 2 .r Q Packet Pg. 560 Sbt7o9.tc�+ 10.B.1 o W4y��� l4�4 �QJa nn o�� J n�o W Z Q 0 U N 7 � � d cr o 0 -� M N coN v W rn co CN Q � r CM M o � o Cl) a �J m J r+- (D LU ►�1y ` r N c o (f Q U) W y F- o � U No W W 3 _ LL J LU a � U a If Packet Pg. 561 10.B.1 2 El f o r c� G t V Q Packet Pg. 562 10.B.1 CAtergvv.net Report Title: Code Case Details Date: 8/2/2023 12:30:51 PM Case Number: CEUL20230005446 Case Number: CEUL20230005446 Case Type: Unlicensed Priority: Normal Inspector: TimothyBroughton Jurisdiction: City of Marco Origin: Building Department Detail Description: Unlicensed Plumbing - FEIERTAG, DANIEL - Citation #11928, $2000.00, 2nd or more Violation's, Owner of FBHC Concept Corp (DBA Countertops and More) Location Comments:1731 W. Elkcam Cir. Unit B101 Property 72480440001 Complainant City of Marco Island Building Department Property Owner DJ MURTAUGH LIVING TRUST Violator Feiertag, Daniel Case Disposition: Unpaid Business Management & Budget Office 1 Packet Pg. 563 Code Case Details Execution Date 8/2/2023 12:30:51 PM 10.B.1 Desc Assigned Required Completed Outcome Comments Preliminary Investigation TimothyBroug 6/20/2023 6/20/2023 Citation Unlicensed Plumbing. Investigation Needed. hton Required TB Cont. Investigation TimothyBroug 6/22/2023 6/22/2023 Complete I received the complaint from Inspector James hton Reynolds of the Marco Island Building Department. I conducted a site visit to the said location. I received no response at the front door. I left my business card for the homeowner to give me a call. I then called the homeowner, Mr. David Murtaugh (219) 241- 7474. He stated that he hired Countertops and More to install some kitchen cabinets at the said location. Mr. Murtaugh stated that he paid them $13,000.00 by check for the said scope of work. I asked Mr. Murtaugh to email me a copy of his contract and form of payment. TB Attach Picture(s) TimothyBroug 6/22/2023 6/22/2023 Complete hton Cont. Investigation TimothyBroug 6/22/2023 6/22/2023 Complete I called Inspector James Reynolds of the hton Marco Island Building Department. I asked him if a permit was required for the kitchen sink installation at the said location. He stated yes. I asked him if a permit was required for the garbage disposal installation. He stated no since its plug and play. TB Cont. Investigation TimothyBroug 6/22/2023 6/22/2023 Complete I conducted a site visit to Countertops and hton More Naples store, located at 4202 Tamiami Trail N. - I talked with the store sales person, Mr. Henry Costa. I advised him of my complaint. I asked Mr. Costa if he sold the job at the said location. He stated yes. I asked him if he advised my homeowner that installation of the cabinets, countertops and plumbing was included and going to be completed by Countertops and More. Mr. Costa stated yes. Mr. Costa also stated that he tells his clients that the company is licensed for the said scope of work and if they need a copy of their license or their workers comp policy - they will provide it to the homeowner. A license check revealed that Countertops and More does not have a contractors license in the State of Florida or Collier County to complete the said scope of work. Mr. Costa gave me the number to the Fort Myers location and advised me to call "Mark" (General Manager) regarding my complaint. I then called the Fort Myers location and asked to talk with the company owner, Mr. Daniel Feiertag or the store General Manager. I left a message for Mr. Feiertag to give me a call. TB Business Management & Budget Office Packet Pg. 564 Code Case Details Execution Date 8/2/2023 12:30:51 PM 10.B.1 Desc Assigned Required Completed Outcome Comments Cont. Investigation TimothyBroug 6/22/2023 6/22/2023 Complete I have not received a return call from the hton owner of Countertops and More, Mr. Daniel Feiertag. I then emailed the Scheduling & Purchases Department for Countertops and More (Leticia Andrade). I received a name and email address from the homeowner. The homeowner, Mr. Dave Murtaugh has advised Countertops and More that they have no contractor's license in Collier County or the State of Florida that would allow them to complete the said scope of work. Mr. Murtaugh has also requested a full refund of the $13,000.00 from Countertops and More. TB Cont. Investigation TimothyBroug 6/22/2023 6/22/2023 Complete I received an email back from Ms. Leticia Mon Andrade from Countertops and More. I advised her of my complaint via email and asked her to have the owner, Mr. Daniel Feiertag call me regarding the complaint and the 2 citations that he would receive. I was advised that the owner would call me regarding the complaint and the citations. I never received a call from Mr. Daniel Feiertag. I then issued citation #11928 for unlicensed plumbing contractor. I sent the citation USPS certified mail with tracking #70223330000014331176 to the company address of record in Sunbiz. TB Cont. Investigation TimothyBroug 6/28/2023 6/28/2023 Complete A check of USPS certified mail with tracking Mon #70223330000014331176 states that parcel is still moving through the network. TB Cont. Investigation TimothyBroug 7/10/2023 7/10/2023 Complete Received the USPS green card return of hton service for article number #70223330000014331176 - Citation was received and signed for on 6/28/23 at 12:56pm. TB Issue Citation (Licensing) TimothyBroug 7/10/2023 7/10/2023 Complete Unlicensed Plumbing - FEIERTAG, DANIEL - hton Citation #11928, $2000.00, 2nd or more Violation's, Owner of FBHC Concept Corp (DBA Countertops and More) Schedule for CLB Meeting/Send SandraDelgad 7/12/2023 8/2/2023 Complete Letter o Citation Paid/Contested Deidra.DeLaC 7/24/2023 7/12/2023 Contested ruz Generate CLB Notice of Hearing SandraDelgad 8/2/2023 8/2/2023 Complete A notice of hearing attendance letter for CLB o meeting 8/16/23 was mailed to the legal respresentation, McIntyre Law Firm and violator Daniel Feiertag on 7/28/23. On 8/2/23 an email version of that letter was also emailed to the violator's email assist@countertops-more.com and the legal representation's email victor@mcintyrelawrirm.com . See Docs & Images for email and letter. DelgadoSandra 08/02/2023 11:17 AM Enter Hearing Results SandraDelgad 8/2/2023 Pending scheduled for 8/16/23. 0 Business Management & Budget Office Packet Pg. 565 10.B.1 Code Case Details Execution Date 8/2/2023 12:30:51 PM Violation Description Status Entered Corrected Amount Comments Unlicensed Plumbing Open 6/20/2023 $0 Title Reason Result Compliance Fine/Day Condition Business Management & Budget Office 4 Packet Pg. 566 ■ Complete items 1, 2, and 3. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, 'won the front if solace permits. Mr. Daniel Feierta9 Countertops and More 14361 N. Cleveland Ave N. Fort Myers, Florida 33903 11111111111111111111111111111 IN 111ll 1111111 9590 9402 8117 2349 1583 46 2 Article Number (]ranter f o n service labell 7022 3330 0000 1433 1176 i PS Form 3811, July 2020 PS14 753M2-000-9053 r— .-a In 0 F F m S O ❑IWnr1sMP�emad 1 t7 O.,uarr.paava�ro 1 C3 Or�w.rara..ror.a 1 C3 O. us.r.. a....n a peer svr.. naaae.i or.r � C3 vawpa m In m nu I,— ru O M1 X 0 Agent ❑ Add— B. Received by rynnted Name) C. Oate of O.Wa y 0. Is d,,I,M address tl terenl from item 17 ❑ yas 11 YES, enter delivery address belw.. ❑ No 3. Service Type 0 F —, MN E-6 7 Mut s,pnatue C..a.'armMan- ,dtSYJn ReSaMad De!rva7 tAalla ❑Rapueral Map iigeYCllO ❑ t�,p R.afnaw tpaYey =.p—:_ ': Cry r Dc':• = Sx Domestic Rehm Raceryt El Q Packet Pg. 567 m 0 a LL F SULL 8 (8Z£5000czoz-1 130) LULL SNOUVII0 1S31NOO - E)VIU313=1 -131N`da 'VOL :}u8wt43Bl4V x v O E UI cc $ a_ uppi m ® = ❑ ❑ ❑ m m m O o w�_ mom m o o`¢¢om0 cc —s 000 O❑ A 20 LD 2avmC c�VUmN ,vNmom m mmm �a > m NmDma} Um X ¢ � m o�fmmmm`rnA yi Q UUcco ri0 QIrD0El 0 N cM m p N Q Mco rl p • m O E M co N y Y ) a)m m Q � o c Z m N 72 O -may—' C 72 L Iq 0r-,j f` m m m N a E cats° y c � Q o ro ro« m (0 > O o N 'O Gi L r- C a I _ ca O N LL d � QI � CO » O T m • E Ec �-c Z � �p CD 1 a?'o;=t% 7 LPL �0) zm co 1 a M �o o`er' �Lo m . oco�o C) +ern "mo o T va`y 0 N Co 0 ■ ■ ■ cJ�' Co n m 7 co 'O co J LL c N a L 20 N O J N O U- N v N v ����❑ 0 z (:D ro O mCD LL p J ro� �w ro � �O LL 4-C\ �� :2 LI CC —7E m g z a a o Y L/ a �N R a� o a m 5 o o E. "v m aeap88� :� �w00000ao 3 S Y 9Z'I'[ EEfiT 0000 OEEE 22U. 10.B.1 IV From Countertops and More - North Fort Myers https://countertops-more.com N Fort Myers, FL, 33903 Phone: (239) 599-8677 Project manager: Countertops and More - Naples Sales reps: Henry C Invoice items Invoice #66727 Invoice for estimate #E244128 Invoice date: May 8t', 2023 Due date: May 8`h, 2023 Job jenny's Kitchen 731 W Elcam Circle B 101 Marco Island, FL, 34145 (219) 241-7471 jmurtaugh53@gmail.com murtaugh55@gmail.com SKU Name Description Cabinets White Shaker Stile / 3/4 Plywood / Soft Close / Standard Handle Cabinets Installation - Labor Cabinets Shipping Cabinets Other Services Payments Bill to jenny & David Murtaugh 731 W Elcam Circle B101 Marco Island, FL, 34145 (219) 241-7471 jmurtaugh53@gmail.com murtaugh55@gmail.com Demolition with tear out and disposal Quantity Total 1.00 $12,900. 00 1.00 $0.00 1.00 $0.00 1.00 $0.00 Subtotal $12,900.00 Total $12,900.00 Paid $10,320.00 Balance $2,580.00 # Method Note Reference Amount 82259 Check HC 110 $10,320.00 Total paid $10,320.00 Document key: 5945fcd32e560d33d8c323b41544b3d9 Packet Pg. 569 10.B.1 Signature Name: Jennifer Murtaugh Sender: ap@countertops-more.com Recipient: murtaugh55@gmail.com Contract ID#: 67802 Document key: 5945fcd32e560d33d8c323b41544b3d9 Signed: May 8`h, 2023 3:44 pm UTC Signer user agent: Mozilla/5.0 (Macintosh; Intel Mac OS X 10 15_7) AppleWebKit/605.1.15 (KHTML, like Gecko) Version/16.4 Safari/605.1.15 Signer IP address: 73.156.89.101 Signature capture timestamp: 1683560669.1966 Document key: 5945fcd32e560d33d8c323b41544b3d9 Packet Pg. 570 10.B.1 DEAR Jenny & David Murtaugh PLEASE FIND ATTACHED DESCRIPTION OF YOUR PURCHASE: Document key: 5945fcd32e560d33d8c3231)41544b3d9 Packet Pg. 571 10.B.1 H � , y p to From Countertops and More - North Fort Myers https:Hcountertops-more.com N Fort Myers, FL, 33903 Phone: (239) 599-8677 Project manager: Countertops and More - Naples Sales reps: Henry C Invoice items SKU Name Granite (Level 9) (2cm Thickness) 1/4 Round Edge Regular Sealer Cutouts and Holes Dishwasher Bracket Template Standard Install Plumbing Payment Method Discount Payments Invoice #66728 Invoice for estimate #E244130 Invoice date: May 8"', 2023 Due date: May 8`h, 2023 Job jenny's Kitchen 731 W Elcam Circle B101 Marco Island, FL, 34145 (219) 241-7471 jmurtaugh53@gmail.com murtaugh55@gmail.com Bill to Jenny & David Murtaugh 731 W Elcam Circle B101 Marco Island, FL, 34145 (219)241-7471 jmurtaugh53@gmaii.com murtaugh55@gmail.com Description Countertop - From a Slab Location: Naples Material 1. Material 1. 1.0 Undermount Single Sink Cutout(s) 1.0 Faucet Hole(s) Ready for Template: Yes NOT a 'Rush job' Sinks Requiring Plumbing: 0.0 Bath Sinks 1.0 Kitchen Sinks - Other Plumbing Items: Installation of Garbage Disposal Cash or Check 0% Discount) Quantity Total 45.00 $5,040.0 0 1.00 $0.00 45.00 $90.00 1.00 $223.00 1.00 $123.00 1.00 $0.00 1.00 $0.00 1.00 $1,075.0 0 1.00 $-65.55 1.00 $-689.45 Subtotal $5,800.00 Total $5,800.00 Paid $2,680.00 Balance $3,120.00 Document key: 3ef9313dda11da20ft220d873a33981d Packet Pg. 572 10.B.1 82261 Method Check Note HC Reference 110 Amount $2,680.00 Total paid $2,680.00 Document key: 3ef9313dda11da20f1 W87303981d Packet Pg. 573 10.B.1 Signature Name: Jennifer Murtaugh Sender: ap@countertops-more.com Recipient: inurtaugh55@gmail.com Contract ID#: 67804 Document key: 3ef9313dda11da20ff220d873a33981d Signed: May 8", 2023 3:47 pm UTC Signer user agent: Mozilla/5.0 (Macintosh; Intel Mac OS X 10_15_7) AppleWebKit/605.1.15 (KHTML, like Gecko) Version/16.4 Safari/605.1.15 Signer IP address: 73.156.89.101 Signature capture timestamp: 1683560868.3122 Document key: 3ef9313dda11da20fMW87303981d Packet Pg. 574 10.B.1 DEAR Jenny & David Murtaugh PLEASE FIND ATTACHED DESCRIPTION OF YOUR PURCHASE: Document key: 3ef9313dda11da20f1220d873a33981d Packet Pg. 575 JENNIFER L MURTAUGH DAViD R MURTAUGH 397 AUGUSM LN WEST LA AYET F— IN 4T9W PAY THE4' nRI?ER ER OFF PURDUE FEDERAL W43,"exit I TC IM 479ft M 110 1 "bx, q' rl[rti a�l�s AD $0 M Capture Date 20230510 Optional Field 6 0 Sequence Number =030 Amount S 13,000.00 Serial Number 2110 Routing Number 274976067 Account Number 504 Transaction Code 60 Sr:rr.:,}aJ;�rr•�r„•�Ilri• '�� Irnrif• {•f +r'�IM 030 „ • ••{I " 'fr: iW.. —10 [ to r lar vlfru p'.l• r W'%'.^Y . '0*0• >M E.w.l{ %t • }. }• b� wwe !may 7 r ap Awele/ CA :� a, Scanned with CamScanner Packet Pg. 576 10.B.1 J On Monday May 8', 2023 Jenny and I went to Countertops &. More by FBC, located at 4202 Z Tamiami Trail North, Naples, FL. Q 0 We met with the sales person Henrique. We talked about the type of cabinets and countertops we c were interested in purchasing. We talked about the size of our condo. We told hire the condo was r located on Marco Island. He said yes, we do work on Marco Island. Cl) He showed us several granite countertops and we picked out a stab of granite that we liked. N We went back to his desk and talked about the cabinets and type of base and wall cabinets we wanted. The sales person put together the costs of the cabinets which included the installation of the new cabinets. The price also included demolition with tear out and disposal of the old cabinets. He also put together the cost of granite countertop and installation of the countertop. He included the $1,075.00 for installation of sink, water faucet, garbage disposal and dishwasher_ He said any plumbing work that was need they would do. He said the deposit would be $13,000.00 and Jenny wrote a check made out to Countertops & More for $13,000.00. We told him we were located on Marco Island and building permits were required. He said several times that is no problem they will take care of getting the permits. Later the week of May 8' 2023 two men Caine to our condo to measure the area that we wanted the new cabinets installed. We talked to them about the installation of the new cabinets and countertop. They took measurements. It was very difficult to communicate as one did not speak any English and the other had to interpret. We were concerned that it was done correctly. On May 15', 2023 Jenny and I went into Countertops and More store in Naples, FL_ We again talked to Henrique. He showed us a rendering of what our installed cabinets would resemble. We talked about required plumbing and electrical work that would need to be done. We again told him the requirement of obtaining permits for installation of the cabinets, countertop, plumbing and electrical work that Marco Island required. lie again said that they do the installations and would obtain all required permits_ On June 1', 2023 Jenny and I went to the Building Service's office on Marco Island to see if any types of permits had been issued to do the required work on our condo located at 731 W. Elkcam Circle, Unit B-101, Marco Island, FL. We were Informed that as of June 1" no building permits had been issued and there were none pending approval. We drove from the building office to Countertops & More in Naples, FL. We met with Henrique and advised him no permits had been fled for the installation, plumbing or electrical work. We again told him that permits were required and the permitting process was lengthy. Ile told it was not a problem that they just did work on Marco. He called someone and spoke to them in Spanish. When he hung up the phone, he assured us that they would do the installation of the cabinets, countertop, required plumbing;, electrical work, and they would obtain all required permits. , , , r 1, L P SrAJ Ft hOTA14 s,-Suc i David u auk Elkcam Circle, Unit B-101, Marco Island, FI. 34145 r - Conn, %%i,•n N„n,bnr r, rri MY C nuui•.•.pn .. Nov 12. MIJ r� Ferr,oE co'r;�r; i C zo Scanned with CamScanner Packet Pg. 577 10.B.1 TO BE COMPLETED BY NOTARY (in accordance with Stale notary requirements) State of County of4l n 1210 !1c LACY. This instrument was acknowledged before this day of U nL (month), , �);1 %`(year), by w A �f/& ZA j/t4�_ (name of officer or agent, title or officer or agent) of (name of entity). Personally Known Produced Identification Type of 1D and Number on ID f z F 2 T=_ — 0 = . r � on CD law mz 2 = N i Ca V 10 lot 11�1 Notary Public State of OI FYI Signature of Notary Name of Notary (Typed, Stamped or Printed) Scanned with CamScanner Packet Pg. 578 ON64 R (8Z£5000£ZOZ-lf130) LZ666 SNOIIVIIO 1S31NOO - OVIM3133 -131NVO 'VO0 :IU8WLI3Bl4V 1�1 X O J J J Z J z dJ d J V o U o z Q J Q J v) (] J C] W J N ILN C1 R Z at Z 0 V z a J W Q V Z uV c O W ¢ Lo o O u o � N N O Q O' r N 2 N ry N ON l0 N --�--� O V m M LL Q N r c AL M O O O N 0 0 � V c N N ui o m Go V W all G7 j iJ 'in A, m 9 p v r W C N m a G W W N W M c GI V GI N = N = C Q Q y N a N N W W W N DIVISION OF CORPORATIONS J W_ Z org (0 t� � Q M N Previous on List Next on List Return to List Fictitious Name Search Filing Histo FSubmitc Fictitious Name Detail Fictitious Name COUNTERTOPS AND MORE Filing Information Registration Number G16000018394 Status ACTIVE Filed Date 02/19/2016 Expiration Date 12/31/2027 Current Owners 1 County LEE Total Pages 2 Events Filed 1 FEI/EIN Number NONE Mailing Address 14361 N CLEVELAND AVE N FORT MYFRS, FL 33903 Owner Information FBC HOME CONCEPT LLC 14361 N CLEVELAND VE N FORT MYERS, FL 33903 FEI/EIN Number: 80-0770465 Document Number: L11000135773 Document Images 02/19/2016 -- Fictitious Name Filing View image in PDF format 03/11/2022 -- Fictitious Name Renewal Filing View image in PDF format Previous on List Next on List Return to List Filing HiSto - Fictitious Name Search Submit Packet Pg. 580 10.B.1 ' ifrJ i ;�org Qgoartment of State / Division of Corpgrd ions / Search Records I Search by Enti[y.Name I Packet Pg. 581 10.B.1 FEIERTAG, DAVID M 14361 N CLEVELAND AVE. FORT MYERS, FL 33903 Title COO FERREIR, RUITER —�►,�= �r 1 k 14361 N CLEVELAND AVE. FORT MYERS, FL 33903 Title D FEIERTAG, DANIEL M Will,- 14361 N CLEVELAND AVE. FORT MYERS, FL 33903 Annual Reports Report Year Filed Date 2021 04/15/2021 2022 02/01 /2022 2023 01 /24/2023 Document Images 01124/2023 — ANNUAL REPORT View image in PDF format 02/01/2022 --ANNUAL REPORT View image in PDF format 04/15/2021 —ANNUAL REPORT View image in PDF format 01/15/2020 —ANNUAL REPORT View image in PDF format 03101/2019 —ANNUAL REPORT View image in PDF format W3012018 —ANNUAL REPORT View image in PDF format 01/26/2017 —ANNUAL REPORT View image in PDF format 03/09/2016 — ANNUAL REPORT View image in PDF format 01/07/2015 —ANNUAL REPORT View image in PDF format 09/04/2014 — AMENDED ANNUAL REPORT View image in PDF format 03/25/2014 —ANNUAL REPORT View image in PDF format 02/09/2013 — ANNUAL REPORT View image in PDF format 04/14/2012 — ANNUAL REPORT View image in PDF format 11/29/2011 --Foreign r fi View image in PDF format Packet Pg. 582 10.B.1 DD9partment of State / Division of Cormorations / Search Records / Search by Entity Name / Detail by Entity Name Florida Limited Liability Company FBC HOME CONCEPT LLC. Filing Information Document Number L11000135773 FEI/EIN Number 80-0770465 Date Filed 12/01/2011 Effective Date 12/01 /2011 State FL Status ACTIVE Principal Address 14361 NORTH CLEVELAND AVE NORTH FORT MYERS, FL 33903 Mailing Address 14361 NORTH CLEVELAND AVE NORTH FORT MYERS, FL 33903 Registered Agent Name & Address FBHC CONCEPT CORP 14361 NORTH CLEVELAND AVE NORTH FORT MYERS, FL 33903 Authorized Person(s) Detail Name & Address Title MGRM FBHC CONCEPT CORP 14361 NORTH CLEVELAND AVE NORTH FORT MYERS, FL 33903 Annual Reports Report Year Filed Date 2021 04/15/2021 2022 02/01 /2022 2023 01 /24/2023 Document Images Packet Pg. 583 1 J W THE OFFICIAL SITE OF THE FLORIDA DEPARTMENT OF BUSINESS Q PROFESSIONAL REGULATION o Q 0 r r r dolp:r f5 #�londl Refillla tment of Bu,>,nc•5s �, � f 0 r ,t1C• HOME CONTACT US co .N. ONLINE SERVICES LICENSEE DETAILS 9:34:09 AM 6/15/2023 0 This is a business tracking record only. 0 o Apply for a License Click here for information on how to verify that this business is properly MN 0 licensed. N J Verify a Licensee Licensee Information :3 W View Food & Lodging Inspections Name: FBC HOME CONCEPT LLC. (Primary Name) U COUNTERTOPS AND MORE (DBA Name) 00 N File a Complaint Main Address: 14361 NORTH CLEVELAND AVE °' T Continuing Education Course NORTH FORT MYERS Florida 33903od Search County: LEE W N View Application Status M in 0 License Information o 0 Find Exam Information License Type: Construction Business Information c Unlicensed Activity Search Rank: Business Info AB&T Delinquent Invoice & Activity License Number: W U List Search Licensure Date: 12/1312017 Expires: e4 r r to Special Qualification Effective Z O Qualifications Alternate Names View Related License Information View License Complaint 2601 Blair Stone Road, Tallahassee FL 32399 :: Email: Customer Contact Center :: Customer Contact Center: 850.487.1395 Q The State of Florida is an AAlEEO employer. Copyright 2007.2010 State of Florida. Privacy Statement Under Florida law, email addresses are public records. If you do not want your email address released in response to a public -records request, do O not send electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact r 850.487.1395. 'Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must = provide the Department with an email address if they have one. The emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email E address which can be made available to the public. Please see our Chapter 455 page to determine if you are affected by this change. t V ca w Q Packet Pg. 584 10.B.1 cAler County Growth Management Community Development Department Operations & Regulatory :1lanagement Division Contractor Licensing July 28, 2023 Victor R. Bermudez, Esq. The McIntyre Law Firm, PLLC 1520 Royal Palm Square Blvd., Suite 210 Fort Myers, FL 33919 RE: Request for Administrative Hearing — Contest Citation #11927 CEUL20230005328 & Citation #11928 CEUL20230005446 Dear Mr. Victor R. Bermudez, You have been added to the agenda for the Collier County Contractors' Licensing Board on Wednesday, August 16th, 2023. The Meeting is held at 9:00am at the W. Harmon Turner Building (Bldg F, Admin Bldg), 3299 Tamiami Trail, Naples, FL in the Commissioner's Meeting Room on the 3rd Floor. Please be sure to allow yourself enough time to go through security. If you wish to submit documentation in your defense it must be received by this office, no later than 10 days prior to the hearing date. If there are any questions, please call (239) 252-4229. Sincerely, Sandra Delgado Operations Supervisor Collier County Contractors' Licensing Cc: Daniel Feiertag Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contr;actorslicensingacolliercountvfI.gov Packet Pg. 585 10.B.1 Coder County Growth Management Community Development Department Operations & Regulatory Management Division Contractor Licensing July 28, 2023 Daniel Feiertag 14361 N Cleveland Ave Fort Myers, FL 33903 RE: Request for Administrative Hearing — Contest Citation #11927 CEUL20230005328 & Citation #11928 CEUL20230005446 Dear Mr. Daniel Feiertag, You have been added to the agenda for the Collier County Contractors' Licensing Board on Wednesday, August 16th, 2023. The Meeting is held at 9:00am at the W. Harmon Turner Building (Bldg F, Admin Bldg), 3299 Tamiami Trail, Naples, FL in the Commissioner's Meeting Room on the 31 Floor. Please be sure to allow yourself enough time to go through security. If you wish to submit documentation in your defense it must be received by this office, no later than 10 days prior to the hearing date. If there are any questions, please call (239) 252-4229. Sincerely, Sandra Delgado Operations Supervisor Collier County Contractors' Licensing Cc: Victor R. Bermudez, Esq. (The McIntyre Law Firm, PLLC) Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractors licensing@colliercountvfl _go Packet Pg. 586 10.B.1 From: ContractorsLicensina To: assist okountertoos-more.com; victor(a)mcintyrelawfirm.com Cc: DelgadoSandra Subject: Administrative Hearing - Contractor Licensing Board — August 16, 2023 Date: Wednesday, August 2, 2023 11:09:58 AM Attachments: Maned attendance letter - Contest citations Daniel feiertaa.odf Sianed Attendance letter- Contest citations.Ddf Good morning, Please see the attached letter that has also been mailed. Per request, you have been added to the agenda for the Collier County Contractors Licensing Board on Wednesday, August 16, 2023. The Meeting is held at 9:00am at the W. Harmon Turner Building (Bldg F, Admin Bldg), 3299 Tamiami Trail, Naples, FL in the Commissioner's Meeting Room on the 3rd Floor. Please be sure to allow yourself enough time to go through security. If there are any questions, please call (239) 252-4229. Respectfully, SaM.d ra, lodga d& Supervisor —Operations, Licensing CO 7e7r C0UVtty 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 0coIIiercountyfl.gov ContractorsLicensingCcDcolliercountyfl.gov How are we doing? The Operations & Regulatory Management Division wants to hear from you! Please take our online SURVEY. We appreciate your feedback! J W_ Z LO d 0 M 0 LO 0 0 0 M N 0 N J W U 00 N El 0 c 0 E t U �a r Q Packet Pg. 587 C�- U0D!�D)l COLLIER COUNTY 11927 GROWTH MANAGEMENT DIVISION CITATION Pursuant to section 4R9 Florida Statutes. the ui,.:., . d hereby certifies that upon personal inve%tigation. he/she has reasonable and probable grounds to believe that the person whose name appears below as issued to. did violate cubsccuon 4914 ! 7- ' ' �l 1"da tit t and the Collier Count Contractor's Licensi t nc Ii tag t 1 d) by committing the violation stated blow + } .'h �. Month Dav t Issued To Address City • LL r�ry ePhc,nr N��%� I.D. ARifPM State F L-- Zip D Vehicle Make/Type (if applicable) fear Color Tag NO. Location of Violation r Cj�- l D � Ebj r OPTIONS 1 have been informed of the violation iix which I have been charged and elect the following option (Check one) 1) ❑ 1 choose to pay the penalty of I •� 2) ❑ 1 choose not to pay the penalty, and will rogues, in writing by certified mail han delivery an Administrative Hearing before the Contractors licensing B rd Description of Violation Date Violation Observed a) E3Falsely hold self or business organization out as a licensee, certificate olde or registrant; e b) [3 Falsely impersonate a certificate holder or registrant; a o c) []Present as his/her own the certificate or registration of another; d) © knowingly give false or forged evidence to the Board or a member thereof; e) (3Use or attempt to use a certificate or regi- ration which has en suspended i Xngage in t & mess' o`r aAtheapacity a coot actor or advertise self or business organization as available to engage in the business or act in the capacity of a contractor without being duly registered or certified; g) DOperate a business organization engaged in contracting after (60) days; h) E3 Commence or perform work for which a building permit is required pursuant to an adopted state minimum building code or without such permit being in effect; i) ❑ Willfully or deliberately disregard or violate any Collier County ordinance relating to uncertified or unregistered contractors. A person or business organization operating on an inactive or registration, or operating beyond the scope of wor registration.e gistratian, is not duly certified or registered_Aw / f SIGNATURE (RECIPIENT) 70PRINT 3 33 (RECIPIENTS 3 f (D ed certificate, scope of the (INVESTIGATOR) AV6WT-. PRINT (INVESTIGATOR'S NAME) Pursuant to 489.127, Florida Statues, willful refusal to sign and accept this citation constitutes a misdemeanor of the second degree, punishable as provided in section 75.092 or 775.083 Florida Statutes. nr ` (SFE REVERSE FOR INSTRUCTIONS) l#� ���Te.�C-roPSr1ti{oI� . CoM COLLIER COUNTY CONTRACTORS LICEN' SIr 10.B.1 Packet Pg. 588 10.B.1 J W_ Z Q 0 Q 0 M INSTRUCTIONS N PAYMENT OF CITATION: 'the penalty for each uncontested violation has been set by the- Board of Col- lier County Commissioners, and shall be payable to the Board of Collier County Commissioners, MOO North Horseshoe Drive, Napics, Florida 34104, no later than 10 days of notice receipt, exchiding weekends and legal holidays. PAYi11F\'TS AWS7 RF..%IADF B) (..1s1I. (:IIF(:h. OR tiIONEYORDERr,- ALL FEF_S M STBE REMITTEDIN L.S. FUNDS. FINE SCHEDULE - UNCONTFSTFD V101ATIONS 1st uncontested Offense Si,000.00 '_nd un:nntected Offcn,e 52.OnO 00 Notwithstanding the above -referenced penalties, in the event a first uncontested ciul.iuun a the ; e>ult of the violator engag{ttg in the husiness or acting in the apa:lt\ ,f a :ontractor +r ady-!-tioink . mse or herself or a business organization as available to engage in the hu.inr�N -'r act in the capacityof a contractor without being duly registered or certified. The penalty shall abated from $1,000.00 to �'i00.118 if -the violator submits a corn Meted application in accordance with s t"ton 1. , and 2.Z of this Ordinance w•it�r e- irt\ -hve : t .lays of the date of issu- ance of the Citation for the violation REQUEST FOR HEARING: You may request an Administr•dtive, Hearing within the same ten ( 10) ddv time frame before the Collier County Contractor's Liteasing Board upon no't lce,in writing, to the Contractors licensing Super,t-icor. tt"vou do not request a hc'gring or pay the penalty fee as descrihed. tht• citation shall autonlaticalh• become a Final Order of the Contractor's LicensinS, Board. ordering the violator to pay the civil penalty set forth on the Citation without a hearing. A certified copy of such Order shall he recorded in public records and thereafter shall constitute a lien against most rcal and persunal property owned by the violator. Upon petition to the Cir suit Court, such Order may be enforced in the same manner as a Court Judgment by the Sheriff's Office or the State. If after three Q! months from filing such lien, ;he !ien remains unpaid.. the (contractors Licensing Board may authorize the County Attornevs Office to foreciose on the lien. he ;:.wimum Pe.naity for a contvst,*J c!tanor. is 52,;Oo.00 14,r melt day the %loiatin•, tylsts. F.aeh day : assiCfu: kno%%itl� violation continues It shall onstitutc a separate titlF.'-e Yqd penal;;,., ;hilA :nnllziut: io ticrur. Any 8 rleyed party may apneal,a t l ' •-: «ia i; : i the : an; ; the CirwiltCouri Such ap�pea_ shall, (t 6C c i`Ji I iovo, !)ut tinali _t •o, zo aF�pejate rC\;e'N of the relol*.i 'sated -e'ore tfte Board.. h . tiled within, zh! r,v .3Ui -Jays ition elf the Order. ,.i, •Sir+pry ,•„i „• � Y U �prrjt,r st11�Ta� �' SR;N LoC• cm ect 4,&*W • %-i c,.t Esc ' \G d r (4)Or` Packet Pg. 589 10.B.1 Cergov.net Report Title: Code Case Details Date: 8/2/2023 12:37:17 PM Case Number: CEUL20230005328 I Case Number: ICEUL20230005328 I Case Type] Unlicensed Priority: I Normal Inspector: TimothyBroughton Jurisdiction: City of Marco Origin: Building Department Detail Description: Unlicensed Cabinet Installation - FEIERTAG, DANIEL - Citation #11927, $2000.00, 2nd or more Violation's, Owner of FBHC Concept Corp (DBA Countertops and More) Location Comments:1731 W. Elkcam Cir. Unit B101 Property 72480440001 Complainant City of Marco Island Building Department Property Owner DJ MURTAUGH LIVING TRUST Violator Feiertag, Daniel Case Disposition: Unpaid Business Management & Budget Office 1 Packet Pg. 590 Code Case Details Execution Date 8/2/2023 12:37:17 PM 10.B.1 Desc Assigned Required Completed Outcome Comments Preliminary Investigation TimothyBroug 6/14/2023 6/14/2023 Citation Unlicensed Cabinet Installation. Needs hton Required Investigation. TB Cont. Investigation TimothyBroug 6/14/2023 6/14/2023 Complete I received the complaint from Inspector James hton Reynolds of the Marco Island Building Department. I conducted a site visit to the said location. I received no response at the front door. I left my business card for the homeowner to give me a call. I then called the homeowner, Mr. David Murtaugh (219) 241- 7474. He stated•that he hired Countertops and More to install some kitchen cabinets at the said location. Mr. Murtaugh stated that he paid them $13,000.00 by check for the said scope of work. I asked Mr. Murtaugh to email me a copy of his contract and form of payment. TB Attach Picture(s) TimothyBroug 6/14/2023 6/14/2023 Complete hton Cont. Investigation TimothyBroug 6/15/2023 6/15/2023 Complete I called Inspector James Reynolds of the hton Marco Island Building Department. I asked him if a permit was required for the kitchen sink installation at the said location. He stated yes. I asked him if a permit was required for the garbage disposal installation. He stated no since its plug and play. TB Cont. Investigation TimothyBroug 6/19/2023 6/19/2023 Complete I conducted a site visit to Countertops and hton More Naples store, located at 4202 Tamiami Trail N. - I talked with the store sales person, Mr. Henry Costa. I advised him of my complaint. I asked Mr. Costa if he sold the job at the said location. He stated yes. I asked him if he advised my homeowner that installation of the cabinets, countertops and plumbing was included and going to be completed by Countertops and More. Mr. Costa stated yes. Mr. Costa also stated that he tells his clients that the company is licensed for the said scope of work and if they need a copy of their license or their workers comp policy - they will provide it to the homeowner. A license check revealed that Countertops and More does not have a contractors license in the State of Florida or Collier County to complete the said scope of work. Mr. Costa gave me the number to the Fort Myers location and advised me to call "Mark" (General Manager) regarding my complaint. I then called the Fort Myers location and asked to talk with the company owner, Mr. Daniel Feiertag or the store General Manager. I left a message for Mr. Feiertag to give me a call. TB Business Management & Budget Office Packet Pg. 591 10.B.1 Code Case Details Execution Date 8/2/2023 12:37:17 PM Desc Assigned Required Completed Outcome Comments Cont. Investigation TimothyBroug 6/21/2023 6/21/2023 Complete I have not received a return call from the hton owner of Countertops and More, Mr. Daniel Feiertag. I then emailed the Scheduling & Purchases Department for Countertops and More (Leticia Andrade). I received a name and email address from the homeowner. The homeowner, Mr. Dave Murtaugh has advised Countertops and More that they have no contractor's license in Collier County or the State of Florida that would allow them to complete the said scope of work. Mr. Murtaugh has also requested a full refund of the $13,000.00 from Countertops and More. TB Cont. Investigation TimothyBroug 6/21/2023 6/22/2023 Complete I received an email back from Ms. Leticia hton Andrade from Countertops and More. I advised her of my complaint via email and asked her to have the owner, Mr. Daniel Feiertag call me regarding the complaint and the 2 citations that he would receive. I was advised that the owner would call me regarding the complaint and the citations. I never received a call from Mr. Daniel Feiertag. I then issued citation #11927 for unlicensed cabinet contractor. I sent the citation USPS certified mail with tracking #70223330000014331176 to the company address of record in Sunbiz. TB Cont. Investigation TimothyBroug 6/28/2023 6/28/2023 Complete A check of USPS certified mail with tracking hton #70223330000014331176 states that parcel is still moving through the network. TB Cont. Investigation TimothyBroug 7/10/2023 7/10/2023 Complete Received the USPS green card return of hton service for article number #70223330000014331176 - Citation was received and signed for on 6/28/23 at 12:56pm. TB Issue Citation (Licensing) TimothyBroug 7/10/2023 7/10/2023 Complete Unlicensed Cabinet Installation - FEIERTAG, hton DANIEL - Citation #11927, $2000.00, 2nd or more Violation's, Owner of FBHC Concept Corp (DBA Countertops and More) Schedule for CLB Meeting/Send SandraDelgad 7/12/2023 8/2/2023 Complete Letter o Citation Paid/Contested SandraDelgad 7/24/2023 7/12/2023 Contested 0 Generate CLB Notice of Hearing SandraDelgad 8/2/2023 8/2/2023 Complete A notice of hearing attendance letter for CLB o meeting 8/16/23 was mailed to the legal respresentation, McIntyre Law Firm and violator Daniel Fe►ertag on 7/28/23. On 8/2/23 an email version of that letter was also emailed to the violator's email assist@countertops-more.com and the legal representation's email victor@mcintyrelawfirm.com. See Docs & Images for email and letter. DelgadoSandra 08/02/2023 11:17 AM Enter Hearing Results SandraDelgad 8/2/2023 Pending scheduled for 8/16/23. 0 Business Management & Budget Office 3 Packet Pg. 592 Code Case Details Execution Date 8/2/2023 12:37:17 PM 1O.B.1 Violation Description Status Entered Corrected Amount Comments Unlicensed Cabinet Installation Open 6/20/2023 $0 Title Reason Result Compliance Fine/Day Condition ousiness iwanagement & budget (-)Mce 4 Packet Pg. 593 a I I Packet Pg. 594 rim ED,rI 10.B.1 Packet Pg. 595 10.B.1 ■ Complete items 1, 2, and 3. ■ Print your name and address on the reverse X so that we can return the card to you. ■ Attach this card to the back of the mailpiece, D. _ or on the front if soave Dermits. Mr. Daniel Feiertag D. Countertops and More 14361 N. Cleveland Ave N. Fort Myers, Florida 33903 IIIIIIIIIIIIilllilillllllllilill�lllllllll 9590 9402 8117 2349 1583 46 2 ArlkJe Number (Ira Ver (rmrl ServrCe L' , 7022 3330 0000 1433 1176 Ps Form 3811, July 2020 PSN 7530-02-ODD-9053 ❑ Agent i,om irom a.— 17 ❑ yes address below: ❑ No service ripe 0 PrgrYy — E--.—O yea syneaure ea[gmmw ena+"' ,tl�M1 Slyauw ResMc!etl DO," ❑ Rp a.rJ IAtd Resb<Nd - :.� IAee Rea�lrctetl �very ❑ Sesv n::,ra favn—*' •.. Des.ery eSy riL+re Uxr :on DIX`1aeLC P-1-1 R—Pt MR Packet Pg. 596 0o 0 C V 8ZM v (8Z£5000£ZOz-inBO) LZM SNOIIV-LID 1S31NOO - OVIN913=1 1BINVO 'M :}u8wtPBPV sI � ,n Y3 LL E c L6 C� L, n o r U CD m of 1= 7 y y 0 d z I � 1 � 1 roa 0) N V LL ttl .R Y¢± .L- W W � 50 VI � = C � � R O z. {~ 'KU C a M R ■ 'O N C U Q. td N 7 F C ' a a�Mi '= c J a <7 � W M O 7 a C� m 7.1 O M D L cli C o ui O � tJ ) LL CD N 'q co" U� LL Y a U y, O cc Z Cy m U V 0 V1 3 CO m 0 w LL mE c�m 0 2 •- C) Z o UauaiQc t� -0 N S 6 m nm v o U 0 O M �m zm mru a nj 0 fti 0 0 O N O 9 z to a_ 0 0 N r ro E `0 U- N d 9LTT EEhT 0000 OEEE 220L 10.B.1 From Countertops and More - North Fort Myers https:Hcountertops-more.com N Fort Myers, FL, 33903 Phone: (239) 599-8677 Project manager: Countertops and More - Naples Sales reps: Henry C Invoice items Invoice #66727 Invoice for estimate #E244128 Invoice date: May 8*', 2023 Due date: May 8", 2023 Job jenny's Kitchen 731 W Elcam Circle B101 Marco Island, FL, 34145 (219)241-7471 jmurtaugh53@gmail.com murtaugh55@gmail.com SKU Name Description Cabinets White Shaker Stile / 3/4 Plywood / Soft Close / Standard Handle Cabinets Installation - Labor Cabinets Shipping Cabinets Other Services Payments Bill to jenny & David Murtaugh 731 W Elcam Circle B101 Marco Island, FL, 34145 (219) 241-7471 jmurtaugh53@gmail.com murtaugh55@gmail.com Demolition with tear out and disposal Quantity Total 1.00 $12,900. 00 1.00 $0.00 1.00 $0.00 1.00 $0.00 Subtotal $12,900.00 Total $12,900.00 Paid $10,320.00 Balance $2,380.00 # Method Note Reference Amount 82259 Check HC 110 $10,320.00 Total paid $10,320.00 Document key: 5945fcd32e560d33d8c323b41544b3d9 Packet Pg. 598 10.B.1 Signature Name: Jennifer Murtaugh Sender: ap@countertops-more.com Recipient: murtaugh55@gmail.com Contract ID#: 67802 Document key: 5945fcd32e560d33d8c323b41544b3d9 Signed: May 8`h, 2023 3:44 pm UTC Signer user agent: Mozilla/5.0 (Macintosh; Intel Mac OS X 10 15_7) AppleWebKit/605.1.15 (KHTML, like Gecko) Version/16.4 Safari/605.1.15 Signer IP address: 7 3.15 6.89. 101 Signature capture timestamp: 1683560669.1966 Documentkey: 5945fcd32e560d33d8c323b41544b3d9 Packet Pg. 599 10.B.1 DEAR Jenny & David Murtaugh PLEASE FIND ATTACHED DESCRIPTION OF YOUR PURCHASE: Document key: 5945fcd32e560d33d8c323b41544b3d9 Packet Pg. 600 10.B.1 From Countertops and More - North Fort Myers https://countertops-more.com N Fort Myers, FL, 33903 Phone: (239) 599-8677 Project manager: Countertops and More - Naples Sales reps: Henry C Invoice items SKU Name Granite (Level 9) (2cm Thickness) 1/4 Round Edge Regular Sealer Cutouts and Holes Dishwasher Bracket Template Standard Install Plumbing Payment Method Discount Payments Invoice #66728 Invoice for estimate #E244130 Invoice date: May 8th, 2023 Due date: May 8`h, 2023 Job Jenny's Kitchen 731 W Elcam Circle B101 Marco Island, FL, 34145 (219) 241-7471 jmurtaugh53@gmail.com murtaugh55@gmail.com Bill to Jenny & David Murtaugh 731 W Elcam Circle B101 Marco Island, FL, 34145 (219) 241-7471 jmurtaugh53@gmail.com murtaugh55@gmail.com Description Countertop - From a Slab Location: Naples Material 1. Material 1. 1.0 Undermount Single Sink Cutout(s) 1.0 Faucet Hole(s) Ready for Template: Yes NOT a 'Rush Job' Sinks Requiring Plumbing: 0.0 Bath Sinks 1.0 Kitchen Sinks - Other Plumbing Items: Installation of Garbage Disposal Cash or Check 0% Discount) Quantity Total 45.00 $5,040.0 0 1.00 $0.00 45.00 $90.00 1.00 $225.00 1.00 $125.00 1.00 $0.00 1.00 $0.00 1.00 $1,075.0 0 1.00 $-65.55 1.00 $-689.45 Subtotal $5,800.00 Total $5,800.00 Paid $2,680.00 Balance $3,120.00 J W z a 0 0 r M N U) 0 0 0 M N 0 N J w U_ 0 N a) Document key: 3ef9313dda11da20ff220d873a33981d Packet Pg. 601 10.B.1 82261 Method Check Note HC Reference 110 Amount $2,680.00 Total paid $2,680.00 Document key: 3ef9313dda11da OM20073a33981d Packet Pg. 602 10.B.1 Signature Name: Jennifer Murtaugh Sender: ap@countertops-more.com Recipient: murtaugh55@gmail.com Contract ID#: 67804 Document key: 3ef9313ddal1da20ff22Od873a3398ld Signed: May 8", 2023 3:47 pm UTC Signer user agent: Mozilla/5.0 (Macintosh; Intel Mac OS X 10 15_7) AppleWebKit/605.1.15 (KHTML, like Gecko) Version/16.4 Safari/605.1.15 Signer IP address: 73.156.89.101 Signature capture timestamp: 1683560868.3122 Document key: 3ef9313dda11da20ff22Od873a33981d Packet Pg. 603 10.B.1 DEAR jenny & David Murtaugh PLEASE FIND ATTACHED DESCRIPTION OF YOUR PURCHASE: Document key: 3ef9313dda11da20ff22Od873a33981d Packet Pg. 604 JENNIFER L MURTAUGH DAVID R MURTAUGH 3a7 AUGUM LN WEST lAFAYErM W E79W PAY THE/ '� PRYERER OF (( PURDUE FEDERAL C\L,llr U%joM Way 1fi/Art1TL W Apift Capture Date 20230510 Sequence Number _3030 Serial Number 2110 Account Number M7504 4r::••,�,le7;z.[..�/[,..11f�1• 11+ i+n�i.••+.� ry•� im .hl . ,l ; e•r I . O'1fp llf.�i 11 • N ruull ,l r►1 i• ► �t Yf M/p ap a I of AW4el GA 110 T1.760i1t749 r ATE q�►¢4�c >.�a I Optional Field 6 0 Amount $13,000.00 Routing Number 274976067 Transaction Code 60 t=.j x m x v 0 r f�1 Scanned with CamScanner Packet Pg. 605 10.B.1 Customer Instructions and Acknowledgement Your job will be performed in the following manner: 1- Template schedule will be within an estimated 10 days after signature of the terms and condition. 2 - Installation will be scheduled for an estimated 21 days after signature of the terms and condition. 3 - Our template IS NOT AUTHORIZED to change your order. 4 - Installers are NOT AUTORIZED to change your order. 5 - For any SPECIAL REQUEST or changes, you must submit in writing to your SALESPERSON 6 - After installation, if you have a request or concerns, please email your name and invoice number with detailed information to assist@countertops-more.com Packet Pg. 606 10.B.1 On Monday May 81, 2023 Jenny and 1 went to Countertops & More by FBC, located at 4202 Tamiami Trail North, Naples, FL. We met with the sates person Henrique. We talked about the type of cabinets and countertops we were interested in purchasing. We talked about the size of our condo. We told him the condo was located on Marco Island. Ile said yes, we do work on Marco Island. He showed us several granite countertops and we picked out a slab of granite that we liked. We went back to his desk and talked about the cabinets and type of base and wall cabinets we wanted. The sales person put together the costs of the cabinets which included the installation of the new cabinets. The price also included demolition with tear out and disposal of the old cabinets. He also put together the cost of granite countertop and installation of the countertop. He included the S1,075.00 for installation of sink, water faucet, garbage disposal and dishwasher. He said any plumbing work that was need they would do_ He said the deposit would be S13,000.00 and Jenny wrote a check made out to Countertops & More for $13,000.00. We told him we were located on Marco Island and building permits were required. He said several times that is no problem they will take care of getting the perntirs. Later the week of May 8' 2023 two men came to our condo to measure the area that we wanted the new cabinets installed. We talked to them about the installation of the new cabinets and countertop. They took measurements. It was very difficult to communicate as one did not speak any English and the other had to interpret. We were concerned that it was done correctly. On May 15', 2023 Jenny and I went into Countertops and More store in Naples, FL. We again talked to Henrique. He showed us a rendering of what our installed cabinets would resemble. We talked about required plumbing and electrical work that would need to be done. We again told him the requirement of obtaining permits for installation of the cabinets, countertop, plumbing and electrical work that Marco Island required. Ile again said that they do the installations and would obtain all required permits. On June 1 n, 2023 Jenny and I went to the Building Service's office on Marco Island to see if any types of permits had been issued to do the required work on our condo located at 731 W. Elkcam Circle, Unit 13-101, Marco Island, FL. We were Informed that as of June 15` no building permits had been issued and there were none pending approval. We drove from the building office to Countertops & More in Naples, FL. We met with Henrique and advised him no permits had been filed for the installation, plumbing or electrical work. We again told him that permits were required and the permitting process was lengthy. He told it was not a problem that they just did work on Marco. He called someone and spoke to them in Spanish. When he hung up the phone, he assured us that they would do the installation of the cabinets, countertop, required plumbing, electrical work, and they would obtain all required permits, ti1l,irrr,v r David aoru;raALK; lt�; u . Elkcam Circle, Unit B-101, Marco Island, FL 34145v%% COn1rn:-1'-'1 urnbor MY C ,innuti ,Krn �rnh 4 'v J w z Q 0 d 0 M to N Scanned with CamScanner Packet Pg. 607 10.B.1 J TO BE COMPLETED BY NOTARY W (in accordance irith Stale notary requirements) Q t7 State of Q 0 County of _ r This instrument was acknowledged before this `1 day of U 1f— (month),2jO3 Z(year), by /i. VI ? (name of officer or agent, title or officer or agent) of (name of entity). in Personally Known Produced Identification Type of ID and Number on ID 114 � Za N" w 0 0 -� Notary Public State of d.w ju_ Signature of Notary Name of Notary (Typed, Stamped or Printed) Scanned with CamScanner Packet Pg. 608 SMv z£ 000czoZ n] o)LZM SNOI ¥1 o IS31NOO- e¥1U3 ]] ]3 NVa'VU :Iu ee t4O8 n¥ I — E ) ± k g § � \ \ { /z /z I §\ �¥ O u X g ± Ofg z e _ z e _ / 5 7 / i 7 < u < u \ § V ° \ o 7 _ ® z ® ui 2 j < rN < 5 _ V- z L, 2 z k k \ k w k\ A k \ tka all \ LLJ \ Z § § .al� /\ k u S \ ko o uj 40 � 0 u } S E / & % L ° CD Opk \ \ \ / ' u @ ® q L-@ 5 u R § � a \ a DIVISION OF CORPORATIONS or Previous on List Next on List Return to List Fictitious Name Search Filing History FSubmit Fictitious Name Detail Fictitious Name COUNTERTOPS AND MORE Filing Information Registration Number G16000018394 Status ACTIVE Filed Date 02/19/2016 Expiration Date 12/31/2027 Current Owners 1 County LEE Total Pages 2 Events Filed 1 FEI/EIN Number NONE Mailing Address 14361 N CLEVELAND AVE N FORT MYERS, FL 33903 Owner Information FBC HOME CONCEPT LLC 14361 N CLEVELAND VE N FORT MYERS, FL 33903 FEI/EIN Number: 80-0770465 Document Number: L11000135773 Document Images 02/19/2016 -- Fictitious Name Filing View image in PDF format 03/11/2022 -- Fictitious Name Renewal Filing View image in PDF format Previous on List Next on List Return to List Filing ±i to - Fictitious Name Search Submit Packet Pg. 610 10.B.1 DQg2artment of State / Division of Corrwrations / Search Records / Search by EntityName / Detail by Entity Name Foreign Profit Corporation FBHC CONCEPT CORP Cross Reference Name FBHC CORPORATION fling Information Document Number F11000004820 FEI/EIN Number 45-3761745 Date Filed 11/29/2011 State DE Status ACTIVE Principal Address 14361 N CLEVELAND AVE FORT MYERS, FL 33903 Changed: 03/01 /2019 Mailing Address 14361 N CLEVELAND AVE. FORT MYERS, FL 33903 Changed: 03/01/2019 Registered Agent Name & Address FEIERTAG, DANIEL M 14361 N CLEVELAND AVE. NORTH FORT MYERS, FL 33903 Officer/Director Detail Name & Address Title P FEIERTAG, DANIEL M 14361 N CLEVELAND AVE. FORT MYERS, FL 33903 Title V Packet Pg. 611 1 10.B.1 FEIERTAG, DAVID M 14361 N CLEVELAND AVE. FORT MYERS, FL 33903 Title COO FERREIR, RUITER ----- , 4, h 6 M 14361 N CLEVELAND AVE. FORT MYERS, FL 33903 Title D FEIERTAG, DANIEL M 14361 N CLEVELAND AVE. FORT MYERS, FL 33903 Annual Reports Report Year Filed Date 2021 04/15/2021 2022 02/01/2022 2023 01 /24/2023 Document Images 01/24/2023 —ANNUAL REPORT View image in PDF format J 02/01/2022 —ANNUAL REPORT View image in PDF format 04/15/2021 —ANNUAL REPORT View image in PDF format 01/15/2020 —ANNUAL REPORT View image in PDF format 03/01/2019 —ANNUAL REPORT View image in PDF format 04/30/2018 —ANNUAL REPORT View image in PDF format J 01/26/2017 —ANNUAL REPORT _ view image in PDF format 03/09/2016 —ANNUAL REPORT View image in PDF format J 91/07/2015 —ANNUAL REPORT View image in PDF format J Q9/04/2014 —AMENDED ANNUAL REPORT View image in PDF format 03/25/2014 —ANNUAL REPORT View image in PDF format 02/09/2013 —ANNUAL REPORT View image in PDF format Q411412012 —ANNUAL R PORT View image in PDF format_ 11/29/2011 __ Foreign profi View image in PDF format 2 Q Packet Pg. 612 10.B.1 ! Sorg Qepariment of State / Division of Corporations / Search Records / Search by Entily. Name / Detail by Entity Name Florida Limited Liability Company FBC HOME CONCEPT LLC. Filing Information Document Number L11000135773 FEI/EIN Number 80-0770465 Date Filed 12/01/2011 Effective Date 12/01 /2011 State FL Status ACTIVE Principal Address 14361 NORTH CLEVELAND AVE NORTH FORT MYERS, FL 33903 Mailing Address 14361 NORTH CLEVELAND AVE NORTH FORT MYERS, FL 33903 Registered Agent Name & Address FBHC CONCEPT CORP 14361 NORTH CLEVELAND AVE NORTH FORT MYERS, FL 33903 Authorized Person(5) Detail Name & Address Title MGRM FBHC CONCEPT CORP 14361 NORTH CLEVELAND AVE NORTH FORT MYERS, FL 33903 Annual Reports Report Year Filed Date 2021 04/15/2021 2022 02/01 /2022 2023 01 /24/2023 Document Imagq5 J W Z Q a r r M w Ln t0 Ln 0 0 0 n N O N J w U w N rn Packet Pg. 613 10.B.1 THE OFFICIAL SITE OF THE FLOR;DA DEPARTMENT OF BUSINESS & PROFESSIONAL REGLILAT�JIN dbPffm gme+^t of Business pr Prn a„Iot�.�i Rtti� at, . ONLINE SERVICES Apply for a License Verify a Licensee View Food & Lodging Inspections File a Complaint Continuing Education Course Search View Application Status Find Exam Information Unlicensed Activity Search AB&T Delinquent Invoice & Activity List Search LICENSEE DETAILS HOME CONTACT US ' 9:34:09 AM 611512023 This is a business tracking record only. Click here for information on how to verify that this business is properly licensed. Licensee Information Name: FBC HOME CONCEPT LLC. (Primary Name) COUNTERTOPS AND MORE (DBA Name) Main Address: 14361 NORTH CLEVELAND AVE NORTH FORT MYERS Florida 33903 County: LEE License Information License Type: Rank: License Number: Licensure Date: Expires: Special Qualifications Alternate Names Construction Business Information Business Info 12/13/2017 Qualification Effective View Related License Information View License Complaint 2601 Blair Stone Road, Tallahassee FL 32399 :: Email: Customer Contact Center :: Customer Contact Center: 850.487.1395 The State of Florida is an AA/EEO employer. Copyright 2007-2010 State of Florida. Privacy Statement Under Florida law, email addresses are public records. If you do not want your email address released in response to a public -records request, do not send electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. `Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have one. The emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public. Please see our Chapter 455 page to determine if you are affected by this change. Packet Pg. 614 10.B.1 C;01-Y c431411ty Grown Management Community Development Department Operations & Regulatory Management Division Contractor Licensing July 28, 2023 Victor R. Bermudez, Esq. The McIntyre Law Firm, PLLC 1520 Royal Palm Square Blvd., Suite 210 Fort Myers, FL 33919 RE: Request for Administrative Hearing — Contest Citation #11927 CEUL20230005328 & Citation #11928 CEUL20230005446 Dear Mr. Victor R. Bermudez, You have been added to the agenda for the Collier County Contractors' Licensing Board on Wednesday, August 16th, 2023. The Meeting is held at 9:00am at the W. Harmon Turner Building (Bldg F, Admin Bldg), 3299 Tamiami Trail, Naples, FL in the Commissioner's Meeting Room on the V Floor. Please be sure to allow yourself enough time to go through security. If you wish to submit documentation in your defense it must be received by this office, no later than 10 days prior to the hearing date. If there are any questions, please call (239) 252-4229. Sincerely, Sandra Delgado Operations Supervisor Collier County Contractors' Licensing Cc: Daniel Feiertag Operations & Regulatory Management Division, Contractor Licensing . 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensinaCabcolliercountvfl gov Packet Pg. 615 10.B.1 Coder County Growth Management Community Development Department Operations & Regulatory Management Division Contractor Licensing July 28, 2023 Daniel Feiertag 14361 N Cleveland Ave Fort Myers, FL 33903 RE: Request for Administrative Hearing — Contest Citation #11927 CEUL20230005328 & Citation #11928 CEUL20230005446 Dear Mr. Daniel Feiertag, You have been added to the agenda for the Collier County Contractors' Licensing Board on Wednesday, August 16th, 2023. The Meeting is held at 9:00am at the W. Harmon Turner Building (Bldg F, Admin Bldg), 3299 Tamiami Trail, Naples, FL in the Commissioner's Meeting Room on the 31 Floor. Please be sure to allow yourself enough time to go through security. If you wish to submit documentation in your defense it must be received by this office, no later than 10 days prior to the hearing date. If there are any questions, please call (239) 252-4229. Sincerely, Sandra Delgado Operations Supervisor Collier County Contractors' Licensing Cc: Victor R. Bermudez, Esq. (The McIntyre Law Firm, PLLC) Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractors licensing@colliercountvfl _go Packet Pg. 616 10.B.1 From: ContractorsLicensi n a J W To: assist(alcountertoos-more.com; victoramcintvrelawfirm.com Z Cc: DelgadoSandra Q Subject: Administrative Hearing - Contractor Licensing Board — August 16, 2023 Date: Wednesday, August 2, 2023 11:09:58 AM Q Attachments: Signed attendance letter - Contest citations Daniel f i rtag.Ddf Signed Attendance letter- Contest citations.Ddf T T M Good morning, N Please see the attached letter that has also been mailed. Per request, you have been added to the agenda for the Collier County Contractors Licensing Board on Wednesday, August 16, 2023. The Meeting is held at 9:00am at the W. Harmon Turner Building (Bldg F, Admin Bldg), 3299 Tamiami Trail, Naples, FL in the Commissioner's Meeting Room on the 3rd Floor. Please be sure to allow yourself enough time to go through security. If there are any questions, please call (239) 252-4229. Respectfully, Savidra.-O dgado- Supervisor—Operations, Licensing co ,e-r C;01.Vtty 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 .Delgado0colliercountyfLeov Contractors LicensingOcollie rcountyfl gov How are we doing? The Operations & Regulatory Management Division wants to hear from you! Please take our online SURVEY. We appreciate your feedback! Q Packet Pg. 617 10.0 08/16/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 10.0 Doc ID: 26314 Item Summary: IOC. 2023-16 VINORA D. WALLACE DBA WALLACE CUSTOM CABINETRY, LLC (CEMIS20230006190) Meeting Date: 08/16/2023 Prepared by: Title: — Contractor Licensing Name: Alyshia Morse 08/08/2023 4:55 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 08/08/2023 4:55 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 08/09/2023 12:04 PM Contractor Licensing Tim Crotts Review Item Completed 08/09/2023 3:12 PM Contractor Licensing Tim Crotts Meeting Pending 08/16/2023 9:00 AM Packet Pg. 618 10.C.1 BEFORE THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD to T BOARD OF COUNTY COMMISSIONERS, o COLLIER COUNTY, FLORIDA, N Petitioner, 0 r v. Case No: 2023-16 N Licensee No: LCC20200000884 VINORA D. WALLACE ❑IBIA WALLACE CUSTOM CABINETRY, LLC. Respondent. ADMINISTRATIVE COMPLAINT Collier County (County) files the Administrative Complaint against VINORA D. WALLACE (Respondent), a Collier County licensed contractor with license # 202000000618, and states the following facts and allegations in support of the cited violations below: 1. The Respondent is currently licensed as a CABINETRY contractor, by Collier County Contractors' Licensing. 2. The Respondent, VINORA D. WALLACE, is the Collier County license holder of record for the company WALLACE CUSTOM CABINETRY, LLC (20200000883) 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 July 12, 2023, Collier County Code Enforcement reported unpermitted interior N renovations at 148 Cypress Way E #5 done by a county licensed contractor. A o Contractors' Licensing case # CEMIS20230006190 was opened to investigate further. _ 6. Upon investigation, it was discovered on April 20, 2023, WALLACE CUSTOM E CABINETRY LLC, entered into a written contract with property owner, Diane Raffele, a for interior renovations to include cabinetry, flooring, tiling, electrical, and plumbing. The agreed upon amount was $48,537.00. An initial deposit payment of $15,925.00 Packet Pg. 619 10.C.1 was paid on May 3, 2023, to WALLACE CUSTOM CABINETRY LLC by personal check. Subsequent payments of $8,000.00 on June 6, 2023, $10,500 on July 1, 2023, $6,900.00 on July 13, 2023, and $862.00 on July 13, 2023, were all paid by C° personal checks for a total of $42,187. N CD 7. On July 13, 2023, Michael P. Bogert, Collier County Licensing Investigator, observed o interior renovations in the kitchen and bathrooms that included cabinetry, flooring, tiling, electrical, and plumbing at 148 Cypress Way E. M tG N 8. On July 13, 2023, a review of County records revealed no building permits were issued for the interior renovations and a stop work order was issued. o 9. On July 17, 2023, a phone conversation was held with Ms. Wallace regarding the interior renovations performed by her company, WALLACE CUSTOM CABINETRY LLC. During the conversation, Ms. Wallace confirmed that WALLACE CUSTOM CABINETRY LLC. had contracted with property owner Diane RaffeIe far $48,537.00 to renovate her condominium to include the kitchen, master, and guest bathrooms. 10.On July 31, 2023, Collier County Architectural Reviewer Robert Moore, confirmed a permit was required for the interior renovations. 11. Based on the investigation, and pursuant to Collier County Code of Laws and Ordinances Section 22-202(a)(2) and (b), the Contractors' Licensing Supervisor determined sufficient cause exists to warrant the filing of formal charges. 12.On July 25, 2023, a Notice of Hearing to appear before the Collier County Contractors' Licensing Board on August 16, 2023, at 9:00 am, was emailed to the Respondent at wallacecustomeabinetry@yahoo.com. 13. The County now brings the following count(s) in this Administrative Complaint against the Respondent: COUNT! A. VINORA D. WALLACE is the holder of a Collier County license for CABINETRY M contractor. VINORA D. WALLACE'S license does not allow for flooring, tiling, o electrical, or plumbing that was done in the scope of services she had provided N under the subject contract. c a� B. VINORA D. WALLACE 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 Q to do any work outside of the scope of his/her competency as listed on his/her Packet Pg. 620 10.C.1 competency card and as defined in this ordinance or as restricted by the Contractors' Licensing Board. r M N O COUNT it N U 0 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 M subject work. N B. VINORA D. WALLACE 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 Code of Laws and Ordinances Sec. 22-201 and, WHEREFORE, in consideration of the foregoing, the Petitioner respectfully requests the Collier County Contractors' Licensing Board to find the Respondent guilty of the violation(s) charged. Dated: Signed: (;� Timothy Crotts Collier County Contractors' Licensing Supervisor Packet Pg. 621 10.C.1 Contractors' Licensing Board 2800 North Horseshoe Dr. Naples, FL 34104 Complaint Case Number: 2023-16 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: August 1, 2023 Against: Contractor's Name: Vinora D. Wallace Phone: (239) 791.9603 Business Name: Wallace Custom Cabinetry LLC License Held: Cabinetry Collier County Issuance #: 202000000618 Contractor's Business Address: 4338 Orangewood Ave., Fort Myers, FL 33901 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: 148 Cypress Way E #5. City: Naples County: Collier Packet Pg. 622 10.C.1 Date of contract: April 20, 2023 Date job started: April 20, 2023 0 Date job completed or new home occupied: N/A N 6 0 Were there plans and specifications? No Is there a written contract? Yes If yes, amount of Contract: $48,537.00 N Has the Contractor been paid in full? No If not, what amount? $6,350.00 a Was a Building Permit obtained? No Was a Building Permit required? Yes Building Permit number if known: N/A Have you communicated by letter with the licensee? Yes Date: July 25, 2023 Do you have a reply? Yes Please attach to this form all copies of the purchase agreement, building contract, home improvement contract, copies of receipts and/or cancelled checks available and any additional evidence to substantiate your allegations. List any subsections of Collier County Ordinance number 22-201, which, in your opinion, have been violated by the contractor, which is the subject of this complaint, (list subsection number): a. Collier County Ordinance 22-201(2) Contracting to do any work outside of the scope of his/her competency as listed on his/her competency card and as defined in this Ordinance or as restricted by the Contractors' Licensing Board. b. Collier County Ordinance 22-201(18) Proceeding on any job without obtaining applicable permits or inspections from the City building and zoning division or the county building review and permitting department. Please state the facts which you believe substantiate your charge of misconduct against the subject contractor. List facts separately for each subsection number above: a. Collier County Ordinance 22-201(2) Contracting to do any work outside of the scope of his/her competency as listed on his/her competency card and as defined in this Ordinance or as restricted by the Contractors' Licensing Board. 1. The Respondent is the holder of a Collier County license for a Cabinetry contractor. The Respondent's license does not allow for flooring, tiling, electrical, and plumbing installation that was done in the scope of services she had provided under the subject contract. Packet Pg. 623 10.C.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. l ael P. Bogert Code Enforcement Investigator- Licensing State of V1oc'.&�- County of Co 1 av- The foregoing instrument was acknowledged before me by means of 2'physical presence or ❑ online notarization on this 8M day of , 20 23 , by M i QI. 0A PrA- Such person(s) Notary Public must check applicable box: bare personally known to me ❑ has produced a current driver license ❑ has produced (Notary Seal) 1 Notary Signature: as identification. Y .p r•-."�tJOANN GREENBERO *° Coon / M 371188 F•r a��'� Ekes AprN 24, 2027 T M N O N U 0 T T M to N Packet Pg. 624 10.C.1 to M N O N U 0 Cl) O N O O O O O O M N O N W U_ U J J H W Z_ m Q U O CO U W U Q J J a a Co 0 w U Q J J a Q O Z co M N O N U 0 r m E t u m r r Q Packet Pg. 625 BogertMichael From: [oUierAdam Sent Tuesday, July 11'JO2310:ZOAK4 To: BogertK4ichae| Hey Mike, Above is the case number for my code case. I did speak with the property owner today. She said they did floors and cabinets inthe bathrooms and kitchen. Remove and install. K4yresearch did not uncover apermit for the property. Below is the contact information she gave me. Cabinets /&Flooring. 239-791-9603 Prebuilt cabinets from cabinets. Wallace took old cabinets out and put new ones in. Property owner ' Dian 18609]014O8 Code Enforcement Division Naples Florida 34104 Cell: 239.877.0794 Under Florida Law.e-mail addresses are public records. If YOU do not want your e-rnail 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. �WE al Cofte ,�dlve Report Title: Code Case Details Date: 8/8/2023 1:37:53 PM Case Number: CEMIS20230006190 I Case Number: ICEMIS20230006190 I Case Type: Misconduct Priority: Normal Inspector: Michaell3ogert Airisdictioni Collier County Status: Refer to CLB Date & T'ime Entered: 7/14/2023 9:54:42 AM Entered By: MichaelBogert Case Disposition: Hearing Origin: Complaint I Detail Description: Unpermitted interior remodel done by County licensed cabinetry contractor 22-201(2) out of scope 22-201(18) commencing work without a permit CLB CASE # 2023-16 Location Cornrnents: 148 Cypress Way E #5 Naples, FL 34110 P# 62015001388 Address 148 Cypress WAY E 5, (Unit), Naples Property 62015001388 Complainant Collins, Chris Contractor WALLACE CUSTOM CABINETRY, LLC Property Owner RAFFELE, DIANE Qualifier WALLACE, VINORA D Business Management & Budget Office 1 �WE al I Packet Pg. 627 1 Code Case Details Execution Date 8/8/2023 1:37:53 PM 10.C.1 Desc Assigned Required Completed Outcome Comments Preliminary Investigation MichaelBogert 7/12/2023 7/14/2023 Needs Received complaint from Chris Collins Investigatio regarding unpermitted interior remodeling at n 148 Cypress Way E #5. No documents received with complaint. Needs investigation. Verify Complainant MichaelBogert 7/12/2023 7/14/2023 Not Not required. Code Enforcement referral. Required BogertMichael 07/14/2023 10:39 AM Complainant: Chris Collins @ 146 Cypress Way E #5 (239-272-8544) CE Phone Call MichaelBogert 7/12/2023 7/14/2023 Complete Phone call received from Senior Code Enforcement Investigator Adam Collier advising me that a site visit has been scheduled with the contractor doing the work at subject property, for 10am 7-12-2023. CE Case Research MichaelBogert 7/13/2023 7/14/2023 Complete No ISSUED/OPEN permit(s) for subject property. Code Enforcement case # CESD20230005269 OPEN; unpermitted interior remodel. No other OPEN/ACTIVE Code Enforcement case(s) for subject property. Cont. Investigation MichaelBogert 7/13/2023 7/14/2023 Complete SITE VISIT 7-13-2023 10AM ATTENDEES: Senior Code Enforcement Investigator Adam Collier Code Enforcement Investigator (Licensing) Michael Bogert Code Enforcement Investigator (Licensing) Greg St. Jean Norris Wallace, Member/Owner - Wallace Custom Cabinetry LLC (contractor hired by property owner) Contractors' Licensing Entry Consent form provided to Norris Wallace on site for access to subject property. Mr. Norris signed the form (see attached in docs and images). Mr. Norris escorted us into unit 5 at subject address where I was able to observe ongoing construction in the kitchen area. Observed was new cabinetry installation, missing countertops, capped plumbing, drywall repairs, possible partial wall removal, and new canned lighting. Throughout the property, new flooring was also installed and confirmed by Mr. Norris. Further escorting into the property yielded 2 bathrooms that have been renovated that included new cabinetry/vanities, pex plumbing, tiling, shower pans, new valves, electrical in 1 cabinet (converted space from a linen closet), and 2 lighted mirrors. Business Management & Budget Office 2 to T M N O N U 0 T T M N WE al Packet Pg. 628 Code Case Details Execution Date 8/8/2023 1:37:53 PM 10.C.1 When asked, Mr. Norris stated he was hired by Cabinets to Go to install cabinetry/countertops for the kitchen and bathrooms at subject address for an undisclosed amount (contracts forthcoming). He then stated that while he was working there, he was hired by the propery owner to do flooring, and bathroom remodels for an undisclosed amount (contracts forthcoming). At this point I advised Mr. Norris that he only held a cabinetry license in Collier County and the majority of my observations were outside the scope of his licensure. He agreed in the affirmative. I then advised that all work had to cease as I was issuing a STOP WORK ORDER until a permit was issued for the scope of services done and or to be done. I asked that he work with the property owner in obtaining a licensed Building or General Contractor to continue and complete the work. I let Mr. Norris know that I will be getting a permit determination and forwarding this complaint case for possible licensure disciplinary action that may result in fines and or probation for working outside the scope of his license (Collier County Code of Laws and Ordinances 22-201(2), as well as 22-201(18) commencing work without a permit where on was required). He stated he understood and had no questions. I then requested all contracts/invoices and payment forms from Mr. Norris. He asked that I make my request via email wallacecustomcabinetry@yahoo.com. Issue Stop Work Order MichaelBogert 7/13/2023 7/14/2023 Complete STOP WORK ORDER issued at subject address for commencing work without a permit related to interior remodeling in kichen and 2 bathrooms. Cont. Investigation MichaelBogert 7/13/2023 7/14/2023 Complete EMAIL I emailed the qualifier at wallacecustomcabinetry@yahoo.com for documentation request. CE Phone Call MichaelBogert 1 7/17/2023 7/17/2023 1 Complete 239.791.9603 Vinora Wallace (Qualifier) Business Management & Budget Office I called and spoke to the qualifier. I advised of the complaint and subsequent investigation results. I advised of the violations for outside the scope of her licensure, and commencing work without a permit. She stated she understood and had no questions. I reiterated my request for documents related to the work commenced. She stated she would have them to me in the next few days. to T M N 0 N U 0 T M 0 A al Packet Pg. 629 Code Case Details Execution Date 8/8/2023 1:37:53 PM 10.C.1 Desc Assigned Required Completed Outcome Comments Cont. Investigation MichaelBogert 7/19/2023 7/19/2023 Complete EMAIL(S) I received an email from the qualifier. Included in the email were 4 invoices. 3 to the property owner, and 1 to Cabinets to Go. BogertMichael 07/19/2023 3:44 PM I emailed the qualifier back stating that I received these items and I am still looking for payment forms, as well as the rest of my requested documentation related to any subcontractors hired. Awaiting a response. BogertMichael 07/19/2023 3:44 PM Investigation MichaelBogert 7/25/2023 8/8/2023 Refer to 148 Cypress Way E #5 CLB Property Owner(s) - RAFFELE, DIANE 860.930.1408 Complainant - Chris Collins Complaint - unpermitted interior remodel Contractor - Wallace Custom Cabinetry LLC; Qualifier - Vinora Wallace 239,791.9603 WallaceCustomCabinetry@yahoo.com Schedule for CLB MichaelBogert 7/2512023 8/8/2023 Complete Scheduled for August 16, 2023 CLB, Case # 2023-16 assigned by Operations Supervisor Sandra Delgado. Generate CLB Notice of Hearing MichaelBogert 7/25/2023 8/8/2023 Complete Notice of Hearing issued. Cont. Investigation MichaelBogert 7/25/2023 7/25/2023 Complete EMAIL Emailed Notice of Tearing to wallacecustomcabinetry@yahoo.com per qualifier request. USPS Certified Mail to follow. Cont. Investigation MichaelBogert 7/25/2023 7/27/2023 Complete EMAIL I received an email back confirming receipt of the Notice of Hearing for August 16, 2023. (see attached in docs and images). Service is sufficient. Cont. Investigation MichaelBogert 7/31/2023 8/2/2023 Complete PERMIT DETERMINATION I met with Robert Moore, Architect - GMCD, and provided him my site visit pictures of the subject property. Mr. Moore determined a permit was required for the interior renovations related to the kitchen and 2 bathrooms being remodeled (see attached in docs and images) CE Phone Call MichaelBogert 8/2/2023 8/2/2023 Complete 239.791.9603 Vinora Wallace (Qualifier) I called and spoke to the qualifier. I requested for a second time the sub contractors' info and agreements for this job, the cancelled checks and or payment forms from the property owner, and the sales sheet/layout from the 3rd party Cabinets to Go uses to assign installation for the property owners. The qualifier stated she was out of town and will get me that information sooner than later. Business Management & Budget Office to T M N 0 N U 0 T M 0 N 0 T M N 0 N U 0 T c a� E U Q Packet Pg. 630 Code Case Details Execution Date 8/8/2023 1:37:53 PM 10.C.1 Desc Assigned Required Completed Outcome Comments CE Phone Call MichaelBogert 8/2/2023 8/2/2023 Complete 860.930.1408 Diane Raffele (Property Owner) I called and spoke to the property owner. I advised her of the complaint and current status of the Stop Work Order. She stated she was advised by the hired contractor what the status of her project is. I asked about any additional monies paid since the Stop Work Order or any requests from her current contractor. She stated she has not been advised of any new charges she would be responsible for. She did confirm that she hired Wallace Custom Cabinetry LLC for the interior renovations and was not aware of them only having cabinetry license. She then confirmed that there is a licensed contractor coming into the project for permitting and finishing the job. She stated that Wallace Custom Cabinetry LLC has secured the licensed contractor and would be taking care of. When asked, she stated she is in Connecticut until later this year and would not be able to make the CLB meeting on August 16, 2023. 1 advised I would keep her updated on status of complaint and to be in communication with Code Enforcment if applicable. Enter Hearing Results MichaelBogert 8/17/2023 Pending Case # 2023-16 148 Cypress Way E #5 Wallace Custom Cabinetry LLC Vinora D. Wallace August 16, 2023 CLB Violation Description Status Entered Corrected Amount Comments 4.1 Misconduct-County/City Certificate of Competency Open 7/14/2023 $0 Title Reason Result Compliance Fine/Day Condition Business Management & Budget Office 5 to T M N 0 N U 0 T M 0 A al Packet Pg. 631 10.C.1 �iOr BY' 4'iOL4Y1ty co r Growth Management Division c Planning & Regulation Operations Department c Licensing Section r v r M t0 N JULY 25, 2023 m VINORA D. WALLACE WALLACE CUSTOM CABINETRY, LLC 4338 ORANGEWOOD AVE. FORT MYERS, FL 33901 RE: CASE # CEMIS20230006190-148 CYPRESS WAY E #5 Dear VINORA D. WALLACE, 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, AUGUST 16, 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.colliergov.net Packet Pg. 632 10.C.1 �i0%eY �OT1Ylty co Growth Management Division N Planning & Regulation N Operations Department o 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 pal M N O N U 0 r c m E t U fC r rr Q Growth Management Division*Planning & Regulation*2800 North Horseshoe Drive*Naples, Florida 34104*239-252-2400*www.coIliergov. net Packet Pg. 633 10.C.1 BogertMichael From: Nora Wallace <WallaceCustomCabinetry@yahoo.com> Sent: Tuesday, July 25, 2023 4:39 PM N To: BogertMichael N Subject: Re: COLLER COUNTY COMPLAINT CASE # CEMIS20230006190 - 148 CYPRESS WAY E #5 c 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. F4 We have received the notice thank you! Sent from Yahoo Mail on Android On Tue, Jul 25, 2023 at 2:21 PM, BogertMichael <Michael.Bogert@colliercountyfl.gov> wrote: Good afternoon. Please find the attached Notice of Hearing for August 16, 2023, related to the above complaint case investigation that yielded a violation of working outside the scope of your license (multiple trades) and working without a permit at 148 Cypress Way E #5. 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.boeert@colliercountyfl.gov 2800 North Horseshoe Drive Naples, FL 34104 Packet Pg. 634 Hours ofOperation : Monday -Friday 8:U0amtoS:0Opm Under Florida Law, e-rnail addresses are public records. If you do not want Your e-mail address released in response to a public records request, do riot send electronic mail to this entity. Instead, contact this office by telephone or in writing. Details Page 1 10.C.1 Print Back to list New Search Prev Tax Bills T Change of Address Next Property Summary Property Detail ]Aerial Sketches11 Trim Notices Site 148 CYPRESS Site Zone WAY E Parcel No 6201 S001388 Address Site City NAPLES * 34110 *Disclaimer Note Name / RAFFELE, DIANE Address 18 TAYLOR DR City PORTLAND State CT Zip 06480 Map No. Strap No. Section Township Range Acres *Estimated 3A23 506800 9053A23 23 48 25 0 Legal NAPLES KEEP A CONDOMINIUM UNIT 905 Millage Area 59 Millage Rates 8 *Calculations Sub./Condo 506800 - NAPLES KEEP A CONDOMINIUM School Other Total Use Code Q 4 - CONDOMINIUM 4.459 6.1196 10.5786 Latest Sales History 2022 Certified Tax Roll (Not all Sales are listed due to Confidentiality) (Subject to Change) Date Book -Page Amount Land Value $ 0' 02/25/23 6221-1040 $ 0 (+) Improved Value $ 199,526 02/25/23 6221-1039 $ 0 (_> Market Value $ 199,526 01/27/17 5474-3946 $ 0 01/27/17 5359-2763 $ 0 (-) 10% Non -Homestead Cap $ 45,856 05/19/00 2677-3030 $ 76,500 (_) Assessed Value $ 153,670 05/06/97 2310-3026 $ 71,000 (_) School Taxable Value $ 199,526 08/01/91 1640-1199 $ 61,900 (_) Taxable Value $ 153,670 01/01/89 1412-1651 $ 56,900 If all Values shown above equal 0 this parcel was created after the Final Tax Roll to M N O N U O 04 M to to M N O N U O c d E t Q https://www.collierappraiser.com/Main Search/RecordDetail.html?FullAddress=148%20... I Packet Pg. 636 10.C.1 Property Details Property Review Parcel Number: 62015001388 Parcel Number: 62015001388 Parent Parcel Number: 65371560007 Status: Active Legal Description: NAPLES KEEP A CONDOMINIUM UNIT 905 Acres: 0.00 Block: FLN: 62015001388 Improvement Value: $199,526.00 Land Value: $0.00 Map Number: 3A23 Range: 25 Section: 23 Taxes: $1,830.09 Township: 48 Use Code: 4 Addresses Street # Pre Direction I Street Name Direction Unit # Status ................_ ............. 148 Cypress WAY E 5 Active 148 Cypress WAY E 5 Historic Contacts Type Property Owner Historic Owner Historic Owner Historic Owner Historic Owner Historic Owner Historic Owner i Description .......... .......... .......... - ....... .... . RAFFELE, DIANE, Address:18 TAYLOR DR _.... ...... ............ - — ......... ....... --- — — . ............- ---- ORGANEK, EDWARD A & SHARON A RONALD & DIANE RAFFE, Address:1163 CHAMBERLAIN HILL RD - ... - ORGANEK, SHARON A RONALD & DIANE RAFFELE, Address:1163 CHAMBERLAIN HILL RD ORGANEK, SHARON A RONALD & DIANE RAFFELE, Address:1163 CHAMBERLAIN HILL RD RAFFELE, RONALD & DIANE, Address:1163 CHAMBERLAIN HILL RD _ ................. ......... ....... -.......................... ......... .._............_..T..- RAFFELE, RONALD & DIANE, Address:18 TAYLOR DR .. _..................... ----- --.-- — RAFFELE, RONALD & DIANE, Address:18 TAYLOR DR Code Enforcement Complaints RefereiICe # [Type Status - ....... _ _A - CESD20230005269 Site Development Open Description: Interior remodel without permits Mechanical, Electrical, Plumbing, Gas & Fire Permit Applications Permit # Type Work Class Status PREL20180212054 Electrical Alteration/Remodel Finaled Permits: Description: Replace like for like 100 AMP Indoor panel 148 Cypress WAY E, Unit:5 PRHV20161247777 Mechanical Alteration/Remodel Finaled Permits: Description: A/C CHANGE OUT 2.5 TON SPLIT SYSTEM 148 Cypress WAY E, Unit:5 Date Entered 06/13/2023 Date Issued 03/10/2018 01/06/2017 U Z' Packet Pg. 637 1 10.C.1 CASINE {RY �i4nc i_�ra�s_ ♦rx aew_gyfin a 239.27877M Wallace Custom Cabinetry Llc 4338 Orangewood Avenue Fort Myers , FL 33901 Phone: (239) 791-9603 Email: Wallacecustomcabinetry@yahoo.com Bill To 10 A N DIANE RAFFELE N 148 CYPRESS WAY E BLDG 5 c NAPLES, FL 34110 (860) 930-1408 M to N Payment terms Due upon receipt Invoice # 1475 Date 04/20/2023 Description Total ADDITIONAL WORK DESCRIPTION $31,825.00 RELOCATE AND REPLACE FURNITURE FOR FLOORING INSTALLATION: $1000 SINK ADD ON IN BATHROOM: $350 #2 SHOWER CONVERSIONS: $17,400 #2 BARN DOORS INSTALL ONLY: $525 DEMO WALL IN MASTER BATHROOM: $475 #3 MIRROR INSTALLATION: $375 0 DEMO KITCHEN: $1,100 O #2 BATHROOMS AND MIRRORS DEMO: $550 z > to T" WALL DEMO IN KITCHEN: $450 N 0 N REMOVE KITCHEN SOFFIT/ADD #6- 4" CAN LIGHTS: $675 6 0 MODIFY POWER TO ACCOMDATE AIR SWITCH: $175 E ADD OUTLETS IN 3 BATHROOMS:$425 s a ADD 2 OUTLETS IN BEDROOM UNDER COMPUTER:$275 Page 1. of 3 Packet Pg. 638 10.C.1 DEMO EXISTING FLOOR: $2000 to c'> N O N TILE FLOOR INSTALLATION: $5800 v 0 T TRIP CHARGE PICK UP FLOORING FROM FLOOR & DECOR: $250 N O O O Subtotal $31,825.00 0 0 M N Total $31,825.00 N Payment Summary 05/03/2023 - Check #5244 $15,925.00 06/06/2023 - Check $8,000.00 07/13/2023 - Check $6,900.00 Paid Total $30,825.00 Remaining Amount $1,000.00 Notes: 1 PAYMENT: $15,925 2 PAYMENT: $8,000 (After Completion Of All Demo Work) FINAL PAYMENT: $7900 Licensed & Insured 0 0 nA to A N O N U 0 E 0 a Page 2of3 Packet Pg. 639 10.C.1 Signed on: 04/27/2023 DIANE RAFFELE r A N O N U 0 T w r_ w E c.i �.d Q Page 3 of 3 Packet Pg. 640 Wallace Custom Cabinetry Lic 4338 Orangewood Avenue Fort Myers , FL 33901 Phone: (239) 791-9603 Email: Wallacecustomcabinetry@yahoo.com Bill To 0 Z DIANE RAFFELE 148 cypress way E bldg 5 '14 Cc' Q Naples, Fl 34110 "' (860) 930 1408 c(3 �D Payment terms Due upon receipt !LN� Invoice 1527 Date 06/09/2023 Description Total WO 140312 This is the Cabinets $4,350.00 PO To Go invoice that was sent to cabinets to go S091619872 for cabinet install. Subtotal $4,350.00 Total $4,350.00 Licensed & Insured "a C—I!, I Packet Pg. 641 10.C.1 23�.Z587 SCR'-5 A.qa Wallace Custom Cabinetry Llc 4338 Orangewood Avenue Fort Myers , FL 33901 Phone: (239) 791-9603 Email: Wallacecustomcabinetry@yahoo.com Description ADDITIONAL WORK #2 TOILET INSTALL/ PLUMBING RELOCATE: $350 RETURN TILE TO FLOOR AND DECOR: $250 ADDITIONAL FLOOR MATERIAL: $262 Bill To z DIANE RAFFELE to 148 cypress way E bldg 5 M 0 Naples, FI 34110 N 0 (860) 930-1408 Payment terms Due upon receipt M N Invoice # 1535 0 Date 06/15/2023 Total $862.00 Subtotal $862.00 Total $862.00 0 �a 0 z Page 1 of 3 Packet Pg. 642 10.C.1 Licensed & Insured Payment Summary 07/13/2023 - Check Paid Total Remaining Amount $862.00 $862.00 $0.00 r Q Page 2 of 3 Packet Pg. 643 10.C.1 By signing this document, the customer agrees to the services and conditions outlined in this document. A N N f : o Signed on: 06/28/2023 DIANE RAFFELE Page 3ef3 Packet Pg. 644 10.C.1 w CABINS, RY Wallace Custom Cabinetry Llc 4338 Orangewood Avenue Fort Myers , FL 33901 Phone: (239) 791-9603 Email: Wallacecustomcabinetry@yahoo.com Description QUARTZ COUNTERTOPS QUARTZ COUNTERTOPS MATERIAL & INSTALLATION PLUMBING: SINK RECONNECTS/ DISHWASHER & GARBAGE DISPOSAL Licensed & Insured Bill To 10 DIANE RAFFELE A N N 148 cypress way E bldg 5 0 Naples, FI 34110 (860) 930-1408 M to N Payment terms Due upon receipt Invoice # 1560 Date 06/26/2023 Total $11,500.00 Subtotal $11,500.00 Total $11,500.00 Payment Summary 07/01/2023 - Check #182 $10,500.00 Paid Total $10,500.00 Remaining Amount $1,000.00 0 0 c� A N 0 N U 0 m E s V a Page 1of2 Packet Pg. 645 10.C.1 By signing this document, the customer agrees to the services and conditions outlined in this document. Signed on: 06/26/2023 DIANE RAFFELE Page 2 of 2 Packet Pg. 646 10.C.1 DIVISION OF COR>'.'. 4`f! Ir1?'6 i1J IA o r .r r ,•pr�C I I N V r Department of State / Division of Corporations Search Records / Search by EnLify Name / r M t0 N Detail by Entity Name Florida Limited Liability Company WALLACE CUSTOM CABINETRY, LLC. 0 o Filing Information M c Document Number L16000093397 N co 2 FEI/EIN Number 81-2498935 w V Date Filed 05/10/2016 v J State FL J Status ACTIVE H Principal Address w Z_ 4338 ORANGEWOOD AVE m Q FORT MYERS, FL 33901 V 2 Mailing Address 0 4338 ORANGEWOOD AVE co FORT MYERS, FL 33901 V w Registered Agent Name & Address U Q J WALLACE, NORRIS C J Q 4338 ORANGEWOOD AVE FORT MYERS, FL 33901 m Authorized Persons) Detail w U Name & Address J J Q Title AMBR WALLACE, NORRIS C 4338 ORANGEWOOD AVE z Z_ FORT MYERS, FL 33901 > cc r Title AMBR M N O N WALLACE, VINORA D c r 4338 ORANGEWOOD AVE c FORT MYERS, FL 33901 E t Annual Reports Q Report Year Filed Date 2021 01 /30/2021 Packet Pg. 647 2022 01 /21 /2022 2023 01 /24/2023 Document Images 01 /24/2023 --ANNUAL REPORT 01/21/2022—ANNUAL REPORT 01 /30/2021 --ANNUAL REPORT 02/03/2020 -- ANNUAL REPORT 04/25/2019 --ANNUAL REPORT 041118/2018 --ANNUAL REPORT - 03/29/2017 --ANNUAL REPORT 05/10/2016 -- Florida Limited Liability View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format U Q Packet Pg. 648 8/8/23, 1:49 PM License Application Status - CityView Portal 10.C.1 License Application Status LCC20200000884 In order to view fees or view conditions, you need to be signed in. O Expand All I Collapse All M Note: You can collapse and expand individual sections by clicking the header of the section you wish to collapse/expand. O N License Application Summary V 0 Application Number: LCC20200000884 r Business Name: WALLACE CUSTOM CABINETRY, LLC T License Type: Contractor M O Application Status: Inactive Description of Business: C Mailing Address: 4338 ORANGEWOOD AVE FORT MYERS FL 33901 O O WALLACECUSTOMCABINETRY@YAHOO.COM O Portal Licensee Status Details Licensee Details: WALLACE CUSTOM CABINETRY, LLC, Address:4338 ORANGEWOOD AVE, Phone:(239) 791-9603, Licensee # LCC20200000884 Issuances y,p,, Date Issued Date Expires !Status Nua6t liars CABINET INSTALL CONTR. 09/09/2022 09/30/2023 Active 202000000618 CABINET INSTALL CONTR. 09/17/2021 09/30/2022 Expired 202000000618 CABINET INSTALL CONTR. 07/29/2020 09/30/2021 Expired 202000000618 CABINET INSTALL CONTR. 09/30/2024 Renewal 202000000618 Insurance Producer !Type __._.. .. _-....__._......... a ..................... ... _...... CHAPMANINSURANCE GROUP LLC General Liability CHAPMANINSURANCE GROUP LLC NORRIS WALLACE VINORA WALLACE Portal Home Policy 1 Effective Date Expiry Date j Limit __ _ a__ ..... FGFL0011226606 07/20/2022 07/20/2023 $2,000,000.00 Worker's Compensation WXTHLKJJTK-00- 09/26/2021 Worker's Comp Exemption 08/10/2022 Worker's Comp Exemption (QUALIFIER) 08/10/2022 09/26/2022 08/09/2024 08/09/2024 ra El https://cvportal.colIiercountyfl.gov/CityViewWeb/License/Status?licenseld=156980 1 Packet Pg. 649 3-1-1`AM13NI13V3 woisn0 30` -l-lVM vea 30V-l-lVM 'a VMONIA 96-£ZOZ '0U :IUGWLI3L'P r N N O N O O CD O d p O N U J J W Z W U r rn p O O chi Q o00 J °� � a LLI Z 00 U Z Z> o to Z V c N U l a)J o p F- Z N J 0 O J 00 a) J V O m M N LLCN Q 0) J N O *k i c d L O U) F ci �t a (D a > E 'a Q ,_ _ d N N w O 'a d U N is +° U Q I-- n y U> v� cn E n�. V •O� V Ln w O U) O O r d d N c N V N t t d t O d c O c L O 3 m c d N c d V L O N N L H m m O L LL N O C N - CU (a L ,,+^J v/ Y O O W > ._ M N O N >, c � (B 7 C � O O O%O L cv UQ) O >'E_N EL N (0 a) > t0 O O > -CU C: O O O N (B O O O - -. N co (B 7 OU O p u m � (n E L ^U M C m� N O 0 c E O O U � "' O I cQ > U O U N i L O N O UFL0 LO 0 M ti O (� O L 7 U U) U) =) H2 E Collier County * City of Marco * City of Naples City of Everglades * Contractor Licensing CABINET INSTALL CONTR. 10.C.1 Cert Nbr: Exp: Issuance Nbr: LCC20200000884 09/30/2023 202000000618 State Nbr: State Exp: WALLACE CUSTOM CABINETRY, LLC WALLACE, VINORA D 4338 ORANGEWOOD AVE FORT MYERS, FL 33901 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.colliercounW.aov for more information as it becomes available. Signed: Packet Pg. 651 . The City of Fort Myers, Florida . , 't Community Development Department' t, A �� 4 ~ 1825 Hendry Street #101 i] i ,`" Fort Myers, Florida 33901 -3 Telephone: 239-321-7990 N STATE CONTRACTOR c N EFFECTIVE 0910212022 -EXPIRING 0913012023 O r v WALLACE CUSTOM CABINETRY LLC Cl) 4338 ORANGEWOOD AVE Business Tax #: BUS2018-00517 `I_ c FORT MYERS, FL 33901 rn T Co CD CD Dear Business Owner, t The City of Fart Myers wish you success vd;th your business. i he Business "tax Receipt below is vaifd from u0E0212uu c until-09/30/2023. N U) Annual renewal notices are mailed in July to the address of record at that time. If you need to change the business our office, W name, mailing address, contact data, location and/or closing the business, please contact V CDD/Business Tax V J J 1825 Hendry Street Suite 101 Fart Myers, FL 33901 w (239) 321-7990 z Description: Admin office for cabinets. Installing cabinets. All materials delivered straight to m customer. O CITY OF FORT MYERS FLORIDA r— N t Business Tax Receipt w a Effective 0910212022 - Ex irirr 09/3012023 J J Q 4338 ORANGEWOOD AVE WALLACE CUSTOM 'AR NETRY LLC Q m Business Tax #: BUS2018-00517 p w Is hereby registered" business, profession or occupation of: J J (121) e. Contractor. Other Sub -Building Q HOMEBASED: Yes ALCOHOL SALES pERMt7TED: No � Q WALLACE CUSTOM CAB{NETRY LLC, 4338 ORANGEWOOD AVE, FOR MYERS, FL 33901 Z Owner: PLACE AT YOUR BUSINESS LOCATION POST THIS RECEIPT IN A CONSPICUOUS A N O Any violation of applicah!e chapter of the City Code of Ordinances may cancel this receipt N , 0 c aD .r a Packet Pg. 652 DBPR - WALLACE, VINORA D, Certified General Contractor Page 1 10.C.1 THE OFFICIAL SITE OF THE FLORIDA DEPARTMENT OF BUSINESS & PROFESSIONAL REGULATION b3 3rtmentdBU r1'SS HOME CONTACT US MY ACCOUNT ' & fi mfessional Re ulatiop ONLINE SERVICES LICENSEE DETAILS 1:58:09 PM 81812023 Licensee Information Apply for a License Name: WALLACE, VINORA D (Primary Name) Verify a Licensee Main Address: 4338 ORANGEWOOD AVENUE View Food & Lodging Inspections FORT MYERS Florida 33901 County: LEE File a Complaint Continuing Education Course License Information Search License Type: Certified General Contractor View Application Status Rank: Cert General License Number: Find Exam Information Status: Eligible for Exam Unlicensed Activity Search Licensure Date: AB&T Delinquent Invoice & Activity Expires: List Search Special Qualification Effective Qualifications Alternate Names View Related License Information View License Complaint 2601 Blair Stone Road, Tallahassee FL 32399 :: Email: Customer Contact Center :: Customer Contact Center: 850.487.1395 The State of Florida is an AA/EEO employer. Copyright 2007-2010 State of Florida. Privacy Statement Under Florida law, email addresses are public records. If you do not want your email address released in response to a public - records request, do not send electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. 'Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have one. The emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public. Please see our Chapter 455 page to determine if you are affected by this change. https://www.myfloridalicense.com/LicenseDetail.asp?SID=&id=870814B22161 F31 17136764.. Packet Pg. 653 Licensing Portal - License Search Page 1 10.C.1 THE OFFICIAL SITE OF THE FLORIDA DEPARTMENT OF BUSINESS & PROFESSIONAL REGULATION 1) aftment cif Busne HOME CONTACT US MY ACCOUNT �a a rofessional Regulation ONLINE SERVICES LICENSEE SEARCH OPTIONS 1:58:03 PM 81812023 Apply for a License Data Contained In Search Results Is Current As Of 08/08/2023 01:35 PM. Verify a Licensee Search Results -1 Records View Food & Lodging Inspections File a Complaint Please see our glossary of terms for an explanation of the license status shown in these search results. Continuing Education Course Search For additional information, including any complaints or discipline, click on the name. View Application Status Find Exam Information License License Name Name Number/ Status/Expires Type Type Unlicensed Activity Search Rank AB&T Delinquent Invoice & Activity Certified WALLACE, List Search General VINORA D Primary Cert Eligible for Exam Contractor General Main Address`: 4338 ORANGEWOOD AVENUE FORT MYERS, FL 33901 Back New Search denotes Main Address - This address is the Primary Address on file. Mailing Address - This is the address where the mail associated with a particular license will be sent (if different from the Main or License Location addresses). License Location Address - This is the address where the place of business is physically located. 2601 Blair Stone Road, Tallahassee FL 32399 :: Email: Customer Contact Center :: Customer Contact Center: 850.487.1395 The State of Florida is an AA/EEO employer. Copyright 2007-2010 State of Florida. Privacy Statement Under Florida law, email addresses are public records. If you do not want your email address released in response to a public - records request, do not send electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. 'Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have one. The emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public. Please see our Chapter 455 page to determine if you are affected by this change. T M N O CV U 0 T T M N https://www.myfloridalicense.com/wll 1.asp?mode=2&search=Name&SID=&brd=&typ= I Packet Pg. 654 10.C.1 T- A N O N U 0 M �D N O O �D O O (D M N O N U) r- W U_ U J J H W z_ m Q U O U W U a J J Q Q m 0 W U a J J Q a O z M N O N U 0 r c d E t Q Packet Pg. 655 JLJJ i 0 Awl 10.C.1 M N 0 N U 0 M �D N w G w O Z CD r M N 0 N U 0 c a� E t w Q Packet Pg. 656 10.C.1 a 0 z Q Packet Pg. 657 10.C.1 Jill-1 202�'1�,����� M N 0 N U 0 M to N w a 0 z co M N 0 N U 0 c to E t u �a Q Packet Pg. 658 j Li I 'I IVJ 10.C.1 Packet Pg. 659 10.C.1 m T M N O N U 0 T T M tG N O Q1 T 0 0 0 eM N O N CO 5 W U_ U J J H W z_ m Q U 2 O CO U W U Q J J a a m G W U a J J a 0 a w O z T M N O N U 0 T c a� E t �a Q Packet Pg. 660 ddlk I lo.c.l ] w I Packet Pg. 661 1 10.C.1 M N 0 N U 0 M to N a 0 z co M N 0 N U 0 c N E t �a Q Packet Pg. 662 10.C.1 ca M N O N U O M to N O 61 O O O O Cl) N O N W U_ tU J J H W z_ m Q U r- O CU W U Q J J a a Co 0 w CU Q J J a 0 a O z CD M N O N U O c a� E t a Packet Pg. 663 M e m M N 0 N U 0 M to N a 0 z Packet Pg. 664 10.C.1 c� r M N O N U 0 r r Cl) N O O r O O O M N O N W U U J J F- LU z_ m a U 0 F- U) U w U Q J J Q Q m 0 W U a J J a 0 a 0 z r M N O N U 0 r c d E s �a a Packet Pg. 665 10.C.1 r �� q S iS � r • ooe y ca M N 0 N U 0 M �D N L w 0 \z Packet Pg. 666 - L46 i rJ-• .� I Packet Pg. 667 "- or WWA-1 lt,4 4-4 rIm �-- I, .- I ; vcvl -Aiwmw m d WLod w 0 z I Packet Pg. 668 1 10.C.1 .- AA cD M N 0 N U 0 M �D N w L w 0 Z CD M N 0 N U 0 c a� E t w Q Packet Pg. 669 10.C.1 c� r A N 0 N U 0 r r Cl) N a 0 z Q Packet Pg. 670 Collier County, FL Code of Ordinances Page I of 1 10.C.1 Sec. 22-201. - Misconduct ---Collier County/city certificate of competency. W The following actions by a holder of a Collier County/City Certificate of Competency shall r M M constitute misconduct and grounds for discipline pursuant to section 22-202: o r (1) Knowingly combining or conspiring with an unlicensed contractor by allowing one's Certificate of Competency to be used by an unlicensed contractor with M N intent to evade the provisions of this Ordinance. When a licensed contractor rn acts as the qualifying agent for any firm without first making application c under this Ordinance to represent said firm, such act shall constitute prima 0 M facie evidence of intent to evade the provisions of this Ordinance. When a N CD N co certificate holder allows his certificate to be used by one or more companies w without having any active participation in the operations, management, and v control of such companies, such act constitutes prima facie evidence of an U � intent to evade the provisions of this Ordinance. Active participation requires W job site supervision, knowledge of and participation in the business LU Z operations of the company(s), including all contractual matters. v a. If any individual qualifying any business organization ceases to be O affiliated with such business organization, he shall so inform the Board. co In addition if such individual is the only certified individual affiliated with w the business organization, the business organization shall notify the J Board of the individual's termination and shall have no more than sixty (60) days from the date of termination of the individual's affiliation with a the business organization in which to affiliate with another person m a certified under the provisions of this article. In any event, the business w Q organization shall not enter into any new contracts and may not engage J Q in any new contracting until such time as a qualifying agent is employed. 0 (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 O Z restricted by the Contractors' Licensing Board. r (3) Abandoning a construction project in which he/she is engaged or under c contract as a contractor. A project may be presumed abandoned if the N 6 0 contractor terminates the project without just cause, or fails to notify the y about:blank I I Packet Pg. 671 Collier County, FL Code of Ordinances Page 4 of 10.C.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. (1 b) 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). A about:blank I Packet Pg. 672 10.C.1 Section 105 Permits to [A] 105.1 Required M Any owneror owner's authorized agent who intends to construct, enlarge, alter, repair, move, demolish or change the occupancy of a building or N 0 structure, or to erect, install, enlarge, alter, repair, remove, convert or replace any impact -resistant coverings, electrical, gas, mechanical or plumbing N 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 (j official and obtain the required permit o [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 official is authorized to issue an annual permitfor any occupancy to facilitate routine or emergency service, repair, refurbishing, minor N 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 Chi 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. o 0 0 M (A] 105.1N.2 Annual permit records o The person to whom an annual permitis issued shall keep a detailed record of alterations made under such annual permit The building official N N shall have access to such records at all times or such records shall be filed with the building officia/as designated. W 105.1.3 Food permit V In accordance with Section 500.12, Florida Statutes, a food permit from the Department of Agriculture and Consumer Services is required of any U J person who operates a food establishment or retail store. J 105.1.4 Public swimming pool W Z The local enforcing agency may not issue a building permit to construct, develop, or modify a publicswimming pool without proof of application, Q whether complete or incomplete, for an operating permit pursuant to Section 514.031, Florida Statutes. A certificate of completion or occupancy U 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 5tatutes� The local enforcing agency may confer with the Department of Health, if O 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 U Exemptions from permit requirements of this code shall not be deemed to grant authorization for any work to be done in any manner in violation of W U the provisions of this code. Permitsshall not be required for the following: Q J Gas: J Q Portable heating appliance. Q Replacement of any minor part that does not alter approval of equipment or make such equipment unsafe. CO 0 W U Q Mechanical: J J Portable heating appliance. Portable ventilation equipment. 0 Q Portable cooling unit. 0 Z Steam, hot or chilled water piping within any heating or cooling equipment regulated by this code. > to Replacement of any part that does not alter its approval or make it unsafe. T" M N Portable evaporative cooler. N Self-contained refrigeration system containing 10 pounds (4.54 kg) or less of refrigerant and actuated by motors of 1 horsepower U (0.75 kW) or less. 0 The installation, replacement, removal or metering of any load management control device. y E s Plumbing: c� ++-, Q Exported from Y UpCodes Packet Pg. 673 Collier County, FL Code of Ordinances Page 1 of 1 10.C.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 fora 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 forminorrepairsresidential. 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. about:blank 1 I Packet Pg. 674 Collier County, FL Code of Ordinances Page 40 of 16 10.C.1 (2) An application for variance, and/or the granting of a variance, shall operate W T prospectively and shall not affect any then pending enforcement action against N 0 the property owner pursuant to the provisions of this subsection or otherwise. N U (Ord. No. 2006-04, § 11) v T M Secs. 22-121-22-160, - Reserved. N 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. 489; 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 llcensure or U c T 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, partnership, corporation, trust, or other legal entity that offers to sell or sells completed residences a about:blank 1 I I Packet Pg. 675 Collier County, FL Code of Ordinances Page 44 of 1 10.C.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 contractorll means an alarm system contractor whose business includes all types of alarm systems other than fire, for all purposes. c. Alarm system means any electrical device, signaling device, or combination of electrical devices used to signal or detect a burglary, fire, robbery, or medical emergency. d. Burglar alarm contractor means 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. to r M N 0 N U 0 r M to N to r M N 0 N U 0 r c m E M U a r Q about:blank I Packet Pg. 676 Collier County, FL Code of Ordinances Page 47 of I 10.C.1 Epoxy stone 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 contractorrequires 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 contractor requires 24 months experience and a passing grade on a business and law test and means any person who is qualified to install, maintain or repair fencing or decorative prefabricated walls on grade. (20) Floorcoveringsinstallation contractorrequires 24 months experience installing the specific product and a passing grade on an approved business and law test and means any person who is qualified to install carpet, sheet vinyl and/or all types of wood flooring. This category does not include, tile, marble, or terrazzo. (21) Gasoline tank andpump contractor req u i res 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 contractorrequires 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 co M N O N U 0 M N PP w Q about:blank I I Packet Pg. 677 Collier County, FL Code of Ordinances Page 52 of I 10.C.1 including such minor field fabrication as may be necessary, of any profile, perimeter or cross-section, that are or may be used as structural members for buildings and structures, and the erection of communication towers, including riveting, welding and rigging, only in connection therewith. (44) Structure moving contractor means persons who are required to be general, building or residential contractors, and who are qualified to lift and secure structures and transport said structures from one site to another, whether or not such transport is across public roads, including the proper placement of structures at a new location. (45) We and marble installation contractor requires 24 months experience, a passing grade on an approved test and a passing grade on a business and law test, and means those persons who are qualified to set tile, marble and stone. (46) Tile, marble and terrazzo installation contractor requires 24 months experience, a passing grade on an approved test and a passing grade on a business and law test, and means those persons who are qualified to mix, prepare, and finish terrazzo, prepare the base, and set tile, marble and stone. (47) Underground utility and excavation contractor requires 48 months experience, a passing grade on an approved test and a passing grade on a business and law test, and means contractors whose services are limited to the construction, installation, repair, on public or private property, whether accomplished through open excavation or other means, including, but not limited to, directional drilling, auger boring, jacking and boring, trenchless technologies, wet and dry taps, routing, and slip lining of main sanitary sewer collection systems, main water distribution systems, and storm sewer collection systems, and the continuation of utility lines from the main systems to a point of termination up to and including the meter location for the individual occupancy, sewer collection systems at property line on residential or single -occupancy commercial properties, or on multi -occupancy properties at manhole or "wye" lateral extended to an invert elevation as engineered to accommodate future building sewers, water distribution systems, or storm sewer collection systems at storm sewer structures. These contractors may install empty underground conduits in rights -of -way, easements, platted rights -of -way in new site development, and sleeves for parking lot crossings no smaller than two inches in diameter, provided the conduit system is designed by a licensed professional engineer or by an authorized employee of a municipality, county, or public utility, and A about:blank I Packet Pg. 678 Collier County, FL Code of Ordinances Page 59 of 1 10.C.1 of chlorine gas. These contractors may disassemble equipment permanently attached to or associated with the respective pool or spa for the purpose of water treatment or cleaning the pool or spa. (11) journeyman plumber license holder requires four years as apprentice, a passing grade on an approved test, and means those qualified to perform work in the plumbing trades while employed or supervised by a plumbing contractor. This provision does not apply to any individual who then holds a valid, active journeyman's license in the plumbing trade and that license was issued by any Florida County or Florida Municipality when that licensee complied with all reciprocity criteria of F.S. § 489.1455, (12) Plumbingcontractorrequires 24 months experience as a licensed journeyman or equivalent with a passing grade on an approved test and a passing grade on a business and law test and means any person whose contracting business consists of the execution of contracts requiring the experience, financial means, knowledge, and skill to install, maintain, repair, alter, extend, or when not prohibited by law, design plumbing. A plumbing contractor may install, maintain, repair, alter, extend, or, when not prohibited by law, design the following without obtaining any additional local regulatory license, certificate, or registration: sanitary drainage or storm drainage facilities; venting systems; public or private water supply systems; septic tanks; drainage and supply wells; swimming pool piping; irrigation systems; or solar heating water systems and all appurtenances, apparatus, or equipment used in connection therewith, including boilers and pressure process piping and including the installation of water, natural gas and storm and sanitary sewer lines; and water and sewer plants and substations. The scope of work of the plumbing contractor also includes the design, when not prohibited by law, and installation, maintenance, repair, alteration, or extensions of air -piping, vacuum line piping, oxygen line piping, nitrous oxide piping, and all related medical gas systems; fire line standpipes and fire sprinklers to the extent authorized by applicable law; ink and chemical lines; fuel oil and gasoline piping, except bulk storage plants; and pneumatic control piping systems, all in such a manner as to comply with all plans, specifications, codes, laws, and regulations applicable. The scope of work of the plumbing contractor shall apply to private property and public property, shall include any excavation work incidental thereto, and shall include the work of the specialty plumbing contractor. Such contractor shall subcontract, with a qualified contractor in the field concerned, all other work incidental to the work but which is specified herein as being the Ip co M N O N U 0 c m E r a about:blank I I Packet Pg. 679 Collier County, FL Code of Ordinances Page 60 of 1 10.C.1 work of a trade other than that of a plumbing contractor. Placement of fire safing and fire stopping materials shall be permitted on wall, ceiling and floor penetrations created within the scope of the work allowed by this section. (13) journeyman electrician requires four years as an apprentice, a passing grade on an approved test, and means those persons qualified to perform work in the electrical trades while employed or supervised by an electrical contractor. This provision does not apply to any individual who then holds a valid, active journeyman's license in the electrical trade and that license was issued by any Florida County or Florida Municipality when that licensee complied with all reciprocity criteria of F.S. § 489.5335. (14) Electrical contractor requires 24 months experience as a licensed Journeyman or equivalent with a passing grade on an approved test and a passing grade on a business and law test and means a person who conducts business in the electrical trade field and who has the experience, knowledge, and skill to install, repair, alter, add to, or design, in compliance with law, electrical wiring, fixtures, appliances, apparatus, raceways (including alarm system raceways if the contractor is then registered with the state), conduit, or any part thereof, which generates, transmits, transforms, or utilizes electrical energy in any form, including the electrical installations and systems within plants and substations, all in compliance with applicable plans, specifications, codes, laws, and regulations. The term means any person, firm, or corporation that engages in the business of electrical contracting under an express or implied contract; or that undertakes, offers to undertake, purports to have the capacity to undertake, or submits a bid to engage in the business of electrical contracting; or that does itself or by or through others engage in the business of electrical contracting. The term electrical contractor does not qualify any person, firm or corporation for the installation of fire alarms which requires a separate state license. Placement of fire safing and fire stopping materials shall be permitted on wall, ceiling and floor penetrations created within the scope of the work allowed by this section. (Ord. No. 90-105, § 1.6; Ord. No. 92-61, § 1; Ord. No. 94-34, § 1; Ord. No. 97-68, § 1, 10-28-97; Ord. No. 99-45, § 1.6-1.6.11, 6-8-99; Ord. No. 02-21, § 1(6.1), 5-14-02) State Law reference— State definitions of and classifications for contractors, F.S. §§ 489.105, 489.505, 489.551. m r M N 0 N 6 0 r M CO U 0 r c m E U ca r Q about.blank 1 I Packet Pg. 680 10.C.1 Gam` e-r Ceaunty CONTRACTORS LICENSING ENTRY CONSENT My name is ❑ Property Owner [ t6ontractor ❑Occupant at Li C.� P2(c� ��! L� Address Contractors licensing Officer, LC- L S , J L—Aj\j I am the has provided Collier County identification and has identified himself/herself as an Officer with Collier County Contractors Licensing. The Officer has advised me that the purpose of this visit is to inspect the property and/or structure(s), for compliance and permitting requirements. I hereby authorize an inspection of this property and/or structure(s). L Signature: (P"roperty Owner / Contractor / Occupant) Date Time Case # M N 0 N U 0 T r M N Entry Consent Rev 9/11/18 Packet Pg. 681 11.A 08/16/2023 COLLIER COUNTY Contractor Licensing Board Item Number: I LA Doc ID: 26312 Item Summary: 11. NEXT MEETING DATE - WEDNESDAY, SEPTEMBER 20, 2023 Meeting Date: 08/16/2023 Prepared by: Title: — Contractor Licensing Name: Alyshia Morse 08/08/2023 4:22 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 08/08/2023 4:22 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 08/09/2023 11:53 AM Contractor Licensing Tim Crotts Review Item Completed 08/09/2023 3:13 PM Contractor Licensing Tim Crotts Meeting Pending 08/16/2023 9:00 AM Packet Pg. 682