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CLB Agenda 12/20/2023COLLIER 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 December 20, 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 - OCTOBER 18, 2023 (27520) 5.PUBLIC COMMENTS 6.DISCUSSION 6.A.6A ELECTION OF CHAIRMAN AND VICE CHAIRMAN 2024 TERM (27521) 7.REPORTS 8.NEW BUSINESS 8.A.8A. ORDERS OF THE BOARD (14 ITEMS) (27508) 8.B.8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR -DRG PAINTING, LLC (27509) 8.C.8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL CONTRACTOR - HIGH END SOLUTION (27510) 8.D.8D. MITCHELL P. RESNICK – REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - EXPERT INSTALLATIONS US (27511) 8.E.8E. ADMIR SHAQIRI – REVIEW OF EXPERIENCE – RESIDENTIAL CONTRACTOR - ADMIRAL CONSTRUCTION & CO LLC (27513) 8.F.8F. HENRY C. CZERWINSKI III - REVIEW OF CREDIT – PLUMBING CONTRACTOR – HENRY & SON PLUMBING SOLUTI (27514) 8.G.8G. DIELKA GONZALEZ - REVIEW OF CREDIT – REINSTATEMENT OF PAINTING CONTRACTOR LICENSE - A & V QUAL (27515) 8.H.8H. RUSSELL HOLLANDER - SECOND ENTITY APPLICATION - CUSTOM ARCHITECTURAL SOLUTIONS INC. (27516) 9.OLD BUSINESS 10.PUBLIC HEARINGS 10.A. 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517) 10.B. 10B. 2023-19 EDVIN W. GUTIERREZ RUIZ DBA EDWIN'S CONTRACTOR PAINTING. CORP (CEMIS20230008234) (27518) 11.NEXT MEETING DATE 11.A. 11. NEXT MEETING DATE - WEDNESDAY, JANUARY 17, 2024 (27519) 12/20/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 4.A Doc ID: 27520 Item Summary: 4A. APPROVAL OF MINUTES - OCTOBER 18, 2023 Meeting Date: 12/20/2023 Prepared by: Title: – Contractor Licensing Name: Alyshia Morse 12/13/2023 3:59 PM Submitted by: Title: – Contractor Licensing Name: Tim Crotts 12/13/2023 3:59 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 12/13/2023 5:19 PM Contractor Licensing Tim Crotts Review Item Completed 12/14/2023 7:40 AM Contractor Licensing Tim Crotts Meeting Pending 12/20/2023 9:00 AM 4.A Packet Pg. 4 October 18, 2023 1 MINUTES OF THE COLLIER COUNTY CONTRACTOR LICENSING BOARD MEETING October 18, 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. MEMBERS: Todd Allen, Chairman Robert Meister Terry Jerulle Matthew Nolton Kyle Lantz Richard Joslin Elle Hunt Stephen Jaron ALSO PRESENT: Timothy Crotts, Contracting Licensing Supervisor Ronald Tomasko, Esq., Assistant Collier County Attorney Patrick Neale, Contractor Licensing Board Attorney Sandra Delgado, Operations Supervisor 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. 4.A.1 Packet Pg. 5 Attachment: 4A. 10-18-2023 CLB Minutes (Final) (27520 : 4A. APPROVAL OF MINUTES - OCTOBER 18, 2023) October 18, 2023 2 1. Roll Call Quorum established. Robert Meister is running a few minutes late. 2. Additions or Deletions  Timothy Crotts: Remove under Old Business Item 9B at the request of the applicant (Luis G. Patino) and this will be rescheduled at a later date. 3. Approval of Agenda  Richard Joslin: Motion to approve agenda.  Elle Hunt: Seconded. All in favor – aye. (Carried unanimously, 7-0.) 4. Approval of Minutes  Matthew Nolton: Motion to approve agenda.  Stephen Jaron: Seconded. All in favor – aye. (Carried unanimously, 7-0.) 5. Public Comments  Terry Jerulle: Remark that he needed to leave at 11:00 AM. 6. Discussion 6A. Local License Renewal Update  Timothy Crotts: Staff wanted to update the Licensing Board to let you know where we are with the local renewals for this year. Our renewal season actually starts around July. We sent out notices to all the contractors we had currently in our system for local licenses. We sent that by e-mail and also by US mail as required by ordinance. Currently, the staff for the month of September has probably had one of the highest numbers of walk-ins for the month. We had 741 in the month of September to come in, which was averaging about 37 customers a day, and on average they've been taking in about 100 phone calls a day, so staff has been very busy. We sent out about 2900 renewal notices this year. So far, about 2180 have renewed, leaving about 720 that are in delinquent status. Delinquent status means that your license is still active, you're just delinquent in renewing, and you incur a late fee for the month of October, November and December. If you haven't renewed your license by the end of December 31, your license goes into suspended status. Last year at this time, we had about 3093 local licenses up for renewal and we had 885 that had gone into the delinquent status. So when you look at the numbers, we're about the same as we were last year. We had some that went from local to state certified and some may have decided not to renew, waiting to see what happens with the new House bill come July. 6B. Collier County Code of Ordinance Sec. 2-833 – Attendance Requirements  Timothy Crotts: I know the Board gets tired of me bringing this up every year, but I want to make sure that we go over it. Under this ordinance, it is required that all advisory Board members have to attend at least 50% of all scheduled Board 4.A.1 Packet Pg. 6 Attachment: 4A. 10-18-2023 CLB Minutes (Final) (27520 : 4A. APPROVAL OF MINUTES - OCTOBER 18, 2023) October 18, 2023 3 meetings. If you fall under the 50% rule, then you have deemed to submit your resignation from the Board. You can have no more than two unapproved absences concurrent with each other. So if you have two that have not been approved by the chair as absent, then it would be up to the chair to address that with the County staff. And in order to be present for a meeting, you have to attend at least 75% of that meeting. Again, this is just information to bring to the Board as we are starting our new fiscal year for October. 6C. Change May CLB Meeting Date (Monday, May 13, 2024)  Timothy Crotts: The May meeting for the Contractor Licensing Board will be held on Monday, May 13, at 9:00 AM. 7. Reports  None.  Robert Meister arrived at 9:08 AM. 8. New Business 8A. Orders of the Board (3 items)  Kyle Lantz: Motion that the Chairman signs the orders of the Board.  Richard Joslin: Seconded All in favor – aye. (Carried unanimously, 8-0.) 8B. BRYAN G. HUBBARD: REVIEW OF EXPERIENCE, PAINTING CONTRACTOR, SWFL EXECUTIVE SERVICES LLC (DBA) THAT 1 PAINTER NAPLES  Bryan Hubbard: Sworn testimony given.  Timothy Crotts: Mr. Hubbard has submitted an application for the issuance of a local license as a painting contractor, which requires 24 months experience. As part of the application process for the issuance of this license, Mr. Hubbard was required to submit documentation showing his experience. As part of the review process by staff, Mr. Hubbard submitted verification showing that he has worked for a company, ASGI out of Denver, Colorado, and is reported that Mr. Hubbard worked for this company from 2005 to 2012, with the scope of work being prepping surfaces for painting, applying primers, and base paint. There were additional letters submitted which have been included in your packet. In a phone call interview with Mr. Hubbard, Mr. Hubbard explained that the vast majority of his experience has been like a maintenance specialist whose duties included prepping, painting of commercial style interiors and piping as required. Mr. Hubbard has stated that he has little to no experience in the painting of residential or condominium interior or exteriors including the painting and prepping of stucco. Based on this information received, it is staff opinion that Mr. Hubbard does not meet the minimum requirements as set forth in ordinance 20646 as it relates to experience under section 1.6.3.30 as a painting contractor. Because Mr. Hubbard does not meet the qualifications needed for the issuance of the painting license, Mr. Hubbard is here today and brought in front of the Board under section 2.5.2 referral of the applicant to the Contractor Licensing Board for decision, and Mr. Hubbard is here today to answer your questions regarding his experience. 4.A.1 Packet Pg. 7 Attachment: 4A. 10-18-2023 CLB Minutes (Final) (27520 : 4A. APPROVAL OF MINUTES - OCTOBER 18, 2023) October 18, 2023 4  Bryan Hubbard: While most of my experience does stem from the industrial maintenance background, a lot of the foundational elements still remain the same. Surface preparation is an integral part of it taking into all the environmental factors such as humidity and dry times and things like that, whether it's maintenance or interior or exterior of somebody's home, the preparation products, application processes, quality control and quality of work remain the same.  Todd Allen: Have you ever painted a residential home with stucco?  Bryan Hubbard: I have not. We were responsible for commercial buildings on a location. It was a 54 acre site and it housed two office buildings, four storage buildings. During my tenure there, we were responsible when coatings failed. We would redo them, replace them as folks would move out of offices, change offices, break rooms and shop floors would get worn and start to show wear and tear. We would strip them and color changes made based off of people's preference. About 80% of the work was interior. We also were in charge of 32 miles of pipeline with below and above grade, some being in underground vaults, some being housed in pump rooms and things of that nature. We were responsible for fire suppression systems, piping, various conduits and things of that nature. I would like to focus on industrial construction with at least 25 to 40% residential.  Terry Jerulle: How long does it take for stucco to cure?  Bryan Hubbard: You're not going to want to apply any paint on the stucco prior to 30 days. You need at least seven days before you would even put on primer. There are specialized primers for stucco which you would apply again after at least seven days of dry time to prevent the adhering process of the stucco from damaging the coating that you put over it.  Terry Jerulle: How do you know that?  Bryan Hubbard: Being in the field, plus I've also undergone training with the military through my company. The company I'm starting now is actually through a franchise, so I've gone through the franchises training as well. So that's how I have acquired that knowledge.  Terry Jerulle: Have you ever heard the term vapor barrier? And vapor barrier changes depending on your location. Are you aware of that? And you said underground piping, so that leads me to believe it is more of a waterproofing type of coating rather than paint. What was your preparation for that?  Bryan Hubbard: Mostly it was preparation with like black beauty – getting it down to bare metal making sure it's degreased and then applying the product.  Stephen Jaron: The franchise part of your business is the company that's called That 1 Painter. And they provide training for you or are they like a nationwide franchise?  Bryan Hubbard: They are. They provide support. They come in and do weekly training meetings with us. Our management support would come and do quarterly check-ins. They send somebody from corporate out here to spend a couple days with us, review our processes, they'll follow up with customers after the fact, after 4.A.1 Packet Pg. 8 Attachment: 4A. 10-18-2023 CLB Minutes (Final) (27520 : 4A. APPROVAL OF MINUTES - OCTOBER 18, 2023) October 18, 2023 5 we've had those touch points with them to make sure that we're following all of the procedures in the manuals and whatnot to make sure that the quality and customer satisfaction is there.  Todd Allen: Does the franchise have policies and procedures and how you apply coatings? Or are you left to your own experience?  Bryan Hubbard: They have an outline mainly around prep work. So the preparation of surfaces and ensuring things that aren't supposed to get paint on them don't. They do provide training as to application, but they don't get so pigeonholed on the actual processes because a lot of it comes to be preference. Certain people have preferences on paint brands, paint brushes or certain sprayers. They (franchise) don't get too deep into the weeds but want to make sure that you have the experience to do the quality control and to do the preparation to make sure that you know you're not damaging or hurting people's properties.  Terry Jerulle: Mr. Hubbard, I'm a general contractor and building custom homes. Sometimes we put expensive mahogany doors on the entry door. What would you recommend that we do on the mahogany door? It’s unfinished and we want to maintain the current look.  Bryan Hubbard: I would take the door off, sand it down lightly to ensure that it's smooth. We would then put a wood sealer on it. Then seal it with a proper sealer, something that would encapsulate the door to prevent the intrusion of moisture and the growth of mildew.  Matthew Nolton: I deal a lot in coatings and failures, and if Mr. Hubbard has experience in industrial and metals and corrosion and everything that he said, that's way more sophisticated than painting a simple house. He has a lot of knowledge he won't even be using to paint houses.  Matthew Nolton: I make a motion that we approve him for licensing waiving the experience requirement.  Terry Jerulle: Seconded. Mr. Hubbard, there are certain things that give me a good comfort level and I agree with what Mr. Nolton said. There are just certain things about Florida that you are unaware of and I just pointed out two. You need to investigate those two things and if you want to get with me afterwards or somebody else, I think it would behoove you. All in favor – aye. (Carried unanimously, 8-0.) 8C. CIRILO PANTOJA RUIZ: REVIEW OF CREDIT, PAVING BLOCK CONTRACTOR, SW PAVERZZ LLC  Cirilo Ruiz: Sworn testimony given.  Timothy Crotts: Mr. Ruiz has submitted an application for the issuance of a paving block contractor license, which requires a minimum credit score of 660. As part of the application process under the Collier County Ordinance 20646 section 2.3.9, Mr. Ruiz was required to submit a personal and business credit report. His credit report was reviewed and appears not to meet the financial responsibility as set forth in section 2.5.1, Subsection E, the qualifier or applicant meets the requirement for financial responsibility as set forth in Rule 61G4- 15.006 of the State of Florida. A review of the personal credit report submitted by 4.A.1 Packet Pg. 9 Attachment: 4A. 10-18-2023 CLB Minutes (Final) (27520 : 4A. APPROVAL OF MINUTES - OCTOBER 18, 2023) October 18, 2023 6 Mr. Ruiz shows the following areas of concern. His credit report submitted shows a credit score of 609. The credit report was also showing, while there appears to be no collections or charge offs, Mr. Ruiz’ credit score does show a high credit usage of 81% and late payments on his credit card usage. Based upon the information received, Mr. Ruiz does not meet the requirements as set forth in section 20646 as it relates to financial responsibility and Mr. Ruiz is being referred to the Board under section 2.5.2 referral the application to the Contractor Licensing Board for decision and he is here today to answer your questions.  Todd Allen: Does the staff have a recommendation on this?  Timothy Crotts: Staff would recommend that the issuance of the license be granted with a 12 month probationary period, that Mr. Ruiz be required to submit to staff a new credit report before the end of the probationary period, showing a credit score of at least 660 and no additional credit issues. Failure to meet these requirements shall require Mr. Ruiz to appear back before the Board for review and possible disciplinary action as deemed necessary by the Board. If at any time during the probationary period, Mr. Ruiz can show a credit score of at least 660 and no additional credit issues, the probationary period would be automatically removed by staff.  Todd Allen: I’ll make that motion.  Terry Jerulle: Mr. Ruiz, do you understand and do you think you could fulfill those obligations? (Yes.)  Terry Jerulle: Seconds the motion. All in favor – aye. (Carried unanimously, 8-0.) 8D. RAUL IRIGOYEN: REVIEW OF CREDIT, CABINET INSTALLATION CONTRACTOR (REINSTATEMENT), AAH ALL ABOUT HOMES, INC.  Raul Irigoyen: Sworn testimony given.  Timothy Crotts: The applicant has submitted a reinstatement application for the issuance of cabinet install contractor, which requires a minimum credit score of 660 and financial responsibility. As part of the application process under Collier County Ordinance 20646, Section 2.3.9, the applicant was required to submit a personal and business credit report. The applicant’s business credit report was reviewed and appears not to meet the financial responsibility as set forth in section 2.5.1, section D, qualifier applicant meets the financial responsibility as set forth in Rule 61G4-15.006 of the State of Florida. A review of the business credit report submitted by the applicant shows the following areas of concerns. A collection in the amount of $22,482 by Atlas Global Trade Solutions dated July of 2023. It is noted that this amount is under dispute. A tax lien in the amount of $10,792 by the State of Florida, which has been filed in the Collier County Circuit Court, dated July 18 of 2023. A tax lien in the amount of $680 by the State of Florida filed with the Collier County Circuit Court dated July 18 of 2023. The total amount of the tax lien by the State of Florida is $11,472. Based upon the information received, the applicant does not meet the minimum requirements set forth in ordinance 20646 as it relates to financial responsibility and the applicant is being referred to the Board under section 2.5.2 referral the application to the 4.A.1 Packet Pg. 10 Attachment: 4A. 10-18-2023 CLB Minutes (Final) (27520 : 4A. APPROVAL OF MINUTES - OCTOBER 18, 2023) October 18, 2023 7 Contractor Licensing Board for decision and the applicant is here today to answer your questions.  Todd Allen: Can you tell us what the Atlas Global Trade Solutions is?  Raul Irigoyen: That's one of the suppliers I use to buy my supplies for my company. I fell sick at the beginning of the year for about four months and wasn't able to pay the full amount. I have a copy of a couple emails showing that we came to an agreement to make monthly payments until I get better.  Todd Allen: Can we see those? So you’re not disputing that you owe this $22,482 and for the lien as well?  Raul Irigoyen: I owe it. The letter from the Department of Revenue shows there was a miscommunication between my accountant and the Florida Department of Revenue.  Todd Allen: It looks like there were two liens – one for $680 and another for $10,792. The Florida Department of Revenue is showing paid in full and has a warrant number ending in 58706. And the one for $680 has a document number ending in 58707. So you may want to check into that. The email he has provided is from a law firm representing the creditor authorizing monthly payments of $250 to be made on the 10th of each month.  Further discussion ensued regarding the applicant’s health (lung) problems; the misunderstanding with the accountant renewing the license under tax exempt; the Department of Revenue stepping in saying he owed when he actually paid taxes but in his line of work does not need to pay Use tax. The applicant is also working with the insurance company with regard to Atlas. There are no unsatisfied customers.  Todd Allen: Mr. Crotts, do you have a recommendation?  Timothy Crotts: Staff would recommend that the license be issued and granted on a 12 month probationary period; that within 90 days the applicant submits to staff a payment plan approved by the State of Florida for the remaining outstanding tax liens or show that the tax lien has been paid in full; that within 90 days the applicant submit to staff a written updated status report on the disputed amount of $22,482; and that an approved plan with Atlas Global Trade Solutions has been done – it appears that he has met that criteria; that within six months the applicant submit an updated business credit report showing that any payment plan with the State of Florida is current and there are no further credit issues; and that he shows that the payment plan currently in effect with Atlas Global Trade Solutions is current and there are no other credit issues; that within 12 months the applicant submit an updated business credit report showing that all tax liens have been paid in full and there are no other credit issues; and that if in fact the payments have been paid in full or you are still within the payment plan for the Global Atlas Trade Solutions. Failure to comply with this order shall require that the applicant appear back before the Board and disciplinary action be appropriate by the CLB.  Matthew Nolton: I make a motion adopting the county’s recommendation.  Richard Joslin: Seconded. All in favor – aye. (Carried unanimously, 8-0.) 4.A.1 Packet Pg. 11 Attachment: 4A. 10-18-2023 CLB Minutes (Final) (27520 : 4A. APPROVAL OF MINUTES - OCTOBER 18, 2023) October 18, 2023 8 8E. JUAN M. MACIEL: REVIEW OF CREDIT; LANDSCAPING CONTRACTOR; FTL FAMILIA TREE AND LANDSCAPE, INC.  Juan Maciel: Sworn testimony given.  Timothy Crotts: The applicant has submitted a name change application for the issuance of a landscape contractor license. This requires a minimum credit score of 660 as part of the application process. Under Collier County Ordinance 20646, Section 2.3.9, the applicant is required to submit a personal and business credit report. The applicant’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 requirement of financial responsibility as set forth in Rule 61G4-15.006 of the State of Florida. A review of the personal credit report submitted by the applicant shows the following area of concerns: Credit report shows a credit score of 639; the credit report also shows the following, while there appears to be no collections or charge offs, the applicant’s credit profile does show a high credit usage; recent delinquent on credit accounts; five accounts which were closed by the granter, however, these accounts do show a zero balance. Based upon the information received, the applicant does not meet the minimum requirements as set forth in Ordinance 20646 as it relates to financial responsibility and the applicant is being referred to the Board under section 2.5.2 referral of the application to the Contractor Licensing Board for decision and the applicant is here to answer your questions.  Elle Hunt: So this is just a name change that triggered all of this. There are no complaints filed against this contractor.  Timothy Crotts: Correct. We require this because we want to make sure the applicant is not coming in to change the name of his company to get out of any financial requirements that are under the old company. We did not see any of that. The applicant has a restricted license because he is not allowed to do irrigation when the new ordinance was rewritten; it used to be an unlimited landscape and then they broke out the irrigation. That's what makes it restricted. Recommendation is that the issuance of the license be granted with a 12 month probationary period; that the applicant be required to submit to staff at the end of the probationary period a credit score showing at least 660 and no additional credit issues. Failure to meet these requirements shall require the applicant to appear before the Board for review and possible disciplinary action as deemed by the Board. At any time during the probationary period, if the applicant can show a credit score of at least 660 and no additional credit issues, the probationary period will automatically be removed by staff.  Richard Joslin: On page 118, I see something that's been struck out – tree restricted.  Timothy Crotts: Under the landscape you are also licensed to do tree trimming and removal.  Todd Allen: What are your plans to increase this credit score over the next 60-90 days? 4.A.1 Packet Pg. 12 Attachment: 4A. 10-18-2023 CLB Minutes (Final) (27520 : 4A. APPROVAL OF MINUTES - OCTOBER 18, 2023) October 18, 2023 9  Juan Maciel: Just make over payments on my credit cards. They're personal credit cards I was using and I was making the minimum payment required. With this license, I can hopefully gain more funds and do more payments. I am merging companies with my father; he is doing lawn maintenance, so we were going to change his company name to this new company name.  Todd Allen: I make a motion to adopt the County’s recommendations.  Elle Hunt: I second the motion. All in favor – aye. (Carried unanimously, 8-0.) 8F. SONNY L. ROMAN: REVIEW OF CREDIT, SWIMMING POOL/SPA SERVICING CONTRACTOR, SONNY THE POOL GUY CORP.  Sonny Roman: Sworn testimony given.  Timothy Crotts: The applicant has submitted an application for the issuance of a swimming pool, spa and servicing contractor license, which requires a minimum credit score of 660. As part of the application process under Collier County Ordinance 20646, Section 2.3.9, the applicant was required to submit a personal and business credit report. The applicant'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 requirements for financial responsibility as set forth in Rule 61G4-15.006 of the State of Florida. A review of the personal credit report submitted by the applicant shows the following areas of concern: The applicant’s personal credit report shows a credit score of 629; the credit report did show a past due amount of $499 from Capital One credit card, however, when this was brought to the applicant’s attention during a phone call interview, that amount was paid in full and has been verified by staff. Based upon the information received, the applicant does not meet the financial responsibility as set forth in Ordinance 20646 as it relates to financial responsibility and the applicant is being referred to the Board under section 2.5.2 referral of the application to the Contractor Licensing Board for decision and the applicant is here today to answer your questions.  Staff recommendation is that the issuance of the license be granted with a 12 month probationary period; that the applicant be required to submit to staff a new credit report before the end of the probationary period showing a credit score of at least 660 and no additional credit issues. Failure to meet these requirements shall require the applicant to appear before the Board for review and possible disciplinary action as deemed necessary by the Board. If at any time during the probationary period the applicant can show a credit score of at least 660 and no additional credit issues, the probationary period will be automatically removed by staff.  Sandra Delgado: Application is for servicing and cleaning only.  Matthew Nolton: Motion that we adopt the County’s recommendation.  Richard Joslin: I will second the motion. All in favor – aye. (Carried unanimously, 8-0.) 9. Old Business 4.A.1 Packet Pg. 13 Attachment: 4A. 10-18-2023 CLB Minutes (Final) (27520 : 4A. APPROVAL OF MINUTES - OCTOBER 18, 2023) October 18, 2023 10 9A. ROBERT A. ROUGH JR.: REVIEW OF CREDIT (PROBATION), PAVING BLOCK CONTRACTOR, THE HARDSCAPE GUYS INC.  Robert Rough: Sworn testimony given.  Timothy Crotts: The applicant appeared before the Contractor Licensing Board on July 20, 2022, regarding an application for the issuance of a Collier County Paving Block Contractor License. Based upon the information received from the applicant, he did not meet the financial responsibility as set forth in ordinance 20646 section 2.5.1, subsection D as set forth in Rule 61G4-15.006 of the State of Florida. A copy of the finding, facts and minutes for the July 20, 2022 meeting has been included in your packet for your review. The applicant’s credit review shows that on April 2, 2022, the credit score was 570, showing one past due account in the amount of $121. A credit report issued on September 24, 2023 shows a credit score of 582, and there are no collections or pass due amounts shown. While the applicant has shown some progress in increasing his credit score, the credit score is still below the required 660 as required by ordinance and or the Board dated on July 20, 2022. It is recommended that the probationary period be extended for 12 months to October 18, 2024. If at any time during this probationary period the applicant can submit documentation showing that his credit score has reached the required score of 660 and no other credit issues have occurred, the probationary period will be removed by staff with no further action required. Failure to meet these requirements by February 18, 2024 shall resort in the applicant being brought back before the Board to take any disciplinary action as deemed necessary.  Kyle Lantz: I make a motion that we terminate his probation and he has a full- blown license.  Elle Hunt: Seconds that motion. All in favor – aye. (Carried unanimously, 8-0.) 9B. LUIS G. PATINO – will reschedule 10. Public Hearings None. 11. Next Meeting Date  Wednesday, December 20, 2023  Todd Allen: Do I have a motion to adjourn?  Richard Joslin: So moved.  Stephen Jaron: Second. All in favor – aye. (Carried unanimously, 8-0.) There being no further business for the good of the County, the meeting was adjourned at 10:00 AM. 4.A.1 Packet Pg. 14 Attachment: 4A. 10-18-2023 CLB Minutes (Final) (27520 : 4A. APPROVAL OF MINUTES - OCTOBER 18, 2023) October 18, 2023 11 Collier County Contractor Licensing Board _______________________________________ Todd Allen, Chairman These minutes were approved by the Chairman of the Contractor Licensing Board on __________________, (check one) as submitted _______ or as amended ______. 4.A.1 Packet Pg. 15 Attachment: 4A. 10-18-2023 CLB Minutes (Final) (27520 : 4A. APPROVAL OF MINUTES - OCTOBER 18, 2023) Florida Department of Revenue Notice of Tax Warrant Paid in Fult October 09,2023 rMilDT AAH ALL ABOUT HOMES INC ALL ABOUT HOMES 290 3RD ST NW NAPLES FL 34120.5043 Tax : Sales and Use Tax Business Partner # :2256031 Contract Object # : 18204885FEIN :20-3116621 Warrant # : 1000000958706 Re: Warrant issued under Chapter 2lZ. Florida Statutes Sincerely, Dnn*tro dr-*"r. Donna Winters (239)338-2403 FORT MYERS SERVICE CENTER 2295 YICTORIA AVE STE 270 FORT MYERS FL 33901-387I 239t338-2400 R.05/'t7 This is to acknowledge. that the above-referenced tax warrant, which was recorded July lg. 2023with the Clerk of Court in Collier County in Instrument # 6429989, has been paid in full. " A Satistaction and Release of Lien has been prepared and will be delivered to the Clerk of Court forrecording. Agenda Item 9D 4.A.1 Packet Pg. 16 Attachment: 4A. 10-18-2023 CLB Minutes (Final) (27520 : 4A. APPROVAL OF MINUTES - OCTOBER 18, 2023) rau l@aahal labouthomes.com From: Sent: To: Subject: Attachments: raul < raul@aahallabouthomes.com> Wednesday, October 1 1, 2023 2:21 PM raul@aahallabouthomes.com FW: HETTICH AMERICA, LP. / Coface Services North America lnc. V. Aah All About Homes lnc - Case No.04874989 [ ref:_00D41 1MucQ._5002M l eOKgt:ref ] 202308737823 AAH All About Homes, lnc 2302070336 02-01-23 SOA. INV,POD. DEB CORRES.pdf Raul lrigoyen 239-398-81s7 A.A.H All About Homes lnc. ---- Original messaBe ------- From: Joseph Cannon <jcannon@levitonlawfirm.com> oate:918/23 2:10 PM (GMT-05:00) To: raul@aahallabouthomes.com subject: HETTICH AMERICA, LP. / Coface Services North America lnc. v. Aah All About Homes lnc - case No. 04874989 [ ref :-00D411M ucQ._5002M leOKgt:ref l As we discussed, this is to confirm that you, Raul lrigoyen authorize Leviton Law Firm to process a monthly payment on your credit card ending in 5942 in the amount of S250,0O on 09/0812023 and then the 10th of each month starting rolrol2023. Please understand, that once the payment is processed you will see Leviton Law Firm on your credit card statement. tf you need to cancel or make any changes to these payments, we ask that you contact our office at least 3 business days prior to the date of the payment. You may contact me at 18471 62L-6fL9. Regards, Joseph Ca nnon 847 -62L-67t9 --------- OriBinal Message From: Joseph Cannon [jcannon@levitonlawfirm.com] Senr'j. 7 /27/2023 4:39 PM To: ra u l@ aa ha lla bo uthomes.com Subject: Coface Services North America lnc. V. Aah AllAbout Homes tnc - Case No.04874989 [ ref :_00D4L1MucQ._5002M leOKgt:ref l Good Evening, Raul, 1 Agenda Item 9D 4.A.1 Packet Pg. 17 Attachment: 4A. 10-18-2023 CLB Minutes (Final) (27520 : 4A. APPROVAL OF MINUTES - OCTOBER 18, 2023) You are hereby advised that our law firm has been retained with regard to the matter referenced above in the subject line of this email for breach of contract and unpaid invoices. Our client is currently seeking payment in the amount of 522,482.64. Please contact our law firm on or before Wednesday, July 26th to avoid potential litigation of this matter. lf you would prefer that we communicate with your legal representative going forward as it relates to exchanging documentation and validating the merits of our client's claim; then please provide your attorney's contact information. Regards, Joseph Cannon 847 -6?7-67L9 Joseph Cannon Senior Account Representative The Leviton Law Firm Don A. Leviton, Supervising Attorney Admltted to Practice in lllinois and the District of Columbia Phone: (847) 621-5119 . Fax: 847-78L-7031 One Pierce Place, Suite 725W . ltasca . lL 60143 THIS 15 AN ATTEMPT TO COLLECT A DEBT ANY INFORMATION OBTAINED WILL BE USED FOR THAT PURPOSE. This e-mail (including any attachments) is confidential and may be legally privileged. lf you are not the intended recipient, you are hereby notified that any retention, dissemination, distribution or copying of this communication is strictly prohibited. Please reply to the sender that you have received this message in error, and then delete it. Thank you. ref :_00D411MucQ._5002M leOKgt: ref strictly prohibited. Please reply to the sender that you have received this message in error, and then delete it. Thank you 2 Joseph Cannon Senior Account Representative The Leviton Law Firm Don A. Leviton, Supervising Attorney Admitted to Practice in lllinois and the District of Columbia Phone: (847) 621-5119 . Fax: 847 -78L-LO3I One Pierce Place, Suite 725W . ltasca . lL 60143 THIS IS AN ATTEMPT TO COLLECT A DEBT ANY INFORMATION OBTAINED WILL BE USED FOR THAT PURPOSE. This e-mail (including any attachments) is confidential and may be legally privileged. tf you are not the intended recipient, you are hereby notified that any retention, dissemination, distribution or copying of this communication is Agenda Item 9D 4.A.1 Packet Pg. 18 Attachment: 4A. 10-18-2023 CLB Minutes (Final) (27520 : 4A. APPROVAL OF MINUTES - OCTOBER 18, 2023) 12/20/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 6.A Doc ID: 27521 Item Summary: 6A ELECTION OF CHAIRMAN AND VICE CHAIRMAN 2024 TERM Meeting Date: 12/20/2023 Prepared by: Title: – Contractor Licensing Name: Sandra Delgado 12/13/2023 5:18 PM Submitted by: Title: – Contractor Licensing Name: Tim Crotts 12/13/2023 5:18 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 12/13/2023 5:20 PM Contractor Licensing Tim Crotts Review Item Completed 12/14/2023 7:40 AM Contractor Licensing Tim Crotts Meeting Pending 12/20/2023 9:00 AM 6.A Packet Pg. 19 12/20/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 8.A Doc ID: 27508 Item Summary: 8A. ORDERS OF THE BOARD (14 ITEMS) Meeting Date: 12/20/2023 Prepared by: Title: – Contractor Licensing Name: Alyshia Morse 12/13/2023 3:46 PM Submitted by: Title: – Contractor Licensing Name: Tim Crotts 12/13/2023 3:46 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 12/13/2023 5:25 PM Contractor Licensing Tim Crotts Review Item Completed 12/14/2023 7:39 AM Contractor Licensing Tim Crotts Meeting Pending 12/20/2023 9:00 AM 8.A Packet Pg. 20 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY IVIARTIN, JOHN F. EVERLASTING INC. (DBA) EVERLAST FENCE 1209 TAYLOR LANE FORKED RIVER, NJ 08731- Pursuant to Collier County Ordinance 2006-46 Section 4.3.5.1 , Collier County Contractor Licensing Eoard issued Civil Penaltv on March 17. 2021 . to MARTIN.JOHN F., in the amount of $1.000.00.THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), Ftorida Starutes, 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 Certiflcate of Competency. lf the penalty is not paid in full within 15* days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. CHAIRMAN TODD AI I F Print Name Attorney to the CLB PATRICK NEALE Code Enforcement l\/anager TIMOTHY CROTTS For Contractor Licensing Board - lf the 15th day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.l\/. on the County s next business day following that weekend or holiday. Approved as to form and legal sufficiency Ref: CEM1520210001404, Administrative Case #: 2021-03- CLB Agenda Date: December 20. 2023 oo* l),-lo'Ao?? 8.A.1 Packet Pg. 21 Attachment: 8A. ORDERS OF THE BOARD (14 ITEMS) (27508 : 8A. ORDERS OF THE BOARD (14 ITEMS)) CONTRACTORS, LICENSING BOARD COLLIER COU NTY, FLORIDA ORDER TO PAY CIVIL PENALTY Feiertag, Daniel 14361 N. Cleveland Ave North Fort Myers, FL 33903 t J lo-2023 DATE Print Name Attorney to the CLB PATRICK NEALE . lf the 15th da later than 4:00 Code Enforcement Manager TIMOTHY CROTTS For Contractor Licensing Board v falls on a Saturdav, Sundav or holidav. the entire fine must be oaid no P.lt/. on the Countf s next b0siness dai following that weekend br holiday Approved as to form and legal sufficiency CLBAgendaDate:@ Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management DepartmenUlicensing Section issued Citation No. 'l 1927 CEUL20230005328 on 06/20/23. to Feiertaq, Daniel. in the amount of $2.000.00, within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section a89.127(5) (g), Florida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violatods address as noted on the Citation. lf the penalty is not paid in full within 15- days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. CHAIRMAN TODD ALLFN 8.A.1 Packet Pg. 22 Attachment: 8A. ORDERS OF THE BOARD (14 ITEMS) (27508 : 8A. ORDERS OF THE BOARD (14 ITEMS)) CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA Feiertag, Daniel 14361 N. Cleveland Ave North Fort lt/yers, FL 33903 Pursuant to Section 489.127 , Florida Statutes, Operations and Regulatory lvlanagement DepartmenULicensing Section issued Citation 11928 CEUL2o 05446 on 06/20/23. to Feiertaq. Daniel. in the amount of $2.000.00, within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section a89.127 (S) (g), Florida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. lf the penalty is not paid in full within 15. days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. C HA IR IVAN TODD ALLE Print Name Attorney to the CLB PATRICK NEALE Code Enforcement Manager TIMOTHY CROTTS For Contractor Licensing Board ' lf the 1Sth day falls on a Saturday. Sunday or holiday, the entire fine must be paid no later than 4:00 P.lvl. on the County's next business day following that weekend or holiday. Approved as to form and legal sufflciency ORDER TO PAY CIVIL PENALTY CLBAgendaDate:@ oo-. l),-?o - 2o?3 8.A.1 Packet Pg. 23 Attachment: 8A. ORDERS OF THE BOARD (14 ITEMS) (27508 : 8A. ORDERS OF THE BOARD (14 ITEMS)) CONTRACTORS' LICENSI NG BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALW GILL, JAIVES 1798 Holiday Lane Naples, FL 34104 CLB Agenda Date: December 20,2023 Pursuant to Section 489.127 , Florida Statutes, Operations and Regulatory lvlanagement Department/Licensrng Section issued Citation No. 1 1828 CEUL20230007380 on 08/18/23. to GILL. JAMES. 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 Slatufes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. lf the penalty is not paid in full within 15* days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the flling of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. DATE:1A'7o - 2o>7 CHAIRMAN Print Name Attorney to the CLB PATRICK NEALE - lf the 1Sth dav falls on a Saturdav, Sundav or holidav, the entire fine must be paid no later than 4:00P.M. on the Countls next business day following that weekend or holiday. Approved as to form and legal sufficiency TODD ALLEN Code Enforcement lvlanager TIIVOTHY CROTTS For Contractor Licensing Board 8.A.1 Packet Pg. 24 Attachment: 8A. ORDERS OF THE BOARD (14 ITEMS) (27508 : 8A. ORDERS OF THE BOARD (14 ITEMS)) CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY GILL, JAIVES 1798 Holiday Lane Naples, FL 34104 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory l/anagement DepartmenULicensing Section issued Citation No. 1'1829 CEUL20230007381 on OBl18l23. to GILL. JAMES.n 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 Statufes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. lf the penalty is not paid in full within 15* days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. CHAIRIVAN TODD ALLE Print Name Attorney to the CLB PATRICK NEALE Code Enforcement [Vanager TIIVOTHY CROTTS For Contractor Licensing Board . lf the 15th dav falls on a Saturdav. Sundav or holidav. the entire flne must be oaid no later than 4:00P.M. on the Countt'a next business day following that weekend br holiday. Approved as to form and legal sufficiency GLB Agenda Date: _ o,;;e 17,'70'7o7b 8.A.1 Packet Pg. 25 Attachment: 8A. ORDERS OF THE BOARD (14 ITEMS) (27508 : 8A. ORDERS OF THE BOARD (14 ITEMS)) CONTRACTORS, LICENSING BOARD COTLIER COUNTY, FTORI DA ORDER TO PAY CIVIL PENALTY SLABY, ROBERT KENNETH 3260 22ND AVE NE NAPLES, FL 34120 CLB Agenda Date: December 20. 2023 Pursuant to Section 489.127, Florida Statutes. Operations and Regulatory Management Department/Licensing Section issued Citation No. 12024 CEUL20230007331 on 08/17123. to SLABY. ROBERT KENNETH. in the amount of $1.000.00, within l0 daysof issuance of the Citation,THE PENALTY HAS NOT BEEN PAID. Per Section 489.127 (5) (g), Florida Sfafufes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. lf the penalty is not paid in full within 15. days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the flling of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. DATE:l?-ao-2o>z CHAIRMAN TODD ALLEN Print Name Attorney to the CLB PATRICK NEALE Code Enforcement ltrlanager TI[/OTHY CROTTS For Contractor Licensing Board - lf the 'lsth da later than 4:00 v falls on a Saturdav. Sundav or holidav. the entire fine must be oaid no ?.M. on the Countt's next blsiness day following that weekend br holiday Approved as to form and legal sufficiency 8.A.1 Packet Pg. 26 Attachment: 8A. ORDERS OF THE BOARD (14 ITEMS) (27508 : 8A. ORDERS OF THE BOARD (14 ITEMS)) CONTRACTORS, LICENSING BOARD COTLIER COUNTY, FTORIDA ORDER TO PAY CIVIL PENALTY SLABY, ROBERT KENNETH 3260 22ND AVE NE NAPLES, FL 34120 CLB Agenda Date: December 20. 2023 Pursuant to Section 489.127 , Florida Statutes, Operations and Regulatory l/anagement DepartmenUlicensing Section issued Citation No. 12026 GECV20230007259 on 08/29123. to SLABY. ROBERT KENNETH. in the amount of $'1.000.00, within 10 daysof 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. lf the penalty is not paid in full within 15- days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remarns unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. DATE 12-)o->o>a CHAIRMAN Attorney to the CLB PATRICK NEALE Code Enforcement lManager Tll\ilOTHY CROTTS For Contractor Licensing Board - lf the 15th da later than 4:00 v falls on a Saturdav. Sundav or holidav, the entire fine must be paid no F.M. on the Countfs next business day following that weekend or holiday. Approved as to form and legal sufficiency TODD ALLEN Print Name 8.A.1 Packet Pg. 27 Attachment: 8A. ORDERS OF THE BOARD (14 ITEMS) (27508 : 8A. ORDERS OF THE BOARD (14 ITEMS)) Pursuant to Section 489.127 , Florida Statutes. Operations and Regulatory lr,4anagement Department/Licensing Section issued Gitation No. 12738 CEUL20230006526 on 08/04/23. to REID. GARY E. 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 Sratufes, 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? - 2o -)02) REID, GARY E 3O7O ORANGE GROVE TRAIL NAPLES, FL 34120 CLB Agenda Date: December20th. 2023 CHAIRIVAN TODD ALLE Print Name Attorney to the CLB PATRICK NEALE . If the 15th da later than 4:00 Code Enforcement Manager TIIVOTHY CROTTS For Contractor Licensing Board v falls on a Saturdav. Sundav or holidav. the entire flne must be Daid no P.lr/. on the Countls next business day following that weekend br holiday Approved as to form and legal sufficiency CONTRACTORS' LICENSING BOARD COLTIER COUNTY, FTORIDA ORDER TO PAY CIVIL PENALTY 8.A.1 Packet Pg. 28 Attachment: 8A. ORDERS OF THE BOARD (14 ITEMS) (27508 : 8A. ORDERS OF THE BOARD (14 ITEMS)) CONTRACTORS' LICENSING BOARD COLTIER COUNTY, FLORIDA ORDER TO PAY CI VIL PENALTY Sanchez [Vlartinez, Pablo Antonio 5225 Warren St. Naples, FL 341 13 CLB Agenda Date: December 20th. 2023 Pursuant to Section 489.127, Florida Statutes. Operations and Re gulatory lvlanagement DepartmenVLicensing Section issued Citation No. 11980 CEUL20230007083 on 09t't2t2 3, to Sanchez M artinez, Pablo Antonio, in the am ount of $1 ,000.00 , within 10 Florida Statutes, the violator is hereby ORDERED to pay that penalty in ys from the date of mailing a copy of the ORDER to the violatols address as noted on the citation. lf the penalty is not paid in full within 15. days, this oRDER may be recorded in the public records of collier county and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the contractor Licensing Board may authorize thi County Attorney to foreclose on the lien. \J-)-a- 2D= days of issuance of the Citation,THE PENALTY HAS NOT B EN PAID. P er Section 48e.127(5) (g), full within 15 da DATE CHAIRIVAN TO DD ALLEN Attorney to the CLB PATRICK NEALE Code Enforcement Manager TIMOTHY CROTTS For Contractor Licensing Board . lf the 1sth da later than 4:00 V falls on a Saturdav, Sundav or holidav. the entire fine must be oaid no'P.M. on the Countlis next business day following that weekend br holiday Approved as to form and legal sufficiency Print Name 8.A.1 Packet Pg. 29 Attachment: 8A. ORDERS OF THE BOARD (14 ITEMS) (27508 : 8A. ORDERS OF THE BOARD (14 ITEMS)) CONTRACTORS' LICENSI NG BOARD COLLIER COUNTY, FTORIDA ORDER TO PAY CIVIL PENALTY Reyes, Jorge Flex 6025 S. I/oss Circle Labelle, FL 33935 CLB Agenda Date: December 20th. 2023 Pursuant to Section 48 Departmenti Licensing 9.127 , Florida Slafutes, Operations and R egulatory lvlanagement Section issued Citation N o. 12737 cEU120230005 898 on07t20t23to Reves. J orqe Flex. in the amount of $'t.000.00 within 10 days of issuance of the Citation,HE PE HAS N ENP . Per Sectron 489.127(5)(g), Floida Sratufes, the violator is hereby ORDERED to pay tha t penalty in full within 15 days from the date of m ailing a copy of the ORDER to the viola tor's address as noted onthe Citation. lf the penalty is not paid in full within 15. days, this ORDER may be recorded in the public records of C ollier County and thereafter shall constitute a lien against a ny real or personal property owned by the violator. After 3 months from the filin g of any such lien which remains unpaid, the Contractor Licensin g Board may authorize the County Attorney to foreclose on the lien. DATE:l]-do-7aa3 CHAIRIVAN Attorney to the CLB PATRICK NEALE Code Enforcement Manager TIMOTHY CROTTS For Contractor Licensing Board . lf the 15th da later than 4:00 y falls on a Saturday, Sunday or holiday, the entire fine must be paid no P.M. on the County's next business day following that weekend or holiday Approved as to form and legal sufficiency TODD ALLEN Print Name 8.A.1 Packet Pg. 30 Attachment: 8A. ORDERS OF THE BOARD (14 ITEMS) (27508 : 8A. ORDERS OF THE BOARD (14 ITEMS)) CONTRACTORS' LICENSING BOARD COIL!ER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Garay, Frank 24231 l\.4elaine Ln Bomita Springs, FL 34135 CLB Aoenda Date: Pursuant to Section 489j27, Florida Statutes. Operations and Regulatory lVanagement DepartmenULicensing Section issued Citation No. 'l 1968 CEUL20230008791 on 101'10t23. to rav. Frank. in the am ount of $1,000.00 , within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), Ftorida Sfafutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. lf the penalty is not paid in full within '15. days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. CHAIRIVAN TODD AI I F Print Name Attorney to the CLB PATRICK NEALE Code Enforcement [/anager TIIVOTHY CROTTS For Contractor Licensing Board . lf the 15th dav falls on a Saturdav. Sundav or holidav. the entire fine must be Daid no later than 4:00P.M. on the County's next business day following that weekend br holiday Approved as to form and legal sufficiency D^rE \?- )a-::079 8.A.1 Packet Pg. 31 Attachment: 8A. ORDERS OF THE BOARD (14 ITEMS) (27508 : 8A. ORDERS OF THE BOARD (14 ITEMS)) CONTRACTORS' LICENSI NG BOARD COLLIER COUNTY, FLORIDA Zafke, Scott W. 2585 Wild Pines Ln Apt. 813 Naples, FL 341 12 CLB Agenda Date: Pursuant to Section 489.127 , Florida Statutes, Operations and Regulatory Management DepartmenVlicensing Section issued Citation No. 11969 GEUL20230008801 on '10110123, to Zafke. Scott W..in the amount of $1,000.00 , within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section a89.127(5) (g), Florida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. lf the penalty is not paid in full within 15. days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. DATE \7-)o -2W CHAIRIVAN TODI] AI I F Print Name Attorney to the CLB PATRICK NEALE Code Enforcement N4anager TIIVOTHY CROTTS For Contractor Licensing Board . lf the 15th da later than 4:00 v falls on a Saturdav. Sundav or holidav. the entire fine must be oaid no P.lr/. on the Countfs next bisiness day following that weekend br holiday Approved as to form and legal sufficiency ORDER TO PAY CIVIL PENALTY 8.A.1 Packet Pg. 32 Attachment: 8A. ORDERS OF THE BOARD (14 ITEMS) (27508 : 8A. ORDERS OF THE BOARD (14 ITEMS)) CONTRACTORS' LICENSING BOARD coLltER COUNTY, FtORtDA ORDER TO PAY CIVIL PENALTY Garay, Frank 24231 lt/elaine Ln Bomita Springs, FL 34135 CLB Agenda Date: _ Pursuant to Section 489.127 , Florida Statutes. Operations and Regulatory lvlanagement Department/Licensing Sectron issued Citation No. 12726 CECV20230008802 on 101'10123. to Garav. Frank. i n the amount of $1,000.00 , within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), Florida Sfatufes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. lf the penalty is not paid in full within 15- days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the vtolator. After 3 months from the flling of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreciose on the lien. CHAIRIVAN T DD ALLEN Print Name Attorney to the CLB PATRICK NEALE Code Enforcement [\,4anager TIMOTHY CROTTS For Contractor Licensing Board - lf the 15th da later than 4:00 v falls on a Saturdav, Sundav or holidav. the entire flne must be oaid no P.M. on the Countfs next business dai following that weekend br holiday Approved as to form and legal sufficiency ,or., 1)- - ?a - )oit? 8.A.1 Packet Pg. 33 Attachment: 8A. ORDERS OF THE BOARD (14 ITEMS) (27508 : 8A. ORDERS OF THE BOARD (14 ITEMS)) CONTRACTORS' LICENSING BOARD COLLIER COUNry, FLORIDA ORDER TO PAY CIVIL PENALTY Krum, Richard 3450 1sth Ave SW Naples, FL 341 17 Pursuant to Section 489.127 , Florida Statutes. Operatrons and Regulatory f\ilanagement Department/Licensing Section issued Citation No. 12772 CEUL20230008247 on 09/26/23. to Krum. Richard. 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), Ftorida Sfafutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. lf the penalty is not paid in full within 15. days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. 1J-20-;.o?) CHAIRIVAN DATE: Code Enforcement Manager TIIVOTHY CROTTS For Contractor Licensing Board TO DD ALLEN Print Name Attorney to the CLB PATRICK NEALE - lf the 15th da later than 4:00 y falls on a Saturday, Sundav or holidav. the entire fine must be Daid no P.M. on the County's next business day following that weekend br holiday. Approved as to form and legal sufficiency CLB Aoenda Date: 8.A.1 Packet Pg. 34 Attachment: 8A. ORDERS OF THE BOARD (14 ITEMS) (27508 : 8A. ORDERS OF THE BOARD (14 ITEMS)) 12/20/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 8.B Doc ID: 27509 Item Summary: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC Meeting Date: 12/20/2023 Prepared by: Title: – Contractor Licensing Name: Alyshia Morse 12/13/2023 3:47 PM Submitted by: Title: – Contractor Licensing Name: Tim Crotts 12/13/2023 3:47 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 12/13/2023 5:26 PM Contractor Licensing Tim Crotts Review Item Completed 12/14/2023 7:39 AM Contractor Licensing Tim Crotts Meeting Pending 12/20/2023 9:00 AM 8.B Packet Pg. 35 C,Rft,Couttty Growlh l\.lanagement Community Oevelopment Department APPLICATION FOR COTLIER COUNTY CERTIFICATE OF COMPETENCY FIRM APPLICATION FOR COTLIER COUNTY&clt/- V: f CERTIFICAIE OF COMPETENCY a-j){(. This application must be typewritten or legibly printed. The application fee must be paid upon approval and is NOT refundable. AII checks should be made payable lo: Collier County Board of County Commissioners. For further information, consult Collier County Ordinance No, 200G46, as amended. TYPE OF CERTIFICATE OF COMPETENCY: M General ! Building tr Residential E Mechanical tr Roofing Specialty Trade Street $230.00 $230.00 $230.00 $230.00 $230.00 E Electrician n Plumber tr Air Conditioner E Swimming Pool n Specialty $230.00 $230.00 $230.00 $230.00 $205.00 (YtxyalG,rkac-[or' I. APPLICAN PERSONAL INFORMATI Name Business Name: Address Email Midd e nit al o ?-, St.te )o .(ot4- v e 3 L) City C^(r,t zip v Telephone I 522-6 -SS # (Last 4 digits only) Date of Birth o/za /7a-Driver's License # (Last 4 digits only)228-o Contractor Licensing - FIRM Applic€tion Rev. 7/2022 Page 3 of 14 Operations & Regulatory Management Division, Contractor Licensing . 2800 North Horsesho€ Orive . Napl€s, FL 34104 . (239) 252-2431 contractorslicensinq@coll!ercolJ01ylLqpy n/(I r Pursuant to Collier County Contractor Licensing Ordinance No. 200G,46 Section 2.1.1., all applicants are required to submit their social security number, drivels license, and date of birth lor the following purposesi a) Assess applicant's ability to satisfy creditors by reviewing lheir credit history. b) Veriflcation of applicant's test scores and informalion. c) Verification oI applicant's identity. Our office will only use the personal information noted above for those reasons pursuantto Chapter'119, Florida Statutes, and as may otherwise be authorized by law. We are fully cohmitled to sateguarding and protecling your peGonal information and once collected, will be maintaaned as confidentialand exempt under Chapter 119, Florida Statutes. 8.B.1 Packet Pg. 36 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. 8.B.1 Packet Pg. 37 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. c,}ff",Qovmty Growth Management Community Development Department APPTICATION FOR COttIER COUNTY CERTIFICATE OF COMPETENCY Provide the names and telephone numbers of two p ersons who will alw know Name: your whereabouts l4u'.--,---,.nName Telepho n", L)/q.'jj I ')l t 2 Business Name \L LLC_ Business Address ,L {r &FL State acicL ? Street ,39 . TgLt- ez-tao Cr Telephone Email:ao .Co Federal lD Tax No 4t -zBzts ?7y' III. FINANCIAL RESPONSIBILITY YES NO ALL APPLICANTS MUST ANSWER THE QUESTIONS BELOW: Y Filed for or been discharged in bankruptcy within the past 5 years? V Had a lien filed against you by the lnternal Revenue Service or Florida Corporate Tax Division? v 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? x Made an assignment of assets in settlement of construction obligations for less than the debts outstanding? x Been convicted or found guilty of, or entered a plea of nolo contendere to, regardless of adjudication, a crime in any jurisdiction within the past 10 years?- v Had claims or lawsuits filed for unpaid or past due accounts by your creditors as a result ol construction experience? x Been charged with or convicted of acting as a contractor without a license, or if licensed as a contractor in this or any other state, been "subject to'disciplinary action by a state, county, or municipality? NOTE. lf you have answer yES to any of the questions below, you must attach a written explanation including the nature of the charges, dates, and outcomes, sentences of conditions imposed. You must also attach proof of payment, satisfaction of lien or judgement, bankruptcy discharge, or agreements for payment.-lf you have had a felony conviction, proof that your civil rights have been restored will be required prior to licensure. Conkaclor Licensing - FIRM Application Rev. 7/2022 page 4 of.t4 Oporations & Regulatory Management Djvision, Cont.actor Liconsing . 28OO North Horseshoe Drivs . Napt6s, FL 34104 . (23gJ 252-2431 contractorslcensino@colliercounM.oov { *.1 G*,-.-, II. NAME OF APPLICANT'S BUSIffiSS: vIC rct pnon., (ol4 'a/ < - GO 6 L/ n 8.B.1 Packet Pg. 38 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. c,Rfft eouvrty Growth Management Community Development Oepartmenl APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY IV. EXPERIENCEVERIFICATION EDTJCATION: List below and provide transcripls for any formal education you have obtained in the area of competency for which this application is being made ?P + )/(/rt(--, )n,conAJ+-v-{,3^-=7 v List below non formal education (on the job training) you have obtained in the area of competency for which this application is being made: .-7 -^ I CURRENT/PREVIOUS LICENSE: Lisl below and attach copies any other certilicates of competency/licenses you hold/have held in Collier County or any other jurisdiction. lnclude the license #, Type, and county you hold it in. Z.v Otp-l>-Lo cr D d.,a o(I ' AFFIDAVIT as identification. Under the penalties of perjury, I declare that I have read true. appl stated in it are Applicant (pl ease pnnt) E has produced (Notary Seal) Contractor Licensing - FIRM Application Rev- 7/2022 Signature of nt Tbe foregoing instnrment was acknowledged before me ysical presence or E online notzrization on this q*a,r "g*4og-zo L4 .ty Such perso[(s) Notary Public must check applicable box: !4e personally known to me E has produced a curront driver license,/ Notarv Sisnature Page 5 of 14 JoNX X. T0X(,L Not ry lublk . 5t t. ol Fh.td. Cdr! irrirn , HH 32t!5t *y Cdnfi. Ertlr6 Lo', 2, 2016 a.!d.d thrd.Eh N.66.1 t{.t ry A$n. Operalions & Regulalory Management Division, Conlractor Lic'ensing . 2800 North Horseshoe Drive . Naples, FL 341r.l4 . 1239) 252-2431 conkactorslicensino@colliercounM-oov (ci'- s'," or f-l41cidf-!-."",o, 0a'l,liof 8.B.1 Packet Pg. 39 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. c,tF*Countll Growth Management Community Development Department APPTICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY 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 qualifled 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 falsilication of any information contained herein is grounds for disqualification. (please print 8-(1 /o,,"1r,)LLl- Name of Company plicant .,Gf[orState of (lountv Tte foresoinp instrument w 4-a^'\Q*r,W,( .20 L<,by before me bv means of /ohrri"ul or"".r"e or D online notarization on lhis Qrne.tA e- e^i'(ier"' as acknowl edgcd Such person(s) Notary Public must check applicable box: 16 are personally known lo me E has produced a current driver license E has produced (Notrry Seal) Contractor Licensing - FIRM Application Rev. 7/2022 as identification. Page 6 of 14 JO{X N. IOllC'O( rklt&y htlt - St te o, Florlda Col''lhdoo , HH 32E358Iy Cqrcn. E4{r6 Nov 2, 2026 8od€d lhro.Jg X.tidt.l llotary Alrn. Operations & Regulatory Management Division, Contrac-tor Licensing . 2800 North Horseshoe Drive . Naplos, FL 34104 . (239) 252-2431 contractorslicensino@cdliercounlvfl .oov CERTIFICATION OF APPLICAT!ON Notary Signature: 8.B.1 Packet Pg. 40 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. C,Rff",Count! Growth Management Community Developmenl Departmenl APPLICATION FOR COLTIER 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 lnsurance it will result in the possible revocation of my Certificate of Competency ApplicaDl {please ( 0_0 [I,,?/r'2t{- BEFORE ME this day personally appeared of Signature nt ho affirms and Applic€nt (please print) says that he has less than one employee and does not require Workmen's Compensation understands that at any time he employees one or more persons he must obtain said Workmen's Compensation lnsurance. State of I ^'lol ,c The foregoi Z\auyor Gthn.rCounty of before me by so ph ical presence or D online notarization on this n S person(s) Notary Public must check applicable box: are personally known to me D has produced a current driver license E has produced (Notary Seal) as identification JoHil N. ToX(C Not ry A.6lk - St tr o{ Flo.ld. Coiokdon , HH !2tl$ ly Comm. Expir.5 Nov 2, 2026 Notary Signature ; a,il.c.d thrdJgh Natloorl Notrry Atrn Conlractor Licensing - FIRM Application Rev. 7/2022 Page 7 of 14 Oporations & Rogulatory Management Division, Contractor LicensirE . 2800 North Horseshoe Drive . Napl6s, FL 34104 . \239) 25?-243'l contractorslicensino@colliercounM.oov 8.B.1 Packet Pg. 41 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. GITS, LLC Examination Operations Division Providing the services and products to assisl Govemment Agencies lo make anformed educated decisions. Official Examination Score Report September 12, 2023 Official Score Report: Candidate lnformation: Name - Donald Green Candidate #: 967 52280G Online Testinq Site: Ocala, FL Final Score Result: General Contractor Score: 8 [ o% These results represent the grade that has been achieved on the above named examination(s) administered by Gainesville Independent Testing Service for Collier County, Florida on September 1,2023. lfyou havc any further questions, pleasc do not hesitatc to contact us- Sincerely, ,/,V C.6o,.n,.t "*i'l"io ' Jay E. Bowermeister President PO Box 831127 Ocala, Flonda 344811127 -Voice (352) 36+clTS - Fax (352) 387-2443 800 997 212S 8.B.1 Packet Pg. 42 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. 11/312o6.54 PM View report from Your Credit Health I Credit Karma A Nov 03, 2023 DONALD R GREEN T'1' Catculated using Vantagescore 3.0 Provided by Eq uifax Personal lnformation E4^-= Today Credit Cards fileJ//C:/Users/Sarah creen/OneDrive/OesktoD,ryour Credit Health Credit Karma.html o Loans E N4 o ney 1t27 8.B.1 Packet Pg. 43 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. 11/3/23.6154 PM Your Credit Health I Credit Karma Lr\Jt\t\L L' n (rntrtrl\ RANDY GREEN EMPLOYMENT INFO CONSTRUCTION ONE GREEN BROTHERS PAI ADDRESSES REPORTED I 3823 sE 13TH AVE CAPE CORAL, FL 33904 9 1380 BRENTHAVEN PL COLUMBUS, OH 43228 s 5953 PARON PL HILLIARD, OH 43026 * 4916 GROVE CITY RD GROVE CITY OH 43123 $ 320 MONTGOMERY AVE SPRINGFIELD, OH 45506 Accounts Here's every account on your Equifax report. Ctick on the account name for more detaits. A EI 4^ Today Cred it file:///CJUserVSarah Green/OneOrive/Deskoo^/our Credit Health E Cards C.edit Karma.html o Loans t_E N4oney 2127 8.B.1 Packet Pg. 44 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. 1113123,6:54 PM YOU nave:rJ-lo telf IO pay On ftllS LOan. Balance $60901 Month[y payment Opened Term Payment History You've made looo/o of payments for this account on time. Payment history tabte, broken down by month JFMAMJJASOND 2023aaa./././././ / Current x Late a Unknown Last payment Current Payment Status Worst Payment Status Account Details Account status Tvpe ResponsibiIity Remarks Times 3O/60/90 days late Ctosed You could dispute an error with Equifax SEE AN ERROR? lf there's an error on your report, you can submit a dispute. GO TO EQUIFAX Your Credit Health I Credit Karma o E4^ Today Credit filer///C:/Users/Sarah Green/OneDrive/DesktoofYour Credit Health LE Cards Credit Karma.html 6 Loan s Highest Batance $65836 $1138 Jan. 28, 2023 (9 mos) 72 months Sep. 01, 2023 Current Cu rre nt Open Auto Individua[ Accou nt. No lnfo ololo No lnfo t_E Money 3127 8.B.1 Packet Pg. 45 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. 1113123. 6:U PM Your Credit Health I Credit Karma o PARK NAT N $O.OO . Reported:Sep. 17, 2021 Ctosed Overview You have O% left to pay on this [oan. Ba[ance $o Month[y payment Opened Term Payment History You've made looo/o of payments for this account on time. Payment history tabte, broken down by month JFMAMJJASOND 20n ,/ ./ ./ ,/ \/ ./ ./ a 2020 J I ./ ./ J ./ ./ ./ ./ ./,/ I2019aaaaaooaoa././ 20lsaOaOaaoooaoo y' Current X Late O Unknown Last payment Cu rrent Payment Status Worst Payment Status Account Details Account status Type Responsibitity Remarks tr4^ Today Credit fi ierl/C:/Usertsarah creen/OneDrive/DeskoDffour Credit Health LriE Cards Credit Karma.hlml o Loans Highest Batance $30245 No lnfo Jut. 29, 2Oi5 (8 yrs, 3 mos) 72 months Jut. 01, 2021 Cu rrent Cu rrent Paid and Ctosed Auto lndividuat Account. Fixed rate l_E lvlon ey 4t27 8.B.1 Packet Pg. 46 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. 1113123' 6:54 PM E4^ Today Credit fi le:///C:rusers/Sarah Green/Oneorive/Oesktool/our Credit Health Your Credit Health I Credit Karma A lf there's an error on your report, you can submit a dispute. GO TO EQUIFAX Creditor lnformation PARK NAT N 50 N 3RD NEWARK, OH 43055-5548 (74O) 349-0432 SECURITY NATL BK - I $O.OO Reported: Aug. 14,2015 Closed Overview You have O% left to pay on this [oan. Balance $o Monthty payment Opened Term Payment History Last payment C u rrent Payment Status Worst Payment Status Account Details Account status Type Responsibitity Remarks Times 30/60/90 days late Highest Batance $21216 No lnfo Nov. 21, 2012 (10 yrs, l'l mos) 72 months Jut.01,2015 Current Current Paid and Closed Auto lndividuaI Account. No lnfo olol0 IE lYoney IE Cards Credil Karma.hlml o Loans 5i27 8.B.1 Packet Pg. 47 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. 11 t3l2X. 6:54 PM GO TO EQUIFAX Creditor lnformation SECURITY NATL BK - I 40 S LIMESTONE STREET sPRt NGFtELD, OH 45502-1200 (740) 349-0432 Your Credit Health I Credit Karma A CREDIT CARDS JPMCB - CARD SERVICE $5,076.00 Reported: Oct.26,2023 ln good standing overview You're currently using2l2o/o of your account's [imit. Batance $s076 Monthty payment Opened Payment History You've made looo/o of payments for this account on time. Payment history tabte, broken down by month JFMAMJJASOND 2023 J J ,/ ,/ ./ ./ ./ ./ ,/ 202:2 a ,/ ./ ,/ ,/ ./ ./ ! y' Current X Late O Unknown Last payment C u rrent Payment Status Amount past due Worst Payment Status Credit [imit $22700 $62 May 27, 2O22 (1 yr, 5 mos) Oct. 01, 2023 Cu rrent $o Cu rrent LE Money o Loans 6127 E t'1- =Today Credit Cards fi leJl/C:/UserS/5arah Green/OneDrive/DesktoD,ryour Credit Heatth Credit Karma.htmt 8.B.1 Packet Pg. 48 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. 1113123,6:U PM Your Credit Health I Credit Karma t!- Cards o rlexrote Jpenorng ureo rt uaro lndividua[ Account. No lnfo ololo No lnfo credit timit $2s01 $2e Sep. 30, 2020 (3 yrs, 1 mo) tgH4^ Today Credit flle:///C:/Users/Sarah Green/OneDrive/Desktoo^/our Credit Health rylre Responsibility Remarks Times 30i6ol90 days late CIosed You coutd dispute an error with Equifax SEE AN ERROR? tf there's an error on your report, you can submit a dispute. GO TO EQUIFAX Creditor lnformation JPMCB - CARD SERVICE 301 N WALNUT ST, FLOOR 09 WILMINGTON, DE 19801-3935 (800) 94s-2000 THD/CBNA $669.00 Reported : Ocl. 21, 2023 ln good standing Overview You're currently usingtlo/o of your account's [imit. Balance $66e Month[y payment Opened Payment History You've made looo/o of payments for this account on time. Payment history table, broken down by month JFMAMJ ./././Jl! JJ././{./ ./ ,/ ./ ./ ,/ ,/ ND 2023 2022 2021 aoro JASO .J o Credit Karma.html Loans lvl o ney 7127 8.B.1 Packet Pg. 49 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. 1113123,6:54 PM Your Credit Health I Credit Karma A Ar r ruur rL pd5l uuc Worst Payment Status Account Details Accou nt status Type R espo nsibiIity Remarks Times 30/60/90 days late Ctosed You could dispute an error with Equifax SEE AN ERROR? lf there's an error on your report, you can submit a dispute. GO TO EQUIFAX creditor lnformation TH D/CBNA ONE COURT SQUARE LONG ISLAND CITY NY 11120 D]SCOVER BANK $O.OO Reported: Oct. 23, 2023 ln good standing Overview You're currently using Oolo of your account's [imit. Batance $o Monthly payment Opened Payment History You've made looo/o of payments for this account on time. E4^L= Today credit Cards fileJ//Crusers/Sarah Green/OneDrive/Desktool/our Credit Health Credit Karma html Q(J C u rrent OPen Charge Account Authorized User No lnfo olol0 No lnfo Credit limit $17000 No lnfo Nov. 10, 2017 (5 yrs, 11 mos) o Loans tg Money 8.B.1 Packet Pg. 50 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. 1113/23.6:U PM Your Credit Health I Credit Karma o r' Current X Late Last payment Cu rrent Payment Status Amou nt past due Worst Payment Status O U nknown Account Details Account status Type Responsibility Remarks Times 30/60/90 days late Ctosed You could dispute an error with Equifax SEE AN ERROR? lf there's an error on your report, you can submit a dispute. GO TO EQUIFAX Creditor lnformation DISCOVER BANK PO 8OX15316 wtLN4tNGTON, DE 19850-5316 2022 2021 2020 (8oo) 347-2683 BANK OF AMERICA Reported: Oct. 21,2023 Overview $44s.00 ln good standing Aug.01,2023 Cu rre nt $o Cu rrent Open Credit Card ln d ivid uaI Accou nt No lnfo ololo No lnfo LE Money l= cards o Today credit fi le:///C:/t-rsers/Sarah Green/OneDrive/DesktoofYour Credit Health Credit Karma.hlml Loans 9127 8.B.1 Packet Pg. 51 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. 1113123,6:54 PM Your Credit Health I Credit Karma rvrullLIlry l-,dyIlrcll! Opened Payment History You've made looo/o of payments for this account on time. Payment history table, broken down by month JFMAMJJASOND 2023{JJ././././././ 2022 ./ { ./ J ./ ./ ./ ./ ,/ ./ ./ .l 2021 ,/ ./ ./ ./ J ./ ./ ./ ./ ./ ./ ,/ 2020 ./ ./ ./ ./ ./ J ./ { ./ J y' Current x Late o Unknown Last payment Current Payment Status Amou nt past due Worst Payment Status Account Dctails Accou nt status Type Responsibility Remarks Times 30/60/90 days late Closed You coutd dispute an error with Equifax SEE AN ERROR? lf there's an error on your report, you can submit a dispute. GO TO EQUIFAX Creditor lnformation AANIl1 NE AA/EAI'A E4^= Today Credit Cards flle//CrUsers/Sarah Green/OneDrive/DesktoD/Your Credit Health Credit Karma.html 6 A +oo Mat.14,2O2O (3 yrs, 7 mos) Oct. 01, 2023 Cu rrent $o Cu rrent OPen Credit Card lndividuat Account. No lnfo ololo No lnfo t_E MoneyLoans 10t27 8.B.1 Packet Pg. 52 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. 1113123,6:54 PM Your Credit Health I Credit Karma A BANK OF AMERICA $O.OO Reported: Oct.20,2023 ln Bood standing Overview You're currently using Oolo of your account's limit. Batance $o Monthty payment Opened Payment History Last payment C u rrent Payment Status Amount past due Worst Payment Status account Details Accou nt status Type Responsibility Remarks Times 30/60/90 days late C[osed You could dispute an error with Equifax SEE AN ERROR? lf there's an error on your report, you can submit a dispute. GO TO EQUIFAX Creditor lnformation BANK OF AMERICA 4O6N OGI FTOWN/STANTNN RN Today Credit file:///C JUsers/Sarah Green/OneDrive/Desktopl/our Credit Health LT Cards Credit Karma.html o Loan s Credit limit $18100 No lnfo Oct. 16, 2023 0 No lnfo C u rrent $o Cu rrent Open Credit Card lndividuat Account. No lnfo ololo No lnfo t_E lv'lo ney 11127 8.B.1 Packet Pg. 53 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. 11i3123 6:U PM WELLS FARGO CARD SER Reported: Oct. 08, 2023 Overview Your Credit Health I Credit Karma o $o.oo ln good standing JF 2023 ./ J 2022 ./ { 2021 J J 2020 y' Cu rrent ././,/,/JJ ./ ./ ./ ./ ./ ./ O Unknown You're currentty using O% of your account's [imit. Batance $o Monthty payment Opened Payment History You've made IOO% of payments for this account on time. Payment history tabte, broken down by month MAI'ilJ X LAIE Last payment Cu rrent Payment Status Amount past due Worst Payment Status Account Details Credit [imit $8soo No lnfo Mar. 23,2O2O (3 yrs, 7 mos) Sep.01,2022 Current $o Cu rrent OPen Ftexibte Spending Credit Card lndividua[ Account. No lnfo ololo No lnfo JASOND ./ ./ ,/ ,/ ./ ./ Accou nt status TYPe Responsibitity Remarks Times 30/60/90 days late Ctosed E4^ Today Credit filer//C:/Users/Sarah Green/OneDrive/Desktoo^/our Credit Health E Cards 6 Loans t_E N4 o ney Credit Karma.html 12127 8.B.1 Packet Pg. 54 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. 1113123,6:54 PM 20a2 ,/ ,/ ./ ,/ ,/ ./ 2021 ,/ ,/ r/ current x Late Last payment Cu rrent Payment Status Amount past due Worst Payment Status Your Credit Health I Credit Karma A Creditor tnformation WELLS FARGO CARD SER CREDIT BUREAU DISPUTE RESOLUTI DES MOINES, IA 50306 (800) 642-4720 BANK OF AMERICA $O.OO Reported: May 18, 2023 ctosed Overview You're currentty using O06 of your account's limit. BaIance $o MonthtV payment Opened Payment History You've made looo/o of payments for this account on time. Payment history tabte, broken down by JFMA 2023JJJJ month MJJASOND Credit timit $6700 No lnfo May 11, 2021 (2 yrs, 5 mos) Jun. 01, 2022 Cu rrent $o Cu rrent Paid and Closed Credit Card [E lY o ney ././,/././J ,/./J,/././ O Unknown Account Details Account status Type E-^*= Today Credit Cards tile:/i/CrUsers/Sarah Green/OneDrive/DesKoo^four Credit Health Credit Karma html 6 Loan s 13t27 8.B.1 Packet Pg. 55 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. 11t3t23,6:g PM Your Credit Health I Credit Karma n I lrrlCs JU/OU/VU Uctyb tcttC Closed You could dispute an error with Equifax SEE AN ERROR? lf there's an error on your report, you can submit a dispute. GO TO EQUIFAX Creditor lnformation BANK OF AMERICA 4060 OGLETOWN/STANTON RD NEWARK, DE 19713 (800) 421-2'r10 SYNCB/SCOREREWARDSDC $O.OO Reported: Ju\.19,2022 Closed Overview You're currently using O% of your account's Limit. Batance $o Monthty payment Opened Payment History You've made lOO% of payments for this account on time. Payment history table, broken down by month JFMAMJJASOND 20an ! ./ ./ ./ ./ ./ 2021 ./ ./ ./,/,/ J ./ J ./ J ./ ./ 2020 I J J,/,/ J ./ ./ ./ ./ ./,/ 2019 aaaaaaaaa./J y' Current x Late O Unknown Last payment Cu rrent Payment Status LT CardsToday Credit liler//C:/Users/Sarah Green/OneDrive/DesKoo^/our credit Health May 01, 2023 Credit limit $1024 No lnfo Feb. 01, 2019 (4 yrs, 9 mos) Feb.01,2O2O Current E Money Credit Karma.html 6 Loans 14t27 8.B.1 Packet Pg. 56 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. 111312?,6:54 PM E4^ Today Credit fi le:///C:/Users/Sarah Green/OneDrive/DesktoDIYour Credit Health Your Credit Health I Credit Karma L!- Cards raru ilt tu utusqu credit card lndividuaI Account. No lnfo ololo Feb. 01,2022 Credit [imit $9100 No lnfo Jut. 21, 2015 (8 yrs,3 mos) o AUUUU I I t 5IdIU5 Type Responsibitity Remarks Times 30/60/90 days late CIosed You could dispute an error with Equifax SEE AN ERROR? lf there's an error on your report, you can submit a dispute. GO TO EQUIFAX Greditor lnformation SYNCB/SCOR E R EWARDSDC 4125 WINDWARD PLAZA ALPHARETTA, GA 3OOO5 Batance $o Monthty payment Opened Payment History You've made looo/o of payments for this account on time. Payment history table, broken down by month JFMAMJJASOND 2022 ./ ./ ./ ./ ./ ./ 2021 ,/ {,/ JJ./!././,/J J 2020 J,/ ./ ./ J ./ ./ ./,/ J,/,/ o IE Credit Karma.html Loans N4 o ney 15121 AMEX/CtTlBANK,N.A. $0.00 Reported:JuI.15,2022 Closed Overview You're currently using Oolo of your account's [imit. 8.B.1 Packet Pg. 57 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. 1113123.6:54 PM BaIance $o E4^ Today Credit fileJ//C:/Users/Sarah Green/OneDrive/OesKoofYour Credit Health Your Credit Health I Credit Karma A y' Current X Late Last payment Current Payment Status Amou nt past due Worst Payment Status O U n known Account Details Account status Type ResponsibiIity Remarks Times 30/60/90 days late Ctosed You could dispute an error with Equifax SEE AN ERROR? lf there's an error on your report, you can submit a dispute. GO TO EQUIFAX Greditor lnformation AMEX/CITIBANK, N.A. 9111 DUKE BLVD MASON, OH 45040 (800) 243-6s52 SYNCB/PPC $o.oo Reported: Jan. 20, 2020 closed Overview You're currently using Oolo of your account's [imit, Sep. 01,2017 Current $o Cu rrent Paid and Closed Credit Card lndividuat Account. Account ctosed by credit grantor ololo Mar. 01,2022 Credit [imit $1200 t_EE Card s Credit Karma.html o Loans Ivlon ey 16t27 8.B.1 Packet Pg. 58 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. 1113/23,6:54 PM H4^ Today Credit file:///C:/Users/Sarah Green/OneDrive/DesktoD^/our Credit Health Your Credit Health I Credit Karma A Last payment Cu rrent Payment Status Amount past due Worst Payment Status Account Details Account status Type Responsibitity Remarks Times 30/60/90 days late C[osed You coutd dispute an error with Equifax SEE AN ERROR? lf there's an error on your report, you can submit a dispute. GO TO EQUIFAX Creditor lnformation SYNCB/PPC PO BOX 96sOO5 ORLANDO, FL 32896 (844) 373-4961 SYNCB/CAR CARE D|SC $O.Oo Reported:Jan.17,2020 closed Overview You're currently using O% of your account's Limit. Balance $o No lnfo Current $o Cu rrent Paid and Closed Credit Card lndividuaI Account. Account closed due to inactivity ololo Nov. 01, 2019 Credit [imit $2800 6 t_EE Cards Credit Karma.html Loans N4 o ney 8.B.1 Packet Pg. 59 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. 1113123. 6:54 PM (866) 396-8254 BEST BUY/CBNA $o.00 Reported: Dec. 23, 2019 Closed E4r Today Credit file//C:/Users/Sarah creen/OneDrive/Desktoofyour Credit Heatth Your Credil Health I Credit Karma A Payment history table, broken down by month JFMAMJJASOND20reaoaooaaaoa,/./ 2018 Oaoaa y' Current x Late O Unknown Last payment Current Payment Status Amount past due Worst Payment Status Account Details Account status Type Responsibility Remarks Times 30/60/90 days late C[osed You could dispute an error with Equifax SEE AN ERROR? lf there's an error on your report, you can submit a dispute. GO TO EQUIFAX Creditor lnformation SYNCB/CAR CARE DISC PO BOX 965036 oRLANDO, FL 32896-5036 Apr. 01, 2019 Cu rrent $o Cu rre nt Paid and Ctosed Charge Account lndividua[ Account. Account ctosed at consumers request ololo May 01, 2019 6 Loans IE lV oney L= Cards Credit Karma.hlml 18t27 8.B.1 Packet Pg. 60 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. 11/3/23,6:54 PM MonthLy payment Opened Payment History You've made l00o/o of payments for this account on time. Payment history table, broken down by month JA aa oa .O aa E4^ Today Cred it fi le:///C:/Users/Sarah creen/OneOrive/Desktopfyour Credit Health Your Credit Health I Credit Karma A 2019 20r8 2017 2016 o a O SONDaa./aaoa JFMAMJaaaaoo aoaa oaaa aaaaoaaaoa aaaaa No lnfo Aug. 11,2013 (10 yrs,2 mos) Dec.01,2016 Current $o Current Paid and Ctosed Charge Account lndividua[ Account. No lnfo olo/o Dec.01,2018 l_E N4on ey i/ Current X Late Last payment Current Payment Status Amount past due Worst Payment Status O U nknown Account Details Account status Type ResponsibiIity Remarks Times 30/60/90 days [ate CIosed You could dispute an error with Equifax SEE AN ERROR? lf there's an error on your report, you can submit a dispute. GO TO EQUIFAX IE Cards C.edit Karma.hlml o Loans 19t27 8.B.1 Packet Pg. 61 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. 1113123,6:54 PM sluux |-ALL5, 5u 5 / ru6 CAPITAL ONE $O.OO Reported: May 11, 2018 Closed Overview You're currentty using O% of your account's Limit Ba[ance $o Monthty payment Opened Payment llistory Last payment Current Payment Statu s Amou nt past due Worst Payment Status Account Details Account status Type Responsibitity Remarks Times 30/60/90 days late Ctosed You could dispute an error with Equifax SEE AN ERROR? lf there's an error on your report, you can submit a dispute. GO TO EQUIFAX Credit timit $82s0 No lnfo I\4ar. 23, 2011 (12 yrs,7 mos) Jan.0l,20'18 Cu rrent $U Cu rrent Paid and Closed Credit Card lndividua[ Account. Account ctosed at consumers request ololo Apr. 01,2018 Your Credit Health I Credit Karma A Creditor lnformation H4^ Today Credit f ilel/C:/Users/Sarah Green/OneDrive/Desktoo^four Credit Health E Cards Credit Karma.html 6 Loans LE Money 20t21 8.B.1 Packet Pg. 62 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. 1113123,6:U PM (800) 95s-7070 SYNCB/APPLIANCESMAR $O.OO Reported:Oct.03,2016 Ctosed Overview You're currently using Oolo of your account's [imit. Ba[ance $o Monthty payment Opened Payment History Last payment C u rrent Payment Status Amount past due Worst Payment Status Account Details Account status Type ResponsibiIity Remarks Times 30/60/90 days late Ctosed You coutd dispute an error with Equifax SEE AN ERROR? lf there's an error on your report, you can submit a dispute. GO TO EQUIFAX Credit [imit $soo N o lnfo Nov. 28, 2OO4 (18 yrs, 11 mos) No lnfo Current $o Current Paid and Closed Charge Account lndividua[ Account. Account closed at consumers request ololo Dec. 01, 2004 Your Credit Health I Credit Karma A Creditor lnformataon E1^ Today C redit fi Ie:///C:/Users/Sarah Green/OneDrive/Desktool/our Credit Health ELE Cards Credit Karma.html 6 Loans t_E N4oney 21t27 8.B.1 Packet Pg. 63 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. 1113123.6:54 PM (866) 396-8254 REAL ESTATE LOANS WELLS FARGO HOME MOR $111,706.00 Reported: Oct. 11, 2023 ln good standing Overview You have 91olo left to pay on this real estate [oan. BaIance $111706 Monthty payment Opened Term Payment ]listory You've made looo/o of payments for this account on time. Payment history tabte, broken down by month JFMAMJJASOND 2023./{J./t./././,/ 2022 ,/ ./ ,/ ./ ,/ ./ ./ ./ ./ ./ ./ ,/ 202J ./ ./ J ./,/ ./ ./,/ ./ ./ J,/ 2020 ./ ././ a o ooaa./././ y' Current X Late a Unknown Last payment Current Payment Status Worst Payment Status Account Details Your Credit Health I Credit Karma A E{^ Today Credit fi le:///C:/Users/Sarah Green/Oneorive/Desktoo/your Credit Health F- Cards Credit Karma.html 6 Loan s H ighest Batance $122749 $1368 Jut. 25, 2018 (5 yrs,3 mos) 360 months Sep. 01, 2023 Current Cu rrent IE N4 o ney 22t27 8.B.1 Packet Pg. 64 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. 1113123.6:54 PM Your Credit Health I Credit Karma A Times 3O/60/90 days late CIosed You could dispute an error with Equifax SEE AN ERROR? lf there's an error on your report, you can submit a dispute. GO TO EQUIFAX ololo No lnfo Creditor lnformation WELLS FARGO HOME MOR PO BOX 10335 DES MOtNES, tA 50306-0335 (800) 288-3212 Hard lnquiries When you appty for a new credit account, a hard inquiry wi[[ usually get added to your report, which can make a smatl dent in your score. Here are the inquiries on your Equifax report. CIC MORTGAGE CREDIT, lnq u iry: Oct. 23, 2023 See an error? Misce[laneous Reptg. Agencies Find out how to dispute a hard inquiry No contact information has been reported by this creditor. coRELoGlccl!?io MisceltaneousReptg.Agencies lnq u iry: Aug. 07,2023 See an error? Find out how to dispute a hard inquiry No contact information has been reported by this creditor. coRELoGlc^-c1:Dco Miscetlaneous Reptg. Agencieslnquiry: Mar.27,2023 See an error? E4^ Today Credit file:///C:/Users/SaIah Green/Oneorive/DesKoo^/our Credit Health LEE Cards Credit Karma.htrnl o Loans N4oney 23t27 8.B.1 Packet Pg. 65 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. 1113123,6:54 PM Your Credit Health I Credit Karma lnq u iry: Jan. 2A,2023 See an erlor? Find out how to dispute a hard inquiry No contact information has been reported by this creditor. WELLS FARGO DEALER S ^ -, lnquiry: Jan. 28.2023 Auro Flnanclng See an error? Find out how to dispute a hard inquiry No contact information has been reported by this creditor. Cottections lf you've falten behind on payments, your account cou[d be sent to a cottections agency. This can have a big impact on your credit score. Clean slate! As of Nov. O3, 2023, you have no coLlection accounts on your credit report. Pubtic Records Things like bankruptcies and legaljudgments against you can show up on your credit report and do some damage to your score. Lookin'good! As of Nov. 03, 2O23, you have no public records on your report. Suggested for your credit Suggested cards we suggest offers based on your credit, Approvat Odds, and money we make from our partners Advertiser Disclosure Discover ito Balance Transfer o E^r Today credit tilerl/C:/Users/Sarah Green/OneDrive/Desktoo^four Credit Heatth L= Cards Credit Karma.html 5 Loans IE lVon ey 24t27 8.B.1 Packet Pg. 66 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. Your Credit Health I Credit Karma111312i.6:54 PM i Your chance of approval is exceltent 1o/o - 5o/o Cash Back E4^ Today Credit fi le:///C:/Users,/Sarah Green/OneDrive/DesktoDl/our Credit Health A $o Contihue E cards Credit Karma.htnl *** 24 Reviews o Loans (, EE IV o ney lxlum ree @newlnosnlre @ 8.B.1 Packet Pg. 67 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. 111312i,6154 PM Your Credit Health I Credit Karma o An nual Fee $o lntro Purchase APR Oo/o lntro APR for 6 Months Regutar Pu rchase APR 17.24o/o - 2A -24o' V ariable lntro Balance Transfer APR 0% lntro APR for'18 Months Regutar Batance Transfer APR 17.24o/o - 28.24'/o. Yariable Cash Advance APR 29.99%. Variabte Cash Advance Fee See Terms* Late Fee None the first time you pay tate. After that, up to $41. Penatty APR See Terms* Batance Transfer Fee 3% intro balance transfer fee, up to 5% fee on future balance transfers (see terms)* Foreign Transaction Fee None Return Payment Fee Up to $41. . See the online provider's credit card apptication for detaits about terms and conditions. Reasonabte efforts are made to maintain accurate information. However, aI credit card information is presented without warranty. When you ctick on the "continue" button, you can review the credit card terms and conditions on the provider's website. E4^ Today Credit file:///C:/Users/Sarah Green/OneDrive/Desktog^/our Credit Heetth L- C ards Credit Karma.html 6 IE Loans Money 26t27 8.B.1 Packet Pg. 68 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. 1113123.6.54 PM H4^ Today Credit file:///C:/Users/Sarah Green/OneDrive/DesKopIYour Credit Health Your Credit Health I Credit Karma A INTRo OFFER: Unlimited Cashback Match - onty from Discover. Discover witI automaticalty match al[ the cash back you've earned at the end ofyour first year! There's no minimum spending or maximum rewards You coutd turn $150 cash back into $300. Earn 5% cash back on everyday purchases at different ptaces you shop each quarter like grocery stores, restaurants, gas stations, and more, up to the quarterty maximum when you activate. P[us, earn unlimited 1olo cash back on aI other purchases-automaticatly. Discover coutd hetp you reduce exposure of your persona[ information on|'ine by hetping you remove it from setect people-search sites that coutd setI your data. lt's free, activate with the mobite app. Every $1 you earn in cash back is $1 you can redeem No annual fee. Terms and cond itions apply. See offer and benefit terms See detaits, rates, and fees 6 Loans t_E l'4oney L* Cards Credit Karma.html 27127 8.B.1 Packet Pg. 69 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. CREDIT CHECK" Commercial Credit Report CONFIDENTIAL Da:f-. 1A / 37 / 23 Cust. No: 9999 Ordered By: 19880 Page: 1 (X) LLC EIN: 81-2828974 Company: DRG PAINTING, LLC Address: 3823 SE 13TH AVENUE CAPE CORAL, FLORTDA 33904 Telephone: (239) 9B 4-5228 PRINCIPALS: MANAGING MEMBER Address: GREEN, DONALD 3823 SE 13TH AVENUE CAPE CORAL, FLORIDA 33904 -8809 100% Social Security Number Stock Ownership: MANAGING MEMBER Address: GREEN, SARAH 3823 SE 13TH AVENUE CAPE CORAL, ELORIDA 33904 N/A 0% Social Security Number: Stock Ownership: Address Social Security Number Stock Ownership: Address Social Security Number Stock Ownership: RISK SCORE Financial Stability Risk Score I I Lorr Risk 2 Lorv to Mcd 3 Mcdirm Risk I Mcd to High 5 High Risk 91 I 100 CREDIT RISK SCORE 9I The score uses tradeline and collections information, public filings asas other variables to predict future risk. Higher scores indicate lower wellrisk FACTORS I,OWERING THE SCORE:* number of recent.ly active commercial accounts* length of time on experian's file RepoTted foT: APPLICANT - SEE NAME ABoVE Reported by: Credit Check, lnc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409. (561) 616-5556 Risk Cless 8.B.1 Packet Pg. 70 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. CREDIT CHECK SM Gommercia! Credit Report .-- Credit Profile *.. HIGH CRF,D T T BAT,ANCE CI]R 4400 0 0% CONFIDENTIAL Company: DRG PAINTING, LLC Address: 3823 sE 13TH AVENUE .rDE' .,.\DAr TLORtDA 33904 Ordered By: Page: 30 0% 60 0t 90 0% 91+ COMMENTS 0g Dale: Cust. No: L0/31/23 9 999 19880 2 DRG PAINTING, LLC was FORMED in the county of COLLIER, state of FLORIDA, 05/31, 20\6. The charter number is L16000105506. The reglstered agent GREEN, DONALD of 3823 SE 13TH AVENUE, CAPE CORAL, FLORIDA 33904. Offices l,EAsED from N/A at N/A per month. The company employs N/A. NETWORTH: oN FILE WITH STATE The company maintains banking relations with N/A The officer handling the account is N/A PUBLIC RECORDS WERE CHECKED FOR COLLIER COUNTY, FLORIOA, A SEARCH OF LOCAL, STATE, AND FEDERAL RECOROS HAS BEEN CONDUCTED WITH THE FOLLOWNG RESULTS: CLEAR AS OF 10/31/23 . SEVEN YEAR SEARCH. onis are BUSINESS DATE LAST PAY CATEGORY RPTD SAI,E TERMS EQUIP LEAS 10/23 00/00 ROr REMARKS: N/A = NOT APPLICABLE/NOT AVAILABLE REPORT WORKED BY KELLY END OE REPORT. ft€ a@racv ol sm6, horewr. is in no way guaEnleed. ay you. ac.rflace a.d use ol lhis rerDn, yd spedlirly ag@ ro hold Cr€nn ch€.(, lnc. harmlB lrom dy lialjhy whals@er. 8.B.1 Packet Pg. 71 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. State of Florida Department of Stute I certify from the records of this office that DRG PAINTING, LLC is a limited liability company organized under the laws of the State of Florida, filed on May 31,2016, effective May 25,2016. The document number of this limited liability company is L16000105506 I further certifu that said limited liability company has paid all fees due this office through December 31,2021, that its most recent annual report was filed on March 18,2021 , and that its status is active. Given under my hand and the Great Seal of the State of Florida at Tallahassee, the Capital, this the Eighth day of March, 2022 Secrelury oJ'State Tracking Number: 617 4317 4l3CU To authentlcate thls certlllcate,{slt the followlng site,enter tbls numb€r, ard then follow the instructions displayed, https://seryices.sunbiz.or&iFilings/Certilic.teOlstatus/CertilicateAuthertication *'E 8.B.1 Packet Pg. 72 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. Electronic Articles of Orean ization For Florida Limited Liability Company Article I The name of the Limitcd Liability Companv is: DRG PAINTING. LLC Article II The street address of the principal office of the Limited Liability Company is 1834 SHOR-E, DR UNIT 15 SOUTH PASADENA FL. US 33707 The mailing address of the Limited Liability Company is: 1380 BRENTHAVEN PLACE COLL,,\{BUS, OH. US 43228 Article III Other provisions, if any PAINTING Article IV The name and Florida street address ofthe registered agent is. DONALD GREEN 1834 SHORE DR I]NIT 15 SOUTH PASADENA FL. 33707 L16000105506 FILED 8:00 AM Mav 31.2016Sei. Of State mdsellers Having been named as registered sgent and to accept service of process for the above stated limited liabilitr companv at the place designaled in dris certificate. I herebv accept the appoinhnent as regislered agent dnd agiee io act ur'this capacity. I furfier agree to comply #th thd provisi6ns of all statute's relating to fie proper and complcle performancc ofmy duties, and I am familiar with and accept the obligations ofmy posihon as regislered agenl. Rcgistered Agent Signature: DOII-ALD GREEN 8.B.1 Packet Pg. 73 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. Article V The name and address of person(s) authorized to manage LLC : Title: MGRIT.{ DONAI,D GRF,EN 1834 SHORE DR LTNIIT 15 SOUTH PASADENA- FL. 33707 US Title: MGRIr{STE\E\ ZII{MERMAN 1380 BRENTHA\T,N PLACE COLUMBUS. OH. 43228 US Article VI The effective date for this Limited Liabilrty Company shall be: 05t25t2016 Signature of member or an authorized representative Electronic Signature: DONALD GREEN L16000105506 FILED 8:00 AM Mav 31 . 20'16Sei. Of State mdsellers I am the member or authorized representative submitting these Articles of Organization and alhrm that the facts stated herein are true. I am aware that false information submifted in a document to the Department of State constitutes a third degree felony as provided for in s.817.15 5, F.S. I understand rhe requirement to Iile an a:rnual reporl belween-January lst and May lst in the calendar year following formation of the LLC and every year lhereafter to maintain "active" status. 8.B.1 Packet Pg. 74 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. 2023 FLORIOA LIMITED LIABILIry COMPANY ANNUAL REPORT DOCUMENT# 1160001 05506 Entity Name: DRG PAINTING, LLC Current Principal Place of Business: 3823 SE 13TH AVE, CAPE CORAL, FL 33904 Currenl Mailing Addrsss: 3823 SE 13TH AVE CAPE CORAL, FL 33904 US FEI Number:81-2828974 Name and Address of Current Registered Agent: FILED Jan 23,2O23 Secretary of State 0383940796CC Certificate of Status Desired: No GREEN, DONALD 3823 SE 13TH AVE. CAPE CORAL, FL 33904 US fhe above named entity submits this statement lot the puryosa of changing its lBgistotod ofrco ot ragistered agenl, w bolh, in the State of Floida- SIGNATURE: Electronic Signature of Registered Agent Authorized Person(s) Detail : Title MGRM Name GREEN. DONALD Address 3823 SE 13TH AVE City-State-Zip: CAPE CORAL FL 33904 Date Title Name Address City-State-Zip: MGRM GREEN, SARAH 3823 SE 13TH AVE CAPE CORAL FL 33904 I hercby @dtty that the i.fomdti@ ihdbated @ lhis rcpon t supgtenental @pott is t ue aN ecar@le and rhat nry elo.ltonic sicnatur shen have the sate legat efect as it nade undoraath; that t am a managhg manbat or nanaget of tP linited ltebilily @npany u lhe rec.tvor q busteo @npowd to bxxn; kb Bpon as @quircd by Chaite. 605, Ftotida Statutes; and lhdt ny hama appea6 abo@, or on an atta.hment with atl otlor tik frpo*e6d. SIGNATURE: DONALD GREEN OWNER O'tt2312023 Electronic Signature of Signing Authorized Person(s) Deta,l Date 8.B.1 Packet Pg. 75 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. 1112123, 1:OG PM Certificate Details - Online Taxpayer Application Welcome, drgpaint - Florida Business Tax Application The Florida Eusrness Tax Application you submitted online has been APPROVED. DOR Comments Comments: NONE Business Details Business Name Drg Painting LLC Business Partner Number 6911407 Business Address 3823 SE 13TH AVE, Cape Coral, FL, US, 33904-7987 Certificate/Account Numbers Corporate lncome Tax Account Number (your FEIN) 81-2828974 Reemployment Tax Employer Account Number 3955024 Sales & Use Tax Certificate Number 46-8019070634-0 Certificate Details httDs://taxapos.floridarevenue.com/TaxReeiskation/Certiflcate/Details?agplicationld=83g033 1t3 8.B.1 Packet Pg. 76 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. 1112123.1:OOPM Certiflcate Details - Online Taxpayer Application Print Page Close Page You will receive certificates of registration or other official notification by mail within ten days. lf you registered for Sa/es And Use Tax or Communications Services 7ax and need to make resale purchases before receipt of certificates, your suppliers may use the Department's resale certificate verification system here (https://verify-taxcerts.floridarevenue.com/) or may call 877-FL RESALE (877-357-3725 (lel:8773573725)) to obtain a transaction authorization code for your resale purchases. 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DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. COLUMBUS THE CITY OF DONALD GREEN 1059 OAK BAY DRIVE GALLOWAY, OH 43119 Andrew J. Ginther, Mayor : The Crly of Columbus. Ohrc : GEI{ERAL GONTRACTOR REGTSTRATION :ANDiIIW J. GINTIlER. MAYOR DONALD GREEN GREEN CONSTRUCTION & PROPERTY MANAGEMENT LLC REGISTRATION# GOO204 ScDtt M€ss€r. Direcior ::t67 \'- 't,r"- ,Exgnes 513112024 Andrew J. Ginther, Nlayor The City of Columbus, Ohio GENERAL GONTRAGTOR REGISTRATION DONALD GREEN GREEN CONSTRUCTION & PROPERTY MANAGEMENT LLC REGISTRATION # GOO2O4 EXPTRES 513112024 By: Scott Messer, Director */tr W)^rn Print Date: 5l3Ol2O23 111 N. Front Street, Columbus , OH 43215 | (614) M5-7433 | BzsLicensing@columbus.gov 8.B.1 Packet Pg. 79 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. (IRS USE ONLY) 575G 06-08-20I6 DRGP O 0509906574 SS-4 Keep this part for your records. lir.:!iEr 0 2151 CP 575 G (Rev. 1-2013 Returrr this part with any corresponCei:ceso we may identify your account, Pleasecorrect any errors in your nahe or addaess. Your Telephone Number Best Time to Call() cP 575 G 050990657 4 DATE 0F THIS N0TICE: 06-08-20I6 EMPLOYER IDENTIFICAIION NUMBER: AI-2A2A97 4 FoRlit ! ss-4 N0B0D INTERNAL REVENUE SERVICE PHITADELPHIA PA 19255- O O 23 DRG PAINTING LLC DONALD GREEN SOLE MBR 138 O BRENTHAVEN PL CoLU}4BUS 0H 43228 hrr.lll,rhIl,rtlqthhil[,ilhtrillIhtth,l,l,,,,ltrql 8.B.1 Packet Pg. 80 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. C,Rft,Qount! GroMh Managemenl Community Developmenl Department APPLICAIION FOR COLTIER COUNTY CERTIFICATE OF COMPETENCY STATEMENT OF OWNERSHIP This certifies that l, State of am a member or managing NAN.4E (pl prin0 member of (LIMITED LIABILITY COMP NAIVE (' % of the units issued by the Limited Liability Company listed above \ L€TI own -1!'t_L-/^\ nt (please pnnt) # s E6 D,^1,."1 LL(- Lq R"LLL uompany Siqnature ofApplicant presence or El online notarization on thrs ., tutl,crCounty The forepoine instrument w ?\ a^yo6.?Vttw-.zo'75, before me byG.s\das acknowledged by Such s) Notary Public must check applicable box are personally known to me E has produced a current driver license E has produced (Notary Seal) as idcntification Contractor Licensing - FIRM Application Rev- 7/2022 Page I of 14 ..rK,1ffi JOtx t. r0{G0t XoO.y A.6lk - lt t. ot Fldd. Cdnftl$hr, ttH 3lE$EIy Cdtrr. E&ke. xo, 2, 2025 l6ded throuih tlatio.lal lot.ry Asrn. Operations & Regulalory Management Division, Contraclor Licensing . 2800 North Horseshoe Drive . N6ples, FL 34104 o (239) 252-2431 conlractorslicensinq@colliercountyfl .qov 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. I Notary Signature: 8.B.1 Packet Pg. 81 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. 7e:r Qoutaty Growth Management Community Development Department APPTICATION FOR COLLIER COUNTY CERTIFICATE OF COMPEIENCY VERIFICATION OF CONsTRUCTION EXPERIENCE F'. .-,,., t.l f,l' t:r "-,Applicant's Name Name Certificate Category Requested Z,e*ea I C.'rt"-VZrc 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 veriry his/her experience within this trade. You are being requested to provide informataon that will aid the applicant in meeting this requirement. You should verify time ot active experience wo.king as an apprentice or a skilled worker (e.9., as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade rience. The person verifying trade experience for the above-named applicant must provide the following information: Tifle: C) t- j,r.<o h( (,.f (..,c\_ Business Name: Soonh 4 ,j L^z.tro, *x ll ; ) r,.- {t;4 - License No. (if applicable)foo3r6 ausinessrooress:-3$7 8 /- aTTr'-;zSV-/1,)u J D!,. y'Jozt The applicant was employed by me from Applicant's title City State zip ju/ t-P,e-<*:S'tto lr re icant's scope of work (spec duties) included JThqappl &.e ^)IJ Additional comments e)->aJ{ NOTE TO LICENSED CONTRACTORS: Falsilying any informalion provided herein may subject your license to revocation Under penalty of perjury, I declare that the facts stated here are true. rt1 Countv of C,l,t;er tuf<bes The ?-Lduv ment was acknow ledged before me by ?-1 ,ty Signature of person provid the statement al presence E online n O^U,20 Such person(s) Notary Public must check applicable box: ,Zare personally known to me E has produced a cun€nt driver license o as identification. Notary Si h Page 10 of 14 E has produced (Notary Seal) Conkactor Licensing - FIR[, Application Rev. 7/2022 i;rlL-lAlJ Lo) Co mtrsioo 6156 afid.d JOHN fl. rcr,i(rt Arblk.State ot Floaid. THH32ty Comm E-rpireJ xt 2,2026throlgh Natioilal |,lotaay 155n. Operations & Regulatory Managsment Division, Contractor Licensing contractorslicensino . 2800 North Ho6eshoe Orive . Naples, FL 3104 r (239) 252-2431 @colliercountvfl.oov ,n ^,1// - ?zs- '2.;q 2- Street A ,,.,"orfieol&.- 8.B.1 Packet Pg. 82 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. SA RAHA N N'S LEAR N I N G U N L' M ITE D 3898 UTT|MER ST HILLIARD, OH 43025 To whom it may concern, Donald Green with Green Construction & Property Management has worked with us in the past for a complete remodel of a 10,000 sq ft building. Donald and his company turned an American Legion into a childcare center within a short time frame of 5 months from closing on the building to opening our business. Green Construction tore down and rebuilt the inside, installed windows throughout the brick building and overseen all the perrnits and sub-contractors for electric, plumbing, etc. Throughout the process Donald Green was very professional and maintained very well communication with us. Since then, we have used Green Construction for minor repairs and painting projects throughout the years. Please let us know if you need anything else. Ann McCullough hl Owner L C1 JOiX X. IDTaGO( xoury tublk . SLl. ot Fldld. Co,nlnh*oo , tfi llt!tl ry Cdnn. E$i 6 xov 2, ,016 th.ou$ xatloill llotary Ar$, plrnlzg 8.B.1 Packet Pg. 83 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. -/^cfft",Covtyrt3/ Growth Management Community Development Department Applicant's Name Certifi cate Category Requested The applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the applacation for this certificate, the applicant must veritr/ his/her experience within this trade. You are being requested to provide information that will aid the applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker (e.9., as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience for the above-named applicant must provide the following information Name Title Business Name Phone:License No. (if applicable) Business Address o()c P Street The applicant was employed by me from cty Stale zip i to Applicant's title The applicant's scope of work (specific duties) included Ct*-**- D^"\\ff l Additional comments: NOTE TO LICENSED u-*L c RACTORS: Falsifying any inlormation provided herein may subject your license to revocation l.lnder penalty of perjury, I declare that the facts stated here are true &//,,r person providing t statement County of The foreeoi 64a"r-"r ,/ ng instrument was acknowledgcd before me by means ofEzphysical presence or E online notarization on thisAo.r, .zoj,\,uv IlO h n -lOaQ a l Such person(s) Notary Public must check applicable box: E are personally known to me El'fias produced a current drivcr license l^r,"a/ Urttt*as identification Contractor Licensing - FIRM Application Rev. 7/2022 (E'fias ploduced (Notar] Scal) Page11of14 *Aq i{t$r+ ",Ea.Y HAnIXRISHXA PATEL Not!ry Publi. . Stat of Florida CommBrior , HH 319616 fy Comm. tupk..occ E, 2026 Operations & R€gulatory Managemenl Division, Contractor Licensing . 2800 Nodh Horseshoe Drive . Naples, FL 34104 . (239) 252-2431 contractorslicensinotacolliercountvfl -oov APPTICATION FOR COLTIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE 2ffi3 a*xA state ot FL Notary Signature: 8.B.1 Packet Pg. 84 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. NICHOLAS I\,IARIE PROPERTIES LLC. 21OO NW 28rH AVE, CAPE CORAL, FL 33993 10120t23 TO WHOM IT MAY CONCERN, We have worked with Donald Green over the last several years on a variety of different project and project scopes. Some of the scopes of work include. Concrete, masonry painting, drywall, drainage, and various other general scopes of work at difierent capacities. Every project I have worked with Mr. Green has been a pleasure and the projecl expectations and execution have been performed to standard and exceeded mosl needs. We highly recommend Mr. Greens services and will definitely work with him in the future. PAIGE AND JOHN TONGOL, OWNER, NICHOLAS MARIE PROPERTIES LLC, 614-329-5442 239-747-3320 I 6 I 2,0L9 ,.rAr.e,il\Sslj .:.or l.Y HARIKRISHXA PATEI" Not.ry Publl. - St te of Florld. comnhsior # HH 339685 fly Colnm. Expires Dec E, 2026 -'- I0 II lo l^L3 lt 8.B.1 Packet Pg. 85 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. c,tff",Qounty Growth Management Community Development Oepartment APPLICATION FOR COLTIER COUNTY CERTIFICATE OF COMPETENCY Applicant's Name Certificate Category Requested The applicant is seeking a Collier County Certilicate of Competency in the trade indicated abov6. As part of the application for this certificate, the applicant must veriry his/her experience within this trade. You are being requested to provide information that will aid the applicant in meeting this requiroment. You should verify time of active experionce working as an apprentice or a skilled worker (e.9., as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience for the above-named applicant must provide the following information a Name Business Name Title: ,no .,2<.1 - 44k - t,€r,\o- BusinessAddress: t4*J SuV (Hh 4r!t License No. (if applicable): C.rrt(o,r.I f( f :'lol Streel The applicant was employed by me from State to (DY<\-Ct"rl -Iary - zip \ Applicant's title The applicant's scope of work (specilic duties) included G} Additional comments: NOTE TO LICENSED COI{TRACTORS: Falsifying any information provided herein may subject your license to Under penalty of petury, I declare that the facls stated here are true, tion State of County o ,Gther Signature of providing the nt E online aio'-ohe+ trlclwu oI lo ngP!za -Y,t tron on ,6)The foregoing instrument was ackno l.lauyo@SPf .zoZ3 Such person(s) Notary Public must check applicable box: ,,|! are personally known to me E has produced a current driver license E has produced (Not.r) Seal) as idcntilication. Notary Signature Contractor Licensing - FIR[,] Application Rev. 7/2022 Page 11 of 14 rJdii;;;:.. JoHx x. mrot. IIZfiRA'r xotrrv nolk . 9rt. .t Flrlo i-t#f, ' -,i*fl ii$,:Ji,,r::il l.nd.d througi *.tisi.l tat.ry A$n Operations & R6gulatory Manag€ment Division, ContEctor Licensing . 2800 Nonh Horseshoe Drive . Naples, FL 34104 . 12391252-2431contractorslicenslno@colliercounhd.oov VERlFICATION OF CONSTRUCTION EXPERIENCE l.U-7./ CF 8.B.1 Packet Pg. 86 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. Angies Cleaning and Construction Services LLC 3702 ,16TH ST SW LEHIGH ACRES, FL 33976 239-445-6593 9t29t2023 My name is Andrea LaPorta I am the owner of Angies Cleaning and Construction Services and have been doing business with Donald Green for the last two years in Florida. We p drywall and framing on serval projects and he has always asked in a great professional manner. a JoHN rl. T0r00l ilolrry Prblk ' sul. of Florldr Colnmhiioo I HH llllSl r$y Comm. ExPn.t $v l, 2024 8o.dod through Natioo.lNotary l!9n. loltolz,zg Ahdrea LaPorta 8.B.1 Packet Pg. 87 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. .iP",.'-ttw Growth Management CommL/nity Development Oepartment APPLICATION FOR COLTIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER srArE oF Flo"', d"' COUNTY OF Pineltc,.l hB having been flrst duly sworn, state and affirm lam a resident of P, nOtlaJ County,I lor;J".(State) and have resided here for more than five (5) years During the last five (5) years I have known (applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and good character ** a* Signature YAr,n Jolaoh ,3ar." Prinled Name eoor.ss, 39Jl 1"tr" lF M Street Lvr 1"1t ctY Zp Telephone bl1-Sbo -l)-'Ja rt/r/ au The foresoins lnstrument was acknowled 2--La"y7*{M\ry|.zoLg .ay before me by of ysical presence or online ti Such person(s) Notary Public must check applicable box pe$onally known to me D has produced a current driver license tr has produced (Notary Seal) as identification Notary Signature Contraclor Licensing - FIRM Application Rev. 7/2022 Page 13 of 14 Operations & Regulatory Management Division, Contractor Licensing . 2800 North Hoceshoe Drive . Naples, FL 34104 . 1239) 252-2431 JOHN T0itcor Publl.Xotrry Stit!ol Flo.ld. Corr,rlrrJon lHA 35t28 Cornn E4jret 7,20268o0dedthroughNatidtaAitn.flot.ry colliercount\4l.oov State ,,.,"or[i12f,{,t .",,o", G[[)e-l- 8.B.1 Packet Pg. 88 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. C,Rfr,c.or,tnty Growth Management Commun,ty Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF COUNTY OF , having been first duly sworn, state and affirm: I am a resident of L County,(State)and have resided here for more than five (5) years During the last five (5) years lhave known (applicant). I have had the opportunity to observe his o good character. r her business and personal dealings and find him or her to be a of honesty, integrity and Signature ( ?u )ah*6 Printed Name )37) Co\ a/ $v,\'*u State 1p tt f sl zu's State of County of acknow Such person(s) Notary Public must check applicable box ledged before me by means of hy sical prc scncc or E online notarization on this .by >hn The forepoins instrument was LLa^r1&t&tw.zo 1L il*/ on* personally known to me E has produced a current driver license produced as identihcation. (Notary Seal) Notary Signature Contractor Licensing - FIRM Application Rev. 7/2022 Page 14 ot 14 ,'oR,*Srlj 'r.ff.*.:' tlJOHX T0r1c0t Publ k StateNotary ol Flo.d. Cdrimhtioo I HH 2E158 Cdn,r Erpiret 2026 lo.rdad N.tiofiathro{ih A$n.Nc{ary Operations & Regulatory Management Division, Contractor Liconsing . 2800 North Horseshoe Drive . Naples, FL 34104 . (239) 252-2431 contractorslicensino@aqlliercountyrl.qov ooo,*", 3?31 b? I 2 t'l flw r,t pt,on", 7Tl'(fr1-tl^1f @ 8.B.1 Packet Pg. 89 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. COVERAGES CERTIFICATE OF LIABILITY INSURANCE CERTIFICATE NUMBER:REVISION NUMBER: 11t02,2023 THIS CERTIFICATE IS ISSUEO 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 OOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: lI the certificatG holder is an ADDITIONAL INSURED, the policy(ies) musl have AODITIONAL INSURED provisions or be endorsed- lf SUBROGATION lS WAIVED, subject to the terms and condilions ot the policy, certain policies may requirc an endorcoment. A slatement orl this certificate does not confer rights to the certlficat€ hold€r in lieu of such endorsement(s). Ca Coral FL 33904-7987 N J Miller lnsurance Group 2664 A rpon Road South TNSURER C . EVANSTON INSURANCE COMPANY \941-l .240-2148 INSUR ER(S) AFFORDING COVERAGE BENCHMARK INS CO a rgr.com CLEAR ELUE INSURANCE COMPANY MERCURY IND CO OF AMER 28860 11201 INSURERA INSURER E N,4 (23e) q!379 41394 Oavis -eq9q4q. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED AELOW IIAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIAED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCEO BY PAID CLAII,lS, 1,,,*,,0,, PRoDUcrs - coMP/oP aGG $ 2,000,000 I JECTX 120412023 PERSoNAL!.aDv TNJURY s 1,000,000 X COMMERCIAL GENERAI LIABILIIY $ 300,000 MED EXP GENL AGGREGATE LIMIT APPLIES PER LOC $ 1,000,000 $ 10,000 l ] o,,.^ GENERALAGGREGATE $2,000,000 CLATM'MADE f,l o""r" HIRED xllxlrl $ 1,000,000 8A090000016857 X 07 t27 t2024 AOOILY INJURY (Per psr$n)s BOOILY INJLJRY (Pd accident)! $ $ AUTOI{OBILE LIABILITY COMBINEDSINGLE LIMIT SCHEOULEDB H $ 1,000,000 EzXS3098717 1210412022 s 1,000.000 oE0 RETENTIONS C 1?]0412023 PR/COMP OPS AGG s 1.000.000 EXCESS LIAB 1,000,000 ^NY PROPRIETOR/PARTNER,EXECUTIVE OFFICER-?MEMAER E.XCLUOEO?47127120240712712023 E.L. OISEASE, POLICY LIM T D s 1,000,000 E,L, EACH ACCIOENT OTH.WORKERS COMPENSATION ANO EI{PLOYERS' LIABILIIY E r DrsEAsE - EA EMpLoyEE $ 1.000,000 ER S oEscR|PT|ON oF oPERATToNS / LocATtot{s / VEHICLES (AcoRD 101, Addnion.l Rehrrt3 Sch.dule, m.y b..tt!.h.d r mor. sp.c.ls rcquiEd) CERTIFICATE HOLDER CANCELLATION Collier County contractors Licensing Board 2800 North Horseshoe Drive Naples FL 34104 SHOULO ANY OF THE AAOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WLL BE DELIVEREO IN ACCORDANCE WTH THE POLICY PROVISIONS. AUTI,]ORIZEO REPRESENIATIVE ACORO 25 (2016/03) FL 3r'112 DRG Painting, LLC. 3823 SE '13th Ave ACoRi} O 1988.2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo a.e registered marks of AcoRD 8GF10022335402 o7 t27 t2023 l ]occtrR I fvl]*,o, i TwFloooo2TSsolUl 8.B.1 Packet Pg. 90 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. o-Florida a rFTilI GI 228-C I 3:C .E/IllI 8.B.1 Packet Pg. 91 Attachment: 8B. DONALD R. GREEN – REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - DRG PAINTING, LLC (27509 : 8B. DONALD R. 12/20/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 8.C Doc ID: 27510 Item Summary: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL CONTRACTOR - HIGH END SOLUTION Meeting Date: 12/20/2023 Prepared by: Title: – Contractor Licensing Name: Alyshia Morse 12/13/2023 3:49 PM Submitted by: Title: – Contractor Licensing Name: Tim Crotts 12/13/2023 3:49 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 12/13/2023 5:29 PM Contractor Licensing Tim Crotts Review Item Completed 12/14/2023 7:39 AM Contractor Licensing Tim Crotts Meeting Pending 12/20/2023 9:00 AM 8.C Packet Pg. 92 8.C.1Packet Pg. 93Attachment: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL CONTRACTOR - HIGH END SOLUTIONS 8.C.1 Packet Pg. 94 Attachment: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL CONTRACTOR - HIGH END SOLUTIONS 8.C.1Packet Pg. 95Attachment: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL CONTRACTOR - HIGH END SOLUTIONS 8.C.1Packet Pg. 96Attachment: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL CONTRACTOR - HIGH END SOLUTIONS 8.C.1Packet Pg. 97Attachment: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL CONTRACTOR - HIGH END SOLUTIONS 8.C.1Packet Pg. 98Attachment: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL CONTRACTOR - HIGH END SOLUTIONS 8.C.1Packet Pg. 99Attachment: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL CONTRACTOR - HIGH END SOLUTIONS 8.C.1Packet Pg. 100Attachment: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL CONTRACTOR - HIGH END SOLUTIONS 8.C.1Packet Pg. 101Attachment: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL CONTRACTOR - HIGH END SOLUTIONS 8.C.1Packet Pg. 102Attachment: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL CONTRACTOR - HIGH END SOLUTIONS 8.C.1Packet Pg. 103Attachment: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL CONTRACTOR - HIGH END SOLUTIONS 8.C.1Packet Pg. 104Attachment: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL CONTRACTOR - HIGH END SOLUTIONS 8.C.1Packet Pg. 105Attachment: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL CONTRACTOR - HIGH END SOLUTIONS 8.C.1Packet Pg. 106Attachment: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL CONTRACTOR - HIGH END SOLUTIONS 8.C.1Packet Pg. 107Attachment: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL CONTRACTOR - HIGH END SOLUTIONS 8.C.1Packet Pg. 108Attachment: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL CONTRACTOR - HIGH END SOLUTIONS 8.C.1Packet Pg. 109Attachment: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL CONTRACTOR - HIGH END SOLUTIONS 8.C.1Packet Pg. 110Attachment: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL CONTRACTOR - HIGH END SOLUTIONS 8.C.1Packet Pg. 111Attachment: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL CONTRACTOR - HIGH END SOLUTIONS 8.C.1Packet Pg. 112Attachment: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL CONTRACTOR - HIGH END SOLUTIONS 8.C.1Packet Pg. 113Attachment: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL CONTRACTOR - HIGH END SOLUTIONS 8.C.1Packet Pg. 114Attachment: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL CONTRACTOR - HIGH END SOLUTIONS 8.C.1Packet Pg. 115Attachment: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL CONTRACTOR - HIGH END SOLUTIONS 8.C.1Packet Pg. 116Attachment: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL CONTRACTOR - HIGH END SOLUTIONS 8.C.1Packet Pg. 117Attachment: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL CONTRACTOR - HIGH END SOLUTIONS 8.C.1Packet Pg. 118Attachment: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL CONTRACTOR - HIGH END SOLUTIONS 8.C.1Packet Pg. 119Attachment: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL CONTRACTOR - HIGH END SOLUTIONS 8.C.1Packet Pg. 120Attachment: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL CONTRACTOR - HIGH END SOLUTIONS 8.C.1Packet Pg. 121Attachment: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL CONTRACTOR - HIGH END SOLUTIONS 8.C.1Packet Pg. 122Attachment: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL CONTRACTOR - HIGH END SOLUTIONS 8.C.1Packet Pg. 123Attachment: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL CONTRACTOR - HIGH END SOLUTIONS 8.C.1Packet Pg. 124Attachment: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL CONTRACTOR - HIGH END SOLUTIONS 8.C.1Packet Pg. 125Attachment: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL CONTRACTOR - HIGH END SOLUTIONS 8.C.1Packet Pg. 126Attachment: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL CONTRACTOR - HIGH END SOLUTIONS 8.C.1Packet Pg. 127Attachment: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL CONTRACTOR - HIGH END SOLUTIONS 8.C.1Packet Pg. 128Attachment: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL CONTRACTOR - HIGH END SOLUTIONS 8.C.1Packet Pg. 129Attachment: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL CONTRACTOR - HIGH END SOLUTIONS 8.C.1Packet Pg. 130Attachment: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL CONTRACTOR - HIGH END SOLUTIONS 8.C.1Packet Pg. 131Attachment: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL CONTRACTOR - HIGH END SOLUTIONS 8.C.1Packet Pg. 132Attachment: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL CONTRACTOR - HIGH END SOLUTIONS 8.C.1Packet Pg. 133Attachment: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL CONTRACTOR - HIGH END SOLUTIONS 8.C.1Packet Pg. 134Attachment: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL CONTRACTOR - HIGH END SOLUTIONS 8.C.1Packet Pg. 135Attachment: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL CONTRACTOR - HIGH END SOLUTIONS 8.C.1Packet Pg. 136Attachment: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL CONTRACTOR - HIGH END SOLUTIONS 8.C.1Packet Pg. 137Attachment: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL CONTRACTOR - HIGH END SOLUTIONS 8.C.1Packet Pg. 138Attachment: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL CONTRACTOR - HIGH END SOLUTIONS 8.C.1 Packet Pg. 139 Attachment: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL 8.C.1Packet Pg. 140Attachment: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL 6f G4-15.006 Financial Responsibility and Financial Stability, Grounds for Denial. (l) 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 6lG4-12.011, F.A.C., which consumer credit report does not disclose any unsatisfied judgments or liens against the applicant. In addition, there must not be any unsatisfied judgments or liens against the business entify which the applicant previously qualified as a primary qualifier or which the applicant has applied to qualifu. (2) The financial stability ground on which the Board shall refuse to qualifo an applicant is failure to provide proof of either a financial stability bond or an irrevocable letter of credit from a bank authorized to do business in the State of Florida. The bond or letter of credit must be in a form acceptable to the Board and must remain in effect until the applicant can demonstrate a credit score, FICO derived, of 660 or higher, and must be payable as provided in Rule 6lG4-15.0021, F.A.C., for Financially Responsible Officers in the amount of: (a) $20,000 for Division I applicants. (b) 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 l4-hour financial responsibility course approved by the Board. (4) An applicant may meet both the financial responsibility and financial stability requirements by providing proof of a current consumer credit report, as defined in Rule 6lc4-12.01l, F.A.C, with a credit score, FICO derived, of 660 or higher, which consumer credit report does not disclose any unsatisfied judgments or liens against the applicant. In addition, there must not be any unsatisfied judgments or liens against the business entity which the applicant previously qualified as a primary qualifier or which the applicant has applied to qualiff. Specific Authority 489.115(5), (6) FS. Law Implemented 489.115(5), (6) FS. History-New 1-6-80, Amended 5-4-80, Formerly 2lE-|5.06, 2lE- 15.006, Amended 10-31-96, I l-13-97, 2-12-08. 8.C.1 Packet Pg. 141 Attachment: 8C. ROBERTO TAMAYO - REVIEW OF EXPERIENCE AND CREDIT - RESIDENTIAL CONTRACTOR - HIGH END SOLUTIONS 12/20/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 8.D Doc ID: 27511 Item Summary: 8D. MITCHELL P. RESNICK – REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - EXPERT INSTALLATIONS US Meeting Date: 12/20/2023 Prepared by: Title: – Contractor Licensing Name: Alyshia Morse 12/13/2023 3:50 PM Submitted by: Title: – Contractor Licensing Name: Tim Crotts 12/13/2023 3:50 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 12/13/2023 5:31 PM Contractor Licensing Tim Crotts Review Item Completed 12/14/2023 7:39 AM Contractor Licensing Tim Crotts Meeting Pending 12/20/2023 9:00 AM 8.D Packet Pg. 142 8.D.1 Packet Pg. 143 Attachment: 8D. MITCHELL P. RESNICK – REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - EXPERT INSTALLATIONS USA, LLC 8.D.1 Packet Pg. 144 Attachment: 8D. MITCHELL P. RESNICK – REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - EXPERT INSTALLATIONS USA, LLC Qowrtty Growth Manageoeft Community Developmenl Departmenl APPLICATION FOR COI.LIER COUNTY CERTIFICATE OF COMPEIENCY Provide the names and telephone numbers of two persons who will always know your whereabouts r.rame: Dlt Rgsniul,) Telep non , Qc(.1-lt; Ll1*L II. NAME OF APPLICANT'S BUSINESS: Name: Telep Business Name e (2*i s(ktl kto^)5 SA- r-Lc- Business Address Irb98 7*s ZrL- Lf l{J €c- 3 ei tzo Sveet ctv 5t.te Zp Telephone qo Y 11a qwq Email:lAtr L.\, l;ft &nra*\.10a. Federal lD Tax No.q^- og3b813 III. FINANCIALRESPONSIBILITY YES NO ALL APPLICANTS MUST ANSWER THE QUESTIONS BELOW: Filed for or been discharged in bankruptcy within the past 5 years? Had a lien filed against you by the lnternal Revenue Service or Florida Corporate Tax Division? Undertaken construct on contracts or work that resulted in liens, suits, or judgments being filed? d Undertaken construction contracts or work that a third party, such as a bonding or surety company, completed or made financial statemenls 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 conlendere 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, counly, or municipality? Operations & Regulatory Management Division, Contractor Licensing . 2800 North Horceshoe Drive . Naples, FL 34104 o \239) 252-2431 contractorslicensin gfdcolltergQUdgl=!e! NOTE. lf you have answer YES 1o any of the questions below, you must attach a written explanation including the nature of the charges, dates, and ouicomes, sentences of conditions imposed. You must also attach proof of payment, satisfaction of lien or.iudgement, bankruptcy discharge, or agreements for payment.*lf you have had a felony conviction, proof that your civil rights have been restored will be required prior to licensure. Contractor Licensing - FIRM Application Rev. 7/2022 _ page 4 of 14 8.D.1 Packet Pg. 145 Attachment: 8D. MITCHELL P. RESNICK – REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - EXPERT INSTALLATIONS USA, LLC {J.outrly G.ou.ih [4ai]agement Community Oevelopment Depa{ment IV. EXPERIENCEVERIFICATION EDI,JCATION: List below and provide transcripts for any formal education you have obtained in the area of competency for which this application is being made: tq%s'i7fl1 flen'q blt<o-- ) e4r.-,,F**^ n" t Ha..,aqefl..rTJ.J d List below non formal education (on the job training) you have obtained in the area of competency for which this application is being made: ne &l.,c MC lu vcNcnt t (d * l-o,i.it aa'.5Hw t rY AArA iAp ,N5 c17Z-L CU RRETIT/PREVIOUS LICE List below and attach copies any other certificates of competency/licenses you hold/have held in Collier County or any other jurisdiction. lnclude the license #, Type, and county you hold it in. r 0vur 5.ett,c- Lu)k_ etJ lts,dzar lTanJi r fri L,cense Pr3t'i"loto 1Zo0 GtUL llgTsit> ic-T r.+ lyj,*t i[r,t s:i*.t ?ubi;c ftd1xre ' L1lnic F i2 8l t73*J AFFIDAVIT under the penalties of perjury, I declare that I have read lhe foregoing application and the facts stated in it are true. ttkW ll -?.rn,J Applicant (please Signature of Applicant state of /l&l ieAs eq Count-r-or llAttqoufuT The-fpregoing ilstrument was $:oa1' ot OL)zBE2 ,zo ,t& ackuorvledged before me by means of 6p1:ysical presence or E online notarization otr d]is /)lnizL Such person(s) Notary Public must check applicable box: E arc personally known to me Ihas producerJ a culrent driver licens€ Z1 ,oy E has produced (Notary Seal) as identification. NotarJ Signature Operations & Regulatory lManagement Division, ContEctor Licensing . 2800 North Horseshoe Drave . Naples, FL 34104 o \239) 252-2431 contraciorslice ns fo adcol lieacoL0]t!41. riov APPLICATION FOR COtt|ER COUNTY CERTIFICATE OF COMPETENCY Contractor Licensing - FIRN, Application Rev. 7/2022 Page 5 of 14 8.D.1 Packet Pg. 146 Attachment: 8D. MITCHELL P. RESNICK – REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - EXPERT INSTALLATIONS USA, LLC Cor**y Growth l\rlanagerrent Community Deveiopment Deparlment APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPEIENCY CERTIF!CATION OF APPt!CATION The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County No. 2006-46, as amended, and under penalties of perjury. I declare that I have read the foregoing qualifier information and that the facts stated in it are true. The undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to be licensed in all matters connected with its contracting business and that he has full authority to supervise conslruclion 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 mafters, he/she will be held strictly accountable for any and all activitles involving his license. Any willful falsification of any information contained herein is grounds for disqualification. t'lt[-cr'rz\ Q"-l^iJc Applicant (please print s t*(r a,^.Jr Ut( rl- uc c - Na of Company atu re of Applicant stateof [,)!d aeDset County 'r /'/AlTNAUIH The fgregoing instrulncnt was acknowled .26iuy ot CclvBQ .20 23 .t,y ged before me by mea4s of! physical presence or D online notarization on this-!Nirl,,// ZZi nJ//2 Such person(s) Noory Public must check applicable box: D are personally known to me phas produced a cunent driver license E has produced (Notary Seal) Contractor Licensing - FIRM Application Rev. 7/2022 Page 6 of 14 Notary Signahrre E,€ ru Evq Operations & Regulatory Managemenl Division, Conlractor Licensing . 28OO North Horseshoe Drive . Naples, FL 34104 . l23g) 252-243j conttaciorsiiccns,nofdcoll,ercoL,nrvil .or t: as identification. 8.D.1 Packet Pg. 147 Attachment: 8D. MITCHELL P. RESNICK – REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - EXPERT INSTALLATIONS USA, LLC CJft,Qowmy APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY WORKMEN'S COMPENSATION AFFIDAVIT It is understood and acknowledged by the Collier County Contractors' Licensing Board and myself that if I fail to acquire, or maintain at alltimes effective Workmen's Compensation lnsurance itwill result in the possible revocation of my Certificate of Competency. Applicant (please prinl h,r,tt /,/il.)- ttc. of Company Signat UTE of Applicant BEFORE lil E lhis day personally appeared 14rhfull Zrt n, cL who afflrms 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 musl obtain said Workmen's Compensation lnsurance. Stz]te of pe Lt SeDteq County or llo[ uoa Trl A\cl< T Thelgregoiug instrumeo{ was acknowled /g4aay or O(DBGZ. .20 zb .6, . _-rt .ged before me by meals of Elphysical presence or E onliue notarization on this Nr lcbc// 2?ctrrh Such person(s) Notary Public must check applicable box: ! are personally klown to me B has produced a current driver liceuse ! has produced (Notary Seal) as identification Notaly Sigualure Growsl Manag€ment Community Development Department Conkactor Licensing - FIRM Application Rev. 7/2022 pageT of 14 Operalions & Regulatory Management Division, Contractor Licensing . 2800 North Horseshoe Drive . Naples, FL 34104 . \23g) 252_2a31 acnlraclorslconsirof.r.olhoft ountutl .ov 8.D.1 Packet Pg. 148 Attachment: 8D. MITCHELL P. RESNICK – REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - EXPERT INSTALLATIONS USA, LLC GITS, LLC Examination Operations Division ftoviding the seNices and products 1o assist Government Ag6ncies to make informed educated decisions. official Examination Score Report October 19, 2023 Official Score Report: Candidate Information: Name - Mitchell P. Resnick Candidate #: 55661700R Online Testine Site: Oc ala, FL Final Score Result Residential Contractor Score: 867o 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 18,2023. Ifyou have any further questions, please do not hesitate to contact us Sincerely, 3Y Jay E. Bowermeister President POBox831'127 Ocata, Ftorada 34483-1127-Vojce (352) 36g-GtTS _Fax(352) 3Bt-2443 800 997 2129 8.D.1 Packet Pg. 149 Attachment: 8D. MITCHELL P. RESNICK – REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - EXPERT INSTALLATIONS USA, LLC PROMETRTC:i-, EXAMINATION RESULTS NOTIFICATION October 9, 2014 Mitchell P Resnick 15262 Summit Place Circle Naples, FL 34'119 xxx-xx-8596 Dear Candidate: We are pleased to inform you that you achieved a passing score on your recent Collier County examination- Your score(s) are as follo\.'rs: 10l04l'i2011 Bonita Springs, FL Businoss and Law 84 Pass Collier County requires a passing percentage of 75%. Please note that passage of the exam is no guarantee a certificate of quatification will be issued by the Licensing Board. Certificate of Achievement Request Mitchell P Resnick 15262 Summit Place Circle Naples, FL 34119 xxx-xx-8s96 Quantj9 Collier County - Business and Law - 1010412014 x $30.00 = For credit card payment, complete the following Card Type: Visa Mastercard Card No.Exp. Date Signature F1 !9 - tubonsp - C PROMETRIC .7941 CorDorale TollFree: 800.280.3926 . Fai( OO0.B1 Dr'Nottingham, MD2j236 3_6670' w,./vr.prometric.com To help you gain the recognition you deserve, Prometric has prepared a Certificate ot Achievement, beautifully designed and very suitable for framing (8-1/2 x 11) for only $30.00 per category. Please till out the order form below, cut along the dotted line, then send the completed form to Prometric . Payment options: check, money order, Visa or Mastercard. Credit card orders may be taxed to (800)813-6670. All others send to Prometric , 794'l Corporate Dr, Nottingham MD 21236. Allow 2-3 lr€eks for delivery. 8.D.1 Packet Pg. 150 Attachment: 8D. MITCHELL P. RESNICK – REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - EXPERT INSTALLATIONS USA, LLC :a'x penon_ Pr.p.r.d Fo. MITCHELL RESNICK P€rsonal & confidenli!l Data g.n.r.red: Ocr 26, 2023a At a glance Flcoo score I 850 Ftco Experian data Oct 26, 2023 450300 0 3 0 credit card and credit line d.bl setfreporred a@oun balanc€- s260 s633,61,1 4yo $o s0 I cred,rused. 5250 8.D.1 Packet Pg. 151 Attachment: 8D. MITCHELL P. RESNICK – REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - EXPERT INSTALLATIONS USA, LLC a. ext a perion-Prepared For [,IITCHELL RESNICK Date qenerated. act 26,2023 I Personal informaiion MANA-APAN, NJ 07726-?S29 ]5262 SUMMITPLACE CIR €XP'RT INSTALLANOIS TtC No sraremen(3) pr.s. ar$lsllme 8.D.1 Packet Pg. 152 Attachment: 8D. MITCHELL P. RESNICK – REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - EXPERT INSTALLATIONS USA, LLC t&perion.Prepared For lrlTcHELL RESNIcK Dare generatedt Oc\26,2023 Open accounts IICROSSCOUNT'Y MTG/OOVEN Exceptional p.yrmnl history Q eccount into 5 Paymenr history s162,149 Balance updaied oci os, 2023 )zn2A,2021 Sr62,1rr9 oct05,2023 s130,000 ,01 s1,785 seF 13, 2023 CROSSCOI]MIRY MTG/DOVEN 310147XXXXXXI 2423 2t22 2421 Feb Md Afl May Jun Jul AUO S.p Ocl g contact into Q co'n."nt" T CORPORATE DR STE 360 LAKE ZURICH, tL60047 8.D.1 Packet Pg. 153 Attachment: 8D. MITCHELL P. RESNICK – REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - EXPERT INSTALLATIONS USA, LLC t]experion" Erceptional p.ymenr history $ eccount into 5 Payment history Prepared For [TITCHELL RESNICK Date generat€dt Oc\26,2023 $4,366 Balance updared o.r 22, 2023 oct 2023 s4,386 s21,431 s330 Sep 20, 2023 2021 2024 g contact info P comment" PO BOX 90r003 FORT lrJOeTH TX 76101 8.D.1 Packet Pg. 154 Attachment: 8D. MITCHELL P. RESNICK – REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - EXPERT INSTALLATIONS USA, LLC t&o"tion. €!ceplional paymenl hisrory PX nccount inro 5 Payment history Prepared For MITCHELL RESNICK Date q€nerat€d:oc\26,2023 sr,aa3 Balance updated s€F 23, 2023 ocr 14,20r9 s1,333 s12,090 s191 Sep27,2023 2423 g contact info P comm"nr" PO BOX9O1OO3 FORT WORTH, TX 76101 8.D.1 Packet Pg. 155 Attachment: 8D. MITCHELL P. RESNICK – REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - EXPERT INSTALLATIONS USA, LLC t&perion- aN^rrotrsr RflRcmPR Erceplional paymenl hislory Q account inro 5 Payment history Prepared For [4ITCHELL RESNICK Dare generatedt Oc\ 26,2023 sr95,117 g.lan@ updaied Aug31,2023 Jul27,2OO1 Aus 2023 s195,117 4uq31,2023 s272,000 204 sr,745 Aug 10, 2023 NATIONSTAR/MR COOPER 597362XXX 8950 CYPRESS WATERS BTVD COPPEII- TX 7s019 g contact info E comments Loan monilied under a ledeEl qovenm.nl plan 2013 8.D.1 Packet Pg. 156 Attachment: 8D. MITCHELL P. RESNICK – REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - EXPERT INSTALLATIONS USA, LLC a. ext a penon" CPENNYMAC LOAN SENVICES Exceplionalparme hisrory Q mcountinfo 5 Payment history Prepared For MITCHELL RESNICK Date generatedt AcI26,2a23 a S32o,o7rt Balance updated ocl 0s, 2023 PEIINYMAC LOAN SERVICES ssEo0rxxxxxxxxxx 0ct2023 $320,074 oct05,2023 3325,ooo 2% sa644 s€p r3,2023 2023 2022 g contact info Q co*."nt" 6101 CONDOF DR STE 2OO MOORPARK cA93021 8.D.1 Packet Pg. 157 Attachment: 8D. MITCHELL P. RESNICK – REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - EXPERT INSTALLATIONS USA, LLC t&O"tion- Excepti.tral payment h slo.y Pj rccount inro 5 Payment history Prepared For MITCHELL RESNICK Date seneraledt Ac\26,2023 s0 Balance updaied oct 03, 2023 Nov29,2Ol9 oct 2023 so ocr 03, 2023 s3,000 0t s0 sep20,2022 s2,s83 2423 2021 g contact info p corr"nt" PO BOX 530975 oRLANDo, F132896 8.D.1 Packet Pg. 158 Attachment: 8D. MITCHELL P. RESNICK – REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - EXPERT INSTALLATIONS USA, LLC ?lexOerion. Eic.plional paym€.l h sloq Prepared For ITITCHELL RESNICK Dat€ g€nerated: Oct26,2023 s260 Balance upd.ied ocr 20,2023 oct 25,2020 oct 2023 $260 o.l20,2023 s3,800 $30 s.p 11, 2023 s3,8s3 Q rccount inro 5 Payment history lan F.b Apr May Jun 2013 2022 2420 g contact info P co.'n"nr" PO BOX 965005 oRIANDO, F132896 8.D.1 Packet Pg. 159 Attachment: 8D. MITCHELL P. RESNICK – REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - EXPERT INSTALLATIONS USA, LLC {erperion.Prepared For MITCHELL RESNIcK Date q€n€rated) aci26,2023 sr2,70l Closed accounts Erceplional p.yme.r hlslory S Account into 5 Paymenl history 2013 623927XXXXXX Auro Lo.n Nd20,2018 ClGed Pald, clG.d^.vq 1.r.. M.y20t9 May r3,20r9 g contact info P cor."nt" 200 REitAlssaNc€ cTR, B0 oErRor, Ml,$2213 8.D.1 Packet Pg. 160 Attachment: 8D. MITCHELL P. RESNICK – REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - EXPERT INSTALLATIONS USA, LLC ?.&perion. Erceptiona, paymenr hisiory Prepared For MITCHELL RESNICK Date generatediAc\26,2A23 S eccount info 5 Paymenl history 73300gXXXXXXX Morlgage Feb26,2009 Closed Paid, Closed/Never lale- Jan2021 Jan 29,2021 2021 2020 2013 g contact info p c..'n"nt" I FOUMTAIN PTZ BUEFALO, Y14203 8.D.1 Packet Pg. 161 Attachment: 8D. MITCHELL P. RESNICK – REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - EXPERT INSTALLATIONS USA, LLC ?.&Rerion" Ex@ptio.al paymenl hislory P3 rccount inro 5 Paym€nt history 4221l7XXXXXX Prepared For MITcHELL RESNICK Date seneratedt ad26,2A23 s300 charge c.rd Aug 23,1999 clced P.id, Clos.d/ ever l.le. Feb20ta Jan 24,2013 s2,703 2411 2416 20r5 g contact info Q co,n,nent" Ac@uir clced al .r.dit lEnrols r.qu.sr P0 BOX 8218 MASON, o8450!0 8.D.1 Packet Pg. 162 Attachment: 8D. MITCHELL P. RESNICK – REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - EXPERT INSTALLATIONS USA, LLC ?at penon" I Collection accounts No @lleiio^ accounrs reD.ned. Prepared For N,IITCHELL RESNICK Date generat€dt OcI26,2A23 8.D.1 Packet Pg. 163 Attachment: 8D. MITCHELL P. RESNICK – REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - EXPERT INSTALLATIONS USA, LLC a a Public records N. p!blic..cords,€poded a. ex penqn_Prepared For [4ITCHELL RESNICK Dale qeneratedi Oc\ 26,2023 8.D.1 Packet Pg. 164 Attachment: 8D. MITCHELL P. RESNICK – REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - EXPERT INSTALLATIONS USA, LLC t&Rerion-Prepared For MITCHELL RESNICK Dare generated:oct26,2423 lnquiries Bus'ness Ir?e A o Fiianciig Conpanies (243)263-300,1 Iris inluiry i5 scheduledlo conlinue on.{od unriloe2024 FD/CROSSCOUNIRY MORTGA Suslne$ TyP3: Mqlqaqe Cmpanies This i.quiry is scheduled ro conrinw on ,&ord unlil S.D 202,t FD/CROSSCOUNTRY MORIGA Busjn€s Type Monqaqe Cmpani* ftis inquiry is *h€dubd to dnnnue on r6ord udil ap. 202r aus in ess TYP e: Mongage ComP. nie! 3950 CYPRCSS WATERS BLVD (333)r3c2432 Ttis hquiryis sch.duledlodnllnu.on r*ord unlilDe 2m3 8.D.1 Packet Pg. 165 Attachment: 8D. MITCHELL P. RESNICK – REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - EXPERT INSTALLATIONS USA, LLC t&perion"Prepared For [,IITCHELL RESNICX Dale generated: Ac\ 26,2423 Credit scores Ftco@ score B 850 \h Yourscor.lswellabovelheaveEg.scoreofU.s.consufre.s 8nd cleartd€fronslraies lo lende6that you ,e .n .replional bororer 850 Whatt helping v No ml.sed payments . You haE ho msed p8yfrars oi your cenir a@onls. . Numbs of your accounls *hh a mGed prFal or de@aabry indicala 0 accounis . Abour 93* of FICO High Achl*G haw no mi6s€d paymenls al alt Bul ol lhose qho do, ih€ miss€d paJ"neft happded near, a yeaB tqo, @ aw.Ele . Th. Frco@ s@r 4ahrars ii lheE are any hiss.d paymefts beinq epon€d sbrlno dner and pdynq bills oi iime demomr.are bkr cEdn.rsk. ,, low,@lving dedt usge . You\e lmned rhe Ge of tt( avdihbh reMng credil . R.rio ol ro$ r&tulng b.hnces ro rou c@dn [mfts: 416 . For FICO High ,r€hi€v€rs, lh€ e6o. r.lio ol rhe rcvotuing ac@unr b.hnc$ ro credir Imits i! les lh.n B. rho* wilh hiqher rari6 . Yd have.n esrablrsh.d crcdll hislory . Yd, ou.sr .ccou *as op.n€d 24 Y€.G,2 Mo.r&.go . FICO Biqh di€wrs op.n€d lh€i. oH6l c@nl 25 y€arc aqq on a€80.. . AwEge aqe ol )our .ceunls: 7 Y€are, I I Mo.lhs . Mosl Flco High Acl .vers haEan aveGqe ag€ or.ccou.ns ot9 y.ari or morc rcneirol hBnsk. .' Recenl credil ed !s.q. . You ve shown 6enr u3o ol crcdit cards and/o. bank.l.sued opeftended accounl.. . FroO scores Mtu.l€ rhe n, o, credit @ds, lnstaltnem hans and monqsg€s. P6ple tr4ro d€mnnEre reenl and rcsponsrbk Ne ol cGdh c.rds and/or bank-issued or@ded ac@unG ,.egen.Elt .oNids.d t€ls nsky ro t€ndds FICO -.a 0;t: tl whats hurtlng Y@ h.E .o rcgaiire lactors mpacling you So,e f 8.D.1 Packet Pg. 166 Attachment: 8D. MITCHELL P. RESNICK – REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - EXPERT INSTALLATIONS USA, LLC a. ext a perion-Prepared For ,ITCHELL RESNICK Date g€neratedt AcI26,2023 a Disclaimer Abtut your FICO6 S.or. 8 or oih.r FICO. Scdes pre.ss olhd lactors, such as your aniualsahry and knqlhoJempbym.it 6.y aho be @nsld.r.d by lend.G whed FU apply lor a b3n Wh.tthb means lo you: sp&lllc FICO. Scoes povided by us, d difl€red sco.inq rodek 10 deldmin. how you s@e 8.D.1 Packet Pg. 167 Attachment: 8D. MITCHELL P. RESNICK – REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - EXPERT INSTALLATIONS USA, LLC DrvrsroN oF CoRFoRArroNs M.*n !)t,rt:ilu;tiJ Ct {s;jt.!{I jt_}\il'll _ {i Dgpen!e{ds!q!9 / Division of Corpjlaliels / Search Records / Search bv Entitv Name / Detail by Entity Name Florida Limited Liability Company EXPERT INSTALLATIONS USA LLC Filing lnformation Document Numbet L22000455587 FEI/EIN Number 92-0836873 Oate Filed 1012412022 Effective Date 1011912022 state FL Status ACTIVE Principa!-lkklIess 11658 JASPER CT. NAPLES, FL 34120 Mailing Address 1,1658 JASPER CT. NAPLES, FL 34120 Registered Agent Name & Address RESNICK, IVITCHELL 11658 JASPER CT. NAPLES, FL34'I2O Authorized Person(9) Detail Name & Address 'Trtle MGR RESNICK, I\,IITCHELL 11658 JASPER CT. NAPLES, FL 34120 Annual Rep_ois Report Year 2023 Filed Date 02116t2023 Document lmagCs O2l16/2023,,ANNUAL REPORT 10/2412022 - Fiorida L mired Liabitrty Vlew image in PDF formal View irnage in PDF forrnat 8.D.1 Packet Pg. 168 Attachment: 8D. MITCHELL P. RESNICK – REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - EXPERT INSTALLATIONS USA, LLC (27511 Electronic Ar[lcles of OrganizationFor Florida Limited Liability Company Article I The name of the Limited Liability Company is EXPERT INSTAILATIONS USA LLC Article II The street address of the principal offrce of the Limrted Liabilify" Company is: 11658 JASPER CT. NAPLES, FL. 34120 The mailing address of the Lim-rted Liability Companf is 11658 JASPER CT. NAPLES, FL. 34120 Article III The name and Florida street address of the registered agent is: I\,{ITCHELL RESNICK i 1658 JASPER CT. NAPLES, FL, 34120 L22000455587 FILED 8:OO AM October 24.2022 Sec. Of State oisimmons Having been named as registered agent and to accept service ofprocess lor the above stated limited liability company at the place designated in this certificate, I hereby accept the apDointment as registered agent ind agiee io act in'this capacity. I furdrcr agree to comply riith thd provisi6ns ol'all statutel relaling to the^ proper and complete performance of my duhes. and I am lainiliar wilh and accept lhe obligafions of my posihon as regislered agenl. Registered Agent Signature: N,IITCHELI- RESNICK 8.D.1 Packet Pg. 169 Attachment: 8D. MITCHELL P. RESNICK – REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - EXPERT INSTALLATIONS USA, LLC (27511 Article IV The name and address of person(s) authorized to manage LLC: 'Iitle: MGR }vIITCHELL RESNICK 11658 JASPER CT. NAPLES, FL, 34120 Article V The etTective date for this Limited Liabilrty Company shal1 be: 10n9t2022 Signature of member or an authorized representative Electronic Signature: MITCHELL RESNICK I am the memher or authorized renresentative submittins these Articles of Orsanization and affirm that the facts stated herein are Fue. I arn iware that false infomiation submified in a docurnent to the Deparhlent of Slale constitules a third degree felonv as provided for jn s.817.155, F.S. I undersland the requirement to file an annual report behveen"January lit anh N4ay I sl in dre calendar year followine f,ormalion olthe LLC and every year thereafter to maintain "active" status. L22000455587 FILED 8:00 AM October 24.2022Sec. Of State oisimmons 8.D.1 Packet Pg. 170 Attachment: 8D. MITCHELL P. RESNICK – REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - EXPERT INSTALLATIONS USA, LLC 2023 FLORIDA LIMITED LIABI COMPANYANNIJAL REPORT DOC U [/ ENT# L22000455587 Entity Name: EXPERT INSTALLATIONS USA LLC Current Principal Place of Business: 11658 JASPER CI. NAPLES, FL 34120 Current Mailing Address: 1 1658 JASPER CT. NAPLES, FL 34120 FEI Number: 92-0836873 Name and Address of Current Registered Agent: FILED Feb 16, 2023 Secretary of State 8878929625CC Certificate of Status Desired: No RESNICK, I\,4ITCHELL ,11658 JASPER CT. NAPLES, FL 34120 US fhe above oamed enw submits this statemenl iar the purpose of changing its rcgislered office ot rcgistered agent, o( bolh, in the State ot Florida SIGNATURE: Electronic Signature oI Registered Agent Authorized Person(s) Detail : Title MGR Name RESNICK, MITCHELL Address 1'1658 JASPER CT. City-State-Zip: NAPLES FL 34120 Dale lhat ny nam appears aboye, at on en at/lchae"t with at othet tike enpo@red. SIGNATURE: MITCHELL RESNICK N/M 0211612023 Electronic Signature of Signing Authorized person(s) Detail Date 8.D.1 Packet Pg. 171 Attachment: 8D. MITCHELL P. RESNICK – REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - EXPERT INSTALLATIONS USA, LLC (27511 YA$TRS DEPARTMENT OF THE TREASURY INTERNAL REIENUE SERVICE CINCINNATI OH 45999.0023 EXPERT INSTATI,ATIONS USA LLC MITCHELL RXSNICK SOI-E MBR 11658 JASPER CT NAPLES, FL 3412 O when filing tax documents, makiog payments, or replyingit is very important that you use your EIN and conpfete name above. Any varlation may cause a de-Iay ln processing, resultyoul accounL, or even cause you to be assigned more than one not correct as shown above, please make the correction using and return it to us. Date of this notice: 10-26-2422 Employer ldentification NunJcer: 92-08368't 3 Form: SS-4 NunJf,e r of this notice: CP 575 G Eor assistance you may call us at: 1-800-829-4933 IF YOU WRITE, ATTACH THE STUB AT THE END OF THIS NOTICE to any re.lated correspondencer and address exactly as shownin incorrect information inEIN. lf the lnformation is the attached tear-off stub I,iE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUNTBER Thank you for applying for an Employer Identification Nuflber (EIN) . We assigned you EIN 92-0836873- This EIN will identify you, your business accounts, tax returns, and docurnents / even j-f you have no employees - Please keep this notice in your pernanent records - Taxpayers reclrest an EIN for their business. Some taxpayers receive CP575 notices when another person has stofen their identity and are opening a business using their information.If you did not apply for this EIN, please contact us at the phone nutuber or address listed on the top of thj-s notice. A limited liability company (LLC) may file Eorm 8832, Entity Cfassifj-catian ETectjan, and elect to be classified as an association taxable as a coiporation. If the LLC iseligi,ble to be treated as a corpor.ation that meets certain tests and it will be electing Scorporation status. it must timely fife Form 2553, Electian by a Snaff BusjnessCorparation. The LLC will be tr.eated as a cotporation as of the effective date of the Scorporation election and does not need to file Eorm 8832. To obtain tax folnls and publlcations, .including those referenced in this notice.v.isit our Web site at wuw.irs.gov. If you do not hive access to the Internet, callL-800-829-3676 (TTY/TDD 1-800-829-4059) or visit your local IRS office. 8.D.1 Packet Pg. 172 Attachment: 8D. MITCHELL P. RESNICK – REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - EXPERT INSTALLATIONS USA, LLC (27511 C,Rff",County Growth Management Community Developrnent Bepartment APFTICATION FOR COI-LIER COUNTY CERTIFICATE OF COMPETENCY STATEMENT OF OWNERSHIP Hrkhv-\t Q*-, n,'cl.This certifies that l,am a member or managing APPLICANI'S NA[,4E (please print) member of L (Lt[fl TED LtABtLITY COt\,,lPANY NAr.4E) I own oo % of the units issued by the Limited Liability Company listed above. Affidavit of Applicant: I certify under penalty of perjury that the information contained is a true and correct statement to the best of my knowledge. Hikir..U (on,'[. Applicant (please print) ro & Name o, Company Signature of Applicant State of fi) ()l JeDJeq Courty of NAr,)l'lldt7/I Thelgregoing instrument rvas f{fiay or 1cmBgi2 .zo acknowledgecl before me by means of p physical presence or E onlinc notarization on this ZL,ov filrhz-// Ztcptalz Such pe6on(s) Notary Public must check applicable box: E are personally known to me I has produced a curent driver license ! has produced (Notary Seal) as identification OFN Notary Signaturc Cootractor Licensing - FIRM Application Rev. 7/2022 Page I of 14 Operations & Regulatory l\,,lanagement Divisiofl, Conlractor Licensing . 2800 North Horseshoe Drive . Naples, FL 34104 . \23g) 252_243j Lontractotsl,ccnsrno(OcolliercounMl.qov 8.D.1 Packet Pg. 173 Attachment: 8D. MITCHELL P. RESNICK – REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - EXPERT INSTALLATIONS USA, LLC tuGrowth tolanagement Communlry Deveiopment Departmenl AFFLICATION FOT COU]ER COUNTY CIRTIFICATE OF CQI.APETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name \r 'Vch<\\ R<sni"Lc Certifi cate Category Requested T{ r-s ir>ENflkL toNTrzkLTvtz-- The applicant is seeking a Collier County Cedificate of Competency in the lrade indicated above. As part of the applicalion for this certificate, the applicant must verify his/her experience within this trade. You are being requested to provide information that will aid the applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker (e.9., as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience. The person verifl/ing trade experience for the above-named applicant must provide the following informalion ,,,n"I'p^,,11 /u 6nn ci Tille: Dlr4tt- Phone 1 L ,lL'LtL i 't-i I .h ic rl< vl,t LLL. Business Address Fov-.n r r- Street The applicant was employed by me from t n<oooSA5 z'pCityState 2ot )ato Applicani's title (,lhrorr Vrar\+, n- The applicant's scope of work (specific duties) included AI Pec;r' i Additional C4, cornments +-L L t:t,\,J NOTE TO LICENSED CONTRACTORS: Falsifying any information pravided herein y subject yaur license to revocation Under penalty of perjury, Ideclare that the facts stated here are true gnature of person providinq the statement -"un, o&physical presence or E online notarizariou on thisacknoll-tcThe foregoing insnument rvasJ fauvor ocL5rr ,uo )3 IC il Such person(s) Notary fublic rnust clreck applicable box: \re personally kno\{.n to me f, lo, proar."a o curenr clrir er lrcens Bh^p roduced T )rr*:i l-rt,#.4- as identiiication (Notary Seal) Notary Signatur. Conkactor Lrcensing - FIRM Application Rev. 7/2022 MARIA BUT-TITIA NOTARY PUBLIC STATE OF NEW JERSEY ID t 505241I lssloN EXPIRES JAN. 12'202?MY COMM Page 12 of 14 Operations & Regulatory Management Divisio[, Conkactor L]ce|sing . 28OO Nodh Hcrseshoe Drive . Naples. FL 34104 . iira:o rcc 1239) 252-2431 I Business Name. License No. $ appticabteJ: i'1 d tl 01 J 57'7 oo state of N!9f!df\_ counry of UOo }"OSL ,by @ 8.D.1 Packet Pg. 174 Attachment: 8D. MITCHELL P. RESNICK – REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - EXPERT INSTALLATIONS USA, LLC tr MPRAVEM TS, LLC Millstone NJ 732-042'42"66 philliDdinonno@ Amail.com Dear Collier County; 70/2412023 Mitchell Resnick and I have been working together in the home improvement business for over 10yrs. From the ground up: Flooring, framing, sheet rock, windows, doors, roofs etc. Mitch is excellent at designing and installing kitchens & bathrooms. He is very good with customers and has been a positive asset to my business. Owner: Phillip Di Nonro,-) MARIA BUTTITTA NOTARY PUBLIC STATE 0I NEW JI]RS{.]Y tD B 50524t I MY COMMISSION EXPIRES 'AN. I2.2027 ^;\ NJ LrC #15Vi{O?559700 Ns+{4 f:- qrcrT# \g/ 8.D.1 Packet Pg. 175 Attachment: 8D. MITCHELL P. RESNICK – REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - EXPERT INSTALLATIONS USA, LLC NOTAN ELECTRlCIAN'S OB PLUMBER'S LICENSE State Ot New Jersey New Jersey Olrice ol lhe Attorney General Division of Gonsumer Aflairs THIS IS TO CERTIFY THAT THE Hone Impnovement Contnactors HAS REGISTERED '$ N^ = o 2 I o E q Fo o €*EE 6E €Ei5 95oE==o{= iE3Es35",d oa; I Bq! ;Eg; c ;E+e[:CZOFIIIIJI EXPERT INSTALLATIONS LLC I'li tchel I Resn i ck145 HHy 33 EastEnglishtown NJ 07726 FOB PRACTICE lN NEW JEHSEY AS A(N): Homo lmprcvem€nt cont.aclor o2t16t2023 TO 03t3112024 13VH07017200 VALID LICENSE,'REGISTRATION;CERTIFICAIION T (! oF ot 6lo o- ooolr\ For\oI e) D CIOF1 1o,^- L PLEASE DETACH HERE .j IF YOUB LICENSE/BEGISTRATIOM CEBTIFICATE ID CARD IS LOST PLEASE NoTlFYr H@e Isprovfrent' ConttactorB uaealk, r,., 0 7101 v-- PLEASE DETACH HERE--1 T 8.D.1 Packet Pg. 176 Attachment: 8D. MITCHELL P. RESNICK – REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - EXPERT INSTALLATIONS USA, LLC leY Cow*y GroMh Management Community Development Depadment APPLICAIIQN FOR COITIER COUNTY CERTIFICATE OF COMPETENCY couNry oF !-(or^*,''r.,., t1^' ,\1,i Narno , having been first duly sworn, state and affirm I am a resident of futc,.nrr.,fL County , Nr,i, \rr.,*.,,(State) and have resided here for more than five (5) years J During the last five (5) ye ars t rrave rnown (H i !z.,hzl\NT (applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be a of honesty, integrity and good character. Signature Printed Name AFFIDAVIT OF INTEGRIIY AND GOOD CHARACTER Address 14\"JStreel ' I\r t_5 o(52 cty State zip State of The fore going instrument was acknowl edged efore me b treans )(dayof bdAW ,20.). 1, at"lll_l5".I\ courty or hr)xrrrr,rJ&-- Telephone ,1a^'b!} q?LL. o\hysi"ol pr"s"nce or E online notarization on this by (Notary Seal) Nota$/ Signature Conhactor Licensing - FIRM Application Rev. 22022 Operations & Regulalory Managemenl Division, Contraclor Licensing 2800 Nodh Horseshoe Drive . Na MAI{IA BI]TTITTA :']oTARY PUBLIC STATE OF NEW JERSEY Il) # 505241 I MY ('OMMISSION EXPIRES JAN. I2, T27 Page 14 oI 14 il lvil.aov ples, FL 34104 o (239) 252-2a31 /thu-tt sr^rEor lJtd Sds.Ly Such person(s) Notary Public must check applicable box: )Qre personally known to me Xhas produced a current driver license Uqrr". proau."a NT \fl{-\ [LC.h I {.s identification. 8.D.1 Packet Pg. 177 Attachment: 8D. MITCHELL P. RESNICK – REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - EXPERT INSTALLATIONS USA, LLC tuGrodih Management Comn'runit!. Deretopnrent Department srArEoF ,1)z"a JPr'tey' / couNTY oF /r) onm 6 s 7,/1 more than flve (5) years. During the last five (5) years I have known , having been first duly sworn, state and affirm I am a resident of ftTornoulA Counly, /1,/ e uo -(4-/ 3 a/' (State) and have resided here for ,/ (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 l?oAzr7- Go/Jmcn Printed Name Address:2z /nn6 zzz Slreel aaq /qpq.-t /1/ d o7726 7,iDState Telep hone. )4/ - 3?/ -{/ 13 as ack[ouledged ?.0 23 The foregoutg instrument rv 2g4oov-ot t;entEt belbre me b1, means of fif physical presence or a online notarization on thls y't leer Go Ut*J,by Such person(s) Notary Public must check applicable box: E are personally known to rne fi has produced a curreur drivcr liceusc E has produced as identification. (Notary Seal) Notary Signarure Contractor Licensing - FIRM Apptication Rev.7l2O22 DEI Page '13 of 14 Operations & Regulalory Ma nagement Division, Conlractor Licensing ccnf aaciotst ae:_tsirl c 2800 claclaniritf North Horseshoe Drive . Naples, FL 34104 . \239) 2SZ-2431 a,-.1 lr'l1vii. a 9v APPLICATICN FOR CottiER COUNTY CERTIFICAIT OT COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER staie ot NOp i€Z( (1.! coulry of NLtNMlu fl1 8.D.1 Packet Pg. 178 Attachment: 8D. MITCHELL P. RESNICK – REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - EXPERT INSTALLATIONS USA, LLC cfrft"Cor.t*ry Grovvlh [4anagement Community Development Department APPLICATION FOR COTLIER COUNTY CERIIFICATE OF CQMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER srArE oF lVei..., lr,rcr ..r-'"-l couNry oF fhrn*rou+-l-\ I am a resident of fYw nrno uqt1-\ 1, Dalr,.O M, SiarJ ,havin g been first duly sworn, slate and affirm County , trfer-:-1],.r-..r..r (State) and have resided here for- ----l During the last five (5) ye (applicant). I have had the opportunily to observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and good characler CI*^9vu S.A more than five (5) years. ars I have known M.lr,l*l\Q.*r,,. Jra stare ot N €Ll 1ez s sq Corurty otN 6n)t'tou 7H - Pranted Name Address: lol LJhil/ccI C{ )ar,rJ M Stot Signature Qn^-0 ^ Street Ar,o-)L\O Zp r Clty State Telephone 1<Z - 1t8 - 14 tL The foresoins instrument was g5!aov-ot,tLnDfrL.zo acknowledged before me by means of @ physical prescnce or D online notarization on this Z3 ,by .Lfv, A 5,L Such person(s) Notary Public must check applicable box; E are personally known to me fihas produced a curreut driver license E has produccd as identificarion. (Notary Seal) Notaly Signaflire Conhactor Licensing - FIRM Application Rev. 7/2022 Page 13 oi '14 Operations & Regulatory Management Division, Conkactor Licensi ng . 2800 North Horseshoe Drive . Na ples. FL 34104 c 1239) 252-2431 8.D.1 Packet Pg. 179 Attachment: 8D. MITCHELL P. RESNICK – REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - EXPERT INSTALLATIONS USA, LLC (27511 Nlor tY @ollr[e Ohe oeltifillte in f$rruurmrt franngrmrnl fuilft ult tlp rig\tr uni pribi&ger xryertaining tl1ere1o, it llerthg ahrarlei to fritrt1rlt Erffiirh for zurceeslul rorrpletion of a progrtam af slulg ryrobei lot $rrcg Cotlqgt 69 ttft ts!to @orh $trte pluratiar papartment - Srcribent ffiro6osl ),0,, r,{-. tqa?tl pu[ 8.D.1 Packet Pg. 180 Attachment: 8D. MITCHELL P. RESNICK – REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - EXPERT INSTALLATIONS USA, LLC (27511 Sta'ie of New Jersey License No: 1281193 NPN: 157t5333 Department of Banking and lnsurance MITCHELT P RESA,,CK JZg PCRTCHESTER DR JACKSON NJ 08527JI396 IS DULY LICENSEO WITH THE FOLLOWiNG LICENSE TYPE(S) AND AUTHORITIES This insulance license is valid and shail remain in effect unless revoked or suspended Frovided that the fee set fortl in N-J.A.C. 1 1.17-2 12 ,s peid and renewal requirements set forth in N.J.A.C. 1'l:17-2.5. including continuing educatior requirements ior resadent indiviluals, are mel by th€ license expiration date. A renev/alnotice will be mai,edto the lice0see rnaili4g address approxirnately 30 diys prior to the license exFiration dat€. LICENSE TYPE LINES OF AUTTIORITY EFFECTIVE OATE EXI>IRA TION DATE Public Adjuster 06to1i2022 c6ioz2022 The request fcr any cheoge of license information must be sert to the Depa.lmeni .+ithrr 30 days of the change Make any checks andlcr money orders payabte to: STATE OF NE!\l JERSEy, cEt{ERAL TREASURy Mailing Address: Departmenl of Banking and lnsurance 20 West State Street P.O. Box 327 Trenton, NJ. 08625-032t7 Accidenl & Hsalth or Sickn€sst L lie ast.12a24 U../w The department mainta ns an iniornative website al wwl^.dot i.aj.gcv. Please visit hrs vreb page for valuable inforrnation and forms nec( ssary to maintain compliance wirh licensing requirements. Department Contact lnf onnation web site; !4ww.dobi.nj.gov phone: (609) 292-4337 faxi (609) 984-5263 ,.'1..@ 8.D.1 Packet Pg. 181 Attachment: 8D. MITCHELL P. RESNICK – REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - EXPERT INSTALLATIONS USA, LLC (27511 FLORIDA DEPARTMENT OF FINANCIAL SERVICES MITCHELL P RESNICK License Number : W873124 Non Resident lnsurance License " 0814 . NONRES LIFE & VARIABLE ANNUITY . ugai1 - NONRESIDEN I HEALI H lssue Date 07105t2022 01 t05t2022 NlOTlCi- - This non-resider]l license is limited to lhe classes of insurance reflected above and is fLrrll.rer limited to ONLY tlrose classes of insurance for which you are licensed in your home ,:X,A*r,QAh,*siaie. y'ililrt/in'i licenslre examinalion ofered by the Florida Oeparhont ol Flnarclal Serices, the llc€nsao ls Equired lo.omply wlih conllnulng sducalion reqLriremenls conrahed in 626.2a15 or 6.48.385, Flqlda Slatules. A licssoe may lrack lheh conllnuing aducalirn roqulrehenls comploled or ne€dod in thek MyProlilo a@ounl al htlpsr//dEe.ltdfs.coE. To validste lhe a@oracy of lhis lice.se yo! may r€view th6 lndtui&d ll@n* reord uoder 'llcensee Seardr' on lho Florida OepanmMt of Flnancial Seryic€s websde ai !w.myioddaclo,com/divrslo./Egenls. :.:;a3: i":ti' I l I I I I 8.D.1 Packet Pg. 182 Attachment: 8D. MITCHELL P. RESNICK – REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - j tSTATE OF NEW JERSEY I}I]PARl'MENT OT'I'HI''I'RtrASURY I)IVISION OI; REVI]NUtr AND I]N'I'I'RPI(IStr SI]RVICDS Po Box 302 Trenton NJ 08646-0302 (609) 2e2-9292 www.nj.gov/nibgs July 10,2023 ANNUAL REPORT 19'l-079000 EXPERT INSTALLATIONS LIMITED LIABILITY COMPANY Milchell Resnick '145 Hwy 33 East Manalapan NJ 07726 Dear Business Representative: The Division of Revenue and Enterprise Services, Business Supporl Services Bureau has phased out lhe use of paPer annual reports and moved all filers to eleclronic filing and payment on the New Jersey Business Gateway Registry Services. The annual report, which is a statutorily mandated filing contains vital public informallon and is required lo be filed annually. lf you have any queslions on filing your Annual Report, please contacl us al (6091292-9292. Your business entity is required to use the electronic format lo file and pay your annual report. This filing is due on or before 09/30 123 Paymenl may be made by eleclronic check or credil card. o Click on the File Annual Report link in the navigalion bar at the top of our home page www.ni.gov/nibgs. This will take you to lhe Annual Reports and Change Services screen. Click the File an Annual Report link under the Business Filings heading to begin your filing. To log in, you will need the following three items: ;)-i ol, d/ d:, ,y/ J, D I I j NJ 10-dig it lD number: Type of Entity: 0400521667 LLC Format io n/Aut horizat io n Date: 1Ol2012 Important Notice: New Jersey Stalute N.J.S.A. 34:15-79.1 requires lhe Division of Revenue and Enterprise Services to obtain certain information pertaining to the entity's worker's compensalion coverage, if applicable. This informalion includes the company name, policy number, and coverage dates and is requlred with the submission oI the annual report. Please have your intormation available prior to accessing the Annual Reporl application- The Division of Revenue and Enterprise Services will forward this information to the Deparlment of Labor and Workforce Development. The Division of Revenue and Enlerprise Services will not be the legal custodian of this informalion and il will not be available to the public as part of any business entily record request. Sincerely, W 8.D.1 Packet Pg. 183 Attachment: 8D. MITCHELL P. RESNICK – REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - I riiIt u* d !' 3B.lC I t 81 ,flxa 55 H? .1 B { . j8.D.1Packet Pg. 184Attachment: 8D. MITCHELL P. RESNICK – REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - 12/20/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 8.E Doc ID: 27513 Item Summary: 8E. ADMIR SHAQIRI – REVIEW OF EXPERIENCE – RESIDENTIAL CONTRACTOR - ADMIRAL CONSTRUCTION & CO LLC Meeting Date: 12/20/2023 Prepared by: Title: – Contractor Licensing Name: Alyshia Morse 12/13/2023 3:51 PM Submitted by: Title: – Contractor Licensing Name: Tim Crotts 12/13/2023 3:51 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 12/13/2023 5:36 PM Contractor Licensing Tim Crotts Review Item Completed 12/14/2023 7:39 AM Contractor Licensing Tim Crotts Meeting Pending 12/20/2023 9:00 AM 8.E Packet Pg. 185 c,lF",Couuty , APPTICATION FOR COTLIER COUNTY CERTIFICATE OF COMPETENCY Lca,b,l3 This application must be typewritten or legibly printed. The application fee must be paid upon approval and is NOT refundable. All chocks should be made payable lo: Collier County Board of County Commissioners. For further information, consult Collier County Ordinance No. 2006-46, as amended. TYPE OF CERTIFICATE OF COMPETENCY: ! General n Building /Residential tr Mechanical ! Rooflng $230.00 $230.00 $230.00 $230.00 $230.00 ! Electrician E Plumber n Air Conditioner ! Swimming Pool n Specialty $230.00 $230.00 $230.00 $230.00 $205.00 Specialty Tnde:R.s,Je"rl I Coo*rarlorq I. APPLICANTPERSONALINFORMATION: Name:r First Midd e lnitial Last Business Name Ar'pr.iQAu-(,..aslroJro^C LLC Address:nr o5t&RI 3 ZpStreetCityState Email Telephone 84p'L q q5sb -SS # (Last 4 digits only):5B?q Date of Birth: 10 Driver's License # (Last 4 digits only):38L*O Pursuant to Collier County Contractor Licensing Odinance No. 2006-46 Section 2.1.1., ail applicants arE required to submit their social security number, drive/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) Verifrcation of applicant's identity. Our oflice will only use the personal informatjon noted above for those reasons pursuant to Chapter 1'19, Florida Statutes, and as may otheMise be authorized by law. Wearefully clmmitted to saleguarding 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 & Regulalory Manag€ment Divisioo, Contraclor Licenslng . 2800 North Horseshoe Driv€ . Naples, FL 34104. . (239)252-243'l contraclorslicensino@colliercounh/fl .oov GroMh Management Community Development Department FIRM APPLICATION FOR COLTIER COUNTY CERTIFICATE OF COMPETENCY 8.E.1 Packet Pg. 186 Attachment: 8E. ADMIR SHAQIRI -REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - ADMIRAL CONSTRUCTION & CO LLC (27513 : 8E. 1.6.1.3. Rcsidcntiar conrractor rcquires forty-cight (4g) months crpcricncc with a passing gradc on e+h{6)*enr 8n approved tcst and a s..e{+h€t r busincse and law tsst and mcan' a contrsctor whose scrviccs arc limitcd to construction, rcmodeling, rupair, or improvemcnl of onc-family, two-family, or three-fanily ruidcnces not cxcccding two stories in hcight and accarsory ur€ strucrures in connccdon thcrswith. 8.E.1 Packet Pg. 187 Attachment: 8E. ADMIR SHAQIRI -REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - ADMIRAL CONSTRUCTION & CO LLC (27513 : 8E. Covmty Growth Management Community Development Department APPLICATION FOR COLLIER COUNIY CERTIFICATE OF COMPETENCY Provide the names and telephone numbers of two persons who will always know your whereabouts Name: Telephone II. NAME OF APPLICANT'S BUSINESS: Business Name:Co LC Business Address:r t()5 Street 7ipStateCity Telepho ^", 8\8 L\1 q556 Email o Federal lD Tax No Qi-?O<79s4 III. FINANCIAL RESPONSIBILITY YES NO ALL APPLICANTS MUST ANSWER THE QUESTIONS BELOW: I Filed for or been discharged in bankruptcy within the past 5 years? J Had a lien filed against you by the lnternal Revenue Service or Florida Corporate Tax Division? J 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? J lt/ade an assignment of assets in settlement of construction obligations for less than the debts outstanding? J 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? J 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. lf you have answer YES to any of the questions below, you must attach a written explanation including the nature of the charges, dates, and outcomes, sentences of conditions imposed. You must also attach proof of payment, satisfaction of lien or judgement, bankruptcy discharge, or agreements for payment..lf you have had a felony conviction, proof that your civil rights have been restored will be required prior to licensure. Contractor Licensing - FIRM Application Rev.712022 Page 4 of 14 Operations & Regulatory Management Division, Contractor Licensing o 2800 North Horseshoe Drive o Naples, FL 34104 o (239) 252-2431 contractorslicensing@colliercountvfl .qov uame, JoHn+ Suaqt<<-i r"r"pnon", BQB 2\t tsbl 8.E.1 Packet Pg. 188 Attachment: 8E. ADMIR SHAQIRI -REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - ADMIRAL CONSTRUCTION & CO LLC (27513 : 8E. Cownty Growth Management Community Development Departmenl 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: ilo.-Vra nt 3 4netrt66R. List below non formal education (on the job training) you have obtained in the area of competency for which this application is being made: cu RRENT/PREV|OUS LTCENSE: List below and attach copies any other certificates of competency/licenses you hold/have held in Collier County or any other jurisdiction. lnclude the license #, Type, and county you hold it in. DAnteLis /o nT€.:Ac-TrH6 lnc Ca houE AFFIDAVIT Under the penalties of perjury, I declare that I have read the foregoing application and the facts stated in it are true ,4s \€- S..,n.ei Applicant (please print)nature of Applicant State of Plon'da. county of Co tlt r-r as identification. (Notary Seal) The foregoing instrument was acknowledged before me by means of /pt ysical presence or I online notarization on this I-Lday of )otrt><.v ,20 L3,Uy Mrmir 3l,taoliri Such person(s) Notary Public must check applicable box: /! are personally known to me EIhas produced a cunent driver license n has produced SHIRLEY OtSIiEE ARGUEI^ Notry Publk. Strt. of Flortd. Co{trmlrsion , HH 90362 t\y Comm. Explro F$ t, 2025 Notary Signature: Contractor Licensing - FIRM Application Rev.712022 Page 5 of '14 Operations & Regulatory Management Division, Contractor Licensing o 2800 North Horseshoe Drive o Naples, FL 34104 o (239) 252-2431 contractorslicensinq@colliercountvfl.oov 8.E.1 Packet Pg. 189 Attachment: 8E. ADMIR SHAQIRI -REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - ADMIRAL CONSTRUCTION & CO LLC (27513 : 8E. Covmty Growth Management Community Development Departmenl APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPEIENCY CERTIFICATION OF APPTICATION The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County No. 2006-46, as amended, and under penalties of perjury. I declare that I have read the foregoing qualifier information and that the facts stated in it are true. The undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to be licensed in all matters connected with its contracting business and that he has full authority to supervise construction undertaken by himself or such business or organization and that he will continue during this registration to be able to so bind said business organization. The qualified license holder understands that in all contracting matters, he/she will be held strictly accountable for any and all activities involving his license. Any willful falsification of any information contained herein is grounds for disqualification. Asm rt< 5 \(ai Applicant (please print AurrreAu CotrstRocr,otr &4o LLC Name of Company Signature County or Colltrv' The foregoing instrument was acknowiedged before me by means of [5 ouv of )e,lm|'.+r ,20 Lb ,bv ftdrnir SMairi Such person(s) Notary Public must check applicable box: / E are personally known to me Mhas produced a current driver license Mphysical presence or E online notarization on this E has produced (Notary Seal) Contractor Licensing - FIRM Application Rev.712022 as identification. Notary Signature: Page 6 of 14 Operations & Regulatory Management Division, Contractor Licensing o 2800 North Horseshoe Drive o Naples, FL 34104 o (239) 252-2431 contractorslicensi no@colliercountvfl .gov ,,ffi,SHIRLEY OESIREE ^RGUET^Notary Public . Stltr of Flgrtd. Comnirsion f HH 90162 rly Comm. Upir* F$ t, 2025 State of D,lon'da 8.E.1 Packet Pg. 190 Attachment: 8E. ADMIR SHAQIRI -REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - ADMIRAL CONSTRUCTION & CO LLC (27513 : 8E. Covmty Growth Management Community Development Departmenl APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY WORKMEN's COMPENSATION AFFIDAVIT It is understood and acknowledged by the Collier County Contractors' Licensing Board and myself that if I fail to acquire, or maintain at alltimes effective Workmen's Compensation lnsurance it will result in the possible revocation of my Certificate of Competency. As.n,q 3tr*,",4i npdt icant f pte'ase pri nt Au.'r,.rr,- Gnsr RiJc-Tro r\k L" LIL Name of Company Signature of icant BEFORE ME this day personally appeared A.,tK- S**cr(\who affirms and Applicant (please print) says that he has less than one employee and does not require Workmen's Compensation understands that at any time he employees one or more persons he must obtain said Workmen's Compensation lnsurance. State of flO-{ da County or Collar The foregoing instrument was acknowledged before me by means of /pny"i"ul presence or E online notarization on this la auy ot Oc,hbtr ,20 LZ ,by kAra,w Shaaiv't Such person(s) Notary Public must check applicable box: / n are personally known to me D4as produced a current driver license E has produced _as identification. (Notary Seal) Notary Signature Contractor Licensing - FIRM Application Rev.712022 PageT of 14 Operations & Regulatory Management Division, Contractor Licensing o 2800 North Horseshoe Drive . Naples, FL 34104 o (239) 252-2431 contractorslicensi nq@colliercountvfl.oov ,..ffi sHhtEY DE$rut At6uE?lIrotlry pt/blh . Stato of Florldr(,omnhtbn, HH t0!62 fly Conm. Erplal Fcb !, 2OZS 8.E.1 Packet Pg. 191 Attachment: 8E. ADMIR SHAQIRI -REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - ADMIRAL CONSTRUCTION & CO LLC (27513 : 8E. C,Rffi,Covmty Growth Management Community Development Departmenl APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY STATEMENT OF OWNERSHIP This certifies that l,Asm,ta S t+AA €.t am a member or managing APPLICANT'S NAME (please print) member of Co LtABtLtTY COMPANY NAME) lown \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. (r Applicant (please print) b State of Plo"i ol ^County of Coll,s+ The foregoing instrument was acknowledged before me by ofphysical Name of Company Signature of Applicant presence or E online notarization on thismeans lb dayof OCbtrX-r,20L? ,by Adrn,,^o ql nr Such person(s) Notary Public must check applicable box: / D are personally known to me dhas produced a current driver license ! has produced (Notary Seal) Contractor Licensing - FIRM Application Rev.712022 as identification. Notary Signature: Page I of 14 Operations & Regulatory Management Division, Contractor Licensing o 2800 North Horseshoe Drive o Naples, FL 34104 o (239) 252-2431 contractorslicensi nq@colliercountvfl .oov ffi SHIRLEY OESNEE ^T6UETrNdrry Public . tt t! of Florldr Commlreion , HH 90t62 Ity Comn. Expirer leb t, 2025 Astte- €qaa,* 8.E.1 Packet Pg. 192 Attachment: 8E. ADMIR SHAQIRI -REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - ADMIRAL CONSTRUCTION & CO LLC (27513 : 8E. \ Score Report Pro{ Name: Sponsor: tD #: Score: ADMIR SHAQIR! Collier County 77 General Contractor - (FL08101) 0513012023 248254564 Pass Test: Date: Test lD: Result: # Unanswered Questions:0 Module Subject Area Status LOW cut Score HIGH FLPRE Plan &P FLSITE Sitework P FLC Concrete F FLM F FLSS Structural Steel F f!9_r4f - - -9-atpel _y _{ !4eJ9l_[ta-Tr.!-s- FLR P P FLAT Associated Trades F FLIT lnterior Finishes P FLET Exterior Finishes P FLSAFE Safety P 8.E.1 Packet Pg. 193 Attachment: 8E. ADMIR SHAQIRI -REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - ADMIRAL CONSTRUCTION & CO LLC (27513 : 8E. \ Name: Sponsor: rD #: Score: # Unanswered Questions: Module Score Report Pro{ ADMIR SHAQIRI Collier County Business and Law, 2nd edition 04t17t2023 21 8538590 Pass76 Test: Date: Test lD: Result: 0 Subject Area Status LOW Cut Score HIGH FLBO Business P FLLIC F PFLTL Tax Laws FLSRR Safety OSHA P FLLL Labor Laws P FLCM Contract F FLPM +F_qB- _ - - F:!i !,Fltl'_s-q _B-i g g t1_s- FLFM Financial P FLRM Risk P FLLIEN Lien laws F F F 8.E.1 Packet Pg. 194 Attachment: 8E. ADMIR SHAQIRI -REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - ADMIRAL CONSTRUCTION & CO LLC (27513 : 8E. I Address 1304 VERDE DR APT 4, NAPLES, FLU1Oi Address 7914149TH AVEY2, HOWARD BEACH, NY 114'14 Address 76 BETHANY RD, HAZLET, NJ 07730 FICO CLASSIC Phone: 850-539{000 Emai t : u n itedcrsapps(Dq mail.com www.UnitedCRS.com 3590 Frontier Road Tallahassee, FL 32309 rn2 -4623 01t22 -06123tnl - 10n2 -- Hired Separated 11121 10t20 08t20 Verified lndirect lnd. 11D1 10r20 08t20 PERSONAL CREDIT REPORT MERGED REPORT COMPILED FROM NATIONAL RECORDS Entry # 13177 June 25, 2023 Personal lnformation Since 021A7114 FAD 06129123 Reported Name SHAQIRI, ADMIR ssN 5894 DOB:.1012611975 Employer Occupation City State NEWYORK QUARTERLY RUNNELLS CENTER FOR 1 PRyOt 0 Bankruptcies 0 Collections 0 Type Revolving lnstallment Real Estate Open/Other Totals Rev 16 lnst 2 Open 0 # Accts 18 #!nq I Curr Accts 18 Hist 30 4 Hist 60 0 Hist 90 0 30 60 90 0 0 0 Lowest HC $200 Highest HC $1 15,000 High $33,370 $29,774 $115,000 $0 $178,144 Balance $1,850 $28,486 $111,524 $0 $141,860 Past Due Payment $75 $539 $1,1 04 $0 $1,718 %Avai! 94o/o$0 $0 $0 $0 $0 Current Status Page 1 of4 Hist Status *Lr* ** Employment 7, 8.E.1 Packet Pg. 195 Attachment: 8E. ADMIR SHAQIRI -REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - ADMIRAL CONSTRUCTION & CO LLC (27513 : 8E. Acc Name/Address 06D3 12114 $700 12f21 hdvidual $10 Est. 06D3 05t17 $500 06123 lndividual $10 Est. RPTD High OPND Limit DLA ECOA 06t23 03/17 $11,500 04123 lndividual 06D3 $500 09t14 03/21 lndividual $1,100 Auth User 06t23 o2t17 $2,300 06/23 lndividual 't4 99 02 00 00 '72 99 01 00 00 04 51 '75 23 PMT Bal Terms PastDue Mths 30 60 90 Rating Date $10 $0AMEX Customer: 402B848257 CREDITCARD AMOUNT IN H/C COLUMN IS CREDIT LIMIT KOHLS/CAP1 Customer: 668DC04698 CHARGE AMOUNT IN H/C COLUMN IS CREDIT LIMIT JPMCB CARD Customer:458ON13374 AMOUNT IN H/C COLUMN IS CREDIT LIMIT FLEXIBLE SPENDINGCREDIT CARD CAP ONE Cuatomer: 8508801498 PAID ACCOUNTZERO BALANCE ACCOUNT CLOSEO BY CREDIT GRANTOR IUACYSCBNA Customer: 636DC26977 CHARGE AMOUNT IN H/C COLUMN IS CREDIT LIMIT CBNA Customer: 485FP00552 CHARGE AMOUNT IN H/C COLUMN IS CREDIT LIMIT JPMCB CARD Cuatomer: 458ON 1 3374 CREOITCARO AMOUNT IN H/C @LUMN IS CREOIT LIMIT BRCLYGAP Customer: 4588809378 CHARGE AMOUNT IN H/C COLUMN IS CREDIT LIMIT CBNA Customer: 485FP00552 CI.IARGE AMOUNT IN H/C COLUMN IS CREDIT LIMIT DISCOVER Customer: 1558803747 CREDIT CARD AMOUNT IN H/C COLUMN IS CREDIT LIMIT CAPl/WIVIT Customer: 4848805903 PAID ACCOUNT,ZERO BALANCE ACCOUNT CLOSED BY CREOIT GRANTOR SYNCB/JCP Customer: 404DC02910 PAID A@OUNTZERO BALANCE ACCOUNT CLOSED BY CREDII GRANTOR $0 $0 R1 R2 R2 11121 04t20 R1 R1 R1 R1 R1 R1 R1 R1 R1 11t19 $10 Est. $0 R1 R2 06t23 01t23 $10 Est.$100 lndividual 02t19 09D2 $10 Est. 06r23 07D2 $1,000 04/23 lndividual $0 $0 $40 $11s $10 Est. $10 Est $0 06t23 07121 $500 11121 lndividual $0 10 06D3 10/14 $13,300 06/23 lndividual $200 lndividual $35 $1,735 09t22 03/1S $10 Est. 99 35$0 Page 2 ol 4 10D0 $320 o3t17 03120 lndividual $10 $0 43 R1 8.E.1 Packet Pg. 196 Attachment: 8E. ADMIR SHAQIRI -REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - ADMIRAL CONSTRUCTION & CO LLC (27513 : 8E. CAP ONE Customer: 8508801498 PAI D ACCOU NTZERO BAI-ANCE ACCOUNT CLqSED BY CREDIT GRANTOR SYNCB/BAN Customer: 404CG01167 PAI D ACCOU NTZERO BALANCE ACCOUNT CLOSED BY CREOIT GRANTOR SYNCBMALM Customer: 404DV00185 ACCOUNT TRANSFERRED OR SOLO CHARGE CRDTONEBNK Customer: 1808827505 ACCOUNT CLOSED AT CONSUMER'S REQUEST PAID ArcOUNIZERO BAI-ANCE Revolving Totals a6n0 $200 08t17 02120 lndividual $10 Est. $10 Est. $10 Est. $10 Est. $75 $1,E50 $O 36 34 01 00 00 19 06/20 05t17 $500 lndividual R1 R2 07 $0 $0 $0 $0 R1 01t20 1An9 03/1 I $200 lndividual R1 R105/18 $450 10t16 12l17 lndividual Current Status Bal PastDue Hist Status Mths 30 60 90 Rating DateAcc Narne/Address 53 BANK NA Customer: 6368829292 AUTO FIXED RATE lnstallment Totals $539 $28,'Ao $539 $28,486 $0 RPTD OPND DLA 05t23 11r22 05t23 High Limit ECOA $29,774 lndividual PMT Terms 06 t1 Acc Name/Address ROCKETMORT Customer: 168FM02206 FREDDIE MAC ACCOUNT REAL ESTATE MORTGAGE Mortgage Totals RPTD High PMT OPND Limit TermsDLA ECOA Gurrent Status Bal PastDue Hist Status Mths 30 60 90 Rating Date 0623 $115,000 $1,1(N 1111,524 05r22 06123 lndividual $1,104 $111,524 $0 t2 tl PUBLIC RECORDS PUBLIC RECORDS HAVE BEEN CHECKED AT THE COUNTY, STATE, AND FEDRAL LA/ELS RESULTS: NO PUBLIC RECORDS FOUND END OFREPORT It is wltfi understanding tfiat the cEdtt scora altacicd b thls rcport can fluctuab daily end can change dr.stically. ln some cas6, ov€r lm polnb when Page 3 of 4 8.E.1 Packet Pg. 197 Attachment: 8E. ADMIR SHAQIRI -REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - ADMIRAL CONSTRUCTION & CO LLC (27513 : 8E. Page 4 of4 8.E.1 Packet Pg. 198 Attachment: 8E. ADMIR SHAQIRI -REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - ADMIRAL CONSTRUCTION & CO LLC (27513 : 8E. tvents Name Hrstory. Detail by Entity Name Florida Limited Liability Company ADMIRAL CONSTRUCTION & CO LLC Filing lnformation Document Number FEl,ElN Numb€r Date Filed Efiectlve Oate State Status llst Event Event Date Filed Event Efrective Date Principal_taddress 1304 VERDE DR UNIT 4 NAPLES, FL34105 Changed: 1010512023 Mailing Address 1304 VERDE DR APT 4 APT 4 NAPLES, FL 34105 UN Begistered Agent Narne & Address SHAQIRI, ADMIR 1304 VERDE DR UNIT 4 NAPLES, FL 34105 Address Changed: 1010512023 Authorized Person{s} Deta il Name & Address TitIe MGR SHAQIRI, ADMIR 1304 VERDE DR APT 4 NAPLES, FL34105 UN Title AMBR SHAQIRI, JOANA 1304 VERDE DR, UNIT 4 NAPLES, FL 34105 123000300918 NONE 06t22t2023 06t22t2023 FL ACTIVE LC AMENDMENT AND NAME CHANGE 10tost2023 NONE 8.E.1 Packet Pg. 199 Attachment: 8E. ADMIR SHAQIRI -REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - ADMIRAL CONSTRUCTION & CO LLC (27513 : 8E. ffi ms 5;i5gT,3[,,]5",ffi3H"' crNcrNNATr OH 4 5999-0023 ADMIFAL GENM,AI CONTRACTOR I,LC ADMIR SHAOIRI SOLE MBR 1304 VERDE DR APT 4 NAPLES, rL 34105 Date of this notice! 06-26-2023 Eq)loyer Identification Nunbex ! 93-2053254 Formi SS-4 Number of thie noticer CP 575 A For assistance you may call us atl 1-800-82 9-4933 IF YOU I'RITE, ATTACH THE STT'B AT TIIE END OF TBIS NOTICE. to any related correspondence, and addreEs exactly as sho\,ynin incolrect i-nfonnation inEIN. If the infonmtion i-sthe attached tearc-off stub lIE ASSIGNED YOU AN E:I{PLOYER IDENT]FICATION NT'MBER __ ^Th1+_ygy for- applying. for _ an Erployer Identification limber (EIN). We assigned youErN 93-2053254. ttri,s ErN wiu identify you, Irour business accounts. tax returns, -and - docunEnts. even if you have no enployees, nleise keep this notice in your pernanent records . - Taxpayers request an EIN for their business. SonE taxpayers receive Cp575 notices rarhenanother person has stolen their identity and are opening a-business using their information.If you dj-d Dot aPlly for this EIN, please contact us at-the phone nr:rnber -or address listedon the top of this notice. . when filing tax docunents. naking paynEnts, or replyingit is very funportant that you use your EIN and cotrplete narEabove. Any variation may cause a delay in processing, resultyour account, or even cause you to be assigned nore than onenot correct as shotirn above, please make the coxrection using and return it to us. Based on the information received from you or your repreaentative, you must filethe following forrns by the dates shordn, Form 941 form 940 L0/3r/2023 0r/3L/2024 - -If you have queations about the forma or the due dates shorrn, you can caII us atthe phone nrmber or h,rite to us at the address shown at the top of ahis notice. rf youneed herp in dete:mining your annual accounting period (tax yelr), see nrbrication 539,Accounting Perids and Methds. . - 9le assigned ]rou a tax classification ( corporation, partnership. etc.) based oninformatj,on obtained from you or your represenlative. ri is not i iegal determinationof your tax classification, and is not binding on the IRS. tf you wait a J-egaldetermination of youx tax - classification, you -may requeEt a priizate ]etter r;ling frcEn the.IRS under the gmidelines in Revenue proceduie 2O2O-1, 2OZO-L LR.B, 1 (orsuPerseding Revenue Procedure fo! the year at issue). Note: Certain tax classiiicationelections can be requested by filinq Form 8832, Enxixy Ctassitication Election. See Fom 8832 and ita instructions for additional information, IMPORTAIIT IN!'ORMATION FOR S CORPORATION ELECTION3If you intend to elect to file your return aa a sIIlaIl business corporation.an electj-on to file a Form 1l-20-S, U.S. Incdne Tax Return for an S- Corporation.must be rade within certain tinefranes and the co4)oration mugt meet cartain tests,Arr of this infonnation is included in the in8tructions for Fonn 2553, Erection bya Small Business Corporation. 8.E.1 Packet Pg. 200 Attachment: 8E. ADMIR SHAQIRI -REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - ADMIRAL CONSTRUCTION & CO LLC (27513 : 8E. (rRs usE oNr,Y ) 575A 06-26-2023 ADrilr B 9999999999 SS-4 If you are required to de!rcsit for ernplo)ment taxes ( Forna 941, 9431 94Ot 944, 945,CT-1, or 1042), excise taxes (Fonm '1201 . or inccme taxes (Forn 1120), you wiII receive allelcore Package shortly, vrhich includes in8tructions for naking your depositselectronicall-y through the Etectronic Federal Tax palment system lrrrrsl . A personalrdentification lrunber (prN) for EFrps will arso be s6nt to iou under separate cover.Please activate the PIN once you receive it. even if you have requested- the servicea of atax professional or representative. For more infornatj-on about EFTPS. refer toPublication 966, ETectronic Choices to pay AJ-l your FederaT laxes. If you need to nake - a d9 posit i-trnEdiately, you wirr need to nake arrangements lvith youi rinancialfnstitution to corq)Iete a !ri!e tranafer. The IRS is cmmritted to helping aII taxpayels corply with their tax filingobligations. -ff you need herp corpreting your returns- oi reeting your tax obligations,Authorized e-file Providers. such as neporling Agents or other piyioll serviceproviders, are available to asaiet you. visit www. irs. govlrefbuipioviders for aIist of conqranies that offer IRS e-file for business pioducts and services. II.IPORIAIIT REU,If,DERS 3 " Keep a copy of this notice in your permanent records. This notice is issued onlyone ti-ne and the IRS lrill not be able to generate a duplicate copy for you. you nay give a copy of this docrrtrEnt to anyone asking for proof of yoirr ffll. * use this ErN and yo'r narE exactry a6 they appear at the top of thi8 notice on arlyour federaL tax forms. * Refer to this EIN on your tax-related correspondence and docunents. * Provide future officers of your organization with a copy of this notice. Your nane control assoclated with this ErN is ADMr. you wirl need to provide thisinformation along lrith your EIN, if you file your returns electronicaliy. 9afeguarg y. orr -ErN by referring to hrblication 4557, Safeguarding TaxpayerData: A Guide for Your Businesa. Yorr. can get any of the forms or publications rEntioned in this letter byvisiting our website at www. irs. gov/forms-pubs or by calling gOO-TAx-FOirM ( 800-829-3676 ) . If yo-u have queations about your EIN, you can contact us at the phone numlleror address listed at the top of this notice. If you write, pleasi tear off the6tub at the bottom of this notice and include it with your letter. Thank you for you! cooperation. 8.E.1 Packet Pg. 201 Attachment: 8E. ADMIR SHAQIRI -REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - ADMIRAL CONSTRUCTION & CO LLC (27513 : 8E. ( rRs usE oNLY )575A 06-26-2023 ADMr B 9999999999 SS-4 Keep this part for your reeord6.CP 575 A (Rev. 7-2007) Return this part with any correspondenceso we rury identify your account. please correct any errors in your narE or address. Your Telephone !,Iun|lcer Best TiJne to CalI() cP 575 A 9999999999 DATE OF $lIS NOTTCE ! 06-26-2023 EMPIOyER IDEMIFICATION NUUBER I 93-2053254rORM! SS-4 NOBOD TNIERNAI REVENI'E SERVICE CINCINNATI OH 45999-0023 Ll'J,l,l,l'l,,lJ,,Ll,'11,,,1h,,',l,L,lt,l,l,,l ADMIRAL GENEPAL CONTRACTOR LIC ADMIR SHAQIRI SOLE MBR 1304 VERDE DR AI{T 4 NAPT,ES . !'L 34105 8.E.1 Packet Pg. 202 Attachment: 8E. ADMIR SHAQIRI -REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - ADMIRAL CONSTRUCTION & CO LLC (27513 : 8E. Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name Certificate Category Requested:..1 Conl rc(Q-\. The applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As parl of the application for this certificate, the applicant must verify his/her experience within this trade. You are being requested to provide information that will aid the applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker (e.9., as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience for the above-named applicant must provide the following information:*"r",ffi Title Business n"r"' O1ft ( phone: ltl 355 38:o License No. (if applicable): Business Address Street The applicant was employed by me from t\,h r rn o20 rc Jvr.ne 'LC2-o City zip Applicant's title The applicant's scope of work (specific duties) included !r d.N(ll,la<kr, Se-^d,i {-Q-)r*, NOTE TO LICENSED CONTRACTORS; Falsirlzrng any information provided herein Under penalty of perjury, I declare that the facts stated here are true. subject your license lo Ngty jork County of Vr nq9 providing the statement State of 1\tt 'rrrtcn\r \Nh//S r0^ut-S The foregoing instrument was acknowledged before me by means of E(hysical presence or n online notarization on this'L\ aay of S epknnbr r ,20 2 3, bv Jo n at\n o n Czrslr ll o Such person(s) Notary Public must check applicable box: X*" personally known to me E has produced a current driver license E has produced _as identification. (Notary Seal) Notary Signature: TAURARENEE DIEWALD Notary Public, State :f \ew York No. 02Di62335EC Cualifred rn (rn3s CcuRtY ilrxt,l-nr* P- fitc-'W Contractor Licensing - FIRM Application Rev. 7 12022 Page 10 of 14 Operations & Regulatory Management Division, Contractor Licensing o 2800 North Horseshoe Drive o Naples, FL 34104 o (239) 252-2431 contractorslicensino@colliercountvfl .qov 8.E.1 Packet Pg. 203 Attachment: 8E. ADMIR SHAQIRI -REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - ADMIRAL CONSTRUCTION & CO LLC (27513 : 8E. Count! Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Certificate Category Requested as'Jc^ The applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate, the applicant must verify his/her experience within this trade. You are being requested to provide information that will aid the applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker (e.9., as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required *,," [d,r'n v\ trade experience. The person verifying Name: \dql\r"c.- 0l,u* trade experience for the above-named applicant must provide the following information t)0( [t n LCiBusiness Name Phone:1{ *,ot,3L9e License No. (if applicable) Business Address:lq kU\\, [s.^.re Lxroo\,1,,^,tV llLol Street ci0I State Zip The applicant was employed by me from to 2-0A7 Applicant's title:vl The applicant's scope of work pecific duties) included r(0( ( \oo,r s\.t\"\ Cc J Additional comments U('..yf 'crl...tk c- A Ja., qr.r<.J .-ro.rL NOTE TO LICENSED CONTRACTORS: Falslflurng any information provided herein may subject your license ,o revocation. Under penalty of perjury, I declare that the facts stated here are true. I State of \.les-,c YocK Signature of person providing the statement ( County of KrtrS The instrument was acknowledged before me by means i)b{day of 2o33,bv \ l.Ja\\.rcY: or n online notarization on this E has produced (Notary Seal) as identification Notary Signature: Contractor Licensing - FIRM Application Rev.712022 Page 11 of 14 Operations & Regulatory Management Division, Contractor Licensing o 2800 North Horseshoe Drive . Naples, FL34104 o (239) 252-2431 contractorslicensi no@colliercou ntvfl.qov a- K^TH^iINE KHOZHEVA Notary Public - St.tG of xcw york r{o. 01t(H64207.7 _ Qr,ttiFco in f,inlr Co!nfy f,ly Com.r'sg:oa ErO,.1s 1r, t O, ZOZS ) Such person(s) Notary Public must check applicable box: Xu." personally known to me E has produced a curent driver license 8.E.1 Packet Pg. 204 Attachment: 8E. ADMIR SHAQIRI -REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - ADMIRAL CONSTRUCTION & CO LLC (27513 : 8E. Qountt Growth Management Community Development Departmenl APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE o Applicant's Name: Certificate Category Requested The applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate, the applicant must verify his/her experience within this trade. You are being requested to provide information that will aid the applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker (e.9., as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience for the above-named applicant must provide the following information: Name:r Business Name: Phone: oltb o o License No. (if applicable): City Business Address: 2 State of (Notary Street zip The applicant was by me from J 0/3 to 20LZ Applicant's title: The applicant's of work (specific duties e Additional comments: NOTE TO LICENSED Under penalty of perjury, I declare that the facts stated here are true. e a any information provided herein may subject your license ,o revocation. o/e. The foregoing instrument was ffsauy"or Luh oJ^t ,z,o )\ ,uy before me bv means TLt L ly County of n/a,s|^,-of person providing the statement of {physical presence or ! online notarization on thisfwt{t Such person(s) Notary Public must check applicable box: ,/! are personally known to me Efhas produced a current driver license acknowledged E has produced_ as identification. HOSi$AIIJ JAIJBAR PUBLIC, S'TATE OF NEWYORK DLE " nl,NY Registration No. 01 JA6344043 QualifisrJ in Nassau County ,5 CrntsstonMP,RCH 27 Notary Signature Contractor Licensing - FIRM Application Rev. 7 12022 Page 12 of 14 operations & Regulatory Management Division, contractor Licensing o 2800 No(h Horseshoe Drive o Naples, FL 34104 o (23g) 252-2431 contractorslicensi no@colliercountvfl.qov I 8.E.1 Packet Pg. 205 Attachment: 8E. ADMIR SHAQIRI -REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - ADMIRAL CONSTRUCTION & CO LLC (27513 : 8E. --.--it RODON Home Improvement Inc. 2167 W 9 St, Brooklyn NY, 11223 (347)4$-3735 info @rodonusa,com September, 6th, 2023 License Nr: 1299457 My name is Arian Kodra, and I am the owner of "Rodon Home lmprovement" lNC. Rodon Home lmprovement INC was established in 2010 as a full service company in the construction industry. Our services include, but are not limited to: New Home Constructions, Commercial and Residential Renovations. Admir Shaqiri was employed as Construction Superintendent from January 2012 - March 2017. During his time as Superintendent Admir was responsible for managing all aspects of construction projects. ln new home construction projects, Admir oversaw all phases of the construction( Concrete foundation and slabs, earpentry, roofing, framing, drywalls, flooring, painting etc.) His responsibilities also included managing the on-site construction team, ensuring that work corresponds with blueprints orctlent rcquests, monitoring quality control and safety checks in accordance with OSHA standards and state regulations. I believe that Admir would be an asset to the construction industry in collier county. He is a qualified and experienced professional who is committed to excellence. I highly recommend him for a license, to operate a construction business. Sincerely, INNA NAZAROVA ,roro^v putu'c'sn'E oF NEW YOR( No' 01NA6406718 ouslifi6d in Kings CounW My c-ommisslon ExPkr! 044&2024 ,. 7 L- an Kodra VZ-r4-a s To whom it may concern: ;eh 8.E.1 Packet Pg. 206 Attachment: 8E. ADMIR SHAQIRI -REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - ADMIRAL CONSTRUCTION & CO LLC (27513 : 8E. Admir Shaqiri 1304 Verde Dr, Unit 4 Naples, Fl, 34105 848-219-9556 admirshaqiri@vahoo com Construction manager with over 6 years of experience in planning and coordinating operations related to the reconstruction and maintenance of commercial and residential facilities. Accomplished construction projects ranging from $30K - $250K ensuring quality and conformance to building codes. Seeking to continue growth by implementing construction prowess and management skills to become Residential Contractor at Collier County Work Experience March 2017-June 2023 Daniel's Contractor INC , New York - Business Owner Lic Nr: 82-2782851 Reconstruction at "Professional Brooklyn Gynecological Services" New York lnstalling 3800 sq/feet Vinyl tile, lnstalling '1500 square/feet hardwood floor, lnstalling 7 Kitchen cabinets, Plaster and paint interior walls. Reconstruction at "New York Center for Specialty Surgery" New York Complete remodel of 8 bathrooms, installing 9000 sq/feet vinyl tile, Removed interior walls and built new framed walls, plaster and paint. lnstall new kitchen cabinets Reconstruction at "BMS Family Health and Wellness Centei' Brooklyn, NY lnstalled new ceiling tiles, New laminate and vinyl flooring, lnstall new doors, plaster and paint. Residential remodeling lnterior and exterior remodeling including: bathroom renovations kitchen renovation roof repair , deck installation fence installation etc January 2012- March 2017 Rodin Home lmprovement, NY - Superintendent . Coordinate and oversee all work on site, . Manage the procurement, delivery and placement of materials and equipment, o Assess the resources needed to complete a project and generate cost estimates, o Review the schedule and budget and ensure adherence to these. . Conduct safety inspections to ensure on-site working conditions adhere to the required standards, a o a a 8.E.1 Packet Pg. 207 Attachment: 8E. ADMIR SHAQIRI -REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - ADMIRAL CONSTRUCTION & CO LLC (27513 : 8E. a Supervise apprentices, carpenters, concrete laborers, general laborers, framers, roofers, and other skilled tradesmen. Education University of Tirana, Tirana, Albania - Bachelor of Science in Mechanical Engineering Certifications o OSHA 30 for General lndustryo 513 Citywide Standpipe Systemr S94 Sup Flam/Com Liq Portable containers. 512 Citywide Sprinkler Systemso F07 Fire and Emergency Drill Conductoro S95 Supervision of Fire Alarms and other related Systemso G71 Supervision of Piped non-Flammable Medical Gases 8.E.1 Packet Pg. 208 Attachment: 8E. ADMIR SHAQIRI -REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - ADMIRAL CONSTRUCTION & CO LLC (27513 : 8E. FLORIDA INDIVIDUAL ACKNOWLEDGMENT F.S. 117.O5(13) State of Florida Courrty ar _ Colluul The foregoing instrument was acknowleclgecl before me by means of ) drnysicat Presence. _oR_ I Online Notarization Title or Type of Document: Docr:ment Date: this J3 day of O oltbe'r ?o-?_? , ov Date Montlt Yeor Nome of Person wledging f Notary Public - Stote of Flctrido Norne of Typed, Printed Stomped flPersonally known #rooucea ldentificatiorr Type of ldentification Produced: &-OA-Wf Nurlber of Pages Z Ploce Notory Seo/ Stomp A,bove OPTIONAL Completing this informotion con deter olterotion of the document or froudulent reattochment of this form to on unintended document. Description of Attached Document 0 Signe(s) Other Than Named Above t'e# ##flrf#r,Y}f*r{c$(i}-.$is,'r.$#..ixriff,{!,#,#&,9;&:vii{i:*,*v.f*h4pt:rb!+4!: :11:t. .w4v:1.yrth:ent ,O2O2O National Notary Association ffi .. SHIRLEY DgSnEt ltGuErrxotrry public . ttrt. of Florid! Lomnission t HH 9036i AIY Comm, ilpir$ Fct t, 2025 rvr1304-1 1 (11t20) *)r^;r Sha qiri 8.E.1 Packet Pg. 209 Attachment: 8E. ADMIR SHAQIRI -REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - ADMIRAL CONSTRUCTION & CO LLC (27513 : 8E. Qovtnty GroMh Management Community Development Department APPLICATION FOR COTLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER "'ro-rorflor,lQ couNrYoF (ollr-{ t^l.,'\\aoe 0l;rle{having been first duly sworn, state and affirm: r\la,..,itt County,fur*r{6VV (State) and have resided here forI am a resident of more than five (5) y€ars. During the last five (5) years I have known good character. a-l\ha (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 /,12" ill il,,11.,, 0 Signature Printed Name Address:S'1/ ,r,/ fs'/sl,-./ /l.u/k l,///ra/r City Street State Zp state of Ne.^: "{o r K Cous ty of K'nos.J- The foregoing instument was acknowledged before me by means of Dfhysical presence or E online notarization on this d3a"y of Ss c.q 2oa3 , by U..J o.\\ o.c-e O \'',..,er Such person(s) Notary Public must check applicable box: dare personally lorown to me E has produced a current driver license E has produced (Notary Seal) as identification. Notary Signatue Contractor Licensing - FIRM Application Rev. 7/2022 Page 13 of 14 lqTH^tlxE xHozxtv^ ilo!.ry Public - st.t. of tle* York tao. 0!XHa.207.7 Ou.lifird in Xin!, Cotrnty ly C.lrrfii.5lon Erriaa! Au! la, 2025 OperaUons & R69ulatory Manag€.nsnt Divlsion, Contrac{or Licensing . 2800 North Horsesho€ Drive . Napl€s, FL 3410/ . (2391252-2431 contractorslicensino@colliercounM).oov t, rct"pnon", 7/( 90 /'Vb1C 8.E.1 Packet Pg. 210 Attachment: 8E. ADMIR SHAQIRI -REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - ADMIRAL CONSTRUCTION & CO LLC (27513 : 8E. County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF COUNTY OF KIT.*, O..S _) &r.r A{\ne eUgWt*having been first duly sworn, state and affirmt, I am a resident of County,Ntr.J VoGk (State) and have resided here for more than five (5) years. Duringthelastfive(5)yearslh","kno*n(applicant).lhavehadtheopportunity 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 , fi\ r'Ap$(Qil'rft s\ Street $koX\r,tl )r -\/ t t,t\ Strt" T ztp Telep non",t\1 -3s-5:t 8ro State of Ntw\O c (County of ttn The foregoing instrument was acknowledged before me by means ofdphysicatpresence or E online notarization on this 2!_auyof 5\rn€ .zo 24 ,by Jrrna*han (taS-litlo Such person(s) Notary Public must check applicable box: E are personally known to me /has produced a current driver license n has produced as identification (Notary Seal) o. Ci,y -f Fatricia Thompstttt NoUY Public. Srate Of Ncw Yor'- No.0lTH 6l5l5l3 Qrlolind ln Kings CountY My dld; ExpircJA ugusr 2 l' 2r i!&N o tary S i gn ature : Contractor Licensing - Fl RM Applica tion Rev. 7 12022 Page 14 of 14 Operations & Regulatory Management Division, Contractor Licensing e 2800 North Horseshoe Drive o Naples, FL 34104 c (239)2SZ-2431 contractorslicensi no@colliercountvfl.qov N qvr Vo+V< - 8.E.1 Packet Pg. 211 Attachment: 8E. ADMIR SHAQIRI -REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - ADMIRAL CONSTRUCTION & CO LLC (27513 : 8E. C,Rfr,Covmty Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY STATE OF COUNTY OF AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER Colt;e r L /tr /nD ,h aving been first duly sworn, state and affirm lam a resident of County,kln,o 4 (State) and have resided here for During the last five (5) years I have known ldnir 5h aotre (applicant). I have had the opportunity to observe his or her business and personal dealings and find good character. him or her to be a person of honesty, integrity and Signature Printed Name Street City more than five (5)years The instrument was acknowledged before me dphysicalpresence or E online notarization on this , zip State or /UoW {r </- counry ,r @ * n Na95 day of zo )\ ,by by means of I Lt lL ary /nllr../D11_ Such person(s) Notary Public must check applicable box ! are personally known to me fi^ produced a current driver license b L */? r,ry n has produced as identification (Notary FI ,tlt r\BB;\R PUBI.IC, ST'JE OF NEWYORK Regisiration tlo. 01 JA6I]44M3 Qualified in Nassau County EYpire$ hli\RCH 27,2025 Notary Signature: Contractor Licensing - FIRM Application Rev.712022 Page 13 of 14 Operations & Regulatory Management Division, Contractor Licensing o 2800 North Horseshoe Drive o Naples, FL 34104 o (239) 252-2431 contractorslicensi nq@coll iercountvfl.oov 65< t, V tZ rool-/q n d Add,"rr, 2{- 63 Zzld o/.(zd ruepnone: 7ff- 3 ?4- 3 O7/ 8.E.1 Packet Pg. 212 Attachment: 8E. ADMIR SHAQIRI -REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - ADMIRAL CONSTRUCTION & CO LLC (27513 : 8E. $'*liiiltu t t !PaDJ'a 5ii l1 a 9 tt tI ct,iII E{ 1lr-an3 oo to 2a *# Itttf,ffiilmtt$H E !sT. p octitf,8.E.1Packet Pg. 213Attachment: 8E. ADMIR SHAQIRI -REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - ADMIRAL August 16,2023 MINUTES OF THE COLLIER COUNTY CONTRACTOR LICENSING BOARD MEETING August 16,2023 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, 3'd. Floor, Collier County Government Center, Naples, Florida. MEMBERS: Todd Allen, Chairman Robert Nester Terry Jerulle Matthew Nolton Kyle Lantz Richard Joslin Elle Hunt ALSO PRESENT: Timothy Crotts, Contracting Licensing Supervisor Kevin Noell, Esq., Contractor Licensing Board Attorney Ronald Tomasko, Esq., Assistant Collier County Attorney Michael Bogert, Collier County Licensing Investigator Timothy Broughton, Collier County Licensing Investigator Sandra Delgado, Operations Supervisor 1 8.E.1 Packet Pg. 214 Attachment: 8E. ADMIR SHAQIRI -REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - ADMIRAL CONSTRUCTION & CO LLC (27513 : 8E. August 16,2023 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 Kyle Lantz was approved leaving at 11:00 a.m. today Stephen Jaron, approved absence. 2. Additions or Deletions None. 3. Approval of Agenda I Kyle Lantz: Approved agenda and made motionI Richard Joslin: Seconded All in favor - aye. (Caruied unanimously, 7-0.) 4. Approval of the Minutes f Terry Jerulle: Motion to approveI Matthew Nolton: Seconded All in favor - aye. (Caruied unanimously, 7-0.) 5. Public Comments None. 6. Discussion I None. f At the request of Timothy Crotts, StaffComments will be discussed after the public hearings. 7. Reports None. 8. Orders of the Board (A) 15 Orders I Kyle Lantz: Motion to authorize the Chairman to sign the l5 orders of the Board.f Richard Joslin: Seconded. All in favor - aye. (Caruied unanimously, 7-0.) (B) ADMIR SHAQIRI _ REVIEW OF EXPERIENCE - GENERAL CONTRACTOR - ADMIRAL GENERAL CONTRACTOR LLC I Admir Shaqiri: Sworn testimony given. I Timothy Crotts: Mr. Shaqiri has submitted an application for the issuance of a registered license as a general contractor, which requires 48 months experience. As part of the review process by staff, Mr. Shaqiri has submitted verification of experiences from the following licensed contractors outlining his experience - PIBGS 2 8.E.1 Packet Pg. 215 Attachment: 8E. ADMIR SHAQIRI -REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - ADMIRAL CONSTRUCTION & CO LLC (27513 : 8E. August 16,2023 from Brooklyn, NY, the details of the work experience was that of flooring, cabinets and general maintenance; Colony Manor, out of Brooklyn, NY, details of the work experience was that of kitchen, bathroom, flooring and removal;Jonathan Castillo homeowner Brooklyn, NY, details of the experience was that of fencing a porch awning with columns, wrought iron and floor installation; Rayon Home Builders of Brooklyn, Nl we received no information. A phone call interview was conducted with Mr. Shaqiri regarding his application and experience. Mr. Shaqiri stated that the majority of his experience consisted of interior renovations of single family homes, including the building of driveways, walkways and roofing. Mr. Shaqiri did tell me that he did have some experience in the renovation of hospitals. Mr. Shaqiri did state he does not have any experience in the construction of high-rise structures, multiple dwelling structures exceeding three floors, or any commercial structures associated with shoppingplaza structures. Based upon the information received from Mr. Shaqiri, it is the opinion of staffthat Mr. Shaqiri does not meet the requirements under Ordinance 2006-46 section I .6. I .l as it relates to the trade of general contractor. Mr. Shaqiri is being referred to the Board under Section 2.5.2 refercal the application to the contractors licensing board for decision. Mr. Shaqiri is here to answer your questions regarding his experience. The 48 months of experience can come from other locations. I Todd Allen: Before I turn this over to let you explain to your experience, what are you hoping to use this license for? I Admir Shaqiri: I am starting to buy properties and want to build new houses. I saw the requirements for the general contractor license and thought I'm a good fit. I Todd Allen: Do you want to build just residential properties? r Admir Shaqiri: Yes. I saw the requirements on the website and it says I would need 48 months of experience in construction. I don't have the high rise building (experience) in New York because it was more interesting for me to work for myself because I had my own company, Daniel Contracting. I was working for myself doing a lot ofjobs in construction roofing homes, remodeling in residential and commercial. I used to work for a lot of hospitals and ambulatory centers in New York City doing a lot of interior jobs. I Todd Allen: You've never built a commercial building? I Admir Shaqiri: No. I used to work for another company which was working with commercial buildings and I was a superintendent. I started as a carpenter in that company and I grew more experienced in different buildings - schools and health departments in New York City. I am certificated from OSHA * 30 hours of commercial buildings. I am from Albania and have a mechanical engineering degree from Tirana University. I Richard Joslin: Since you only want to do residential contracting or build residential homes, I would suggest to you that maybe that's the license that you would apply for.I Timothy Crotts: Based upon the information we received from the verification of construction experience, we would say no, even through Mr. Shaqiri's own 3 8.E.1 Packet Pg. 216 Attachment: 8E. ADMIR SHAQIRI -REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - ADMIRAL CONSTRUCTION & CO LLC (27513 : 8E. August 16,2023 admission, most of his experience has been through remodeling, not building from the ground up. I Matthew Nolton: As a general contractor you don't come close to having the experience. You could build a thirty story high rise or a 500,000 square foot commercial building, but you don't have that experience based on your testimony here and based on the information you've provided us. I Todd Allen: What I would recommend you do is consider withdrawing this application and have a conversation with Mr. Crotts on whether there is a different license you can apply for. Maybe you can provide him with some additional materials that would qualify you to build residential. It sounds like you have some of that experience, but I can't support giving you a general contractor license that will allow you to go build that thirty story high rise. I Terry Jerulle: My advice is to work in Florida for a general contractor doing the type of work you want to do and that will give you the experience to become the contractor you want to be. I Elle Hunt: Our building here is different than in New York. Our topography is different, code is different in order to maintain hurricane level resilience for homes. If we were even going to consider a residential contractor license, we'd start talking to you about how to build for hurricane resiliency. And from my understanding you don't have experience even with that. I Todd Allen: I want to confirm, Mr. Shaqiri that you're going to withdraw this application today? I Admir Shaqiri: Yes, I will. (M. JIMENEZ _ REVIEW EXPERIENCE _ RESIDENTIAL R _ JJ'S INNOVATION QUALITY LLC I JoseJ : Sworn testimony given to Mr. Jimenez and his I Timothy attempted : Mr. Jimenez appeared before the Board on 2023, and to get registered building contractor license.revlew by the Board, it was determined Jimenez did not possess ired experience and was allowed to withdraw his in lieu of being denied. A copy of the minutes from the April 19,luded in your packet for review Currently, Mr. Jimenez has subm application for a residential contractor, which also requires 48 part ofthe experience and as part ofthe review process by Jimenez su verifi cations of construction experience and A review of these show the following: (l) Blue Diamond ilders - employed from September 8to present and speaking with the president of the company, Mr. Jimenez was a 1099 employee. The verification of experience with the residential contractor license has only been slightly Pinnacle Contracting and Framing - employed from March 2017 to present. I Mr. Diaz,the president of this company. Mr. Jimenez was a part-time employee working two to three years ago. Mr. Jimenez's work was 90oZ residential. Howeveq Mr. Diaz could not remember any of the work that was performed by just Mr. Jimenez.The 4 20 to 25 hours a was resubmitted 8.E.1 Packet Pg. 217 Attachment: 8E. ADMIR SHAQIRI -REVIEW OF EXPERIENCE - RESIDENTIAL CONTRACTOR - ADMIRAL CONSTRUCTION & CO LLC (27513 : 8E. 12/20/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 8.F Doc ID: 27514 Item Summary: 8F. HENRY C. CZERWINSKI III - REVIEW OF CREDIT – PLUMBING CONTRACTOR – HENRY & SON PLUMBING SOLUTI Meeting Date: 12/20/2023 Prepared by: Title: – Contractor Licensing Name: Alyshia Morse 12/13/2023 3:52 PM Submitted by: Title: – Contractor Licensing Name: Tim Crotts 12/13/2023 3:52 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 12/13/2023 5:40 PM Contractor Licensing Tim Crotts Review Item Completed 12/14/2023 7:38 AM Contractor Licensing Tim Crotts Meeting Pending 12/20/2023 9:00 AM 8.F Packet Pg. 218 c,tF",Covrnxll GroMh Management Community Oevelopmenl Department APPTICATION FOR COLTIER COUNTY CERTIFICATE OF COMPETENCY lil j-Soz1 FIR'YI APPTICATION FOR COttIER COUNTY CERTIFICATE OF COMPETENCY )il3- b2{ This application must be typewritten or legibly printed. The application fee must be paid upon approval and is NOT retundable. All checks should be made payable lo Collier County Board of County Commissioners. For further information, consult Collier County Ordinance No. 200646, as amended. TYPE OF CERTIFICATE OF COMPETENCY: $230.00 $230.00 $230.00 $230.00 $230.00 n Electrician $230.00 $230.00 $230.00 $230.00 $205 00 prumuer L\J; n Air Conditioner E Swimming Pool Specialty P\Specialty Trade: I. APPLICANT PERSONALINFORMATION: Ae*,Name Business Name Email Czee-'*srr,il i a"?ln^-b }\,,*.*=u-r- l,]a S.lu,o- Lo,t L)L 3L{\0S Fi Street A State Zlp Telephone: r\*"J-,"1 outlo"V- >3\ t* o>b5 . Lo-.r .SS # (Last 4 digits only) qvb-5 Driveis License # (Last 4 digits only)Date of Birth r\'25. \tbal L\>50 pursuant to Collier County Contrador Licensing Ordinance No. 2006-46 Sedion 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 applicanl's ability to satisfy creditors by reviewing their credit history. b) Verification of applicant's test scores aod informalion. c) Verfication of applicant's identity. Our office will only use the personal information noted above for those reasons pursuant to Chapter 1 '! 9, Florida Statutes. and as may otheNise be authorized by law. We are fully committed to saleguarding and protec{ing your personal information and once colleded, will be maintained as confidential and exempt under Chapter 1'19, Florida Statutes. contractor Licensing - FIRM Application Rev. 7/2022 Page 3 oI 14 Licensing . 2800 North Horseshoe Drive . Naples, FL 34104 o (2391252-2431 Operations & Regulatory Managemenl Oivision, Contrador ic€nsino@collierco untvfl.oov E General ! Building ! Residential n Mechanical ! Roofing Address: ciw 8.F.1 Packet Pg. 219 Attachment: 8F. HENRY C. CZERWINSKI III- REVIEW OF CREDIT – PLUMBING CONTRACTOR – HENRY & SON PLUMBING SOLUTIONS LLC 1.6,2,11. Phunb:ing Contractor �uires twenty•fmir (24) monlhs experience as a licc:nsoo Journeyman or equivalent with a pas..sillg gtade on a 5:i11 ({;� liea::I' an approved lellt an.cl a. P<lS ing: grade on a �we (3� h0W' llusines.s md law l'C.st and means any person wh0-se con1racti11g bu iness ronsistS of the e.x�tion of contracts requrmng lhe ,experieli.�. financial .meJl!ns, knowledge, and skiJI to i.n.sutll, m intllrin, repair, alter, extend or wilen not prohibi ed by law, ,ks:ign plumbing. A 12 Word��� em dele1td, ""� lilPl1!;r:4in,ed u added. p]wnbing cor.tliaetor may illSmll, mainmin, i:i:pair, al.tc.r, extend, or, when not pllOhilbil:ed by law, design the, following with.out ob , l:aing any l!Aiditiional local regulatory liceru;e, oedl.ficate, or re-gis.tralion: sanitary drici.Thll,ge or stoml draim1:ge. filCilitie.'i; venting systems: public or private water sup?IY systems; septic t.w:iks; drainage and s11pply wells:; swimming pool pjping; irrigation systems; or solar l\eal.ing water sysmms and an app1.1nc.a.1111Ces., applllltus. or equi�it used in corineclion. tll.e:rew1Ui, including boilen. �fill pressure p-rocess piping and including the installation ,of water, 11awral gas (e1.eltldi11g li.fjliiiG�_�Efa!efflll gM*and stonn 1md sanitary sewer lines; and water and ewer pJonts imd s,ubsta.lions. 'fhc scope of work of d1e pmmblng ocmtracmr aloo includes lhc design,, wli-e11 not prohibitc:d by law, and in" latfo-n, main�ance, repair, alte.rnrion, or e:tti::t1r.1ons of air-piping, vacuum line pipi!ig, oxygen line, piping, nilrous ox.i:de piping, aml aJI related medka gas. syst<;m!i; fire line ·blD.dpipes and ftw sp.rillklets to 1hc extent a1.1Lhori� Dy applicaD1e law; ink and chemical lines; fud oil and polille piping, aicept bulk storage pl1rnts:; .and pneumatic CQl'ltrol piping systems, aU in such � manner as w, comply Hiln all plans, apc:ci.ficati.Olls, codes, lawi, and l'egulations Dpplicable. The scope o.f wm.k of llhe plumbing c..ontractor shw.l apply to p:ri. vate property 0ild public pmperty, :shall include any .excJ1va1i.on work inclcle:aJtal thereto. iiDd shall in.du.de the work. of lhca 5peciaD1y plwnb.ing ,corucacto.r. Su.ch ooutractor .$hall s11b¢ontra_ct. wi'tb a quali:fiQC! contractnr in lhe field ,concerned, ,all olher wot incidental. to the work but whjc.l:J. is sped t!.XI llereln il!> being the wotk ,of a ,1nde other l'.h.an that of a plu.rnl:iit1,g 001nractor. YJru:c,ment of irrc .� , ing and fire stopping, mater.i� shai] be permitted on wal 1, ceiling and floor pGnetr.ations created within thr;, 51Cope Q.f die wo1k allowed b lhi s section. Attachment: 8F. HENRY C. CZERWINSKI III- REVIEW OF CREDIT – PLUMBING CONTRACTOR – HENRY & SON PLUMBING SOLUTIONS LLCPacket Pg. 220 C,Rff", Cottttty Growth Management Community Development Oepadment APPLICATION FOR COTLIER COUNTY CERTIFICATE OF COMPETENCY Provide the namexnd tele^hone numbers of two persons who will rurr", /o,.^dc L-aae-.,'t*'gi" Name s know your reabouts Telepho II. NAME OF APPLICANT'S BU Business Name Business Address: Street s \45 viq- Lo^x {Fr-rr+JSY-\(,* L 3LltD5 n",)4 )ql \q53 n", 23\)(3 o?Sa s{NE So\*t^ss wc Telepho City State 7ip)Zq >el o>b,Telephone: Email:{;SUIJ .r*lot t o, -*\ou'lc. co,"^ qZ-a\r (#t\Federal lD Tax No III. FINANCIAL RESPONSIBILITY NOTE. lf you have answer YES to any of the questions below, you must attach a written explanation including the nature of the charges, dates, and outcomes, sentences of conditions imposed. You must also attach proof of payment, satisiaction of lien or judgement, bankruptcy discharge, or agreements for payment.*lf you have had a felony conviction, proof that your civil rights have been restored will be required prior to licensure Contractor Licensing - FIRM Application Rev. 7/2022 Page 4 of 14 YES NO Y Filed for or been discharged in bankruptcy within the past 5 years? ts 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?)o )4 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 adiudication, a crime in any jurisdiction within the past 10 years?. p 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 contractor in this or any other state, been 'subject to" disciplinary action by a state, county, or without a license, or if licensed as a municipality?)4 operations & Regulatory Managernent Division, contrador Licensing o 2800 North Horseshoe orive . Naples, FL 34104 ' contractorslicensino@colliercounM|.oov (239) 252-2431 ALL APPLICANTS MUST ANSWER THE QUESTIONS BELOW; Had a lien filed against you by the lnternal Revenue SeNice or Florida Corporate Tax Division? )o )4 8.F.1 Packet Pg. 221 Attachment: 8F. HENRY C. CZERWINSKI III- REVIEW OF CREDIT – PLUMBING CONTRACTOR – HENRY & SON PLUMBING SOLUTIONS LLCPacket Pg. 221 c,lF",Count! GroMh Management Community Development Oepartment IV. EXPERIENCEVERIFICATION this application is being made: ?ACL Tls ,s "C$--,Fr"l.i*, L ov4l,/(rt L( List below non formal education (on the job training) you have obtained in the area of competency for which this application is being ade o ,f,eN CURRENT/PR OUS LICENSE: List below and attach copies any other certificates of competency/licenses you hold/have held in Collier County or any other jurisdiction. lnclude the license #, Type, and county you hold it in. AFFIDAVIT Under the penalties of perjury, I declare that I have read the foregoing application and the tacts stated in it are true .tg.\) Ct1^,p-\rlstr\$4-' Applaca (please print)Signature ofAppl State of Flori0-County of Colli* The foregoing instrument was acknowledged me by means cal presence or E online l5-oov or 0C#(zo?3 ,ty t-Ui r1S Lir Such person(s) Notrry Public must check applicable box: $re personally known to me tr has produced a curent driver license on this Page 5 of '14 0 has produced (Notary S€al) Contractor Licensing -Application Rev. 7/2022 0/r",.v. as identification otary Signature r,urd&C. n@1rruofl( rY@IGrolrEl2lttatqPnES0&r,2dl operations & Resulatory Manasement Divis"", "::rjfl*tro::fl ;X1fl" . 2800 North Horseshoe Drive r Naples, FL 34104 c (239) 252-2431 6colliercountvfl-oov APPTICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY EDUCATION: List below and provide transcripts for any formal education you have obtained in the area of competency for which 0- *r^,rLY rl.otf, 8.F.1 Packet Pg. 222 Attachment: 8F. HENRY C. CZERWINSKI III- REVIEW OF CREDIT – PLUMBING CONTRACTOR – HENRY & SON PLUMBING SOLUTIONS LLC c,Jrff",Covtnx! GroMh Management Community D€velopment Department APPLICATION FOR COLLIER COUNTY CERTIFICAIE OF COMPETENCY CERTIFICAIION OF APPTICATION *\,^,C C1r.a*rr*,!,tca,-t{* uLL- Ar^., I t State of Fortil-County of aclinow Name of Signature ofApplicant ( before me by means oXnny,i.al presence or E online notarization on this c. 'Ite foregoing instrument was l5*tuy nr6(+alooy ,zo 2a.ty r { Such person(s) Notary Public must check applicable box: }(rc pc.sonaly l,no*n to me E has produced a currenl driver license [1 has produced (Notary Seal) as identification. Notary Signature: Contractor Licensing - FIRM Application Rev. 7/2022 Page 6 of 14 EluEr r.luoAt( YCO XTSS|O||'rt2o!C.t EorREg o lra,2@ Operations & Regulatory Management Oivision, Contractor Licensing . 2800 contractorslicensino(Acollier North Horseshoe Drive . Naples, FL 34'104 o (239) 252-2431 countvfl.qov The undeEigned 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 tacts 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 supeNise 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 willtul falsification of any information contained herein is grounds for disqualification. Applicant (please ?( 8.F.1 Packet Pg. 223 Attachment: 8F. HENRY C. CZERWINSKI III- REVIEW OF CREDIT – PLUMBING CONTRACTOR – HENRY & SON PLUMBING SOLUTIONS LLC C,Rfr,,Covtnt! GroMh Management Community Development Department Applicant (p print J Name of Com ny Signature ofApplicant CCza,.;rskEno,m,,."no 9.?\a\J-l. e/**z tLua BEFoRE ME this day personally appeared Applicant (please print) says that he has less than one employee and does not require \ rorkmen's Compensation understands that at any time he employees one or more persons he must obtain said Workmen's Compensation lnsurance State of The foregoing hstrument was acknowtedged before me by means ysical presence or E online notarization on this 15 aav or OcloW,zotEl,ty e ai kt Such person(s) NoIary Public must check applicable box: lfare personaltv lnown to me E has produced a cunent driver license tr has produced (Notary Seal) Contractor Licensing - FIRM Application Rev. 7/2022 as identification. Notary Signature: Page 7 o'f 14 flE UHJDII( woortlsso ftfi ai6as D(mE$ Ocbo..2o, 2Oa6 Operations & Regulatory Management Divhion, Contrador Licensing . 2800 North Horseshoe Drive o Naples, FL 34104 c 1239) 252-2431 contractorslicensinq@collieJcountvf l.qov APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY WORKIVIEN'S COMPENSATION AFFIDAVIT It is understood and acknowledged by the Collier County Contractors' Licensing Board and myself that if I fail to acquire, or maintain at all times effective Workmen's Compensation lnsurance it will result in the possible revocation of my Certificate of Competency. \ n n j-_t\^.,n-1 C Q.re-\os\o^ --l.^- ( 0 flor,Jp c,, w,r Collierz 8.F.1 Packet Pg. 224 Attachment: 8F. HENRY C. CZERWINSKI III- REVIEW OF CREDIT – PLUMBING CONTRACTOR – HENRY & SON PLUMBING SOLUTIONS LLC GITS, LLC Examination Operations Division Providing the services and products to assist Government Agencies to make informed educated decisions. Officia! Examination Score Report October 5,2023 Official Score Report: Candidate Information: Name - Henry C. Czerwinski III Candidate #:83694250C Online Testing Site: Ocala, FL Final Score Result: Business Procedures Score: 98o% 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 5,2023. 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 8.F.1 Packet Pg. 225 Attachment: 8F. HENRY C. CZERWINSKI III- REVIEW OF CREDIT – PLUMBING CONTRACTOR – HENRY & SON PLUMBING SOLUTIONS LLC GITS, LLC Examination Operations Division Providing the services and products to assist Government Agencies to make informed educated decisions. Official Examination Score Report September 7,2023 Official Score Report: Candidate Information : Name - Henry C. Czerwinski III Candidate #:83694250C Online Testing Site: Ocala, FL Final Score Result: Business Procedures Score:66% Master Plumber Score: 78o% 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 1,2023. If you have any further questions, please do not hesitate to contact us. Sincerely, Jay E. Bowermeister President PO Box 831127 Ocala, Florida 34483-1'127 -Yoice (352) 369-clTS - Fax (352) 387-2443 800 997 2129 8.F.1 Packet Pg. 226 Attachment: 8F. HENRY C. CZERWINSKI III- REVIEW OF CREDIT – PLUMBING CONTRACTOR – HENRY & SON PLUMBING SOLUTIONS LLC '.&perion CZERWNSKI HENRY C lll 146629683iCAj215 SALVIA LN/NAPLES Ft 341O5iY-11251969:VERtFyiVERtFy-y2rJ2 H-y: PAGE 1 DATE 10-18-2023 TIME 10:30r22 V901 TFLT HENRY CZERWINSKI SS: -9583 Er JRC PLUI,IBING & HEATING *420 WOODSHTRE LN ApT C? DOB| !t/25/69 RpTD: 6-11 TO 7-19 U NAPTES Fr, 341051449 RPTD: 9-23 U 1X Er ANDERSON COATING SYSTE LAST SUB: 1680560 RPTD: 2-06 I *2656 FOUNTAIN VIEW LN APT 203 NAPLES FL 3410 917 55 RPTD: 3-23 U {1359 HERNANDO ST NAPLES FL 341033250 RPTD: 3-98 TO 11-21 U ::T:::T:]:::: ]:: --. PROFILE SI'MMARY cMt 07/04/os/99 PI'BLIC RECORDS------_O PAST DI'E AMT---$31,363 INQUIRIES.-_O SATIS ACCTS-.-1 rNsr/oTH BAr---$31,353 SCH/EST pAy---------SO rNOS/5 MO---O NOW DEL/DRG---8 R ESTATE BAL-------N/A R ESTATE pAy-------N/A TRADEIJTNE- - 12 WAS DEL/DRG---3 tlt llt li_________:: t:t::::::i:;"**:* :::: illt__.i llt tTt__i.1i FICO CLASSIC RISK 8 = 487 SCORE FACTORS: 38, 18, 19, 15 TRADES -----. SITBSCRIBER OPEN AI,,T-TYP1 AI..IT-TYP2 ACCTCOND pyMT STATUS SIJB# KOB TYP TRItt ECOA BALDATE BAIANCE PYMT LEVEL Mos REv PYMT HISToRY ACCOUNT # LAST pD MONTH PAY PAST DUE IT.IAXIMITM By MOljl:rH aL J ROSS ASSOCIATES IN 4-23 S161-0 COLLACCT 2980498 yC COL 1 1 10-1s-23 9161 4-23 ( 5) ccccc 2',1937 686 $ 161 ORIGINAI CREDITOR: FLORIDA POWER LIGHT ** AFFECTED BY NATURAL OR DECI,ARED DISASTER T* *MIDLAND CREDIT MANAGEM 8-21 $9,144-0 COLLACCT 29LO'772 yC D/B 1 1 10-13-23 59,144 A-2L (23) cccc,cccc,cccc,c 314378322 99,144 C,cccc,ccccc ORIGINAL CREDITOR: CAPITA! ONE BANK UsA N.-4.- *MrDr,AND CREDTT MANAGEM 1-21 9783-0 CoLLACCT 29tO772 yC D/B 1 1 10-13-23 9783 1-2), (24) ccccccccccccc 31417 r.8 5 0 9783 ccccccccccc ORIGINAI, CREDITOR: CREDIT ONE BANK N.A. *MTDLAND FUNDING 6-18 91,757-0 CoLLACCT 29a2831 yC D/B 1 1 10-13-23 S1,?s? 5-18 (s8) ccccccccccccc30s5793s1 91, ?s? 9_21lc cccccccccccc ORIGINAL CREDITOR: SYNCHRONY BANK *CoLUMBIA DEBT RECOVERY 3-23 916,211-0 CoLLACCT 19043s0 yc col, 1 1 10-10-23 S16,782 3_23 ( 6) cccccc DLOGDL43240010085784 916,782 ORIGINAL CREDITOR: 10 X LMNG AT NAPIJES ** ACCOUIM PREVIOUSLY IN DISPUTE - INVESTIGATION COMPLETE, REPORTED BY DATA FI'RNISHER TT *LVNV FITNDING LLC 7-2t 9397_0 coLr,ACcT Psoe l of2 8.F.1 Packet Pg. 227 Attachment: 8F. HENRY C. CZERWINSKI III- REVIEW OF CREDIT – PLUMBING CONTRACTOR – HENRY & SON PLUMBING SOLUTIONS LLC 1523040 FU D/B 1 1 10-03-23 $397 1-2t 6044192161910?73 5397 ORIGINAI, CREDITOR: SYNCHRONY BANK PAYPAI, }IJVNV FITNDING LLC 8-2t $1,532-0 1623040 FU D/B 1 1 10-03-23 $1,s32 8-2! 444196242942657 4 $1, 532 ORIGINAL CREDITOR: CREDIT ONE BANK N.A. *vERrzoN WIRELESS 4-L4 S807-H 0940579 UW CEL 1 1 9-30-23 5807 8-23 88834118700001 $807 *WFIBOBS FN 6-L6 $2,40O-L $1,389-C 2'183780 HF CHG REV 1 1-31-18 1-18 511442L81622 L2-L"l ** ACCOUNT PAID IN FULL FOR LESS T}IAN FTILL BAI,ANCE 'T*HYIJNDAI CAPITAL AMERIC 6-15 $15,243-0 2612005 FA AUL 48 2 s-31-19 s-19 151313698? 5-19 ** EARLY TERMINATION/OBLIGATION SATISFIED *T AFFTRM rNC 4-19 9662-0 0999347 FP I,NS L2 1 4-10-20 4-20 ,rG70 9,133 4-20 *THRIFT INVESTMENT CORP 5-19 $at,642-O 1580550 FA AUT 48 L 9-72-23 9-23 414195 9-23 END -. EXPERIAN COLI,ACCT (24 ) GGGGGGGGGGGCG C,GC,GC,GC,C,C,C,G COLI,ACCT ( 2) GG SETTLED (20) CHARC,OFF gLLLLLLL.---- -CCCCCC PAID CUR WAS 30 (48) BCCCCCCCCCCCC 4-t1 /t cccccccccccc PAID CURR ACCT (12 ) BCCCCCCCCCCC PAID DEL WAS 120+ (51) 233324321CC1C 1CCC1CCC112 - Page 2 of 2 (25) GGGGGGGGGGGGG GGGGGGGGGGGG 8.F.1 Packet Pg. 228 Attachment: 8F. HENRY C. CZERWINSKI III- REVIEW OF CREDIT – PLUMBING CONTRACTOR – HENRY & SON PLUMBING SOLUTIONS LLC DrvtsroN oF CoRPoRAT|oNs '1/ f/ ;iiitiyPrg [)t'l'ttrtt oJ Co:,lrlltYJ'lut l! trt ullirid i,talt ol {ltri*t tt'rbttt+' Depjllmeo|_glstalc / Divisionof Comorations / SearchRecords / SearchbvEntityName / Detail by Entity Name Florida Limited Liability Company HENRY & SON PLUMBING SOLUTIONS , LLC Filing lnformation Document Number L23000307825 FEI/EIN Number NONE Date Filed 0612712023 Effective Date 0710112023 State FL Status ACTIVE PrincipeL/Ulctcss 1215 SALVIA LANE NAPLES, FL 34105 Mailing Address 1215 SALVIA LANE NAPLES, FL34105 Registered Agent Name & Address CZERWINSKI, HENRY III 1215 SALVIA LANE NAPLES, FL 34105 Authorized Person(S) Detail Name & Address Title MGRM czERWtNSKt, HENRY ilt 1215 SALVIA LANE NAPLES, FL 34105 Annual Rep_orts No Annual Reports Filed Document lmaoes 06/27l2023 - Florida Limited Liability View image in PDF format 8.F.1 Packet Pg. 229 Attachment: 8F. HENRY C. CZERWINSKI III- REVIEW OF CREDIT – PLUMBING CONTRACTOR – HENRY & SON PLUMBING SOLUTIONS LLC Electron ic,trfffif s o f Organ i zation Florida Limited Liability Company L23000307825 FILED 8:00 AM June 27.2023 Sec. Of Statejsdennis Article I The name of the Limited Liability Company is: HENRY & SON PLUMBING SOLUTIONS , LLC Article II The street address of the principal office of the Limited Liability Company is 1215 SALVIA LANE NAPLES, FL. US 34105 The mailing address of the Limited Liabilrty Company is 1215 SALVIA LANE NAPLES, FL. US 34105 Article III Other provisions, if any: PLUN,{BING Article IV The name and Florida street address of the registered agent is HENRY CZERWINSKI III 1215 SALVIA LANE 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 dnd agiee io act in this capac"ity. I further agree to cbmply riitn tnd provisidns of all statute"s 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: HENRY CZERWINSKI III 8.F.1 Packet Pg. 230 Attachment: 8F. HENRY C. CZERWINSKI III- REVIEW OF CREDIT – PLUMBING CONTRACTOR – HENRY & SON PLUMBING SOLUTIONS LLC Article V The name and address of person(s) authorrzed to manage LLC Title: MGRI\4 HENRY CZERWINSKI III 1215 SALVIA LANE NAPLES, FL. 34105 US Article VI The effective date for this Limited Liability Company shall be: 0710U2023 Signature of member or an authorized representative Electronic Signature: HENRY CZERWINSKI III I am the member or authorized representalive submiffing these Articles of Organization and aflirm that the facts stated herein are true. I am iware that false inforniation 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 betweenJanuary 1-st antl May 1st in the calendar-year following formation of the LLC and every year thereafter to maintain "active" status. 8.F.1 Packet Pg. 231 Attachment: 8F. HENRY C. CZERWINSKI III- REVIEW OF CREDIT – PLUMBING CONTRACTOR – HENRY & SON PLUMBING SOLUTIONS LLC fSms DEPARTMEMI OT THE TREASURY INTERNAL REVENI'E SERVICE CINCINNATI OH 45999-0023 Form 941 Forn 940 t0 / 31/2023 ot / 37 /2024 If you have questions about the forms or the due dates shown, you can call us at the phone number or lEite to us at the address shown at the top of this notice. If you need help in detemining your annual- accounting period (tax year), see hrblication 538, Accounting Periods and l4exhods. Date of this notice: 06-28-2023 Etrployer Identificatj,on Nu$ber: 93-2Lt676t I'orm: SS-4 Nunber of this notice3 CP 575 A HENRY & SON PTUUBING SOTUTIONS I,LC HENRY CZERWINSKI lII SOLE MBR 1215 SALVIA LN NAPI,ES, F"L 34105 Por assistance you may call us at: 1-800-829-4933 IF YOU WRITE, ATTACIi THE STUB AT THE END OT THIS NOTICE. lIE ASSIGNED YOU A}I EMPIOYER IDENTITICATION NIJI!{BER Thank you for applying for an Eq)loyer Identj-fication Nunber (EIN). we assigned you EIN 93-2116761. This EfN witl identify you, your business accounts. tax returns, and docu[ents, even if you have no eflptoyees. Please keep this notice in your permanent records. Based on the information received from you or your representative, you must file the following forms by the dates shown. Taxpayers request an EIN for their business. Sone taLpayers receive cP575 notices when another peison has stolen their identity and are opening a business using their information. If you did Dot apply for this EIN, please contact us at the phone nunber or address listed on the top of this notice. when filing tax docutrEnts, naking paytrEnts, or replying to ary related correspondence. it is very fuq)ortant that you use your EIN and conE)lete narE and address exactly as shown above. Any variation nay cause a delay in processing, result in incorrect information in your account, or even cause you to be assigmed trore than one EIN. ff the information is not correct as shorrvn above, please ma]re the correction using the attacbed tear-off stub and return it to us. we assigned you a tax cLassification ( corporation, partnership, etc.) based on infornation obtained from you or your representative. It is not a 1e9al determination of your tax classification, and is not binding on the IRS. If you !'Iant a lega1 detenrlination of your tax classification, you may request a private letter ruling from the IRS under the guidelines in Revenue Procedure 2020-f, 2020-f I.R.B, 1 (or superseding Revenue Procedure for the year at issue). Note3 Certain tax classlficationelections can be requested by filing Form 8832, Entity classification ETection. See Form 8832 and its instructions for additional information. IMPORTANT INFORMATION I'OR S CORPORATION EIECTION iIf you intend to elect to file your return as a snall busj-ness corporation. an election to file a r'orm 1120-5, U.S. Inconre Tax Return for an S Co4)oration. must be made rdj.thin certain tirEfranEB and the corporation must neet certain tests.A1l of this information is included in the instructions for Form 2553, Election bya Small Business Corporation. 8.F.1 Packet Pg. 232 Attachment: 8F. HENRY C. CZERWINSKI III- REVIEW OF CREDIT – PLUMBING CONTRACTOR – HENRY & SON PLUMBING SOLUTIONS LLC c,tF",Cortnt! Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY STATEMENT OF OWNERSHIP This certifies that l,t\roo'1 C Lzr**'us* @ am a member or managing APPLICANI-S NAME (please print) *r^.,1.\',*t',-SolJ''$s Luc r\*,A L LZ<-gu.rluSrr -r member of (LIMITED LIABILITY NAME) I own \e()% of the units issued by the Limited Liability Company listed above Affidavit of Applicant: I certify undor penalty of poriury that tho information contained is a truo and corroct statemcnt to the best of my knowledgo. Applicant (please print)ul- I me of Company Signature ofApplicant Flor r lu County of Calhe( The forego instrument w as acknowledged fore me by means o e or B online notarization on this '15-aav or lDb{2033.ry Such penon(s) Notary Public must check applicable box: flgne penonally kmown to me tr has produced a currenl driver license D has produced (Notary Seal) as identil-rcation Notary Signahfe Contractor Licensing - FIRM Application Rev. 7/2022 Page I of 14 S"r?1.^^U S"\*}'s$ State of Operations & Regulatory Management Division, Contrador Licensing . 2800 Nodh Horseshoe Drive . Naples, FL 34104 c (239) 252-2431 contractorslicensino @colliercountvfl.oov physical l I 8.F.1 Packet Pg. 233 Attachment: 8F. HENRY C. CZERWINSKI III- REVIEW OF CREDIT – PLUMBING CONTRACTOR – HENRY & SON PLUMBING SOLUTIONS LLC Qouuty Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY vFRrFrr\er t \ CATIO o CONSTRIrcTlON EXPERIENCE Applicant's Name: Certificate Category Requested : {r\ The applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application tor this certificate, the applicant must verify his/her experience within this trade. You are being requested to provlde lnforniaton that will aid the applicant in meeting this requirement. You should verify time of active experience working as an app:entice or a skilled worker (e.9., as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate rBquired trade experience. The person verifying trade experience for the above-named applicant must provide the following information Name -Ghr. R.trt rile: &r)ncl- Business rrr" 1rc ?brnbrno t }{echnq LLL Phone: (Aq- q0J"- YUz(U License No. (if applicable):at B lo11003ooreJ Business Address City State The applicant was employed by me from ,')rCt<)to r>a<: Applicant's title:t The applicant's sco of work (specific duties) included: ,F ,V o€rr Additio comments: NOTE TO LICENSED CONTRACTORS: Falsifying any information provided herein may subject your license to re Under penalty of perjury, I declare that the facts stated here are true. sis ng the statement q) zip presence or E online notarizaticln on this 0f h aA ,4L (, State of €r^)County of At \or.{t. lfrg,,foregoing i nstrument was tn-i"r'r4Vt--r .zo $ ,a' acknowl m of Such person(s) Notary Public must check applicable box: ffi.. r...orolly known to me D has produced a current driver license n has produced as identification. (N-otary Sear) tJO S-l lt4"r\a{ trnr"c- tJr. C6D,L Etdr, ry$r^"1 '.f ta^' i u *r*ot).\ul =UF4Contractor Licensing'- FlRlrI Application Re\ 7 12022 Notary Signaturc: Page 11 ol 14 Operations&RegulatoryManagementDivisron,ContractorLicensing o 2S00NorthHorseshoeDrive o Naples, FL34104 o (239\252-2431 contractorslicensino@colliercountvfl. oov / 8.F.1 Packet Pg. 234 Attachment: 8F. HENRY C. CZERWINSKI III- REVIEW OF CREDIT – PLUMBING CONTRACTOR – HENRY & SON PLUMBING SOLUTIONS LLC I 19 Explorer Lane Egg Harbor Township, NJ 08234 Oflicc # (60e1926-7625 fax: (609) 926-76E7 Ccllular Phone: (609) 377-1863 License Number: I1003 t0/20/203J To Whom lt May Concern: Please see the following break down fr hours worted by Mr. l-lenry Czenvinski with Jrc Plumbing and Heating for the last 9 years: 2010 - 671.50 houre 201I - l.520.50hours 2012 - 1,460 horrs ?013 - 1,432 houm 2014 - 357 hours 2017 -735 hours 2018- 1.944 hanrs ?019 - I,E67 hours 2020 - 1,796 hours Please contact our office ifanything elsa is necded. Thank you, /wwnof,,Ecuu Snoy Fh"'\ C,oq.'1 \ frln&lfrFroncenc A, Kenr Officc Manqger Jrc Plumbing & Heating LLC ral).Rf \ r^\ trbsr^^Sul l.-t - *) J-J r ) -1 8.F.1 Packet Pg. 235 Attachment: 8F. HENRY C. CZERWINSKI III- REVIEW OF CREDIT – PLUMBING CONTRACTOR – HENRY & SON PLUMBING SOLUTIONS LLC C,RF*C-ounty fuit Manag8('lsr C{m.nt,nny DevclopInanl ODpadrnllt APPIrcATON FOR COI.UER COUNTY CTBTIT'CATE OF CO^APTTENCY VERIFICATTON O F CONSTRUCTION EXPERIENCE tJgApplicants Name Certificate Category Requssted I The EppliE tt is seoking a Coili€r County Cedificato of Compdoncy in lh€ bade indbated abovs. As part o, the applicalion torlhis certifcate, the applicant mu3l verit hisiher €xp€dsnce uithin this trad6. you are being requesled to pmvid€ informalionthat will aid the appticant in meeting this requiremeot. you should vedfy lime of aclive experience worting as an apprentice ora shllsd worker (e.9., es a yvortsr commanding tho wage ot mechanic or b€[er in lh€ trade). Time sewed solety in asuprvisory or adminisfralive Iols should be dascribed, but may or may not b€ conrirered suffcienl to demonstEts requiredtrade experience. The peEon verifying bade sxperionce br the abov+namsd applicant must provide the follorving information: H",*, -j.[o^a.. N;\:Al Busfnss ttarne:trI r" Title:F.o., \ License No. (if appticabte):T\OLL 0Al t Phohe:Ytt-1-s SS Busihess aaoess: )5 S t $rrtt The appli:ant xas employed by me tom Appllcanfs ti0e H The applicar['s scope ot wort (specfic duties) induded: comments: I o c'v State ziplr)or LI- to >o \ -Cklr(zf,,,,l *,frizr YO UCEiISED CO]{TRAGTORS: FE srryfig Eny intoflmtion p,ovidod t:r,'r,in av stbbt!pena[y of priury, I dedare that the ffir sHed he]e are tsue / / ' .fubza your revocalion B.f-County or Szor-\** Signature of peFon providing the statement ni 0r.tJ-r,r acbon ledged before me means odlphysical prcsence or tr onihe notarization on this2tt>]._, by .t,. Slete of 'l'hc insEume[l was Such Frsor\s) Notary Public musr chcck applicable box: $il penonany known lo me tr has produced a cunent &iver license D hu prorluced (lioiEn S€al) Coi trditor LraenlFg - FlRtft poIARl, a a.Pugttc ! idcnlificatioo Notary Signarurc o+v '1 I Y I I Ii I I Page ,0 of 't4 ssernerl! DrE,?n Contrador L|cengog . 2Em Nollh Horseshoe lipgiSi6lq,lslllacotelqCujlf tr,,l r'r,idl l i! a Reir.iatu t,.lan DrNe . tlaples. FL 34t0F . (239) 252-2421 I 8.F.1 Packet Pg. 236 Attachment: 8F. HENRY C. CZERWINSKI III- REVIEW OF CREDIT – PLUMBING CONTRACTOR – HENRY & SON PLUMBING SOLUTIONS LLC 6,\)r@rdttx s,tutts Dnpurtmwt of ?{u^or @ffirr of gppwnttwsbtp @trtitirstp of @ornptetion of gpp wnthr,abip .7A* r 1o cer/tfy 1.6a/ T{IEfl,WC4EWIAWI tzas comple/ed an appren/tces,Ctp for /6e occupaltbn QLU*I(MR un/er /,ie "por"o."frp of !,{lEWreWtwtCC in accor/ance a;16 lAe 6astb s/an{ards of apprenlfuesOtp esta6/,"6ed6y /,6e Sec.ela.y of 6o6o" i .(.1.::( ) ..';tug'u.t,I o, 2o1s V tla <h .9N I o a o ts{oIES Da/e C"n/e/eJ ' i /ro I o?, Ofrtbe of Zppren/,bel6,p 8.F.1 Packet Pg. 237 Attachment: 8F. HENRY C. CZERWINSKI III- REVIEW OF CREDIT – PLUMBING CONTRACTOR – HENRY & &alc of Rlx.dc island and pmvidencc pla0lanon! Rhotlc Island Dcpar(n:LTrt of Lahor and TIaintn! PI.MGEBaPPrGirlca 72373 E CIETTESXI 25 e! tf,-riB rit url! I crllgEot er 02921.II'IIEII,I} PIITBTI,C A Er:lTre E\piiition Date 8.F.1 Packet Pg. 238 Attachment: 8F. HENRY C. CZERWINSKI III- REVIEW OF CREDIT – PLUMBING CONTRACTOR – HENRY & SON PLUMBING SOLUTIONS LLC .fu C-antnEt Growlh Managemenl Community Development Departnent APPLICATION FOR COLUER COUNTY CERTIFICATE OF COAAPETENCY (w AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER ILtDA 6, t-owLMJ having been frst duly swom, state and affirm COUNTY OF I am a resident of County (State) and have resided here for more than flve (5) years. During the last fve (5) years I have known L r her business and personal dealings and find him or her to be a pe esty, integrity and SiOnatLrre l,lttt+o|v $rut a\ Printed Name applicant). I have had the opportunity to observe his o good characGr. Stale of F 0tz Coutrty of eoan"s, 4Lf4 l,lutrr t ilL hD{ C;WE Street P*!td ,lL 5,110 cit Telephone: Staie ziP aq bsL.5r2{ ( rllier The foregoing instrument was acLnowledged before me of presence or E online notarizatiotr on this lf;aayotcElabd zo23.W Such pe$on(s) Notary Public must ctreck applicable box: !Q" pe.sooaUy lrown to.e tr has pbduced a curent driver license tr has produced (Not ry Sl€al) as ideutification. Notary Signaturt: Contractor Licensing - FlRn Applirion Rev. 7/2022 Page 13 of 14 Operations & Regulatory Managernent Oivision. Contrador Licensing . 2gm Nodh Horse6hoe Dnve . Nades, FL 34 1U . e3g) ZS2-2431 conlradoIslicensinq@colhercour$.fi .aov STATE OF t t, f,eott>A 5 l'att-tClL EIIIEX lr. HuDlx MY ooMMlsslot t iltl 28le[t AOrAgSt OU,utt A' fO 8.F.1 Packet Pg. 239 Attachment: 8F. HENRY C. CZERWINSKI III- REVIEW OF CREDIT – PLUMBING CONTRACTOR – HENRY & SON PLUMBING SOLUTIONS LLC C,RF*,Aow*y GroMh Management Community Development Department Flortle "ou no, ColtlelU STATE OF /ot41 L0,//lo nf having been first duly sworn, state and affirm: f/or,-rloI am a resident of State of (State) and have resided here for r-tl l//t e rag Cot/,." /on Fl oril,a-r"*v" e nl(p,rZ p61ss., 3;zzp /- LsJq C Cz er ott ,x:Z lDuring the last five (5) years I have known (applicant). I have had the opportunity to observe his or her business and personal dealings and lind him or her to be a person of honesty, integrity and Signature Print€d Nsme Crz? /o/ Street Ft- sl/05- State ztp me by mcans Telep hone. /3?'/53'00a2,- presence or E online notariz tion on this Such peBotr(s) Notary fublic must check applicable box: f(re penonaly lnown to me E has produced a curent driver license tr has produced (Notary Seal) as identification. Notary Signature: Cont.actor Lic€nsing - FIRM Applicetion R6v. 7/2022 Page 13 of 14 E[.EE ra.]tDll( LY cofltsstoit I tfi alr3 EXPRES:0c50.r 28, 2028 Op€rations & Regulalory ManagErnert Dhrision. ContEdor Licensing . 2800 North Hols€shoe Dnve . Naples, FL 34104 o ( g) 252-2431contraciorslicenstno@collieroounMl.qov APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER l, County, more than five (5) years. good character. y'lqolrs 8.F.1 Packet Pg. 240 Attachment: 8F. HENRY C. CZERWINSKI III- REVIEW OF CREDIT – PLUMBING CONTRACTOR – HENRY & SON PLUMBING SOLUTIONS LLC Growth Management Community Development Depa(ment APPLICATION FOR COLLIER COUNTY CERTIHCATE Or COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF (eut5"o". o couNrY oF A+io,"+,. T*r.-A. Kr"^ng been first duly sworn, state and affirmt,. havi I am a resident of more than five (5)years During the last five (5) years I have known State of f.turf '\^'^"4 County o1 [4\c,1tc,f .^+;.,Elunty,t{ol Je'*'t (State) and have resided here for (applicant). I have had the opportunity A+t to observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and goodcharacter. + r )*Xor"-.*-Y-r^- Signature Iyc.rngene Printed Name Address: Cfaf uJc"tuood C+ Street 0$ilS City Telephone: State Lp ('*,-t lL.qLq,+ - Thr' forceoinc instrument was (-N-auy or traX;L,.^ . ,o L? ,ay acknowledged me bv means of physical presence or ! online notarization on this Such person(s) Notary Public must check applicable box: @re personally known to me fl has produced a current driver license E has produced as identitlcation. (lJotary Seal) {un^a tt ,dhr^lcvb.) ,9'cb \ t{."n ( Contractor Licensing - Fl RM Applicalion Rev. 7 I 2O22 Page 14 ol 14 Operations & Regulatory Management Division, Contractor Licensing r 2800 North Horseshoe Drive o Naples, FL 34104 o (239) 252-2431 contractorslicensinq@colliercountvfl. qov NotaryrSignature: {1c'rra- }t' 8.F.1 Packet Pg. 241 Attachment: 8F. HENRY C. CZERWINSKI III- REVIEW OF CREDIT – PLUMBING CONTRACTOR – HENRY & SON PLUMBING SOLUTIONS LLC tuGrowth Managerflcnl Com?ilunlty Dovdapmaril Oep6ltrnonl APPTICA'ION FOP COI.LIER COUNTY CERTIFICAIE OF COMPETENCY STATE OF COUNTY OF AFFIDA OF l\,ttlh" AND GOOD CHARACTER hsviqo besn firsl duly Brvom, Bliato and affirmt ;"r \^ar.^I arn a rasiJenl ol A4t^x..County, nrore than five (51 years During tho last livo (5) years lhgve known lo ob€erve hls or her buelnoss and peconal good charector. (Slsto) and havE resided here lor the opporlunity v lind hinr or h€r lo be a Roaress:lK br$rwt.Uir& * rsrephono:tffi l10X ]3RR ,t sr.',*,,r' $oI-*M{- cuunr.' nrffi!.trJ-- - - 'flrr li,rrFrrrrrl: lnstfumcnt J il,cf nnot"rdgcd hclllc nrr bl mcunr rrl'pphysrctl prc\cn(c ul [.] olrlin* tt(tlitrr/irltr]n rrn !lll\ f,^n u,t"r Sd1tu{- .til{.h-.ur- *. {-Cr'y-.-!5-.G*= Such perxnnis) Nol{$' Fublic murt chtch applicrblc box: $ rrrt pcrs,uull.r' hno* n ttt nru fl has prudrrccd a curn:nt drivcr ltcenrc [..] ha. pnxluccd (j1otrr, Srrl) idcnti lii:ltiorr. Not*ry $ignlture: : ,, ;!li',',1. ..lrilr .t.,, op6r.t'r!6[RoCithh'yurneOcmraOnrioo.Cor{ndorLlcfilttg . ?@.t{oahXo|!.!hoe Odvo r Nadct.FLlttlo{ r {239i352.2431 sotrctorrlistsile@dgqErusbdl{qu 8.F.1 Packet Pg. 242 Attachment: 8F. HENRY C. CZERWINSKI III- REVIEW OF CREDIT – PLUMBING CONTRACTOR – HENRY & SON PLUMBING SOLUTIONS LLC 'L - \. , it -Y *p8 i gEE xEEtr;a t "4 t I ?fig I i I i{:i H iE liI It ; Itlt 8.F.1Packet Pg. 243Attachment: 8F. HENRY C. CZERWINSKI III- REVIEW OF CREDIT – PLUMBING CONTRACTOR – HENRY & 6f G4-15.006 Financial Responsibility and Financial Stability, Grounds for Denial. (l) 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 6lG4-12.011, F.A.C., which consumer credit report does not disclose any unsatisfied judgments or liens against the applicant. In addition, there must not be any unsatisfied judgments or liens against the business entify which the applicant previously qualified as a primary qualifier or which the applicant has applied to qualifu. (2) The financial stability ground on which the Board shall refuse to qualifo an applicant is failure to provide proof of either a financial stability bond or an irrevocable letter of credit from a bank authorized to do business in the State of Florida. The bond or letter of credit must be in a form acceptable to the Board and must remain in effect until the applicant can demonstrate a credit score, FICO derived, of 660 or higher, and must be payable as provided in Rule 6lG4-15.0021, F.A.C., for Financially Responsible Officers in the amount of: (a) $20,000 for Division I applicants. (b) 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 l4-hour financial responsibility course approved by the Board. (4) An applicant may meet both the financial responsibility and financial stability requirements by providing proof of a current consumer credit report, as defined in Rule 6lc4-12.01l, F.A.C, with a credit score, FICO derived, of 660 or higher, which consumer credit report does not disclose any unsatisfied judgments or liens against the applicant. In addition, there must not be any unsatisfied judgments or liens against the business entity which the applicant previously qualified as a primary qualifier or which the applicant has applied to qualiff. Specific Authority 489.115(5), (6) FS. Law Implemented 489.115(5), (6) FS. History-New 1-6-80, Amended 5-4-80, Formerly 2lE-|5.06, 2lE- 15.006, Amended 10-31-96, I l-13-97, 2-12-08. 8.F.1 Packet Pg. 244 Attachment: 8F. HENRY C. CZERWINSKI III- REVIEW OF CREDIT – PLUMBING CONTRACTOR – HENRY & SON PLUMBING SOLUTIONS LLC 12/20/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 8.G Doc ID: 27515 Item Summary: 8G. DIELKA GONZALEZ - REVIEW OF CREDIT – REINSTATEMENT OF PAINTING CONTRACTOR LICENSE - A & V QUALITY PAINTING CORP Meeting Date: 12/20/2023 Prepared by: Title: – Contractor Licensing Name: Alyshia Morse 12/13/2023 3:54 PM Submitted by: Title: – Contractor Licensing Name: Tim Crotts 12/13/2023 3:54 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 12/13/2023 5:43 PM Contractor Licensing Tim Crotts Review Item Completed 12/14/2023 7:38 AM Contractor Licensing Tim Crotts Meeting Pending 12/20/2023 9:00 AM 8.G Packet Pg. 245 -/^as3 Co[.frer Cownt,) ,. - " ,.. -rr. "* 'Ei,.,-- .- --i!^ ,.r.:.;\ . .. "._- Growtn f'l:rrragenrent Conrnrunity Devek.>pnrent Departmentt1 -q,*ofutr- zaa R E I iU $T/T T f; M E N T A F} P LI E,ATI O hI F O R C O T L I H R C O TJ f{ TY CHRTI I:IffATE CIT f; CMPETENCY This application can be used for a business or an individual. This application must be typewritten or tegibly printed to be accepted. The application fee must be paid upon approval and is non-refundable. All checks are payable to: Collier County Board of County Commissioners. For additional information, consult Collier County Ordinance No. 2006-46, as amended. 'f Yf )t: Of CF:fiTIFI(:A1-H 1-if. C()FJifrIjTt::;!Cy Major Trade: $230.00 plus back fees flGeneratAir Conditioning, Class A Air Conditioning, Class B Air Conditioning, Class C Building Electrical Specialty Trade: $205.00 plus back fees Painting Contractor Mechanical Plumbing Residential Roofing Sheet Metal Swimming Pool/Spa, Commercial Swimming Pool/Spa, Residential Swimming Pool/Spa, Service & Repair t.APPLICANT PERSONAL INFORMAT]ON; Name: Dielka Gonzalez First 3220 Champion Ring Road r 3arz Fort Myers FL 33905 Middle Last Address: Street City State Zip Email AVCONTRACTORSGROUP@tCLOUD.COM Telephone: Cell Phone (786) 748-0046 Social Security Number (Last 4 digits onty): 887s (786 ) 748-0046 Driver's License Number (Last 4 digits only) Date of Birth: zlt2/7977 s520 Telephone:.239]1 823-2144 Telephone: (230J 900-9394 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 informationnotedaboveforthosereasonspursuanttoChapterll9,FloridaStatutes,andasmayotherwisebeauthorizedbylaw. Wearefully committed to safeguarding and protecting your personal information and once collected, will be maintained as conlidential and exempt under Chapter 119, Florida Statutes. Contractor Licensing - Reinstatement Application Rev.8l2122 Page 1 of 9 trntr Dn n Dtrtr a Provtde the names and telephone numbers of two people who will always know your whereabouts. Name: Alex Casanova Name: Ana Caro Operations & Regulatory Management Dtvision Contractor Licensing r 2800 North Horseshoe Drive o Naples. FL 34104 o (239) 252-2431 JontractoLSll'ien:.irqAgolliercor: n:'if i 3 ov 8.G.1 Packet Pg. 246 Attachment: 8G. DIELKA GONZALEZ - REVIEW OF CREDIT – REINSTATEMENT & NAME CHANGE - PAINTING CONTRACTOR - A & V QUALITY c,ilff"Coumty il Growth Management Community De'relopntent Department APPLICANT BUSINESS INFORMATION: Business Name:A&V Quality Pa inting Corporation (lf no business name will be used, write "lndividual") Fictitious Name/DBA, if applicable n/a Business Address (Physical): Business Address (Mailing): 3220 Champion Ri ng Road # 3417 Ft. Myers FL 33905 Street City State Zip 3220 Champion Ri ng Road Ft. Myers FL 33905 Telephone: (786)7480046 City Federal Tax lD/ElN: 83-18949'13 Street State Zip !II. FINANCIAL RESPONS!BILITY: lf you have answered YES to any of the above questions, you must attach a written explanation including the nature of the charges, dates, and outcomes, sentences, or conditions imposed. you must also attach proot of payment, satisfaction of lien or judgement, bankruptcy discharge, or agreements for payment. *lf you have had a felony conviction, proof that your civil rights have been restored will be required prior to licensure. Contractor Licensing - Reinstatement Application Rev. B\ZA2Z Page 2 of 9 YES NO ALL APPLICANTS MUST ANSWER THE QUESTIONS BELOW: r'Have you filed for or been discharged in bankruptcy within the past 5 years? r'Have you had a lien filed against you by the lnternal Revenue Service or Florida Corporate Tax Division? r'Have you undertaken construction contracts or work that resulted in liens, suits, or judgments being filed? /Have you undertaken construction contracts or work that a third party, such as a bonding or surety company, completed or made financial statements on? /Have you made an assignment of assets of construction obligations for less than the debts outstanding? /Have you 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?* /Have you had claims or lawsuits filed for unpaid or past due accounts by your creditors as a result of construction experience? / Have you 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? Operations & Regulatory Management Division, Contractor Licensing o 2g00 North Horseshoe Drive o Naples, FL 34,l04 r (239) 252_2431 contractorslicensinq@colliercountvfl. gov 8.G.1 Packet Pg. 247 Attachment: 8G. DIELKA GONZALEZ - REVIEW OF CREDIT – REINSTATEMENT & NAME CHANGE - PAINTING CONTRACTOR - A & V QUALITY let County Growth Managerrent Community Developrtrent Deparrnrent 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 (on the job training) you have obtained in the area of for which this application is being made PA I NTI N G CONTRACTO R-LCC 201 80002267 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. lnclude the license number, type, and county you hold it in. Contractor Licensing - Reinstatement Application Reu. Bt2O22 Page 3 of 9 IV operations & Regulatory [/anagement Division. contractor Licensing r 2800 North Horseshoe Drive e Naples FL 34104 o (23g) 252-2431 gontra ctorslice n l+i sV S&o\D-,*- - K*.^o\i[. Ag,,\er C-.\-{qLo.^.cr- C"rUq tr(trLLPO 8.G.1 Packet Pg. 248 Attachment: 8G. DIELKA GONZALEZ - REVIEW OF CREDIT – REINSTATEMENT & NAME CHANGE - PAINTING CONTRACTOR - A & V QUALITY \/-6{'ColLiev Qownty ^.,.,,..r.,.,.',,""''tr,,..,,'y,t.nff,1......_ iircwlh Managerrrent (--onrnrun ity Developnren t Depai tmen t W() H K tvl E N' $ C ("") f'll I", H N $ A'l' I 0 N A r F I D A V I 1' It is understood and acknowledged by the Collier County Contractors' Licensing Board and myself that if I fail to acquire or always maintain effective Workmen's Compensation lnsurance and/or Workmen's Compensation Exemption, it will result in the possible revocation of my Certificate of Competency. Dielka Gonzalez Applicant Name (please print) A&V QUALITY PAINTING CORPORATION Business Name, include DBA, if applica tf o business name will be used, write "lndividual" I re pplrcant State of *7e County of regoing i d before day of Such person(s) Notary Public must check applicable box: yd' fu uru personally known to me I nas produced as identification nce or e notarization this fl has produced a current driver's license Conlractor Licensing - Reinstatement Application Rev. Bl2O22 Page 4 of 9 Operatrons & RegLrlatory Managenrent Drvision. Contractor Licensing o 2800 North Horseshoe Drive o Naptes. FL 34 104 t t23g)252-243j co it tra .. t s i, ii:n $in ::r1,'coilrereo iiniyf j co,, GRICEL VATDES MY COMMISSION f HH 417259 EXPIRES: JuV 4,2027 8.G.1 Packet Pg. 249 Attachment: 8G. DIELKA GONZALEZ - REVIEW OF CREDIT – REINSTATEMENT & NAME CHANGE - PAINTING CONTRACTOR - A & V QUALITY Premium Credit Bureau 2701 E ATLANTIC BLVD 2ND FLOOR. POMPANO BEACH, FL 33062 Phone: 305-468-1560Fax: 305468-1565 Add Product MERGED INFILE GREDIT REPORT FILE * SEND TO PROPERWADDRESS 2823295 FNMA# THE MORTGAGE COMPANY/M2o1 3OO8 cusT. # M2013008 9951 SW 62 STREET MIAMI, FL 33173 DATE COMPLETED DATE ORDERED REPOSITORIES PRICE REF. # 9112t2023 9t1212023 XP/TU/EF $67.95 RQO'BY ARI PALLARES PRPO'BY LOAN TYPE APP APPLICANT SOG SEC # MARITAL STATUS CURRENT ADDRESS PREVIOUS ADDRESS GONZALEZ, DIELKA CO.APPLICANT -8875 DOB 0211211977 SoC SEC # DEPENDENTS 3220 CHAMPION RING RD UNIT 3417, FORT MYERS, FL 33905 ooB LENGTH 2 LENGTH SCORE MODELS EQUIFA)UFICO CLASSIC V5. DIELKA GONZALEZ - 8875 SCORE:578 OOO38. SERIOUS DELINQUENCY, AND DEROGATORY PUBLIC RECORD OR COLLECTION FILEO OOO1O. PROPORTION OF BALANCES TO CREDIT LIMITS IS TOO HIGH ON BANK REVOLVING OR OTHER REVOLVING ACCOUNTS OOO13. TIME SINCE DELINQUENCY IS TOO RECENT OR UNKNOWN OOO2O. LENGTH OF TIME SINCE DEROGATORY PUBLIC RECORD OR COLLECTION IS TOO SHORT TRANSUNTON/F|CO CLASSTC (04) - DIELKA GONZALEZ - 8875 SCORE:588 038 - SERIOUS DELINQUENCY, AND PUBLIC RECORD OR COLLECTION FILED 013 - TIME SINCE DELINQUENCY IS TOO RECENT OR UNKNOWN O1O. PROPORTION OF BALANCES TO CREDIT LIMITS IS TOO HIGH ON BANK REVOLVING OR OTHER REVOLVING ACCOUNTS O2O - LENGTH OF TIME SINCE DEROGATORY PUBLIC RECORD OR COLLECTION IS TOO SHORT FA. INQUIRIES IMPACTED THE CREOIT SCORE EXPERTAN/FAIR, TSAAC (VER. 2) - DTELKA GONZALEZ - __3875 SCORE:573 38. SERIOUS DELINQUENCY, PUBLIC RECORD, OR COLLECTION FILED 10. RATIO OF BALANCE TO LIMIT ON BANK REVOLVING OR OTHER REV ACCTS TOO HIGH 20. TIME SINCE DEROGATORY PUBLIC RECORD OR COLLECTION IS TOO SHORT 18. NUMBER OF ACCOUNTS WITH DELINQUENCY 08. TOO MANY INOUIRIES LAST 12 MONTHS PUBLIC RECORDSt" NoNE "' Reouest New Tradeline BB JPMCB AUTO 121 331 185941 09/23 '11//21 09123 $79814 AUTO $53161 072 $13s2 $021 0 o oiFfSEE.o 05 ECOA KEy: B=BORROWER; C=CO-BORROWER; J=JOINT; U=UNDESIGNATED; A=AUTHORIZED USER; P=PARTIGIPANT; S=COSlGNER; M=MAKER; X=DEGEASED; l=INDIVIDUAL; T=TERMINATED PREMIUM CREDIT BUREAU: 2701 E ATLANTIC BLVD 2ND FLOOR, POMPANO BEACH, FL s3062 (P) 305468.1560 (F) 305468-1565 and lh6 FamoE Hom6 Admlnlslralioo. Pagc l/9 CO.APPI ICANT 8.G.1 Packet Pg. 250 Attachment: 8G. DIELKA GONZALEZ - REVIEW OF CREDIT – REINSTATEMENT & NAME CHANGE - PAINTING CONTRACTOR - A & V QUALITY FILE # SEND TO PROPERW ADDRESS 2823295 FNMA* THE MORTGAGE COMPANY/M2o1 3OO8 cusT. # M2013008 995,I SW 62 STREET MIAMI, FL 33,I73 DATE COMPLETED DATE ORDERED REPOSITORIES PRICE REF. # 9112t2023 911212023 XP/TU/EF $67.s5 RQD'BY ARI PALLARES PRPD'BY LOAN TYPE APPLICANT CO-APPLICANT APPLICANT soc sEc # MAR]TAL STATUS GONZALEZ, DIELKA 8875 DoB 0A1211977 CO.APPLICANT soc sEc # OEPENDENTS DOB BB SUNCOAST CREDIT UNION 460819009971 08123 02116 08123 $91 70 $o $0 61 O O CUR WAS 30 XP/TU/EF $1 6000 REV Late Dates: 3/23-30, 12121 -30, 6121 -30, 12120-30, 1 0/1 8-30 BB CAPITAL ONE 510875028384 08123 09121 08/23 $2500 REV $2572 MrN $90 $O 24 O O O ASAGREED XP/TU/EF BB CCB/ELDRDO 5780976035382940 CHARGE 09123 01/15 09123 $2600 REV $1439 MrN $51 $O 99 O O O ASAGREED XP/TU/EF BB MACYS/CBNA 6035340584099 127 Late Dates: 4D0-30 09r23 03/'1s 09/23 $s100 REV $1 358 MtN $50 $0 99 O O CUR WAS 30 XP/TU/EF B B CITICARDS CBNA 09123 518941015160 Late Dates: 1 123-30, 5122-60 FLEXIBLE SPENDING CREDIT CARD 08t21 08t23 $2000 REV $134s MrN $s0 $0 25 O CUR WAS 60 XP/TU/EF B B JPMCB CARD 426684161820 08t23 08/18 08123 $1000 REV $954 MrN $40 $O 61 O O O ASAGREED XPffU/EF B B CREDIT ONE BANK NA 4447962417325788 08123 01/1 5 08123 $1200 REV $941 MrN $48 $099 O O OASAGREED XP/TU/EF B B CREDIT ONE BANK NA 4447962461614939 09123 07119 08123 $950 REV $7ol MrN $36 $050 0 0 oiFASEE.D BB CAPITAL ONE 517805902732 Late Dates: '10/18-30 08123 09/13 08t23 $500 $565REV MIN $25 $0' 9s O O CUR WAS 30 XPffU/EF BB THD/CBNA 60353208861 08/23 02t18 08123 $750 REV $451 MrN $29 $066 O O OASAGREED XP/TU/EF59225 ECOA KEY;B=BORROWER; C=CO-BORROWER; J=JOINT; U=UNDESIGNATED; A=AUTHORIZED USER; P=PARTICIPANT; S=COSIGNER; M=MAKER; X=DECEASED; I=INDIVIDUAL; T=TERMINATED PREMIUM CREDIT BUREAU: 2701 E ATLANTIC BLVD 2ND FLOOR, POMPANO BEACH, FL 33062 (P) 305-{68.1560 (F) 305-468-1565 and th. Famrrs lloms Adminiltration. Page2l9 I I E 8.G.1 Packet Pg. 251 Attachment: 8G. DIELKA GONZALEZ - REVIEW OF CREDIT – REINSTATEMENT & NAME CHANGE - PAINTING CONTRACTOR - A & V QUALITY FILE # SEND TO PROPERW ADDRESS 2823295 FNMA# THE MORTGAGE COMPANY/M2o1 3OO8 cusT. # M2013008 9951 SW62 STREET MIAMI, FL 33173 DATE COMPLETED DATE ORDERED REPOSITORIES PRICE REF. # 9t12t2023 911212023 XP/TU/EF $67.95 RQD'BY ARI PALLARES PRPO'BY LOAN TYPE APPLICANT CO.APPLICANT APPLICANT soc sEc # MARITAL STATUS CO-APPLICANT soc sEc # DEPENDENTS DOB BB CAPl/SAKS 60030400105401 09123 01t23 07n3 CREDIT $2000 REV $299 MrN $29 $O 8 O O O ASAGREED XP/TU/EF28 BB CB/EXPRESS 219486858991 CHARGE 08123 05/18 08/23 $500 REV $56 $30 $062 0 0 0 AS EE AGREED 2484 BB COMENIry BANIVEXPRESS 21 171 1058991 05/18 08/23 $500 REV $56 MrN $30 $O 63 O O O ASAGREED XP/TU BB BANK OF AMERICA. N.A. 64004163737868 08123 06t23 08123 $500 INST $o 003 $0 $0 3 0 0 0PAID XP/TU/EF B B BESTBUY/CBNA 6035351 32021 3450 08t23 03/18 04123 $1 100 REV $o $o $O 65 O O O ASAGREED XP/TU/EF J B CARMAX AUTO FINANGE 33253948 12121 06/1 I 12121 $38174 AUTO $o 074 $0 $0 30 0 0 0PAID XP/TU/EF JB CARMAX AUTO FINANCE 23450581 $036 0 0 0PAID XP/TU/EF 06/19 B B CARMAX AUTO FINANCE 263331 1 8 07117 07t17 -t-- $19943 AUTO $o 060 $0 $o 1 0 0 0PA|D XP/TU/EF BB CBA/ICSCRT 51 95281 3678671 CHARGE 08123 04115 08123 $9oo REV $0 $0 $O 99 O O O ASAGREED EE84 BB COMENIryBAN}(^/ICTORIA 5391 761 36786 $s00 $0REV $O 08123 04/15 08n3 B B EXETER FINANCE LLC 680681 77302601 001 08120 07117 08120 $27248 AUTO $o 072 $0 $o 36 o o oifPr,=t ECOA KEY:B=BORROWER; C=CO-BORROWER; J=JOINT; U=UNDESIGNATED; A=AUTHORIZED USER; P=PARTICIPANT; S=CO€IGNER; M=MAKER; X=DECEASED; l=INDIVIDUAL; T=TERMINATED PREMIUM CREDIT BUREAUT 2701 E ATLANTIC BLVD 2ND FLoOR, POMPANO BEAGH, FL s3062 (P) s05468-1560 (F) 305468-1565 and lha Fam€6 Homs Admlnistretlon. Page 3/9 GONZALEZ, DIELKA BBTS DoB 02t12t1917 08t23 07t16 $32679 $O05/19 AUTO 073 $0 $O 99 O O O ASAGREED 8.G.1 Packet Pg. 252 Attachment: 8G. DIELKA GONZALEZ - REVIEW OF CREDIT – REINSTATEMENT & NAME CHANGE - PAINTING CONTRACTOR - A & V QUALITY FILE # SEND TO PROPERTY ADDRESS 2823295 FNMA# TH E MORTGAGE COMPANY/M201 3OO8 cusT. # M2013008 9951 SW 62 STREET MIAMI, FL 33173 DATE COMPLETED DATE ORDERED REPOSITORIES PRICE REF. # 911212023 911212023 XPffU/EF $67.95 RQD'BY ARI PALLARES PRPO'BY LOAN TYPE APPLICANT CO.APPLICANT APPLICANT soc sEc # MARITAL STATUS GONZALEZ, DIELKA . -8875 DoB 02t1211977 CO.APPLICANT soc sEc # DEPENDENTS DOB BB FEB-RETAIL 7634005001 s4s089 INACTIVE ACCOUNT 06/'18 04t16 -t- CREDIT $2000 REV $0 $0 $025 O O OINACTIVE XP/TU/EF BB MACYSCBNA 4792424009840 ACCOUNT CLOSED BY CREDIT GRANTOR 07115 12105 09/06 $1000 REV $o $0 $ose o o oiBlPt B B MEDICAL PAYMENT DATA 05/18 02115578097990'1358986 --l- ACCOUNT CLOSED AT CREDIT GRANTOR'S REQUEST $2000 REV $0 $0 $0 39 0 0 0PAID XP/TU/EF BB NORDSTMffD 4470431132602491 Late Dates: 7122-30 $300 $0REV $O $o 16 O O CUR WAS 30 XP/TU/EF 09/23 04122 06/23 BB SAFE HOME 1 12885 ACCOUNT CLOSED AT CONSUMER'S REQUEST o5t17 11/05 03/08 $1454 OPEN $o $o $036 0 0 0PA|D EF BB SUNCOAST CREDIT UNION 41435160100 03t22 06/1 I 03122 $22202 AUTO $o 048 $0 $0 s4 0 0 0PAID XP/TU/EF BB SUNCST CU 46081 90021 34 CREDIT CARD STOLEN OR LOST 08120 02t16 o&t20 $500 REV $o $o $054 O O OCRCDLOST BB SYNCB/AMEAGL 604410069721 11119 ACCOUNT CLOSED BY CREDIT GRANTOR 07t17 01/1 I $100 $oREV $O $028 0 0 0PAID XP/TU/EF BB SYNCB/CARECR 601 91 83666552559 INACTIVE ACCOUNT 12120 08/19 -.t-: $1800 REV $o $o $0 16 0 0 0tNAcTtvE XPiTU/EF BB SYNCB/JCP 600889147272 09123 03117 04121 $1 20 REV $o $o $O 78 O O O ASAGREED XP/TU/EF EGOA KEY:B=BORROWER; C=CO-BORROWER; J=JOINT; U=UNDESIGNATED; A=AUTHORIZED USER; P=PARTICIPANT; S=CO€IGNER; M=MAKER; X=DECEASED; l=INDIVIDUAL; T=TERMINATED PREMIUM CREDIT BUREAU:2701 E ATLANTIC BLVD 2ND FLOOR, POMPANO BEACH, FL s3062 (P) 305-168-1560 (F) 30546S-1565 and lho Fam€rs Hmo Admtnlstratlm. Pagc 419 1. 8.G.1 Packet Pg. 253 Attachment: 8G. DIELKA GONZALEZ - REVIEW OF CREDIT – REINSTATEMENT & NAME CHANGE - PAINTING CONTRACTOR - A & V QUALITY FILE # SEND TO PROPERTY ADDRESS 2823295 FNMA# THE MORTGAGE COMPANY/M2o1 3OO8 cusT. # M2013008 9951 SW 62 STREET MIAMI, FL 33173 DATE COMPLETED DATE ORDERED REPOSlTORIES PRICE REF. # 911212023 9112t2023 XP/TU/EF $67.s5 RQO'BY ARI PALLARES PRPD'BY LOAN TYPE APP NT ,ICANT APPLICANT soc sEc # MARITAL STATUS GONZALEZ, DIELKA t_8875 DoB 02t12t1977 CO.APPLICANT soc sEc # DEPENDENTS DOB B B SYNCB/NETWRK 02119 601917023865 ACCOUNT CLOSED BY CREDIT GRANTOR 01/1 5 05117 $1500 REV $0 $o $049 0 0 0PAID XP/TU/EF BB SYNCB/SCORE REWARDS 6044141004477300 09t23 $077 O O OASAGREEO XP/TU/EF BB TBOM RETAIL 7686004000302206 INACTIVE ACCOUNT 12t16 10114 509/'l $1s00 REV $0 25 0 0 0lNAcTlvE XP/TU/EF B B WELLS FARGO DEALERSVC 519382052488 12119 1 211 211 4I1 $32s20 AUTO $o 072 $0 $060 0 0 0PAID XP/TU/EF B B WS BADCOCK 800-8008329516 09/1 3 12113 $e00 $oREV $O $O 03 O O O ASAGREED EE 01114 REPORTEO BB CAINE & WEINER 20540465 ORIGINAL CREDITOR: PROGRESSIVE 08123 05/23 03123 $1147 COLL $1147 001 - $1147 2 0 0 0COLLECTTON XP/TU/EF The merge process is automated and the report may include some duplications and/or omissions. lnquiries regarding any disputed items should be directed to PREMIUM CREDIT BUREAU customer service. ECOA KEY:B=BORROWER; C=CO-BORROWER; J=JOINT; U=UNDESIGNATED; A=AUTHORIZED USER; P=PARTICIPANT; S=CO.SIGNER; M=MAKER; X=DECEASED; I=INDIVIDUAL; T=TERMINATED PREMIUM CREDIT BUREAU: 2701 E ATLANTIC BLVD zNo FLooR, PoMPANO BEACH, FL 33062 (P) 305468-1560 (F) 305468-1s6s and lhe Fam6B Home Adminislratlon. Pagc 5/9 05117 $100 $009t21 REV $0 $0 $0 OTHER CREDIT HISTORY fir NoNE ila TRADE SUMMARY 8.G.1 Packet Pg. 254 Attachment: 8G. DIELKA GONZALEZ - REVIEW OF CREDIT – REINSTATEMENT & NAME CHANGE - PAINTING CONTRACTOR - A & V QUALITY 2823295 FNMA * THE MORTGAGE COMPANY/M201 3OO8 cusT. # M2013008 9S51 SW 62 STREET MIAMI, FL 33I73 OATE COMPLETED DATE OROEREO REPOSTTORIES PRICE REF. * 9t12t2023 911212023 XPiTUlEF $67.95 ROD'BY ARI PALLARES PRPO'BY LOAN TYPE PROPERTY ADDRESS APPLICANT CO.APPLICANT APPLICANT soc sEc # MARITAL STATUS CO.APPLICANT soc sEc # DEPENDENTS GONZALEZ, DIELKA 1875 ooe 02112/1977 DOB TRADE SUMMARY BALANCE HIGH CREDIT PAYi'ENTS 0 1352 0 U 508 0 1860 PAST DUE MORTGAGE AUTO EOUCATION OTHER INSTALLMENT OPEN REVOLVING OTHER TOTAL 0 0 0 0 0 0 1141 't147 53 19907 1147 74215 0 79814 0 0 0 15720 1147 '126681 0 '161 0 0 0 SECUREO DEBT UNSECUREO DEBT 53161 21054 REVOLVING CREDIT UTILIZATION TOTAL OEBT/HIGH CREOIT 't1l05 440/0 59/6 OLOEST TRADELINE DEROGATORY SUMMARY CHARGE OFFS: COLLECTIONS: BANKRUPTCY: PUBLIC RECOROS: 30 DAYSi 60 DAYS: 90 DAYS: OTHER: lilQutRlEs: 2 MOST RECENT LATE: undotermlnod DISPUTES: 0 0 1 0 0 INQUIRIES (90 DAYS) XP/EF TU o8116123 o8116123 B B PREMIUM CREDIT BUREAU THE MORTGAGE COMPANY FINANCE Mlsc SOURCE OF INFORM N 2 EXPERIAN - PULLED ON: 09/12123 NAME DfELKA GONZAI EZ; \875 OOB:02h1n7 NAMEiDELKAGOMEZ 8875 DOB: N/A NAME: GONZALEZ DIELKA, 3875 DoB: N/A NAME: DlEl.lCA GONZALEZ / J8875 DOB: N/ASSN: 1875 AOORESS: 3220 CHAMPION RING R UNIT 34'17, FORT MYERS, FL 33905-5795 - REPORTED 10121 - 0923 AODRESS: '1524 EDUCATION CT, LEHIGH ACRES, FL 3397'1-2056 - REPORTED 101'12- 09121 ADORESS: 12032 BRASSIE BND APT 202, FORT MYERS, FL 3391$8't77 - REPORTED 09/09 - 03/12 EMPLoYER: LOVING HANDS HoME HEALTH// - REPORTED 07/17 EMPLOYER: LEHIGH REHABLITATION CE//- REPORTED 10/16 TRANSUNION - PULLED ON: 09/1223 - INFILE DATE: 0201/02 NAME: DIELKA GONZALEZ NAME: GONZALEZ,BIELKA NAME; DoB: 02/12n7SSN: 3875 ADORESS: 3220 CHAMPION RING RD #3417, FORT MYERS, FL 33905 - REPORTED 10/21 AODRESS: 12032 BRASSIE BD #202, FORT MYERS, FL 33313.8177 - REPORTED 09/09 ADDRESS: .12698 IVORY STONE LP, FORT MYERS, FL 33913-6741 - REPORTED 11/08 EMPLOYER: LOVING HANDS HOME HEALTH// ECOA KEYI B=BORROWER; C=COAORROWER; J=JOINT; U=UNoESIGNATED; A=AUTHORIZED USER; P=PARTICIPANT; s=co.6lGNER; MSMAKER; XTDECEASED; FINDIVIDUAL; T=TERMINATED PREMIUtI CREDIT BUREAU: 2701 E ATLANTIC BLVD 2ND FLOOR, POMPANO BEACH, FL 33062 (P) 305-a68-,l560 (F) 305-468-1565 rnd lf, F.lmB Hod. lddntllr.lkn. PaZc 619 FILE * SENO TO * 0 7 0 1 1 28 1 38 1 0 0 8.G.1 Packet Pg. 255 Attachment: 8G. DIELKA GONZALEZ - REVIEW OF CREDIT – REINSTATEMENT & NAME CHANGE - PAINTING CONTRACTOR - A & V QUALITY FILE * SEND IO 2823295 FNMA * THE MORTGAGE COMPANYA'2o1 3OO8 cusT. # M2013008 9951 SW 62 STREET MtAMt, FL 33173 DATE COMPLETED DATE ORDERED REPOSITORIES PRICE REF. i APPLICANT CO.APPLICANT APPLICANT soc sEc * MARITAL STATUS CO-APPLICANT soc sEc # OEPENDENTS ONZALEZ, OIELKA 8875 ooB 041211977 DOB SOURCE OF INFORMATION 3 EMPLOYER: PEREZ MEDICAUSTORE CONSULTANT/ EOUIFAX - PULLED ON: 09/12123 - INFILE DATE: 03/09/02 NAME: DIELKA GONzALez oOB: 021 12n 7 NAME; DIELKA GOMEZSSN: 18875 ADDRE.T: 3220 CHAMPION RING RD UNIT 3417, FORT MYERS, FL 33905 - REPORTEO'10121 - 09D3 ADDRESS: 1524 EDUCATION CT, LEHIGH ACRES, FL 33971 - REPORTEO 101'12 - OBl23 ADORESS: 1838 PALM OR, FORT MYERS, FL 33907 - REPORTEO 01110 - O7l'17 EMPLoYER: LOVING HANDS HoME HE/NURSE/ CREDITORS BANK OF AMERICA, N.A BANK OF AMERICA, N.A. BANKAMERICA BEST BUY/CBNA CAINE & WEINER CAINE & WEINER COMPA CAPITAL 1 8K CAPITAL ONE / SAKS F CARMAX AUTO FINANCE CBNA./HOME DEPOT CHASE AUTO CITIBANK MC CITICARDS CBNA COMENIry BANI(/EXPRESS COMENITYBANKA/ICTORI COMENIryCAPITAUEL D COMENITYCAPITALAEND COMENIryCAPITALBANI(L ENDING CLUB CREDIT ONE BANK CREOIT ONE BANK NA EXETER FINANCE EXETER FINANCE LLC FEB - RETAIL FEB/GFSCS-RETAIL FNBMARIN FST NORTH AMER CRDT CORP JPMCB AUTO 9OOO SOUTHSIDE BLVO 8LDG, JACKSONVILLE FL 32256 4909 SAVARESE CIR, TAMPA. FL 33634 P.O. BOX 2240, BREA CA 92822 50 NORTHWEST POINT ROAD, ELK GROVE VILLAGE, IL 60007 PO BOX 55848, SHERMAN OAKS, CA 91413 11013 W BROAD ST, GLEN ALLEN, VA 23060 ,.,* ,U"*'O' 'REEK PKW, RICHMOND. VA 23238 PO BOX 9714, GRAY, TN 37615 9OO STEWART AVENUE, GAROEN CITY, NY ,I1530 POB 6241, SIOUX FALLS, SD 57117 PO BOX 6241, STOUX FALLS, SD 57117 PO BOX 182789, COLUMBUS, OH 43218 220 W SCHROCK, WESTERVILLE OH 43081 PO BOX 182120, COLUMBUS OH 43218 P O BOX 98873, LAS VEGAS NV 89193€873 PO BOX 98875, LAS VEGAS, NV 89193 PO BOX 166037, tRVtNG, TX 75016 ,o ,o" *aa, BEAVERTON, OR 97076 POB 98872, LAS VEGAS, NV 89193 2O4O THALBRO ST, RICHMOND, VA 23230 PO BOX 901003, FORT WORTH, TX 76101 800-2s9-2265 800-669-6607 (800) 200-6s45 (800)3654292 818-226-6000 818-226-6000 877 -825-3242 702-269-1000 800-32'1-9637 BYMAILONLY 503-350-4300 (866 )5026439 804-342-6400 800-336-6675 ECOA KEY:B=BORROWER; c=co-BoRRoWER; J=JOINT; U=UNDESIGNATEO; A=AUTHoRIZEo USER; P=PARTIcIPANT; S=cO.slcNER' M=MAKER; X=OECEASED; l=INOIVIDUAL T-TERMINATEO PREMIUM CREoIT BUREAU: 2701 E ATLANTIG BLVD 2ND FLOOR, POMPANO BEACH, FL 33062 (P) 305-,168.1s60 (F)305-468-1565 .nd lh. F.mB H.M AdBl.LL.Uon 9112t2023 9t'1212023 XP/TU/EF $67.95 PRPD'BY LOAN TYPE RAO'BY ARI PALLARES PROPERTY ADDRESS 800-22',t{3/,O 800-92 5-361 2 (8OOl6774232 (888)s194679 800-8430777 800-950-5114 800-201-4955 MAIL ONLY (866)810-3618 MAIL ONLY (866)954-9258 Pagc 719 8.G.1 Packet Pg. 256 Attachment: 8G. DIELKA GONZALEZ - REVIEW OF CREDIT – REINSTATEMENT & NAME CHANGE - PAINTING CONTRACTOR - A & V QUALITY 2823295 FNMA* THE MORTGAGE COMPANY/M2o1 3OO8 cusr. # M2013008 9951 SW 62 STREET MIAMI, FL 33173 OATE COMPLETEO OATE ORDERED REPOSITORIES PRICE REF. # 9112t2023 91142023 XP/TU/EF $67.95 ROD'BY ARI PALLARES PRPD' BY LOAN TYPE PROPERry ADDRESS APPLICANT CO-APPLICANT APPLICANT soc sEc * MARITAL STATUS DOB CREDITORS MACYS/CBNA MACYS/CITIBANK, N.A. NORDSTROM/TD BANK PREMIUM CREDIT BUREAU SAFE HOME SECURIry, SUNCOAST SCHOOLS FED SUNCST FCU SYNCB/AMERICAN EAGLE SYNCB/CARE CREDIT SYNCB/JC PENNEYS SYNCB/JCP SYNCB/NETWRK SYNCB/NTWK SYNCE/SCOREREWARDS SYNCHRONY NETWORKS TBOM - RETAIL w.S.BADCOCK CORP. WELLS FARGO DEALER svc WELLS FARGO DLR SVC/ WFNNB/EXPRES WFNNBA/CTRIA WFS PO BOX 8218, MASON, OH 45040 2412 NW 87TH PLACE, MIAMI, FL 33172 6801 EAST HILLSBOROUGH AV, TAMPA FL 3361G.4'97 6801 HILLS AVE, TAMPA, FL 33680 950 FORRER BLVO, KETTERING, OH 45420 PO BOX 965007, ORLANOO, FL 32896 POB 276, OAYTON, OH 45401 PO BOX 965036, ORLANDO, FL 32896 P O BOX 276. DAYTON, OH /la101 : PO BOX 10709, RALE|GH. NC 27605 555 WEST 112TH ST, NORTHGLENN, CO 80234 220 W SCHROCK RO, WESTERVILLE, OH 43081 P.O. BOX 19752, tRVtNE, CA 92623 MAIL ONLY 800-8883257 6'14-5230200 TU IDVISION ALERT ... IDVISION ALERT *' 2 . GONZALEZ, DIELKA AVAILABLE AND CLEAR EQUIFAX FRAUDIQ ID ENTIry s CAN ALERT*' FRAUDIO IDENTITY SCAN ALERl 3 . GONZALEZ, DIELKA 'SSN ISSUEO lN 2001, STATE: FL.. 1 . INQUIRY ADDRESS IS LISTED AS A MULTI-DWELLING UNIT ALERT 1 - OIELKA GONZALEZ YOB: 1977 EXPERIAN OFAC NAME MATCHING SERVICE: NO MATCH FOUNO UNLESS OTHERWSE INDICATEO MISCELLANEOI.JS INFORMATION - lnstant View Password: AE-DgDO,+4 ECOA KEY:B=BORROWER; C=CO-BORROWER; J=JOINT; U:UNDESIcNATED; A=AUTHORIZED USER; P=PARTICIPANT; S=CO.sIcNER; M=MAKER; X=DECEASED; l=INOIVIDUAL; T=TERMINATEO PREMIUM CREDIT BUREAU: 2701 E ATLANTIC BLVO 2NO FLOOR, POMPANO BEACH, FL 33062 (P) 305{68-1560 (F} 305468-1565 .nd lh. F.m.E lidn. AdmlnLlr.llor. Pagc E/9 FILE # SENO TO CO-APPLICANT soc sEc * OEPENDENTS GONZALEZ, DIELKA 13-8875 ooB 02112t1977 800-243-6552 800-243-6552 800-964-0006 (305)468-1560 860-829-0155 813-621-7511 813-621-751 1 MAIL ONLY 937-534-6950 MAIL ONLY 800-5424800 877 -295-2080 866-396-8254 MAIL ONLY 866-396-8254 866-293-'1661 877-706-8959 800-289-8004 8.G.1 Packet Pg. 257 Attachment: 8G. DIELKA GONZALEZ - REVIEW OF CREDIT – REINSTATEMENT & NAME CHANGE - PAINTING CONTRACTOR - A & V QUALITY FILE * SENO TO 2823295 FNMA # THE MORTGAGE COMPANY/M2O13OO8 cusT. # M2013008 9951 SW 62 STREET MtAMr, FL 33173 DATE COMPLETED DATE ORDERED REPOSITORIES PRICE REF. # th2n023 9t12t2023 XP/TU/EF $67.s5 PRPD' BY LOAI ryPE ROD'BY ARI PALLARES PROPERTY ADDRESS APPLICANT CO-APPLICANT APPLICANT soc sEc # MARITAL STATUS CO.APPLICANT soc sEc t DEPENDENTS GONZALEZ, OIELKA -875 ooB 0211211977 DOB MISCELLANEOUS INFORMATION - To verify the authenticity of this credit report, please visit httpsJ/premium.meridianlink.com and click on lhe lnstant View link. Enter ldentilier # 282329i.5 and password AE-D9DD44 to view the report. For any inquiries regarding this report or services provided by PREMIUM CREDIT BUREAU please contact us at 305-468-1560. * ENO OF REPORT 9ngno27 3t57t11PM * ECOA KEY:B=BORROWER; C=co-BORRowER; J.JOINT; U:UNDESIGNATED; A=AUTHoRIZED UsER; P=PARTIcIPANT; S=CO.sIGNER; M=MAKERi X=DECEASEDi l=INOIVIOUAL; T=TERMINATED PREMIUM CREDIT BUREAU: 2701 E ATLANTIC BLVO 2ND FLOOR, POMPANO BEACH, FL 33062 (P) 305-168-1560 (F) 305-468-1565 and lh. F.m.B Hom. Admlni$-.tld. Pagc 919 8.G.1 Packet Pg. 258 Attachment: 8G. DIELKA GONZALEZ - REVIEW OF CREDIT – REINSTATEMENT & NAME CHANGE - PAINTING CONTRACTOR - A & V QUALITY THE MORTGAGE COMPANY/M2OI 3OO8 9951 SW62 STREET MIAMI, FL 33173 3052741160 RETURN SERVICE REQUESTED DIELKA GONZALEZ 3220 CHAMPION RING RD UNIT 3417 FORT MYERS, FL 33905 Your Credll Scorc and the Prlce You Pay for Credlt REPORT #:2823295 573 Source: EXPERIAN Model: EXPERIANIFAIR, ISAAC (VER. 2) Oale: 09112123 Your Credit Score Your credit score ls a number that reflects tho lnformation in your credit report. Your credit report ls a record of your credit hlstory. lt includes lnformatlon about whether you pay your bllls on time and how much you owe to credltors. Your credlt score can change, depending on how your credit history changes. Your credit score can affect whether you can get a loan and how much you will have to pay for that loan. Scores range from a low of 300 to a high of 850. Generally, the higher your score, the more likely you aro to be offered belter credit torms. Your credit score ranks hlgher than I percent of U.S. consumers, SERIOUS DELINQUENCY, PUELIC RECORD, OR COLLECTION FILED RATIO OF BALANCE TO LIMIT ON BANK REVOLVING OR OTHER REV ACCTS TOO HIGH TIME SINCE DEROGATORY PUBLIC RECORD OR COLLECTION IS TOO SHORT NUMBER OF ACCOUNTS WITH DELINQUENCY TOO MANY INQUIRIES LAST 12 MONTHS Understandlng Your Credlt Score You have a right to dispute any inaccurate lnformation in your credit report. lf you fin'd mistakes on your credit report, contact the consumer reportlng agency. It is a good idea to check your credit report to make sure the information lt contains is accurate. Under federal law, you have the right to obtaln a free copy of your credlt report from each of the nationwide consumer reportlng sgencies once a year. To order your free annual credit report: By telephone: Call toll-ftee: 1-877-322-8228 Ontheweb: Vlsltu/ww.annualcredltreport.com By mall: Mall your completed Annual Credlt Report Requ€st Form (which you can obtain tom the Federal Trade Commission's web site at htto:/lwww.ftc.oov/bcA/conline/include/reouestformfinal.odO to: Annual Credit Report Request Service P.O. Box 105281 Atlanta, GA 30348-5281 For more lnformation about credlt reports and your rights under Federal law, visit lhe Consumer Financial Protection Bureau's web site at www.consumerfi nance.govfl eammore. Checking Your Credit Report 8.G.1 Packet Pg. 259 Attachment: 8G. DIELKA GONZALEZ - REVIEW OF CREDIT – REINSTATEMENT & NAME CHANGE - PAINTING CONTRACTOR - A & V QUALITY Notlc. to th6 Homs Loan Applicant ln connectlon with Vou. gpolicstlon tor a home loan, lhe lender must dlsclose to you lho scoro ihat a consumer reporllng 8g€ncy distdbut€d to usels 8nd lhe lender used in con6ectlon wlth your home loan, aM lho k€y factors aff6cdng your credlt gcores. The crodlt gcore is 8 computer gen€Eted summary calculated at the tlmc of lhe request and based on lnformSlion that a consumer r€pordng.agency or lender. has on til€. The scores srb basad on data about y6ur credit hlslory and paymont p€tl€ms. Caedit scores 6ro importanl becaus€ lhey are used to assist lh6 l6nd€r in determlnlno whother vou will obtain a loan. They may also be used to delermlne what Inleresl rate you msy b€ offsred on the mortgage. Credlt scores can change over im€. depe-ndlng on your conduct, hoi{ your cr€dll hlstory end psyment pattems dlange, and how ctedlt sco.ing technoiogl€s chanoe. Because the score ls based on informatlon ln your credit history, lt ls very lmporlant that you revlsw the credlt-related inlormation thsl ls boing fumlshed to mako sure il b accurale. Credlt records may vary from on€ compony to anolher. l, vou heve oueslions about vour credll score or lh6 credlt Information lhat ls fumished to you, contiacl lhe cohsumer rcporting agency at th€ address and teieohone ndmber provided wilh lhB notic€, o. contact th€ l6nder, if th€ lend€. developed or gonerated lhe q€dlt scor€. The consum€r reporling agency plays no pirt'inltn Oecision'to tak€ any action on th€ losn appllcation and is unable to provide you wiah specifc re€sons for tho decision on a loan spplic€tlon lf y.iJ have quogtlons conceming ths l€rms of ths lo8n, contact the l6nder. Stgnature DAE- 8.G.1 Packet Pg. 260 Attachment: 8G. DIELKA GONZALEZ - REVIEW OF CREDIT – REINSTATEMENT & NAME CHANGE - PAINTING CONTRACTOR - A & V QUALITY THE MORTGAGE COMPANY/M2O,I 3OO8 9951 SW62 STREET MtAMt, FL 33173 3052741 160 RETURN SERVICE REQUESTED DIELKA GONZALEZ 3220 CHAMPION RING RD UNIT 3417 FORT MYERS, FL 33905 Your Credit Score and the Prlce You Pay for Credlt REPORT #: 2823295 588 Source: TRANS UNION Model: TRANSUNION/FICO CLASSIC (04) Date:09/12123 Your Credit Score Your credlt score is a number that reflects the informallon ln your crodlt report. Your credit report is a record of your credit history. lt includes lnformation about whefier you pay your bills on time and how much you ow6 to creditors. Your credit score can change, depending on how your credit hislory changes. Your credit score can affect whether you can get a loan and how much you will have to pay for that loan. Scores range from a low of 309 to a high of 839. Gonerally, the highor your score, the more likely you are to be offered better credit terms. Your credit score ranks higher than t 3 percent of U.S, consumers. SERIOUS DELINQUENCY, ANO PUBLIC RECORO OR COLLECTION FILED TIME SINCE DELINOUENCY IS TOO RECENT OR UNKNOWN PROPORTION OF BALANCES TO CREDIT LIMITS IS TOO HIGH ON BANK REVOLVING OR OTHER REVOLVING ACCOUNTS LENGTH OF TIME SINCE DEROGATORY PUBLIC RECORD OR COLLECTION IS TOO SHORT INQUIRIES IMPACTED THE CREDIT SCORE Understanding Your Credit Score You have a right to dispute any inaccurate information in your credit report. lf you find mistakes on your credit report, contact lhe consumar reporting agency. It is a good idea to check your credit reporl to make sure the informatlon it contains is accurate. Under.federal law, you have the right to obtain a free copy of your credit report from each of the nationwide consumer reporting agencles once a year. To order your free annual credit report: By telephone: Call toll-free: 1-877-322-8228 On tho web: Vlsit www.annualcreditreoort.com By mail: Mail your completed Annual Credit Roport Requ€st Form (which you can obtain from the Federal Trade Commission's web site al http:/Aivww.ftc.gov/bco/conline/iricluder/iequestformfinal.pdO to: Annual Credlt Report Request Service P.O. Box 105281 30348-5281GA For more information about credit reports and your rights under Federal law, visit the Consumer Financial Protection Bureau's web site at www. Checking Your Credit Report 8.G.1 Packet Pg. 261 Attachment: 8G. DIELKA GONZALEZ - REVIEW OF CREDIT – REINSTATEMENT & NAME CHANGE - PAINTING CONTRACTOR - A & V QUALITY Notlce to the Home Loan Appllcant ln connecllon with your appllcation for a home loan, lhe lendor must disclose to you the sco.e that a consumor reportlng agency dlsttlbuted to usors and tho l€ndor us€d ln con;ectioi with your homo loan, and the key faclors afi€cting your crodit scoros. The credit scor6 Is a computor generated summary calculated at the tlme of he request and based on lnformat,on lhat a conslmer reportlng agency orlendor. t iJ on nt".jt e scoreJiri bastd on data about y6ur credit hislory end psyment pE'tterns. Cr6dlt scores are impo.tant becaus€ lh€y are us€t lo asslst the lender Indet€rmining whether you willobtain 6 lo6n. Thiry mey also be uied to ddtarmine what interest rate you may b€ off€red on lhe moatgage. Credit scor€s can change over [me, tlepeilding on your aanduct, hoiv your credit hlstory and payment pattems change. and how cledit scoring technologies change. Because lhe score is based on information ln yourcredil history, il is very lmportant lhat you reviaw the credit-related informatlon lhat is being fumished to make sure it is accurate. Credit records may vary from one company to anolher. tfvou hev6 ouesllons about vour crcdit scor6 or the credlt lnformauon lhat ls furnlshed to vou, contact th6 cohsumsr r€portlng agency at lhe address and teirgphone nrimber provided wlth this notlce, or contsct th6 lend6r, if lh6 lender developed or generated tho crsdlt score. The @nsumer r€portlng ag€ncy plays no pariin the docision to tako any action on the loan application and is unablo to provid6 you wilh specific roasons for the d€cision on a loan applicaUon. It you hav6 questions concoming the terms ofth€ loan, conlacl ths lend€r. Signature DaiE-- 8.G.1 Packet Pg. 262 Attachment: 8G. DIELKA GONZALEZ - REVIEW OF CREDIT – REINSTATEMENT & NAME CHANGE - PAINTING CONTRACTOR - A & V QUALITY THE MORTGAGE COMPANY/M2O1 3OO8 995,I SW 62 STREET MtAMt, FL 33173 3052741 160 RETURN SERVICE REQUESTED DIELKA GONZALEZ 3220 CHAMPION RING RD UNIT 3417 FORT MYERS, FL 33905 Your Credlt Scote and the Prlce You Pay for Credlt REPORT #: 2823295 578 Source: EQUIFAX Mode|: EQUIFAXFICO CLASSIC V5 Oale: O9112123 Your Credit Score Your credlt score ls a number that r€fl€cis the informaton in your credit r€port. Your credit report is a record of your credit history. lt includes lnformatlon about whether you pay your bills on time and how much you owe to creditors. Your credit scor€ can change, depending on how your credit history changes, Your credit score can affect whelher you can get a loan and how much you will have to pay for that loan Scores range ftom a lorv of 334 to a hlgh of 818. Generalty, the hlgher your score, the more likely you are to be offered better credit terms. Your credit score ranks higher than g percent of U.S. consumersi. SERIOUS DELINQUENCY, ANO DEROGATORY PUBLIC RECORD OR COLLECTION FILED PROPORTION OF BALANCES TO CREDIT LIMITS IS TOO HIGH ON BANK REVOLVING OR OTHER REVOLVING ACCOUNTS TIME SINCE DELINQUENCY IS TOO RECENT OR UNKNOWN LENGTH OF TIME SINCE DEROGATORY PUBLIC RECORD OR COLLECIION IS TOO SHORT Understandlng Your Credlt Score You have a right to dlspute any inaccurate informalion in your credit report. lf you find mistakes on your cr€dlt r€port, contact th€ consumer reporting agency. It is a good idea to check your credit report to make sure the information it contains is accxJrate. Under.federal law, you have the rlght to obtain a free copy of your credit report from each of the nationwide consumer reporting agencres once a year. To order your free annual credit report: By lelephone: Call toll-free: 1-877-322-8228 On the web: Visit www.annualcreditreport.com By mall: Mail your completed Annual Credil Report Request Form (which you can obtaln from the Federal Trade Commission's web site at htto:/Arvww.fic.gov/bio/conline/iriclude/ieouestformfinal.odO to: Annual Credit Report Request Service P.O. Box 105281 Atlanta, GA 30348-5281 For more information about credit reports and your rights under Federal law, vish the Consumer Financial Protection Bureau,s web site at www.consumerfinance.gov/leammore. ' - Checklng Your Credit Report 8.G.1 Packet Pg. 263 Attachment: 8G. DIELKA GONZALEZ - REVIEW OF CREDIT – REINSTATEMENT & NAME CHANGE - PAINTING CONTRACTOR - A & V QUALITY Notlco to tho Homc Loan Appllcant ln conn6cuon wlth your application for a hom6 loan. lho lender must dlsclos€ lo you the score that a consumer reporllng agency dlstdbuted to u6€rs and lhe londff us6d ln connectlon wlth your homo lo6n, and tho koy faclors afiectlng your crodll scoros. The cr€dlt score ls a computer genoratsd summary calculated at lhe llme of the rsquest snd based on lnfomallon that a consumer reportlng agency or lender has on 1116. The scol.€s arb basad on data about your sedlt history and paym6nt psttoms. Crsdll scoi€s aro impodant boc:rusa thoy 6te used to assist th€ lendor in dotermlnlng whethq yoo wlll oblain a loan. Th6y may also b€ us6d to determino what lnts.gst rate you may be offered on lhe mortgage. Cr€dlt scores can change over tme, depending on your conduct, how your crsdlt history and payment pattems chang€, and how crodlt scoring technologl€s changg. Because lhe scoIs Is based on ln{ormatlon ln your credit history, ft is very lmportant that you review the cr€dit-related inlormatlon that is belng tumished to make sure it is acaurate. Credit records may vary trom one company to anolher. lf you have questlons about your dedll score or the credlt lnformallon that is fumish€d to you. contacl lh6 consumer repoatlhg agency at the address and teiephono number provld€d wllh thls nollc6, or contact th€ lender, if the loM€r d6v6lop€d or gon6ral6d lh€ qedil scoro. Thg consumer reportlng ag€ncy plays no part in th6 docision to tak€ any action on th6 ban eppllcation 6nd ls unable to provide you wilh sp€cifc rcasons for lh6 d€craion on 6 loan appllcation. lfyou have questions conceming the t€rms ofthg loan, contact the l6nd€r. Signalure Deie 8.G.1 Packet Pg. 264 Attachment: 8G. DIELKA GONZALEZ - REVIEW OF CREDIT – REINSTATEMENT & NAME CHANGE - PAINTING CONTRACTOR - A & V QUALITY CREDIT CHECI(,CONFIDENTIAL Date: L0 / 25 / 23 Cust. No: 9999 Ordered By: 19824 Page: 1 (X) Corporation EIN:83-18949{3 Commercial Credit Report Company: A & V CONTRACTORS GROUP CORP * Address:3220 CHAMPION RING ROAD, UNIT 34L1 FORT MYERS, FLORIDA 33905 Telephone: (786) 7 48-0046 PRINCIPALS: CEO/PRESIDENT Address: Social Security Number: Stock Ownership: GONZALEZ, DIELKA 3220 CHAMPION RING ROAD, UNIT 3417 FORT MYERS, FLORIDA 33905 I_8875 100% Address: Social Security Number: Stock Ownership: Address Social Security Number: Stock Ownership: Address: Social Security Number: Stock Ownership: RISK SCORE i!..iirrp"riun Financial Stability Risk Score -BTI Lor,t'Risk + 2 Lorr to Med 3 Medium Risk.l Med to High 5 High RisklforExcellent-100 CREDIT RISK SCORE 62 The score uses tradeline and coll-ections information, public filings as wellas other variables to predict future risk. Hlgher scores indicate lower risk FACTORS LOWERING THE SCORE:* 1ow number of recently reported commercial accounts* Iength of time on experian's file* high maximum commercial account bal in the last 12 mos* ratj-o of total bar to totar high ba1 across al-l comm accts Reported for: AppLTCANT SEE NAI4E ABovE Reported by: Credit Check, lnc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409 . (561) 616-5556 8.G.1 Packet Pg. 265 Attachment: 8G. DIELKA GONZALEZ - REVIEW OF CREDIT – REINSTATEMENT & NAME CHANGE - PAINTING CONTRACTOR - A & V QUALITY CREDIT CHECR"CONFIDENTIAL Commercial Credit Report Company:A & V CONTRACTORS GROUP CORP . Address:3220 cHAMproN RING RoAD, uNrr 3411 FORT MYERS, FLORTDA 33905 Date: Cust. No: Ordered By: Page: 70/2s/23 9999 L9824 2 A & V CONTRACTORS GROUP CORP was INCORPORATED in the county of LEE, st.ate of FLORIDA, on 08/23, 2078. The charter number is P18000072532. The registered agent is GONZALEZ, DIELKA of 3220 CHAMPION RING ROAD, +347-1, FORT MYERS, FLORIDA 33905. 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 CHASE The officer handling the account is N/A - FoRT MvERS, FLoRTDA PUBLIC RECORDS WERE CHECKED FOR LEE COUNTY, FLORIDA. A SEARCH OF LOCAL, STATE, AND FEDERAL RECORDS HAS BEEN CONDUCTED WITH THE FOLLOWING RESULTS: CLEAR AS OF 10125123 - SEVEN YEAR SEARCH. BUSINESS CATEGORY LAST ACTIV PAY TERMS DATE RPTD *** Credit Profile *** HIGH CREDIT BALANCE CUR 30 60 90 91+ COMMENTS COMMUNICTN O8/23 OO/OO VARIED CELLUL/PAG 09/23 08/22 NET 30 0? 0% 0% 0% t5 0% 0% i9 900 0 500 100?0 0? RE]T/ARKS: N/A : NOT APPLICABLE/NOT AVAILABLE * NAME CHANGE AMENDMENT EILED 03/22/22; OLD NAME WAS: A & V QUALITY PAINTING CORP REPORT WORKED BY KELLY END OF REPORT. 8.G.1 Packet Pg. 266 Attachment: 8G. DIELKA GONZALEZ - REVIEW OF CREDIT – REINSTATEMENT & NAME CHANGE - PAINTING CONTRACTOR - A & V QUALITY 1111123,12:27 PM Detail by Entity Name DrvrsroN or CoRponarroxs I)t tt:;rttt ctf Cu;:* irii:rTol'tii/ #,v1,t7iiltlr/,,ttttl.',!l.j,,t:,|t,;t,":'jt.|!., Pepjrtmel]L_Atstale / Division of CorpOfeliQnS / Search Records / Search by Entity Name / Detail by Entity Name Florida Profit Corporation A & V CONTRACTORS GROUP CORP Filing lnformation Document Number P18000072532 FEI/EIN Number 83-1894913 Date Filed 0812312018 Effective Date 0910112018 State FL Status ACTIVE Last Event NAME CHANGEAMENDMENT Event Date Filed 0312212022 Event Effective Date NONE Principallklc[ess 3220 CHAMPION RING RD 3417 FORT MYERS, FL 33905 Changed: 0412612022 Mailing Address 3220 CHAMPION RING RD 3417 FORT MYERS, FL 33905 Changed: 0412612022 Registered Agent Name & Address GONZALEZ, DIELKA 3220 CHAMPION RING RD 3417 FORT MYERS, FL 33905 Name Chang ed: 10 12312019 Address Changed: 04 12612022 Officer/Director Detail Name & Address https://search.sunbiz.org/lnquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=lnitial&searchNameOrder=AVQUALI... jl2 8.G.1 Packet Pg. 267 Attachment: 8G. DIELKA GONZALEZ - REVIEW OF CREDIT – REINSTATEMENT & NAME CHANGE - PAINTING CONTRACTOR - A & V QUALITY 1111123, 12:27 PM Detail by Entity Name Title P GONZALEZ, DIELKA 3220 CHAIVPION RING RD 3417 FORT IVYERS, FL 33905 Annual Repe_rtg Report Year 2021 2022 2023 Filed Date 04t2812021 04t26t2022 o3130t2023 Document lmages 03/30/2023 -- ANNUAL REPORT 0412612022 .. ANNUAL REPORT 0312212022 - Name Changg 04l28l2021 .. ANNUAL REPORT 05/01/2020 .. ANNUAL REPORT 10/2312019 - Reg;lgent Change 05/10/2019 - Amendment O2l28/2019 .. ANNUAL REPORT 0111712019 - Reg Agent ChangC 08/2312018 - Domestic Profit View image in PDF format Vlew 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 ilarr,{:c I}!iratilr.:it .i it.rt::. l)ivjircri ai ae: rcraaidhl View image in PDF format i View image in PDF format I 8.G.1 Packet Pg. 268 Attachment: 8G. DIELKA GONZALEZ - REVIEW OF CREDIT – REINSTATEMENT & NAME CHANGE - PAINTING CONTRACTOR - A & V QUALITY Electronic Articles of lncorporation For A &V QUALITY PAINTING CORP The undersigned incorporator, for the purpose of forming a Florida proflt corporation, hereby adopts the following Articles of Lecorporation Article I The name of the corporation is: A & V QUALITY PAINTING CORP Article II The principal place of business address. 1524 EDUCATION CT LEHIGH ACRES, FL. 3397I The mailing address of the corporation is T524 EDUCATION CT LEHIGH ACRES, FL. LIN 33971 Article III The purpose for which this corporation is organized is ANY AND ALL LAWFUL BUSINESS. Article IV The number of shares the corporation is authorized to issue is 100 Article V The name and Florida street address of the registered agent is: DIELKA GONZALEZ 1524 EDUCATION CT LEHIGH ACRES, FL. 33977 I certify that I am familiar with and accept the responsibilities of registered agent. Registered Agent Signature: DIELKA GONZALEZ P1 8000072532 FILEDAuqust 23.2018Sed. Of State ndmccleessam 8.G.1 Packet Pg. 269 Attachment: 8G. DIELKA GONZALEZ - REVIEW OF CREDIT – REINSTATEMENT & NAME CHANGE - PAINTING CONTRACTOR - A & V QUALITY Article VI The name and address of the incorporator is DIELKA GONZALEZ 1524 EDUCATION CT P1 8000072532 FILEDAuoust 23.2018 Sed. Of State ndmccleessam LEHIGH ACRE,S, FL3397I Electronic Signature of Incorporator: DIELKA GONZALEZ I am the incorporator submitting these Articles of Incorporation and affirm that the facts stated herein are true. I am awhre that false info"rmation submitted in a document to the Department of State constitutes a third degree felony as provided for in s.817.155, F.S. I understand the requirementto file an annual report betrveeriJanuary ist and May 1st in the calendai year following formation of this corporation and every year thereafter to maintain "active" status. Article YII The initial officer(s) and/or director(s) of the corporation is/are: Title: P DIELKA GONZALEZ 1524 EDUCATION CT LEHIGH ACRES. FL. 33971 LIN Article VIII The effective date for this corporation shall be: 0910y2018 8.G.1 Packet Pg. 270 Attachment: 8G. DIELKA GONZALEZ - REVIEW OF CREDIT – REINSTATEMENT & NAME CHANGE - PAINTING CONTRACTOR - A & V QUALITY ffi tns DEPATTMENT OF THE TREASU'RY INIERNAL REVENT'E SERVICE CINCINNATI OH 49999.0023 A & V Q'JALITY PAINTING CORP ].524 MUCATION CT LEHIGH ACRES, FL 3 3971 Date of Ehis notice: 09-13-20L8 Eq)loyer Identif icaEion Nunber: 83-1894913 Form: SS -4 Number of thi6 notice: CP 5?5 A an IF YOTJ WRITE, A'ITACH 'II{E STT'B AT THE END OF T}IIS NO{ICE If you intend to elect to file your retun as a sma1l busi.ness corporation,election to file a Form 1120-5 must be made within certain tineframeE and thecorporation must meet certain tests. Atl of thj"B inforrnation j.s included in theinstructiona for Form 2557, ETection by a Sma.l-t Busjness Corpora lion. ViE ASSIGNED YO'J AN E}.IPLOYER IDBITIFICNTION }IIJMBER Thank you for applying for an Eq)loyer ldenLification Nunber (EIN). we aasigned you EIN 83-189,1913. ltris EIN wiLl identify you, your business accoultB, Eax returns, and docurents, even if you have no enployees - Please keep chi6 notice in your permanent records . When filing tax docunents, paymentE, and related correspondence, it is very important that you use your EIN and coq)lete name and addresE exactly as 6ho,"z! above. Any varj.alion may cause a delay in processing, result in incorrect infornBtion i.n your account, or even cau6e you to be asgigned more than one EfN. If the information is no!. correct a€ Ehorrrl above, please make the correction using the aLtached tear off stub and return it to us. Baged on the infonnation received frorn you or your repreEentative, you nust file the following form(s) by the date(s) shoun. Forrn 112 0 04 /rs /2019 If you have questions about the form(s) or the due date(s) shown, you can call us the phcne number or.wxite to us at che address shobrt at che top of thi6 notice. If you need help in determining your arurual accounting f,eriod (fax year), see Rrblication 538, Accounting Petioda and lrethods. we assigred you a cax claEsification based on infotrBt.ion obtained from you or your representati-ve. It is not a legal determinaEion of your tax classification, and is notblnding on Ehe IRS. If you want a 1egal detemination of your tax classification, you rlBy request a private letter ruling from the IRS under Ehe guidelines in Revenue Procedure2004-1, 2004-1 I.R.B- I (or Euper6eding Revenue Procedure for the year at iEsue). Note:Certain tax classification elections can be requested by filing Form 8832, hCiryC.lassification ELection- See Fortn 8832 ard ils insErucLions for addilionaL infonEtion. II,IPOR?ANT IN?ORI{ATION FOR S CORPORATION ELE(TION: at For assistance you wry call uB aE: 1-800-829-4933 8.G.1 Packet Pg. 271 Attachment: 8G. DIELKA GONZALEZ - REVIEW OF CREDIT – REINSTATEMENT & NAME CHANGE - PAINTING CONTRACTOR - A & V QUALITY (IRS USE OIIi,Y) 575A 09-13-2018 A&VQ B 9999999999 SS-4 If you are required to deposiE for erq)1o),rnent taxes ( Forms 94L, 943, 940, 944, 945,CT-1, or 1042), exciEe !axe6 (Form 720\, ot incooe taxes (Forrn 1120), you tdi.ll receive a Welcorne Package shortly, thich incLudes inEtructiona for nBking your depo6ie6eLectronically Chrough rhe ELectronic Federal Tax Paynent SysEem (EFTPS). A personaL Identification !.Irnlllcer (pIN) for EFTPS !.rill also be sent to you under separate cover- Please activar-e the PIN once you receive it', even if you have regueaced the Bervices of atax professj.onal or repreaentat.ive. For mcre infonEtion about EFIPS. refer toRrblication 966, ETectronic Choices to Pay AJ7 you, Federal faxes. ff you need to o|ake a depoEit irmediately, you uiIl need co rnake arralgements with your FinancialInstitution t'o co(plete a lrire Lransfer. The IR.s is conmitted to helping all taxpayers corlply with their tax filingobligations. If you need help conqrleting your reEurns or neeling your bax obligations, Authorj.zed e-file Provider€, such as Report j.ng Agents (payroll service providers) areavailable to assist you. Visi.t fhe IRS Web 6ite at w!{rr. ira. gov for a liaL of conq)anieEithat offer IRS e-file for bueinees products ald aerviceE. The list provides addresses, telephone nunbers, ard links to their Web 6ites. To obtain tax forms and publications, rncluding those referenced in this no!i.ce,viEit our l{eb site at wr,!r.ir6.gov. If you do not have access to the Internet, call 1-800-829-3576 (I?Y/mD 1-800-829-{059) or visit your 1oca1 IRS office. II.'PORTANT RE}IINDERS : Keep a copy of this notice in your permanent records. ThlB Dotlse la icaucd only oDc tLDA .nd thc IRS rl,ll not ba rblG to gqrcBtc a duplicltc qot4f for you. You may give a copy of this dosument to anyone aaking for proof of your EIN. U6e this EIN and your name exacEly as Ehey appear at the Eop of this notj.ce on allyour federal tax forms. Refer to thj.s EIN on your tax-related correspondence and docrnnent6. If you have questlons about your EIN, you can call us at the phone number or write tous at the address sholrn aL the top of thi6 notice. If you lrTiEe, please tear off the stubat the botto{n of thia notice and send it along lrith your let.!er. ff you do not need Co'h,rite us, do ngt complete alld return the stub. Ycur nan* control associated with thi6 ErN i6 A&ve. you will need ro provide thisi-nfonllalion, along r4,ith your EIN, if you fi).e your returrls eleclronically, Thank you for your cooperation. 8.G.1 Packet Pg. 272 Attachment: 8G. DIELKA GONZALEZ - REVIEW OF CREDIT – REINSTATEMENT & NAME CHANGE - PAINTING CONTRACTOR - A & V QUALITY a/.-,r {)rfrfret' C.{}1.4?tt\) _. ,.,... ''i:,.. . .., -i.., _,_, Gro,,,'"t)-r i;' triareiiterrt (lolrnluriity De ;eiopnrent Departi-rtertt a; L4; i::{iri_:i:j i ilir iil.#i'.jl::l:i:ril Ii,.! Not required for non-business licenses (individual) Dielka Gonzalez am a member or managingThis certifies that l, member of Applicant Name (please print) A&V Quality Painting Corporation I own 100 Business Name, include DBA, if applicable % of the Business 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. Dielka Gonzalez Applicant Name (please print) I Florida County of Jo=.-State of The flonline notarization this Such person(s) Notary Public must check applicable box: Vn (Notary Seal) 8t2022 v- has produced a currenl driver's license was of are personally known to me has produced as identification Page 5 of9 operations & Regtrlatoru fl/lanagerrlent Division. cont!'actorLicensing r 2800 North Horseshoe Drrve r Naples, FL 34104 o (23g) 252-2431 .i-g Iri.'i!Ji): .r.'l l!t:I!, ::nii.::!!i:ti ii !.!rl:-,: -_--r. -r GRICETVALOES l,fY coMMtsstoN f HH 4't7259 EXPIRES: JuU a, 2027 by ofE presence by o*i $liis 8.G.1 Packet Pg. 273 Attachment: 8G. DIELKA GONZALEZ - REVIEW OF CREDIT – REINSTATEMENT & NAME CHANGE - PAINTING CONTRACTOR - A & V QUALITY Cou.mty Growth Managentenl Commr.rnity Developnrerrt Departrnent ATTIDAVIT CIF INTEGRITY AFJN $OOD CI"IARACTER e4^ <^PO , having been first duly sworn, state and affirm I am a resident of Lee Florida (County)(State) and I have known Dielka Gonzalez for tt years. I have had the opportunity to observe his/her business and personal dealings and find him/her to be a person of honesty, integrity, and good character. re me 24. Address o City, State, Zip a39ya "s7/ State of Telephone Florida County of ent acknowl edged before me by ofE ,by sence or flonline notarization this z-_ day of Such person(s) Notary Public must check applicable box: I are personally known to me E nrr produced as identification Contractor Licensing - Reinstatement Application Rev. gl2o22 produced a current driver's license sig )xh" Page 7 of 9 operations & Regulatory Management Division. contractor Licensing r 2800 North Horseshoe Drive r Naples. FL 34104 t \23g)252-2431Qontractcr.slicen vfl.qov ) ontcruvALDEs MY CoMMISSIoN # HH 417259 EXPIRES: JutY 4, 2027 8.G.1 Packet Pg. 274 Attachment: 8G. DIELKA GONZALEZ - REVIEW OF CREDIT – REINSTATEMENT & NAME CHANGE - PAINTING CONTRACTOR - A & V QUALITY Covmty Growth Management Community Development Department AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER L-oocJ.o-* S,.^,-l\\, having been flrst duly sworn, state and affirm: I am a resident of Florida (County)(State) and I have known Dielka Gonzalez for 11 years. I have had the opportunity to observe his/her business and personal dealings and find him/her to be a person of honesty, integrity, and good character. Loocda-s S,^;(-W t re Printed Name At L\ .ltlrt^ 3F z-I , 1 Address City zip \z3q) 3o3 - tlar State Telephone County of /ou before me bv r L-,.r'c o\.c-s. or flonline notarization thismeans of by Such person(s) Notary Public must check applicable box: p"t" personally known to me D nas produced as identificalion fl nas produced a license Signature Contractor Licensing - Reinstatement Application Rev. Bl2A22 Page 7 of 9 Operations & Regulatory Management Division, Contractor Licensing r 2800 North Horseshoe Drive r Naples, FL 34104 t (Z3g)252-2431 contractorslicensinq@colliercountvf l.qov MY CoMMtSstoN # tl{ 417 25g EXPTRES: July 4, 2027 GRICEL VAIDES Lee 8.G.1 Packet Pg. 275 Attachment: 8G. DIELKA GONZALEZ - REVIEW OF CREDIT – REINSTATEMENT & NAME CHANGE - PAINTING CONTRACTOR - A & V QUALITY Co Caunty Grod,,tit l.,liritagenrent iloilnrunity Developnreni Depari:'rrent * EFtTt HCAl"t {)t! $F Ar-]illt eATt St'J The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County Ordinance No. 2006-46, as amended, and under penalties of peryury. I declare that I have read the foregoing application information and that the facts stated in it are true. The undersigned hereby certifies thathelshe 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/she has fuli authority to supervise construction undertaken by himself/herself or such business or organization and that he/she 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 all activities involving hislher license. Any willful falsification of any information contained herein is grounds for disqualification. Dielka Gonzalez Applicant Name (please print) A&V QUALIry PAINTING CORPORATION Business Name, include DBA, if applicable I {o business name will be used, write "lndividual" Florida County of in ofE nt State of 2'of Such person(s) N otary Public must check applicable box p or line notarization this (l.Jo Contractor Licensing * Reinstatement Application Rev. Bt2O22 ffipr" personally knourn to mer I nas produced as rdentification Q has produced a current driver's license nature Page 9 of 9 cperattons & Regr"rlatcry Llanagentent Divisicn contractor Licensing r 2800 North tiorseshoe Drive r Napies. FI-34i04 I (23s) 252-2431 - ,g' : il-i.U il -:'1t ", "jdi:;.,,,i J. l:.: r r ;'.. - : r.,ll CRICEL VALDES MY Cotiil\,ilsstoN #HH 417259 EXPIRES: Juty 4,2027 8.G.1 Packet Pg. 276 Attachment: 8G. DIELKA GONZALEZ - REVIEW OF CREDIT – REINSTATEMENT & NAME CHANGE - PAINTING CONTRACTOR - A & V QUALITY i!I Iq D ot Io a.E rl t,.7, I o i'. I;:I 8.G.1Packet Pg. 277Attachment: 8G. DIELKA GONZALEZ - REVIEW OF CREDIT – REINSTATEMENT & NAME CHANGE - CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDTYYYY} 08t30t2023 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. TH|S CERTTFTCATE OF TNSURANCE DOES NOT CONSTTTUTE A CONTRACT BETWEEN THE |SSU|NG TNSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: lf the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. lf SUBROGATION lS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Quality lnsurance of SWFL, LLC 18070 S Tamiami Trail, Suite '1 '1-D Fort Myers FL 33908 Alexis Serrano INSURER(S) AFFORDING COVERAGE NAIC # INsURER A: WESTERN WORLD INSURANCE COMPANY INSURED A&V Contractors Group Corp. 3220 Champion Ring Rd Unit 3417 Fort Myers FL 33905 tNsuRER B: ACCREDITED SURETY & CAS CO INC 26379 INSURER C : INSURER D: INSURER E: INSURER F : COVERAGES MBER: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. NOTWTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH 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 SHO\A/N MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRITR TYPE OF INSURANCE tNqn SUBR POLICY NUMBER POLICY EFF IMM/DDTYYYY} POLICY EXP IMM/DDTYYYYI LIMITS EACH OCCURRENCE s '1 ,000,000 DA[/]AGE TO RENTED PRFiTISFS 1Fe occurence)s 100,000 MED EXP (Anv one person)s 5,000 PERSONAL & ADV INJURY s 1,000,000 GENERAL AGGREGATE s 2,000,000 PRODUCTS - COI'P/OP AGG s 2,000,000 10t05t2022 10t05t2023 s COMMERCIAL GENERAL LIABILITY x GEN'L AGGREGATE LIi/lIT APPLIES PER:x PRO- JECT LOCPOLICY CLAIIi|S-MADE OCCUR NPP8623953 sBODILY INJURY (Per person) BODILY iNJURY (Per accident)$ $ AUTOMOBILE LIABILITY ANY AUTO OVVNED AUTOS ONLY HIRED AUTOS ONLY AUTOS ONLY SCHEDULED AUTOS NON-OV1jI!ED s EACH OCCURRENCE S AGGREGATE UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS.MADE DED RETENTION S X PER STATUTE OTH. ER E,L, EACH ACCIDENT s 1,000,000 E,L, DISEASE. EA EI\,4PLOYEE s 1,000,000 B N/A lAUtFLl 60144431 700 08t18t2023 08t18t2024 E,L, DISEASE . POLICY LII\,4IT s 1,000,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILIry ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in lf yes, describe DESCRIPTION OF OPERATIONS below NH) under DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORO 101, Additional Remarks Schedule, may be attached if more space is required) TE HOLDER CANCELLATION @ 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE OELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. FL 34104Naples Collier County Licensing Board 2800 Horseshoe Drive N .KhilbAUTHORIZED ACORD 25 (2016/03) 8.G.1 Packet Pg. 278 Attachment: 8G. DIELKA GONZALEZ - REVIEW OF CREDIT – REINSTATEMENT & NAME CHANGE - PAINTING CONTRACTOR - A & V QUALITY 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 certilles that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATET 1211312022 EXPIRATION DATE: 1211212024 PERSON: DIELKA GONZALEZ EMAIL: AVCONTRACTORSGROUP@ICLOUD.COM FEIN: 831894913 BUSINESS NAME AND ADDRESS: A&V CONTRACTORS GROUP CORP 3220 CHAMPION RING RD UNIT 3417 FORT MYERS, FL 33905 SCOPE OF BUSINESS OR TRADE: CaQentry NOC lnslallation & 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 uoder this chapter. Pursuanl to subsection 440.05(12), F.S., Certificates of election to be exempl issued under subsection (3)shallapply only to the corporate offrcer named on the notice ofelection lo be exempt and apply only within the scope oflhe business or trade listed on the notice of election to be exempt. Pursuant to subseclion 440.05(13), F.S., notices of election to be exempt and certificates of election to be exempt shall be subject to revoc€lion if, at any lim€ after the filing ofthe notice orthe issuance of the certificate, the person named on ihe notice or certificate no longer meels the requirements ofthis section for issuance of a certificate. The department shall revoke a certificate at any time forfaiiure of the person named on the certificate to meet the requirements ofthis section. DFS-F2-DWC.252 CERIIFICATE OF ELECTION IO BE EXEIVPT REVISED 08-13 E0163551s OUESTTONS?(850)413-1609 Wallboard,Sh66lrock,Drywall, Plastedoard, or Csment Board lnslallation Within Euildings & Drivers 8.G.1 Packet Pg. 279 Attachment: 8G. DIELKA GONZALEZ - REVIEW OF CREDIT – REINSTATEMENT & NAME CHANGE - PAINTING CONTRACTOR - A & V QUALITY [!Q!!!Q![Financial Responsibility and Financial St.bility, crounds for Denist. (l) 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 6lG4-12.01l, 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 thc applicant has applied to qualiS. (2) The Iinancial stability ground on which the Board shall refuse to qualiry an applicant is failure to provide proof of either a financial stability bond or an inevocable letter of credit from a bank authorized to do business in the State of Florida. The bond or letter ofcredit must be in a form acceptable to the Board and must remain in effect until the applicant can demonstrare a credit score, FICO derived, of 660 or higher, and must be payable as provided in Rule 6l04-15.0021, F.A.C., for Financially Responsible Officers in the amounl of: (a) $20,000 for Division I applicants. (b) $10,000 for Division II applicants. (3) Fifty percent of the financial stability bond or the letter of credit requiremenl may be met by completion of a l4-hour financial responsibility course approved by the Board. (4) An applicant may meet both the financial responsibility and financial stability requirements by providing proof of a cunent consumer credit reporl, as defined in Rule 6 | G4- | 2.01 l, F.A.C, with a credit score, FICO derived, of 660 or higher, which consumer credit repon does not disclose any unsatisfied judgments or liens against the applicant. ln addition, there must not be any unsatisfied judgments or liens against the business €nlity which the applicant previously qualified as a primary qualifier or which the applicant has applied to qualifo. Specilic Authority 489.115(5). (6) FS. Law lrnpletuented 489.1l5(5). (6) FS. History-Nev l-6-80, Anended 5-1-80. formerly 2lE-|5.06. 2lE- 1 5.006. Anended l 0-3 1 -96. l l - 1 3-97. 2- 1 2-08. 8.G.1 Packet Pg. 280 Attachment: 8G. DIELKA GONZALEZ - REVIEW OF CREDIT – REINSTATEMENT & NAME CHANGE - PAINTING CONTRACTOR - A & V QUALITY 12/20/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 8.H Doc ID: 27516 Item Summary: 8H. RUSSELL HOLLANDER - SECOND ENTITY APPLICATION - CUSTOM ARCHITECTURAL SOLUTIONS INC. Meeting Date: 12/20/2023 Prepared by: Title: – Contractor Licensing Name: Alyshia Morse 12/13/2023 3:55 PM Submitted by: Title: – Contractor Licensing Name: Tim Crotts 12/13/2023 3:55 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 12/13/2023 5:44 PM Contractor Licensing Tim Crotts Review Item Completed 12/14/2023 7:38 AM Contractor Licensing Tim Crotts Meeting Pending 12/20/2023 9:00 AM 8.H Packet Pg. 281 0 Awr'? 7 CoLtytc)l GMD Operations & Regulatory Management Licensing Section 2800 North Horseshoe Drive Naples, FL 34104 APPLICATION FOR COLLIER COUNTY/CITY OF NAPLES/CITY OF MARCO 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 CU RRENTLY O UALIFIED: C.r^\Exact Corporate/Business Name Fiction Name/ DBA: T. 1<?o t 4"th Av"\ Q Nrot^ Ec 14 t 7 (Number & Sbeet) .(C (City)'(stu1.)(Zip Code) lt tQualifier Name: Physical Address: Mailing Address:5CL Specialty Trade Lab,*< (Srate)(zip Code) Electrician Plumber Air Conditioner Swimming Pool Specialty tLt,ll,',,.*lL ApplicationFee $105.00 (Number & Street) TYPE OF LICENSE: General Bu ild ing Residential Mechanical Roofing , coq s230.00 s230.00 s230.00 s230.00 s230.00 S23o.oo 5230.00 s230.00 5230.00 520s.00 ( ) Rcinstatement r rom One Business to Another ( ) Dormant License to Active rrt R t\t-s }rcoN r) u,N'I'tTY (city) E-mail:raennone(74 Z5j.-*Db ?uLufigHnll, (W-e CHANGE OF STATUS: LCC20230003353 8.H.1 Packet Pg. 282 Attachment: 8H. RUSSELL HOLLANDER - SECOND ENTITY APPLICATION - CUSTOM ARCHITECTURAL SOLUTIONS INC. (27516 : 8H. RUSSELL l. The names, titles, home address and phone numbers ofall OlficersA4anaging Members of the Firm. A,.r', ilT.(L\, ,^,{-- Auth-orzed Offi cer of the Firm County of c^,ll;el owledged befbre me by means of physical presence or E online notarization S.U, l7 2. List all businesses, firms, entitics or contracting businesses you have been associated with during the last tcn years (i.e. held a liccnsc for or been a partner). Attach extra pages ifnecdcd. 3. List all debts you or any company(s) associated with you that you refused to pay and the reasons for the refusal to pay. Attach extra pages ifneeded. Under the penalties of perjury I declare that I have read the foregoing application and that the facts stated in it are true. State of The fo on this by E has produced (Notary Seal) ,20 a3 , S Suc,lperson(s) Notary Public must check applicable box: Mare personally krown to me D has produced a current driver license as identification. tr_; tS|.rY Pt6ic Srar. o' Fldlds Davfi M Hebarl-Touctret My ColtYnna€n HH 000957 Er9€! 6/1 0n024 Notary Signa Dr"M AFFIDAVIT of 8.H.1 Packet Pg. 283 Attachment: 8H. RUSSELL HOLLANDER - SECOND ENTITY APPLICATION - CUSTOM ARCHITECTURAL SOLUTIONS INC. (27516 : 8H. RUSSELL Name: Address: s <h S.3 (I,{umbcr & Street)(City)Sralc) Telephone:Date of Birth: Z L SS#:E-mail Driver's License #:o 5> -o l. Type of Certificate of Competency for which application is made. P,,Ec cft gltol,lnrC,'u , co (Zip Codc) I n 2. The names and telephone numbers of two persons who will know your whereabouts 3. Have you ever been convicted ofa crime related to Contracting? (lfyes, attach extra sheet with explanation.) TJ tl 4. Have you or any firms you havc bcen 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. 6. List your business or work experience during the last ten years LLCc [*4fut. Tava7. Statement ofany formal training you have had in the area for which the application is made ( QUALrr,-rER rNFORMA',I'lON: ilo (o1'; 8.H.1 Packet Pg. 284 Attachment: 8H. RUSSELL HOLLANDER - SECOND ENTITY APPLICATION - CUSTOM ARCHITECTURAL SOLUTIONS INC. (27516 : 8H. RUSSELL AFFIDAVIT The undersigned hereby makes application for Certificate ofCompetency under the provisions of Collier County No. 2006-46, as amended, and under penalties ofperjury. I declare that I have read the foregoing qualificr infonnation and that the facts stated in it are true. The undersigned hereby certifies that he is legally qualified to act on behalfofthe business organization sought to be licensed in all matters connected with its contracting business and that he has full authority to superuise 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 ofany information contained herein is grounds for disqualification. 5tt Applicant (please print) Name of Company reo f Applicant County of c.ll ,'€.f ,&44 Statc of The foregoing i notarization on by Suclpersont s) Notary Public must Ed?e personally known to me before me by means of ffiri"ut pr"sence or E online 20 A5, eck applicable box as identification. of !has produced a current driver license nhas produced (Notary Seal) fiftfli[:,l]ffifrffi Notary Signa 8.H.1 Packet Pg. 285 Attachment: 8H. RUSSELL HOLLANDER - SECOND ENTITY APPLICATION - CUSTOM ARCHITECTURAL SOLUTIONS INC. (27516 : 8H. RUSSELL Cov*tE3tt GMD Operations & Regulatory Managcmcnt l,icensing Section 2ti00 North Horseshoe Drive Naples,, FL 34104 APPLICATION T() 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 TIAVE SIGNED WHERE INDICATED. TYPE OR PRINT IN INK. NAME OF COMPANY UALIFYING: Exact Corporate/Business Name Fiction Name/ l)BA: Physical Address: ah 9,u, umber & Street)(City)(State)(Zip Code) Mailing Address cl <h A \, (^) (Number & Stree0 u7,n$T4C /7 cb5 (Zip C 5 (S Telephon .Qb4 Federal ID Tax Number 49' jaz>, o ALL APPLICANTS MUST APPEAR BEFORE THE CONTRACTOR LICT,NSINC 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. Qualifier Name: (city) E-mail:( 8.H.1 Packet Pg. 286 Attachment: 8H. RUSSELL HOLLANDER - SECOND ENTITY APPLICATION - CUSTOM ARCHITECTURAL SOLUTIONS INC. (27516 : 8H. RUSSELL A I.'FI I)AVIT It is understood and acknowledged by the Collier County Contractor's Licensing Board and rnyself that if I fail to acquirc, or maintain at all times cffcctivc Workmen's Compcnsation Insurance it will result in the possible revocation of my Certi te of Competency gn aturc ol' Applicant Business Name Date 7o L0z stut"or FlDri da 0o[1r", Thc foregoing instrumell was ackno,rryle{gefl before me by mean norarization on rhis 4f)\! 6ny of t )A-*Dt'€,lrr . 20 ,f 3 . s of B'p(ysical presencc or ! online County of by Such s) Notary Public must check applicablc box: personally known to me !has produced a current driver license lhas produced (Notary Seal) as identification. "t^; No|ery Pubrrc Strt ol Ft(r6a Dawn M Hrborl- TouctEt My Cormorm titt 001057 Etp .3 (E/10/2024 Signa ( ,ra., ArrL* t..;lpl%l,x;-,sTnc. 8.H.1 Packet Pg. 287 Attachment: 8H. RUSSELL HOLLANDER - SECOND ENTITY APPLICATION - CUSTOM ARCHITECTURAL SOLUTIONS INC. (27516 : 8H. RUSSELL The undcrsigned hereby makes application for Certificate ofCompetency undcr the provisions of Collier County No. 2006-46, as amended, and under penalties ofperjury. I declare that I have read thc foregoing qualifier information and that the facts stated in it are true. The undersigned hereby certifies that he is legally qualified to act on behalfofthe 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 holdcr understands that in all contracting matters, he/she will be held strictly accountable for any and all activities involving his license. Any willful falsification ofany information contained herein is gounds for disqualification. Du Applicant (please print) ture of Applicant C-.s,t-r, A*A ; r.*.ud *iu"ti*r Ta Name of Company -c ffi f.:l*."iliff ffi Wff;:f mriTly""5r"]E:sorffi sicatpresenceorBonrine County of ['\\i* by nhas produccd (Notary Seal) II Suchprsonls) Notary Public must check applicable box: Me personally known to mc Ehas produced a current driver license as identification. l{ot ry Pubrc St !. ot Fton(b Oawn M H€bert- Torlcfiet iry Corinrami HH 001057€rplr. (P10/20?4 N tureryS A I'I'I DAVTT st"t" "r FlD.ic\r frft 8.H.1 Packet Pg. 288 Attachment: 8H. RUSSELL HOLLANDER - SECOND ENTITY APPLICATION - CUSTOM ARCHITECTURAL SOLUTIONS INC. (27516 : 8H. RUSSELL OUES'I'IONNAIRE FOR OUAI,IT-YING A SECOND ENTI'TY THIS FORM MUST BE COMPLETED BY THE APPLICANT REQUESTING TO QUALIFY A SECOND ENTITY OR REQUESTING A CHANGE TO AN EXISTTNG SECOND ENTITY QUALTFICATION. THE APPLICANT AND PRESIDENTS,PARTNERS/OWNERS OF ALL COMPANIES INVOLVED MUST SIGN WHERE INDICATED. USE THIS SHEET, AND ADDITIONAL SHEETS IF NECESSARY, I . Explain why you wish to maintain your present license(s) while qualiflng this additional business. U<-. @qg,^af ig wn e-rpav."tvr o€ 9ertiat-zt W ;41 oc{y't,a"c".-al Cotp',rrt<, 6€t;ut-3 2. Has the proposed entity been previously qualified? lf so, explain why the previous qualifier is no longer willing to continue to qualifo this entity.w 3. Ifthe proposed entity has been qualified within the last l2 months, list three recentjobs completed by the proposed entity. lnclude dates of completion, address, description ofwork, name ofprevious qualifier and name ofowner. lul u^ -. 4. List the last three jobs completed by you undcr your existing liccnse. Include dates of . completion, address, description ofwork, name ofprevious qualifier and name ofowner 5 Sca attach el l; s+ Docs the busincss(cs) you presently qualify and/or wish to qualiry have any outstanding liens against them or against the property ofconsumers as a result ofconstruction work or a contract they had wirh your firm? YES NO / Ifyes, identify business and provide explanation. ^- List principal suppliers for the past six months for the business you presently qualifu. lv)ox-' l'bo* Dc?T Fqd tnyo,te lJo caata Ac.,on*<A.ha;ay G.-ro List principal suppliers for the past six months for the business you are applying to qualify. l)on 6 7 8. List persons authorized (currently and in the past 6 weeks) to pull permits on your license(s) Pn t(-. 8.H.1 Packet Pg. 289 Attachment: 8H. RUSSELL HOLLANDER - SECOND ENTITY APPLICATION - CUSTOM ARCHITECTURAL SOLUTIONS INC. (27516 : 8H. RUSSELL 9. How are you being paid by the business(es) you presently qualify (salary, % of profit, etc.)? Jc h./ 10. How will you be paid by the business you are applying to qualify? @/o eC a-|o\ 9ala,r1 I l. What percentage of ownership do percentage of ownership will you /Oo'/s o{- HCL, fo'/6 oQ C49 you have in the present business(es) you qualify and what have in the business you are atlempting to qualify?, 14ll a,ad.u Ltt4o"o C/t*'r,?l*> L L L' L,n<o, Arcln)-u,nYzll so[*b*t Lnc ' t 2. Do you (applicant) have check writing authority for the present and proposed entities? YES \/ NO If yes, provide a letter from the bank. ^- 13. List all officers/panners/owners ofthe business you are applying to qualify and position held. rt l"t/'c f P,"crll-S LLl,ta-.rL,?r<'', ;dm4 14. List all officers/partners/owners ofthe business you presently qualify and position held. Ocr-l,,r,c,f 15. Do the business(es) you presently qualify and wish to qualify have any other liccnses presently qualifying those businesses? YES *O + Ifycs, list licensee's name, license number and address. 16. Submit notarized statements signed by an authorized agent ofthe entity(ies) you presently qualify and from an authorized agent of the proposed entity attesting to the fact that each is awarc ofwhat entity you presently qualify, and what entity you are requesting to qualify. Rr;rrr&\,.,^. P-avlt r. U,ll,^^rL 8.H.1 Packet Pg. 290 Attachment: 8H. RUSSELL HOLLANDER - SECOND ENTITY APPLICATION - CUSTOM ARCHITECTURAL SOLUTIONS INC. (27516 : 8H. RUSSELL Qu.e S+r ttlql.t q4, Co6, S I co'qole(al (o^ HU Pc+url crn*,o..,7.qe Dr wbi.*rcrr bn)'Bg-Cftt Sa^dprpo,- ft".r ri - tot l/r"l^n =tttoz*-t < fn,ll*-k i-.sr, l(^i'o,,\ tofUlzl Pr.ro^, Ceof taa;rt1 ? D.dope^* (ztt)f*o*t tf rl tO i*h lUc g. d,J , M,eld t:C >I tn & b,,^-< ,isro((*>,,r lOblz> Qezuo,o Coa<rau1 n* bb6q €L Soa^^/o l/,eb, rL CoL;.r,ru Burpui. ( ?vwrrh o < DrrL,p"**"t Ctn) wl -ux Squq 4 8.H.1 Packet Pg. 291 Attachment: 8H. RUSSELL HOLLANDER - SECOND ENTITY APPLICATION - CUSTOM ARCHITECTURAL SOLUTIONS INC. (27516 : 8H. RUSSELL ALL APPLICANTS/LICENSEES MUST ANSWER THE QUESTIONS BELOVr'. lfyou answcr yes to any ofthe questions, a writtcn explanation is required. Additional documentation is also required, as indicatcd. lf you are applying to qualiB, a corpomtion, partnership or other legal entity, ALL OFFICERS OF TIIAT ENT]TY MUST ALSO E)GLAIN IF ANY OF T}IE BELOW WOULD PERTAIN TO THEM. This rvould include the prcsident, vice president, secretary, and/or partners or owners ofthe proprietorship Have you, the business organization, or any ofthe above mentioned individuals in any capacity ever YES NO I . Undertaken construction contracts or work for a third party, such as a bonding or surety company, completed or made financial settlements? 2. Had claims or lawsuits filed, or unpaid or past due accounts by your creditors as a result of construction experience'? 4. Had a lien filed against you by thc lnternal Revenue Service or Florida Corporate Tax Division? If yes, you MUST attach a copy of the Notice of Lien, and any payment agreement, satisfaction, Releasc ofLien or other proofoFpayment. 5. Made an assignment ofassets in settlement of construction obligations for less than the debts outstanding? 6. Been charged with or convicted of acting as a contractor without a license, or if licensed as a contractor in this or any other state, becn "subject to" disciplinary action by a state, county, or municipality? If yes, you must attach a copy of any state, county, municipal or out ofstatc disciplinary order ofjudgment. - a 7. Filed for or been discharged in bankruptcy within the past fivc years? Ifyes, 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 cntcrcd a plea ofnolo contendere to, regardless ofadjudication, a crime in anyjurisdiction within the past 10 years? NOTE: IF YOU, THE APPLICANT/LICENSEE, HAVE HAD A FELONY CONVICTION, PROOF THAT YOUR CIVIL RIGHTS HAVE BEEN RESTORED WII,I, BE REQUIRED PRIOR TO LICENSURE. L }.I NANCIAL RESPONSI BII-I'TY + L I !t -4 T 3. Undertaken construction contracts or work which resulted in liens, suits or judgments being filed? 8.H.1 Packet Pg. 292 Attachment: 8H. RUSSELL HOLLANDER - SECOND ENTITY APPLICATION - CUSTOM ARCHITECTURAL SOLUTIONS INC. (27516 : 8H. RUSSELL c.tF",Qounty Growlh Management Community Development Department RESOLUTION OF AUTHORIZATION Not required for non-business licenses (individual). C^r<., ln accordance with Collier Cou A m,u;* ct,4rtto.l nty Ordinance 2006-46, as amended, alJD I hfi.)v, S I u L. Business Name, include DBA, if applicable intends to engage in contracting as /Lt,l l^rn k + (.J,n .t Type of lic€nse/5 icant ame is applying to qualify for a Certificate of Competency tta fi,-1 r64 It is hereby agreed upon that l/we the undersigned ofsaid business resolve and represent to the Collier Offlce(s) unty Contractor' in all matters connected with the business. We further resolve and to act on behalf of the business in all matters connected with its ct s sup erytse ivities underlaken by the business cer I a ture Officer/Owner/Pa er Signature IOwne(s) E Partne(s) s Licensing Board that the applicant is active at e applicant is legally empowered s and has the authority to Witn Offlcer / Owner / Partner Signature Witness State of f,o County of btt,*. flu"::TxlTlHffiffi:5jffi: ged by remebym Such pe.son(s) Notary Public must check applicable box [#e personatty t<nown to me D has produced as identification Contractor Licensing - Reinstatement Application Rev. B/2022 hysical prese or lon line notarization this produced a current driver's license S 3 S gc" trL ffi.o erp rolca.\at Notary Signatu -irrrt - Nolatu Publrc St re oa Frondai$ g;,u,r6;;9."'r.x' Operations & Regulatory Managemenl Division, Contractor Licensing . 2800 North Ho.seshoe Drive . Naples, FL Y1U . (239) 252-2431 conlractorslicensina@cdliercoldy[qov in Collier County where Page 6 of I 8.H.1 Packet Pg. 293 Attachment: 8H. RUSSELL HOLLANDER - SECOND ENTITY APPLICATION - CUSTOM ARCHITECTURAL SOLUTIONS INC. (27516 : 8H. RUSSELL ITESOLU'I'ION OF AUTHOITIZATION htor ,'n^ $ a*c proposes to engageWIJEREAS amc of ll uslness Entity) m conhactrng as 4.1.' (Tlpe oflegal entity: corp., pannership, etc.) iNii," orefift;E;iEi for a Ccrtificate ofCompetency with lZ,",g,u Ll { Unh.^Lr-^. (Name oflndividuat) NOW, TIIEREFORE, BE IT IIEREBY RESOLVED THAT: lu Collier County, Florida, according to Collier County Ordinance 2006-46, as amended: and wrlrlrrnx Eostt.h\ t-f orit a..l*t' proposes to quatiry We the undcrsigned I of is active (OfIicers, Owncrs, Parmers) (-{, I - contractrng Lo.Ycon F.t F\..i& resolve and represent to the Collier County (Name of Business Entity) Contractor's Licensing Board that the qualiling agent, in all matters connected with the contracting business of We further resolve and represent that Uut Legally cmpowered to act lbr P"x "llS. kA"*(Name oflndividual) c". ;;;;' inil;' t,u, ,,,t^fi o t a1" " > T t z . - (Name of Business Enri(y) [t"sylt d. Holt ud-, -.o^ A.-ch.*.rrurrJllilJ,'*"'Hilt t,.""nected wirh irs (Name of Business Entity) business, and has the authority to supervise construction undertaken by .'^at L*c.I t (OfIcers, Partncrs, Owners- with dcsignation undcmcath) State of County of as idcntification Thq fprcgoing , ,{)Ybday of tr$kx.;"5${d before me by means of ffisical presence or E online notarization on this by Ehas produced (Notary Seal) Suchperson(s) Notary Public must check applicablc box Ne6personally known to me Ohas produced a current driver license S#r,lotary Publc Sbt ol Ftor'd. DavrYr M lbbcrl-Touch€t My Cornmtrq| xH m!957 Erpr..0OlOaO24 '"ffi1f ?l'iffiTiiB'ooonr.o rr,, !O*$o, o, oo&$./. zo L\ 0*\ti.- 8.H.1 Packet Pg. 294 Attachment: 8H. RUSSELL HOLLANDER - SECOND ENTITY APPLICATION - CUSTOM ARCHITECTURAL SOLUTIONS INC. (27516 : 8H. RUSSELL Notarized Statement for Second Entity tl rl(fL\,,L ,, P"r*(kLlJl^lr\quatifier), acknowtedge that I am currentty quatifying Cur^-t'an LLL and I am requesting to also qualify '(,aa 1 Tn.. -blJd*S 5""'l,{4^-- R.,,J=..t{s u+-\L-^rL<r (qualifier) is cu rrently qualifying C-LC (presently qualified entity) and is requesting to also qualify (proposed entity). c h Tttte,. State of K,The Hr,.id"fur,County of EE, ledsed eb, ent acknow before me by means of cal presence or ! online notarization on by S o 9'Q Such rson(s) Notary Public must check applicable box lly known to me as produced a current driver license S 37q' O tsL 20 J are tr has produced (Notary Seal) erp, lD >q 3l AS cation. #"; Nor..y Puotc StAa ol Flicrd. Davn M l-+ebert-Touciel lly CommEson HH 008957 Eror.. 06/1ff202a Notary Sign , acknowledge that 8.H.1 Packet Pg. 295 Attachment: 8H. RUSSELL HOLLANDER - SECOND ENTITY APPLICATION - CUSTOM ARCHITECTURAL SOLUTIONS INC. (27516 : 8H. RUSSELL To whom it may concern: Russell J. Hollander, being duly sworn on oath states: I am the authorized agent of Custom Architectural Solutions, Inc. and I am aware County su that ilander tom Creations, LLC is qualified as a Collier J. Hollander Russell J.er, d to me, signed the above and foregoing day of otary .tyt iaotarf PvDic Sta{t ol llo.'d. D.flr M Hab..l- larclEt lry Conttutitor ttH 0o9lt7 E$ !. G/10/2024 v 8.H.1 Packet Pg. 296 Attachment: 8H. RUSSELL HOLLANDER - SECOND ENTITY APPLICATION - CUSTOM ARCHITECTURAL SOLUTIONS INC. (27516 : 8H. RUSSELL To whom it may concem: Russell J. Hollander, being duly sworn on oath states: I am the authorized agent of Hollander Custom Creations, LLC and I am aware of t to licensee Custom Architectural Solutions, Inc. to qualify as a tractor J Russell J. otary blic v known to me, signed the above and foregoing day of -{^} tlobry Publc S!.t oa Flo.d. Davrrl M Hebe.l- Touct€t My Connna!on HH 006957 Erplrll6/1Cu202. 8.H.1 Packet Pg. 297 Attachment: 8H. RUSSELL HOLLANDER - SECOND ENTITY APPLICATION - CUSTOM ARCHITECTURAL SOLUTIONS INC. (27516 : 8H. RUSSELL USA CREDIT BU REAU C red it Reporting & Co llections 154 SE 7th Ave Ste 2, Crystat River FL 3/t429 . 352-628-2580 . Fa\ 239-719-2755 CONTF"ACTOR CREDTT REPORT NOVEMBER 3, 2023 BUSINESS CREDIT REPORT HOLLANDER CUSTOM CREATIONS LLC FED TAX ID*: NONE PROVIDED FTLED | 12/15/2OOB 3570 19TH AVE SW, NAPLES FL 3411? CORPORATE OFFI CERS OFFI CE SSN RUSSELL HOLLANDER MGRM FINANCTAL RECORDS CREDITOR/BANK ACCOUNT NUMBER TYPE OF ACCOUNT -01,42 OPENED BALANCE HIGH LIMIT RET CHECKS PAST DUE NOT APPLI CABLE BA N K RU PTC Y/J U DG MENT/L I E N S EA RC H 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 TOTHIS SITUATION: NO RECORDS FOUND ELEMENTS SEARCHED: HOLLANDER CUSTOM CREATIONS LLC 3510 19TH AVE SW, NAPLES FL 34117 FED TAX ID#: NONE PROVIDED IN THE PREPERATION OF THE CONTRACTOR LTCENSE REPORT, USA CREDIT BUREAU HAS USED CREDIT AND PUBLIC RECORD INFORMATION FROM ONE OR MORE OF THE NATIONALLY RECOGNIZED CREDIT AND PUBLIC RECORD TNFORMATION 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 8.H.1 Packet Pg. 298 Attachment: 8H. RUSSELL HOLLANDER - SECOND ENTITY APPLICATION - CUSTOM ARCHITECTURAL SOLUTIONS INC. (27516 : 8H. RUSSELL \-USA'CREDIT BUREAU Credit Reporting & Collections 154 SE 7u Ave Ste 2, Crystat River FL 34429 . 352{28-2580 . Fax 2!g_t1g-Zt5li NOVEMBER 3, 2A23 PERSONAL CREDIT REPORT (COMPILED FROM NATIONAL RECORDS) ISUB.]ECT ] HOLLANDER, RUSSELL J. IALSO KNOWN AS] HOLLANDER, RUSSELL, JAMES HOLI"ANDER, RUSSEL ICURRENT ADDRESS ] 3570 S!{. 19TH AV., NAPT,ES FL. 34117 IFORMER ADDRESS ] 3899 MANNTX DR., #409. NAPLES FL. 34114 2430 SHADOIiLAWN DR., NAPLES FL. 3411,2 I CURRENT EMPLOYER AND ADDRESS] SELF EMP IEORMER EMPLOYER AND ADDRESS ] BAKER CUSTOMER CABINETS ISSN]IBIRTH DATE ] 2/81 I DATE RPTD] 6/05 9/06 -4742 IRPTD] 4/05 2/A3 MODEL PROFI],E***FICO SCORE 4 SCORO +761 aa2, 1la, 011. 012*** TRUV] PR=0 COL=0 REVOLVING: MORTGAGE i TOTALS : CREDIT SUMMARY TOTAL FILE HlST NEG=0 HSTNEG=1-1 TRD:11 RVL=9 INST:O MTG=2 OpN=O rNe=1 HIGH CRED CRED LIM BALANCE PAST DUE MNTHLY PAY AVAII,ABTEs34.2K $39.0K 56328 SO $s89 84t$2A2K $ $154K SO 51412$236K $39.0K $161K $O S2OO1 TRADES SUBNAME SUBCODE OPENED HIGHCRED TERMSACCOUNT# VERFIED CREDLIM PASTDUE ECOA COLLATRL/ LOANTYPE CLSD/PD BALANCE REMARKSAMEX B 21wB001 '7 /76 $498634999236622854A3 10/23A 52800 $01 CRED]T CARD $O MAXDELQ AMT_MOP PAYPAT 1-12 MOP PAYPAT 13_2 4 MO 30/60/90 111 1 1 1111111 R01 111111111111 48 0/ O/ 0 CAPITAL ONE B 1DTVOO1 517805862333 I CREDIT CARD '1 /19 \a / 23A I /22 BK OF AMER B 1.59'7429 '7 614 ] CREDIT CARD 4/78 7A/23A 9 /23 SYNCB/NETWRK B 5 61ROO 6 6547'72240222 I CHARGE ACCOUNT -7 / 1-7 \o /23A 6 /23 $916 $1s00 s0 111111111111 R01 111111111111 48 0/ O/ 0 58321 98300 $0 111111111111 R01 111111111111 48 A/ A/ A $0 $0 $0 s3285 s5400 s0 111111111111 R01 111111111111 48 0/ 0/ 0 52290 96000 52290 MIN13 s0 111111111111 R01 111111111111 48 0/a/a suNcsT cu Q 298Q007 460819002158 I CREDIT CARD USA CREDIT BUREAU 2/19 10 /23A PAGE 1OF 2 PERSONAL CREDIT REPORT 8.H.1 Packet Pg. 299 Attachment: 8H. RUSSELL HOLLANDER - SECOND ENTITY APPLICATION - CUSTOM ARCHITECTURAL SOLUTIONS INC. (27516 : 8H. RUSSELL SYNCB,/RHEEMK F 9992899 6034 62447634 I CHARGE ACCOUNT 3 /22 70/23A s14.4K 915.0K $4038 MIN575 90 SPS F 1SRMOO l 2'7 -7 0022-7 s8s70 I BALLOON 04012050 3/a6 la/23A 528M1,412 s0 BALLOON PAYMENT 111111111111 R01 1111111 19 0/ o/ o 111111111111 M01 111111111111 48 0/ a/ 0 111111111111 R01 111111111111 41 0/ 0/ o 111111111111 R01 I0 11111111 CLSD BY CRDT GRANTOR 20 O/ A/ O 04 0M 112111111111 MO1 S0 111111111111 TRNSFRD: OTHER LENDER 27 \/ A/ 0 DISCOVERBANK B 9616003 607700a12699 I CREDIT CARD $5500 sss00 $0 s0 CLOSED 111111111111 R01 111111111111 26 0/ A/ o 3/16 9/tgA I /79C s88 s1000 $0 s0 INACTIVE ACCOUNT KOHLS/CAPONE D 12ENOO5 639305082870 I CHARGE ACCOUNT 1/1,9 9/27A I /21c 2/71 11l1BA ),7 / 7BC 3/06 5/ 18A 5/78C $2A2K $154K $200K $0 BK OF AMER B 1597A29 3118 I CREDIT CARD $4401 9200 $0 JPMCB HOME B 1ULYOO l 1565303698s25I CONV R.E MORTGAGE lNQUlRIES DATE SUBCODE 3 / 08 / 22 ENY4853553 {EAS) SUBNAME S YNCB TYPE AMOUNT BA N K RU PTC Y/J U DG M E N T/LI EN S EARC H 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 TOTHIS S ITUATION: NO RECORDS EOUND ELEMENTS SEARCHED: RUSSELL HOLLANDER 35?0 19rH AVE SW, NAPLES FL 34117SSN: \- -0742 IN THE PREPERATION OF THE CONTRACTOR LICENSE REPORT, USA CREDII BUREAU HAS USED CREDIT AND PUBLIC RECORD INFORMATION FROM ONE OR MORE OE 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 2 OF 2 PERSONAL CREDIT REPORT 8.H.1 Packet Pg. 300 Attachment: 8H. RUSSELL HOLLANDER - SECOND ENTITY APPLICATION - CUSTOM ARCHITECTURAL SOLUTIONS INC. (27516 : 8H. RUSSELL oido'CERTIFICATE OF LIAB!LITY INSURANCE DATE ( T,DO/YYYY) 9/12/202) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE IIOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMENO, EXTEND OR ALTER THE COVERAGE AFFORDEO BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER{S), AUTHORIZED REPRESENTATIVE OR PRODUCER, ANO THE CERTIFICATE HOLOER. IMPORTANT: lf the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provision s or be endorsed lf SUBROGATION lS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A stalement on this certificate does not confer rights to the certificate holder in lieu ot such endorsemen t(s) PROOUCeR Olson & DiNunzio Ins 2536 Nonhb.ooke Plaza Dr Naples FL llll9 lr!!x,fo..,,,. z:e.s%.szzo ]lDDRFSS: cnrrs(irlorsonornunzro,com rn sURER(s) aF FoRDTNG COVERAGE rNsuRER a: Clear Blu€ Ins Co IlrSUREO HOLLANDER CUSTOM CREATIONS LLC ]570 IgTH AVE SW NAPI IiS r-L 341t7 INSURER C INSURER O INSURER E COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: THIS IS TO CERTIFYTHATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO TIIE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWIIHSTANDING ANY REQUIREMENT, TERM OR CONOITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIAED HEREIN IS SUBJECTTO ALL IHE TERMS, EXCLUSIONS ANO CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE AEEN REDUCED BY PAIO CLAIMS, TYPE OF II{SIJRANCE INSD COMME RCIAL GEN€RAL LIABILITY CLAIMS.MADE OCCUR GENL AGGREGATE LIMIT APPLIES PER JECT LOC OTHER BCFL0022373r02 l216/2022 )2rl6t2023 EA6H OCCURRENCE $1.000,000 PREMISES (Ea @cu(6nce)300.000$ MEo EXP (Any on6 person)$10.000 PERSONAL A AOV INJIJRY S r.000.000 GENERAL AGGR€GAIE S PRODUCIS. COMP/OP AGG 2,000.000 S AUTOMOAILE LIAAIL|TY OWNED AUIOS ONLY HIREO AUTOS ONLY SCHEDULED NON.OWNEO AUTOS ONLY s BODILY INJURY (Por p€ren)s BOOILY INJURY (P6r acc dont)$ $ $ occrJR CLAIMS.MADE EACH OCCURRENCE S AGGREGATE S 0 0E0 RETENI ON S s lvoRl(Eis coflPEtasanoN ANO Ef PLOYERS' UABILTTY ANY PROPRIETOF'PARTNER/EXECU'IVE OFFICER/MEMBER EXCLUOEO? OESCRIPTION OF OPERATIONS b6IM STAIU'TE ER E L, EACH ACCIOENT s E L, DISEASE. EA EMPLOYEE 5 E L OISEASE. POL CY L MIT $ DESCRIPTION OF OPERATIONS / LOCA-rIONS / VEHICLES (ACORD 101, Addltlonal R.marts Sch.dul., may b. anach6d ll mor..p.c. is Equired) CERTIFICATE HOLDER @ 1988.20'15 ACORD CORPORATION. All rights reserved. The ACORO name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE OESCRIBED POLICTES BE CANCELLEO BEFORE THE EXPIRATION DATE IHEREOF, NOTICE I.VILL BE DELIVEREO IN ACCOROANCE WIIH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE C$rdir.. Ot4o* Collier County Contractors Liccnsing 2800 N Hors€sho€ Drive , Naples FL 34104 ACORD 25 (2016/03) Chrisrine Olson 18860 INSURER B: 2.000.000 S EXCESS UAA tr 8.H.1 Packet Pg. 301 Attachment: 8H. RUSSELL HOLLANDER - SECOND ENTITY APPLICATION - CUSTOM ARCHITECTURAL SOLUTIONS INC. (27516 : 8H. RUSSELL ACORif COVERAGES CERTIFICATE OF LIABILITY INSURANCE cERTtF|CATE NUMBER. C12311621683 REVISION NUMBER 11t06t2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAI{D CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTE BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A C REPRESENTATIVE OR PRODUCER, ANO THE CERTIFICATE HOLDER. CONFERS NO RIGHTS UPON THE CERTIFICATE IJOLOER. THIS NO OR ALTER THE COVERAGE AFFOROED BY THE POLICIES ONTRACT BETWEEN THE ISSUING INSURER(S}, AUTHORIZEO IM o R TA NT:tf th certificate holde is a n AD DI TIONAL NSU RED the policy(ies)u st have DD tTto N L N UR E D rst be endISUBROGATIONsonsI orsedVED,to the terms nd d itio ns o,the policy,erta po I tctes req utre a end nt,statementhistcertificateothtstothenificateholderinsuch AL DELEON &ASSOCIATES, INC 2814 LEE BLVD. UNIT 19 LEHIGHACRES (239) 368-5775 (239) 368-3720 lenniler@ALDELEONINS COMADORESS N AFFORDING COVERAGE FL 33971 rNsuRERA. Clear Blue lnsuEn@ Company Cuslom Archrtectural Solulions lnc 3570 1glh Ave SW Naples FL 34117 THATTH]S S CERT]TO THE o IESLtc o SN EURANC L EELOWSTED HAVE EE \SS TOUED HT E REDNSU E ABD FOROVE TH E POL CY E DoNoCATEDNOTWTHSTANNGD]TE OR OF CONTRA TC ToOR BE ooc I"IENTU STHICERTICATEBISEUEDSORTHENDFOROEHETPOLcOESCESBEOEHERN8JESUCTTNEEXCLUSSONcANDNDo1ONSSUOFCH[,4 TS olNSH HAVE EE N RED EUC BYD o MS OCCURRENCE s 1,000,000 t 300,000 r 10,000 PERSONAL &AOV NJURY r 1,000,000 t 2,000,000 PROOUCIS . COMP/OPAGG ! 2,000,000 COM M ERCIAL GENERA L LIABILITY GEN'LAGGREGAIE LIMIT APPLIES PER ECLAMSMADE LOCJECT 8GF10029251100 '11t0612023 11106t2024 GLELMI $ SOo LY INJURY (Per psson)s BOoTLY TNJURY (Per did60 s s AUTOSONLY titREo AIJTOS ONLY SCI]EOULED AUTOS NON-O\I!NED AUIOSONLY AIJTOMOBILE LIABILIIY S EACH OCCIJRRENCE s EXCESS LIAB OCCUR AGGREGAIE DEO RETENTION $ EL EACI,i ACCIDENT s EL E. EA EMPLOYEE s WORKERS COIIPENSATION ANOE PLOYERS UAAUTY ANY PROPRIETOR/PARTNER/EXECUIIVE OFFICER,Ti|EMBER EXCLUOED? 0Esc EL O oEscRlPllON OF oPERATIoN S / LOcATloNs , VEHTCLES (AcoRo 1ol, Addition.l R.m.rL sch.dut., m.y b. .tt .h.d ir hoG .p.6. i. 6quiEd) ERCERTI CANCELLA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLEO BEFORE THE EXPIRATION DATE THEREOF. NOIICE wlLL AE OELIVEREO IN ACCORDANCE wlTH THE POLICY PROV!StONS, Naples FL 34'104 Collier County Licensing Eoard 2800 N. Horseshoe Orive AUTTIORIZEO REPRESENTATIVE subject may does lieu INSURER B: REOUIREMENT,CONDITION Y\tl CHRESPECTTO INSURANCE ts IOALL TERMS. POLICIES tr O '1988-2015 ACORD CORPORATION. All rights reserved. TheACORD narE.nd logo are ,egistered mark otACORDACORD 25 (2015/03) 8.H.1 Packet Pg. 302 Attachment: 8H. RUSSELL HOLLANDER - SECOND ENTITY APPLICATION - CUSTOM ARCHITECTURAL SOLUTIONS INC. (27516 : 8H. RUSSELL JIMI\4Y PATRONIS CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION 3570 1gTH AVE SW NAPLES, FI34117 DFS-F2.0WC.252 CERTIFICATE OF ELECTION TO BE EXEMPT RUtE 591-6.012, F.A.C. REVTSED o1/2023 E018'19950 OUESTTONS?(850)413-1609 This certiflcate of election lo 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. ll\TPoRTANT: Pursuant to sLrbseclion 440.05(13), F.S., an oflicer of a corporation who etects exBmption lrom this chapter by filing a certifcate ofetection underthis soction may nol recover benefls or compensation und6r this chapter. Pursuant to subsection 4io.os1tt 1, r.s., criaincaies oiel;ion to be exempt issuedunder subs€ction (3) apply only to the corporate ofiicer named on the notice of election to be 6xempt. Pursuant to subseclon 440.05(12), F.S., notice; ofelection lo be ex€mpt and certiticates of election to be exempl shall be subject to revocation if, at a;y time afier the fiting of the notice oi tre tssuance ofthecertiUcale, lhe person named on the nolice or cerlificate no longer meets ths requiremenls of this section for issuance oi a corlificate, The department shalJrevoke a certificale at any time for failure of lhe person named on the cBrlificate to meet the requiroments ol lhis section. -, 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 DAIE: 1117 t2023 EXptRATtON DATE: 11t6t2)Zs PERSON; RUSSELL HOLLANDER EMATL: CASBUTLDS@Gi/A|L.CON4 FEIN: 933812350 BUSINESS NAME AND ADDRESS: CUSTOM ARCHITECTURAL SOLUTIONS INC. 8.H.1 Packet Pg. 303 Attachment: 8H. RUSSELL HOLLANDER - SECOND ENTITY APPLICATION - CUSTOM ARCHITECTURAL SOLUTIONS INC. (27516 : 8H. RUSSELL Suncoast Account Statement MemberNumber --,1lotot tzozz -lotzltzozzl Page 1of 2 Suncoast Credit Union HOLLANDER CUSTOM CREATIONS LLC 3s70 19TH AVE SW NAPLES FL 34117 Access Your Account: SunNet Online Banking SunMobile App SunTel Phone Banking For Direct Deposit and Automatic Payments use Routing Number (RTN): 263142417 Learn more at auncor3tcradltunlon.com/burlncr/borow Authorized Signer - RUSSELLJAMES HOLLANDER Amount New Balance 5.00 Total for thls Statement Period Total Year to Date $0.00 Total Returned ltem Fees $0.00 $0.00 BUSINESS SMART CHECKING Suffix 0050 Activity Summary Previous Balance 1 OlOl 12023 Deposits Withdrawals Authorized Signer - RUSSELLJAMES HOLLANDER t47,699.15 $17,023.15 $-23 o20.14 Endint Balance 10/:11/2023 141,702.16 Transaction Hlstory Post Date Eff Date Transactlon Descrlptlon 't0t0212o23 10t02t2023 Withdrawal ACH PEZZANO CONTRACI TYPE; SALE CO: PEZZANO CONT&ACI- 1 olo2l2o23 1 010212023 Withdralval ACH PEzzANo CoNTRACT TYPE: SALE CO: PEZZANO CONTMCT 10/03/2023 10/0312023 Withdrawal Transfer To HOLLANDERRUSSEL )c000COC0c( Share 0050 10/0412023 10/04/2023 Deposit INCOMING INTRNL WIRE TRANSFER Ref#60101-294997 1010412023 1010412023 withdrawal Fee Wre Transfer (incoming) Ref#601 01 -294998 10/0512023 1OlO5l2O23 Withdrawal Transfer Amount -1,058.35 -3,856.79 -1,000.00 17,O23.15 New Balance 46,640.80 42,784.O1 41,7U.O1 58,807.16 Continued on next Page 800.999.5887 | E13.621.7511 I suncoast(reditunion.com I P.O. Box 11904, TamPa, FL 33680 Loans to Help your Business Grow! Find the right solution for your business. We offer terms you can work with and funding options big and small, including commercial realestate loans. equipment loans and lines of credit for seasonal or short-term capital needs. BUSINESS REGULAR SAVINGS Suffix 0000 Transaction History Post Date Eff Date Transaction Description 1010112023 Balance FoMard No transactions for this rycle Total Overdraft Fees $0.00 -5.00 -1,000.00 58,802.16 57,802.16 8.H.1 Packet Pg. 304 Attachment: 8H. RUSSELL HOLLANDER - SECOND ENTITY APPLICATION - CUSTOM ARCHITECTURAL SOLUTIONS INC. (27516 : 8H. RUSSELL *lfltilllo23' 1 o / 31 t 20 B I Page 2 of 2 BUSINESS SMART CHECKING Suffix q)50 Transaction History (conrinued) Post Date Eff Date Trans.ction Descrlptlon To HOLLANDER,RUSSEL X00000O00C( Share 0050 10/06/20231010612023 Withdrawal Transfer To HOLLANDER,RUSSEL X00000000C( Share 0050 10/06/2023 10/0612023 Withdrawal ACH UNIT TYPE: EST 353 CO: UNIT NAN,IE: BUSINESS SMART CHECKIN 1 Ol 1 Ol 2023 1 0 / 1 O /2023 Withdrawal ACH AME( EPAYM ENT TYPE: ACH PMT CO: AMEX EPAYMENT 1 0/1 1 12023 1 0l 1 1 12023 Withdrawal Transfer To HOLLANDERRUSSEL )0q)O0000C( Share 0050 1 0/1 5/2023 1 011 512023 Withdrawal Transfer To HOLLANDERRUSSEL )C0O00000C( Share 0050 10/1812023 1011812023 Withdrawal ACH UNIT TYPE: INV 488 CO: UNIT NAME: BUSINESS SMART CHECKIN 10/21/2023 1012112023 Withdrawal Debit Card suNcoAsr cREDTT uNroN 813-621-7s11 FL 10121/2023 '10/2112023 withdrawal Debit Card SUNCOAST CREDIT UNION 813-621-75,] '] FL 10/2212023 1012212023 Withdrawal Transfer To RODRIGUEZ BENAV rcO000000(x Share 0050 1Ot26t2O23 1012612023 Withdrawal ACH SBA LOAN TYPE: PAYMENT CO: 5BA LOAN Amount -1,000.00 -1,650.00 -10,000.00 -1,000.00 -1,000.00 -265.00 -5.00 -50.00 -1,000.00 -130.00 New Balance 56,802.16 55,152.16 45,152.16 44,152.16 43,152.16 42,887 .16 42,882.16 42,832.16 41,832.16 41,702.16 Total Year to Date Total Overdraft Fees $0.00 $0.00 $0.00Total Returned ltem Fees $58.00 Rewards Check Card - Bonus Points Summary as of 09/30/2023. Card Endint Betlnnlng Points Earned 0344 3962 0 Adj usted 0 Redeemed 0 Ending Points 3962 For additional lnformation about your Scorecardo Reward Polnts, visit scorecardrewards.com Member Number Total for this Statement Period 800.999.5887 | 813.621.7511 | suncoastcreditunion.com I P.O. Box 11904, Tampa, FL 33680 8.H.1 Packet Pg. 305 Attachment: 8H. RUSSELL HOLLANDER - SECOND ENTITY APPLICATION - CUSTOM ARCHITECTURAL SOLUTIONS INC. (27516 : 8H. RUSSELL Suncoast Accou nt Statement Member Number -- --jostor no23 - ogl3ol2o23 | Page l of2 Suncoast Credit Union HOLLANDER CUSTOM CREATIONS LLC 3s70 19TH AVE SW NAPLES FL 34117 Access Your Account: SunNet Online Banking SunMobile App SunTel Phone Banking For Direct Deposit and Automatic Payments use Routing Number (RTN): 263'.1E2817 Stop and Think Before you Click Links or Open Attachments. Scammers may pretend to be a legitimate financial institution or business and send fake emails. lf you have been a target or are concerned you may have been a victim of a scam, please send an emai I to abuse@suncoastcreditunion.com. BUSINESS REGUTAR SAVINGS Suffix 0000 Transaction History Post Date Eff Date Transactlon Description 0910112023 Balance FoMard No transactions for this cycle Total Returned ltem Fees Authorized Signer - RUSSELLJAMES HOLLANDER Amount New Balance 5.00 Total for thls Statement Period Total Overdrafrt Fees $0.00 $0.00 $0.00 $0.00 BUSINESS SMART CHECKING Suffix 0050 Activity Summary Previous Balance 09/01 /2023 DeposiG Withdrawals Authorized Signer - RUSSELLJAMES HOLLANDER $29,972.36 $24,008.14 $6,281.35 Ending Balance 09/30/2023 $47,699.15 Transaction Hlstory Post Date Eff Datc Transactlon Descriptlon O9lO1 12023 09101 12023 Withdrawal Transfer To HOLLANDER,RUSSEL )C0000000C( Share 0050 09 loal2o23 O9lOAl2O23 Withdrawal Transfer To HOLLANDER,RUSSEL $C000COCq Share 0050 09t1112023 09/11t2O23 o.aft 126 091 1 212023 091 1 212023 withdrawal Transfer To HOLLANDER,RUSSEL )C0000000fi Share 0050 09 n A2023 09 I 1 212023 Orcft 'l 25 0911312023 09/1312023 Withdrawal Deblt Card NCOURT*FLCOLLIERCOSWP NAPTES FL 0911312023 O911312023 Withdrawal Debit Card PMT*COLLIER COUNTY TAX NAPLES FL -1,000.00 21,972.36 27,557.36 26,s57.36 Amount ,1,000.00 {1 5.00 -1,000.00 -460.00 -10.35 26,097.36 26,087.01 -20.50 Continued on next Page 800.999.5887 | 813.621.7511 | suncoastcreditunion.€om I P.O. Box 11904 TamPa, FL 33680 26,066.51 Ii Total Year to Date New Balance 28,972 36 8.H.1 Packet Pg. 306 Attachment: 8H. RUSSELL HOLLANDER - SECOND ENTITY APPLICATION - CUSTOM ARCHITECTURAL SOLUTIONS INC. (27516 : 8H. RUSSELL Member Number:'tl}1t2123 - Ogt3Ot2O23l Page2 of 2 BUSINESS SMART CHECKING Suffix q)50 Transaction History (conrinued) Post Date EffDate Transaction Descrlption 09/14/2023 09l1 412023 Withdrawal ACH COLLIERCryECP TYPE: BILLPAY CO: COLLIERCTYECP NAN,IE: RUSSELL J HOLLANDER 09 / 1 412023 09 I 1 41 2023 Withdrawal ACH PAYIV ENTUS TYPE: BILLPAY CO: PAYMENTUS NAME: RUSSELL] HOLLANDER 09/1 412023 09/1 412023 Withdrawal Transfer To RODRIGUEZ BENAVI ,C0000000(x Share 0050 091 1 5/2023 091 1 512023 Withdrawal Transfer To HOLLANDE&RUSSEL )00000000C( Share 0050 091 1 6/2023 09 I 1 612023 Withdrawal Transfer To HOLLANDER.RUSSEL )C0000000C( Share 0050 Ogl18t2O23 OgllEt2O23withdrawal Bill Payment 1909794ii01 PERSON PAY Blas RodrigGz 09126/2023 0912612023 Withdrawal ACH SBA LOAN TYPE: PAYMENT CO: SBA LOAN 0912612023 0912612023 Deposit by Check RDC:8'1315054 O9|3O/2O23 O9l3Ol2O23 Deposit by Check Share Draft Summary No. Amount No. Amount 125 450.00 126 415.00 Earned 0 Amount -125.00 -470.00 -1,000.00 -500.00 -150.00 -130.00 3,450.00 20,558.14 25,471 .O1 24,471.O1 23,971 .01 23,82't.01 23,691.01 27,14',1.O1 47,699.1s Total: 2 $875.00 Total for this Statement Period Total Year to Date Total Overdraft Fees $0.00 $0.00 Total Returned ltem Fees $0.00 Rewards Check Card - Bonus Points Summary as ol 0813'112023. Card Ending Beginnint Points 0344 3962 Adjusted 0 Redeemed 0 Ending Points 3962 For additional lnformation about your scorecardo Reward Points, visit scorecardrewards.com 800.999.5887 | 813.621.751 I I suncoastcreditunion.com I P.O. Box 1 1904, TamPa, FL 33680 New Balance 25,941.51 -0.50 25,941.01 $58.00 8.H.1 Packet Pg. 307 Attachment: 8H. RUSSELL HOLLANDER - SECOND ENTITY APPLICATION - CUSTOM ARCHITECTURAL SOLUTIONS INC. (27516 : 8H. RUSSELL Su ncoast Accou nt Statement MemberNumberl loetottzozl - oentnozll eage't of z Amount New Balance 5.00 Access Your Account: . SunNet Online Banking SunMobile App SunTel Phone Banking For Direct Deposit and Automatic Payments use Routing Number (RTN): 2531A2817 zed Signer - RUSSELLJAMES HOLLANDER HOLLANDER CUSTOM CREATIONS LLC 3570 19TH AVE SW NAPLES FL 34117 Transaction History Post Date Eff Date Transaction Description 08/01/2023 Balance Forward No transactlons for this cycle Total Overdraft Fees Total Returned ltem Fees Total for this Statement Period $0.00 Total Year to Date Stop and Think Before you Click Links or Open Attachmonts. Scammers may pretend to be a legitimate financial institution or business and send fake emails. lf you have been a target or are concerned you may have been a victim of a scam, please send an email to abure@suncoastcredltunlon.com. $0.00 $0.00 BUSINESS SMART CHECKING Suffix 0050 Activity Summary Previous Balance 08/01 /2023 Deposits Withdrawals Authorized Signer - RUSSELLJAMES HOLLANDER $17,609.68 $44,272.04 $-31 909.36 Ending Balance 08/31/2023 s29,972.36 fransaction Hastory Post Date Eff Date Transactlon Description 0810112023 0810112023 Deposit by Check RDC:79544943 0a10212O23 0810212023 Withdrawal Transfer To HOLLANDER,RUSSEL rc0O00000C( Share 0050 0810212023 0810212023 withdrawal Debit Card WHOLESALE CABIN EIS 844-7771337 FL OBIO3/2O23 0810312023 withdrawal Debit Card SUNSHINE ACE -NAPLES NAPLES FL 08/0412023 0810312023 withdrawal Transfer To HOLLANDER,RUSSEL I00000000C( Share 0050 0810712023 0810712023 wthdrawal Ad.iustment Debit Card Credit Voucher WHOLESALE CABINETS 8447771337 FI 081 0812023 08/08/2023 Deposit Amount 450s.00 ,1,000.00 New Balance 22,114.68 21,114.68 -18.71 -31 .66 -1,000.00 18.71 30,000.00 21,095.97 21,064.31 20,064.31 20,083.02 50,083.02 Continued on next Page 800.999.5887 | 813.621.7511 | suncoastcreditunion.com I P.O. Box 11904 Tampa, FL 33680 Suncoast Credit Union $0.00 8.H.1 Packet Pg. 308 Attachment: 8H. RUSSELL HOLLANDER - SECOND ENTITY APPLICATION - CUSTOM ARCHITECTURAL SOLUTIONS INC. (27516 : 8H. RUSSELL Member Number:- loato'ttzozt - oat31t2oz3l page2ot2 BUSINESS SMART CHECKING SUffiX OO5O Transaction History (continued) Post Date Eff Date Tr.nsactlon Descrlption INCOMING INTRNL WIRE TRANSFER Ref#39060-176179 08/0812023 08t0812O23 Withdrawal Fee Wire Transfer (incominO Ref#39060-176'l 80 08/10/2023 08/10/2023 Wirhdrawal Transfer Io HOLLANDER,RUSSEL y00000000C( Share 0050 O8/1 3/2023 08/ 1312023 Withdrawal Transfer To HOLLANDE&RUSSEL X0O000000dX Share 0050 08114/202? 08/1 U2O23 Withdrawal ACH AMEX EPAYMENT TYPE: ACH PMT CO: AMEX EPAYMENT o8t14t2023 08t14t2023 D.aft 123 OBI 1 51 2023 08 / 1 5t2023 withdrawal ACH AMEX EPAYM ENT ryPE: ACH PMT CO: AMEX EPAYMENT 0811 512023 081 1 512023 Withdrawal POS #3227307 1 27 53 JOHN COLLINS AUTO PARTS NAPLES FL 08/1712023 0811712023 DepositAcH AMEX CREDIT TYPE: REFUND CO: AMEX CREOIT 08/1712023 OBl17l2O23 Withdrawal Debit Card PAYPAL *ADVANCEAUIO 402-935.7733 V A 0811712023 O8/1712023 Wthdrawal Adjustment Debit Card Credit Voucher PAYPAL *ADVANCEAUTO 4029357733 VA 08t25t2023 O9t25t2023 Draft 122 Ogl27 12023 08/27 12023 Withdrawal Transfer To HOLLANDER,RUSSEL )00000000(( Share 0050 OBl28/2023 0812812023 Deposit ACH AMEX CREDIT TYPE: REFUND CO: AMEX CREDIT O9128t2023 0812812023 WithdrawalACH SBA LOAN ryPE: PAYMENT CO: SBA LOAN Share Draft Summary No. Amount No. Amount 122 225.00 ',123 247.50 Total Returned ltem Fees $0.00 Rewards Check Card - Bonus Points Summary as ol 0713112023. card Endint Beginning Points 03/4 3962 Amount New Balance -5.00 {,000.00 -1,000.00 -15,235.70 -247.50 -10,980.00 -53.50 5,490.00 -185.51 185.51 -225.00 -1,000.00 4277.O4 -130.00 fotal: 2 ]472.50 Total Year to Date $58.00 50.078.02 49,O78.O2 48,078.02 32,841.32 32,593.82 21,613.82 21,560.32 27,050.32 26,864.81 27,050.32 26,825.32 25,825.32 30,102.36 29,972.36 Ending Polnts 3962 Earned 0 Adjusted 0 Redeemed 0 Total for this Statement Period Total Overdraft Fees $0.00 $0.00 800.999.5887 | 813.621.7511 | suncoastcreditunion.com I P.O. Box 11904, Tampa, FL 33680 For additional lnformatlon about your Scorecard@ Reward Polnts, vlslt scorecardrlwards.com 8.H.1 Packet Pg. 309 Attachment: 8H. RUSSELL HOLLANDER - SECOND ENTITY APPLICATION - CUSTOM ARCHITECTURAL SOLUTIONS INC. (27516 : 8H. RUSSELL Suncoast Account Statement---.-.,MemberNumber: -,l1ot2otzoz3 - 10t31t2o23 | eage t of t Suncoast Credit Union Access Your Account: SunNet Online Banking SunMobile App SunTel Phone Banking For Direct Deposit and Automatic Payments use Routing Number (RTN): 2631A2817 Loans to Help your Business Grow! Learn more at tuncoa.tcradltunlon.com/tualncx/bortow BUSINESS REGULAR SAVINGS Suffix 0000 Transaction History Authorized Signer - BRYAN SMITH Authorized Signer - RUSSELLJAMES HOLLANDER AmountEff Date Transactlon Description Balance Forward 10120/2023 Deposit Kiosk FUNDING-7'l 78269-1 2,10'l 1 9 Post Date 10/20/2023 10/20t2023 5.00 New Balance 0.00 5.00 Total for this Statement Period Total Year to Date Total Overdraft Fees $0.00 $0.00 Total Returned ltem Fees $0.00 BUSINESS SMART CHECKING Sufflx 0050 Activity Summary Previous Balance 1 0/2012023 Deposits withdrawals Ending Balance 10^1U2023 Transaction History Post Date Eff Date Transactlon Description 1Ol2Ol2O23 1Ol2Ol2O23 Deposit Kiosk FUNDTNG-71 78269-1 2401 1 9 Amount 50.00 New Balance 50.00 $0.00 $50.00 $0.00 $50.00 Total Year to Date Total Returned ltem Fees $0.00 $0.00 Total for this Statcment Period $0.00Total overdraft Fees $0.00 800.999.5887 1813.621.7511 | suncoastcreditunion.com lP.O. Box11904,TamPa, FL 33680 CUSTOM ARCHITECTURAL SOLUTIONS INC. 3570 19TH AVE SW NAPLES FL 341 17 Find the right solution for your business. We offer terms you can work with and funding options big and small, including commercial realestate loans, equipment loans and lines of credit for seasonal or short-term capital needs. $0.00 Authorized Signer - BRYAN SMITH Authorized Signer - RUSSELLJAMES HOLLANDER 8.H.1 Packet Pg. 310 Attachment: 8H. RUSSELL HOLLANDER - SECOND ENTITY APPLICATION - CUSTOM ARCHITECTURAL SOLUTIONS INC. (27516 : 8H. RUSSELL DrvrsroN oF CoRpoRATtoNs "&t ry c';;,;;tl,Lv' t t u-. r :j --+\ @ olf!tu[ia,lr ul llotitht r!.ql':,it? AgoaIDaoLe[l'talc / Division of Coroo.etirE / Search Rocords / Search bv Enttv Nam6 ,/ Detail by Entity Name Florida Limited Liability Company HOLLANDER CUSTOM CREATIONS LLC. Filing lnformation DocumentNumber L08000114391 FEI/EIN Number N/A Date Filed 12t15t2008 Effective Date 08t261201s State FL StAtUS ACTIVE Last Event CONVERSTON Event Date Filed 1211512008 Event Effective Date NONE Principal-]k&llett 3570 1gTH AVE. SW NAPLES, FL 34117 Mailing Address 3570 1gTH AVE. SW NAPLES, FL 34117 Eegistered Agent Name & Address HOLLANDER, RUSSELL J 3570 19TH AVE. SW NAPLES, FL 34117 Name Changed: 021281 20 1 4 Tltle [.4GRM HOLLANDER, RUSSELL 3570 ,1gTH AVE. SW NAPLES, FL 34117 Annual Replits Address Changed: 021281201 4 Authorized Person(E) Detail Name & Address 8.H.1 Packet Pg. 311 Attachment: 8H. RUSSELL HOLLANDER - SECOND ENTITY APPLICATION - CUSTOM ARCHITECTURAL SOLUTIONS INC. (27516 : 8H. RUSSELL Report Year 2021 2023 Filed Oate 01t12t2021 04128t2022 04t26t2023 Document lmaggg 0412612023 - ANNUAL REPORT 04128/2022 - ANNUAL REPORT O1/121202,1 --ANNUAL REPORT 02,03/2020 - ANNUAL REPORT 02128/2019 - ANNUAL REPORT O3/21i2018 - ANNUAL REPORT O3T2O/2017 -ANNUAL REPORT O3/11/20T6 - ANNUAL REPORT O1/08/2015 .. ANNUAL REPORT OZ28U2O,I4 - ANNUAL REPORT O5/O,I/201 3.. ANNUAL REPORT 08/28/2012 -. ANNUAL REPORT O4l19/2011 -ANNUAL REPORT O5/19/2010 - ANNUAL REPORT O'04/2OOS - ANNUAL REPORT 12y15/20O8 - Fbride Limited Liabilitv View image in PDF fomat View image in PDF format View image in PoF format View image in PDF fomat View image in PDF fo.mat View image in PDF formal View image in PDF format View rmage in PDF format View image in PDF formal View image in PDF format View image in POF formal View image in PDF format View image in PDF format View image in P0F tormat View image in PDF format View imege in PDF lormat tlolda Dtrft'ne.t 6i st.tc, Dry 8.H.1 Packet Pg. 312 Attachment: 8H. RUSSELL HOLLANDER - SECOND ENTITY APPLICATION - CUSTOM ARCHITECTURAL SOLUTIONS INC. (27516 : 8H. RUSSELL DtvtstoN oF CoRpoRATtoNs Dt'ruorr uJ C r_li,_? r_t i'_i\.!, Ic-t t I ) J.<L.-- . t't"tiii't"t *'t.',ri i !',tt,k! ,'.it tll DEpadDedol"Slale / Oivision ofcoroorations / Search Records / Seerch bv Entitv Name / Detailby Entity Name Florida Profit Corporation CUSTOI\,4 ARCHITECTURAL SOLUTIONS INC Filing lnformation Document Number P23000071985 FEUEIN Number 93-3812350 Date Filed 10t09t2023 StAtE FL Status ACTTVE Principal-lk!![esq 3570 1gTH AVE SW NAPLES, FLU117 Mailing Address 3570 19TH AVE SW NAPLES, FI34117 Registered Agent Name & AddresE HOLLANDER, RUSSELL J 3570 1gTH AVE SW NAPLES, FL34117 Offi cer/Director Detail Name & Address Title P HOLLANDER, RUSSELL J 3570 1gTH AVE SW NAPLES, FL 3411 7 Title S/T SMITH, BRYAN J 371 25TH STREET SW NAPLES, FL 34117 Annual Repglg No Annual Reports Filed 8.H.1 Packet Pg. 313 Attachment: 8H. RUSSELL HOLLANDER - SECOND ENTITY APPLICATION - CUSTOM ARCHITECTURAL SOLUTIONS INC. (27516 : 8H. RUSSELL Document lmaoes 10to9t2023 --meslic Profit View image in POF format 8.H.1 Packet Pg. 314 Attachment: 8H. RUSSELL HOLLANDER - SECOND ENTITY APPLICATION - CUSTOM ARCHITECTURAL SOLUTIONS INC. (27516 : 8H. RUSSELL .t o\ a.o L U j L.J,?rn!t:frimz o(,No , PI;ErI i3,;i '': t3E S}? f a ,. ia 6 (i.)a 8.H.1Packet Pg. 315Attachment: 8H. RUSSELL HOLLANDER - SECOND ENTITY APPLICATION - CUSTOM ARCHITECTURAL SOLUTIONS INC. (27516 : 8H. RUSSELL 12/20/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 10.A Doc ID: 27517 Item Summary: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) Meeting Date: 12/20/2023 Prepared by: Title: – Contractor Licensing Name: Alyshia Morse 12/13/2023 3:56 PM Submitted by: Title: – Contractor Licensing Name: Tim Crotts 12/13/2023 3:56 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 12/13/2023 5:23 PM Contractor Licensing Tim Crotts Review Item Completed 12/14/2023 7:40 AM Contractor Licensing Tim Crotts Meeting Pending 12/20/2023 9:00 AM 10.A Packet Pg. 316 10.A.1Packet Pg. 317Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 318Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 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. FEDERICO O. MORALES 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 assefts 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 A-t3'Its23 Signed Collier Co Contractors' Operations Supervisor 10.A.1 Packet Pg. 319 Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 320Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 321Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 322Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 323Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 324Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 325Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 326Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 327Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 328Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 329Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 330Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 331Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 332Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 333Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 334Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 335Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 336Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 337Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 338Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 339Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 340Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 341Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 342Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 343Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 344Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 345Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 346Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 347Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 348Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1 Packet Pg. 349 Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. 10.A.1 Packet Pg. 350 Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. 10.A.1 Packet Pg. 351 Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. 10.A.1 Packet Pg. 352 Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. 10.A.1 Packet Pg. 353 Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. 10.A.1 Packet Pg. 354 Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. 10.A.1 Packet Pg. 355 Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. 10.A.1 Packet Pg. 356 Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. 10.A.1 Packet Pg. 357 Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. 10.A.1 Packet Pg. 358 Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. 10.A.1Packet Pg. 359Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 360Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 361Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 362Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 363Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 364Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 365Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 366Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 367Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 368Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 369Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 370Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 371Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 372Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 373Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 374Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 375Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 376Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 377Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 378Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 379Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 380Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 381Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 382Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 383Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 384Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 385Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 386Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 387Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 388Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 389Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 390Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 391Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 392Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 393Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 394Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 395Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 396Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 10.A.1Packet Pg. 397Attachment: 10A. 2023-18 FEDERICO O. MORALES DBA A.M. PRESTIGE PAINTING INC. (CEMIS20230009841) (27517 : 10A. 2023-18 FEDERICO 12/20/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 10.B Doc ID: 27518 Item Summary: 10B. 2023-19 EDVIN W. GUTIERREZ RUIZ DBA EDWIN'S CONTRACTOR PAINTING. CORP (CEMIS20230008234) Meeting Date: 12/20/2023 Prepared by: Title: – Contractor Licensing Name: Alyshia Morse 12/13/2023 3:57 PM Submitted by: Title: – Contractor Licensing Name: Tim Crotts 12/13/2023 3:57 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 12/13/2023 5:24 PM Contractor Licensing Tim Crotts Review Item Completed 12/14/2023 7:40 AM Contractor Licensing Tim Crotts Meeting Pending 12/20/2023 9:00 AM 10.B Packet Pg. 398 BEFORE THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD BOARD OF COUNTY COI\iIMISSIONERS, COLLIER COUNTY, FLORIDA, Petitioner, Case No: 2023-'19 Licensee No: LCC201 4OOO1377 ADMINISTRATIVE COMPLAINT 't. Collier County (County) files the Administrative Complaint against NIR. EDVIN GUTIERREZ RUIZ, below: EDWIN'S CONTRACTOR PAINTING, CORP. (Respondent), a Collier County licensed contractor with license #LCC201 40001377, and states the following facts and allegations in support of the cited violations 2. The Respondent is currently licensed as a PAINTING CONTRACTOR by Collier County Contractors' Licensing as a CORPORATION with the following issuance number: (201400000948). 3. The Respondent, MR. EDVIN GUTIERREZ RUIZ, is the Collier County license holder of record for the company EDWIN'S CONTRACTOR PAINTING, CORP., (201400000948). 4. Under the provisions of Chapter 489 Florida Statutes [5489.105('12) F.S.] and the Code of Laws and Ordinances of Collier County, Florida [Sec. 22-202], the Collier County Contractors' Licensing Board (Board), is authorized to impose penalties against Collier County Certificate of Competency holders who violate the Code of Laws and Ordinances of Collier County, Florida. 5. Under the provisions of the Code of Laws and Ordinances of Collier County, Florida Sec 22-202, the following actions ofthe Respondent, constitute misconduct and grounds for discipline. 6. On or about September 15, 2023, the Collier County Licensing Department received a complaint from the Marco lsland Building Department (lnspector James Reynolds) regarding unpermitted marine dock work at 550 Taylor, Marco lsland, Collier County, Florida 34145. 7. On or about September 18,2023, it was confirmed that EDWIN'S CONTRACTOR PAINTING, CORP., contracted to install a new wood dock at 550 Taylor, Marco lsland, Florida 34145. lt was also confirmed that EDWIN'S CONTRACTOR EDVIN GUTIERREZ RUIZ, EDWIN'S CONTRACTOR PAINTING, CORP. Respondent. 10.B.1 Packet Pg. 399 Attachment: 10B. 2023-19 EDVIN W. GUTIERREZ RUIZ DBA EDWIN'S CONTRACTOR PAINTING. CORP (CEMIS20230008234) (27518 : 10B. 2023- PAINTING, CORP., had a verbal contract, with the property owner for the above scope of work. The agreement was that EDWIN'S CONTRACTOR PAINTING, CORP., would be paid $20,000.00 for the said scope of work and would be paid upon completion oi the job. 8. On or about September 18,2023, I, Timothy Broughton, Collier County Licensing lnvestigator, conducted a site visit to the said location and observed a posted stop work order by Marco lsland Code Enforcement. I confirmed with the Respondent that he had started the job and replaced approximately (12) 2x12x16 boards. 9. On September 18,2023, Marco lsland Building Official, lnspector James Reynolds stated a permit would be required for the said scope of work. He further stated that Duanne Thomas l\,4arine has already submitted a permit application for the said scope of work. I confirmed with the homeowner that Duane Thomas l\y'arine was hired after the Marco lsland Code Enforcement posted the stop work order for unpermitted dock installation and has nothing to do with the Respondent. 10.Based on the investigation, and pursuant to the Code of Laws and Ordinances of Collier County, Florida Section 22-202(a)(2) and (b), the Contractors' Licensing Supervisor determined sufficient cause exists to warrant the filing of formal charges. 11.On October 2,2023, a Notice of Hearing to appear before the Collier County Contractors' Licensing Board on December 20, 2023, at 9:00 a.m. was issued to the Respondent, lvlR. EDVIN GUTIERREZ RUIZ. 12.The County now brings the following count(s) in this Administrative Complaint against the Respondent: COUNT I A. l\i]R. EDVIN GUTIERREZ RUIZ is the holder of a Collier County license for PAINTING CONTRACTOR. lvlr. Gutierrez Ruiz's license does not allow for lVarine Dock lnstallation. B. MR. EDVIN GUTIERREZ RUIZ is in violation of The Code of Laws and Ordinances of Collier County, Florida lsection 22-201(2)], which states, in pertinent part, that it is misconduct for a holder of a Collier County Certificate of Competency to contract to do any work outside of the scope of his/her competency as listed on his/her competency card and as defined in this ordinance or as restricted by the Contractors' Licensing Board. 10.B.1 Packet Pg. 400 Attachment: 10B. 2023-19 EDVIN W. GUTIERREZ RUIZ DBA EDWIN'S CONTRACTOR PAINTING. CORP (CEMIS20230008234) (27518 : 10B. 2023- COUNT II A. Upon review of the Marco lsland permitting records, a building permit was never issued for the Marine Dock Repairilnstallation prior to commencing work, and a permit was required to perform the subject work. B. MR. EDVIN GUTIERREZ RUIZ is in violation of the Code of Laws and Ordinances of Collier County, Florida [Section 22-201(18)], which states, in pertinent part, that it is misconduct by a holder of a Collier County Certificate of Competency, to proceed on any job without obtaining applicable permits or inspections from the City building and zoning division or the County building review and permitting department. WHEREFORE, the Petitloner asserts the above facts and charges are grounds for disciplinary action under the Code of Laws and Ordinances of Collier County, Florida Sec.22-201 and WHEREFORE, in consideration of the foregoing, the Petitioner respectfully requests the Collier County Contractors' Licensing Board to find the Respondent guilty of the violation(s) charged. Dated U-tb*w3 Signed lier County ctors' Licensing Operations Supervisor 10.B.1 Packet Pg. 401 Attachment: 10B. 2023-19 EDVIN W. GUTIERREZ RUIZ DBA EDWIN'S CONTRACTOR PAINTING. CORP (CEMIS20230008234) (27518 : 10B. 2023- Contractors' Licensing Board 2800 North Horseshoe Dr. Naples, FL 34f04 Complaint Number: 2023-19 Complainant: Any person who believes that a Contractor holding a Collier County Certificate of competency has violated Collier County Ordinance 22-201, as amended, may submit a sworn complaint to the Contractor Licensing supervisor, or his / her designee. The complaint shall be in substantially the form prescribed by the Contractor Licensing Supervisor. The complaining party shall state with particularity which section(s) of this Ordinance he or she believes has been violated by the contractor and the essential facts in support thereof. Complaint: Please print or type and return signed copies of the complaint. Date: December 8,2023 Against: Contractor's Name: Edvin Gutierrez Ruiz Phone: Business Name: Edwin's Contractor Painting, Corp. License(s) Held: Painting Contractor Collier County Competency number: LCC20140001377 Contractor's Business Address: 3601 l3th Ave SWNaples, Florida 34117 Filed By: Name: Collier County Contractors' Licensing: Timothy Broughton Address: 2800 N. Horseshoe Dr., Naples, FL 34104 Business Phone: 239-252-2563 Address where work done: 550 Taylor Court City: Marco Island, Florida 34145 County: Collier Date of contract: August15,2023 (Verbal) 1 10.B.1 Packet Pg. 402 Attachment: 10B. 2023-19 EDVIN W. GUTIERREZ RUIZ DBA EDWIN'S CONTRACTOR PAINTING. CORP (CEMIS20230008234) (27518 : 10B. 2023- Date job started: On or before August 15,2023 Date job completed or new home occupied: N/A Were there plans and specifications: No Is there a written contract: No If yes, amount of Contract: $20,000.00 (Verbal) Has Contractor been paid in full: If not, what amount: Was a permit obtained: No Was a permit required: Yes Permit number if known: Have you communicated by letter with the licensee: Yes Date: October 2,2023 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 22-20l,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 Counfy Ordinance 22-201Q) 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. Edvin Gutierrez Ruiz is the holder of a Collier County license for Local-Specialty - Painting Contractor. Edvin Gutierrez Ruiz license does not allow for performing installation of a marine dock of which was contracted for in the verbal contract. 2 10.B.1 Packet Pg. 403 Attachment: 10B. 2023-19 EDVIN W. GUTIERREZ RUIZ DBA EDWIN'S CONTRACTOR PAINTING. CORP (CEMIS20230008234) (27518 : 10B. 2023- 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. Upon review of Marco Island permitting records, a marine dock permit was never applied for or issued prior to commencing work, and a permit was required to perform the subject work. Broughton Licensing Compliance Officer - Contractor Licensing State of 4 [Mda County of The foregoing instrument was online notarization on by known to me E has produced a current driver license E has produced (Notary Seal) C"\l,er acknowledged before me fiysicatpresence or E of DPcernbfr , zo by means ofn4-4J s check applicable box: identification. .t$YPue,. SANDRADELGAD0S!"'..# commission#HH1ot718l^LWfl ExoiresMarctrS'2025?ffid't Bonded Thru Brvdget Notr sorYic's Notary Signature: 3 10.B.1 Packet Pg. 404 Attachment: 10B. 2023-19 EDVIN W. GUTIERREZ RUIZ DBA EDWIN'S CONTRACTOR PAINTING. CORP (CEMIS20230008234) (27518 : 10B. 2023- Covt?aiy Growth Management Division Planning & Regulation Operations Department Licensing Section Date: October 2,2023 Mr. Edvin Gutierrez Ruiz Edwin's Contractor Painting Corp 3601 13th Ave SW Naples, Florida 34I17 RE: Case # CEMIS20230008234 - 550 Taylor Court Marco Island, Florida 34145 MR. EDVIN GUTIERREZ RUIZ, A complaint has been filed against you by the above referenced entity A hearing on this complaint will be held by the Contractors' Licensing Board on Wednesday, December 20,2023, at 9:00 AM in the Board of County Commissioner's Room, Third Floor, Administration Building (W. Harmon Tumer 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 attomey of your choice. In the event the Contractors' Licensing Board hnds you in violation of 22-207(2) and,22- 201(18) of the Collier County, FL Code of Ordinances: Sec.22-201- MISCONDUCT - Collier County/city certificate of competency. Sec.22-201(2) Contracting to do any work outside the scope of his/her competency as listed on hisftrer 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*NapIes, Florida 34104+239-252-240O*www.colliergov.net 10.B.1 Packet Pg. 405 Attachment: 10B. 2023-19 EDVIN W. GUTIERREZ RUIZ DBA EDWIN'S CONTRACTOR PAINTING. CORP (CEMIS20230008234) (27518 : 10B. 2023- et 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 Competencyt (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, OTHY BR Licensing Compliance Offi cer Collier County Contractors' Licensing 239-2s2-2563 tiak: G-G, d-oJ-ZS TO AlEA -o vLr,t Go{-* r(ez.RQ Growth Management Division*Planning & Regulation*2800 North Horseshoe Drive*Naples, Florida 34104r239-252-240O+www.colliergov.net 10.B.1 Packet Pg. 406 Attachment: 10B. 2023-19 EDVIN W. GUTIERREZ RUIZ DBA EDWIN'S CONTRACTOR PAINTING. CORP (CEMIS20230008234) (27518 : 10B. 2023- r\L. JJ\J t<lr'tL,r - p(,5jtt/tc pt(,l.,,oUvtt tltJtoU(Jtt James Reynolds <JReynolds@cityof marcoisland.com > To O Timothy Eroughton C( Raul Pcrcz i Replv (i ReptAll + Forw.rd Tue 12i12/2021 t2r't7 Ptv xTERNAL LMAILi This ernail ts fiom an external source. Confirm this is a trusted sender and use extreme cautiffr when opening attachments or dicking link. ood afternoon, re building official and obtaln the required permat." lo permission was obtained, and a Notice ofviolation wa5 issued, s per chapter 6 Art. 3 part 85 ofthe Marco lsland Code ofordinances, these items require inspection, Permlt is required prior to comrnencement especttully, rmes Reynolds dministrative lnspedor ity of Marco lsland uilding Services 10.B.1 Packet Pg. 407 Attachment: 10B. 2023-19 EDVIN W. GUTIERREZ RUIZ DBA EDWIN'S CONTRACTOR PAINTING. CORP : . :,r:, ',: i,i:.r:i.r: Dep3dmed-efslale / Division of Corpglaligns / Search Records / Search bv Entitv Name i Detail by Entity Name Florida Profit Corporation EDWIN'S CONTRACTOR PAINTING. CORP Filing lnformation Document Number Pl4000039210 FEI/EIN Number 46-5592698 Date Filed 0510112014 Effective Date 0510112014 State FL Status ACTIVE Last Event REINSTATEIvIENT Event Date Filed 1111512021 Principsllklslnrss 3601 l3THAVESW NAPLES, FL34117 Changed: 1111512021 Mailing Address 3601 l3THAVE SW NAPLES, FL34117 Changed: 0411312023 Registered Agent Name & Address GUTIERREZ.RUIZ, EDVIN WOTSBELY 3601 l3THAVE SW NAPLES, FL34117 Name Changed: 07 10612018 Address Changed: 11 11512021 Officer/Director Detail Name & Address Title P 10.B.1 Packet Pg. 408 Attachment: 10B. 2023-19 EDVIN W. GUTIERREZ RUIZ DBA EDWIN'S CONTRACTOR PAINTING. CORP (CEMIS20230008234) (27518 : 10B. 2023- tL- iB COLLIER COUNTY TAX COLLECTOR vehicte Registration Search ) AccountSummary ) Uill Details Business Tax Account #132682 EDWIN'S CONTRACTOR PAINTING CORP Search all services we offer... e Propllly-Iax Current business phone: 239-692-257i Eurircrtla,r 'fourist Tax Get bilts by_emqilLlr Current owner: GUTIERREZ RUIZ. EDVIN Current business address: 3tr01 i3TH AVi SW NAPLES, FL 341i7 Q More Details 2024 Details Account number: Business start date: Physical business location: Business address: Business phone: RECEIPTS AND OCCUPATIONS r32682 0si1912014 Collier County EDWIN'S CONTRACIOR PAINTING CORP 3601 13TH AVE SW NAPLES, FL 34117 239-692-2577 Mailing address: Owner(s): EDWIN'S CONTRACTOR PAINTING CORP 3601 13TH AVE SW NAPLES. FL 3.1117 GUTIERREZ RUIZ, EDVIN 3601 13TH AVE SW NAPLES, FL 34I14 6 Print this receip!(PpF). r0/01/2013 09130/2024 Units: I o 2019-2023 GEnt Street 6roup All dghts resewed. So.ooCONTRACTOR PAINTING CONTRACTOR 10.B.1 Packet Pg. 409 Attachment: 10B. 2023-19 EDVIN W. GUTIERREZ RUIZ DBA EDWIN'S CONTRACTOR PAINTING. CORP (CEMIS20230008234) (27518 : 10B. 2023- Company: Address: Telephone: Qualifier: License #: lssuance #: Classification: Valid Thru: State License #: State Valid Thru: Collier County i Board of County Commissioners Certificate of Competency Collier County * City of Marco. City of Naples * City of Everglades lssued Date: 0811712023 EDWIN'S CONTRACTOR PAINTING. CORP 3601 13TH AVE SW Naples, FL34117 (239) 692-2577 GUTIERREZ RUIZ, EDVIN W. LCC20140001377 201400000948 PAINTING CONTR. 09t30t2024 It is the Qualifier's responsibility to keep current all records with Collier County. This shal! include insurance certificates and/or contact information. Always verify licenses online at https://cvporta!.colliercountyfl.gov/CityViewWeb/ Do not alter this document in any form. This is your license. lt is unlawful for anyone other than the Iicensee to use this document. This Collier County Cettificate of Competency's status and expiratlon date may change on July '1, 2024, due to the State of Florida House Bill No. 1383. Please visit our website at www-colliercounfi/fl.gov/governmenUgrowth-managemenudivisions/operations- regulatory-managemenUcontraclor-licensing for more information as it becomes available, 10.B.1 Packet Pg. 410 Attachment: 10B. 2023-19 EDVIN W. GUTIERREZ RUIZ DBA EDWIN'S CONTRACTOR PAINTING. CORP ORU )d-+b 1.6.3,26, Uquefied peEoleum Gas Installation Cotrtnctor mcars any pc6on qualincd and licensed pursuanr ro Chaprfi 527, Florida Ststutes, to insta-ll appa$tus, piping and tubing, ard applianccs ard equipmc necessary for stodng and convcrtilg liquefied petrolcum gas inco flame for li8ht, hcat, and power, placemollt of firc safitrg and fur stopping materials shall bepermitted on wall, cciling and floor pelletrations created within thc scopc of the work alowed bythis section. 1.6.3.2i. Marine, Scawall, and Dock Consrruction Contractor requirEs thirty-six (36) months cxperiqrcc, a passitrg grade on &{Srre€}ieur an approvcd tcst and a passing $ad€ on atiqath€trt business and law tcst, ard mcans those who arc qualified to build and i[stall bultfieads, rcvctlrcna, docks, piers, whafles, groins, boathouses, lifts ard davits, and to do pile driving Elcctrical scrvicc and wili,,g must bc provided by a licensed crcctrical co,,tsactor. 1.6.3.28. Masonry Contractor rcquires thiny_six (36) months cxperience, a passing grade on e@+&e* an approyed lcst and a passilg grade on a r*€_(+h€r* busin€ss and raw test and means those who srE qualificd to select, cut, and lay brick and conclete block or any other uoir masonry products, tay other baked clay products, rcugh cut and drErs stoDc, artificial stone and prccast blocks, glass brick or block, but who shall rlot pour or finish concEre. 1.6.3.29. paving Blocks Contractor. Rcquircs rwenty-fou! (24) Eonths cxperience in rhe respertive conskuction plus a psEsing gradc on €:tfrf,ec{3)+ot* an Epproved tcst aDd a passing gade on a t+o{g}+eu, business a'ld law tcst, ard means those persons who are quatified to construct driyeways, sidcwa.lks, patios and dccks, using concrcte paying units. 1.633{). pEintiDg Contracbr requir$ tweory-four (24) morths cxpfficnc€, a passint grade on e+r€o€|hsur a[ approved tcst and a pa5sirlg grade oD a t*e(g]+erx, business and law test and means thosc who arc quslified to usc sprsyjrg cquipmeot as \ryclr as hand tools to finish both cxtctior and intcrior work A painting cootractor may do paperhangng, sandblasting, waterproofing, and may clcan and paiDt roofs. 1.6.3.31. Paving Contractor (commercial or unlimited) rcquires thirty-six (36) moaths experience, a passing grade on s{$roc hour business and taw b8t, ,,,,o .r_,** * test 8nd a passing grade on a t+vo{a r thosc who are qualified with thc expedorlce and skill to coDstruct rosds, airport rutways ard aprons, parking lots, sidewalks, curbs and gutters, storm drainage facilities, and to pcrform the excavating, clcaring, and grading incidcntal thereto. 1,6,3.32. Plastcring and Stucco Contractor requircs thirty_six (36) months cxpcrierca, a passing grade on e+hree{3}he* an approved test and a passing gmdc on a s,\,€_e}he€r business and law hst, and mean8 those who 8re qualified to coat surfaces, including latiing and drywall,with a mixture of sa,,d o! othcr aggregate gypsum praster, portrand cemcnt or quicklime a,,d water, or any combination of such materials such as to crcatc a permanert surfacc coating. This catcSory does not include the plastering of thc irlterior of a pool. 19 Word6 6*u€kh€lr&b lfc d€lered; words undcrlincd arc acldcd. 10.B.1 Packet Pg. 411 Attachment: 10B. 2023-19 EDVIN W. GUTIERREZ RUIZ DBA EDWIN'S CONTRACTOR PAINTING. CORP (CEMIS20230008234) (27518 : 10B. 2023- Collier Count-v. FL Code olOrdinzurces Page 43 of 58 Any individualwho fails to renew his/her certlficate of competency prlor to December3l ofthe year following its expiration shall thereby automatically have a certificate of competency that is nuli and void, To acquire a valid certificate from the county the indlvidual must Pay the then appticable full application fee in accordance with the schedule of fees and charges adopted by resolutlon pursuant to subsection 22-182(a)(4) herein, and must submit an entire new application, lf, as of the date of receipt by the county of said new application, three years have passed since the date of his/her most recent examinauon thatthe individual passed to acquire the former certiflcate, that tndividual must pass all then applicable testing requirements. If the request is to reactivate a dormant certificate, the re-testing requirement can be waived by staffif the applicant proves thathe/Shehasbeenactiveinthetradeinanotherjurisdiction,orhasbeenactive as an inspector or investigator in the trade. or for other valid reason that would render such re-testing superfl uous. (ord.No.90-105,51.4;ord.No.92-61,S1;ord.No'9+34,51;Ord'No'97-68'S1'10-28-97;Ord' No. 99-45. 5 1 ,4-1,4.9. 6-8-99) Secs. 22- 1 92-22-200. - Rese rved. DIVISION 3. - STANDARDS OF CONDUCT ANO DISCIPLINE Footnates: -m- State Law rcference- Discipline of conffactols, F S SS 489' 129, 489'533' The following actions by a holder of a Collier County/City Ce (ificate of CompetencY shall cons$tute misconduct and grounds for discipline pursuant tolcqtigtr'2}ZlZ (l) Knowingty combining or conspirinS with an unlicensed contractor by allowing one'sCertificateofCompetenrytobeusedbyanunlicensedcontractorwith intenttoevadetheprovisionsofthisordinance.Whenalicensedcontractor actsasthequalifyingagentforanyfirmwithoutfirstmakingapplication Underlhisordinancetorepresentsaidfirm,suchactshallconstituteprima facieevidenceofjntenttoevadetheprovisionsofthisordinance.Whena ' certificate holder allows hjs certificate to be used by one or more companies about:blank 12t212019 10.B.1 Packet Pg. 412 Attachment: 10B. 2023-19 EDVIN W. GUTIERREZ RUIZ DBA EDWIN'S CONTRACTOR PAINTING. CORP (CEMIS20230008234) (27518 : 10B. 2023- Collier County, FL Code of Ordinances Page 44 of 58 without having any active participation in the operations, management, and control of such companies, such act constitutes prima facie evidence of an intent to evade the provisions of this ordinance. Active participation requires job site supervision, knowledge of and participation in the business operations of the company(s), including all contractual matters' a. If any individual qualirying any business organization ceases to be affiliated with such business organization, he shall so inform the Board, In addi6on if such individual is the only certified individual alfiliated with thebusinessorBanization,thebusinessorganizationshatlnotisthe Board of the individual,s termination and shal| 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 certifledUndertheprovisionsofthtsarticle'lnanyevent,thebusiness organization shall not enter into any new contracts and may not engage in any new contracting until such time as a qualiffing agent is employed' i3) Abandoning a construction project in which he/she is en8aged or under contract. as a contractor. A project may be presumed abandoned if the contractor terminates the project withoutiust cause, or fails to notiry the ownerinwritingofterminationofthecontractandbasisforsame,orfailsto performworkforninety(90)consecutivedayswhhoutjustcauseandnosaid notice to the owner. (4}Dlvertingfundsorpropertyreceivedfortheexecutionofaspe[iflccontrdct project or operation or diverting funds earmarked for a specified purpose to any other use whatsoever. (5) . Departing from or disregardin8 in any material respect the plans or specificationsofaconstructionjobWithoutthecohsentoftheownerorhis duly authorized representative' (6) Disregards or violates, in the performance cif his contracting business in Collier County, any ofthe building, safety. health, insurance orWorkers' fompensation laws of the State of Florida or ordinances of this County' (7) aboutrblank 1212n0r9 10.B.1 Packet Pg. 413 Attachment: 10B. 2023-19 EDVIN W. GUTIERREZ RUIZ DBA EDWIN'S CONTRACTOR PAINTING. CORP (CEMIS20230008234) (27518 : 10B. 2023- Collier County, FL Code of Ordinances (e) (10) (1 1) 112l (13) (14) (1 s) ('16) (17) Page 46 of 58 Performing any act which assists a person or entity in engaging ln the prohibited unlicensed practice ofcontracting, if the licensed contractor knows or should have known thatthe person or entity was unlicensed. Failing to promptly correct faulty workmanship or prompfly replace faulty materials installed contrary to the provisions of the construdion contract' Faulty workmanship means work that is not commenced, not continued, or not completed in accordance with all speciflcations of the applicable written agreement. Faulty workmanship includes any material flaw(s) in the quality and/or quantity of the unfinished orfinished work product, including any item that does not function properly as a part of the entire project. lf there is no written agreement provision re8arding the specific faulty workmanship issue, faulty workmanship exists if the work, process, product or part thereof does not meet Senerally accepted standards in Collier County in relation to the entire proJect, Faulty workmanship does not include matters of esthetics unless the esthetically related item clea rly violates a written contract specifl cation directly related thereto. Failure to maintain at all times, with an insurance company authorized to do business in the State of Florida, the limits of liability and other categories of insurance as required by this ordinance. Failing to claim or refusing to accept certified mail directed to the contractor by the Contractors' Licensing Board, or its designee. Faiting to maintain a current mailing address, Failing to appear in person or through a duly authorized representative at any scheduled hearing on a complaintfiled againstthe contrador' Being convicted or found Suilty, regardtess oladjudication, of a crime in Collier County which direstly relates to the practice of contracting or the ability to practice contracting. Allowing another to take a qualifying examination on the applicant's behalf' Engaging in contracting business in Collier County or the City when prohibited from doing so by the Contractors' Licensing Board of Collier County' from the City building and zoning division orthe county building review and permittin g department. about:blank 12t2t2019 10.B.1 Packet Pg. 414 Attachment: 10B. 2023-19 EDVIN W. GUTIERREZ RUIZ DBA EDWIN'S CONTRACTOR PAINTING. CORP (CEMIS20230008234) (27518 : 10B. 2023- 9118123, 10:55 AN/ Taken By Tim Broughton Collier County Contractor Licensing d Fffi Stl*, {,; I s& I'/ltt E*L=-.,r i",M** .nL) Y"r l ^ ,rt - -' _lI $!f ,ll-#J ( T -t I*""r '-a tt HJ 7 LII T NTM! t 10.B.1 Packet Pg. 415 Attachment: 10B. 2023-19 EDVIN W. GUTIERREZ RUIZ DBA EDWIN'S CONTRACTOR PAINTING. CORP (CEMIS20230008234) (27518 : 10B. 2023- I I IfE Iffi II I I -f I r F E I . Llt Co! I ier County Contrac[or Ljcengi rTg l 7 'l J lf! U t t;. a T) il * b 7t-l-t -H !rr ,E If-f t"-I II -a E l/ I 10.B.1 Packet Pg. 416 Attachment: 10B. 2023-19 EDVIN W. GUTIERREZ RUIZ DBA EDWIN'S CONTRACTOR PAINTING. CORP (CEMIS20230008234) (27518 : 10B. 2023- rt T *\* t I I l im B,I .+ "J-' rb'Pr -*Ct fr or ,' { L GE,L *t'i*1 t -I -I- s ll l I I q :il-r.t* ,1i L,,r h)+ ,{ b,{$ T. ", -, -,,1- -. I -,r.-a *',, l.h*#tlr., -. I t !,' .lI 'ql t**rff*T -{I ,I oe * I I tl ,a tI t a - -.:--_b ____ l- |IT I aI rl I It ) a J- --> --s :r,/st.! I I iI ( t5 .'- -,o rf \ -rl .Hlf C ?n ltn% \-!'l Crl1l D,t lvl I ll | ).,t I f t I 16lr\ tr I fi E Eh+7*-.I t t--l f'I -'J t .--.t LT nI tI I I : il= - 'l ;-=r \> \{ ) -l-r a 10.B.1 Packet Pg. 417 Attachment: 10B. 2023-19 EDVIN W. GUTIERREZ RUIZ DBA EDWIN'S CONTRACTOR PAINTING. CORP (CEMIS20230008234) (27518 : 10B. 2023- I {\t I { I I : ?i. Ir a , JK lit/tZ ?\ ( tu t\-ri \. a *, !l. h- hz I *,*4 I )t J l3t J e)11 J Opt'-J[l ,"tJojl s,SftoJe tJJl,Jt 99:f: l. 'F;ZIZ + i1'l.'1 \,a, ,I #I \ t 7 at rar.tir .l11 I.,tI!fr t\. - . tr, I *I ,ia-\ -t -I E -t ia- I l.--ITF lB5./- r - rt: -Frf--"5tlE i ?--f'- '.u- t ;iffi &{-l; il- t ffit a ; lr ffif t\rb - ..a.El'*,'r{ I I ri H II*lHl I fr t. :.i-r! .& 3 I T*\lr4---,-!'F dr It l';,.?.r} I-?n -JY J.{ ! -a f li 03.ro!lloc <i L tI .l q t' \ .7,l/rfV t $ I \ -r! '*- ,\ \ F E fi.j rE t EE. I ( r' t-z I I E7 h I L ti-.E I rB-. F '-,. lr--I a a 10.B.1Packet Pg. 418Attachment: 10B. 2023-19 EDVIN W. GUTIERREZ RUIZ DBA EDWIN'S CONTRACTOR PAINTING. CORP (CEMIS20230008234) (27518 : 10B. 2023- fulr Report Title: Code Case Details Date: 1211212023 11:49:47 AM Case Number: CEM1S20230008234 Case Number:cEMts20230008234 Case Type:Misconduct Priority:Normal lnspector:TimothyBroughton Jurisdiction City of Marco Origin Building Department Detail Description Working Outside the Scope of License and Commence Repair of Dock for which a Building Permit is Required CLB Admin Complt. #2023-19 Location Comments:550 Taylor CT Status:Refer to CLB Date & Time Entered:911812023 11:06:25 AM Entered By:TimothyBroughton Case Disposition Case Pending Property 58048000001 Primary Contractor EDWIN'S CONTRACTOR PAINTING. CORP Complainant City of Marco lsland Building Department Property Owner GERHART HUBER LIMITED PARTNERSHIP % HUBER MOTORSPORTS Business Management & Budget Office 1 10.B.1 Packet Pg. 419 Attachment: 10B. 2023-19 EDVIN W. GUTIERREZ RUIZ DBA EDWIN'S CONTRACTOR PAINTING. CORP (CEMIS20230008234) (27518 : 10B. 2023- Code Case Details Execution Date 1211212023 11:49:47 AM Desc Assigned Required Completed Outcome Comments Preliminary lnvestigation TimothyBroug hton tha2a23 9t18t2023 Needs lnvestigatio n Possible working outside the scope of lssued License - Needs lnvesligalion. TB Attach Picture(s)TimothyBroug hton 9t18t2023 9t18t2023 Complete Cont. lnvestigation TimothyBroug hton 911A2A23 9/18t2023 Complete I received the complaint from lnspector James Reynolds of the Marco lsland 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 home watch person, Mr. Jose Ramos (239) 227-5184.1advised him of my complaint. He provided me the phone number for the homeowner. TB lssue Stop Work Order TimothyBroug hton 9t14t2023 9t18t2023 Complete Posted by l\,4arco lsland Code Enforcement - lnvestigatorWarder. TB Cont. lnvestigation TimothyBroug hton 9/18t2023 9t18t2023 I called and talked with the homeowner, Mr. Gerhart Huber (5'19) 574-0036. I advised him of my complaint. He stated that he hired Mr. Edvin Gutierrez-Ruiz, owner of Edwin's Contractor Painting Corp to remove and replace the damaged wood decking on his dock in the rear of the said location. Mr. Huber stated that he had a verbal contract and the agreed price for the scope of work was $20,000.00 to be paid upon completion ofthe job. Mr. Huber stated that he has hired Mr. Gutierrez-Ruiz in the past to do some painting for him. Mr. Huber stated that he had to hire Duane Thomas Marine Construction to finish the job and apply for the required permit after lvlarco lsland Code Enforcement posted the Stop Work Order. TB Cont. Investigation TimothyBroug hton 9t27 t2023 9127 t2023 Complete I called and talked with Mr. Edvin Gutierrez- Ruiz (239\ 692-2577, owner of Edwin's Conkactor Painting Corp. (painting license in Collier County with issuance #201400000948). ladvised him on my complaint. I confirmed that he had a verbal contract with the homeowner at the said location to repair the dock in the rear of the home. I confirmed with Mr. Gutierrez Ruiz that he would be paid $20,000.00 upon completion of the dock. lthen scheduled a meeting at the GMD for Tuesday, October 3, 2023 at 11:00am to discuss the case and issue Mr. Gutierrez-Ruiz a NOH for the December CLB for working outside the scope of his license. TB Business Management & Budget Office 2 Complete 10.B.1 Packet Pg. 420 Attachment: 10B. 2023-19 EDVIN W. GUTIERREZ RUIZ DBA EDWIN'S CONTRACTOR PAINTING. CORP (CEMIS20230008234) (27518 : 10B. 2023- Execution Date 1 211212023 1 1:49:47 AM Desc Assigned Required Completed Outcome Comments Cont. lnvestigation TimothyBroug hton 101312023 10t3t2023 Complete I met with Mr. Edvin Gutierrez-Ruiz (239) 692- 2577, owner of Edwin's Contractor Painting Corp. (painting license in Collier County with issuance #201400000948) at the GMD. Also present in the meeting was lnvestigator Greg St Jean. I confirmed with Mr. Gutierrez Ruiz that he had a verbal contract to repair the dock in the rear of the said location for $20,000.00 to be paid upon completion. Mr. Gutierrez Ruiz stated that he replaced approximately [uelve 2x12x16 treated boards before he was stopped by Marco lsland Code Enforcement. I confirmed with Mr. Gutierrez Ruiz that he only has a painting license in Collier County and does not have any other license in the State of Florida that would allow him to complete the said scope of work. I confirmed that he did not have an issued permit for which one was required. I then issued Mr. Edvin Gutierrez Ruiz a Notice of Hearing for the December 20, 2023 CLB Hearing for working outside the scope of his license and commencing work without an issued permit. TB Cont. lnvestigation TimothyBroug hton 10t26t2023 10t26t2023 Complete Scheduled for CLB Hearing for December 2023 - lnvestigation Continued. TB Cont. lnvestigation TimothyBroug hton 11t1t2023 11t1t2023 Complete Scheduled for CLB Hearing for December 2023 - lnvestigation Continued. TB Cont. lnvestigation TimothyBroug hton 11t20t2023 11t20t2023 Complete Scheduled for CLB Hearing for December 2023 - lnvestigation Continued. TB Schedule for CLB TimothyBroug hton 12t11t2023 12t11t2023 Complete Scheduled tor 12120123 TB Generate CLB Notice of Hearing TimothyBroug hton 12t11t2023 1211112023 Complete lssued on 1013123 to Qualifier. TB lnvestigation TimothyBroug hton 1211112023 12t11t2023 Refer to CLB Enter Hearing Results TimothyBroug hton 12t20t2023 Pending Violation Description Status Entered Corrected Amount Comments 4. 1 Misconduct-County/City Certificate of Competency Open 10t3t2023 $o Reason Result Compliance Fine/Day Condition Business Management & Budget Office 3 Code Case Details Title 10.B.1 Packet Pg. 421 Attachment: 10B. 2023-19 EDVIN W. GUTIERREZ RUIZ DBA EDWIN'S CONTRACTOR PAINTING. CORP (CEMIS20230008234) (27518 : 10B. 2023- @ !ocaiicn 550 Taylor CT 58048000001 Marco lsland, FL 34145 i'i,r,l ala:s Seawall Replacement IF%, $ 0.00 E SEAW-23-07661 . BS-Seawall . Review Coordinator Projccl Apply Dlre 1'.U22/2023 Pmn Slalus Permit Active PAY FEES ! Recent Workfl ow Activity Ldst Completed Actton 7 days ago Q Seawati Work Submittal (Receive Submittat) Workfl ow Completion Summary (D Contraclor DUANE THOM... THOMAS. DUANE 020215 2 Submittal Status: Approred Completed On: 12/O5l 2023 r cofllPleted 33tt r ln ProcrcJi 0L llot StsrlEd 07tt I\. 53 0 Mobile Phone Email duan€thomasmarine... I j' O Main address Tasks No Tasks Attached 67!6 10.B.1 Packet Pg. 422 Attachment: 10B. 2023-19 EDVIN W. GUTIERREZ RUIZ DBA EDWIN'S CONTRACTOR PAINTING. CORP License # LCC2Ol 4trJ,OO1 377 Edvin Gutierrez Ruiz Edwin's Gontractor Painting Gorp HISTORY Active Case - September 18,2023 - CEM1520230008234 - Refer to CLB - Working outside the scope of license and commencing work without an issued permit. CLB Case #2023-19. June 12, 2023: Case #CECV20230005243 - Citation for commence work for which a building permit is required. June 12, 2023: Case #CEU120230005199 - Citation for Unlicensed Concrete. March 28, 2014: Case #CEUL20140006317 - Citation for Unlicensed Advertising. Qctober 2,2013: Case #CEUL20130014032 - Unlicensed Painting. July 23, 2013: Case #CEUL20130010305 - Unlicensed Painting. 10.B.1 Packet Pg. 423 Attachment: 10B. 2023-19 EDVIN W. GUTIERREZ RUIZ DBA EDWIN'S CONTRACTOR PAINTING. CORP (CEMIS20230008234) (27518 : 10B. 2023- 12/20/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 11.A Doc ID: 27519 Item Summary: 11. NEXT MEETING DATE - WEDNESDAY, JANUARY 17, 2024 Meeting Date: 12/20/2023 Prepared by: Title: – Contractor Licensing Name: Alyshia Morse 12/13/2023 3:58 PM Submitted by: Title: – Contractor Licensing Name: Tim Crotts 12/13/2023 3:58 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 12/13/2023 5:19 PM Contractor Licensing Tim Crotts Review Item Completed 12/14/2023 7:40 AM Contractor Licensing Tim Crotts Meeting Pending 12/20/2023 9:00 AM 11.A Packet Pg. 424