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CLB Agenda 02/19/2025COLLIER COUNTY Contractors Licensing Board Board of County Commissioners AGENDA Board of County Commission Chambers Collier County Government Center 3299 Tamiami Trail East, 3rd Floor Naples, FL 34112 February 19, 2025 9:00 AM Todd Allen, Chair Kyle E. Lantz, Vice -Chair Stephen M. Jaron Matthew Nolton Robert P. Meister, III Richard E. Joslin, Jr. Jennifer Cassidy 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. January 22, 2025 (2025-245) 5. Public Comments Page 1 of 496 6. Discussion 7. Reports 8. New Business 8.A. Orders of the Board-1 5 (2025-674) 8.13. Mitchel P. Resnick Expert Installations USA, LLC—Review of experience. (2025-553) 8.C. Randy Prueitt_Prueitt Construction, LLC Review of experience. (2025-554) 8.1). Paul Shulick Adirondack Equities, LLC (DBA) Studio St James —Review of experience. (2025-555) 8.E. Nathan Duell_Orange Tree Plumbing LLC—Review of experience. (2025-556) 8.17. Lucas Dayrell Desouza Journeyman Electrical Review of experience. (2025-557) 8.G. Jacob Daniel Peplow_Best Garden Landscape Services LLC—Review of experience. (2025-55s) 8.H. Eika Perez Lopez_Molcajete Painting LLC—Review of experience and credit. (2025-559) 8.I. Carlos Vladimir Mayo Avila —Vladimir Bobcat and Nursery Services, Inc —Review of experience and credit (2025-560) 8.J. Jeremiah Rivera Journeyman Electrical —Review of experience. (2025-561) 8.K. Angelo William Loturco_Kingsway Pressure Cleaning & Non -Pressure Roof Cleaning LLC (DBA) Kingsway Paver Sealing_Review of experience. (2025-562) 9. Old Business 9.A. Leydy Hernandez_Ontime Painting of SWFL, Inc_Remove license restriction. (2025-563) 9.B. Raul Irigoyen_AAH All About Homes, INC_Probation review - credit (2025-566) 9.C. Juan Manuel Maciel_FTL Familia Tree and Landscape, INC—Probation review — credit. (2025- 567) 9.D. Rafael Aguilar_RL Installers, INC—Probation review — credit. (2025-568) 10. Public Hearings 1 O.A. 2025-01_VALLE CUSTOM BUILDERS LLC_VALLADAREZ, ABNER SANTOS CEMIS20240012270 (2025-622) Page 2 of 496 10.B. 2025-02_Sunshine Pools of Naples, LLC_Laurie Romas_PRSPL20220942199. (2025-569) 10.C. 2025-03 Roman Raab —Project Blue Lines Corp_CEMIS20240003900 (2025-623) 11. Next Meeting Date I I.A. March 19, 2025 (2025-675) Page 3 of 496 COLLIER COUNTY CONTRACTORS LICENSING BOARD JAN. 22, 2025 — 9:00 a.m. Board of County Commission Chambers Collier County Government Center 3299 Tamiami Trail East, 3rd Floor, Naples, FL 34112 Todd Allen, Chairman Kyle E. Lantz, Vice Chair (absent) Stephen M. Jaron Terry Jerulle Matthew Nolton (absent) Robert P. Meister, III (absent) Richard E. Joslin, Jr. Jennifer Cassidy Kevin Johnson (excused) OTHERS PRESENT Patrick Neale, Attorney for Contractors Licensing Board Ryan Cathay, Code Enforcement Ronald Tomasko, Attorney for Collier County Timothy Crotts, Assistant Division Director, Code Enforcement Division of CLB Michael Bogert, Collier County Code Enforcement Division of CLB Anthony Simmons, Collier County Licensing Investigator Any person who decides to appeal a decision of the Tourist Development Council will need a record of the proceedings 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, Neither Collier County nor the Tourist Development Council shall be responsible for providing this record. 1. ROLL CALL Michael Bogert, Collier County Code Enforcement, Div. of Contractor Licensing 2. ADDITIONS OR DELETIONS Michael Bogert Remove 8a and 8e from the Agenda 3. APPROVAL OF AGENDA Terry Jerulle motioned to approve the Agenda with above changes Richard Joslin seconded Motion passed 5-0 4. APPROVAL OF MINUTES A. DEC. 18, 2024 Richard Joslin made the motion to approve the Minutes Stephen Jaron seconded Page 4 of 496 Motion passed 5-0 5. PUBLIC COMMENTS Michael Bogert No Public Comments 6. DISCUSSION A. New investigator Anthony Simmons Good morning. I moved here two years ago, from England, but lived in Northern Ireland. I have nine years fire service; I've been oil rig pilot and in law enforcement. I'm looking forward very much to working with my new team, learning how to do it successfully and satisfactorily and professionally. 7. REPORTS Michael Bogert o This is a synopsis of our year end numbers for 2024 through the Contractor Licensing Division. The Licensing Supervisor approved 181 licenses o The Licensing Board approved 28 of those o 190 of those were specialty o 19 were locally registered licenses o The next page is broken down by a license type in alphabetical order o We got two local and registered licenses renewed o There were 1,346 of that o 1,170 were our specialty licenses o 176 were the local registered o Licensing violations o Code violation was the largest portion of our cases that came in o 764 complaints that were made to the County of which o 301 were work code violations o 270 misconducts o 181 unlicensed o The City of Marco gave us 67 complaints o The City of Naples 131 o Collier County at 566 o for that total of 764 o We issued 192 citations for $211,100 last year, of which $116,050 was paid. o $95,050 is uncollected and leaned Terry Jerulle Where does the money from collected fines go? Michael Bogert It goes back into operating funds to offset salaries, etc. 8. NEW BUSINESS A. Order of the Board Chairman Allen may I have a motion to approve the signing of the order. Terry Jerulle motioned to approve the signing of the order Stephen Jaron seconded Motion passed 5-0 B. Amended Board Order Timothy Crotts 2 Page 5 of 496 o The disciplinary order now is a certificate of occupancy or completion be obtained within 60 days. o If CO or completion is not obtained within 60 days, permit pulling privileges will be revoked until the project receives it. o It makes it a little clearer that he can operate for those 60 days with the above condition. Stephen Jerulle motioned to approve the amended order Richard Joslin seconded Motion passed 5-0 C. James Fierro, J & T Prestige Painting LLC review of experience Postponed to later in the meeting D. Enoch Lopez, E.N. Artisan Painting Inc., review of experience Enoch Lopez sworn in by Patrick Neale. Enoch Lopez, Co-owner of E.N. Artisan. Michael Bogert o Mr. Lopez has submitted an application for the issuance of a license as a painting contractor, which requires 24 months of experience. Mr. Lopez was required to submit documentation showing his experience. As a part of the review process by staff, Mr. Lopez has submitted the following verification of experience documents. A review of these documents shows the following. o Construction experience with Miguel Coco, owner and qualifier for Coco Painting, LLC, Colorado County license 2 0 18 0 0 0 0 6 4 9 May 2021 through June 2024. o Mr. Lopez's scope of work was filling nail holes, sanding, caulking, brushing, and rolling. o Construction experience submitted by Diego Viga and Viga Co -owners of Creations of Naples, Inc. o This is a non -licensed company. Dates of employment are from May 2nd, 2022, to July 2024. Mr. Lopez's listed scope of work was painting finisher, final coats, base coats, and faux finish. Based on the information received, it is staffs opinion that Mr. Lopez does not meet the minimum requirements as set forth in the Collier County Code of Laws and ordinances. Section 22 180 3, A one and 22, 180 3 B one as it relates to experience and time required in the trade under Section 22 162 painting contractor. o Because Mr. Lopez does not meet the requirements under the co Collier County Code of Laws and ordinances for experience, Mr. Lopez is being referred to the board under Section 22 180 4 B, referral of application to the contractor's licensing board for decision. Mr. Lopez is here to answer your questions regarding his experience. Mr. Lopez I've done a lot of commercial painting and have used air safety equipment and harness equipment. Terry Jerulle Do you know about waterproofing and Elastomeric paint? Mr. Lopez No Chairman Allen motioned not to approve Terry Jerulle seconded Motion to not approve passed 5-0 F. Paul Gearing, Second Entity, Floor Covering, Mercatto Stone Group, Inc. Mr. Gearing was sworn in by Patrick Neale. Ryan Cathay, Operations Supervisor 3 Page 6 of 496 This was brought before this Board last month. The applicant has corrected everything with Sunbiz, and he is now listed as a Director. I think the Board has some clarification to your questions regarding ownership, financial responsibility, and check writing privileges. Mr. Gearing I am the one to qualify Mercatto Stone and an officer of that Company with check writing privileges. I will be supervising some of the operations and managing a lot of the qualifications in Collier County. Mercatto Stone is eligible to handle the Costco account as I do with the flooring. I am hoping to qualify him so both of us can work on the Costo accounts. Richard Joslin made the motion to approve the license Terry Jerulle seconded Motion passed 5-0 G. Raybert Hernandez Ortiz, Second Entity, General Contractor Registered, A Plus Construction of SW FL LLC. Mr. Hernandez was sworn in by Patrick Neale. Michael Bogert o No credit issues were found. Mr. Ortiz is submitting the second entity application to qualify the Company identified as A Plus Construction of SW FL LLC for the aforementioned trade. o There is no local County license currently associated with this Company at this time. A review of the Division of Corporation Sunbiz documents shows that Mr. Ortiz is not listed as an officer of A Plus Construction of SW FL LLC. Alfredo Bustos is the only officer listed as managing member. o Question number 12 shows that Mr. Ortiz does not have check writing authority for the proposed entity. A resolution of authorization has been submitted listing Mr. Ortiz as a partner of A Plus construction of SW FL LLC. Mr. Ortiz is here today to answer your questions regarding this second entity application. Chairman Allen Mr. Ortiz, I'll tell you sort of preemptively that this Board has taken the position that if you are not identified as an officer on Sunbiz and you don't have check writing ability for this new company that we're probably not going to approve your application. Do you want to pull your application come back next month? Richard Joslin Is there a reason why Mr. Bustos can't take the test and have his own license? Mr. Hernandez That I am not sure. Richard Joslin Please be prepared to answer that question next month. C. James Fierro, J & T Prestige Painting LLC, review of experience Mr. Fiero was sworn in by Patrick Neale Michael Bogert o Mr. Fierro has submitted an application for the issuance of a license as a painting contractor, which requires 24 months of experience. As part of the application process for the issuance of a painting contractor's license, Mr. Fiero was required to submit documentation showing that experience. o Mr. Fierrro has submitted the scope of work listed was shop work including sanding, caulking, painting and staining large wood beams. Fierrro Construction experience was given by Peter Orfe, owner and certified residential contractor for the Trellis and Pergola Company. o Dates of employment listed are from 2021 to present. 91 Page 7 of 496 o The scope of work listed was shop work including sanding, caulking, painting and staining large wood beams. He was also an installation helper for pergolas, trellis and outdoor kitchens. o Mr. Fierro also performed job site paint touchups priming and painting. o Mr. Fierro does not meet the requirements under the Collier County Code of Laws and ordinances for experience and is being referred to the Board under Section 22 180 4 B referral of application to the Contractor's Licensing Board for a decision. o Because Mr. Fierro does not meet the requirements under the Collier County Code of Laws and ordinances for experience under Section 22 162 painting contractor. o Mr. Fierro is being referred to the Board under Section 22 180 4 B referral of application to the Contractor's Licensing Board for a decision. Mr. Fierro • I moved here in 2014. I started with them then worked until 2016. From 2016 to 20211 worked in retail and other fields. My father's worked for him for probably 12 or 14 years now and I've been there ever since 2021. • The prior experience that I do have working directly for a painting company where we were doing strictly interior. Exterior full paint jobs was in Maryland, but I do not have verification. Terry Jerulle Do you know what Elastomeric Paint is? Mr. Fierro No Richard Jarron Would you be okay with a license for strictly interior painting? Mr. Fierro Yes. Terry Jerulle You can attend seminars on waterproofing or go to tech classes. Timothy Crofts You could issue the restricted license for interior only and then when the applicant is able to get the experience for exterior, he could come back in front of the Board and ask that that license be modified. Chairman Allen motioned to issue a restricted license Terry Jerulle seconded Motion passed 5-0 9. OLD BUSINESS A. 2024-06 Duane Thomas Marine Construction LLC, CEMIS202440003770 Mr. Thomas was sworn in by Patrick Neale Timothy Crofts o On September 18th, 2024. Mr. Thomas appeared before the Board on a charge of misconduct working outside the scope of his license. o At this hearing, Mr. Thomas was found guilty as a part of the disciplinary action against Mr. Thomas. o As part of the order of the Board. Section one, paragraph D The respondent shall take the business and law exam from a vendor approved by Collier County within 60 days from the date of the hearing and pass with a score of 75 or greater. o If the respondent does not do so, he is ordered to appear back and before the board for further proceedings. The process for taking an exam is that the respondent must request a sponsorship to be done by the County in this case here, it must be requested by the applicant. 5 Page 8 of 496 o A sponsorship fee must be paid, and the sponsorship notice is sent to the testing agency approving the applicant to take the exam. Mr. Thomas submitted the sponsorship request on November 7th, 2024. This was 50 days after the date of the order. The payment for the exam, the approval of the testing agency was also done on November 7th, 2024. o On November 13th, 2024, Mr. Thomas took the exam and received a score of 72. o Questions were left unanswered. The exam was taken 56 days from the date of the Board order. Mr. Thomas failed this exam on November 27th, 2024. o Mr. Thomas took the exam and received a score of 76. This exam was taken 10 days past the required time of the 60 days by board order. o Based upon the deed. The past examination, the respondent violated the order of the Board dated September 18th, 2024. Mr. Thomas The test was not a made available to me until five days prior to the deadline. We filed all the paperwork in a timely manner with the County and they did not respond back to me Timothy Crofts o The date that the sponsorship and payment was made was the date that the test agency was notified that he was eligible to take the exam. o The County is recommending that the Board find him in violation of a probation for failing to pass the exam within the 60 days. o I have spoken to this test agency and on the date that Mr. Thomas failed the exam, and he could have immediately requested a retake the test. o This is a violation of probation. Mr. Thomas passed the test 10 days after the deadline. o The County's is recommending that the Board find him in violation of a probation, failing to pass the exam within the 60 days. Mr. Thomas How many consumers do we have on the Board today? One, we do not have a quorum. Can I put that on the record please? Patrick Neale We reviewed the law on this and there is no requirement for having three consumers on the Board at any one time. That's a spurious argument that was made prior. This is not required. Mr. Thomas So noted for appeal Chairman Allen Motioned to fine Mr. Thomas $1000. to be paid within 30 days or the license is revoked and suspend his license for one year UNDER C 2 43 26. He is to appear before the Board at least 30 days prior to the expiration of the suspension to verify that there aren't any issues. Richard Joslin seconded Motion passed 5-0 10. PUBLIC HEARINGS None 11. NEXT MEETING DATE Wednesday, February 19, 2025 Collier County Government Center Third Floor 12. MEETING ADJOURNED Chairman Allen motioned to adjourn Richard Joslin seconded Page 9 of 496 Motion passed 5-0 Theme bang no furthm business f ai- thr good of The County, thr, t ;aroh-art"s' Licensing Board moetufg was adjourned at 9: 5S a.in- COLLIER C OU?ti ' C0-NTRACTORS"l=XNSViG BOARD The Minutes were apprm ed , - Chairman Todd Alton as presented or amended 7 Page 10 of 496 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Morin, Daniel 79 Constitution Dr. Naples, FL 34112 CLB Agenda Date: 2/19/2025 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12085 CECV20240006626 on 07/24/24, to Morin, Daniel, in the amount of $1,000.00, within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), Florida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. If the penalty is not paid in full within 15* days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. DATE: CHAIRMAN Todd Allen Print Name Attorney to the CLB PATRICK NEALE Code Enforcement Supervisor Michael Bogert For Contractor Licensing Board * If the 15th day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.M. on the County s next business day following that weekend or holiday. Approved as to form and legal sufficiency Page 11 of 496 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Creacy III, Harry Etichson 2825 NW 19th Ave Cape Coral, FL 33993 CLB Agenda Date: 2/19/2025 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12798 CEUL20240009890 on 10117124, to Creacy III, Harry Etichson, in the amount of $1,000.00, within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), Florida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. If the penalty is not paid in full within 15* days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. DATE: CHAIRMAN Todd Allen Print Name Attorney to the CLB PATRICK NEALE Code Enforcement Supervisor Michael Bogert For Contractor Licensing Board * If the 15th day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.M. on the County s next business day following that weekend or holiday. Approved as to form and legal sufficiency Page 12 of 496 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY FLORIBERTO RODRIGUEZ 3092 COCO Ave, Unit B Naples, FL 34112 CLB Agenda Date: 2-19-2025 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12953 CECV20240007884 on 08122/24, to iFLORIBERTO RODRIGUEZ, in the amount of $1,000.00, within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), Florida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. If the penalty is not paid in full within 15* days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. DATE: CHAIRMAN _ TQdd Allen_ Print Name Attorney to the CLB PATRICK NEALE Code Enforcement Supervisor Michael Bogert For Contractor Licensing Board * If the 15th day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.M. on the County s next business day following that weekend or holiday. Approved as to form and legal sufficiency Page 13 of 496 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Kasandra Polowski 2700 E 9th St Lehigh Acres, FL 33936 CLB Agenda Date: 2-19-2025 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12924 CEUL20240008524 on 09/17/24, to Kasandra Polowski, in the amount of $1,000.00, within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), Florida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. If the penalty is not paid in full within 15* days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. DATE: CHAIRMAN Todd Allen Print Name Attorney to the CLB PATRICK NEALE Code Enforcement Supervisor Michael Bogert For Contractor Licensing Board * If the 15th day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.M. on the County s next business day following that weekend or holiday. Approved as to form and legal sufficiency Page 14 of 496 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Finger, Quincy A. 26636 Southern Pines Dr. Apt. G101 Bonita Springs, FL 34135 CLB Agenda Date: 2-19-2025... Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12087 CEUL20240007859 on 08120/24, to Fincler, Quincy A., in the amount of $1,000.00, within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), Florida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. If the penalty is not paid in full within 15* days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. DATE: CHAIRMAN Todd Allen Print Name Attorney to the CLB PATRICK NEALE Code Enforcement Supervisor Michael Bogert For Contractor Licensing Board * If the 15th day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.M. on the County s next business day following that weekend or holiday. Approved as to form and legal sufficiency Page 15 of 496 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY GIL GONZALEZ, ALVARO 4711 25th St SW Lehigh Acres, FL 33973 CLB Agenda Date: 2-1 -2 2 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 11949 CEUL20240009461 on 09/29/24, to GIL GONZALEZ, ALVARO, in the amount of $1,000.00, within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), Florida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. If the penalty is not paid in full within 15* days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. DATE: CHAIRMAN Todd Allen Print Name Attorney to the CLB PATRICK NEALE Code Enforcement Supervisor Michael Bogert For Contractor Licensing Board * If the 15th day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.M. on the County s next business day following that weekend or holiday. Approved as to form and legal sufficiency Page 16 of 496 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Cale Lenhart 1336 Highlands Drive Naples, FL 34103 CLB Agenda Date: 2-1 -2 2 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12942 CEUL20240009300 on 11/01124, to Cale Lenhart, in the amount of $1,000.00, within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), Florida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. If the penalty is not paid in full within 15* days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. DATE: CHAIRMAN Todd Allen Print Name Attorney to the CLB PATRICK NEALE Code Enforcement Supervisor Michael Bogert For Contractor Licensing Board * If the 15th day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.M. on the County s next business day following that weekend or holiday. Approved as to form and legal sufficiency Page 17 of 496 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Schmit, Jean Alves 9146 SW Pepoli Way Port Saint Lucie, FL 34987 CLB Agenda Date: 02/19/2025 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12108 CEUL20240009462 on 09/29124, to Scbmit, ,lean Alves, in the amount of $300.00, within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), Florida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. If the penalty is not paid in full within 15* days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. DATE: CHAIRMAN Todd Allen Print Name Attorney to the CLB PATRICK NEALE Code Enforcement Supervisor Michael Bogert For Contractor Licensing Board * If the 15th day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.M. on the County s next business day following that weekend or holiday. Approved as to form and legal sufficiency Page 18 of 496 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA 101:14114.1111111111919-1V&A1y1Ma0E-1 TWA PEREZ,EDGAR 11600 SAUNDERS AVE Bonita Springs, FL 34135 CLB Agenda Date: - - Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12950 CEUL20240007698 on 08/19124, to PEREZ, EDGAR, in the amount of $1,000.00, within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), Florida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. If the penalty is not paid in full within 15* days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. DATE: CHAIRMAN Todd Allen Print Name Attorney to the CLB PATRICK NEALE Code Enforcement Supervisor Michael Bogert For Contractor Licensing Board * If the 15th day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.M. on the County s next business day following that weekend or holiday. Approved as to form and legal sufficiency Page 19 of 496 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Garcia, Doris 9108 Cypress Dr N Estero, FL 33967 CLB Agenda Date: 2/19/2025 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12928 CEUL20240009955 on 10117/24, to Garcia, Doris in the amount of _$1 000.00, within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), Florida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violators address as noted on the Citation. If the penalty is not paid in full within 15* days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. DATE: CHAIRMAN Todd Allen Print Name Attorney to the CLB PATRICK NEALE Code Enforcement Supervisor Michael Bogert For Contractor Licensing Board * If the 15th day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.M. on the County s next business day following that weekend or holiday. Approved as to form and legal sufficiency Page 20 of 496 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Salazar, Ivan 1244 Madison Ct Immokalee, FL 34142 CLB Agenda Date: -1 -2 2 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12747 CEUL20240007651 on 08/14/24 to Salazar Ivan in the amount of 1 000.00, within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), Florida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. If the penalty is not paid in full within 15* days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. DATE: CHAIRMAN Todd Allen Print Name Attorney to the CLB PATRICK NEALE Code Enforcement Supervisor Michael Bogert For Contractor Licensing Board * If the 15th day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.M. on the County s next business day following that weekend or holiday. Approved as to form and legal sufficiency Page 21 of 496 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Willey, Tyrone 5677 Heron Lane 107 Naples, FL 34110 CLB Agenda Date: 211912025 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12919 CEUL20240010140 on , to Willey. Tyrone, in the amount of $2,000.00, within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), Florida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. If the penalty is not paid in full within 15* days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. DATE: CHAIRMAN Todd Allen Print Name Attorney to the CLB PATRICK NEALE Code Enforcement Supervisor Michael Bogert For Contractor Licensing Board * If the 15th day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.M. on the County s next business day following that weekend or holiday. Approved as to form and legal sufficiency Page 22 of 496 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Loturco, Angelo W. 1224 Allen St. Fort Myers, FL 33916 CLB Agenda Date: 02/19/2025 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12086 CEUL20240007742 on 08/15/24, to Loturco, Angelo W., in the amount of $2,000.00, within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAID, Per Section 489.127(5) (g), Florida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. If the penalty is not paid in full within 15* days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. DATE: CHAIRMAN Todd Allen Print Name Attorney to the CLB PATRICK NEALE Code Enforcement Supervisor Michael Bogert For Contractor Licensing Board * If the 15th day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.M_ on the County s next business day following that weekend or holiday. Approved as to form and legal sufficiency Page 23 of 496 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Orestes Corrales 1025 Dockside Ct Naples, FL 34114 CLB Agenda Date: 2/19/2025 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12941 CEUL20240007954 on 08/27/24, to Orestes Corrales, in the amount of $1,000.00, within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), Florida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. If the penalty is not paid in full within 15* days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the fling of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. DATE: CHAIRMAN Todd Allen Print Name Attorney to the CLB PATRICK NEALE Code Enforcement Supervisor Michael Bogert For Contractor Licensing Board * If the 15th day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.M. on the County s next business day following that weekend or holiday. Approved as to form and legal sufficiency Page 24 of 496 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Finger, Quincy A. 26636 Southern Pines Dr. Apt. G101 Bonita Springs, FL 34135 CLB Agenda Date: 2/19/2025 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12793 CEUL20240007591 on 08/20124, to Finger, Quincy A., in the amount of $1,000.00, within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), Florida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. If the penalty is not paid in full within 15* days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. DATE: CHAIRMAN Todd Allen Print Name Attorney to the CLB PATRICK NEALE Code Enforcement Supervisor Michael Bogert For Contractor Licensing Board * If the 15th day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.M. on the County s next business day following that weekend or holiday. Approved as to form and legal sufficiency Page 25 of 496 pheation, foe rnijsj�bb- ;aid Upon, aop0l.val b6d is,NOT ation must bMiaty r.Ktdh,;p.r,legit) y omdrit0d..' The ap pt, POW i 1k1 �Joho or f0ith e' r A, chop9:I hdiJi ' " " 'd coaq Y bowd of ou 2 0. Vpl�, QVCERTIFICW: OF CO.,. ETES Lx. 0 General $230.00 0 :Electrician $230100 n..Building '$230.00 0 Plumber $230,D0 521'/Residentlal $2$0,.00 0 Air Conditioner MOM CI Mechanical .$230.00 El Swimming Poo[ $230.00 .0 l3boting '$00JQ0 Q :Sppciaftly $205.00: SpecialtyTrade: 1. APPLICANT PERSONAL INFORMATION: Name: Busine.s.s.NaIrrie: 'Address: I I b EMS114 -P Middle INW1 Na 31A 111-0 ate, Zip fi *$S #.(Last 4 digits: only), Driv eft Liathse # (Last 4 digits only), ,Ott ntto0ol!!0rCpun1yContqopr kiconsing,QrdinanceNo. 200"13.,sac1lon alapplicantsarerequired to submittiloir social security and Mate of birth for: tile folio W-1. R.P.Urp' it lllstory, b) Vqr1ficatlio of ap; It' t" test Infor aflo pplica t's ndty, bur o.. e will only use the personat .p. cams scores *10 . M n. c) Veftflr�fio of a I i ide information noted above for those hose reasons pursuant: I to.Chapter 119, Florid4l Statutes, and as May other Msebe authorized by few.. am fully committed t6;$Dfe9u, arding acid .prole brig.yopr persc�001 information, and once collected, Will be mairi ined as confidential: and exempt under I ',plehpr 149, Florida Statutes. oWraciorUcansing, F . IRM Apoilcation Rev. 7/2022 Page3 of 14 .. . .. . ..... -0peratloAsz& Req.tOtory. WhagerponValvislon. Contractor Licensing .:28QQ North Horseshoe DNyq o Maples;:FL34104 * (0) 252-2431 Page 26 of 496 cn per County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY Provide the names and telephone numbers of two persons who will always know your whereabouts. Name: OSA R6M'(Jt Name:—, �►kk� K�.S�► �� Telephone: QlJ 7 7 b Telephone: C% c>s - b _3 y' 3 i 7 _ II. NAME OF APPLICANT'S BUSINESS: Business Name: C— *X (1 C12-i y 1.S rxt I f'� fir�u�1 S t k 5 A' U t Business Address: I I b <i3 -TA e rL- ur— NfiP! GJ C(-- (41 2,L) Street CEty State Zip Telephone: q O R' -710 `l I c O Email: c►L��U�IS f�kl MA'r� crJ Lid f�iNu+� , C G^\ Federal ID Tax No.: C U L �J 3 III. FINANCIAL RESPONSIBILITY YES NO ALL APPLICANTS MUST ANSWER THE QUESTIONS BELOW: Filed for or been discharged in bankruptcy within the past 5 years? Had a lien filed against you by the Internal Revenue Service or Florida Corporate Tax Division? Undertaken construction contracts or work that resulted in liens, suits, or judgments being filed? Undertaken construction contracts or work that a third party, such as a bonding or surety company, completed or made financial statements on? / / Made an assignment of assets in settlement of construction obligations for less than the debts outstanding? Been convicted or found guilty of, or entered a plea of nolo contendere to, regardless of adjudication, a crime in any jurisdiction within the past 10 years?* Had claims or lawsuits filed for unpaid or past due accounts by your creditors as a result of construction experience? Been charged with or convicted of acting as a contractor without a license, or if licensed as a contractor in this or any other state, been "subject to" disciplinary action by a state, county, or municipality? NOTE. If you have answer YES to any of the questions below, you must attach a written explanation including the nature of the charges, dates, and outcomes, sentences of conditions imposed. You must also attach proof of payment, satisfaction of lien or judgement, bankruptcy discharge, or agreements for payment.*If you have had a felony conviction, proof that your civil rights have been restored will be required prior to licensure. Contractor Licensing — FIRM Application Rev. 712022 Page 4 of 14 Operations & Regulatory Management Division, Contractor Licensing r 2800 North Horseshoe drive . Naples, FL 34104 s (239) 252-2431 c ontractorslicensi �t roliiercountyiix-ov Page 27 of 496 CO Y ►urxt Growth Management Com,uunity GevelopmeM Department APPLICATION FOR COLLIER COUNTY CERTIFICATF OF COMPETENCY IV. EXPERIENCE VERIFICATION DUCATIOW List below and provide transcripts for any formal education you have obtained in the area of competency for which this application is being made: 01 1 L ed'(:Cl bile-qe- ~ T) in Pt�lqunnd �4QOtt.QPn'le-n c List below non formal education (on the job training) you have obtained in the area of competency for which this application is being made: r/"1Y �p �" 11 T _ rvfie�F �lEcjui" i 1 i�ttiCh- l �.:€s°fir t^ri;(1t� L;D; v�i�cn� �t� t t i`o4`s t r 4' �z'La,. eAU ft 4- A [ & rt'cm z-s %e vcxy# i-Vcq+�fti caz: r 5 WW ,l`1 N�inlpa Nam, c�17Zs� CURRENT/PREVIOUS LICENSE: List below and attach copies any other certificates of competency/licenses you hold/have held in Collier County or any other jurisdiction. Include the license #, Type, and county you hold it in. el L" St T 14o Ili 41voij kes, d,-- ni- Sty ubb'c AJJ�Urer bi4r.As c 0 ! Z Y I t3 AFFIDAVIT I3�}TUTU 7Zoo ceafe- '*447' Under the penalties of perjury, I declare that I have read the foregoing application and the facts stated in it are true. Applicant (please print _ 1 Signature of Applicant State of New - e2s'g? f County of_r�(_(�Nlt/�Ll� �� The foregoing instrument was acknowledged before me by means of L'pllysical presence or ❑ online notarization on this day of ,Q&,7 62 202, by /' G / E /l Re-r1oi ek- 4` ,y1111111111ti/11t Such person(s) Notary Public must check applicable box: .�'�� / •, c ❑ are personally known to me � has produced a current driver license + _ ti` ❑ has produced as identification. (Notary Sea]) i iifllft 111111 y1i Notary Contractor Licensing — FIRM Application Rev. 712022 ' Page 5 of 14 Operations & Regulatory Management Division, Contractor Licensing ® 2800 North Horseshoe Drive ® Naples, FL 34104 o (239) 252-2431 cc�ntrac=c�rsfice�3;l�tg�,coliierrs�iint i.co! Page 28 of 496 liw Cn YeT CO-U ty Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY CERTIFICATION OF APPLICATION The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County No. 2006-46, as amended, and under penalties of perjury. I declare that I have read the foregoing qualifier information and that the facts stated in it are true. The undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to be licensed in all matters connected with its contracting business and that he has full authority to supervise construction undertaken by himself or such business or organization and that he will continue during this registration to be able to so bind said business organization. The qualified license holder understands that in all contracting matters, he/she will be held strictly accountable for any and all activities involving his license. Any willful falsification of any information contained herein is grounds for disqualification. State ofxeulw7GfZS County of The, regoing instrument was acknowledged The, of ��'!� , 20 z , by "I rW-& 11 Q- A lc — Applicant (please print (%w (�-► �Ns l ��•Js i.l S v� i c _ Name of Company Sigihature of Applicant me by means of IK physical presence or ❑ online notarization on this Such person(s) Notary Public must check applicable box: ❑ are personally known to me ❑ has produced (Notary Seal) X has produced a current driver license as identification. Notary Signature: ZA,� , •��tiZY P(jel C '••,�OFiniuR"�,, Contractor Licensing — FIRM Application Rev. 712022 Page 6 of 1 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 e (239) 252-2431 contractnrsiicr--,using@rolls:-counfyifl_gau Page 29 Of 496 Cqr County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY WORKMEN'S COMPENSATION AFFIDAVIT It is understood and acknowledged by the Collier County Contractors' Licensing Board and myself that if I fail to acquire, or maintain at all times effective Workmen's Compensation Insurance it will result in the possible revocation of my Certificate of Competency. e, ck Applicant (please print Ndmk of Company Signature of Applicant BEFORE ME this day personally appeared ! (� t�v Vl� �� LJ �� I /� who affirms and Applicant (please print) says that he has less than one employee and does not require Workmen's Compensation understands that at any time he employees one or more persons he must obtain said Workmen's Compensation insurance. State of N eW 5 L'County of The foregoing instrument was acknowledged , �-711ay of 0Gr.1-1)y3C6Z , 20 Z-� , by J` 'DN to u Ttl me by means of R'physical presence or ❑ online notarization on this ,ell 12es 1,)1 e% Such person(s) Notary Public must check applicable box: ❑ are personally known to me ❑ has produced (Notary Seal) 24 has produced a current driver license as identification. Notary Signature; Contractor Licensing — FIRM Application Rev. 712022 Page 7 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicrnsinofci�collie reaun tl. ov Page 30 of 496 Co 7e� C014"ty Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY. CERTIFICATE OF COMPETENCY STATEMENT OF OWNERSHIP This certifies that I, a-ej A JL am a member or managing APPLICANT'S NAME (please print) member {LIMITED LIABILITY C.. I own i U % of the units issued by the Limited Liability Company listed above. Affidavit of Applicant: I certify under penalty of perjury that the information contained is a true and correct statement to the best of my knowledge. Applicant (please print) �X�ii f�T f r�l I p� -t ie7 hLs W rat- LL C —r Name of Company Signature of Applicant State of kel,d je,2seq County of AtlQliiNYP'l The_oregoing instrument was acknowledged before me by means of $ physical presence or ❑ online notarization on this day of 061-V3 , 20 , by 16 Jrr/�G A� g[ 1V1 G!G — Such person(s) Notary Public must check applicable box: ❑ are personally known to me Z has produced a current driver license ❑ has produced (Notary Seal) as identification. Notary Signature: ...... 1,11„1f,,.. Contractor Licensing -- FIRM Application Rev. 712022 Page 9 of 14 Operations & Regulatory Management Division, Contractor Licensing s 2800 North Horseshoe Drive . Naples, FL 34104 • (239) 252-2431 contractorsiice nsing(nicoIlie rcount%r"igo_v Page 31 of 496 COIC 0144,lty, Growth Management Community Development Department 1 1C N.EC3i _CC:I UER C Chi 1N i � - r-; T IfIC ATE CAP COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name: 1 ve`�"e-' o \ 1 [.� Certificate Category Requested: 1\ f L-) EN I N itZ1,1'ti The applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate, the applicant must verify his/her experience within this trade. You are being requested to provide information that will aid the applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker (e.g., as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience for the above -named applicant must provide the following information: Name ` 1 0 j if�b l'1 �'1 u Title: Dt Business Name: 1 e I Phone: ,7 31,& Z--4`2_16 LD License No. (if applicable): A�fritArBusiness Address: l .1-c Street City State Zip The applicant was employed by me from G 1 to a Applicant's title: 1"Cc N The applicant's scope of work (specific duties) included:_ �-SMIk IiNQ �4— V-C S � jnC4 "1 y'�le N I 1�i i�lCA �t 1f1 �� J/�1L�Fj+1� L.)� Additional comments: NOTE TO LICENSED CONTRACTORS: Falsifying any information provided herein may subject yourlicense to revocation. Linder penalty of penury, I declare that the facts stated here are true. State of k %_ W _714CCount S /,,ntref person providing the statement y of r`%C>ri � L' The foregoing instrument was acknowledge efare me means oft physical presence or ❑online notarization on this S—day of QSj&bAr�, 20.X1 , by _ . I P I P 1 R1Lvkw Such person(s) Notary Public must check applicable box: are personally known to me has produced a current driver licensed;K, .,, MARIA BUTi'ITTA produced. ,� LA (j' f tz : AIQTARN W MR UBLIC ]as � tlri.r 9� ~ as identification. ' � F STATE OF NEW 1SR5EY 3 ;_`�� iD # 5052411 (Notary Seal) MY COMMISSION F_XPIRI S ]AN. 12, 2027 Notary 5ignaturc: Contractor Licensing— FIRM Application Rev. 712022 Page 12 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive . Naples, FL 34104 . (239) 252-24,11 contraciorsiicensinc o aliie,rt,cf r,bif#.; Page 32 of 496 DE IMPROVEMENTS, LLC Millstone NJ 732-642-4266 NJ LIG #13VHO7359700 Dear Collier County; phillipdinonno@mail . c om 10/24/2023 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 No. Lno MARIA BUTTIT"I'A NOTARY PUBLIC r�f t' k STATE OF NEW JERSEY ` T1 lit # 5052411 MY COMMISSION EXPIRES JAN. 1212027` Page 33 of 496 1WW 4Z11Q1tWr C;014nty Gmwth klanigenierat L1*-W,-txneot Contractor Licensing 2800 N, Horseshoe Dr, Naples: FL, 34ID4 239-252-2400 APPUCATtON' FOR S. Ltw;ER C 4,JY CERT;PiCAT11' 0;: VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name. Mitchell Resnick Certificate Category RequestedResidential Contractor License The applicant is seeking a Collief County Certificate of Competency in the trade indicalled above. As part of the application for this Certificate, the applicant must verify Nsther experience Mthin this trade You are being requested to provideinfo(mation that YOM aid the applicant in meeting this requirement. You shoulo verify time at active experience working as an apprentk* or a skilled worker (e.g:, as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role shutid be des. cribed, but tray or may not be considered sufficient to demonstrate required trade expe rierKx . The person verM trade experience fof the above-narried applicant must provide the foliovrrg information: Name, Brian Sujevich Business Name Green Coast Homes Inc Phone: 239-834-8717 RusinessAddressy 5660 STRAND CT. Street The applicant was employed by me frorTi Applicant's title- Job Forman Tift, President/Owner CGC062951 License No (it applicable): _,_ NAPLES FL 34110 c,ly State Z;P NOV 2023 to JAN 2025 The applicant's scope of work (snecific Wi"-i inrlujpdMitch is responsible for overseeing daily operations at a worksite to ensure the completion of projects in a safe and efficient manner. Additional cowirients: NOTE TO LICENSED CONTRACTORS. Falsffying any information provided herein may subject your license to revocation Urdef periatty of perjury, I declam that the facts stated here ;are tnje, Lam' 1 State, of County of (,-e r- foregoing jnWuuwnt was at knowlirdgW b0i)r- me by merits cif P111,4CUl P-XiCTWCOT�— online txxarimucincin this ��yof aClllbAr .20?� by K;al) Such pers(osj Notuy Public must check appljc�itje 1xvK 0 are personall\ kno%-.,n it) me fita, p-Auced a curTerit driver I wenge 7 ba.9 produced as identification (Notskry Seal) tA % Y Corn Novem- - Expi = NotarY (p No. HH 3 1, 20261 ZZ A FL& H-m.,.Applic-ahon doex Rev 4/M2020 Page 10 of 115 Page 34 of 496 Date: 4/10/2024 GREEN COAST HOMES INC 4/10/2024 LIC#CGCO62951 5660 STRAND CT. NAPLES FL 34110 239-834-8717 Dear Collier County Board of Contractors. I, Brain A. Sujevich, have known Mitch Resnick for a little over three years and have been working together for almost a year now, not only on small jobs like installing hurricane screens, shutters, and pool cages to supervising more difficult projects, like home building and home remodeling. He is a very kind and considerate person and works well with other people. He is a hard worker and definitely a perfectionist. Mitch is extremely knowledgeable about home building, home improvements, and home designs. He is a hands-on person who likes working with his hands and mind to make whatever project we have come out right. I highly recommend Mitch for whatever home projects he sets his mind to and hands-on. Thank you, Brian Sujeyich, President and Owner Green Coast Homes, Inc. I Contracting I Roofing I Solar green•coast GENERAL CONTRACTING I ROOFING I SOLAR I INSURANCE CLAIM ASSISTANCE I CUSTOM HOMES I RESIDENTIAL I COMMERCIAL NAPLES: 239.834.8717 1 5660 Strand Court, Unit #A66 I Naples, Florida 34110 1 INFO@ GOGREENCOAST.COM I FL GC License: CGC062951 I Roofing License: CC0331504 1 SOLAR LICENSE: CVC57181 Page 35 of 496 ................................... --- ---- -_--- -------- EL C -RICIAN:S State Of New Jersey n `cn LICENSE BER'S New Jersey Office of the Attorney General Division of Consumer Affairs THIS 1S TO CERTIFY THAT THE Hobe Improvement Contractors x 0 m ti HAS REGISTERED w = m EXPERT INSTALLATIDNS LLC SO N Mitchell Resnick W �� 145 Hwy 33 East Englishtown NJ 07726 m= }12 zT oe W�"p"0 �, O N o O * E' � c � r a FOR PRACTICE IN NEW JERSEY AS A(N): Home Improvement ContradDr N w ID E ¢ F O O N =1UmwHm0 p o H CW cm m U)E F E m o (n Lr N to > c m (n m .? 2 o¢ ,,f o 4 r p C4 ri m r U zo'TTw= z 02J1612023 TO 03/3112024 VALID Signature of Licensee,'RagisiranUCertificate Holder 13VH07017200 LICENSE.'REGISTRATION;CERTIFICATION 0 (I. ("; � &� "ACTING DIRECTOR I PLEASE DETACH HERE IF YOUR LICENS EIREGISTRATIONI CERTIFICATE ID CARD IS LOST PLEASE NOTIFY: Home Improvement ContrActors P.O. Box 45016 Nevaxk, NJ 01101 4 PLEASE DETACH HERE I Page 36 of 496 .as .experian, a Prepared For MITCHELL RESNICK Personal & confidential Date generated: Jan 2, 2025 At a glance FIC06 Score 8 FlCO 813 Experian data Jan 2, 2025 300 850 Exceptional Account summary Overall credit usage Debt summary Open accounts 7 Credit card and credit line $2,088 Self -reported accounts 0 debt Accounts ever late 0 26 % Self -reported account balance $0 Closed accounts 0 Loan debt $719,655 Collections 0 Collections debt $0 Average 7 yrs 5 mos Total debt $721,743 account age Credit used: $2,088 Oldest account 25 yrs 5 mos Credit limit: $8,000 Page 37 of 496 !experian, Personal information Name Addresses MITCHELL RESNICK 29 PORTCHESTER DR JACKSON, NJ 08527-4396 Also known as RESNICK MITCHELL 11658 JASPER CT NAPLES, FL 34120-3840 Generational identifier 18 STAYMAN CT MANALAPAN, NJ 07726- Year of birth 7929 1966 Personal statements No Statement(s) present at this time Prepared For MITCHELL RESNICK Date generated: Jan 2, 2025 Employers EXPERT INSTALLATIONS LLC MANOR CARPET INC Page 38 of 496 ! experian, Prepared For MITCHELL RESNICK Date generated: Jan 2, 2025 a Open accounts AES/COGLEND $26,735 Exceptional payment history Balance updated Nov 30, 2024 t Account info Account name AES/COGLEND Balance $26,735 Account number 802222XXXXXXXXXXX Balance updated Nov 30, 2024 Original creditor - Original balance $26,500 Company sold - Paid off 0% Account type Education Monthly payment $207 Date opened Sep 05, 2024 Last Payment Date Nov 05, 2024 Open/closed Open Terms 180 Months Status Open/Never late. Responsibility Joint Status updated Nov 2024 Your statement $ Payment history Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2024 - - - - - - - - I V - Current l T-.— me[ . DO. Une J.ble 0 Contact info Address 1200 N 7TH ST HARRISBURG, PA 17102 Phone number (800) 233-0557 Comments Principal deferred/interest payment only Page 39 of 496 . experian, Prepared For MITCHELL RESNICK Date generated: Jan 2, 2025 ALLY FINANCIAL $33,420 Exceptional payment history Balance updated Dec 05, 2024 D_ Account info Account name ALLY FINANCIAL Balance $33,420 Account number 228399XXXXXX Balance updated Dec 05, 2024 Original creditor - Original balance $34,159 Company sold - Paid off 2% Account type Auto Loan Monthly payment $660 Date opened Aug 21, 2024 Last Payment Date Nov 08, 2024 Open/closed Open Terms 60 Months Status Open/Never late. Responsibility Individual Status updated Dec 2024 Your statement $ Payment history Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2024 - - - - - - - - - V J C—T i Terms met . Data Unavailable 0 Contact info Address Phone number Comments 200 RENAISSANCE CTR # BO DETROIT, MI 48243 (800) 200.4622 Page 40 of 496 ! exper ian, Prepared For MITCHELL RESNICK pate generated: Jan 2, 2025 CROSSCOUNTRY/MR COOPER $156,919 Exceptional payment history Balance updated Nov 30, 2024 r Account info Account name CROSSCOUNTRY/MR COOPER Balance $156,919 Account number 72189OXXX Balance updated Nov 30, 2024 ` Original creditor - Original balance $180,000 Company sold - Paid off 13% Account type Mortgage Monthly payment $1,787 Date opened Jan 28, 2021 Last Payment Date Nov 11, 2024 Open/closed Open Terms 30 Years Status Open/Never late. Responsibility Individual Status updated Nov 2024 Your statement $ Payment history Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2024 - ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ - C-em i Ter= met 0 Contact info Address Phone number Q Comments Data Unavailable 8950 CYPRESS WATERS BLVD COPPELL, TX 75019 (214)240-4640 Page 41 of 496 ! exper is n, Prepared For MITCHELL RESNICK Date generated: Jan 2, 2025 NATIONSTAR/MR COOPER $187 364 Exceptional payment history Balance updated Nov 30, 2024 n Account info Account name NATIONSTAR/MR COOPER Balance $187,364 Account number 597362XXX Balance updated Nov 30, 2024 Original creditor - Original balance $272,000 Company sold - Paid off 31% Account type Mortgage Monthly payment $1,683 Date opened Ju127, 2007 Last Payment Date Nov 11, 2024 Open/closed Open Terms 38 Years Status Open/Never late. Responsibility Individual Status updated Nov 2024 Your statement $ Payment history Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2024 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2023 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2022 ✓ ✓ 2021 ✓ ✓ ✓ 2020 ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2019 2018 ✓ ✓ ✓ 2017 ✓ '.. - Cerreetti Terms met Date Unavad.W 0 Contact info Address 8950 CYPRESS WATERS BLVD COPPELL, TX 75019 Phone number (888) 480-2432 Comments Loan modified under a federal government plan Page 42 of 496 . experian, Prepared For MITCHELL RESNICK Date Jan 2, 2025 generated: PENNYMAC LOAN SERVICES $315,217 Exceptional payment history Balance updated Dec 05, 2024 Account info Account name PENNYMAC LOAN SERVICES Balance $315,217 Account number SSE001XXXXXXXXXX Balance updated Dec 05, 2024 Original creditor - Original balance $325,000 Company sold - Paid off 3% Account type Mortgage Monthly payment $2,559 Date opened Aug 26, 2022 Last Payment Date Nov 11, 2024 Open/closed Open Terms 30 Years Status Open/Never late. Responsibility Individual Status updated Dec 2024 Your statement $ Payment history Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2024 1 V V I V V I 2023 2022 - Cur—IT-TI met - - pats unava464. - I9 Contact info Address 6101 CONDOR DR STE 200 MOORPARK, CA 93021 Phone number (818) 224-7442 Q Comments Page 43 of 496 •. ! exper is n, Prepared For MITCHELL RESNICK Date generated: Jan 2, 2025 SYNCB/PPC $0 Exceptional payment history Balance updated Dec 03, 2024 n Account info Account name SYNCB/PPC Balance $0 Account number 604419XXXXXX Balance updated Dec 03, 2024 Original creditor - Credit limit $3,000 Company sold - Credit usage Oho Account type Credit card Monthly payment $0 Date opened Nov 29, 2019 Last Payment Date Apr 26, 2024 Open/closed Open Highest balance $2,583 Status Open/Never late. Terms - Status updated Dec 2024 Responsibility Individual Your statement $ Payment history Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2024 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2023 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2022 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2021 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2020 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2019 - - ✓ Curren; i iennti met Data Unavaliable O Contact info Address PO BOX 530975 ORLANDO, FL 32896 Phone number (844) 373-4961 Q Comments Page 44 of 496 !experian, SYNCBIPPMC Exceptional payment history �? Account info Account name SYNCB/PPMC Account number 521853XXXXXX Original creditor - Company sold - Account type Credit card Date opened Oct 25, 2020 Open/closed Open Status Open/Never late. Status updated Dec 2024 Prepared For MITCHELL RESNICK Date generated: Jan 2, 2025 $2,088 Balance updated Dec 20, 2024 Balance $2,088 Balance updated Dec 20, 2024 Credit limit $5,000 Credit usage 41% Monthly payment $30 Last Payment Date Nov 08, 2024 Highest balance $3,853 Terms - Responsibility Individual Your statement $ Payment history Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2024 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 202] j ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2022✓ ✓ 2021 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2020 - ✓ ✓ ✓ Curten?1'lerms met 0 Contact info Address Phone number Q Comments Data Un—labia PO BOX 965005 ORLANDO, FL 32896 (866)300-6432 Page 45 of 496 . experian, Prepared For MITCHELL RESNICK Date generated: Jan 2, 2025 Closed accounts ALLY FINANCIAL Closed Exceptional payment history D Account info Account name ALLY FINANCIAL Balance - Account number 628927XXXXXX Balance updated - Original creditor - Original balance $12,701 Company sold - Monthly payment - Account type Auto Loan Last Payment Date May 13, 2019 Date opened Nov 20, 2018 Terms 60 Months Open/closed Closed Responsibility Individual Status Paid, Closed/Never late. Your statement - Status updated May 2019 $ Payment history Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2019 as - - - 2018 - - Current i Terme met 0 Contact info Address Phone number (� Comments CLS Closed . D.I. Unavailable 200 RENAISSANCE CTR # SO DETROIT, MI48243 (800)200-4622 Page 46 of 496 lexperian.. CROSSCOUNTRY MTG/DOVEN Exceptional payment history t e Account info Account name CROSSCOUNTRY MTG/DOVEN Account number 310147XXXXXXX Original creditor - Company sold - Account type Mortgage Date opened Jan 28, 2021 Open/closed Closed Status Transferred,closed/Never late. Status updated Feb 2024 $ Payment history Prepared For MITCHELL RESNICK Date generated: Jan 2, 2025 Closed Balance Balance updated Original balance $180 000 Monthly payment - Last Payment Date Jan 11, 2024 Terms 30 Years Responsibility Individual Your statement Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2024 ✓ Cis — — 2023 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2022 ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2021 - ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ Curtest! Terms met C.S Closed Pala Unavausble Q Contact info Address 1 CORPORATE DR STE 360 LAKE ZURICH, IL 60047 Phone number (847) 550-7300 D Comments Transferred to another lender Page 47 of 496 . experian. Prepared For MITCHELL RESNICK Date generated: Jan 2, 2025 JPMCB AUTO Closed Exceptional payment history n Account info Account name JPMCB AUTO Balance - Account number 119122XXXXXXXX Balance updated - Original creditor - Original balance $21,431 Company sold - Monthly payment - Account type Auto Loan Last Payment Date Jun 10, 2024 Date opened May 06, 2019 Terms 75 Months Open/closed Closed Responsibility Individual Status Paid, Closed/Never late. Your statement - Status updated Jun 2024 $ Payment history Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2024 ✓ ✓ ✓ J ✓ CLs - — — - — 2023 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2022 ✓ J ✓ ✓ ✓ ✓ 2021 ✓ J J ✓ J J ✓ 2020 ✓ ✓ ✓ ✓ ✓ 2019 ✓ ✓ ✓ ✓ N—t / Terms met 0 Contact info Address PO BOX 901003 FORT WORTH, TX 76101 (800)336-6675 Phone number Q Comments CLS Closed Data Unavai able Page 48 of 496 ! experian, Prepared For MITCHELL RESNICK Date generated: Jan 2, 2025 JPMCB AUTO Closed Exceptional payment history C'x Account info Account name JPMCB AUTO Balance - Account number 11928OXXXXXXXX Balance updated - Original creditor - Original balance $12,090 Company sold - Monthly payment - Account type Auto Loan Last Payment Date Feb 27, 2024 Date opened Oct 14, 2019 Terms 72 Months Open/closed Closed Responsibility Individual Status Paid, Closed/Never late. Your statement Status updated Feb 2024 $ Payment history Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2024 ✓ C s 2023 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2022 ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2021 ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2020 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2019 - - - - ✓ ✓ '.. Cor—t i Terms met CLS Closed Data Unavailable 0 Contact info Address PO BOX 901003 FORT WORTH, TX 76101 Phone number (800) 336-6675 Q Comments Page 49 of 496 experia n. Prepared For MITCHELL RESNICK Date generated: Jan 2, 2025 M&T BANK Closed Exceptional payment history (R Account info Account name M&T BANK Balance - Account number 738009XXXXXXX Balance updated - Original creditor - Original balance $650,000 Company sold - Monthly payment - Account type Mortgage Last Payment Date Jan 29, 2021 Date opened Feb 26, 2009 Terms 30 Years Open/closed Closed Responsibility Individual Status Paid, Closed/Never late. Your statement Status updated Jan 2021 $ Payment history Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2021 cis - - - - - - - - - - - 2020 '/ ✓ ✓ NO NO NO NO ND NO NU NO 2019 ✓ ✓ ✓ ✓ ✓ ✓ 2018 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2017 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2016 NO NO ✓ ✓ ✓ ✓ ✓ ✓ C.—ti T..—at NO No data fm AKs pat lod US cbsed Data UnawallaWe 0 Contact info Address 1 FOUNTAIN PLZ BUFFALO, NY14203 Phone number By mail only D Comments Page 50 of 496 ! experian, Prepared For MITCHELL RESNICK Date generated: Jan 2, 2025 MACYS/CBNA Closed Exceptional payment history Account info Account name MACYS/CBNA Balance - Account number 422117XXXXXX Balance updated - Original creditor - Credit limit $800 Company sold - Monthly payment - Account type Charge Card Last Payment Date Jan 24, 2013 Date opened Aug 28, 1999 Highest balance $2,703 Open/closed Closed Terms - Status Paid, Closed/Never late. Responsibility Individual Status updated Feb 2018 Your statement $ Payment history Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2018 ✓ CLc - - - - - - 2017 NO NO NO ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2016 ND NO NO NO NO NO NO NO NO NO NO NO 2015 NO NO NO NO NO NO NO NO NO NO NO NO 2014 '/ ✓ CLS NO NO NO ND NO NO NO NO 2013 CLS CLS CLS CLS NO ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2012 NO NO ND NO NO CLS CLS CLS CLS CLS 2011 - ✓ ✓ ✓ NO ✓ ✓ ✓ ✓ ✓ ✓ Current! Terms met NO No date for fils period CLS Clnsed Data t3na Rabie 0 Contact info Address PO BOX 8218 MASON, OH 45040 Phone number (800) 243-6552 ......... ..........,, ............. Q Comments Account closed at credit grantor's request Page 51 of 496 ! experianz Prepared For MITCHELL RESNICK Date generated: Jan 2, 2025 Collection accounts No collection accounts reported. Page 52 of 496 ! experian. Prepared For MITCHELL RESNICK pate generated: Jan 2, 2025 Public records No public records reported. Page 53 of 496 lexperian, Inquiries Prepared For MITCHELL RESNICK Date generated: Jan 2, 2025 ALLY FINANCIAL ALLY FINANCIAL MIDFLORIDA CREDIT UNTO Inquired on Aug 21, 2024 Inquired on Aug 21, 2024 Inquired on Aug 21, 2024 Business Type: Auto Financing Companies Business Type: Auto Financing Companies Business Type: Credit Unions 3010 W AGUA FRIA FWY STE 200 RENAISSANCE CTR 129 S KENTUCKY AVE PHOENIX, AZ 85027 DETROIT, MI 48243 LAKELAND, FL 33801 (866) 462-2770 (248) 263-3004 (863) 688-3733 This inquiry is scheduled to continue on This inquiry is scheduled to continue on This inquiry is scheduled to continue on record until Sep 2026 record until Sep 2026 record until Sep 2026 Page 54 of 496 C;0*7 CO-1414ty Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF tali COUNTY OF I, 4�h.�+' iJ'k having been first duly sworn, state and affirm: I am a resident of M05\AAQ ;, 'L, County, N"'L'; (State) and have resided here for more than five (5) years. During the last five (5) years I have known `t L (applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be a persyft of honesty, integrity and good character, Signature &&t-11 ,Vl'(Vol o Printed Name Address: a r1;t1 Ni'w RA l Street r City State Zip Telephone: i3r3-' 1pi ;- - qZ�1_ 6 State of w ' 441 County of Pilt� The foregoing instrument was acknowledged efo �me by'means of�physica[ presence or ❑online notarization on this a ' day of b lxU , 20 � , by j Such person(s) Notary Public must check applicable box: _j*re personally tcnown to tree 'Ahas produced a current driver license t 1�has produced AM S �)C)A r— Akas identification. (Notary Sea]) MARIA BUTTIT'T"A NOTARY PUBLIC 3ja_ STATE OF NEW JERSEY I D'# 5652411 MY COMMISSION EXPIRES JAN. 1272027 Notary Signature:--' ¢ Contractor Licensing— FIRM Application Rev. 7/2022 Page 14 of 14 Operations & Regulatory Management Division, Contractor Licensing a 2800 !North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicflnsing@c. ollierrokin I. ov Page 55 of 496 Comer C014vi y GrovAth Management Community De•.elcpment Department ilt-K FOR COUNTY CERTIFICAI-E CAP COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF w J-1�-rse COUNTY OF 0,0/17 0 i, I ep b-e_r I- & o l eyihc.jy1 , having been first duly sworn, state and affirm: I am a resident of _ County, /I1 I f a (State) and have resided here for more than five (5) years. During the last five (5) years I have known 0? i J�-c-h e-// (applicant). i have had the opportunity to observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and good character. Signature Printed Name Address: 2 3 6 - ,-v Street 1711 /a�a.1 AI r 07726 city or state Zip Telephone: 1 o / — 3 9 y e--, State of /Ut°w . j eiZS e4 County of 80A)WU l/t-% The oregoing instrument was acknowledged before me by means of 19 physical presence or ❑ online notarization on this Lday of 0 �7b�4 20 2-3 , by bee &�a v/l� Such person(s) Notary Public must check applicable box. © are personally known to me 09 has produced a current driver license © has produced as identification. (rotary Seal) Notary Signature: Contractor Licensing — FIRM Application Rev. 7/2022 Page 13 of 14 Operations & Regulatory Management DivisEoi), Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 — cantractors! censir_��coi'.ir�rna,,rtvt.,,ov_ Page 56 of 496 Cor tC014-1114ty Growth Management Community Development Department APPLICA:fION FOR COLLIER: COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATEOF V' COUNTY OF D a v t-"'o M • S i �-'_ej , having been first duly sworn, state and affirm: I am a resident of (_Y1t; 0iy\o!,& County, Nei g];vr<rU (State) and have resided here for more than five (5) years. During the last five (5) years I have known `'`� «h��1�� (applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and good character. State of lyew _e z s ey Countyof Unit yG U i14 C Signature 5CIJ Printed Name Address: I O I W� i oC C Stroet W(Q yl j.. R a r• rJ j 0__7-_7_ ZG City I I State Zip Telephone: -732 71N^ `) q PZ The fgregoing instrument was acknowledged before me by means of 0 physical presence or El online notarization on this �� day oEae,L 136 , 20 Z3 , by Such person(s) Notary Public must check applicable box: ❑ are personally known to me ❑ has produced (Notary Seal) 04 has produced a current driver ticens Contractor Licensing — FIRM Application Rev. 712022 as identification. Notary Signature: Page 13 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive + Naples, FL 34104 • (239) 252-2431 contracfarslicensinaCrlcolliF,rcquntvfi.00v Page 57 of 496 GITS, LLC Examination Operations Division Providing the services and products to assist Government Agencies to make informed educated decisions. Official Examination Score Report Official Score Report: Candidate Information: Name — Mitchell P. Resnick Candidate #: 5566170OR Online Testing Site: Ocala, FL Final Score Result: October 19, 2023 Residential Contractor Score: 86% 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. 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 Page 58 of 496 S INTERNAL REVENUEESERVICERY C IR CINCINNATI OH 45999-0023 EXPERT INSTALLATIONS USA LLC MITCHELL RESNICK SOLE MBR 11658 JASPER CT NAPLES, FL 34120 Date of this notice: 10-26-2022 Employer identification Number: 92-0836873 Form: SS-4 Number of this notice: CP 575 G For assistance you may call us at: 1-800-829-4933 IF YOU WRITE, ATTACH THE STUB AT THE END OF THIS NOTICE. WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER 'Shank you for applying for an Employer Identification Number (EIN). We assigned you EIN 92-0836873. This EIN will identify you, your business accounts, tax returns, and documents, even if you have no employees. Please keep this notice in your permanent records. Taxpayers request an EEN for their business. Some taxpayers receive CP575 notices when another person has stolen their identity and are opening a business using their information. If you did not apply for this EIN, please contact us at the phone number or address listed on the top of this notice, When filing tax documents, making payments, or replying to any related correspondence, it is very important that you use your EIN and complete name and address exactly as shown above. Any variation may cause a delay in processing, result in incorrect information in your account, or even cause you to be assigned more than one EIN. If the information is not correct as shown above, please make the correction using the attached tear -off stub and return it to us. A limited liability company (LLC) may file Form 8832, Entity Classification Election, and elect to be classified as an association taxable as a corporation. If the LLC is eligible to be treated as a corporation that meets certain tests and it will be electing S corporation status, it must timely file Form 2553, Election by a Small Business Corporation. The LLC will be treated as a corporation as of the effective date of the S corporation election and does not need to file Form 8832. To obtain tax forms and publications, including those referenced in this notice, visit our Web site at www.irs.gov. If you do not have access to the Internet, call 1-800-829-3676 (TTY/TDD 1-800--829-4059) or visit your local IRS office. Page 59 of 496 DIVISION OF CORPORATIONS � dvl[;(f '.. f r r r trrt u1'lkics! .�ftuY uJ f'Lutd+r rr _�Pistr� Department of State 1 Division of Corer _CLons 1 Search Records 1 Search by Entity.Name 1 Detail by Entity Name Florida Limited Liability Company EXPERT INSTALLATIONS USA LLC Filing Information Document Number L22000455587 FEIIEIN Number 92-0836873 Date Filed 10/2412022 Effective Date 10/19/2022 State FL Status ACTIVE Principal Address 11658 JASPER CT. NAPLES, FL 34120 Mailing Address 11658 JASPER CT. NAPLES, FL 34120 Registered Agent Name & Address RESNICK, MITCHELL 11658 JASPER CT. NAPLES, FL 34120 Authorized Person(s) Detail Name & Address Title MGR RESNICK, MITCHELL 11658 JASPER CT NAPLES, FL 34120 Annual Reports Report Year Filed Date 2023 02/16/2023 Document Images 02116l2023 -- ANNUAL REPORT View image in PDF format laLZAaQ22 -- Florida Limited Liability View image in PDF format Page 60 of 496 Electronic Articles of Organization For Florida Limited Liability Company Article I The name of the Limited Liability Company is: EXPERT INSTALLATIONS USA LLC L22000455587 FILE® 8:00 AM October 24, 2022 Sec. Of State oisimmons Article II The street address of the principal office of the Limited Liability Company is: 11658 JASPER CT. NAPLES, FL. 34120 The mailing address of the Limited Liability Company is: 11658 JASPER CT. NAPLES, FL. 34120 Article III The name and Florida street address of the registered agent is: MITCHELL RESNICK 11658 JASPER CT. NAPLES, FL. 34120 Having been named as registered agent and to accept service of process for the above stated limited liability company at the place designated in this certificate, I hereby accept the appointment as registered agent and agree to act in this capacity. I further agree to comply with the provisions of all statutes relating to the proper and complete performance of my duties, and I am familiar with and accept the obligations of my position as registered agent. Registered Agent Signature: MITCHELL RESNICK Page 61 of 496 Article IV L22000455587 The name and address of person(s) s authorized to manage LLC FILED 8:00 AM p g October 24, 2022 Title: MGR Sec. Of State MITCHELL RESNICK oisimmons 11658 JASPER CT. NAPLES, FL. 34120 Article V The effective date for this Limited Liability Company shall be: 10/19/2022 Signature of member or an authorized representative Electronic Signature: MITCHELL RESNICK I am the member or authorized representative submitting these Articles of Organization and affum that the facts stated herein are true. I am aware that false information submitted in a document to the Department of State constitutes a third degree felony as provided for in s.817.155, F.S. I understand the requirement to file an annual report between January 1 st and May 1 st in the calendar year following formation of the LLC and every year thereafter to maintain "active" status. Page 62 of 496 2023 FLORIDA LIMITED LIABILITY COMPANYANNUAL REPORT DOCUMENT# L22000455587 Entity Name: EXPERT INSTALLATIONS USA LLC Current Principal Place of Business: 11658 JASPER CT. NAPLES, FL 34120 Current Mailing Address: 11658 JASPER CT. NAPLES, FL 34120 FEI Number: 92-0836873 Name and Address of Current Registered Agent: RESNICK, MITCHELL 11658 JASPER CT. NAPLES, FL 34120 US FILED Feb 16, 2023 Secretary of State 8878929625CC Certificate of Status Desired: No The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida. SIGNATURE: Electronic Signature of Registered Agent Authorized Person(s) Detail Title MGR Name RESNICK, MITCHELL Address 11658 JASPER CT. City -State -Zip: NAPLES FL 34120 Date I hereby certify that the information indicated on This report or supplemental )eport is true and accurate and that my etechanic signature shall have the same legal efleef as if made under oath; that l am a managing memboror manager a! the limited liability campany or the receiver nr trustee empowered to execute this repoA as required by Chapter 605, Florida Statutes; and that my name appears above, Oran an attachment with all otherfike empowered. SIGNATURE: MITCHELL RESNICK MIA 02/16/2023 Electronic Signature of Signing Authorized Person(s) Detail Date Page 63 of 496 �ercp (�oCCege Zt (iertif"trate in *r.wnnirt Manaijrment fu4 all i4e rights an$ pribilrges aRertaining tlleretu, is }lerel afnardeb to k fur snrtessful rompletion of a program of stnbM approEmb for 45errU College hu tlw INAM :v-nrk,*fate �Ehiw tiixn �Deparfinent. ,LD" 14 0 T146 �resiijent �rrrfinst Page 64 of 496 I I State of New Jersey i License No: 1281193 Department of Banl, dng and insurance MITCHELL P RESNIC NPN: 157E 5333 29 PORTCHESTER DR JACKSON NJ 08527-4396 IS DULY LICENSED WITH THE FOLLOWING LICENSE TYPES) AND AUTHORITIES This insurance license is valid and shall remain in effect unless revoked or suspended provided that the fee set forth in N.J.A.C. 11.17-2.12 is paid and renewal requirements set forth in N.J.A.C. 11:17�2.5. including continuing education, requirements for resident individuals, are met by the license expiration date. A renewal notice will be mailed to the licensee nailing address approximately 30 days prior to the license expiration date. LICENSE TYPE LINES OF AUTHORITY EFFECTIVE DATE EXPIRATION DATE Insurance Producer Accident S Health or Sickness; Life 06101l2022 051.,112024 Public Adjuster 06102J2022 The department mainta ns an informative website at www.dot'l.nj.gov. Please visit this web page for valuable information and form: necf ssary to maintain compliance with licensing requirements_ Department Contact information web situ www_dobi.nj.gov phone: (609) 292-4337 fax: (609) 984-5263 The request for any the nge of license information must be se -it to the Department .vithin 30 days of the change. Make any checks and/or money orders payable to: STATE OF NEVI JERSEY, GENERAL TREASURY Mailing Address: Department of Banking and Insurance 20 West State Street P.U. Box 327 Trenton, NJ. 08625-0327 Page 65 of 496 } z C? 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EXAMINATION RESULTS NOTIFICATION October 9, 2014 Mitchell P Resnick XXX-XX-8596 15262 Summit Place Circle Naples, FL 34119 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 follows: 10104/2014 Bonita Springs, Ft_ Business 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 qualification Wil be issued by the Licensing Board. To help you gain the recognition you deserve, Prometric has prepared a Certificate of Achievement, beautifully designed and very suitable for framing (8-112 x 11) for only $30.00 per category. Please fill 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 faxed to (800)813-6670. All others send to Prometric, 7941 Corporate Dr, Nottingham MD 21236. Allow 2-3 weeks for delivery. Certificate of Achievement Request Mitchell P Resnick 15262 Summit Place Circle Naples, FL 34119 Quantity Collier County - Business and Law - 10/04/2014 x $30.00 = XXX-XX-8596 For credit card payment, complete the following. Card Type: Visa Mastercard Card No. �.-- — _..... — -- —._ _.... - Exp. Date Signature F159 - fi• bonsp - C PROMETRIC ' 7941 Corporate Dr ' Nottingham, MD 21236 Toll Free: 800.280.3926 . Fax 800.813.6670 ' www. prometri c.com Page 68 of 496 Page 69 of 496 Co ley C01414ty Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY •TV FARM APRTIf [AOE OOCOMPETENCYu,~, r C .. —,.ii and is NOT This application must be typewritten or legibly printed. The application fee must oe Utl'Cornrrtissior)ers. For further unty refundable. All checks shouldbe madterlance No, payable t2006-146r asoamendedf d or County Information, consult Collie Y TYPE OF CERTIFICATE OF COMPETENCY: ❑ General $230.00 ❑ Electrician $230.00 $230.00 ❑ Plumber $230.00 X Building ❑ Air Conditioner $230.00 ❑ Residential $230.00 ❑ Swimming Poo! $230.00 ❑ Mechanical $230.00 ❑ Specialty $205,00 ❑ Roofing $230.00 Specialty Trade: I. APPLICANT PERSONAL INFORMATION: Prueitt Name' Randy I.a51 first Middle Initial Business Name: Prueitt Construction, LI_C Address: 90 Hawley Woods Rd Street Email- rprueitt@outlook.Com Telephone:847-533-3203 Date of Birth:0611711964 Barrington Hills IL City 5tate *SS # (Last 4 digits only)-2985 Zip Driver's License # (Last 4 digits only):4172 60010 pursuant to Collier County Contractor Licensing Ordinance No. 2006-46 Section 2.1.1., all applicants are required 10 submit their soelal seMhty number, driver's license, and date of birth for the following purposes: a) Assess applicant's ability to satisfy creditors by reviewing their credil history. b) verification of appricani'S test scores and infoanalion. e) verification of aW! ant's identity. Out office wit only use the personal information noted above for those reasons pursuant to Chapter 119, Florida Statutes, and as may olhenwlue be autnoric" by law. wte are fully committed to safeguarding and protecting your personal information and once collected, will be maintained as confidential and exempt under Chapter 119, Florida Statutes. Contractor Licensing — FIRM Application Rev. 712022 Page 3 of 14 Operations 8 Regulatory Management Division. Contractor Licensing . 2800 North Horseshoe Drive a Naples. FL 34104 • (239) 252-2431 conlradorsiicensin col!iercoun Il. ov Page 70 of 496 Gv�er C,014ftty Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY whereabouts Provide the names and telephone numbers of two persons vvho wtli always know your Name: Arturo Ramirez Name: Brooke Bowser Telephone: 224-634-7397 Telephone:224-732-5260 11. NAME OF APPLICANT'S BUSINESS: Business Name:—PrueRt Construction, LLC Business Address'. 90 Haw4ey Woods, Barrington, IL 6001 — city State Zip street Telephone: 847-533-3203 Email: _rprueitt@outiook.com— Federal ID Tax No.: 81 2452SSO YES NO ALL APPi.ICANTS MUST ANSV1fER THE QUESTIONS BELOW: X Filed for or been discharged in bankruptcy within the past 5 years? X Had a Gen filed against you by the Intemal Revenue Service or Florida Corporate Tax QtVlslon? X or judgments being filed? Undertaken construction contracts or work that resulted in liens, suits, undertaken construction contracts or work that a third party, such as a bonding or surety company, X completed or made financial stato riAt1ts W 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 plan of polo contenders to, regardless of adjudication, a clime in any Junsdiction within the past 10 years?' X Had claims or lawsuits filed for unpaid or past due accounts by your creditors as a result of construction experience? Been charged with or convicted of acting as a contractor without a license, or if licensed as a X contractor in this or any other state, been "subject to' disciplinary action by a state, county, or municipality? NOTE. If you have answer YES to any of the questions below, you must attach a written explanation including the nature of the charges, dates, and outcomes, sentences of conditions imposed. You must also attach proof of payment, satisfaction of lien or judgement, bankruptcy discharge, or agreements for payment.`If you have had a felony conviction, proof that your civil rights have been restored will be required prior to licensure. Contractor licensing — FIRM Application Rev. 712022 Page 4 of 14 Operations & Regulatory Management Division, Contractor Llcensing • 2800 North Horseshoe Drive . Naples, FL 34104 • (239) 252.2431 contractorslicensn oliier o n v Page 71 of 496 Cjrler GOWZY Growth roanagemenL Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY IV. EXPERIENCE VERIFICATION EDUCATIOfor which N+ ve obtained in the area of competency List below and provide transcripts for any formal education you ha this application is being made 13A Degree in Accounting duration (on the job training) you have obtained in the area of competency for which this List below non formal e application is being made. _ -- ----:,a....�.�1 on rlilinnS�reIlliii11LL7• newpew ,crnstrucitorn eash year In CURRENT/PREVIOUS LICENSE. List below and attach copies any other certificates aid° o Pnty you llhold st lnyou holdlhave held in Collier County or any other jurisdiction. Include the license #, yp I have never held a Collier GOunty license. included In this submission is my Winois license for various trades AFFIDAVIT Under the penalties of perjury, I declare that I have read the foregoing application and the facts stated in it are true. Randy Prueitt — Signature of Applicant Applicdrrl (please print) state of 7I5 -- _ County The foregoing instrument was acknowledged befurc me by means or4physical presence or ll online notarizalion on this day of i `tZ C L , by Zr2nvl &UrJ = - -- Such person(s) Notary Public must check applicable bus: are personally kno%%n to me 171 has produced a cui runt driver license © has produced as identilication. (Notary Seal OFFICIAL SEAL ViGTURIA MARY ELIZABETH EDWAROS J Notary PuNic. State of Winui5 Comrnossnon No. 991895 My Commission Expires J�rne 05. 202 Notary Signature: Contractor licensing - FIRM Application Rev- 712022 Page 5 of 14 Operations B Regulatory Management Division, Contractor Licensing a 2800 North Horseshoe Drive . Naples, FL 34104 • t2313) 252-2431 conlractorsiicensing�Dcollie rcounty9.cam Page 72 of 496 Comer Cou- f y Growth i Aanagement Community Doveiopment Oeparlrnent APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY CERTIFICATION OF APPLICATION The undersigned hereby mattes 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 Randy Prueitt Applicant (please print Prueitt Construction, LLC Name of Company Signature4f Applicant State of 1 L!'._1r>r._--. County of 6 he I'orcgaing instrument vas acknowledged before me by means of � physical presence or ❑ online notarization on this av of �� n 2D,7+ by �L -4 A f r77 Such person(s) Notary Public must check applicable box: fa re personally known to me ❑ has produced a current driver license ❑ has produced as identification. (Notary Seal) eJFF:ELIZABETH L S:11Pnois VICTORIA MARYDWARDS Notary Signature: Notary PuStat COmm15No.My Commissioires2028 Contractor Licensing — FIRM Application Rev. 7l2422 Page 6 of 14 Operations 8 Regulatory Management Division, Contractor Licensing o 2800 North Horseshoe Drive a Naples. FL 34104 . (239) 252.2431 contraciorsi censirgiiicoiliercountyfl [Loy Page 73 of 496 C O PleY County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY WORKMEN'S COMPENSATION AFFIDAVIT at if I It is understood and acknowledged by tWo kornen's Compensationr County tlnsurancestwil�esudltan he posnd lsibhe revocatlioon acquire, or maintain at all times effective of my Certificate of Competency Randy Prueitt Applicant (please Prueitt Construction, LLC Name of Cornpany Signature Applicant 1 / !) who affirms and BEFORE ME this day personally appeared Applicant (please print) says that he has less than one employee and does not require Workmen's Compensation understands that at any time he employees one or more persons he must obtain said Workmen's Compensation insurance State ul � i �l � County of —�� ' �-__-._. '['he lorcgoing instrument was acknowledgebefore me by means ol'�physical presence or O online not sriiation on this S�1u/�ch person(s) Notary' Public must check applicable box: Aare personally known to Inc ❑ has produced a current driver license J has produced f _ as idCmilication. (Notary Seal) OFFICIAL SEAL Notary 5ignoturc: VICTQRIA MARY ELIZABETH EL2O28 ARDS Natary,�u�lic. Slate gf Clynmissgn No. 991895 My Camm�sson Expies June o5 Contractor Licensing —FIRM Application Rev. 712022 Page 7 of 14 operations & Regulatory Management Division, Contractor Licensing . 2800 North Horseshoe Dnve a Naples. FL 34104 . (239) 252-2431 c ntract rslic nsin Iliercount lI gov Page 74 of 496 Coi`er COmvlty Growth Managemeni Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COI-APETENCY RESOLUTION OF AUTHORIZATION Complete this form if multiple people own part of the company the license will be attached to. If there is only 1 owner, then this form is not required for the application. In accordance with Collier County Ordinance 2006-46, as amended, Prueitt Construction, LLC Company Name Owners in Collier County where Randy Prueitt to engage in contracting as Applicant Name QfficerslC3wnerSlPartners proposes to qualify fora Certificate of Competency with company Prueitt Construction, LLC Company h d rsi in Owners proposes of Prueitt Construction, LLC It Is Hereby agreed upon that we t e un e g Off,,Company cerslOwnerslPartners resolve and represent to the Collier County Contractor's Licensing Board that the proposed qualifying agent, Randy Prueitt , is active in all matters connected with the company named Applicant Name Prueitt Construction, LLC Company VVe further resolve and represent that Randy Prueitt is legally empowered to act on behalf of Prueitt Construction, LLC Company business and has the authority to supervise construction ur slPadners officerstOwnerslPartners Applicant Name in all matters connected with its contracting rtaken by Prueitt Construction, LLC Co and Wlne55 Witness OfficerSK)wnerslPariners of the above -mentioned company need to sign on the left and a witness to the signature signs on the right State of .� Z.._ Coun[- of Tic I.oregoin2 instrument was ackno%%,Iedgcd berore me by means 01'4physical presence or ❑ online notarization on this clav oC 20rQLJ , by Such person(s) Notary Public mist check applicable box: 4,l rc personally known to me ❑ has produced a current driver license ❑ has produced as identification. (Notary Seal) 7"t� L SEAL VICABETH EDWARDS tate of Illinois Jolary Signature: No 991895ires 3une D5. 2028 Contractor Licensing Page 8 of 14 operations & Regulatory Managemen' Division. Contractor Licensing • 2800 Norlh Horseshoe Drive . Naples. FL 34104 . (239) 252-2431 con Iractorlice nsin (ercolker o�rnS fl ov Page 75 of 496 GITS, LLC Examination Operations Division Providing the services and products to assist Government Agencies to make informed educated decisions. Official Examination Score Report Official Score Report: Candidate Information: Name — Randall M. Prueitt Candidate #: 73364172P Online Testing Site: Ocala, FL Final Score Result: October 23, 2024 Building Contractor Business Procedures Business Procedures Score: 78% (10/20/2024) Score: 48% (10/21/2024) Score: 60% (10/22/2024) These results represent the grade that has been achieved on the above named examination(s) administered by Gainesville Independent Testing Service for Collier County, Florida. If you have any further questions, please do not hesitate to contact us. Sincerely, Jay E. Bowermeister President PO Box 831127 Ocala, Florida 34483-1127 — Voice (352) 369-GITS — Fax (352) 387-2443 800 997 2129 Page 76 of 496 GITS, LLC Examination Operations Division Providing the services and products to assist Government Agencies to make informed educated decisions. Official Examination Score Report Official Score Report: Candidate Information: Name — Randall M. Prueitt Candidate #: 73364172P Online Testing Site: Ocala, FL Final Score Result: October 24, 2024 Business Procedures Score: 66% (15t Attempt) Business Procedures Score: 86% (2nd Attempt) 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 23, 2024. 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 Page 77 of 496 11/12/24, 10:48AM Experian Your credit reports �e. Experian Eq Equifax Cu Transunion Equifax° credit report RANDY M PRUEITT FICO SCORE 8 O 657 FAIR 300 579 669 739 799 850 18 days until your next Equifax° report refresh The report refresh included in your membership isn't available yet. Can't wait? Purchase a one-time FICO° Score refresh. Buy your report Personal information NAME ADDRESSES https://usa.experian.com/mfe/credit/report/equifax/202312291949499010 Page 78 of 496 11 /12/24, 10:48 AM RANDY M PRUEITT ALSO KNOWN AS ANDY PRUEITT RANDALL M PRUEITT RANDY PRUITT GENERATIONAL IDENTIFIER YEAR OF BIRTH 1964 Quick actions You have 12 open accounts Experian 90 HAWLEY WOODS RD BARRINGTON, IL 60010 4951 TRILLIUM TRL LONG GROVE, IL 60047 9909 FAIRVIEW RD LANCASTER, WI 53813 518 W TANGLEWOOD DR ARLINGTON HEIGHTS, IL 60004 2923 REGNER RD MCHENRY, IL 60051 495 LUTHERAN ST PLATTEVILLE, WI 53818 208 W DOLPHIN ST SOUTH PADRE ISLAND, TX 78597 40606 N GOLDENROD LN WADSWORTH, IL 60083 4606 N GOLDENROD WADSWORTH, IL 60083 EMPLOYERS AURORA HEALTH ABBOTTLABS PERSONAL STATEMENTS NO STATEMENT(S) PRESENT AT THIS TIME Print your report https://usa.experian.com/mfe/credit/report/equifax/202312291949499010 Page 79 of 496 11 /12/24, 10:48 AM Total balance: $1,928,889 Experian Credit cards or credit lines Total balance: $603,276 95% credit usage o Credit used: $603,108 1 1 6% 30% 8 ABBOTT LABORATORIES Balance Balance updated 8 ABBOTT LABORATORIES Balance Balance updated 8 BEST BUY/CBNA Balance Balance updated 8 BMO HARRIS BANK NA Balance Balance updated 8 CAPITAL ONE / MENARD Balance Balance updated Credit limit: $635,800 LATE PAYMENT $597,561 Nov 30, 2023 LATE PAYMENT > $97 Nov 28, 2023 $0 Dec 14, 2023 LATE PAYMENT > $1,553 Dec 26, 2023 LATE PAYMENT $3,418 Dec 02, 2023 https://usa.experian.com/mfe/credit/report/equifax/202312291949499010 Page 80 of 496 11 /12/24, 10:48 AM Experian 8 SYNCB/PPC Balance Balance updated e SYNCB/VENMO Balance Balance updated Installment accounts Total balance: $1,325,613 s CHRYSLER CAPITAL Balance Balance updated $ LANDMARK CREDIT UNIO UP Balance Balance updated s PORSCHE FINANCIAL SE Balance Balance updated 21 closed accounts $0 Dec 18, 2023 $479 Dec 22, 2023 $24,392 Nov 30, 2023 $24,119 Oct 31, 2023 LATE PAYMENT $26,661 Nov 30, 2023 https://usa.experian.com/mfe/credit/report/equifax/202312291949499010 Page 81 of 496 11/12/24, 10:48AM Experian $ STELLANTIS FINANCIAL m Balance Balance updated s TOYOTA MOTOR LEASING ire Balance Balance updated Real estate loans Total balance: $0 16 closed accounts 3 closed accounts $41,917 Nov 30, 2023 $4,460 Nov 30, 2023 9 9 0 collections Equifax has no collections on file for you as of Dec 29, 2023. If you fall behind on payments, your lender or service provider may sell your debt to a collections agency, so remember to pay on time. 4 inquiries These lenders have accessed your credit file: 114 CNH INDUSTRIAL CAPIT Inquiry date Sep 27, 2023 Removal date Oct 2025 114 SETTLEMENTONE DATA, Inquiry date Dec 20, 2023 Removal date Jan 2026 El https://usa.experian.com/mfe/credit/report/eq uifax/202312291949499010 Page 82 of 496 11/12/24, 10:48AM Experian 114 STELLANTIS FINANCIAL Inquiry date Removal date XACTUS Inquiry date Removal date Dec 20, 2022 Jan 2025 Jul 4, 2023 Aug 2025 0 public records This is where public records, such as bankruptcies, would appear on your report. Advertiser Disclosure Suggested just for you You have been Pre -Approved for 7 credit card offers Take advantage of excellent approval odds with these offers selected just for you. See your 7 offers OHO law 16 Your lenders give us data. Lenders choose which of the 3 bureaus to report your info to — so if your credit reports look different from one another, that's likely why. 9 El https://usa.experian.com/mfe/credit/report/equifax/202312291949499010 Page 83 of 496 11/12/24, 10:48AM Experian Services Tools Support Get the free Experian app: Follow us: Contact Us Terms & Conditions Privacy Policy © 2024 Experian. All rights reserved. Experian and the Experian trademarks used herein are trademarks or registered trademarks of Experian Information Solutions, Inc., Consumerinfo.com, Inc. or its affiliates. Other product or company names mentioned herein are the property of their respective owners. Licenses and Disclosures. Q TrustedSite° CERTIFIED SECURE https://usa.experian.com/mfe/credit/report/equifax/202312291949499010 Page 84 of 496 a jp6 DEPARTMENT OF THE TREASURY INTERNAL REVENUE SERVICE CINCINNATI OH 45993-0023 PRUEITT CONSTRtTCTION LLC RANDALL PRUEITT MBR 4951 TRILLIUM TRAIL LONG GROVE, IL 60047 Date of this notice: 04-29-2016 Employer Identification Number: 81-2452350 Form: SS-4 Number of this notice: CP 575 B For assistance you may call us at: 1-800-829-4933 IF YOU WRITE, ATTr :w:E STUB AT THE ETD OF THIS NO`-7ICE. WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NIIMBER Thank you for applying for an Employer Identification Number (EIN). We assigned you EIN 81-2452350. This EIN will identify you, your business accounts, tax returns, and documents, even if you have no employees. Please keep this notice in your permanent records. When filing tax documents, payments, and related correspondence, it is very important that you use your EIN and complete name and address exactly as shown above. Any variation may cause a delay in processing, result in incorrect information in your account, or even cause you to be assigned more than one EIN. If the information is not correct as shown above, please make the correction using the attached tear off stub and return it to us. Based on the information received from you or your representative, you must file the following form(s) by'the date(s) shown. Form 1065 04/15/2017 If you have questions about the form(s) or the due date(s) shown, you can call us at the phone number or write to us at the address shown at the top of this notice_ If you need help in determining your annual accounting period (tax year), see Publication 538, Accounting Periods and Methods. We assigned you a tax classification based on information obtained from you or your representative. It is not a legal determination of your tax classification, and is not binding on the IRS. If you want a legal determination of your tax classification, you may request a private letter ruling from the IRS under the guidelines in Revenue Procedure 2004-1, 2004-1 I.R.B. 1 (or superseding Revenue Procedure for the year at issue). Note: Certain tax classification elections can be requested by filing Form 8832, Entity Classification Election. See Form 8832 and its instructions for additional information. A limited liability company (LLC) may file Form 8832, Entity Classification Election, and elect to be classified as an association taxable as a corporation. If the LLC is eligible to be treated as a corporation that meets certain tests and it will be electing S corporation status, it must timely file Form 2553, Election by a ,Small Business Corporation. The LLC will be treated as a corporation as of the effective date of the S corporation election and does not need to file Form 8832. To obtain tax forms and publications, including those referenced in this notice, visit our Web site at www.irs_gov. If you do not have access to the Internet, call 1-800-829-36-76 (TTY/TDD 1-800-829--4059) or visit your local IRS office. Page 85 of 496 (Requestor's Name) (Address) (Address) (City/State/Zip/Phone #) ❑ PICK-UP ❑ WAIT 7MAIL (Business Entity Name) (Document Number) Certified Copies Certificates of Status Special Instructions to Filing Officer. Office Use Only 200439187522 T. LEMIEUX DEC 16 20 (I Page 86 of 496 TO: Registration Section Division or Corporations Prucin Cunstruction. LLC SUBJECT: COVER LETTER Name of Limited Liability Cornpany The enclosed "Application by Foreign Limited Liability Company for Authorization to Transact Business in Florida," Certificate of Existence, and check are submitted to register the above referenced foreign limited liability company to transact business in Florida. Please return all correspondence concerning this matter to the following: Randy Pructtt Prucia Construction, LLC 90 Hawley Woods Rd. Barrington, I 60010 Name of Person Firtn/Company Address City/State and Zip Code rprucitt moutlook.com E-mail address: Ito be used for future annual report notification) For farther information concerning this matter, please call: Randy Prucitt Name of Contact Person Mailiniz Address: Registration Section Division of Corporations P.O. Box 6327 Tallahassee. F1, 32314 847 533-3203 at ( Area Code Daytime Telephone Number Street Address: Registration Section Division of Corporations The Centre of Tallahassee 2415 N. ,Monroe Street, Suite 810 Tallahassee, FL 32303 Enclosed is a check for the following amount: Please make check payable to: FLORIDA DEPART'MF.NT OF STATE $125.00 Filing Fee © $130.00 Filing Fee K LI $155.00 Filing Fee $ ❑ S160.00 Filing Fee, Certificate Certificate of Status Certified Copy of Status & Certified Copy Page 87 of 496 APPLICATION BY FOREIGN LIMITED LIABILITY COtMPANl' FOR AU'I'HORIZATIOtN'1'O 7'RANSACI' Bt1SI,Ni SS IN FLORIDA IN G0..191J4r1'(T Ii•711l VC-71C).V 6)5.VX12 1. DRID4 ti1:I7UIE1 7111--KXJ. U'MG 1Y-VJ 11117I7) 70W-1';N1hRA I.0RIX;,Y 1111I1Fl)11-11311111' (.Ui11'.-1,1r}'7r17K.t,L1•ICI'BLt51.4'F_Sl' G1'7IIIz .S7i11I;U1•'1•'l,Q1U1�,f: 1 Prucitt Construction, LLC (Name a Foreign t.rmitLLta I ay [ ompany; must include " Limit Liability Company, . L.C.7 or" I.I.C.. ) (If haute unavailable, enter ahenute name adopted fur the ptuWse ,ftramactinta btmaos in Fluridn. The alternate uattte must iucbule -Limited I.iabihiv Company," " L.L.C," or" l.LC."I Illinois 81-2452350 2. 3. (Jurisdictian urxkt the Law dwhich forcien 4m-iird FahilaN company is urganuc ) (FF1 Flumber. t app iet c l (Date irct irm actc usiness to F 7 , i pnor io rcgestntion 1 (lice scctinru f,0$,090.t & 605 0905, F.S. IO determine penalhliobikiit') 1230 Allanson Rd 90 I-lawley Woods Rd S. 6. 6trcct Address at llmwipal V tcc) (Slating Address) Mundelcin, II_ 60060 Barrington. IL 60010 " r rr t - 7. Name and street address of Florida registered agent: (P.O. Box NOT acceptable) _ cn Randy Prucitt' Name: Office Address: 20681 Corkscrew Shores Blvd Estero 33928 Florida Wily) ("lip -de) t� Registered agent's acceptance - Having been named as registered agent and to accept service of process for the above stated limited liability c•ompun'r at the place designated in this application, I hereby accept the appointment as registered agent and agree to act in this capac•itr. l further agree to comply with the provisions of all statutes relative to the proper and complete performance of mr duties, and 1 um familiar with and accept the obligations of my position as registered agent. {Registered agen('s nikmaiure) Page 88 of 496 8. I -or initial indexing purposes, list names, title or capacity and addresses of the primary members/managers or persons authorized to manage [up to six (6) total I: "Title or Capacity: Name and Address: 'Title or Capacity: Name and Address: Brooke Bowser Randy Prucitt ❑Manager dame: � Manager Name: 90 Hawley Woods Rd 90 Hawley Woods Rd FgMember Address: ❑Member Address: Barrington, IL 60010 Barrington, IL 60010 ❑Authorized ❑Authorized Person Person ❑Other ❑Other ❑ Other ❑Other ❑,Manager fame: _ ❑N9ember Address: ❑Authorized Person ❑Other ❑ Other ❑ Manager ❑ Mernber ❑ Authorized Person ❑Other ❑,Manager Name: ❑Manager ❑,Member Address: ❑Member ❑ Authorized ❑Authorized Person Person ❑Other El Other ❑Other Name: Address: ❑ Other Name: Address: ❑Other Important Notice: Use an attachment to report more than six (6). The attachment will be imaged for reporting purposes only. Non - indexed individuals may he added to the index when filing your Florida Department of State Annual Report form. 9. Attached is a certificate of existence, no more than 90 days old, duly authenticated by the official having custody of records in the jurisdiction under the law of which it is organized. (If the certificate is in a foreign language, a translation of the certificate under oath of the translator must be submitted) 10, This document is executed in accordance with section 605.0203 (1) (b), Florida Statutes. I am aware that any false information submitted in a document to the Department of State constitutes a third degree felony as provided for in s.817.155, F.S. Sigrwuec ni a authorimd prnon Randy Prucitt ] %'Pod or ptimcd mmir of signcc Page 89 of 496 File Number 0577616-3 To all to whom these Presents Shall Come, Greeting: I, Alexi Giannoulias, Secretarnj of State of the State of Illinois, do hereby certify that I am the keeper of the records of the Department of Business Services. I certify that PRUEITT CONSTRUCTION, LLC, HAVING ORGANIZED IN THE STATE OF ILLINOIS ON APRIL 28, 2016, APPEARS TO HAVE COMPLIED WITH ALL PROVISIONS OF THE LIMITED LIABILITY COMPANY ACT OF THIS STATE, AND AS OF THIS DATE: IS IN GOOD STANDING AS A DOMESTIC LIMITED LIABILITY COMPANY IN THE STATE OF ILLINOIS. In Testimony Whereof, I hereto set my hand and cause to be affixed the Great Seal of the State of Illinois, this 30TH day of OCTOBER A.D. 2024 Authentication #: 2430402658 verifiable until 10/30/2025 Authenticate at: https:]Nvww.ilsos.gov SECRETARY OF siAtE Page 90 of 496 C©#er County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY STATEMENT OF OWNERSHIP This certifies that 1. Randy Prueitt am a member or managing APPLICANTS NAME (please print) member of Prueitt Construction, LLC (LIMITED LIABILITY COMPANY NAME) I own 50 % 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 hest of my knowledge. Randy Prueitt Applicant (please print) Prueitt Construction, LLC Name of Company Signature of Applicant Statc of 1 County of _11RV-26 _ T' c foregoing instrument %vas acknowledged before meIbneans of Ohysical presence or ❑ online notarization on this da of zt3ryC . by !( #�L.Uy%1T7~ — Such person(s) Notary Public must check applicable box: 1�re personally known to me ❑ has produced a current driver license ❑ has produced (Notary Seal) as identilication. OFFICIAL SEAL VICTORIA MARY ELIZAKTH EDWARDS Notary Signature: Notary Public. State of Illinois rvnission corNo. 991895 1tA Commission Expires June 05.2028 Contractor Licensing -- FIRM Application Rev. 712022 Page 9 of 14 operations & Regulatory Management Division. Contractor Licensing • 2800 North Horseshoe Drive % Naples, FL 34104 a (239) 252-2431 contractorslicensing0colliercountyft aov Page 91 of 496 Collier CoNnty Growth Management Community Development Department APPLICATION FOR. COLLIER COUNTY CERTIFICATE OF COMPETENCY /1 Vr-RIMC-ATION OF CONSTRUCTION IEXPOR16NCE Appliranrs Certificate ( The applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this ceri fcate, the applicant must verify hisRter experience within this trade_ You are being requested to provide information that will aid the applicant in meeting this requirement. You should verity time of active experience working as an apprentice or a skilled worker (e.g., as a worker commanding the wage of mechanic or better in the trade). Time served solely in a aupervisory or administrative role should be descrtted, trot may or may not be considered sutfictent to demonatrate required trade c�rieucei. The pargon verifying trade experience for the above -named applicant must provide the following information: Name: Business�Name: Phone: t'� Business Address: 4 = Street The applicant was employed by me from Applicants title: The appli snY cope of wDA (sped tlulieQ included: Additionai comments: a No. (it appGcabie): Gry SIB zs to NOTE To LMENSED CONTRACTOR& fatsityksg any infcmlation prpvrJad herein may subject your license to revDCation. Under penalty of perjury, 1 declare that the facts stated here are true. Signature of person providing the statement State of l LL&D S County of The foregoing instrument wa4 acknowledgeddbefore ine by means of ❑ physical presence or © online notarization on this day or . 202 . by , { Q�Utz Such persons) Notary Public must ch d applicable box: are ptrsonally known to me ❑ has produced a current driver license © has produced a5 identificalian. (Notary OFFICIAL SEAL VICTORIA MARY ELiZABETH TEDWA Notary Publx, State of llfarois Commission No. 991895 13otary S;gnawre: My Commission Expires June 05, 2028 CAnvaclor Uoamsing — FIRM Application Rev. 712022 Pago 12 of 14 Opembons & Regulatory Management Divislon. Contrador E k -Mz ng • 2800 NofM r�e Drive a Naples, FL 34104 • fZ39j 252-243T canlra IWIgan ng lriunM[I20v Page 92 of 496 Collier County C,rumh Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY /, VERIFICVION ,OF CONSTRUCTION EXPERIENCE Applicant's Certificate Category Requested: The applicant is seeking a Colller County Certificate of Compatency in the trade indicated above. As part of the application for this certificate, the applicant must verity hisftter experience within this trade. You are being requested to provide informationor that will aid the appllcant In meeting this regViremenL You should verify time of active experience working as an apprentice a skilled worker (e.&, as a worker commanding the wage of mechanic or better in the Nada). TtMe served solely in a supervisory or adminiatradve rote should be describes for the or may n not a consoane us f fide t t tdee onstrat intamra�d trade experience. The pon3on verifying trade expe � tiom Name: a rtte: 1. Cl- Business Nance: license No. (d applicable): Business Address: tv w r- �.. _ The applicant was employed by me from Appilconfe title: l The appllcane a pie of work (s fsc dutFe�) tnduded , State zip to t �� Additional cormnents: NOTE TO LICENSED CONTRACTORS: Fall &ft arlyinibmathm Provided h9►ein may subject yourtiCense to revocation. Under penalty of perjury. I declare that the facts stated here are true. Signrture at t�� pr�n9 the statement Stoic of County or�.� c foregoing - �ins,t�ru�mepnt was a wledged before by ears of o physical presence or 0 online notarization on this day or UP&Jy, , 202L, by ich permm(s) Notary Public must check apliceWc box: are personally known to me ❑ has produced a current driver license has produced as identification. (Notary Seal) OFFICIAL SEAL VICTORIA MARY ELIZABETH EDWARDS Notary Public, State of Illinois Ca11misslon No. 991895 N Signature: My Commission Expires June 05, 20N CWVDWor Ucenstrtg - FIRM Apptiration Rev. 712022 Page tt of 14 opereseons a Regulatory Managemerd otvlelan. Contrador Unnsln9 • noo North Horseshoe Drive • Napies. FL 34104 • (239) 202-2431 conG Page 93 of 496 G- COIIieY County Growth Management Community Development Deoartment APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COWETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name: Randy Prueitt Certificate Category Requested: Bu fldng Contrac Ing The applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate, the applicant must verify his/her experience within this trade. You are being requested to provide information that will aid the applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker (e.g., as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience for the above -named applicant must provide the following information - Name. Randy Prueitt Title: Owner Business Name: Prueitt Construction, LLG Phone: 847-533-3203 _ License No. (if applicable): Business Address: 90 Hawley Woods Rd. Barrington, IL 60010 Street City State zip The applicant was employed by me from 611982 to r� esenl Applicant's title: Owner The applicant's scope of work (specific duties) included: All as eels of b Idi con ctor, ran the company IT Additional comments: I have been self-employed form entire career NOTE TO LICENSED CONTRACTORS: Falsifying any information provided herein may subject your license to revocation. Under penalty of perjury, I declare that the facts stated here are true. Slaic of ,i The foregoing instrument was aekno%vIcdged ore me b means of Uhysical presence or ❑ onlin4 notarization on this f 30iav 01' 20 by li 11 i r -- --- -- Such person(s) Notary Public must check; appheable box: 11I� �Jarc personally known to me ❑ has produced a current driver license ❑ has produced as identification. (Notary Sent) OFFICIAL SEAL VICTORIA MARY ELIZABETH EDWARDS Notary Pubic. State of Illinois Notary Signature Commission No. 991895 My Commission Expies June 05. 2028 Contractor LicenSing - FIRM Application Rev. 712022 Page 10 of 14 operations 8 Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive . Naptes. Ft 34104 • (238) 252-2431 co wractorsh censmE(ZB collie rcounNP.gov Page 94 of 496 COe-V COuvi.ty Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER _ f STATEOF � f I (Y"7I�) COUNTY OF W " ' I, Dominick Clarizio , having been first duly sworn, state and affirm: I am a resident of Lake County, _Illinois (State) and have resided here for more than five (5) years. During the last five (5) years I have known Randy Prueitt (applicant). I have had the opportunity to observe his or her business and personal dealings and find him cr her to be a person of honesty, integrity and good character. Signature lDoninick Clarizio Printed Name Address: 600 N. western Ave 5' _r. Lake Forest, IL 50045 rrty Sale zic Telephone:_847-9 9 0-0733 Stale of 1 jLZijS ,..., County of ) a✓ _ _ _ 4 LorcgoinR instrument was acknowledged forc me by mcans of iphysical presence or G online notariZalion an this a of 2d- ' by _l\\ , �ttr.i �' ]ELL ��--• — - -- _ —. Such person(s) Notary Public must check applicable boo re personally known to me © has produced a current driver license 0 has produced as identification. (Notary Sea!) OFFICIAL SEAL. VICTORIA MARY ELIZABETH EDWARDS Notary Public, State of lilinois olary Signature Commission No. 991895 My Commission Expves June 05.2028 Contractor licensing — FIRM Application Rev. 712022 Page 13 of 74 Operations & Regulatory Management Division, Contractor Licens+ng . 2800 North Horseshoe Drive . Nap;es, FL 34104 . (239) 252-2431 contraclorsli;ensino(�c)colliercounNy 1. ov Page 95 of 496 Co per Cou�t�' Growth Management Community Development Department ,APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF �� vlt � 0 COUNTY OF C'CN�4- 1. Jody Hammond I am a resident of Kenosha more than five (5) years. having been first duly sworn, state and affirm: County, Wisconsin (State) and have resided here for During the last five (5) years I have known Randy Prue It (applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and good character. Statc of u County of _- } I' a foregoing instrument Was acknowledeed be lore me b , meannss ool'❑y �Xzday of _� 20 �jr'rf`�= —5 Signature Jody Hammond Printed Name Address: 31310 60th Street street Salem, Wl 53168 City Telephone: 262-287-3810 Such person(s) Notary Public must check applicable boa: JJare personally known to me ❑ has produced a current driver license ❑ has produced _ as identification. (Notary S •rl OFFICIAL SEAL VICTORIA MARY ELIZABETH EDWARDS Notary Public, State of Lr o s Cornmis i No. 991895 Notary Signature: M Commission Expires June 05. 2028 Contractor Licensing — FIRM Application Rev, 712022 State Zip I presence or ❑ online notarization on this Page 14 of 14 Operations 8 Regulatory Management Division, Contractor Licensing + 2800 North Horseshoe Drive o Naples. FL 34104 . (239) 252-2431 conlractorslicensin colliercoun ll. ov Page 96 of 496 . % a CERTIFICATE OF LIABILITY INSURANCE DATE(Ii&n❑YfYY) t(W29n§24. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER- THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW- THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain ;policies may require an endorsem¢n:. A staternen- cn this certificate does not confer rights to the certificate holder in lieu of such endvrsemengs). PWI50DUCER CONTACT NAME' Next First Insurance Agerlty, InL. PO Mx 60787 Palo Am. C/19006 PriCNE j855) 222-59t9 F-k' L No): E41AA,L 3L1 L3rlextirl3uYafnte.Ldrr1 ADDRESS: pPurt ■1SU ZS AFFOROlIOCOVERA0E HAICt INSAAtER A: NeXE Insurance US Coirlpauy 16285 INSURED INSURER B : PI ueitt CoutruLti6rti LLC 90 Hawley Wwds Rd INSURER c- INSURER O Barl inMjv^ IL "ll 0 INSURER E- INSURER IF COVEFZAGES, CERTIFICATE NUMBER: 69 1 907L69 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE �-DUICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIv CERTIFICATE WAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE P01_ICiES DESCRIBED HEREIN IS SUWIECT TO ALL THE T=RMC. EXCLUSIONS AiND CO+NDITH]NS OF SUCH POLICIES. LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE 949D WVD POLICY NUMBER 1■■pOl Lows X IC-OMMERMALOENER,AL LM6ENE 7V E-. H OCCURR94CE ;1,000,00G.00 --kIMS4AA1)E OCCUR FREMSESl2aeccurrence ;1D0,0W.00 MM EXP .A f :.it person.. ; 15 .E,- pERSopdAL a AOV IN:1JFiY ;1,D00,004.00 IO(TLINP r RIN. _ :__ D112EV2024 '� 112W2D25 ENL AGGA.MATE LRAT APPLIES PER: GENERAL AGGREGATE ; 2,W0,000.0D • POLICY ❑ JIE-CT LOG Pt'IRCOUCTS-OOMPK)P'.',r,_ �2,DII0,0DO.OD $ OTi-FR: AUTCNIfY+■ p LIABIrIY „DA6INED 91NGLE UMrr Ea aalr S BOOIL7 N.IURY tFu peas-D, ANY ALTO CWHED '"-ECL EC ALTCO Ct.:'' teas ER]OILY INJURY (Per a[edem i PRDP :Z1T C WAIAGE :Peracddcdl i HIRED NON-MNED ALFTOG Ct•_' - CG ONLY UMBRELLA LEAS EVHOCCURRENCE =�=RLGATE EXCESS LIAS CLiIM. ilk:1_ DIED RETENTION Mhxmu4ERtC0I11hpENZATION � -- c = AND EMPLOYE.RL' LIAE E-FrY ,� - N )%K-PRCPR--rOPoP.FATkER"F}ECL`Th:= CfF10E=WE%%EREX LJ:lED? ❑ EL EACH � GG-aFJK- s IMandalorlr In NHI El OISEtBE - E,A SA-LOYEE tapes, aesn#r under De-�,RIPnaN OF OPER AnDNs below EL DKEASE -POLICY LMr ; Eath OLcurrenLit- 525,00D.I52 A Cunua_u n& Erti3rs and ChniSYian!L F,"XTCW P'MT 02-GL 4112812024 01128I2025 egate!: 550,WD.D7 DESCRIPTION DF DPERAnONS l LOCATIONS! VEHICLES IAC4FD 101, Addlllonal Remarloc toiledure, maybe ettwhed It afore cpaos 1c nqutroM Tht CertifiLate Hulder is COL9er Cuunt'y CuntraLtur is do Addidufi l hiwre i on Elie General Liability 131kyper tiw dldditivrlal limwred ,ALI_' StaLu. Endtxa.emerlt All Certi iLdte Holder prrrile jl applytanlyiIr�;.a rcY�, Uy wf!.Etrl agreernerrt between tine Certirma'le Holder andpthe Insured,ijodare subjeLE Era potty Ler11'h drld LUIldd1Ul16. CERTIFICATE HOLDER CANCELLATION Collicl LIVE CERTIFICATE 21300 N HorSe! hoe D! Naples, FL34'104 ■ ■ S MOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROWSPONS. AUTHORIZED RERMSENTATINE I,• 7 � - :-D 14988-2015ACORD CORPORATION. All rights re=_er-ed. A.CORD 25 1�2016,?03) The ACORD name and logo are registered enari:s Of ACORD Page 97 of 496 JEMS WORKER'S COMP WORKERS' COMP CODE NUMBER OF EMPLOYEES ANNUAL PAYROLL SOCIAL SECURITY TAX MEDICARE TAX FEDERAL U/E (FUTA) STATE U/E (SUTA) WORKERS' COMP RATE ADMINISTRATION FEE TOTAL SERVICE FEES AFTER CUTOFFS Issue Date: 10/29/2024 This Proposal is Valid Until 10/30/2024 5646 1 $ 31,200 6.20% 1.45% 0.60% 2.70% 10.00% 5.00% 25.95% 22.62% 5606 1 $ 31,200 6.20% 1.45% 0.60% 2.70% 1.05% 5.00% 17.00% 13.70% ESTIMATED WEEKLY PAYROLL OF: ($ 1,200.00 Broker: Lucas Acevedo Phone: (954) 408-92 E-mail: lucas@emswc.com O O O O O O Non -Refundable Policy Origination Fee: $ 895.00 Estimated Worker's Comp + Employer Tax +Admin Fee Per Week: ($ HAWK4 is SAFETY Weekly Fees After Cutoffs: ($ $ 15.99 Weekly Safety program Weekly Minimum Admin Billed: ($ 50.00 COURIER DELIVERY FEE: Cost of Shipping/Handling REQUIREMENTS *There is a Weekly minimum WC charge of: $ 275.00 or minimum WC charge of $ 55.00 per employee in code 5551, (whichever is greater) required. * 2,500 deductible claim fee will be due in the event of a claim *PER EMPLOYEE SETUP FEE: $ 1.00 *Non -Refundable Policy Origination Fee includes one cert issued prior to 1st payroll processed ALL PROPOSALS ARE SUBJECT TO UNDERWRITING APPROVAL. THE RATES REFLECTED ABOVE ARE BASED ON PAYROLL INFORMATION PROVIDED BY YOU AND ARE SUBJECT TO CHANGE IF YOUR PAYROLL FALLS BELOW THE PROPOSED AMOUNT. REGISTRATION FEE IS NON REFUNDABLE ONCE POLICY IS APPROVED. CUSTOMER NAME: Randy Prueitt SIGNATURE 6Ax46Ww,'�6 PRINT NAME AND TITLE: DATE-10/29/2024 Have a PEO Policy already? EMS Workers Comp can provide you and "apples to apples" comparative quote showing EXACTLY how much you will save on your next invoice and over the next 12 months. Just send copies of your last 2-3 invoices with the payroll detail pages showing the names of the employess and WC codes. Ask our brokers and CONSIDER IT DONE. Pa a 98 of 496 JEMS WORKER'S COMP POLICY ORIGINATION FEE PAYMENT AUTHORIZATION FORM Complete and sign this form to authorize EMS WORKERS COMP (EMS) to make a one time non refundable debit to your bank account or credit card. By signing this form you give us permission to debit your account for the amount indicated on or after the indicated date. This is permission for a single transaction only, and does not provide authorization for any additional unrelated debits or credits to your account. Please complete the information below: I Randy Prueitt charge my account indicated below for *Non -Refundable PEO Setup Fee **One Early Cert Included Billing Address City, State, ZIP Phone # E-mail 90 Hawley Woods Rd Barrington 8475333203 rprueitt@outlook.com Select one credit card option: Q Visa O Mastercard O AMEX O Discover SIGNATURE: 6A,46) ",,tt :• 11 (Amount) Cardholder Name: Card Number: Expiracy Date: Security Code: authorize EMS on or after 10/29/2024 Randy Prueitt 5217300101585273 02/27 220 DATE: 10/29/2024 (Date) 4.00% Merchant Fee Included Pacle 99 of 496 JEMS WORKER'S COMP SERVICE & FEE ACKNOWLEDGEMENT DISCLOSURE Date: 10/29/2024 1, Randy Prueitt acknowledge that EMS WORKERS COMP INC has been contracted and authorized by me with full authority to do so on behalf of Prueitt Construction, LLC PEO CARVE OUT Staffing Program Administrative Services to obtain: (Initial next to all that apply) * I have been fully explained and understand the coverage limits of my policy * I have been fully explained and understand all down payments, recurring monthly payments, Service fees and reporting requirements attached to my policy. * I have been fully explained and understand all enrollment & processing fees Initial Initial Initial All charges to my authorized payment method are hence deemed earned and non-refundable upon acknowledgement of approval delivered by email, fax, us mail, or by verbal communication. Carrier & and third party agent's down payments, escrows, and fees are subject to carriers individual refund policy if any. (Authorized Signer) Randy Prueitt (Printed Name) 10/29/2024 (Date) Pa a 100 of 496 JEMS WORKER'S COMP LOSS HISTORY AFFIDAVIT This affidavit shall be utilized to validate and acknowledge a prospective company's workers' compensation loss experience, or the lack thereof, when Carrier, PEO and/or Payroll Company generated los runs or declarations are not being presented. This affidavit must be completed by an owner/officer. Company Information: 1, Randy Prueitt (Print Owner/Officer Name) Prueitt Construction, LLC certify that and any related business (Company Legal Name) entities through common ownership/ interest, as well as any predecessor companies listed below, if any: (Common Ownership/Related Entities) Loss History Acknowledgement: has not experienced any work related injuries and/or reported any workers' compensation claims and certify that no current or former employees have reported an injury in the prior 3 years from the date this form is signed. ® has experienced work related injuries and/or reported workers' compensation claims in the prior 3 years. Present all(**) injuries and details below: Month & Total Cost Insurance Carrier, Name of Injured Employee Year of Type of Injury of the Claim PEO and/or Payroll Injury Co **If more claims exists, within the prior 3 year period, please present on another sheet of paper using the same format. It is a crime to knowingly provide false, incomplete or misleading information to any party to a workers' compensation transaction for the purpose of committing fraud. Penalties include imprisonment, fines, and denial of insurance benefits. Any person who knowingly, and with intent to defraud any insurance company or another person, files an application for insurance or statement of claim containing any materially false information or conceals for the purpose of misleading information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime and subjects the person to criminal and civil penalties. Owner/Officer (Sign): Q"'te Title/Position: Date: 10/29/2024 I attest that I have counseled the aforementioned business owner/ officer regarding the presentation of loss data for underwriting. PEO Name: Date: PEO Representative Name ( Sign: Digital signatures are prohibited for use on this and any other document presented to EMS WORKERS COMP INC. Pacle 101 of 496 JEMS WORKER'S COMP CLASS CODE AFFIDAVIT This form will address class codes that are commonly miscoded in construction and industrial operations. Miscoding is the intentional or unintentional use and assignment of a class code. They include the following: * 5606: Contractor -Project Manager, Construction Executive, Construction Manager, or Construction Superintendent * 8742 — DE951: Salespersons or Collectors -Outside * 8809 (TX -ONLY): Executive Officers NOC-Performing Clerical or Outside Salespersons Duties Only * 8810 — DE953: Clerical Office Employees NOC Please read the following abbreviated NCCI Scopes definitions to understand what is and is not applicable to their assignment. The complete NCCI Scopes Manual description will be provided to you by your PEO provider upon request. Please select, with an X, the Class Code(s) you are requesting be assigned to a co -employee assigned to your business: Class Code Affidavit ❑ * 5606: This classification is available only to project managers, construction executives, construction managers, or construction superintendents having administrative or managerial responsibility for construction or erection projects. When determining eligibility, it is the job duties, and not the job titles, that are the main consideration. Code 5606 does not apply to any person who is directly in charge of, or who is performing any degree of actual construction work. Such person must be assigned to the classification that specifically describes the type of work which they are exercising direct supervisory control. A sole proprietor or owner/operator with no employees, working as a subcontractor for the Client Company, would prevent the assignment of this classification to a construction executive because the subcontractor does not have the required job supervisor or foreman to support indirect supervision. ❑ * 8742 — DE951: Salespersons or collectors are employees engaged in such duties away from the employer's premises. 8742 is not available for employees who deliver merchandise. Judgment is necessary in assessing these employees' duties for classification purposes since occasional courtesy deliveries of a nominal quantity of merchandise would not preclude them from being classified to 8742. When outside salespersons or collectors regularly and frequently perform duties at the premises of their employers, their total payroll is assigned to the highest rated classification representing any part of their work. ❑ * 8809 (TX -ONLY): Executive Officers performing clerical or outside salespersons duties only - not superintendents, foremen or workers. This classification applies only to executive officers such as the president, vice president, secretary, treasurer or any other officer appointed in accordance with the charter or by-laws of the corporation or a professional association. ❑ * 8810 — DE953: This classification is available only to clerical/ administrative personnel whose work areas are separated and distinguishable from all other work areas and hazards of the employer by floors, walls, partitions, counters, or other physical barriers. The duties of a clerical office employee include creation or maintenance of financial or other employer records, handling correspondence, computer composition, technical drafting, and telephone duties, including sales by phone. The clerical office classification continues to apply to a qualified clerical office employee who performs a duty outside of a qualified clerical office area when that duty does not involve direct supervision or physical labor and is directly related to that employee's duties in the office. Pa e 102 of 496 JEMS WORKER'S COMP CLASS CODE AFFIDAVIT (CONT.) Activities prohibited while assigned to the codes listed above include: delivering, carrying and loading of any work related materials/equipment. Deliveries of a nominal or insignificant quantities by an employee assigned to 8742 is appropriate. Climbing ladders, operating equipment, quoting work off the ground or on roofs and all other physically demanding work is also prohibited. EMS WORKERS COMP reserves the right to retroactively apply all payroll for miscoded employees in any policy period when a determination is made that miscoding has occurred. Miscoded employees will be assigned to the highest rated/governing construction code. By signing this affidavit, I am certifying that I have read the full description of the applicable code, as outlined in the National Council on Compensation Insurance (NCCI) Scopes Manual, and that all employees assigned in the aforementioned code(s) are properly classified. Prueitt Construction, LLC Client Company Name PEO Provider Name Randy Prueitt 6?A,4 P 10/29/2024 Client Owner Name: (PRINT) Client Owner Name: (SIGN) Date NOTICE: Any person who knowingly and with intent to defraud any insurance company or another person files an application for insurance or statement of claim containing any materially false information, or conceals for the purpose of misleading information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime and subjects the person to criminal and civil penalties. Pa e 103 of 496 Audit Trail WESignature' Title EMS - Prueitt Construction, LLC.pdf Document ID group-17302390111a79flac842cf3ec d72fed45021b70de Sender Mail melyssa@oneforcewc.com Status Completed Document History Signer Name Randy Signer Mail rprueitt@outlook.com Ip Address 174.192.68.87 Action signed Date 2024-10-29 22:02:56 UTC xx------------------------------------------------------------------- Signer Name Randy Signer Mail rprueitt@outlook.com Ip Address 174.192.68.87 Action rprueitt@outlook.com, has agreed to WeSignature Terms Of Service and to do business electronically with the Sender and with all participants. Date 2024-10-29 22:02:55 UTC xx------------------------------------------------------------------- Signer Name Randy Signer Mail rprueitt@outlook.com Page 104 of 496 Ip Address 174.192.68.87 Signer Name Randy Signer Mail rprueitt@outlook.com Ip Address 174.192.68.87 Action view Date 2024-10-29 21:59:40 UTC xx Signer Name Randy Signer Mail rprueitt@outlook.com Ip Address 104.47.74.126 Action view Date 2024-10-29 21:59:37 UTC xx Page 105 of 496 corer County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY FIRM APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY This application must be typewritten or legibly printed. The application fee must be paid upon approval and is NUT refundable. All checks should be made payable to: Collier County Board of County Commissioners. For further information, consult Collier County Ordinance No. 2006-46, as amended. TYPE OF CERTIFICATE OF COMPETENCY: ❑ General $230.00 ❑ Building $230.00 ❑ Residential $230.00 ❑ Mechanical $230.00 ❑ Roofing $230.00 ❑ Electrician $230.00 ❑ Plumber $230.00 ❑ Air Conditioner $230.00 ❑ Swimming Pool $230.00 US Specialty $205.00 Specialty Trade: 6' J/1VOIF L&6 _ " Tr C, I. APPLICANT PERSONAL INFORMATION: Name: First Middle Initial g1151neS5 Name: 71` Address: e . , 4'U 'n +--(y // Street City Z_ State Last Email: Telephone: i6g 'SS # (Last 4 digits only): Date of Birth: Driver's License # (Last 4 digits only): ■ r Pursuant to Cotlier 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 fallowing purposes: a) Assess applicant's ability to satisfy creditors by reviewing their credit history. bj Verification of applicant's test scores and information. c) Verification of applicant's identity. Our office will only use the personal information noted above for those reasons pursuant to Chapter 119, Florida Statutes, and as may otherwise be authorized by law. We are fully committed to safeguarding and protecting your personal information and once coitected, will be maintained as confidential and exempt under Chapter 119, Florida Statutes. Contractor Licensing — FIRM Application Rev. 712022 Page 3 of 14 Operations & Regulatory Management division, Contractor Licensing a 2600 North Horseshoe Drive • Naples: FL 34104 ■ (239) 252-2431 contractvrslicensin colliercoun ov Page 106 of 496 Goer County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY Provide the names and telephone numbers of two persons who will always know your whereabouts. Name: — IeA �Z_ i t' I _ Name:__.— Telephone:. (3 Telephone: (!� II. NAME OF APPLICANT'S BUSINESS: Business Name: 1""r-11, 94)" 77.41:f! 11 2c�o Business Address: L Street City Telephone: Email: 2 4,)- 1n -� - Federal ID Tax No.: ;16 I z:5 f _ III. FINANCIAL RESPONSIBILITY .5 y/IL-) State Zip YES ND ALL APPLICANTS MUST ANSWER THE QUESTIONS BELOW: ! Filed for or been discharged in bankruptcy within the past 5 years? ,• Had a lien filed against you by the Internal Revenue Service or Florida Corporate Tax Division? Undertaken construction contracts or work that resulted in liens, suits, or judgments being filed? Undertaken construction contracts or work that a third party, such as a bonding or surety company, completed or made financial statements on? Made an assignment of assets in settlement of construction obligations for less than the debts outstanding? t/ 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? een charged with or convicted of acting as a contractor without a license, or if licensed as a contractor in this or any other state, been "subject to" disciplinary action by a state, county, or municipality? NOTE. If you have answer YES to any of the questions below, you must attach a written explanation including the nature of the charges, dates, and outcomes, sentences of conditions imposed. You must also attach proof of payment, satisfaction of lien or judgement, bankruptcy discharge, or agreements for payment.*If you have had a felony conviction, proof that your civil rights have been restored will be required prior to licensure. Contractor Licensing — FIRM Application Rev. 712022 Page 4 of 14 Operations & Regulatory Management Divisien, Contractor Licensing o 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorsllcensin colliercauntyfl.gov Page 107 of 496 Cover Courr_ty Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY CERTIFICATION OF APPLICATION The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County No. 2006-46, as amended, and under penalties of perjury. I declare that I have read the foregoing qualifier information and that the facts stated in it are true. The undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to be licensed in all matters connected with its contracting business and that he has full authority to supervise construction undertaken by himself or such business or organization and that he will continue during this registration to be able to so bind said lousiness 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. r�y� � f l jl I i n State of I U i I County of G v The foregoing i strument was acknowledged before me Adayof G Gf ,20_U,by f JUi_ L Such person(s) Notary Public must check applicable box: are personally known to me ❑ has produced (Notary Seal) Notary Public state of Florida E1ten Elizabeth iiapfinger '+'+ AAy Commission site 477807 Expires 12110120Z7 04- �i�i_zyrcy.i� Applicant {please print Name of Company Signature of Applicant of physical presence or ❑ online notarization on this has produced a current driver license as identification_ �-Z Notary Signature: '' Contractor licensing — FIRM Application Rev. 712022 Page 6 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive ■ Naples, FL 34104 a (239) 252-2431 contractorslice nsinn culIiercounegov Page 108 of 496 The foregoing,instrument was acknowledged before me y I day of J iD W V , 20 by Such person(s) Notary Public must check applicable box: Coer County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY IV. EXPERIENCE VERIFICATION EDUCATION: List below and provide transcripts for any formal education you have obtained in the area of competency for which this application is being made: List below non formal education (on the job training) you have obtained in the area of competency for which this application is being made: /, ,lfi !7 44 CURRENT/PREVIOUS LICENSE: List below and attach copies any other certificates of competencyllicenses you hold/have held in Collier County or any other jurisdic#ion. Include the license #, Type, and county you hold it in. �F S �- Y/ , 1_►1:91I1i1►fIII III Under the penalties of perjury, I declare that I have read the foregoing application and the facts stated in it are true. Applicant (please print) §gnature of Applicant t State of County of leans of�physical presence or ❑ online notarization on this are personally known to me has produced a current driver license ❑ has produced as identification. (M Notary Public State of Florida Ellen Eldstiath Hapfin9ef My Commiselon NH 471697 !� Expires 12110f2Q2T Notary Signature: Contractor Licensing -- FIRM Application Rev. 712022 Page 5 of 14 Operations & Regulatory Management Division, Contractor Licensing ■ 2800 North Horseshoe Drive a Naples, FL 34104 • (239) 252-2431 mntrartorslicensingpcgAiftLcoun fl.� Page 109 of 496 Cover C,omnty Growth Management Community DeveEopment Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY WORKMEN'S COMPENSATION AFFIDAVIT It is understood and acknowledged by the Collier County Contractors' Licensing Board and myself that if I fail to acquire, or maintain at all times effective Workmen's Compensation Insurance it will result in the possible revocation of my Certificate of Competency. _ /Ay� 51�11i._!G i t Applicant (please print Name of Company Signature of Applicant BEFORE ME this day personally appeared I Kwho affirms and Applicant (please print) says that he has less than one employee and does not require Workmen's Compensation understands that at any time he employees one or more persons he must obtain said Workmen's Compensation Insurance. State of fl urd I County of The foregoing instrument was acknowledged before rn by m ans of physical presence or 11 online notarization on this 0 day of d�tiGPm�GI' , 20 t� - , by PoUl S nbl u Such person(s) Notary Public must check applicable box: are personally known to me has produced a current driver license !] has produced (Notary Sea]) Notary Public State of Florida Ellen Elizabeth HopFinytr AnnMy Commlealon HH 471007 Expires 1211012027 as identification. Notary Signature: Contractor Licensing — FIRM Application Rev. 712022 Page 7 of 14 Operations & Regulatory Management Division. Contractor Licensing s 2800 North Horseshoe Drive a Naples. FL 34104 r (239) 252-2431 con tractors! icens ing (u7ca! I ie rCO u ntyfl, 4ov Page 110 of 496 Collier c;0H-nty Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY STATEMENT OF OWNERSHIP .-7 This certifies that I, AJ4 S/�v� crrC am a member or managing APPLICANT'S NAME (please print) member of (LIMITED LIABILITY COMPANY NAME) 1 own r % of the units issued by the Limited Liability Company listed above. Affidavit of Applicant: I certify under penalty of perjury that the information contained is a true and correct statement to the best of my knowledge. Applicant (please print) 4'7.nrWfJi-1CA 'z5z?'C" J r1"p5 C z-c' Name of Company Sign ure of Applicant State of County of The foregoing 'nstrumeynt vas acknowledged before a bZia � of�physical presence or 0 online notarization on this day of � U �►1 24 , by � _ Such person(s) Notary Public must check applicable box: *are personally known to me has produced a current driver license El has produced IIII ��, as identification. (Notary Seal) Notary Public State of Florida y Ellen Sliiabsth Hoptiinger Notary Signature: my Commlaalon HH 47iao7 Expires 12110/2027 Contractor Licensing — FIRM Application Rev. 712022 Page 9 of 14 Operations & Regulatory Management Division, Contractor Licensing a 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 gontractorslicensin calliercoun fl. gy Page 111 of 496 C;PWV County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFfCATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicants fume. Paul Shulick Certificate Category Requested Cabinet Installation The applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate- the applicant must verify his/her experience within this trade- You are being requested to provide information that will aid the applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker (e.g-, as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described. but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience for the above -named applicant must provide the following information. Name Todd Grooms Title President Business Name Tradewind Designs, Inc Phone 239-354-4708 Business Address 1655 Mullet Ct Street The applicant was employed by me from License No (if applicable) LLC20130003710 Naples FL 34102 City State Zip June 2012 to December 2021 Applicant's titte Cabinet Designer The applicant's scope of work (specific duties) included Sales- Design, Order & Oversee installation Additional comments' NOTE TO LICENSED CONTRACTORS Falsifying any information provided herein may subject your license to revocation Under penalty of penury, I declare that the facts stated here are true _- Sig ur person providing the statement State of FLoo->>County of CO L,tr, t EIZ- The foregoing instrument was acknowledged before me by means of physical presence or ❑ online notarization on this =day of. 20 ? , by GT Such person(s) Notary Public must check applicable box: IJ are personally known tome C has produced a current driver license ❑ has produced as identification. (Notary Seal) Y wy M. MOORE ';�r' Commission N HH 573185 - ° Expires November19.2028 Notary Signature: r_ Contractor Licensing — FIRM Application Rev. 712022 Page 10 of 14 operations & Regulatory Management Division, Contractor Licensing . 2800 North Horseshoe Drive ■ Naples- FL 34104 . (239) 252-2431 conlractorslicensing{[r�colliercountyfl-go_v Page 112 of 496 Col ier County Growth Management Community development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name: Paul Shulick Certificate Category Requested: Cabinet design sales and installation The applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate, the applicant must verify his/her experience within this trade. You are being requested to provide information that will aid the applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker (e.g., as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or adrn i n istrative 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: Sandra D Soltoff Business Name: Eggersmann USA LLC Phone: 215.767.4567 Title; CFO License No, (if applicable): Business Address 1855 Griffen Rd Suite C-262 Dania Beach Street city The applicant was employed by me from 1 1-6-22 Applicant's title: Exclusive representitive for Eggersmann to present EL 33004 State Zip The applicant's scope of work (specific duties) included: designing, selling and installing Eggersmann cabinetry Additional comments: NOTE TO LICENSED CONTRACTORS: Falsifying any information provided herein may subject your license to revocation. Under penalty of perjury, I declare that the facts stated here are true, y� p Signature of person providing tkkiaternent State of County of 4 11 .._....._ The foregoing instrument was acknowledged be fqo rq me by mea of hysical presence or ❑ online notarization on this day of t_ , 20 by Such person(s) Notary Public must check applicable box: are personally known to me ❑ has produced a current driver license ❑ has produced as identification. ('VotarySeat) Notary public state of Florida Ellen Elizabeth 1`100Myer My Commission MM 4711307 Expires 121101202T Notary Signature: Contractor Licensing — FIRM Application Rev. 712022 Page 12 of 14 Operations & Regulatory Management Division, Contractor Licensing a 2800 North Horseshoe € dve ■ Naples, FL 34104 a (239) 252.2431 contra orslicensi collierc❑ n ov Page 113 of 496 Cotr County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name: Paul Shulick Certificate Category Requested. Cabinet design sales and installation The applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate, the applicant must verify his/her experience within this trade. You are being requested to provide information that will aid the applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker (e.g., as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience for the above -named applicant must provide the following information: Name Michael J Soltoff Business Name: Eggersmann USA LLC Phone: 215.738.4757 Title: CEO License No. (if applicable): Business Address: 1855 Griffen Rd Suite C-262 Dania Beach Street The applicant was employed by me from 11-8-22 Applicant's title: Exclusive representitive for Eggersmann City to Present FL 33004 State Zip The applicant's scope of work (specific duties) included: designing, selling and installing Eggersmann cabinetry Additional comments: NOTE TO LICENSED CONTRACTORS: Falsifying any information provided herein may subject your license to revocation. Under penalty of perjury; I declare that the facts stated here are true. rr Signature of person providing statement State of OCounty of V ��y ¢ In _ The foregoing 'nstrument was acknowledged �bje`forjee me byp means ofKphysical presence or ❑ online notarization on this dayof��.20'by I11411414V 14� -- -- Such person(s) Notary Public must check applicable box ?<kre personally known to me ❑ has produced a current driver license ❑ has produced (Nota , ea Nolsry public Slate of Florl4t Ellen Etizebeth Hoprim9or My Commission HH 471507 Expires 12l1012027 Contractor Licensing — FIRM Application Rev. 712022 as identification. Notary Signature: L Page 12 of 14 Operations R Regulatory Management Division, Contractor Licensing a 2800 North Horseshoe Drive . Naples. FL 34104 . (239) 252-2431 contractorslicensin colliercoun ov Page 114 of 496 Comer County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF Florida COUNTY OF Collier f Lisa J. Grooms I am a resident of Collier more than five (51 years - having been first duty sworn state and affirm County, Florida (State) and have resided here for During the last five (5) years I have known Paul Shulick (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. y� �/l�fi7l. � Signature Lisa Grooms Printed Name Address. 1655 Mullet Ct Naples FL 34102 Telephone. 239-354-4708 State of �� County of W L LI Ljr& The foregoing instrument was acknowledged before me b means of0J physical presence car 0 online notarization on this Such person(s) Notary Public must check applicable box: ® 'I, known to me ❑ has produced a current driver license 13 has produced as identi fiCa[ion. (Noutry Sealy :a,►RY p` n GARY M_ L40ORE • Commissm # HH 5737$5 v'+ ° Expires November 19. 2028 Notary Signature: .. „ FOF FCC Contractor Licensing — FIRM Application Rev. 712422 Page 14 of 14 Operations & Regulatory Management Division Contractor Licensing ■ 2900 North Horseshoe Dnve ■ Naples. FL 341D4 v (239) 252-2431 contractorsUwm5ing coiiiercg11n fi. ov Page 115 of 496 November 14, 2024 To whom it may concern, This is a letter of recommendation for Paul Shulick and his company; Adirondack Equities, LLC, with whom I have had a strong and mutually beneficial business and personal relationship for nearly 4 years. I am the developer, builder, and owner of a commercial real estate property located in North Naples, Florida. Bi2Park is a $12m office/flex space complex where Paul has been an exemplary tenant since December 2020. Having developed both a personal as well as a professional relationship with Paul, I consider him one of best and most conscientious businesses in my project. I have also been familiar with his work and have heard nothing but praise for his responsiveness and professionalism when dealing with a variety of his clients. He has been a model addition to our business community and consider myself fortunate that Paul chose my development in which to locate his successful and growing business. Please feel free to call me if you need and further recommendations. SinVerely,Wile President Private Development Corporation BixPark Flex/Office LWAIII10 otary puhlio State of Florida Ellen Eiiz811114 t♦Qpr�nges My Commission SH 4711107 ♦.Xpirsa 1211012027 ss � ogapses 159jV Qjd 41, suite 210'Naples a FL 341,10 239E?L3796 Page 116 of 496 TA Millwork k Iflstallation, LLC 3 12133' Sl reel SW Fehigh :lyres, Florida .I397 6 Re: Licensing Division - Collier County Growth Management To whom it may concern: I hereby confirm that Paul Shulick of Adirondack Equities, LLC d/b/a Studio St. James has the required experience in the filed of cabinet installation and general carpentry. Our company has been doing business with him for years and considers him of excellent character with exceptional competency. Kind Regards, Williams G� Member "otery Public state or Florida Ellen Elizabeth Hopringu 11 My CommiseiOn ►tH 471807 Expires 121101202Z,. Page 117 of 496 TA Millivork l Installation, LLC .312133"' SImet SW Lehigh .kris, Florida 339 Re: Licensing Division - Collier County Growth Management To whom it may concern: I hereby confirm that Paul Shulick of Adirondack Equities, LLC dlbla Studio St. James has the required experience in the filed of cabinet installation and general carpentry. Our company has been doing business with him for years and considers him of excellent character with exceptional competency. Kind Regards, Keith McRae � Jobsite Supervisor 11.1. to14 Notary Public state of FloriQa Ellen Elizsb►lh Hopfinper �IH My Commission MN 411801 Expires 12M012027 Page 118 of 496 A��120� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 12/09/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFECATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(S). PRODUCER A Ardent insurance Group p Ardent Insurance Group, Inc. 1004 Collier Center Nlay PHONE (239) 919-3916 FAX (866) 347-8852 AIC Nc Ect : A;C No E-MAIL Info@ardentinsuranregroup.com ADDRESS: #205 INSURERISIAFFOROING COVERAGE NAIC Y Naples FL 34110 INSURER A . Century Surety Company 36951 INSURED INSURER B: Evanston Insurance Company 35378 Adirondack Equities, LLC. DBA: Studio St James INSURER C= 15900 Old 41 Suite 100 INSURER D: INSURER E Naples FL 34110 INSURER F : COVERAGES CERTIFICATE NUMBER: CL241906097 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED A80VE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE IN ❑ WVD POLICYNUMBER EFFI MMIDCDIYYYYCY EXP MM ODNYVY LIMITS A COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR CCP-1206248 0V0712024 0110712G25 EACH OCCURRENCE S 1,000,000 PREMI ES Ea 0GCwff0nC0J $ 100.000 MED ExP (Any one person) 5 5.000 PERSONAL SADV INJURY 5 1.000.000 GEN'L AGGREGATE LIM17 APPLIES PER POLICY X PRO LOC JECT OTHER GENERALAGGREGATE $ 2.000,000 PRODUCTS-OOMP/OPAGG g 2.000.000 S AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON-OVMED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT Es accident S $ODILY INJURY [Per person! 5 BODILY INJURY (Per accident) $ _ PROPERTY DAMAGE Per accdenY 5 5 B UMBRELLA LIAR EXCESS UAB HCLAIMS-MADF OCCUR 1F EZX63142730 01/20/2024 0110712025 EACH OCCURRENCE $ 1.000.000 AGGREGATE 5 1.000.000 DED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE ❑ OFFICERMEMBER EXCLUDED? [Mandatory in NH) If yea. describe udder DESCRIPTION OF OPERATIONS Wow NIA PER OTH- STATUTE ER EL EACH ACCIDENT $ El- DISEASE - EA EMPLOYEE $ E.L DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more apace is required] CFRTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Collier County Contractor Licensing Board ACCORDANCE WITH THE POLICY PROVISIONS. 2800 N. Horseshoe Drive AUTHOR12EO REPRESENTATIVE Naples FL 34104 — © 1988-Y915 ACURD GURPORAIION, AU rights reserved. ACURD 25 (20161031 The ACURD name and logo are registered marks of ACORD Page 119 of 496 ACC>RL7> CERTIFICATE OF LIABILITY INSURANCE DATE jMMIDOIYYYYy 12/09/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: BIBERK PHONE g44-472-0967 FAX 203-654-3613 P.O. Box 113247 iE Cho, ExtJ {AIC. Holz . .............. IL Stamford, CT 06911 ADDRESS;. customerservice@biBERK.com INSURERS AFFORDING COVERAGE NAICA INSURER A : National LrabiIity & Fire Insurance Company 20052 .. ....... ........... . ........ ........ INSURED INSURER B: Adirondack Equities, LLC Studio St. James INSURERC: 15900 Old 41 N Ste 100 INSURER a: Naples, FL 34110 1 INSURER COVERAGES r PQTIFIr_ATP NIIMRFR• DC111410rd Allrla1211=0- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS. IN$R �S TYPE INSURANCE ADDI_USR: POLICY EFF POLICY EXP LTR POLICYNUMBER MMIDDIYYYYI. (MMIDDPfY-YYI LIMITS — COMMERCIAL OEN ERA LIABIL€7Y EACH OCCURRENCE S 0 _...... CLAIMS MADE OCCUR DAMAGE= T6 RENTED PREMISES {Ea occurrmcel. 5 0 - ------,,,- _M_ED EXP (Any one parson] S 0 -._ PERSONAL&ADVINJURY S 0 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 0 _ ... ... PRO- ._................w...�..---.. . .: POLICY---- -. JECT •-- LOC.PRODUCTS - COMPIOP AGG S Q -- OTHER S AUTOMOBILE LIABILITY COMBINED SINGLELIMIT S a!�.E)7..-....... _........... ANY AUTO - BODILY INJURY [Per prsary 5 OWNED _ 1 SCHEDULED AUTOS ONLY ._ AUTOS BODILY INJURY Per accident) Si [ HIRED NON -OWNED IPROPERTY DAMAGE S . ;AUTOS ONLY ....; AUTOS ONLY (Per aaidem]. , 5 UMBRELLA LIAR OCCUR ._AGGREGATE EACH OCCURRENCE S EKGESSLIAB CLAIMS•MADF3 _ -5 DED RETENTION S � r g WORKERS COMPENSATION PER OTH- I x..l AND EMPLOYERS' LIABILITY YIN FATUFE ER AFFPCER RIETORIPAR7NERIEJfECUT[VE N;'A. N9WC4326[33 01�05�2Q24 01.�05�202$ A OFF:GER,RIEMBERExCLUDED? E.L. EACH ACCIDENT 5 500,0.00 ........_...... .. {Mandatory m NH] E.L DISEASE - EA EMPLOYEE. S500,000 If yes, describe under DESCRIPTION OF OPERATIONS below .. ......... ............. ..... . E L. DISEASE- POLICY LIMIT s500,000 Professional Liability (Errors & Per Occurrence/ Omissions): Claims -Made Aggregate DESCRIPTION OF OPERATIONS I LOCATIONSI VEHICLES (ACORD 101, Additional Rem arks Schad Lle- may be attached if more space is required] Additional Named Insured: Studio St. James E.L. 100,000/100,000/500,000 effective 0110512024; 100,000/100,000/500,000 effective 01l0512024-1 Collier County Contractor Licensing Board 2800 N. Horseshoe Drive Naples, FL 34104 LrArJf_tLLA I IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE (D 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Page 120 of 496 2024 FLORIDA LIMITED LIABILITY COMPANY ANNUAL REPORT DOCUMENT# L07000083775 Entity Name: ADIRONDACK EQUITIES, LLC Current Principal Place of Business: 15900 OLD 41 #100 NAPLES, FL 34110 Current Mailing Address: 15900 OLD 41 #100 NAPLES, FL 34110 US FEI Number: 26-0732549 Name and Address of Current Registered Agent: SHULICK, PAUL 5020 BLAUVELT WAY #101 NAPLES, FL 34105 US FILED Feb 05, 2024 Secretary of State 4583553642CC Certificate of Status Desired: No The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida. SIGNATURE: Electronic Signature of Registered Agent Date Authorized Person(s) Detail : Title MEMBER Name SHULICK, PAUL Address 5020 BLAUVELT WAY #101 City -State -Zip; NAPLES FL 34105 I hereby codify that the information indicated on this report or suppiementat report is "a and accurate and that my electronic signature shail have the same legaf effect as if made under oafh; that 1 am a managing member or manager of the limited liability company or the receiver or trustee ampowerod to execute this report as required by Chapter 605, Florida Statutes; and that my name appears above, or on an attachment with all other like empowered. SIGNATURE: PAUL SHULICK MEMBER 02/05/2024 Electronic Signature of Signing Authorized Person(s) Detail Date Page 121 of 496 a Department of State Division of Corporations Public Access System Electronic Filing Cover Sheet Note: Please print this page and use it as a cover sheet. Type the fax audit number (shown below) on the top and bottom of all pages of the document. (((H07000206173 3))) ! l�ilill illl illll liill iilll iilll �11�lI�I� �I111 illil llill llili 1llii Illilllllil lililll! lliil lilt • - .NQ7D002061733J18C- Note: DQNOT hit thc.REFRESH/RELOAD.button on your browser from this page.,Daing so will gii ei a another cover sheet. To: Division of Corporations Fax Number (850)205-0383 From: Account Name : BUSINESS FILINGS Account Number 105256001620 Phone (608)827--5300 Fax Number (608)827-5501 FLORIDAIFOREIGN LIMITED LIABILITY CO. to ulp Luc ] 1L1 &� ��Cr- Adirondack Equities, LLC '= LL� _Gu GertificateofStatvsLn MST 0 Certified Copy 1 LLJ ZD Page Count 03 !w Estimated Charge $160.00 Electronic Filing Menu Corporate Filing Menu bttps://efile.sunbiz.org/scripts/Cfilcovr.exe Help men 0 # -..� {!7 < m r-; Dr� Cam] 9/15/2007 Page 122 of 496 PLG-15-2007 14a41 w P-02 FAX AUDIT 4 H07000206173 3 ARTICLES OF ORGANIZATION OF Adirondack Equities, LLC ARTICLE I NAME The name of the limited liability company shall be: Adirondack Equities, LLC ARTICLE It PRINCIPAL OFFICE The principal place of business and mailing address of this Limited Liability Company shall be: 4083 Sparrow Hawk Rd., Melbourne, Florida 32934.•. ARTICLE III INITIAL REGISTERED AGENT & STREET ADDRESS . The name and address of the initial.registered agent is: -Business Filings Incorporated, 1203" " Governors Square Blvd, Suite 101, Tallahassee, Florida 32301-2960, Located in the County of . Leon. :.. ARTICLE IV DURATION • ' ` The duration for the limited liability company shall be: 125112047. ARTICLE V MANAGERS/MEMBERS limited is F—r rr The management of the liability company reserved for the Members and the name and n address of the member of the Limited Liability Company is: �b Cq �s Paul Shulick, 4093 Sparrow Hawk Rd., Melbourne, Florida 32934 C.) Date: August 15, 2007 Business Filings Incorporated, Organizer Mark Williams, A.V.1' Authorized Representative Prepared by Mark Williams, Business Filings Incorporated, 8025 Excelsior Dr., Suite 200, Madison, WI 53717 (609)927-5500 FAX AUDIT # H07000206173 3 Page 123 of 496 ro-c-15-2007 14:41 P.03 FAX AUDIT # H07000206173 3 CERTIFICATE OF DESIGNATION OF REGISTERED AGENT/REGISTERED OFFICE PURSUANT TO THE PROVISIONS OF SECTION 608.415, FLORIDA STATUTES, THE UNDERSIGNED COMPANY, ORGANIZED UNDER YHE LAWS OF THE STATE OF FLORIDA, SUBN11I7S THE FOLLOWING STATEMENT IN DESIGNATING THE REGISTERED OFFICE/REGISTERED AGENT, IN THE STATE OF FLORIDA. The name of the limited liability company is: Adirondack Equities, LLC The name and address of the registered agent and office is Business Filings Incorporated, 1203 ' Governors Square Blvd, Suite 101, Tallahassee, Florida 32301-2960. Located in the County'of ; Leon. Having been named as registered agent and to accept service of process for the above stated " company at the place designated in this c8etif c.ate,' I hereby'acbept the appointment as registered agent and agree to act in this capacity. L further'ag`rec to comply. vyith the provisions of all statutes relating to the proper and complete performance of my duties, and I`arn,familiar with and accept the obligation of my position as registered agent. Signatun Mark Williams, A.V.P Business Filings Incorporated FAX AUMT # H07000206173 3 Date: August IS, 2007 �:O- m C.. rn CPT — - - co cn O� a� ca TOTAL P.03 Page 124 of 496 X vo�} IRSDEPARTMENT OF THE TREASURY INTERNAL REVENUE SERVICE CINCINNATI OH 45999-0023 ADIRONDACK EQUITIES LLC ILA= PAUL H SHULICK SOLE MBR 4083 SPARROW HAWK RD MELBOURNE FL 32934 0000e� Date of this notice: 08-23-2007 Employer Identification Number: 26-0732549 Form: SS-4 Number of this notice: CP 575 E For assistance you may call us at 1-800-829-4933 IF YOU WRITE, ATTACH THE STUB OF THIS NOTICE. -WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER Thank you for applying for an Employer Identification Number (EIN). We assigned you EIN 26-0732549. This EIN will identify your business account, tax returns, and documents, even if you have no employees. Please keep this notice in your permanent records. When filing tax documents, please use the label we provided. If this isn't possible, it is very important that you use your EIN and complete name and address exactly as shown above on all federal tax forms, payments and related correspondence. Any variation may cause a delay in processing, result in incorrect information in your account or even cause you to be assigned more than one EIN. If the information isn't correct as shown above, please correct it using tear off stub from this notice and return it to us so we can correct your account. To receive a ruling or a determination letter recognizing your organization as tax exempt, you should complete Form 1023 or Form 1024,. Application for Recognition of Exemption and send to: Internal Revenue Service PO Box 192 Covington, KY 41012-0192 Publication 557, Tax Exempt for Your Organization, is available at most IRS offices or you can download this Publication from our Web site at www.irs.gov. This Publication has details on how you can apply. IMPORTANT REMINDERS: * Keep a copy of this notice in your permanent records. * Use this EIN and your name exactly as they appear above on all your federal tax forms. * Refer to this EIN on your tax related correspondence and documents. If you have questions, you can call or write to us at the phone number or address at the top of the first page of this notice, If you write, please tear off the stub at the end of this notice and send it along with your letter. Thank you for your cooperation. Page 125 of 496 a LO N N o d m �0) O s/l L y m b w oozN o` 4g m 0 o a V) w a LU LL � d i -- t qp C L C/J tmJ1 = E c o w C C ai N +� a 0)' V Y 00 ' E `C3 �� m cr0 Q N C $ CO LA C , LI+ u X ro `� LA ; Qaa �+ 3 T L o 0 l ..n a V Il o Y N a? i m. +n V C v E T 5 a Go iv u C nn c •a . o a E �; C LJ IZ "o qcc, LL V] C a) 0 Z O 0.i U L .� C — et a,LR u= m a+ M 0 d u o m ry m � ► y a`di [!1 — o 0a p a—O -0 V M v1 ra r9 E -0 � v C —° u Ln O on E 6 v Ch Y m z 14 +a w, i L,iJ j _Y W G1 0 GCr, � C a cu . OID sn iU _y 7 a C 40 I Vn u O O r J Q d Q fall O I /� W 12 M Q M ro C ra E 3� u 40 L 9 +� OL a tL U Q v w qj C (i N o N? u C u L 0 cc o �o C O I 3 3 m E m N f ' fV J Vl i v N a Q co o aS aCi V} m Z+ n a z N u ai U a CO C �i a a v a rro d a QyLn U1 L E U CL �+ Vl O aj o 0L C wI to Y/ IA J Li E v N L = v W r 4n 3f-4 a C a r, 0 v +� Ld o a ro a 7 O a s O -le aE, E o u ra a F Z y 00 In E LA rn Q aJ f[6 Z ` O ,� o n cu `o w °_D O = `n Q `yO Q �, �, ,a * .0 L Q F'- m A v a U L II ID 06 U) z elf Q 0 a U U- z O a w r m m +, m E Z N N 7 0 LL L L I r w L 1 � ❑ m c� O o W N 0 W C U y{ 0 ` J W � � O [�r7 c�] Z Q Z Ci Q o r O r Z N W Q 0 HQ vs W N o d � a 0 M m� m � E W J .G Z¢ z % 0 a W p YW T y o r. 3 m d Q D LL c Q5 Q = 7 p L "' Q p-W M li Z � u7 w Z U = '._ y C m e a 0 c m w 0 pm � C Q •■ 4f rCo 04 am+ 7�R L. D p W 00¢ dQ a-, z A.A.. LL U] LL 1% 0 N. LLI L) lu H W LL � +c7 � Z Q Q +n Y E u7 ti C7 00 0) O V 0 U) O N O co) 1- ti CDO �D ui N m O ,n �aaE J Ez LL 7 . C Z � O WZE aw n Qw O ZLLO 2 a LO N 7 N Y lU E O w LL O a_ c 4) c€ rm _C 3 m II _N J C 0 cn O 61) rn j o N U LL • 'experian. At a glance FIC4° Score 8 765 R` Experia7 data Nov 5, 2024 300 Account summary Overall credit usage Open accounts 18 Self -reported accounts 0 Accounts ever late o 66 % Closed accounts 0 Collections 0 Average 13 yrs 2 mos account age Credit used: $41,336 Oldest account 44 yrs 6 mos Credit limit: $62,490 Prepared For PAUL SHULICK Personal & confidential Date generated: Nov 5, 2024 850 Debt summary Credit card and credit line $41,336 debt Self -reported account balance so Loan debt $44,921 Collections debt $0 Total debt $86,257 Page 129 of 496 ■ 'experidn. Personal information Name PAUL SHULICK Also known as Generational identifier Year of birth 1964 Persona! statements Na State ment(s) present at this time Addresses 5020 BLAUVELT WAY APT 101 NAPLES, FL 34105-4542 5841 CEDAR AVE MARCY. NY 13403-2424 7065 SIERRA CLUB CIR APT 1307 NAPLES, FL 34113-7342 Prepared For PAUL 8NULICK Date generated: Nov 5, 2024 Employers ADIRONDECK TRADEWIND DESIGNS Page 130 of 496 VI tc C] r 1 From: Paul Shulick To: Ryan Cathev Subject: Fwd: Score Letter, Shulick Date: Friday, December 13, 2024 11:26:14 AM EXTERNAL EMAIL: This email is from an external source. Confirm this is a trusted sender and use extreme caution when opening attachments or clicking links. ---------- Forwarded message --------- From: scorenoreply(kprovexam.com <scorenoreply&provexam.com> Date: Wed, Nov 6, 2024, 4:25 PM Subject: Score Letter, Shulick To: paulshulick(a,umail.com <naulshulickggmail.com> Score Report Name: Sponsor: ID #: Score: Paul H Shulick Test: Business and Law, 2nd edition Collier County Date: 11/05/2024 Test ID: 476143467 84 Result: Pass # Unanswered Questions: 0 Module Subject Area Status LOW Cut Score HIGH ------------------------------------------------------------------------------------------------------ FLBO Business P Organization ---------- ------------------------------------------------------------------------------------------- FLLIC Licensing P ------------------------- --------------------------------------------------------------------------- FLTL Tax Laws P ------------------------------------------------------------------------------------------------------ FLSRR Safety P OSHA ------------------------------------------------------------------------------------------------------ FLLL Labor Laws P F I0 ------------------------------------------------------------------------------------------------------ FLCM Contract P Management FLPM Project P Management Page 132 of 496 FLE&B Estimating F & Bidding ------------------------------------------------------------------------------------------------------ FLFM Financial P Management -------------------------•---------------------------------------------------------------------------- FLRM Risk P Management ------------------------------------------------------------------------------------------------------ FLLIEN Lien laws P Page 133 of 496 ACCW?or CERTIFICATE OF LIABILITY INSURANCE DATE 1MM7DDfYYYYj ��. 01107/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOESNOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PROOLICER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s)- PRODUCER CONTACT NAME' BIBERK PHONE g44-472-0967 we ri203-654-3613 iAIC, Nu, E P.O. Box 113247 E-MAIL ADDRESS' custornerservice@hiBERK.com Stamford, CT 06911 IIISURER S AFFORDING COVERAGE NAIC* INSURER : National Natality & Fire Insurance Company 20052 INSURED INSURER la: Adirondack Equities, LLC Studio St. James INSURERC: 15900 Old 41 N Ste 100 INSURER D ; Naples, FL 34110 INSURER E: INSURER F ; COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CON❑ITIONSOF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. iR TYPE0FINSURANCE ADBLSUBR POLICY NUMBER MOLIOYEYY HMODlyYXp LTLIMITS LTR COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 0 . CLAIMSMApE OCCUR DAMAGE TO RENTED PREMISES (Ea.00corrence $ 0 MED EXP (Arty one person) $ 0 _ PERSONAL & ADV INJURY $ 0 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 0 S 0 POLICY PELT I LOC PRODUCTS - COMPMP AGG $ OTHER AUTOMOBILELIABIL17Y _ CDMB NED SINGL Ea accideat $ BODILY I NJURY (Per person] $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY I NJURY (Per accident) $ $ HIRED NDN-OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE r cciden UMBRELLA LIAB OCCUR EACHOCCURRENCE $ HCLAIMS-MADE AGGREGATE $ EXCESSLIAB DIED RETENTION 5 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETORIPARTNERYEXECUrIVE CFFICERAIEMBER EXCLUDED? (Mandatary in NH) NIA N9WC865604 01�p5�2U25 p1�p5�202G x PER 1l TTE ERH E.L. EACH ACCIDENT S500,000 E.L. DISEASE -EA EMPLOYEE $ 500,000 If ycs, cl scriba under DESCRIPTION OF OPERATIONS bela E.L. DISEASE- POLICY LIMIT $ S�D,D�t} Professional Liability (Errors & Per Occurrence/ Omissions): Claims -Made Aggregate DESCRIPTION OF OPERATION51 LOCATI•JN51 VEHICLES IACORDI07, Addttlonal RemarKs 5cnedlne. may pe attached It more space Is required) Additional Named Insured:Studio St. James CERTIFICATE HOLDER CANCELLATION Collier County Contractor Licensing Board 2800 N. Horseshoe Drive Naples, FL 34104 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. A U T HO R IZ ED REPRESEN TATIVE ©1989-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Page 134 of 496 CERTIFICATE OF LIABILITY INSURANCE BATE (MhUDDfYYYY) 01 /0612025 THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policyties) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER COMMAArdent I nsu rance Group Ardent Insurance Group, Inc. wCTNo : (239) 919 3916 FAX mot: (866) 347-8852 1004 Collier Center Way ADDRESS: info@ardentinsurancegroup.com INSURER(S)AFFORDING COVERAGE NAIC # 4205 Naples FL 34110 INSURER A: Century Surety Company 36951 INSURED INSURERB: Evan ston I nsu rance Compa ny 35378 Adirondack Equities, LLC, DBA: Studio St James INSURER C : 15900 Old 41 Suite 1110 INSURER D : INSURER E : Naples FL 34110 INSURER F : COVERAGES CERTIFICATE NUMBER: CL251606789 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED_ NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OFANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES_ LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE AULPLbUUK IN5D Y4UD POLICY NUMBER POLICY EFF jMMrDD1YYY1ry POLICY EXP (MMIDD�YWY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIAAS MADE FX7OCCUR PREMISES Faxcu ence $ 100,ODU MED EXP {Any one person) $ 5,000 PERSONAL AADV INJURY $ 1,000,DDD A CCI-1285068 0110T12025 0110712026 GEN'LAGGREGATE LIMTIAPPLIES PER: GENERALAGGREGATE $ 2,000,DDD POLICY FX7 PRQ LOC PRODUCTS - COMROP AGG $ 2,000,DDD $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOSONLY AUTOS BODILY INJURY [Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,DDD X AGGREGATE $ 1,000,DDD B EXCESSLIA6 CLAIMS -MADE E7XS3185026 01/07/2025 12/2512025 DELI I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS'UABILITY YIN PER OTH- STATUTE ER ANY PROPRIETORIPARTNERIEXECLMVE ❑ OFFICERMIEMBER EXCLUDED? NIA E.L. EACHACCIDENT $ E.L. DISEASE- EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS r VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if mare space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Collier County Contractor Licensing Board ACCORDANCE WITH THE POLICY PROVISIONS. 2800 N. Horseshoe Dnve AUTHORIZED REPRESENTATIVE Naples FL 34104 r, D 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Page 135 of 496 COY County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY FIRM APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY This application must be typewritten or legibly printed. The application fee must be paid upon approval and is NOT refundable. All checks should be made payable to: Collier County Board of County Commissioners. For further information, consult Collier County Ordinance No. 2006-46, as amended. TYPE OF CERTIFICATE OF COMPETENCY: General $230.00 ❑ Electrician $230.00 Building $230.00 ' Plumber $230.00 :1 Residential $230.00 ❑ Air Conditioner $230.00 :1 Mechanical $230.00 ❑ Swimming Pool $230.00 ::1 Roofing $230.00 ❑ Specialty $205.00 Specialty Trade: Ag�� I. APPLICANT PERSONAL INFORMATION: Name: A4y1f1 41 Middle Initial �a=t Business Name: Address: /7g �� D/►9�r %l/%4 ce. Nae fL 1 /Z e> Street ty State Zip Email:AMW /%Q�PGi!/e// Telephone 'SS # (Last 4 digits only): ,3(07j Date of Birth: D 7l/,sLl 9Y-o Driver's License # (Last 4 digits only):16,00 Pursuant to Collier County Contractor Licensing Ordinance No. 2006-46 Section 2.1.1., all applicants are required to submit their social security number, driver's license, and date of birth for the following purposes: a) Assess applicant's ability to satisfy creditors by reviewing their credit history. b) Verification of applicant's test scores and information. c) Verification of applicant's identity. Our office will only use the personal information noted above for those reasons pursuant to Chapter 119, Florida Statutes, and as may otherwise be authorized by law. We are fully committed to safeguarding and protecting your personal information and once collected, will be maintained as confidential and exempt under Chapter 119, Florida Statutes. Contractor Licensing — FIRM Application Rev. 7/2022 Page 3 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractors licensing (a)colliercountyffgov Page 136 of 496 cor county Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY Provide the names and telephone numbers of two persons who will always know your whereabouts. 1,--Q0^ �J Name: ,¢ /JNe// Name: _t �T/jWarl Telephone: 5-/1• 370• ?Yel Fr I1. NAME OF APPLICANT'S BUSINESS: Business Name: riAA4&. Telephone: .� 3 9 1115-0• 9 9e 2- Business Address: _ 17tyl P6CldW/ Ad6!.✓ 1Zto Street T C ty State ?ip Telephone: Z3 % • 1177-y . (0170.; Email: �/l��4 Gyl!/1�f271�'L"�l / -OIi/x7'. Federal ID Tax No.: 33 - 17417/79 III. FINANCIAL RESPONSIBILITY YES NO ALL APPLICANTS MUST ANSWER THE QUESTIONS BELOW: Filed for or been discharged in bankruptcy within the past 5 years? xHad a lien filed against you by the Internal Revenue Service or Florida Corporate Tax Division? x Undertaken construction contracts or work that resulted in liens, suits, or judgments being filed? ✓ Undertaken construction contracts or work that a third party, such as a bonding or surety company, n completed or made financial statements on? Made an assignment of assets in settlement of construction obligations for less than the debts outstanding? Been convicted or found guilty of, or entered a plea of nolo contendere to, regardless of X adjudication, a crime in any jurisdiction within the past 10 years?` claims or lawsuits filed for unpaid or past due accounts by your creditors as a result of XHad construction experience? Been charged with or convicted of acting as a contractor without a license, or if licensed as a X contractor in this or any other state, been "subject to" disciplinary action by a state, county, or municipality? NOTE. If you have answer YES to any of the questions below, you must attach a written explanation including the nature of the charges, dates, and outcomes, sentences of conditions imposed. You must also attach proof of payment, satisfaction of lien or judgement, bankruptcy discharge, or agreements for payment.'If you have had a felony conviction, proof that your civil rights have been restored will be required prior to licensure. Contractor Licensing — FIRM Application Rev. 7/2022 Page 4 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensingCcDcolliercountyflgov Page 137 of 496 Co per CoH.nty Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY IV. EXPERIENCE VERIFICATION EDUCATION: List below and provide transcripts for any formal education you have obtained in the area of competency for which this application is being made: List below non formal education (on the job training) you have obtained in the area of competency for which this application is being made: CURRENT/PREVIOUS LICENSE: List below and attach copies any other certificates of competency/licenses you hold/have held in Collier County or any other jurisdiction. Include the license #, Type, and county you hold it in. 1q41kr P/t.w1rr - &Ik4yT ��{/o . PL !3U- Z-y - I/ BB AFFIDAVIT Under the penalties of perjury, I declare that I have read the foregoing application and the facts stated in it are true- ""A !-well plicant (please print) State of I I or, County of C42 LLA-- The foregoing instrument was acknowledgedbeforeme b mean N� day of e , 20c , by Such person(s) Notary Public must check applicable box: Signature o p►icant physical presence or 0 online notarization on this ❑ are personally known to me 11Qhas produced a current driver license ❑ has produced as identification. (Notary Seal) Lisa M. Gallagher NOTARY PUBLIC • STATE OF FLORIDA MY COMMISSION EXPIRES FEB. 20, 2028 COMMISSION NO. HH 477342 1 Notary Signature: />P'—� Contractor Licensing — FIRM Application Rev. 7/2022 Page 5 of 14 operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensing _colliercountvfl.00v Page 138 of 496 u w m �LU t� >o J � m z Cl) O ci cn z Ln z 4 O LL Cr Lc) z� 2 h co U] �uj W Y r Q w z �a C.) a }-+ i� O Q� 0 CA CA cn T CU CA (a m e C ss. �-- o .� cr —a coo UCS m � °ems c �oc N oc m G �o r � CA U Lr Lr cfl rn 0 0 0 m An Ap 0 O rz t.. O _ 0 e 7= ... �l x z �s O rr ��--�r r� .�ri - - LL] O .� '7 4 t'+► � • r r � � M W F+ v � .... ta .40 An r ^/d1xe;Ae- wilier county Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY CERTIFICATION OF APPLICATION The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County No. 2006-46, as amended, and under penalties of perjury. I declare that I have read the foregoing qualifier information and that the facts stated in it are true. The undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to be licensed in all matters connected with its contracting business and that he has full authority to supervise construction undertaken by himself or such business or organization and that he will continue during this registration to be able to so bind said business organization. The qualified license holder understands that in all contracting matters, he/she will be held strictly accountable for any and all activities involving his license. Any willful falsification of any information contained herein is grounds for disqualification. Applicant (please print e121"'ft Tr -cc p/Nrrl %i/l�Y Name of Qldmpany /f/a 9 Sig ture of Applicant State of County of� l / CQ'A-1 The foregoing instrument was,, acknowledged b fore e by m oF9 physical presence or 0 online notarization on this (�tiay of , 2(k, by f�Gn r) Such person(s) Notary Public must check applicable box: 0 are personally known to me has produced a current driver license ❑ has produced as identification. (Notary Seal) Lisa M. Gallagher , NOTARY PUBLIC - STATE OF FLORIDA otary Signature: - MY COMMISSION EXPIRES FEB. 20, 2028 COMMISSION NO. HH 477342 Contractor Licensing — FIRM Application Rev. 7/2022 Page 6 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensino cDcolliercountvfl.00v Page 141 of 496 CoNr County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY WORKMEN'S COMPENSATION AFFIDAVIT It is understood and acknowledged by the Collier County Contractors' Licensing Board and myself that if 1 fail to acquire, or maintain at all times effective Workmen's Compensation Insurance it will result in the possible revocation of my Certificate of Competency. Applicant (please print BEFORE ME this day personally appeared felt QNC /Z who affirms and Applicant (please print) says that he has less than one employee and does not require Workmen's Compensation understands that at any time he employees one or more persons he must obtain said Workmen's Compensation Insurance. State of —�(�C ts`i o. County of The foregoin instrument was acknowledge (�day of � — 20 � , by me by means o physical presence or ❑ online notarization on this Such person(s) Notary Public must check applicable box: ❑ are personally known tome has produced a current driver license ❑ has produced (Notary Seal Lisa M. Gallagher NOTARY PUBLIC . STATE OF FLORIOA MY cOMMISSION EXPIRES FEB. 20, 2028 COMMISSION NO. HH 477342 Notary Signa, e: Contractor Licensing — FIRM Application Rev. 7/2022 as identification. Page 7 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslice nsina(@colliercou ntvfl.00v Page 142 of 496 GITS, LLC Examination Operations Division Providing the services and products to assist Government Agencies to make informed educated decisions. Official Examination Score Report Official Score Report: Candidate Information: Name — Nathan Duell Candidate #: 400510001) Online Testing Site: Ocala, FL Final Score Result: December 5, 2024 Master Plumber Score: 86% These results represent the grade that has been achieved on the above named examination(s) administered by Gainesville Independent Testing Service for Collier County, Florida on December 5, 2024. 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 Page 143 of 496 GITS, LLC Examination Operations Division Providing the services and products to assist Government Agencies to make informed educated decisions. Official Examination Score Report Official Score Report: Candidate Information: Name — Nathan R. Duell Candidate #: 400510001) Online Testing Site: Ocala, FL Final Score Result: November 27, 2024 Business Procedures Score: 66% 11 /22/2024) Business Procedures Score: 94% (11/26/2024) These results represent the grade that has been achieved on the above named examination(s) administered by Gainesville Independent Testing Service for Collier County, Florida. If you have any further questions, please do not hesitate to contact us. Sincerely, Jay E. Bowermeister President PO Box 831127 Ocala, Florida 34483-1127 — Voice (352) 369-GITS — Fax (352) 387-2443 800 997 2129 Page 144 of 496 12/20/24, 12:13 PM Your Credit Health I Credit Karma ril View report from Dec 20, 2024 V NATHAN R DUELL Print report 733 Calculated using VantageScore 3.0 Provided by TransUnion Personal Information NAMES REPORTED NATHAN R DUELL DULEE,NATHAN,R EMPLOYMENT INFO ALL STAR PLUMBING ALLSTAR PLUMBING ADDRESSES REPORTED 25 PINE HOLLOW DR SCHENECTADY, NY 12302-9507 16 CLOVERLEAF DR BALLSTON LAKE, NY 12019-9742 4 WILLOWBROOK RD GLENVILLE, NY 12302-5108 M -AV` OF 45 M For You Credit Cards Loar Mon https://www.creditkarma.com/cred it-health/transun ion/credit-report 1/5 Page 145 of 496 12/20124. 12;23 PM Your Credit Health I Credit Karma p You can submit a dispute without leaving Credit Karma. Look for Direct Dispute'" in the details of the account. AUTOLOANS NBT Reported: Nov. 21, 2023 NISSN INF LT Reported: Oct. 31, 2023 BRDVW Reported: Jul. 10, 2023 NISSN INF LT Reported: Jan. 31, 2022 NISSN INF LT Reported: Aug. 02, 2019 WFBNA AUTO Reported: Mar. 17, 2018 AMER HONDA Reported: Mar. 27, 2017 CREDIT CARDS BK OF AMER Reported: Dec.12, 2024 Show closed (2) REAL ESTATE LOANS ICATSKILL https:itwww. creditkarma.comlcred it-healthftra ns unionlcredit-re port $0.00 + Closed $0.00 + Closed $0.00 + Closed $0.00 + Closed $0.00 + Closed $0.00 +. Closed $0.00 + Closed $183.00 + In good standing $0.00 + 215 Page 146 of 496 12/20/24, 12:13 PM Your Credit Health I Credit Karma M&TBANK Reported: Nov. 24, 2021 WFBNA HL Reported: Apr. 02, 2019 STUDENT LOANS AES/BHEAUS Reported: May 26, 2020 Hard Inquiries n $0.00 + Closed $0.00 + closed $0.00 + closed When you apply for a new credit account, a hard inquiry will usually get added to your report, which can make a small dent in your score. Here are the inquiries on your TransUnion report. FACTUAL DATA Miscellaneous + Inquiry: Oct. 03, 2024 INFORMATIVE Miscellaneous + Inquiry: Mar. 28, 2024 M&T BANK IND Banks 4- Inquiry: Mar. 31, 2023 SARATOGA FOR Automotive _}._ Inquiry: Feb. 22, 2023 M&T BANK IND Banks + Inquiry: Feb. 22, 2023 Collections If vnii'vp fallpn hphinrl nn navmPntc vniir arrmint rnidri ha cant to n rnIIPrtinnc asrPnry Thic ran M -M- 7 © 0 For You Credit Cards Loans f'lnnov https://www.cred kkarma.com/credit-health/transun ion/credit-report 35 Page 147 of 496 12/20/24, 12:13 PM Your Credit Health i Credit Karma N Public Records Things like bankruptcies and legal judgments against you can show up on your credit report and do some damage to your score. Lookin'good! As of Dec. 20, 2024, you have no public records on your report. Suggested for your credit We suggest offers based on your credit, Approval Odds, and money we make from our partners. Advertiser Disclosure Bank of America® Customized Cash Rewards credit card Your chance of approval is excellent REWARDS RATE C) ANNUAL FEE 1% - 3% $0 Cash Back WELCOME BONUS Oi $200 Continue Suggested cards 697 Reviews M -A4- a Cal For You Credit Cards Loans https://www.cred itkarma.com/credit-health/tra nsunion/credit-report 101 1 Money 4/5 Page 148 of 496 DIVISION OF CORPORATIONS JjYlalJi 10f .org ' DJ -P C) ' �` � C) E fill t,jftr'Itd �ItiINU/lluri:lit s:ri,,?I? Department of State / Division of Corporations / Search Records / Search by Enti Name / Detail by Entity Name Florida Limited Liability Company ORANGE TREE PLUMBING LLC Filing Information Document Number L24000448243 FEI/EIN Number NONE Date Filed 10/22/2024 State FL Status ACTIVE Principal Address 1784 PALOMAR TERRACE NAPLES, FL 34120 Mailing Address 1784 PALOMAR TERRACE NAPLES, FL 34120 Registered Agent Name & Address ZENBUSINESS INC. 336 E. COLLEGE AVE. SUITE 301 TALLAHASSEE, FL 32301 Authorized Person(s) Detail Name & Address Title AMBR DUELL, NATHAN 1784 PALOMAR TERRACE NAPLES, FL 34120 Annual Reports No Annual Reports Filed Document Images 10/22/2024 -- Florida Limited Liability View image in PDF format Page 149 of 496 Page 150 of 496 TDSDEPARTMENT OF THE TREASURY WONSINTERNAL REVENUE SERVICE CINCINNATI OH 45999-0023 ORANGE TREE PLUMBING NATHAN R DUELL SOLE MBR 1784 PALOMAR TER NAPLES, FL 34120 Date of this notice: 11-01-2024 Employer Identification Number: 33-1747179 Form: SS-4 Number of this notice: CP 575 G For assistance you may call us at: 1-800-829-4933 IF YOU WRITE, ATTACH THE STUB AT THE END OF THIS NOTICE. WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER Thank you for applying for an Employer Identification Number (EIN). We assigned you EIN 33-1747179. This EIN will identify you, your business accounts, tax returns, and documents, even if you have no employees. Please keep this notice in your permanent records. Taxpayers request an EIN for their business. Some taxpayers receive CP575 notices when another person has stolen their identity and are opening a business using their information. If you did not apply for this EIN, please contact us at the phone number or address listed on the top of this notice. When filing tax documents, making payments, or replying to any related correspondence, it is very important that you use your EIN and complete name and address exactly as shown above. Any variation may cause a delay in processing, result in incorrect information in your account, or even cause you to be assigned more than one EIN. If the information is not correct as shown above, please make the correction using the attached tear -off stub and return it to us. A limited liability company (LLC) may file Form 8832, Entity Classification Election, and elect to be classified as an association taxable as a corporation. If the LLC is eligible to be treated as a corporation that meets certain tests and it will be electing S corporation status, it must timely file Form 2553, Election by a Small Business Corporation. The LLC will be treated as a corporation as of the effective date of the S corporation election and does not need to file Form 8832. To obtain tax forms and publications, including those referenced in this notice, visit our web site at www.irs.gov. If you do not have access to the Internet, call 1-800-829-3676 (TTY/TDD 1-800-829-4059) or visit your local IRS office. Page 151 of 496 (IRS USE ONLY) 575G 11-01-2024 ORAN 0 9999999999 SS-4 IMPORTANT REMINDERS: * Keep a copy of this notice in your permanent records. This notice is issued only one time and the IRS will not be able to generate a duplicate copy for you. You may give a copy of this document to anyone asking for proof of your EIN. * Use this EIN and your name exactly as they appear at the top of this notice on all your federal tax forms. * Refer to this EIN on your tax -related correspondence and documents. * Provide future officers of your organization with a copy of this notice. Your name control associated with this EIN is ORAN. You will need to provide this information along with your EIN, if you file your returns electronically. Safeguard your EIN by referring to Publication 4557, Safeguarding Taxpayer Data: A Guide for Your Business. You can get any of the forms or publications mentioned in this letter by visiting our website at www.irs.gov/forms-pubs or by calling 800-TAX-FORM (800-829-3676). If you have questions about your EIN, you can contact us at the phone number or address listed at the top of this notice. If you write, please tear off the stub at the bottom of this notice and include it with your letter. Thank you for your cooperation. Keep this part for your records. CP 575 G (Rev. 7-2007) ---------------------------------------------------------------------------------------------- Return this part with any correspondence so we may identify your account. Please correct any errors in your name or address. CP 575 G 9999999999 Your Telephone Number Best Time to Call DATE OF THIS NOTICE: 11-01-2024 ( ) - EMPLOYER IDENTIFICATION NUMBER: 33-1747179 FORM: SS-4 NOBOD INTERNAL REVENUE SERVICE CINCINNATI OH 45999-0023 II'11IIIII111'11I 1'U111111I 11111 111111111111111111 1 ORANGE TREE PLUMBING NATHAN R DUELL SOLE MBR 1784 PALOMAR TER NAPLES, FL 34120 Page 152 of 496 Electronic Articles of Organization F LED08 00 AM October 22, 2024 Florida Limited Liability Company Sec. Of State dsuttana Article I The name of the Limited Liability Company is: ORANGE TREE PLUMBING LLC Article II The street address of the principal office of the Limited Liability Company is: 1784 PALOMAR TERRACE NAPLES, FL. US 34120 The mailing address of the Limited Liability Company is: 1784 PALOMAR TERRACE NAPLES, FL. US 34120 Article III The name and Florida street address of the registered agent is: ZENBUSINESS INC. 336 E. COLLEGE AVE. SUITE 301 TALLAHASSEE, FL. 32301 Having been named as registered agent and to accept service of process for the above stated limited liability company at the place designated in this certificate, I hereby accept the appointment as registered agent and agree to act in this capacity. I further agree to comply with the provisions of all statutes relating to the proper and complete performance of my duties, and 1 am familiar with and accept the obligations of my position as registered agent. Registered Agent Signature: KHADIJEH HEMMATI Page 153 of 496 Article IV L24000448243 The name and address of person(s) authorized to manage LLC: FILED October: 0 M Title: AMBR Sec. Of State NATHAN DUELL dsuitana 1784 PALOMAR TERRACE NAPLES, FL. 34120 US Signature of member or an authorized representative Electronic Signature: NATHAN DUELL I am the member or authorized representative submitting these Articles of Organization and affirm that the facts stated herein are true. I am aware that false information submitted in a document to the Department of State constitutes a third degree felony as provided for in s.817.155, F.S. I understand the requirement to file an annual report between January 1 st and May 1 st in the calendar year following formation of the LLC and every year thereafter to maintain "active" status. Page 154 of 496 -.,44e- - COftr County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY STATEMENT OF OWNERSHIP This certifies that I, dw/0 /) L-)Wo /1 am a member or managing APPLICANT'S NAME (please print) member of NAME) I own /9�V % of the units issued by the Limited Liability Company listed above. Affidavit of Applicant: I certify under penalty of perjury that the information contained is a true and correct statement to the best of my knowledge. ,A/'gZ2 Applicant (please print) a;�W Tme &&41 Name of Company Signature of Applicant State of -Rc�- ICIL County of Ct 11 Icy The foregoing instrument was acknowledged before me by s6fi07 physical presence or ❑ online notarization on this ��ay of , 20(5L , by N0- � Vnn L)e—t Such person(s) Notary Public must check applicable box: ❑ are personally known to me —"9 has produced a current driver license ❑ has produced as identification. (Notary S Lisa M. Gallagher NOTARY PUBLIC - STAlt OF FLORIDA MY COMMISSION EXPIRES FEB. 20, 2028 COMMISSION NO. NH 477342 Notary Signa e: i Contractor Licensing - FIRM Application Rev. 712022 Page 9 of 14 Operations & Regulatory Management Division, Contractor Licensing . 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensing(a)colliercou ntvfl. qov Page 155 of 496 coi[ier coHrity Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENC. AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF �CJ,WIA T COUNTY OF (ra;,l L %J fl p,�� having been first duly sworn, state and affirm: I am a resident of 11-1:11e- County, / h_ (State) and have resided here for more than five (5) years. Dinng the last five (5) years l have known A Q // (appiicant). I have had the cpporturnty to ot;serve his or her business and personal dealings and find him or her to be a person(1.1 h nesty, integrity and good character. i Signature Pnnted Name Address: /lZS ��r✓/� e) rr - Telephone. 239- 414 ided.� State of ffWK0._ County of The f regoing instrument was acknowledged before me by means ol',$ physical presence or ❑ online notarization on this Such person(s) Notary Public must check applicable box. ❑ are personally known to me >6as produced a current driver license ❑ has produced _ —as identification. iNutar% Seat) " AMANDA MARTINO A MY COMMISSION # HH 509882 ; 4 EXPIRES: July 28, 2028 Notary Signature: AM&4NZ�E Mac& Contractor Licensing — FIRM Application Rev. 112022 Page 13 of 14 Operatiuns & kegutatory Management ntvtsii Contractor Licensing . 2800 North Horseshoe Onvn • Naples- FL 34104 . (239) 252-2431 contractorsltceristn col tercnunt Ytl. nv COVer County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF 4--/��Q COUNTY OF CD�i I. Q , having been first duly sworn, state and affirm: I am a resident of County, (State) and have resided here for more than five (5) years. During the last five (5) years I have known 1� (applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and good character. Signature t:��Jdt %SG(iQ Printed Name Address: /47f_ �r✓r7d li�'� str�z, Telephone: 3a/- 73a --06 Z2 State of e%W_A County of 411,, — The rcgoing instrument was acknowledged hel'ore me by means olXphysical presence or ❑ online notarization on this gAnay of �/�e/ .'_0 -21 , by A L — -- Such person(s) Notary Public must check applicable box: © arc personally knowm to the X11as produced a current driver license E) has produced as identification, (Notary Seal) AMANDA MARTIND •= FAY COMMISSION # HH 509882 Notary Signature: EXPIRES: July 28, 2028 Contractor licensing FIRM Application Rev. 712022 Page 14 of 14 Operations & Regulatory Management Division, Contractor I.ieensiog . 2800 North Horseshoa Drives Naples. FL 34104 • 1239) 252-2431 contra[toishroitisinr,�cnlliercounlYll..gov Richard Duell Owner, Master Plumber 165 Freemans Bridge Rd. Schenectady, NY 12302 12/18/2024 To Whom It May Concern, I am writing to confirm that Nathan Duell was employed by Duell Plumbing and Heating, during which time he learned the plumbing trade and honed his skills in the industry. Nathan displayed exceptional dedication to his work, quickly mastering the techniques and knowledge required to excel in the field. In 2009, Nathan achieved a significant professional milestone by earning his Master Plumber's license in the City of Schenectady, NY. Following this achievement, Nathan played a key role in helping grow our family business, demonstrating not only technical expertise but also strong leadership and business acumen. Building on his success, Nathan went on to establish his own plumbing business, which he grew into a highly successful enterprise generating $3.5 million per year in revenue. During this time, Nathan dedicated himself to mentoring and training numerous technicians, several of whom advanced to become Master Plumbers themselves —a testament to his commitment to developing talent within the industry. Nathan's career reflects a remarkable combination of technical skill, entrepreneurial spirit, and a commitment to excellence. He has made a significant impact on the plumbing trade, both as a practitioner and as a leader. Please feel free to contact me directly at 518.384.1567 or rduelljohc a()gmail.corn if you have any questions or require further information. Sincerely, Richard Duell Owner, Master Plumber Page 158 of 496 Nathan Duell 1880 Terreno Blvd. Naples, Ft_ 34120 Ph: 518.888,6822 Email: natedue112(a)amaiI,com Education: Bachelor of Science in Industrial Economics from Union College in Schenectady NY. Graduated in 6/2003 Certifications: Master Plumber: Obtained City of Schenectady, NY Master Plumbers license in 2009. Requirement to take the exam was working for at least 10 years under a licensed master plumber. Master Plumber: Obtained City of Albany, NY Master Plumbers license in 2023. Work Experience: 1998-2016 Duell Plumbing and Heating, Inc. - Began work as an apprentice and worked my way up to Master Plumber. During my time at Duell Plumbing, I was able to learn all aspects of residential and commercial plumbing such as -Residential rough plumbing and trim -Commercial rough plumbing and trim -Underground utility installation/replacement (Water, Sewer, Gas) -Gas line Installation -Fixture Installation -Materials-Cast Iron, Ductile Iron, PVC, CPVC, PEX, Copper, Black Iron, Galvanized Steel, Poly, SDR 26, SDR 35, CSST -Drain Cleaning -Backflow Prevention -Well Pump Installation -Water Filtration In the last 3 years at Duell, I took over all aspects of operations and gained a firm grasp on how to run a business including but not limited to -Business Accounting -Business Taxation -Business Insurance Requirements -Recruiting and Management of Staff -Job Cost Pricing and Analysis -Marketing and Advertising -Material/Equipment purchasing -Inventory Management Page 159 of 496 2016-2024 All Star Plumbing, LLC- Started and built my own plumbing business from scratch. Grew business to over $3M in annual revenue with double digit profit margin and over 700 club members. Sold the business in 2023 to a private equity firm that now operates under the name Reimer Home Services in Schenectady, NY. When sold, All Star Plumbing had a 4.9 google rating with over 1,000 reviews. ❑uring this time I was able to give 5 Star service to each of my customers by installing highquality plumbing materials and equipment while meeting or exceeding the local plumbing code requirements. I established a great working relationship with local code enforcement. All Star Plumbing specialized in residential service and installation, including -Service Repairs -installation of fixtures, -New Construction Plumbing (Rough/Trim) -Gas tines, Interior and Exterior -Sewer Lateral Replacement -Water Lateral Replacement -Bathroom Remodeling -Water Heater Maintenance, Repair and Installation -Drain Cleaning and Camera Inspections -Water Filtration Page 160 of 496 T. JIMMY PATRONIS CHIEF FINANCIAL OFFICER STATE OF FLORIDA ir1FPARTMFNT nF FINAN[.IAI RFRV1rFS DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 12/13/2024 PERSON: NATHAN R DUELL FEIN: 331747179 BUSINESS NAME AND ADDRESS: ORANGE TREE PLUMBING LLC NAPLES, FL 34120 EXPIRATION DATE: 12/13/2026 EMAIL: NATEDUELL2@GMAIL.COM This certificate of election to be exempt is NOT a license issued by the Department of Business and Professional Regulation. To determine if the certificate holder is required to have a license to perform work or to verify the license of the certificate holder, go to www.myfloridalicense.com. uwrvrc 1 AN 1. rursuanc co suusection ywu.uot 1 a/, r.—, an owc:er ui a curpurauon wno ereuts exenlpuun from ❑us cnapter uy ruing a cemnuate o1 eiecuun unuel this section may not recover benefits or compensation under this chapter. Pursuant to subsection 440.05(11), F.S., Certificates of election to be exempt issued under subsection (3) apply only to the corporate officer named on the notice of election to be exempt. Pursuant to subsection 440.05(12), F.S., notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT KULt OVL-b.U1L, h.A.L.. KLVIStU U1/2ULS E02043631 QUESTIONS? (850) 413-1609 Page 161 of 496 DATE jMMIDDIYYYY} AC OI2O�' �.� CERTIFICATE OF LIABILITY INSURANCE 1211012024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: GEICO Commercial Lines Program PHONE Arc, No. EXt 877 515-2191 FAX (AIC, No): GEICO Commercial Lines Program PO Box 5316 E-MAIL ADDRESS: commercialservice@homesite.com Binghamton NY 13902 INSURER(SI AFFORD ING COVERAGE NAIC it INSURER A! Midvale Indemnity Company 27138 INSURED Orange Tree Plumbing, LLC 1784 Palomar Terrace INSURER B: INSURER c INSURER D Naples FL 34120 INSURER E. INSURER F ; COVERAGES CERTIFICATE NUMBER, 00000239063796 REVISION NUMBER: HIS IS TO CERTIFY THAT THE POLIGfFS OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD 3NDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSfONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE SEEN REDUCED BYPAID CLAIMS. INSR TYPE OF ADOL SUER POLICY EFF POLICY EXP LTR INSURANCE INSR WVD POLICYNUMSER MMIDDIYYYY) (MMIDDNYYYI LIMITS A COMMERCIAL GENERAL LIABILITY P00100120 11Y0412024 1110412025 EACH OCCURRENCE $1,000,000 MACE OCCUR :1 CLAIMS- �. DAMAGE TO RENTED PREMISES (Ea occurrence) $100,000 MED EXP (Any one person) $5.000 PERSONAL 8 ADV INJURY GEN'L AGGREGATE LIMIT APPLIESS PER: GENERAL AGGREGATE 52,000.00 O. O.�OC POLICY IIPRO- El PRODUCTS -COMP�OPAGG $2,0W,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT tEa accident; ANY AUTO BO➢tLY INJURY (Per person) 01VNEL1 AUTtJS BODILY $NJURY(Per accident) ONLY 5CHEOULED AUTOS IIIRED.1,170S NON -OWNED PROPERTYDAMACGE ONLY AUTOS ONLY (Pee eccidenl MBRELLA LIAR OCCUR EACH OCCURRENCE AGGREGATE XCESS LAB CLAIMS -MADE DED RETENTION 5 ORKERS COMPENSATION PER I OTH- I AND EMPLOYERS' LIABILITY YIN STATUTE ER ANYPROPRA-TORPARINLWEXLCU -TIVE OFFICER'MEMBER EXCLUDEC? F NIA E.L. EACH ACCIDENT (Mandatory in NH) F.L. DISEASE - FA If yes, describe under E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS buly. PROFESSIONAL LIABILITY OCCURRENCE AGGREGATE DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES (ACORD 101, Additlonal Remarks Schedule, may be attached if rnwo space is requlredi Plumbin nvLul=rc COLLIER COUNTY CONTRACTOR LICENSING BOARD 2800 N HORSESHOE DR NAPLES FL 34104 4.f11\ V LL LM 1 I V I\ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE V Ididi-LUlD A%.Vrcu L1URr"Vr%M1 IV114. 11II IIyIIca lcacircwl. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Page 162 of 496 C awl in rn co ro CL) 0) co 0- Coer County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY JOURNEYMAN APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY This application must be typewritten or legibly printed. The application fee must be paid upon approval and is NOT refundable. All checks should be made payable to: Collier County Board of County Commissioners For further information, consult Collier County Ordinance No. 2006-46, as amended. TYPE OF JOURNEYMAN LICENSE: U Electrician $80.00 ❑ Plumber $80.00 ❑ Mechanical $80.00 I. APPLICANT PERSONAL. AND BUSINESS INFORMATION: Name: LLALa!s _ IDc'so a-z-,:'t First Middle initial Last Address. I 1 S, —3 k w Y1T 5yyoc r 1 � V) �CkqCi(A-,rq j 4i' L— , 3 3ci Street City I Staie' I zip Email: uC:i�lS �1, i1l ( 4 a '' T i t Telephone' J� c1 Date of Birth: COR SS# (Last 4 digits only): _ SC: Q Driver's License # (Last 4 digits only): AA Pursuant to Collier County Contractor Licensing Ordinance No. 2006-46 Section 2.1.1., all applicants are required to submit their social security number, driver's license, and date of birth for the following purposes: a) Assess applicant's ability to satisfy creditors by reviewing their credit history. b) Verification of applicant's test scores and information. c) Verification of applicant's identity Our office will only use the personal information noted above for those reasons pursuant to Chapter 119, Florida Statutes, and as may otherwise be authorized by law. We are fully committed to safeguarding and protecting your personal information and once collected, will be maintained as confidential and exempt under Chapter 119, Florida Statutes. Contractor Licensing -- Journeyman Application Rev. 7l2022 Page 2 of 10 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 . (239) 252-2431 contra ctorsIicensin colliercoun fl. gov Page 164 of 496 Coder County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY CHECKLIST: JOURNEYMAN APPLICATION Prior to submission of your application to the Contractor Licensing Supervisor, staff will review your application to assure all required documentation is present. COMPLETE AND NOTARIZED APPLICATION VERIFICATION OF MINIMUM 75% PASSING SCORE ON EXAMINATION Attach proof that you have passed the appropriate exam with a minimum grade of 75%. Acceptable documents include a copy of the letter from an approved testing agency (Gainesville Independent Testing, Prometric, or Prov) or a letter of reciprocity from another Florida jurisdiction (with exam date and results attached). PROOF OF SATISFACTION OF LIENS, JUDGEMENTS, AND DISCHARGE OF BANKRUPTCY (documentation required for any YES responses in the table contained in Section III) THREE (3) NOTARIZED AFFIDAVITS VERIFYING CONSTRUCTION EXPERIENCE Attach three (3) original, notarized affidavits verifying that you have the necessary experience in the area covered by the Journeyman Certificate you are seeking. The required affidavits are attached to this application and should be completed by past or present employers that are licensed and actively engaged in the construction services field. These cannot be completed by relatives. The total amount of experience required needs to equal at least 48 months. TWO (2) NOTARIZED AFFIDAVITS ATTESTING TO INTEGRITY AND CHARACTER Attach two (2) original, notarized affidavits attesting to your honesty, integrity, good business reputation and competence in the trade category for which you are applying. Individuals may be the same as those providing verification of experience affidavits. The required affidavits are attached to this application and should be completed by individuals who have resided in Collier County for a minimum of five (5) years. COPY OF DRIVER'S LICENSE Contractor Licensing —Journeyman Application Rev. 712022 Page 1 of 10 Operations & Regulatory Management Division. Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 a (239) 252-2431 contractorsllcensing@colliercountvfl.gov Page 165 of 496 CoT.i7er County Growth Management Community Deve€opment Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY Provide the names and telephone numbers of two persons who will always ^know your whereabouts. Name: <�ke� f � �(%a Name: 'k a� - a ( ,i 'sl7t %� Telephone: II. FINANCIAL RESPONSIBILITY ,� _2� Telephone: + S v YES NO ALL APPLICANTS MUST ANSWER THE QUESTIONS BELOW: Filed for or been discharged in bankruptcy within the past 5 years? Had a lien filed against you by the Internal Revenue Service or Florida Corporate Tax Division? Undertaken construction contracts or work that resulted in liens, suits, or judgments being filed? y( Undertaken construction contracts or work that a third party, such as a bonding or surety /\ company, completed or made financial statements on? Made an assignment of assets in settlement of construction obligations for less than the debts outstanding? Been convicted or found guilty of, or entered a plea of nolo contendere to, regardless of adjudication, a crime in any jurisdiction within the past 10 years?' Had claims or lawsuits filed for unpaid or past due accounts by your creditors as a result of construction experience? Been charged with or convicted of acting as a contractor without a license, or if licensed as a contractor in this or any other state, been "subject to" disciplinary action by a state, county, or municipality? NOTE. If you have answer YES to any of the questions below, you must attach a written explanation including the nature of the charges, dates, and outcomes, sentences of conditions imposed. You must also attach proof of payment, satisfaction of lien or judgement, bankruptcy discharge, or agreements for payment. "If you have had a felony conviction, proof that your civil rights have been restored will be required prior to licensure. Contractor Licensing — Journeyman Application Rev. 712022 Page 3 of 10 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive . Naples, FL 34104 . (239) 252-2431 contractors licensingacolliercountyfl.aov Page 166 of 496 Cqlfler County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY III. 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: 1\ u;;11 0'k -u c- tit j l y ��,� S �C>'r Y-Y) T �auGex-V'lUn. List below non formal education (on the job training) you have obtained in the area of competency for which this application is being made: CURRENT/PREVIOUS LICENSE: List below and attach copies any other certificates of competency/licenses you hold/have held in Collier County or any other jurisdiction. Include the license #, Type, and county you hold it in. AFFIDAVIT Under the penalties of perjury, I declare that I have read the foregoing application and the facts stated in it are true. Applicant (please print) Signature of Applicant State of rL County of _ Lee - The foregoing instrument was acknowledged before me by means of hysical presence or ❑ online notarization on this 17d ay of CC.nt W , 20 Zq , by � Ll C 0—,S �L d _a Such person(s) Notary Public must check applicable box: are personally known to me ❑ has produced a current driver license ❑ has produced as identification. (Notary Seal) JESSICAKALISALIK MY COMMISSION q HH 414146 EXPIRES: October6, 2027 Notary Signature: Contractor Licensing — Journeyman Application Rev. 712022 Page 4 of 10 Operations & Regulatory Management Division, Contractor Licensing . 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractors licensing C7a.col Iiercountyfl.gov Page 167 of 496 ez Co er County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY CERTIFICATION OF APPLICATION The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County No. 2006-46, as amended, and under penalties of perjury. I declare that I have read the foregoing qualifier information and that the facts stated in it are true. The undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to be licensed in all matters connected with its contracting business and that he has full authority to supervise construction undertaken by himself or such business or organization and that he will continue during this registration to be able to so bind said business organization. The qualified license holder understands that in all contracting matters, he/she will be held strictly accountable for any and all activities involving his license. Any willful falsification of any information contained herein is grounds for disqualification. Applicant (please print State of County of Let Name of Company Signature of Applicant The foregoing instrument was acknowledged before me by means of)physical presence or ❑ online notarization on this day of tZC.&nber , 20 Z'4 , by -- .L"c—a-S 1-%lSCK&za- Such person(s) Notary Public must check applicable box: k7 are personally known to me LJ has produced a current driver license ❑ has produced (Notary Seal) z�'�R'P '•. JESSICAKAUSAUK MY COMMISSION # HH 414146 EXPIRES: October 6, 2027 Contractor Licensing — Journeyman Application Rev. 712022 as identification. Notary Signature: ' Page 5 of 10 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, Ft_ 34104 • (239) 252-2431 contractorslicensing�col liercountyfl.aov Page 168 of 496 COY County Growth Management Department Contractor Licensing 2800 N. Horseshoe Dr, Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name: L l S nt ?a Certificate Category Requested: l �GTi 1 Cat In The applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate, the applicant must verify his/her experience within this trade. You are being requested to provide information that will aid the applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker (e.g., as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience for the above -named applicant must provide the following information: Name: ao!LchF_-f 2�! /? n— f Business Name: ► ►Tall tG /eC-h�, CA! Phone(234A00_3P1TF Title:ImtL7 a ger c� sIvFi,iL,L6 License No. (if applicable): et/ I � � "f 33 Business Address: f 60c' � � �+ yF • l r& 3 3 � Street �{ n �Jcity State Zip The applicant was employed by me from fartact(y i �� ! to Applicant's title: ,& I &,'rr__r�Dlr� 'IGc n The applicant's scope of work (specific duties) included: Additional comments: elet,#- AI W,,,-r 7f,res NOTE TO LICENSED CONTRACTORS: Falsifying any information provided herein may subject your license to revocation. Under penalty of perjury, I declare that the facts stated here are true. 5 ure of person PrAt ing the statement State of rL County of �.C.C. The foregoing instrument was acknowledged before me by means of ,)(physical presence or ❑ online notarization on this II?- day of_[LU_tAb6Z,20 2N ,by Ja-COb Fc�ZneK Such person(s) Notary Public must check applicable box: Rare personally known to me ❑ has produced a current driver license ❑ has produced as identification. (Notary Seal) IF -- E JESSICAKAUSALIKMY COMMISSION # HH 414146 - PEXPIRES: Octobernature:Qme�t f Fy,. Contractor Licensing — Journeyman Application Rev. 712022 Page 6 of 10 t Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractors licensingaeoiliercountvf1.aov Page 169 of 496 Coffler C;014 ty Growth Management Department Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF �� `t4Ck- COUNTY OF `I ee I, �a-CC h ��Zi1 e having been first duly sworn, state and affirm: I am a resident of L e (f County, F nrJa (State) and have resided here for more than five (5) years. During the last five (5) years I have known Li.tLQS l/eS 0u7ek (applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and good character. State of F(- County ofC- �L Signature Printed Name Address: .1262' Q Street A6-'-n 33*7 City State Zip Telephone: C23 j) 3W - 5 F3 ( The foregoing instrument was acknowledged before me by means ofxphysical presence or ❑ online notarization on this IZ day of _bLCd.Mb1 20 Zy , by COh Cr_ZY)Cr Such person(s) Notary Public must check applicable box: .are personally known to me ❑ has produced a current driver license ❑ has produced as identification. (Notary Seal) JESSICAKAUSALIK MY COMMISSION # HH 414146 Notary Signature: Lf Foy': ;'. EXPIRES: October 6, 2027 61 Contractor Licensing — Journeyman Application Rev, 712022 Page 10 of 10 Operations & Regulatory Management Division, Contractor Licensing e 2800 North Horseshoe Drive • Naples. FL 34104 . (239) 252-2431 contra ctorslicensingQcotliercountyfl gov Page 170 of 496 Contractor Licensing C.O 7EY Ci014-klty 2800 N. Horseshoe Dr. Naples, FL 34104 Growth Management Department Phone - 239-252-2431 Fax - 239-252-2469 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF JJ COUNTY OF I, /CBW41y l 4lro having been first duly sworn, state and affirm: I am a resident of 1 i County, 4e�lo4dte4�a►- (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 rtesty, integrity and good character. Signature 17 Printed Name Address: LL16 rtucdCll Street Or _xis ( �32267 Cit State Zip Telephone: CP /.!,r- -('1z-953 State of FLI. _ County of LZA-L The foregoing instrument was acknowledged before me by means 2,614 hysical presence or ❑ online notarization on this n day of �_CGrY1hl.�!20 2'� by i�Of 6LrX OZ — Such person(s) Notary Public must check applicable box: Aare personally known to me ❑ has produced a current driver license ❑ has produced _ _ __ _ as identification. (Notary Seal) o,fi "'4 :• JESSICAKAUSALIK Notary Signature: MY COMMISSION # HH 414146 - :�. J: EXPIftES:OctoberS,2a27 Contractor Licensing — Journeyman Application Rev. 712022 Page 9 of 10 Operations & Regulatory Management Division, Contractor Licensing . 2800 North Horseshoe Drive • Naples. FL 34104 • (239) 252-2431 contra ctorslicensing�collierccuntyft.qoy Page 171 of 496 4Z;o1[ier County Growth Management Departrrtent Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name: _ LUGk-s 7pip-at- I)E.S9vZA Certificate Category Requested: p J4 N Le-C1��C �t"J The applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate, the applicant must verify his/her experience within this trade. You are being requested to provide information that will aid the applicant in meeting this requirement You should verify time of active expenence working as an apprentice or a skilled worker (e.g., as a worker commanding the wage of mechanic or better in the trade) Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience The person verifying trade experience for the above -named applicant must provide the following information: !Name: MAC-L�LC? V_ SJh►Lc) Title: 0LJJ -i— Business Name: �AA2CeL,-) V SO A iIr-� tt L.G(7T,�_tC iA-tJ I, ( Phone: --1 1 ' 1 - `(, )) � - (C'ZP?L1 License No. (if applicable): _)�614q A Business Address: 10 wJcnS�ArJ6 vt-C'M i.N ',�,t )VIJ street City State Zip 1 The applicant was employed by me from IJG�d �'r �aUa� to �V✓ Applicant's title: The applicant's scope of work (specific duties) included: U L 1A A-M-) VI ray La 4r-t,r C -tom k C A' -I, A_r{) T�-R► ��7l�iay 4h. ' q i-1 j J t I til ( Nlllt '5&1'- 4 L Lt C i"'L.S Additional comments: NOTE TO LICENSED CONTRACTORS: Falsifying any information provided herein may subject your license to revocation. Under penalty of perjury, I declare that the facts stated here are true. State of ckz` County of _� S • L,2 Si nature n providing the statement The foregoing instrument was aclowledged before me by means of Pphysical presencc or El online notarization on this day of-5--�� r 20 .by Nth, Such person(s) Notary Public must check applicable boN: ❑ are personally known to me � � produced a current driver license ❑ has produced as identification. (Notary Seal) j 1� Alessandra S. Fortunati NOTARY PUBLIC �I Commomtiealth of Massachusetts Otary Signature: My Comm. Expires February 02, 2029 Contractor Licensing — Journeyman Application Rev. 7r2022 Page 6 of 10 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensin coliiercount fl_ ov Page 172 of 496 � ■ LU ,2-/ ■ F §A® , � §k$%� lu \t}2 .1.4� ,\} $■q � - � (�\ � '� 1218i24, 2:29 PM Score Report; Print Gmail - Score letter, Dc.%ILva Name: Sponsor: ID #: Score: # Unanswered Questions: AV. Lucas D Desouza Test: Journeyman Electrician 2020 Collier County Date: 12/05/2024 Test ID: 532331707 81 Result: Pass 0 Module Subject Area Score HIGH General FLGET&P Electrical P Theory & Principles FLW&P Wiring & P Protection FLWM&M Wiring Methods P & Materials FLM&C Motors & P Controls FLEGU Equipment for P General Use FLSO Special P Occupancies FLSE Special P Equipment FLSC Special F Conditions FLCOMS Communication F Systems Status LOW Lucas DeSouza <desouzalucas489@gmail.com> To: "helloimquadros@gmailcom" <helloimquadros@gmail.com> [Quoted text hidden] Cut Thu, Dec 5, 2024 at 10:28 PM https:iimai€.google-comimail/u%0/?ik=15676,5e998&view=pt&search=all&permihid=thread-f:181765(N,()' 3<%6?4369&simpl=msg-f:181765969239m24:zEOagI61V74 of 446 1218l24, 2:29 FM Gmail - Score letter. Desouza %4 Gmail Score Letter, Desouza 2 messages scorenoreply@provexam.com <scorenoreply@provexam.com> To "desouzalucas489@gmail com" <desouzalucas489@gmail.com> Lucas DeSouza <desouzalucas489@gmail.com> Thu, Dec 5. 2024 at 10:22 PM https:lJmai 1. google.comlmai I lu10!?i k-I5G7G5e998&,ie ,=pt&search alidkperrrrttrid-{h_f_ 1817G596g239f3G?43fgFy p e 175 of 496 mpl=mxg=f:1817fi3fi323Ci24369A�r I I The Commonwealth of Massachusetts Division of Professional Licensure Board of State Examiners of Electricians www.mass.gov/dpl/boards/el VOCATIONAL TRADE SCHOOL according to MGL Chapter 74 (FORM 222) MASS APPROVED PROGRAM ONLY THE FOLLOWING MUST BE SIGNED BY THE STI1nENT PRIOR TO 91lRMYTT1N1-- Tn .cc,Hnni In connection with my application for a Journeyman/ Systems Technician license exam, I submit the following certificate of education and experience, which I obtained by attending the herein named school. ---- Name of Applicant - Type or Print your name SSN last four digits tiignanure THE FOLLOWING IS TO BE COMPLETED BY SCHOOL OFFICIALS Student Name Address �u ?4 ieJ� Lyl� 4yavVW-JVA Name of School Address Sctj,61 36-1 �. l�l� umeyman Elect cal Commencement Date Com letion Date ,c .�._� classroom hours shop hours curriculum � _e_ 7<) a 3 /p I I CODany 1 Start Date T.� ;0 E Date �20 Coop hours 1344 0rt(!- Systems Technician Commencement Date Completion Date Classroom hours Shop hou s curriculum Company Start date End date Coop hours Subject to the penalties set forth in Section 5 of chapter 141 of the Mass General Laws, I attest that the information provided is accurate. )Le i t3 7 Name of Designated School Official Ie signated School Official Date :"I'-Yignature ?dame of licensed Instructor ElectricaVSvstems license number Signature Fducation Aunrval Numher LN11PRth i' �if[�t)t, rE-,,�f NFIR i', Mass General Law, Chapter 141 Section 9. Any person, applying for a license and making any misstatement as to his or her experience or other qualifications, or any person, firm or corporation subscribing to or vouching for any such misstatement, shall be subject to penalties set forth in. Section 5. Page 176 of 496 Updated 1/23/2018 The Commonwealth of Massachusetts Division of Professional Licensure 1000 Washington Street Suite 710 • Boston, Massachusetts 02118-6100 Board of State Examiners of Electricians www.mass.gov/dpIboards/el (617)727-9931 PUBLIC OR PRIVATE DAY OR EVENING PROGRAM (MAY BE LICENSED BY OCCUPATIONAL SCHOOLS) (FORM 223) _. THE FOLLOWING MUST BE SIGNED BY THE STUDENT In connection with my application for a Journeyman/ Systems Technician license exam, I submit the following certificate of education, which I obtained by attending the herein named school. c�l,rag � �t_t7 5C)0\ Nunn of 1lrtrlicall I • I t pe or Print .% our mime v'\ 1.1,1 IL ur diCir. • •� THE FOLLOWING IS TO BE COMPLETED BY A SCHOOL OFFICIAL udent Name Address Lucas Desouza 252 Buck Island Road, West Yarmouth, MA 02673 ime (if School Cape Cod Regional Technical High School Journeyman electrical curriculum Systems Technician curriculum me of Designated organization Carol E. Connolly Address 351 Pleasant Lake Avenue, Harwich, MA 02645 Enrollment Date COmptetion Date hours 10/27/2020 04/27/2021 141 Enrollment Date Comptetion Date hours We Director of Adult Education Subject to the penalties set forth in Section 5 of chapter 141 of the Mass General laws, I attest that the inform>ition hrm ided is accurate. 5';n,�ture c` De;: ndCed civ: izatiLm Ca, Mass General Law, Chapter 141 Section 9. Any person, applying for a license and making any misstatement as to his or her experience or other qualifications, or any person, firm or corporation subscribing to or vouching for any such misstatement, shall be subject to penalties set forth in. Section 5. Page 177 of 496 Updated 1/23/2018 The Commonwealth of Massachusetts Division of Professional Licensure 1000 Washington Street Suite 710 * Boston, Massachusetts 02118-6100 Board of State Examiners of Electricians www.mass.gov/dplboards/el (617)727-9931 PUBLIC OR PRIVATE DAY OR EVENING PROGRAM (MAY BE LICENSED BY OCCUPATIONAL SCHOOLS) (FORM 223) THE FOLLOWING MUST BE SIGNED BY THE STUDENT In connection with my application for a Journeyman/ Systems Technician license exam, I submit the following certificate of education, which I obtained by attending the herein named school. 1J 60 \:ime ofApplicant -Ti pe ur Print --nor mule SSN last rnur digits Siknulurc THE FOLLOWING IS TO BE COMPLETED BY A SCHOOL OFFICIAL Student Name Address Lucas DeSouza 45 Beth Ln, Hyannis MA, 02601 Name of School Address Cape Cod Regional Technical High School 351 Pleasant Lake Avenue, Harwich, MA 02645 Enrollment Date Completion Date Hours Journeyman electrical curriculum 09/21 /2021 04/ 12/2022 144 Enroltment Date Completion Date hours -� Systems Technician curriculum Name of Designated organization Official Title Carol E. Connolly Director of Adult Education Subject to the penalties set forth in Section 5 of chapter 141 of the Mass General Laws, I attest that the information provided is accurate. Signature ^f Designated organization Officiar Date Mass General Law, Chapter 141 Section 9. Any person, applying for a license and making any misstatement as to his or her experience or other qualifications, or any person, firm or corporation subscribing to or vouching for any such misstatement, shall be subject to penalties set forth in. Section 5. Page 178 of 496 Updated 1/23/2018 The Commonwealth of Massachusetts 1 Division of Professional Licensure 1000 Washington Street Suite 710 • Boston, Massachusetts 02118 6100 Board of State Examiners of Electricians www.mass.gov/dplboards/el (817)727--9931 PUBLIC OR PRIVATE DAY OR EVENING PROGRAM (MAY BE LICENSED BY OCCUPATIONAL SCHOOLS) (FORM 223) THE FOLLOWING MUST BE SIGNED BY THE STUDENT In connection with my application for a Journeyman/ Systems Technician license exam, I submit me tottowtng cerni,catc �. education, which I obtained by attending the herein named school. -LAWS a SD G� Janie of Applicant - Type or Print ynur name SSN lust four digits Signature THE FOLLOWING IS TO BE COMPLETED BY A SCHOOL OFFICIAL Student Name Address Lucas DeSouza 45 Beth Ln, Hyannis MA, 02601 r�ame of School Address Cape Cod Regional Technical Nigh School 351 Pleasant Lake Avenue, Harwich, MA 02645 Enrollment Date Completion Date Hours Journeyman electrical curriculum 09/20/2023 12/20/2023 78 Enrollment Date Completion Date hours Systems Technician curriculum Name of Designated organization Official I Title Carol E. Connolly Director of Adutt Education Subject to the penalties set forth in Section 5 of chapter 141 of the Mass General Laws, I attest that the information provided is accurate. ,nature of Designated organizatOfficial Date Mass General Law, Chapter I4I Section 9. Any person, applying for a license and making any misstatement as to his or her experience or other qualifications, or any person, firm or corporation subscribing to or vouching for any such misstatement, shall be subject to penalties set forth in. Section 5. Page 179 of 496 Co Ter County Growth Management — D .-Community Development Department � go)7 .`APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY FIRM APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY This application must be typewritten or legibly printed. The application fee must be paid upon approval and is NOT refundable. All checks should be made payable to: Collier County Board of County Commissioners. For further information, consult Collier County Ordinance No. 2006-46, as amended. TYPE OF CERTIFICATE OF COMPETENCY: ❑ General $230.00 ❑ Electrician $230.00 ❑ Building $230.00 ❑ Plumber $230.00 ❑ Residential $230.00 ❑ Air Conditioner $230.00 ❑ Mechanical $230.00 ❑ Swimming Pool $230.00 ❑ Roofing $230.00 XSpecialty $205.00 Specialty Trade. I. APPLICANT PERSONAL INFORMATION: Name: �LA, ,)�- First { TQIL©tj Middle Initial Last Business Name: Z Address: i � 0 City State Zip Email: �)EfL 11 OL .M C= ( (' ' 1 Telephone: $H_ 3 3 � 41, *SS # (Last 4 digits only): Date of Birth: Driver's License # (Last 4 digits only): i7 Pursuant to Collier County Contractor Licensing Ordinance No. 2006-46 Section 2.1.1., all applicants are required to submit their social security number, drivers license, and date of birth for the following purposes: a) Assess applicant's ability to satisfy creditors by reviewing their credit history. b) Verification of applicant's test scores and information. c) Verification of applicant's identity. Our office will only use the personal information noted above for those reasons pursuant to Chapter 119. Florida Statutes, and as may otherwise be authorized by law. We are fully committed to safeguarding and protecting your personal information and once collected, will be maintained as confidential and exempt under Chapter 119, Florida Statutes. Contractor Licensing - FIRM Application Rev. 712022 Page 3 of 14 Operations & Regulatory Management Division, Contractor Licensing s 2800 North Horseshoe Drive a Naples, FL 34104 • (239) 252-2431 contractorslicensing@colliercountyf1.gov Page 180 of 496 Co l;-r C;01 ftty Growth Management Department Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY Provide the names and telephone numbers of two persons who will always know your whereabouts. Name: Su.�`� 1� Name: L!-DryFyle-w ..r Telephone: Telephone: 3S Z' H-31— Igg �- 11. NAME OF APPLICANT'S BUSINESS: Business Name: 6eyr �,� Lft�AscA�Q 5tc2UC�� Business Address: I �,Oqc-\ t-O" i?U INA�, �X-4 1-� L 33 z Street City State Zip Telephone: (7,�c) ) �ACL- 36 a'0 Email: i a�I.C-Q �7(`�j Ci.u1 � �•vAsU.,P S-py, VS , G, )0 Federal ID Tax No.: 2 D % q Q Ci 7 } Ill. FINANCIAL RESPONSIBILITY YES NO ALL APPLICANTS MUST ANSWER THE QUESTIONS BELOW: y Filed for or been discharged in bankruptcy within the past 5 years? Had a lien filed against you by the Internal Revenue Service or Florida Corporate Tax Division? Undertaken construction contracts or work that resulted in liens, suits, or judgments being filed? Undertaken construction contracts or work that a third party, such as a bonding or surety company, completed or made financial statements on? Made an assignment of assets in settlement of construction obligations for less than the debts ]` outstanding? Been convicted or found guilty of, or entered a plea of nolo contendere to, regardless of adjudication, a crime in any jurisdiction within the past 10 years?* X Had claims or lawsuits filed for unpaid or past due accounts by your creditors as a result of construction experience? Been charged with or convicted of acting as a contractor without a license, or if licensed as a contractor in this or any other state, been "subject to" disciplinary action by a state, county, or municipality? NOTE. If you have answer YES to any of the questions below, you must attach a written explanation including the nature of the charges, dates, and outcomes, sentences of conditions imposed. You must also attach proof of payment, satisfaction of lien or judgement, bankruptcy discharge, or agreements for payment.*If you have had a felony conviction, proof that your civil rights have been restored will be required prior to licensure. Firm_Application.docx Rev 4/06/2020 Page 4 of 15 Page 181 of 496 Co ier County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY IV. EXPERIENCE VERIFICATION EDUCATION: List below and provide transcripts for any formal education you have obtained in the area of competency for which this application is being made: � c � f- (D 'F m A Gi — u vuA M fl List below non formal education (on the job training) you have obtained in the area of competency for which this application is being made: CURRENT/PREVIOUS LICENSE: List below and attach copies any other certificates of competencyllicenses you holdlhave held in Collier County or any other jurisdiction. Include the license #, Type, and county you hold it in. AFFIDAVIT Under the penalties of perjury, I declare that I have read the foregoing application and the facts stated in it are true. Af5plicant (please print) State of HHon& County of Signature of Applicant The foregoing instrument was acknowledged before me by means of physical presence or ❑ online notarization on this day of 0 Z , by Jacyh LOn1-e I eDJI)LAl Such person(s) Notary Public must check applicable box: ❑ are personally known to me Vhas produced a current driver license ❑ has produced as identification. (Notary Seal) YOSHIE MHARA Notary Public - State of F iorida Commission 0 HH 524520 My Comm. Expires May 7, 2028 bonded through National Notary Assn. Notary Signature: Contractor Licensing — FIRM Application Rev. 712022 Page 5 of 14 Operations & Regulatory Management Division, Contractor licensing . 2800 North Horseshoe Drive • Naples, FL 34104 a (239) 252-2431 contra ctorslicensing acolliercountvf1.cloy Page 182 of 496 CQier C0141 ty Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY WORKMEN'S COMPENSATION AFFIDAVIT It is understood and acknowledged by the Collier County Contractors' licensing Board and myself that if I fail to acquire, or maintain at all times effective Workmen's Compensation Insurance it will result in the possible revocation of my Certificate of Competency. ys _ Applicant (please print Name of Company Signatur f Eca t BEFORE ME this day personally appeared ,74e,10 - �� / �_ _ who affirms and Applicant (please print) says that he has less than one employee and does not require Workmen's Compensation understands that at any time he employees one or more persons he must obtain said Workmen's Compensation Insurance. State of a and a County of 01ar'0i'1 � The foregoing instrument was acknowledged before me by means of E pl f �day of 20 Z,4, by j4Cb,b Milli'.]__ Such person(s) Notary Public must check applicable box: ❑ are personally known to me U-Iias produced a current driver license ❑ has produced (Notary Seal a� rpSHIE AIHAKA Notary Public - State of Ficmla Commission x HH 514510 pse� My Comm, Expires May 7, 2022 Isnaea through National Notary Assn, as identification. Notary Signature: or ❑ online notarization on this Contractor Licensing — FIRM Application Rev, 7/2022 Page 7 of 14 Operations & Regulatory Management Division, Contractor Licensing . 2800 North Horseshoe Drive a Naples, FL 34104 a (239) 252-2431 contractorsiicensin collierco untvft.qov Page 183 of 496 Colfler County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY CERTIFICATION OF APPLICATION The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County No. 2006-46, as amended, and under penalties of perjury. I declare that I have read the foregoing qualifier information and that the facts stated in it are true. The undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to be licensed in all matters connected with its contracting business and that he has full authority to supervise construction undertaken by himself or such business or organization and that he will continue during this registration to be able to so bind said business organization. The qualified license holder understands that in all contracting matters, he/she will be held strictly accountable for any and all activities involving his license. Any willful falsification of any information contained herein is grounds for disqualification. �0�ow Applicant (please print Name of Company 'SF (tutGtJ ICU Signature of A pli t State of .__-Fl or,66R County of hadoff-e. The foregoing instrument was acknowledged before me by means of Op`h r day of jY1 1' , 202(/- ---, , by Such person(s) Notary Public must check applicable box: ❑ are personally known to me Oas produced a current driver license ❑ has produced (Notary Seal) ,At YOSHIE AIHAR.A A Notary Public - State or Flcrica : Commission # HH 52452C or ray Comm. Expires *ay 7. 202d lorded through Natlonal Notary 4ssr. Contractor Licensing — FIRM Application Rev. 712022 as identification. Notary Signature: presence or 0 online notarization on this Page 6 of 14 Operations 8 Regulatory Management Division, Contractor Licensing a 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensin colliercountyfl.gov Page 184 of 496 21 n. oC Irm m P Q a a� a 6- 0 V V) LL y g E O r DA ' C G F CV C7 N A to E- a m a , Q W o z" CL Q. � e U m H' y r m O AD — 'O � 1 U p co C � da , C, , , m ° o� LL m U. R 3 L.-:7 I � w � a E � / cr) /a ® 0 0 CCL Q a s C14 E d 2 E @ S § /ch o U- in 2 Gh c 0 k e � c � � � � k CN \ q _ c 6 CO Cl)co m o v .. � .. \ c � o 2;, a E 0 O � 2 d k ° U 2 a q cc e � I Report Summary I Experian 9118124, 11:51 AM F Your credit reports 'e Experian Eq Equifax Eu TransUnion Credit Money Protection Credit Cards Loans Auto & Insurance Upgrade $ Experian credit report JACOB D PEPLOW As of Sep 18, 2024 Fli00i CO'-E_ O 714 GOOD 300 579 Personal information Experian data Sep 18, 2024 669 739 799 850 See all 3 FICO2� Scores Your credit information at the 3 credit bureaus can be different. Add your Equifax4'' and TransUnion3 FICD'w- Scores today. Review my 3 FICO` Scores CREDIT CARDS Get more with the right card You could build credit, earn rewards or reach your financial goals with a card from one of our partners. See your top card https://usa.experian,com/mfe/credit/report/ experia n/now Page 1 of 8 Page 187 of 496 Report Summary I Experian NAME JACOB D PEPLOW ALSO KNOWN AS JAKE PEPLOW JACOB RUEL PEPLOW JACOB GENERATIONAL IDENTIFIER YEAR OF BIRTH 1979 Quick actions 5 Manage Experian CreditLock ADDRESSES 16049 PENNYROYAL LN PUNTA GORDA, FL 33982-6009 17724 WAYSIDE BND PUNTA GORDA, FL 33982-5051 12020 ARBOR TRACE DR FORT MYERS, FL 33913-9370 EMPLOYERS WALGREENS CVS PERSONAL STATEMENTS NO STATEMENT(S) PRESENT AT THIS TIME fi Print your report C° File a dispute ®Build credit without debt!a Meet the Experian Smart Money- Digital Checking Account. Banking services provided by Community Federal Savings Bank, Member FDIC. Experian is not a bank. You have 13 open accounts Total balance: $612,975 Credit cards or credit lines Total balance: $49,229 63% credit usage 0 Credit used: $48,512 Credit limit: $78,500 1 1 6% 30% 9/18/24, 11:51 AM Chat with Eva BETA I'm an Al chatbot that can help you understand your credit report and answer personal finance and credit questions! Chattiot Terms of Use Disclosure: By using this chatbot, you consent to the collection and use of the conversation. Info is from publicly available material. D Chat now / Chatea ahora https:/Iusa.experian.com/mfe/credit/report/experian/now Page 2 of 8 Page 188 of 496 Report Summary I Experian 9/18/24, 11:51 AM e AMEX 0 Link card name I What's this? Balance $4,305 Balance updated Sep 10, 2024 8 APPLE CARDIGS BANK USA 10 Link card game Balance $11,471 Balance updated Aug 31, 2024 8 SYNCB/CUTTING EDGE ri Link card name Balance $0 Balance updated Aug 09, 2024 F9 TD BANK USAITARGETCRED 0 Link card name Balance $6,717 Balance updated Aug 17, 2024 B UNIVERSITY OF WISCONSI %0 Link card name Balance $26,736 Balance updated Aug 25, 2024 Add to your $78,500 credit limit You could improve your credit usage and increase your FICO-" Score_ with a new card. Check out offers matched just to you. ri Explore credit cards 10 closed accounts Auto loans or leases Total balance: S105,284 https://usa.experian.cornImfe/credit/report/experian/now Page 3 of 8 Page 189 of 496 Report Summary I Experian 9/18/24, 11:51 AM SUNCOAST CREDIT UNION Balance Balance updated SUNCOAST CREDIT UNION Balance Balance updated 6 closed accounts Your auto refs made easy Apply online and compare a wide range of lenders —then lock in a rate and payment schedule that works best for you. Get started on AUTOPAY.com Real estate loans Total balance: $393,886 JPMCB HOME Balance Balance updated 7 closed accounts $65,856 Aug 31, 2024 $39,428 Aug 31, 2024 m $393,886 Sep 05, 2024 https:lluss.experian,com/mfe/credit/report/experian/now Page 4 of 8 Page 190 of 496 Report Summary I Experian 9/18/24, 11:51 AM Unlock your home's potential ffer dlsclosure Refinancing your home could help provide funds for renovations, debt consolidation or other financial needs. Check your race On OwnUp's website Student loans Total balance: $37,895 8 SLOAN/NELN Balance Balance updated B SLOAN/NELN Balance Balance updated Personal loans Total balance: $26,681 s FIRST COMMUNITY BANK try Balance Balance updated e SHEFFIELD FINANCIAL CO Balance Balance updated $21,239 Aug 31, 2024 $16,656 Aug 31, 2024 $8,830 Aug 30, 2024 $11,662 Aug 31, 2024 httpg://usa-exPeriar.com/mfe/crecfitJreport/experian/now Page 5 of 8 Page 191 of 496 Report Summary I Experian 9118124, 11 51 AM s SHEFFIELD FINANCIAL CO 03;- Balance Balance updated 1 closed account $6,189 Aug 31, 2024 9 0 collections Experian has no collections on file for you as of Sep 18, 2024. If you fall behind on payments, your lender or service provider may sell your debt to a collections agency, so remember to pay on time. 6 inquiries These lenders have accessed your credit file: 144 AMERICAN EXPRESS KABBA Inquiry date Removal date C, CAP ONE NA Inquiry date Removal date [' FIFTH THIRD BANK NA a Inquiry date Removal date MIDFLORIDA CREDIT UNIO a Inquiry date Removal date C, NCCINC/STARLING CHEVRO a Inquiry date Removal date Apr 18, 2024 May 2026 Aug 24, 2024 Sep 2026 May 3, 2024 Jun 2026 Jun 17, 2023 Jul 2025 Jun 17, 2023 Jul 2025 9 https://usa.experian.com/mfe/cre(Jit/report/experian/now Page 6 of 8 Page 192 of 496 Report Summary I Fxperian 9/18/24, 11:51 AM c' SUNCOAST CREDIT UNION a Inquiry date Removal date Your Experian credit file is unlocked. Locking your credit file can help prevent unauthorized access. More on CreditLock Jun 21, 2023 Jul 2025 Keep in mind, not all inquiries are factored into your'I"ICO" Score. Inquiries stay on your credit report fortwo years but only impact your FICO Score for the first year. Also, FICO may group loan inquiries together so you aren't penalized for shopping for a better rate 0 public records This is where public records, such as bankruptcies, would appear on your report. zSpeak espanol? Download a printable copy of your informe de credito en 6 espanol. Get informe en espanol FAQs What is a credit report? + What is included in a credit report? + What is not included in a credit report? + Where does the information in your credit reports come from? + Will checking your credit reports hurt your credit score? + When is your Experian credit report updated? + https://usa.experian.com/mfe/credit/report/experian/now Page 7 of S Page 193 of 496 Report Summary I Experian 9118f24, 11:51AM Services Overview Credit Overview Money Overview How Lenders See You Protection Credit Cards Loans Auto Insurance 700iS Experian Boost Experian CreditLock Score Planner Score Simulator Security Freeze Support Help Center Get the free Experian app: Follow us: 0000 Contact Us Terms & Conditions Privacy Policy Q Trusted5ite' © 2024 Experian. All rights reserved. CERTIFIED SECURE Experian and the Experian trademarks used herein are trademarks or registered trademarks of Experian Information Solutions, Inc., Consumerinfo.com, Inc. or its affiliates. Other product or company names mentioned herein are the property of their respective owners. Licenses and Disclosures. �k Jacob, you've been pre -approved for 6 credit card offers. View Offers x hops:(/usa.experian.comfmfe/cred it/report/experian/now Page 6 of 8 Page 194 of 496 'experian Search inquiry: (My company) CreditScore"' Report as of: 11 /18/2413:12 ET Best Garden Landscape Services LLC Address: 16049 Pennyroyal Ln Babcock Ranch, FL 33982-6009 United States Phone: 239-412-3600 Website: https:Hbestgardenlandscapeservices.com Experian BIN: 559720729 Agent: Ruei Susan Agent Address: 16049 Pennroyal Lane Babcock Ranch, FL Key Personnel: SIC Code: NAICS Code: Business Type: Experian File Established: Experian Years on File: Filing Data Provided by: Date of Incorporation: Experian Business Credit Score Authorized Representative: Peplow Jacob 0782-Lawn & Garden Services 561730-Landscaping Services Corporation February 2024 Less than 1 Year Florida 01/26/2022 Page 195 of 496 24 Business Credit Score Medium -High Risk The objective of the Experian Business Credit Score is to predict payment behavior. High Risk means that there is a significant probability of delinquent payment. Low Risk means that there is a good probability of on -time payment. Key Score Factors: Nbr of active commercial accts within the last 12 mos. Number of commercial accounts with net 1-30 days term. Number of recently active commercial accounts. Length of time on Experian's file. Business Credit Scores range from a low of 1 to high of 100 with this company receiving a score of 24. Higher scores indicate lower risk This score predicts the likelihood of serious credit delinquencies within the next 12 months. This score uses tradeline and collections information, public filings as well as other variables to predict future risk. Experian Financial Stability Risk Rating 4 Financial Stability Risk Rating Medium -High Risk A Financial Stability Risk Rating of 4 indicates a 10% potential risk of severe financial distress within the next 12 months. Key Rating Factors: • Number of active commercial accounts. Page 196 of 496 • Number of commercial accounts. Risk associated with the company's industry sector. Risk associated with the business type. Financial Stability Risk Ratings range from a low of 1 to high of 5 with this company receiving a rating of 4. Lower ratings indicate lower risk. Experian categorizes all businesses to fit within one of the five risk segments. This rating predicts the likelihood of payment default and/or bankruptcy within the next 12 months. This rating uses tradeline and ccllections information, public filings as well as other variable to predict future risk. Credit Summary This location does not yet have an estimated Days Beyond Terms (DBT), or a Payment Trend Indicator. This is often the result of too few Payment Tradelines. Please refer to Experia n's 'www. Bus i nessCreditFacts. com' webs ite for more information on establishing Payment Tradelines. Payment Tradelines / Commercial accounts: 0 UCC Filings: 1 x Businesses Scoring Worse: 23% Bankruptcies: 0 Liens: 0 ,(,Judgments Filed_ 0 ,/Collections: 0 Victim Statement THIS COMPANY IS LOCATED IN AN AREA THAT MAY HAVE BEEN AFFECTED BY HURRICANE HELENE OR Details: M I LTO N. * The information herein is furnished in confidence for your exclusive use for legitimate business purposes and shall not be reproducec disclosed, or shared to any third party per the restrictions in the Terms and Conditions that you accepted. Neither Experian nor its sources or distributors warrant such information nor shall they be liable for your use or reliance upon it. tRefz6114714; © 2024 Experian Information Solutions Inc. Back to to{ Page 197 of 496 Dmsio?4 OF CORPORA?IONS JI'Jf joi; 6j, Aw-org Department of State / Division of Corporations 1 Search Records / Search b Enti Name 1 Detail by Entity Name Florida Limited Liability Company BEST GARDEN LANDSCAPE SERVICES LLC Filing Information Document Number L22000064030 FEI/EIN Number 88-0870971 Date Filed 01/26/2022 Effective Date 01 /26/2022 State FL Status ACTIVE Last Event LC NAME CHANGE Event Date Filed 11/28/2023 Event Effective Date NONE Principal Address 16049 PENNYROYAL LANE BABCOCK RANCH, FL 33982 Changed: 01/13/2023 Mailing Address 16049 PENNYROYAL LANE BABCOCK RANCH, FL 33982 Changed: 01 /13/2023 Registered Agent Name & Address rue], susan 16049 PENNROYAL LANE BABCOCK RANCH, FL 33982 Name Changed: 01/13/2023 Authorized Person(s) Detail Name & Address Title AR peplow, jacob Page 198 of 496 16049 PENNYROYAL LANE BABCOCK RANCH, FL 33982 Annual Reports Report Year Filed Date 2023 01 /13/2023 2024 01 /31 /2024 Document Images 01/31/2024 -- ANNUAL REPORT 11/28/2023 — LC Name Changg 01113/2023 --ANNUAL REPORT View image in PDF format View image in PDF format View image in PDF format j 01/26/2022 -- Florida Lmited Liability View image in PDF format Page 199 of 496 Electronic Articles of Organization L22000064030 For FILED 8:00 AM January 26, 2022 Florida Limited Liability Company Sec. Of State crico Article I The name of the Limited Liability Company is: BEST GARDEN ON THE BLOCK L.L.0 Article II The street address of the principal office of the Limited Liability Company is: 16049 PENNYROYAL LANE BABCOCK RANCH,. 33982 The mailing address of the Limited Liability Company is: 16049 PENNYROYAL LANE BABCOCK RANCH,. 33982 Article III The name and Florida street address of the registered agent is: JACOB PEPLOW 16049 PENNROYAL LANE BABCOCK RANCH, FL. 33982 Having been named as registered agent and to accept service of process for the above stated limited liability company at the place designated in this certificate, I hereby accept the appointment as registered agent and agree to act in this capacity. I further agree to comply with the provisions of all statutes relating to the proper and complete performance of my duties, and I am familiar with and accept the obligations of my position as registered agent. Registered Agent Signature: JACOB PEPLOW Page 200 of 496 Article IV The name and address of person(s) authorized to manage LLC : Title: AR SUSIE RUEL 16049 PENNYROYAL LANE BABCOCK RANCH, FL. 33982 Article V The effective date for this Limited Liability Company shall be: 01/26/2022 Signature of member or an authorized representative Electronic Signature: JACOB PEPLOW L22000064030 FILED 8.00 AM January 26, 2022 Sec. Of State crico I am the member or authorized representative submitting these Articles of Organization and affirm that the facts stated herein are true. I am aware that false information submitted in a document to the Department of State constitutes a third degree felony as provided for in s.817.155, F.S. I understand the requirement to file an annual report between January 1 st and May 1 st in the calendar year following formation of the LLC and every year thereafter to maintain "active" status. Page 201 of 496 I RS DEPARTMENT OF THE TREASURY INTERNAL REVENUE SERVICE CINCINNATI OH 45999-0023 BEST GARDEN ON THE BLOCK LLC JACOB PEPLOW MBR 16049 PENNYROYAL IN PUNTA GORDA, FL 33982 Date of this notice: 02--24--2022 Employer Identification Number: 88-0870971 Form: SS-4 Number of this notice: CP 575 B For assistance you may call us at: 1--800-829-4933 IF YOU WRITE, ATTACH THE STUB AT THE END OF THIS NOTICE. WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER Thank you for applying for an Employer Identification Number (EIN). We assigned you EIN 88-0870971. This EIN will identify you, your business accounts, tax returns, and documents, even if you have no employees. Please keep this notice in your permanent records. Taxpayers request an EIN for their business. Some taxpayers receive CP575 notices when another person has stolen their identity and are opening a business using their information. If you did not apply for this EIN, please contact us at the phone number or address listed on the top of this notice. When filing tax documents, making payments, or replying to any related correspondence, it is very important that you use your EIN and complete name and address exactly as shown above. Any variation may cause a delay in processing, result in incorrect information in your account, or even cause you to be assigned more than one EIN. If the information is not correct as shown above, please make the correction using the attached tear -off stub and return it to us. Based on the information received from you or your representative, you must file the following forms by the dates shown. Form 1065 03/15/2023 if you have questions about the forms or the due dates shown, you can call us at the phone number or write to us at the address shown at the top of this notice. If you need help in determining your annual accounting period (tax year), see Publication 538, Accounting Periods and Methods. We assigned you a tax classification (corporation, partnership, estate, trust, EPMF, etc.) based on information obtained from you or your representative. It is not a legal determination of your tax classification, and is not binding on the IRS. If you want a legal determination of your tax classification, you may request a private letter ruling from the IRS under the guidelines in Revenue Procedure 2020-1, 2020-1 I.R.B. 1 (or superseding Revenue Procedure for the year at issue). Note: Certain tax classification elections can be requested by filing Form 8832, Entity Classification Election. See Form 8832 and its instructions for additional information. A limited liability company (LLC) may file Form 8832, Entity Classification Election, and elect to be classified as an association taxable as a corporation. If the LLC is eligible to be treated as a corporation that meets certain tests and it will be electing S corporation status, it must timely file Form 2553, Election by a Small Business Corporation. The LLC will be treated as a corporation as of the effective date of the S corporation election and does not need to file Form 8832. Page 202 of 496 (IRS USE, ONLY) 575B 02-24--2022 BEST B 9999999999 SS-4 IMPORTANT REMINDERS: x Keep a copy of this notice in your permanent records. This notice is issued only one time and the IRS will not be able to generate a duplicate copy for you. You may give a copy of this document to anyone asking for proof of your EIN. * Use this EIN and your name exactly as they appear at the top of this notice on all your federal tax forms. * Refer to this EIN on your tax -related correspondence and documents. * Provide future officers of your organization with a copy of this notice. Your name control associated with this EIN is BEST. You will need to provide this information along with your EIN, if you file your returns electronically. Safeguard your EIN by referring to Publication 4557, Safeguarding Taxpayer Data: A Guide for Your Business. You can get any of the forms or publications mentioned in this letter by visiting our website at www.irs.gov/forms-pubs or by calling 800-TAX-FORM (800-829-3676). If you have questions about your EIN, you can contact us at the phone number or address listed at the top of this notice. If you write, please tear off the stub at the bottom of this notice and include it with your letter. Thank you for your cooperation. Keep this part for your records. CP 575 B (Rev. 7-2007) Return this part with any correspondence so we may identify your account. Please CP 575 B correct any errors in your name or address. 9999999999 Your Telephone Number Best Time to Call DATE OF THIS NOTICE: 02-24-2022 ( ) - EMPLOYER IDENTIFICATION NUMBER: 88-0870971 FORM: SS-4 NOBOD INTERNAL REVENUE SERVICE CINCINNATI OH 43999-0023 lilu 111111111111It.,1,11111111111 n u 11111111111111 BEST GARDEN ON THE BLOCK LLC JACOB PEPLOW MBR 16049 PENNYROYAL LN PUNTA GORDA, FL 33982 Page 203 of 496 COMer County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY STATEMENT OF OWNERSHIP This certifies that I, _�Nc"s 2 E4w'i am a member or managing APPLICANTS NAME (please print) S �(L�� member of k' .�-T i.i Q.�'1� �"} 1� SC A � � 5 (LIMITED LIABILITY COMPANY NAME) town 150 % of the units issued by the Limited Liability Company listed above. Affidavit of Applicant: I certify under penalty of perjury that the information contained is a true and correct statement to the best of my knowledge. State of l O _A61 County of Chayl vtfi The foregoing instrument was acknowledged before me by means of Vi i�day of YIl 20 4-Y , by -ay-o b Panitl Such person(s) Notary Public must check applicable box: ❑ are personally known to me lid' t produced a current driver license ❑ has produced (Notary Seal) as identification. tea• • YpSHIE A� Notary Public - State V = Brea Commission K NPi 52.52C NO Signature: d g My Comm, Expires May 7. 2628 horded throuO Nations, setam -i±sr. Applicant (please print) Name of Company Signature of Applicant presence or ❑ online notarization on this Contractor Licensing — FIRM Application Rev 7l2022 Page 9 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensingacolliercountyfl.gov Page 204 of 496 Cole-rCON_Y4ty Growth Management Community DevOopment Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY RESOLUTION OF AUTHORIZATION Complete this form if multiple people own part of the company the license will be attached to. If there is only 1 owner, then this form is not required for the application. In accordance with Collier County Ordinance 2006-46, as amended, 3cyr k+4-Wr.. _��1_"' _ proposes Company Name to engage in contracting as [ 14j} fNQ-5 in Collier County where W I �E4Low Officers/Owners/Partners Applicant Name proposes to qualify for a Certificate of Competency with company 4z esrT- C.�A � L A'-45cw— Company yvLarm( It is hereby agreed upon that we the undersigned tQt A rNA_rl of C.,T (-_N b%o LA,.r) s L* Officers/Owners/Partners Company S-VPWtr-Cj resolve and represent to the Collier County Contractor's Licensing Board that the proposed qualifying agent, pru S TEQ�—O' , is active in all matters connected with the company named Applicant Name `�� jQurtC_s�S SST (`A&jb" L1,N9 � We further resolve and represent that kub 5 C?E2LQ� is legally Company Applicant Name �p,^"'S e LA -A I= S A-ti s empowered to act on behalf of in all matters connected with its contracting Company business and has the authority to supervise construction undertaken by ?,,rr,5'T CkA-n-t)rw LA,4�)s (A PibkAj . Company c FfL+✓4a�, �v OfficelownerslPartners Witness Offi Hers/P Hers Witness Officefs/Owners/Pa rt ners Witness Officers/Owners/Partners of the above -mentioned company need to sign on the left and a witness to the signature signs on the right, State of ✓ County of�— The going instrum nt was acknowledged before me by means of day of r20.z , by SswSGA Such*'rson(s) Notary Public must check applicable box: V/are personally known to me ❑ has produced a current driver license En/has produced (Notary Seal) Contractor Licensing — as identification. J'9s°°4�:. MICHAEL J SLOBODOW tietarr Public • State of Florida 4W Commission 4 HH 467264 IRM Applicati&rRev�V20212�b 17, 2028 presence or Q online notarization on this Notary Signature::,!- /L - /1 Page 8 of 14 Operations & Regulato)"W'sge'nCT WMINM Eing a 2800 North Horseshoe Drive • Naples, FL 34144 • (239) 252-2431 contractorslicensinoCa�cclliercountyfi.gov Page 205 of 496 Coal scW L "n"V f 2Or s500Nta asr+►FL 341Os 239.252-2400 A"LICAMN FOR COtt-'ER COUNTY CERTIFICATE OF COMrFTFNCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF 1 1 a- COUNTYOF I ha%'V P ra*e!"gvAo7 , state and asTM- l am a nwadwO d ,�, _ C,orrnty, (51ate) and have resded here I more vW %ft IS) )roots D►rng Wn last We (5) years I have known D 10 Q � (MppkAnj1 I have had IM apQorWFftTY to oosenv het or her tXainass and personal deawvl and W him or her to be a pastor► of hanegY. r46W*Y rid good dwacter. i � 5 - a~ Address. r tQYr� Woo C*V I Telephone . ?�L.2.- 7�L - 1.7 ,;2 suW or TLt (aregain# momuwu yap a iru*tcdrad btfart nv by nbomu of pre-rr" or O ambit wUnza we oe Lh►t day of Nurt�.:0 2� . tr Swh perww•) Nauwy "Ic rnua tAcck am1wahte W%. ❑ WE perwmauy Icnoarn to me &19;—.prnduccd a tonal dmrcr license O Aar pruducs+d —�.. _ _. _ �- -- -- - u daltfkaum (psmary Aces) �uury S�rea _. igMM Fkm_Apptcsu .doo lieu &'0 W20 pall T 4 of 15 Page 206 of 496 CO fer County GmNAi Manvc4iient 13eixgrtn1ent Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 239-252-2400 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF l `c 6G- COUNTY OF i , having been first duly sworn, state and affirm: I am a resident of t— CC more than five (5) years. County, P t OCC LL CN, (State) and have resided here for During the last five (5) years I have known G (-Mo �� l� (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 1 Ch Lo'rf-( ✓i 1 Printed Name Address: I Q S ?2 a-em, ' `'' 1 Street City state Zip Telephone: 23 CI • 9 LIO - Z.SZ.3- sta*w of r, County of The foregoing instrument was acknowled d bcfare me by tneans physical presence or 0 online notarization on this 2 . day 0CLIv, 20 '?Q , by —y- Such person(s) Notary Public must check applicable box: 0 arc personally known to me �Jias produced a current driver license A 0 has produced \ entiFcation. (Notary Seat) - YENIFEA G. PABLp ?_ Notary Signature: Y Notary Public - State of Florida Commission p HH 335404 •.. orfl MY CW n. Expires Nov 28, 2026 Bonded throu9ti National Notary All. Firrn_Application.docx Rev 4/M2020 Page 14 of 15 t,�'.`t�3f, (\i,'u�'ga)t'tttr�r,E l?r{,.�atrltrttt Contractor Lmensing 2800 N. Hcfselhepi" Df. NnPles. FL .34104 23q-252-2400 ArPtICATION FOR COI.l1ER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF CCOUNTN OF � t 1 I- " 3 L`A" , having been feral duly sworn, state and affirm- t am a resident of C-., t + e County, I o f`, ctl- (State) and have resided here for more than five (5) years. During the last free (5) years I have known -_ �.�� ?Q- ja If-' T� (applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and good character. tU�-. Printed tarn: Address: Street City State . p Telephone: (Z3M_'� V_,9 "f b 4 Slate oI X C:ounty0f The forego in + an rumens %vas ac riow)cdged befor me bpy gicans ofi?I.pbysical presence or © online notarization on this Such person(,) Nolary Public must cltcck applicable box: arc p.r .tmilly known to tau , Produced a current driver license G Etas produced —as identification, {%pilau) Seal) E6Wli,.. ++uxrt WALTZ:tdaNOU Y Public - State of FtoCommissionJ HH I760al7 'AyComm. Expires Jan 1, 2p18 drd throu;h National Notary Assn, NotarySign-al4ign:utat Fimil.Appkcabun.dtrcx Rdv 4,0&20A1 PoAjo 14 of IS - -.- - .. - - q...... _ ..,..pars'Gar'rwr.r�..�.�rr...,.rs.� �MMrY�IV► �: - � .. Page 208 of 496 JACOB PEPLOW BEST GARDEN LANDSCAPE SERVICES OWNER 9 PUNTA GORDA, UNITED STATES `239-412-3600 ° DETAILS ° i PROFILE Punta Gorda We are a husband and wife owned company who love spending our free time in the United States garden. We started our landscape company in Southwest Florida after witnessing the 239-412-3600 headaches of workingwith the "bigguys" and feeling like youropinions didn't matter. We r n m take a very hands on and personal approach to design and often go above and beyond to meet our customers needs. We often refer to ourselves as the "Chip and Joanna of ° SKILLS landscaping" since Susie is the lead designer and Jake leads the day today operations of the teams in the field. We offer landscape and paver designs and installations. Effective Time Management Customer Service EMPLOYMENT HISTORY Leadership paver and landscaping at Charlotte County, Punta Gorda Communication Skills created 1 round paver patio with stairswalkeway, firepit Adaptability added plants and sod to entire house Teamwork added rock to gardenbed and a paver edging Ability to Multi task added 2 retaining wall Customer Relations added garbage paver pad landscaping and paver walkway at Lee county, Fort Myers remove palms removed cement walkway and added paver walkway add plants, mulch and sod commmercial lawncare at Charlotte county, Port Charlotte November 2023 — Present provide landscaping services, mowing, trimming, spraying weeds Monthly maintnence clusia privacy hedge at Charlotte county, Babcock Ranch add eiusia to create privacy hedge Alico off ramp at Lee county, Fort Myers April 2024 Present montlhy lawncare maintenance on 52 acre Alico off and on ramp sod at Charlotte county, babcock ranch July 2024 — July 2024 remove damaged sod whole house add top soil and resod house landscaping at charlotte county, babcock ranch remove existing lansdcaping front yard added plants created privacy hedges in backyard and add plants in garden beds Page 209 of 496 lanscaping at Lee county, north fort myers May 2024 — May 2024 landscaping landscaping at lee county, Fort Myers September 2024 — September 2024 remove eating landscaping in front and around pool add plants created privacy hedge landscaping and sod install at Charlotte county, babcock ranch October 2024 -- October 2024 install landscaping and sod w EDUCATION Doctor of Pharmacy, University of Wisconsin -Madison, Madison graduated pharmacy school * LINKS website www.bestgardeniandscapeservices.com facebook https://www.facebook.com/BestGardenLandscapeServices?mibextid=LQQJ4d a Page 210 of 496 ERVING SW FLORIDA SINCE 1966, November 1, 2024 To whom it may concern; The purpose of this letter is to recommend Jake Peplow (Best Garden on the Block) based on my own experience with the company. I used Best Garden on the Block to provide Landscaping services and designs for our property and I am extremely pleased with the quality of services they were able to provide. We as a company have also worked with Best Garden on the Block on multiple properties throughout the years and has been great working experience for moth of our companies. I can recommend them without reservation to others in need of similar Landscaping services and designs. A few examples of their high quality include: • Monthly maintenance for Trees and Shrubs at our property, and other properties that we have contracted with them • Clearing back lot areas removing debris and clean up • Always on time and communicate with us to keep us up to date • extremely professional and executes flawless services I am very happy to recommend Best Garden on the Block to you, and trust that your experience with them will be as positive as mine. If I can answer any additional questions about my experience as a customer of Best Garden on the Block, please feel free to contact me. My phone number is (239)543-3100 and my email is ivan(@fmpc.net. Sincerely, Cl_ Ivan Starkey Director of Operations Fort Myers Pest Control Semper Fidelis MARK ALLAN HAmBLIN ,p 4, Notary Public -State of Florid* _• a11'; Commission i HH 365125 V?.` My Commission Expires + April 23, 2a27 Page 211 of 496 � 0 0 o ns e rva irrigation 1597 Manzana Avenue Nnta Gorda, Florida 33950 941-249-9690 swtl.eonservairrigation. com SCC 13 t 151936 October 4, 2024 To Whom It May Concern: 1 have worked with and collaborated with Jake Peplow and Hest Garden Landscape Services on many projects this past year. It has been a pleasure working with Jake and I look forward to continuing our business relationship. Jake is professional, knowledgeable, has the "customer first" mindset, pays attention to details (big and small), he always answers his phone, and I can rely on him and his company to execute the work we have agreed upon in a timely mariner. Our customers enjoy having Best Garden Landscape Services working on their properties and have done repeated business with Jake as well. Jake is a true professional and is an asset to our company as a sub -contracted landscaper. I highly recommend Jake Peplow and Best Garden Landscape Services. Please contact me with any questions. Thank you. Sincerely, {� Michael P. Ferrara President Conserva Irrigation of SWFL Inc. C.L.I.A., C.I.T. State of Florida; County of Charlotte Shorn to (or affirmed) and o bwribed before me by means of Physical Preapnce t/ or Online otartzation r on this day of 2 by I NM Of person WWrg w Pemnahir Known Produced Identification Type of Identification Produced: L G> L Horn of Notary Typed, Ported or Stamped w c� Signature of Notary Public ry `' JEFF QUATTAUCCI X; NaYry Pubifc - Sou of Florida Commission I HH 530386 My Camm. Expires May 22, 2024 WCamScariner Im C:t PN4612112rof 496 c, E A SCOC K RAN U II. FL 33982 07109/1972 SAFE OR"" 5 0c x6321'"2917 aemaw WAOM to spy sobr*v iw* Page 213 of 496 DATE (MM!➢DYYYj ACORN® CERTIFICATE OF LIABILITY INSURANCEF 11IY/18/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements , PRODUCER CONTACT _NAME: Kevin Bell WGP Insurance Services _WC. NO €xn. (561) 953-2007 _ 1 FAX �: 6195 High Ride Road E-MAILDDRKevinb w is.com 9 9 ADDRESS:-- @ 9P ._. Lakeworth INSURED FL 33462 INSURERA: HISCOX INS CO INC INSURER s : INFINITY AUTO INS CO Best Garden Landscape Services INSURERC: TECHNOLOGY INS CO INC 16049 Pennyroyal Ln INSURERD: Punta Gorda FL 33982 INSURERF: r_nVE=RAr_FC rFRTII=IrATI= NJIUR1=R• REVISION NIIMRFR- 10200 11738 42376 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ INSR TYPE OF INSURANCE ADDL SU D POLICY NUMBER IPOLICY EFF P1WDICDY EXP LIMITS LTR X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 rDAMAGE CWMS MARE X OCCUR TO RENTED PREM IS Ea occurrence $ 50,000 MED EXP (Any one person) $ 5,000 I PERSONAL & ADV INJURY $ 1,000,000 A X X P100.903.439.2 02/1512024 02115/2025 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY 1XI JJERCOT- LOC PRODUCTS - COMINOP AGO S 2,000,000 $ OTHERr AUTOMOBILE LIABILITY COMBINED SINGLE "MIT Es accident $ 30D,OD0 BODILY INJURY (Per person) $ X ANY AUTO B OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON-OWN X AUTOS ONLY X NON-OWNED ONLY X X 50010357701 04/24/2024 04/24/2025 BODILY INJURY (Peracc3dorft ) S PROPERTY DAMAGE Per accident S S UMBRELLA LIAB OCCUR EACH OCCURRENCE S AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICERIMEMBEREXCLUD D?ANY EcuTivE YN (Mandatory in NH} NIA X TWC4495424 101OW2024 10/0'5/2025 X PER OTH- STATUTE ER E.L EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1 rOOOrOOO E.L. DISEASE- POLICY LIMIT S 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below I DESCRIPTION OF OPERATEONS 1 LOCATIONS ! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space Is required) Certificate Holder it's Owners, and their respective Officers, Directors, employees and agents are named as Additional Insured including completed and ongoing operations for the General Liability Policy. General Liability is Primary and Nan -Contributory for the Additional Insureds. Additional Insured also applies to the Commercial Auto Liability Policy. Waiver of subrogation applies to the General Liability, Commercial Auto Liability, and Workers Compensation/Employers Liability Policies for the Additional Insureds. The policies are subject to standard ISO terms and conditions. Cancellation applies as per policy terms and conditions .30 days notice Of cancellation applies to each policy, as per the policy's terms, Conditions and exclusions t:ANt.tLLA I IUN Collier County - Growth Management SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Community Development Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 2800 north Horeshoe Drive AUTHORIZED REPRESENTATIVE Naples FL 34104+,M,1, Gr © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Page 214 of 496 John Ruscetta GEdget Ruscetta 16048 Pennyroyal Lane Punta Gorda, FL 33982 808-631-1727 to I-, nr9087CgMa1t.COm To Whom it may Concern, I am writing to highly recommend Best Garden Landscape Services and their team for any landscaping services, including design, installation and ongoing maintenance. I have had the pleasure of working with Best Garden Landscape Services for over two years, and throughout this time, their professionalism, creativity and attention to detail have consistently impressed me. When we first engaged Best Garden Landscape Services, they worked closely with us to design a landscape that matched our vision and needs. They brought excellent ideas to the table, offering innovative solutions that greatly enhanced the overall design. Best Garden Landscape Services was attentive to our preferences, budget, and time€ine, ensuring that the entire process was seamless and enjoyable. The installation phase was equally smooth. Their team demonstrated exceptional skill in executing the plan, ensuring that every plant and tree was installed with care and precision. Theywere punctual, respectful of our property, and maintained a clean and safe work environment throughout the project. What sets Best Garden Landscape Services apart from others is their commitment to long- term maintenance. They have been diligent in caring for our landscape, making regular visits to keep everything in optimal condition. Whether it's pruning, lawn care, or seasonal planting, they ensure that our property look its best year-round.. Their proactive approach to maintenance has saved us both time and money in the long run. Overall, we cannot recommend Best Garden Landscape Services enough. Their expertise, reliability, and dedication to their work make them an invaluable partner in maintaining a beautiful and functional landscape. If you are looking for a landscaper who delivers outstanding results and tip -notch customer services, Best Landscape Services is the company. Please feel free to contact us at 808-621-1727 or johnr9087@gmail,com if you have any further questions. Sincerely, John & Gidget Ruscetta Page 215 of 496 State of Hawaii ) SS. County of Honolulu On this day of "� "� , 20 1, before me personally appeared �Q1to _It 1 JCCA k to me known to be the person(s) described in and who executed the foregoing instrument, and acknowledged tha he y executed the same as09191heir free act and deed. Witness my hand and seal. `wI1111111111 ��`G-i CHEN.,1-�`//,,�� ;F., AR}:l*'� * : 16-434, =. Auntie P ��igT.......... Nancy Chen-Kretz Notary Public f My Commission Expires: December 11, 2024 Description of Attached Document Type of Document: `i'G `S`°' "� � r g�4- Title or y�`� Document Date: Number of Pages 1 emu'} Signer(s) Other Than Named Above: \C�1CHJill EIII N,49 N�T U I; L% 00 Page 216 of 496 DEBRA SLOBODOW, RVP Primerica Financial Services 16233 Foxtail Court Babcock Ranch, FL 33982 To whom it may concern: l have used the landscape services of Best Garden on the Block and was very happy with the results. They did an excellent job of bringing color and coordination to my yard. They showed up when promised and were very responsive to my questions. Both Jacob and Susie work hard to please their clients and maintain a high level of integrity and professionalism. They provide honest, transparent quotes and follow through on their commitments. They have earned and keep up the outstanding reputation they have in our community. Sincerely, State of k1 County of OVI"IDe-e-1 Subscribed and swum to (or affirmed) before me on this I `i day of G -c, ,tV 0e-V- _ 20 Y , m V/�{w(/1 tom/omwbais of wW&ctory evi4nce to be WM(s) riho before tee. Notary Signature_ YOSHI aEH44 Notary au0c • State of Florida ;' i Commiss3an w HH 52+520 ?n fly` My COMM. Expires May 7, 2025 landed through hationai Hotdry ass+t. Comer County Growth Management Community Development Department l.. f 05 r APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY FIRM APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY This application must oe typewritten or legibly panted The application fee must be paid upon approval and is NOT refundable. All checks should be made payable to: Collier County Board of County Commissioners For further information, consult Collier County Ordinance No. 2006-46, as amended. TYPE OF CERTIFICATE OF COMPETENCY: R General $230.00 ❑ Electrician $230.00 ❑ Building $230.00 ❑ Plumber $230.00 ❑ Residential $230.00 ❑ Air Conditioner $230.00 ❑ Mechanical $230.00 ❑ Swimming Pool $230.00 ❑ Roofing $230.00 ❑ Specialty $205.00 Specialty Trade: ra I OJA 'A I. APPLICANT PERSONAL INFORMATION: Name: 2 E,--1V_ a First Business Name: Address:l�e� street Email: nVIntnu;te Middle Initiai 0 State Telephone: "SS # (Last 4 digits only):_ 1 q Date of Birth: (J I `Z Driver's License # (Last 4 digits only): Zip 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 applicants identity. Our office will only use the personal information noted above for those reasons pursuant to Chapter 119, Florida Statutes, and as may otherwise be authorized by law. We are fully committed to safeguarding and protecting your personal information and once collected, will be maintained as confidential and exempt under Chapter 119, Florida Statutes. Contractor licensing — FIRM Application Rev. 7/2022 Page 3 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 a (239) 252-2431 contractorslicensin a colliercount fl.c ov Page 218 of 496 Cofer County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY Provide the names and telephone numbers of two persons who will always know your whereabouts. Name: 101j o'c",JM&,&J pyau Name:1WI0 cpeJ�. Telephone: S2`• d Telephone: ;7-3,7. 'f e II. NAME OF APPLICANT'S BUSINESS: Business Name: Business Address: 2Street — City Telephone: 42 3IG, . �'�• '�J/��— Email: Federal ID Tax No.: 'r]r III. FINANCIAL RESPONSIBILITY Zip YES NO ALL APPLICANTS MUST ANSWER THE QUESTIONS BELOW: 11 Filed for or been discharged in bankruptcy within the past 5 years? Had a lien filed against you by the Internal Revenue Service or Florida Corporate Tax Division? Undertaken construction contracts or work that resulted in liens, suits, or judgments being filed? ndertaken construction contracts or work that a third party, such as a bonding or surety company, completed or made financial statements on? ade an assignment of assets in settlement of construction obligations for less than the debts outstanding? Been convicted or found guilty of, or entered a plea of nolo contendere to, regardless of adjudication, a crime in any jurisdiction within the past 14 years?* d claims or lawsuits filed for unpaid or past due accounts by your creditors as a result of construction experience? Been charged with or convicted of acting as a contractor without a license, or if licensed as a contractor in this or any other state, been "subject to" disciplinary action by a state, county, or municipality? NOTE. If you have answer YES to any of the questions below, you must attach a written explanation including the nature of the charges, dates, and outcomes, sentences of conditions imposed. You must also attach proof of payment, satisfaction of lien or judgement, bankruptcy discharge, or agreements for payment. *If you have had a felony conviction, proof that your civil rights have been restored will be required prior to licensure. Contractor Licensing — FIRM Application Rev. 712022 Page 4 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorsiicensin a�colliercoun fl. ov Page 219 of 496 Coder County Growth Management Community Development Department APPLICATION. FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY IV. EXPERIENCE VERIFICATION EDUCATION: List below and provide transcripts for any formal education you have obtained in the area of competency for which this application is being made: 4 - - List below non formal education (on the job training) you have obtained in the area of competency for which this application is being made: L CURRENT/PREVIOUS LICENSE: List below and attach copies any other certificates of competency/licenses you hold/have held in Collier County or any other jurisdiction. Include the license #, Type, and county you hold it in. AFFIDAVIT Under the penalties of perjury, I declare that I have read the foregoing application and the facts stated in it are true. Applicant (please print) V ature of Applicant State of�] County of G!1.4r J'he f regoin i strument was acknowledged before me b means of hysical presence or ❑ online notarization on this day of t kV 20Z, by Such person(s) Notary Public must check applicable box: ❑ are personally known to me ❑ has produced a current driver license A4 DAMILOMORACE3 Notary Public, State of Florida has produced as identification. Commission# HH286379 MY COMM expires July 12, 2026 (Notary Seal) Notary Signature: - Contractor Licensing — FIRM Application Rev- 712022 Page 5 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe drive . Naples, FL 34104 . (239) 252-2431 conlractorslicensingl5.colI$ercountyfLqov Page 220 of 496 CO Ter County Growth Management Comniuni y Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY CERTIFICATION OF APPLICATION The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County No. 2006-46, as amended, and under penalties of perjury. I declare that I have read the foregoing qualifier information and that the facts stated in it are true. The undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to be licensed in all matters connected with its contracting business and that he has full authority to supervise construction undertaken by himself or such business or organization and that he will continue during this registration to be able to so bind said business organization. The qualified license holder understands that in all contracting matters, he/she will be held strictly accountable for any and all activities involving his license. Any willful falsification of any information contained herein is grounds for disqualification. ivy" Applicant (please print Name of Comp ny Egaetare-of Applicant I State of _ County of The f regom strument was acknowledged before me b means of ysical presence or ❑ online notarization on this �fday of L 20� , by i Such person(s) Notary Public must check applicable box: ❑ are personally known to me ❑ has produced a current driver license Vas produced L as identification. (Notary Seal) Contractor Licensing - FIRM Application Rev. 712022 Notary Signature: Z55—,-,Z- A A a DANILO MORALEj906da Notary Public, State of CGIMMission# HH 28k4y OfP' 1- P" 008 Jury 1 Page 6 of 14 Operations & Regulatory Management Division. Contractor Licensing a 2800 North Horseshoe Drive a Naples. FL 34104 a (239) 252-2431 contractorslicensingC�colliercauntvfl.ao_v_ Page 221 of 496 Tr comer County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY WORKMEN'S COMPENSATION AFFIDAVIT It is understood and acknowledged by the Collier County Contractors' Licensing Board and myself that if 1 fail to acquire, or maintain at all times effective Workmen's Compensation Insurance it will result in the possible revocation of my Certificate of Competency. Applicant (please print Name of Com ny Signa pp ant BEFORE ME this day personally appeared )er who affirms and ---FApplicant (please print) says that he has less than one employee and does not require Workmen's Compensation understands that at any time he employees one or more persons he must obtain said Workmen's Compensation Insurance. t - State of r County of `<) t "t The fq egoin strument was acknowledced before me by r "ns of ys' al presence or ❑ online notarization on this day of �_ 20 rZ by .__ . (� ,� /////-" Such person(s) Notary Public must check applicable box: are personally known to me ❑ has produced a current driver license tas produced—L— __as identification. (Notary Seal) Notary Signature: t A OANIL4 MORALES Notary Public, Slate Of Flodda Commission# HH 288379 My Comm. expires July 12, 2026 Contractor Licensing — FIRM Application Rev 712022 Page 7 of 14 Operations & Regulatory Management Division. Contractor Licensing • 2800 North Horseshoe Drive . Naples. FL 34104 • (239) 252-2431 contractors)icea_ i_i c�colGercou fl.gov Page 222 of 496 27911 Crown Lake Blvd Suite #6 Bonita Springs, FL 34135 - 4 M PERSONAL C'REOT REPCRT (Compiled From National Records) Phone: 239.777.1028 Fax: 877.275.3593 www.LicensesEtc.com <FOR> <SUB NAME> <MKT SUB> <INFILE> <DATE> <TIME> (I) P NP7771028 LICENSES ETC 16 NP 5/13 01/10/25 15:52CT <SUBJECT> <BIRTH DATE> PEREZ LOPEZ, ERIKA 65 03/93 <ALSO KNOWN AS> PEREZ,ERIKA <CURRENT ADDRESS> <DATE RPTD> 5335 HEMINGWAY LN., #710. NAPLES FL. 34116 11/21 <FORMER ADDRESS> 4116 15TH AV., NAPLES FL. 34116 5/13 4321 60TH AV., #710. NAPLES FL. 34120 7/24 ---------------------------------------------------------------------------- M 0 D E L. P R O F I L E * * * A L E R T * * * ***FICO SCORE 8 SCORE +636: SERIOUS DELINQUENCY;LENGTH OF TIME ACCOUNTS HAVE BEEN ESTABLISHED;TOO FEW ACCOUNTS CURRENTLY PAID AS AGREED;TIME SINCE DELINQUENCY IS TOO RECENT OR UNKNOWN*** IN ADDITION TO THE FACTORS LISTED ABOVE, THE NUMBER OF INQUIRIES ON THE CONSUMER'S CREDIT FILE HAS ADVERSELY AFFECTED THE CREDIT SCORE. PUBLIC RECORDS HAVE BEEN SEARCHED AT THE COUNTY, STATE AND FEDERAL LEVELS - NONE FOUND T R A D E S SUBNAME SUBCODE OPENED HIGHCRED TERMS MAXDELQ PAYPAT 1-12 MOP ACCOUNT# VERFIED CREDLIM PASTDUE AMT-MOP PAYPAT 13-24 ECOA COLLATRL/LOANTYPE CLSD/PD BALANCE REMARKS MO 30/60/90 SYNCB/NETWRK B 561RO06 6/24 $742 MIN40 1111111 R01 1/25A $3000 $0 I CHARGE ACCOUNT $183 7 0/ 0/ 0 SUNCST CU Q 298QO07 12/23 $485 MIN10 11111111E11 R01 12/24A $500 $0 I CREDIT CARD $413 11 0/ 0/ 0 CROSSCOUNTRY F 2JFL002 5/24 $530K 360M4108 11111 M01 11/24A $0 C FHA R.E. MORTGAGE $528K 5 0/ 0/ 0 GS BANK USA B 2GSZ001 10/21 $814 7/24 321111111111 R01 8/24A $750 $0 $108 03 111111111111 C CREDIT CARD 4/24C $0 ACCT CLSD BY CONSUMER 33 1/ 1/ 0 RD/BPM/WAVER R 2EQV48P 7/21 $1626 001M EE1111111111 001 8/22A $0 I RENTAL AGREEMENT 6/22C $0 CLOSED 12 0/ 0/ 0 I N Q U I R I E S ---------- DATE SUBCODE SUBNAME TYPE AMOUNT 1/10/25 PNP7771028(FLA) LICENSES ETC 1/06/25 BNC6199555(FLA) BK OF AMER 6/10/24 BNY4368310(EAS) SYNCB 4/18/24 FHO5746472(SCT) CROSSCOUNTRY 4/04/24 FHO5746472(SCT) CROSSCOUNTRY END OF REPORT PFgtg2 024 of 496 27911 Crown Lake Blvd Suite # 211 A Bonita Springs, FL 34135 Phone: 239.777.1028 Fax: 877.275.3593 www-LicensesEtc.com BUSINESS CREDIT REPORT MOLCA]ETE PAINTING LLC Fed Tax ID# 92-3441648 Address: 4321 60th Ave NE Naples, FL 34120-2672 United States Phone: 239-285-4117 BIN: 566002995 Agent: Perez Lopez Erika Agent Address: 5335 Hemingway LN W Naples, FL Family Linkage: Ultimate Parent Molcajete Painting LLC 4321 60th Ave NE Naples, FL Branches / Molcajete Painting LLC Alternative 5335 Hemingway Ln W Apt Locations 710 Naples, FL United States as of: 01/10/25 16:34 ET SIC Code: 1721-Painting & Paper Hanging Contractors NAICS Code: 238320-Painting And Wall Covering Contractor Business Type: Corporation File Established: August 2023 Years on File: 2 Years Years in Business: More than 2 Years Total Employees: 5 Filing Data Florida Provided by: Date of 02/17/2023 Incorporation: PUBLIC RECORDS HAVE BEEN SEARCHED AT THE COUNTY, STATE AND FEDERAL LEVELS, Bankruptcies: 6 Liens: 0 Page Page 225 of 496 Judgments Filed: Collections: END OF REPORT Page age 226 of 496 Judgments Filed: Collections: END OF REPORT Page 2PSg?e 227 of 496 Divisiom OF CORPORATIONS Jlv�J �.org r1�1j_PJI��'�'�{�� C� Department of State I Division of Corporations I Search Records 1 Search by Enti Name I Detail by Entity Name Florida Limited Liability Company MOLCAJETE PAINTING LLC Filing Information Document Number L23000086788 FEIfEIN Number 92-3441648 Date Filed 02/17/2023 Effective Date 02/20/2023 State FL Status ACTIVE Principal Address 5335 HEMINGWAY LN W APT. 710 NAPLES, FL 34116 Wailing Address 5335 HEMINGWAY LN W APT. 710 NAPLES, FL 34116 Registered Agent Name & Address PEREZ LOPEZ, ERIKA 5335 HEMINGWAY LN W APT. 710 NAPLES, FL 34116 Authorized Person(s) Detail Name & Address Title MGR PEREZ LOPEZ, ERIKA 5335 HEMINGWAY LN W APT.710 NAPLES, FL 34116 Title MGR ANGELES MENDIETA, SABINO 4445 GOLDEN GATE BLVD E NAPLES, FL 34120 Page 228 of 496 Annual Reports Report Year Filed Date 2024 04/11 /2024 Document Images 04111 /2024 -- ANNUAL REPORT View image in PDF format 0211 T2023 — Florida Limited Liability View image in PDF format Page 229 of 496 Electronic Articles of Organization L23000086788 FILED 8:00 AM For February 17, 2023 Florida Limited Liability Company Sec. of State jsdennis Article I The name of the Limited Liability Company is: MOLCAJETE PAINTING LLC Article I1. fhe street address of the principal office of the Limited Liability Company is: 5335 HEMINGWAY LN W APT, 710 NAPLES, FL. 34116 'The mailing address of the Limited Liability Company is: 5335 HEMINGWAY LN W APT. 710 NAPLES, FL. 34116 Article III The name and Florida street address of the registered agent is: ERIKA PEREZ LOPEZ 5335 HEMINGWAY LN W APT. 710 NAPLES, FL. 34116 I aving 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 went and agree to act in this capacity. I further agree to comply with the provisions of all statutes relating to The proper and complete performance of my duties, and I am familiar IvIth and accept the obligations of my position as registered agent. Registered Agent Signature: ERIKA PEREZ LOPEZ Page 230 of 496 Article IV The name and address oi' person(s ) authorized to manage LLC : Title: AP ERIKA PEREZ LOPEZ 5335 HEMINGWAY LN W APT.710 NAPLES, FL. 34116 Title: AP SABINO ANGELES MENDIETA 4445 GOLDEN GATE BLVD E NAPLES, FL. 34120 Article V The effective date for this Limited Liability Company shall be: 02i20i2023 Signature of member or an authorized representative Electronic Signature: ERIKA PEREZ LOPEZ L23000086788 FILED 8:00 AM Februar}� 17, 2023 Sec. Of State jsdennis I am the member or authorized representative submitting these Articles of Organization and affirm that the facts stated herein are true. I am aware that false information submitted in a document to the Department of State constitutes a third degree felony as provided for in s.817.155. F.S. I understand the requirement to file an annual report between January 1 st and May 1 st in the calendar year following formation of the LLC and every year thereafter to maintain "active" status. Page 231 of 496 12/27/2023 1:13:55 PM —0500 IRS PAGE 2 OF 2 raDepartment of the Treasury Internal Revenue Service 7940 Kentucky Dr Florence, KY, 41042 MOLCAJETE PAINTING LLC ERIKA PEREZ LOPEZ MBR 5335 HEMINGWAY LN W APT 710 NAPLES, FL 34116-5057-855 Employer Identification Number: 92-3441648 Dear Taxpayer: Thank you for your inquiry of 12/2712023. In reply refer to: 02321OS996 12/27/2023 LTR 147C Your Employer Identification Number (EIN) is92-3441648. Please keep this letter in your permanent records. Enter your name and your EIN on all business federal tax forms and on related correspondence. If you have any questions regarding this letter, you can call 800-829-0115. If you prefer, you may write to us at the address shown at the top of the first page of this letter. When you write, please include a telephone number where you may be reached and the best time to call. Sincerely, MRS. LEE 1004608172 CSR Page 232 of 496 CO ler C01.11ty Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY RESOLUTION OF AUTHORIZATION Complete this form if multiple people own part of the company the license will be attached to. If there is only 1 owner, then this form is not required for the application. In accordance with Collier County Ordinance 2006-46, as amended, proposes Company Name to engage in contracting as LOC& In Collier County where Sbivin Am AAAMLeA O , Officers/Owners/Part eri rs Appli#ant Name proposes to qualify for a Certificate of Competency with company ' Company of It is hereby agreed upon that we the undersigned of �-�-� Office rs/owne rs/P artners J company resolve and represent to the Collier County Contractor's Licensing Board that the proposed qualifying agent, , is active in all matters connected with the company named Ap icant Name D We further resolve and represent that legally Company if Applica Name empowered to act on behalf of t in all matters connected with its contracting Company, business and has the authority to supervise construction undertaken by d Comp ny Officers/0 rslPa ers fitness �Ccca r,'cG ersl0 rsl rtners Witness Officers/Owners/Partners Witness OfficerslOwnerslPartners of the above -mentioned company need to sign on the left and a witness to the signature signs on the right. r State of . 1 County of The f�owgointrument was acknowledLed before me by means of L�physical presence or ❑ online notarization on this day of 20�_3, by -- ((("" Y Such person(s) Notary Public must check applicable box: ��q� A� DANILO MORALES ❑ are personally known to me 0 has produced a current driver license � t Notary Public, State of Florida -^ Carnmissionp HH 286379 I has produced as identification. "t` mmm. ?xpiras July 12, 2026 — -- (Notary Seal) Notary Signature: r Contractor Licensing - FIRM Application Rev. 7/2022 Page 8 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive . Naples, FL 34104 . (239) 252-2431 contrac#orslicensin a co�liercaunt�fi,goy Page 233 of 496 cottler COunty Growth Management Ccimmunity Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY STATEMENT OF OWNERSHIP This certifies that I. to �V' 4mt am a member or managing APPt.I3ANT S NAM (please print) member of LiABUTY 411OMPANY I own % of the units issued by the Limited Liability Company listed above. Affidavit of Applicant: I certify under penalty of perjury that the information contained is a true and correct statement to the best of my knowledge. Applicant (please print) ' Name of Company 4123- Signature of Applicant � r State of County of Theregoin 'nstrument was acknowledged before m. means of hysical presence or ❑ online notarization on this 4' day of . 20e�5 , by J Ki ter Such person(s) Notary Public must check applicable box: ❑ are personally known to me ❑ has produced a current driver license KI has produced as identification. (Notary Seal) A [ DANILO MORALES Notary Public, State of f•146d8 fil CommissionA HH 286M My comm. eypaes July 12, 2026 Notary Signature: ' Contractor Licensing - FIRM Application Rev 7/2022 Page 9 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-24 ? contractors lice nsin �colliercountvft oov Page 234 of 496 C01 er County Growth Management Community Deveiopment Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY STATEMENT OF OWNERSHIP This certifies that I, am a member or managing AP P ICA S NAME (q ease print) member I own G�) % of the units issued by the Limited Liability Company listed above. Affidavit of Applicant I certify under penalty of perjury that the information contained is a true and correct statement to the best of my knowledge. State of W ILK County of �Arlj— Applicant (please print) M4 lack r4ka Name of Company. of Applicant The fpregoinlimstrument was acknowledged before me by means of hys' I presence or ❑ online notarization on this day of 20 , by Such person(s) Notary Public must check applicable box: ❑ are personally known to me ❑ has produced a current driver license f�Atas produced as identification. (Notary Seal) . DANILO MORALES _ Notary Public, State of Flodda Notary Signature. Commission# HH 286379 My ,-mmm. expires July 12, 2026 Contractor Licensing — FIRM Application Rev 712022 Page 9 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34t04 • (239) 252-243 contractors lice nsin colliercount fl ov Page 235 of 496 Cotner County Growth Management Community Development Department APPLICATION FOR COLLIER'COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name: Certificate Category Requested:A-� The applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate, the applicant must verify his/her experience within this trade. You are being requested to provide information that will aid the applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker (e.g., as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience for the above -named applicant must provide the following information: Name: - ..4 9, Title: Business Name: JbM or Rhone:._ 3-q - il! (9- _ License No. (if applicable): U .�(�(� ){-40. Business Address: L 341116, ll�lZs Street City State Zip The applicant was employed by me from air- (' , � Ai to Applicant's title. 3- s The applicant's scope of work (specific duties) included: Additional comments: AIMI M5jXinA32k,- NOTE TO LICENSED CONTRACTORS: Falsifying any in fomlation provided herein may subject your license to revocation. Under penalty of perjury, I declare that the facts stated here are true. -1 1 (0�� K Signatu of person providing the statement _�4State of 4_ � County of L1�_ir The to egoin ' strument was acknowledged before me by means ofiysical presence or ❑ online notarization on this a- of 77 —''D, by n, A-11 Such person(s) Notary Public must check applicable box: ❑ are personally known to Inc ❑ has produced a cun-ent driver license h�r p4. 17— OANILOMORALES Notary Public, State of Florida as produced4 Commissional HH 286379 P as identification. My Comm. expires July 12, 2026 (Notary Seal) Notary Signature, Contractor Licensing - FIRM Application Rev. 7/2022 Page 12 of 14 operations & Regulatory Management Divisson. Contractor Licensing • 2800 North Horseshoe Drive a Napies. FL 34104 . (.239) 252-2431 contractprslicensin colliefl rcount go_v Page 236 of 496 4111-Dplr Cour»t�V Gta+++ttt'i.�nwQement I'.WTNTunity �uvMlOCm on! jilRlrDTlOn1 qP�' iC,�.itC?N r't�ti FC�t.tiER �r?t,if�iY CERttFit:ATE ' C;C3MPFfEfVC,'Y VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name: Certificate Category Requested, v The applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate, the epplicani 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 uriv of active experience working as an apprentice or a sidlied worker (e.g., as a worker commanding the wage of mechanic or better in the trade), Time served solely in a supervlsory or administrative role should to 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 pravide the totlowing information: Name: Thte: I�� - --- - Business Name: �r' ►k LC Phone; el=kA�� rt�o�f! - -- License No. (if applicable): Business Address: Sheet city stale Zip The applicant was employed by me from _,. _f 1 ,?y Z4 °� �' - _ to Applicant's tide: DY•- 1flL +� 51 oh - --- --_- Tile apOlcsnt's scope of work (specific duties) included: �S`w► GIL ! ► 7_ _ Additional cornrnente: 4 ee � � P_y . �`i�!�- j -�1f/a �--wo(J �r - NOTE TO LICENSED CONTRACTORS: Falsifying any intorme6on provided herein may subjecf your license to rev0c0lion, Under penalty of perjury, i declare that the facts stated here are true. _ [s Of pemm proe i&V #se statement . 4_ State of �� -cum : County of The foregoing instrument was acknowledged before me by means off�4,,J`P. sical presence or 0 online notarization on this ---day of 20 — , by Such person(s) Notary Public must check applicable box: 11 are personally known to me C] has produced a current driver license C},has produced __-as identification. (Notary Seal) G� PMABCIACOIRaDA Notary PAHe - SEM or rro W IS -0 7 Commi33ior+ 1 liG ifT9I) - my Came. EPw+aw 4, mt+ Notary Signature; - $a ee'rrougrhooadNotary,W, Contractor Licensing — FIRM Applbcetion Rev- 712022 Page 1") of 14 Operations & Ro,,10aloiy Managwnem Viv;-'oo, Contractor Licensing a 2800 Nader,, FL 341 L)4 a (2.39) 262-243 , Page 237 of 496 CO T C 014nty Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF FI D r- & COUNTY OF I, edl dorfelcp having been first duly sworn, state and affirm - I am a resident of Co County. _ E1r / Q (State) and have resided here for more than five (5) years - During the last five (5) years I have known ?e Ce7 Z 0 Rt77 (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 Ld{ e Sir I CCD -- Printed Name Address: SfirfCi C1Ly S�,iiC` lip Telephone: S 70 Jq 1 5 `2) q q State of c County �h7e Aegoing i ,'run�ent was �tcknowled;ed before me by means ofVphysical presence or ❑online notarisation on this /7-day of — - -- - 20, by ��f�0 - Such person(s) Notary Public must check applicable box: ❑ are personally known to me ❑ has produced a current driver license has produced as identification. (Notary Sea]) A , DANILO MORALES Notary Public, State of Florida " CommissionptiH2$6378 Notary Signature: - - Mt TM,-n expires July 12, 2026 Contractor Licensing — FIRM Application Rev 712022 Page 14 of 14 Operations & Regulatory Management Division Contractor Licensing • 2800 North Horseshoe Drive • Naples FL 34104 • (239) 252-2431 contractofslicensing0colliercountyfl.gov Page 238 of 496 C01 r County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF o Ort d COUNTY OF Cd i lief C0Vd7 I, V� having been first duly sworn, state and affirm: am a resident of Co t1tK _ County more than five (5) years. F Lortda. During the last five (5) years I have known 1�1 eY e 7 a - gl (appl to observe his or her business and personal dealings and find him or her to be a good character. f f State of a County of (State) and have resided here for had the opportunity onestyw integrity and nature Printed Name Address: 5 S 3$ W MI !31k-)L&1 Ln. street 5 0 ;:-'L city I State Zip Telephone:_2�3G1 -'3'51 J 034Z The foregoing strument was acknowledged before me by mcans f��physical rese ce or ❑ online notarization on this day of 2� , by — + �"1 Such person(s) Notary Public must check applicable box: ❑ are personally known to me ❑ has produced a current driver license I, -, 'Thas produced _ as identification. (Notary Seal) DANILO MORALES � Notary Public, State of Florida Commrssiant< HH 286379 Notary Signature: My comm. expires Jufy 12, 2026 Contractor Licensing — FIRM Application Rev. 712022 Page 14 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive . Naples, FL 34104 • (239) 252-2431 contra ctorslicensingacollie rcountvf,.,l_gov Page 239 of 496 State of Florida Department of State I certify from the records of this office that MOLCAJETE PAINTING LLC is a limited liability company organized under the laws of the State of Florida, filed on February 17, 2023. effective February 20, 2023. The document number of this limited liability company is 1,23000086788. I further certify that said limited liability company has paid all fees due this office through December 31. 2023 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 Twenty-seventh dal of December, 2023 Secretliyy of ktate Tracking Number: 7735955601Cu To authenticate this certificate,visit the following site,enter this number, and then follow the instructions displayed, tt s://services.sunbiz.o /Filin s/CertificateOSStatus/CertiricateAuthenticatio Page 240 of 496 Florida -,E r , : ,R 200-4 .� F .7 NOW Rev OwI 2m U01 r— CUSS: � AMP^vpnKp1wn wpm a 6V WP � _ PEST. Na M Mu F IIGEM6E REp,�PEO YV1FrM<;i0 DI,vS PE►UCE ppPEiS OIR MerE VVVVVV. FLH SMV.GO V Page 241 of 496 Aco'RoQ CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD#YYYY) 12/09/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME Automatic Data Processing Insurance Agency, Inc. Automatic Data Processing Insurance Agency, Inc. HONIEa, Ehtl : 1-800-524-7024 FAX E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC t 1 Adp Boulevard INSURER A: Employers Assurance Company 25402 Roseland NJ 07068 INSURED Molcajete Painting LLC INSURER B : INSURER C : INSURER D : 5335 Hemingway Ln W Apt 710 INSURER E : INSURERF: Naples FL 34116 COVERAGES CERTIFICATE NUMBER: 3996542 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR LTR TYPE OF INSURANCE I POLICY NUMBER POLICY MMO POLICY EXP MhW LIMITS CtIMMERCIALGENERA—LLIABILITY CLAIMS-MA6E i h OCCUR EACH OCCURRENCE $ PREMISES Ea occurrence $ MED EXP (Any one Person) $ PERSONAL & ADV INJURY $ GENE AGGREGATE LIMIT APPLIES PER POLICY JECT LOC OTHER: GENERAL AGGREGATE $ PRODUCTS - COMPIOP AGG $ $ AUTOMOBILE LIABiLrIY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY EN Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ UMBRELLA LIAS EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ S A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERlMEMSEREXCLUDED? � (Mandatory In NH) tf yes, describe under DESCRIPTION OF OPERATIONS below N/A N EIG570060700 08/29/2024 08/29/2025 PER O H- STATUTE ER E-L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1 QOO,O� I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached it more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE !II THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Angeles Painting LLC ACCORDANCE WITH THE POLICY PROVISIONS. 5351 Hemingway LN W Apt 509 AUTHORI7F0 REPRESENTATIVE Naples FL 34116 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rinhis rPsarvpd The ACORD name and logo are registered marks of ACORD Page 242 of 496 GITS, LLC Examination Operations Division Providing the services and products to assist Government Agencies to make informed educated decisions. Official Examination Score Report Official Score Report: Candidate Information: Name — Erika Perez Lopez Candidate #: 00935840P Online Testing Site: Ocala, FL Final Score Result: November 1, 2024 Business Procedures Score: 86% 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 31, 2024. 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 Page 243 of 496 GITS, LLC Examination Operations Division Providing the services and products to assist Government Agencies to make informed educated decisions. Official Examination Score Report Official Score Report: Candidate Information: Name — Erika Perez Lopez Candidate #: 00935840P Online Testing Site: Ocala, FL Final Score Result: January 2, 2025 Painting Contractor Score: 76% These results represent the grade that has been achieved on the above named examination(s) administered by Gainesville Independent Testing Service for Collier County, Florida on January 1, 2025. 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 Page 244 of 496 Co�er �vunty Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY FIRM APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY This application must be typewritten or legibly printed. The application fee must be paid upon approval and is NOT refundable. All checks should be made payable to: Collier County Board of County Commissioners. For further information; consult Collier County Ordinance No. 200E-46, as amended. TYPE OF CERTIFICATE OF COMPETENCY: ❑ General $230.00 ❑ Electrician $230.00 ❑ Building $230.00 ❑ Plumber $230.00 ❑ Residential $230.00 ❑ Air Conditioner $230.00 ❑ Mechanical $230.00 ❑ Swimming Pool $230.00 ❑ Rooting $230.00 Specialty $205.00 Specialty Trade: -(y-c a\J I o Yl &( D Dm o Ul`� oy _ I. APPLICANT PERSONAL INFORMATION: Name: C NX-A0 _e V `'f+.FJir1-�st Business Name: Y �,�ry%1L Address Email: Middle Initial W YS 6 )(;5 1�) AV A/67 A/6 Street City S [e , i I . Cam Last Zip Telephone: OV `' �� *SS # (Last 4 digits only): Date of Birth: Z C) Driver's License # (Last 4 digits only): L Pursuant to Collier County Contractor Licensing Ordinance No. 200646 Section 2,1,1., all applicants are required to submit their social security number, driver's license, and date of birth for the following purposes: a) Assess applicant's ability to satisfy creditors by reviewing their credit history, bj Verification of applicant's test scores and information. c) Verification of applicant's identity. Our office will only use the personal information noted above for those reasons pursuant to Chapter 119, Florida Statutes, and as may otherwise be authorized bylaw, We are fully committed to safeguarding and protecting your personal information and ance collected, will be maintained as confidential and exempt under Chapter 119, Florida Statutes. Contractor Licensing — FIRM Appiicaticn Rev, 712022 Page 3 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive a Naples, FL 34104 . (239) 252-2431 contractorslicensina aacolliercountyfl.gov Page 245 of 496 co ey co14Mty Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY Provide the names and telephone numbers of two persons who will always know your whereabouts. Name: M AV 0 Q V MAV P Name Vl AJ03 Telephone: � l� O �-AcI �� Telephone: r C- 1� V 1) II. NAME OF APPLICANT'S BUSINESS: Jf�_j i1 l`l :'l n Business Name: Vfj,t i11Y L ►[� C L] /Aui,D N vY6.e- ►r y �Spxvi cc, 5. I nc Business Address: 3(4 I YYIy F 61 '-'� 3 1 Street City state Zip Telephone: 3c) � G �" t G L Email: V r 66\1 H we 6' ice' In Ll I r Cc iNl Federal ID Tax No. • e I 10 325 3 L` V III. FINANCIAL RESPONSIBILITY YES NO ALL APPLICANTS MUST ANSWER THE QUESTIONS BELOW: )� Filed for or been discharged in bankruptcy within the past 5 years? XHad a lien filed against you by the Internal Revenue Service or Florida Corporate Tax Division? XUndertaken construction contracts or work that resulted in liens, suits, or judgments being filed? Undertaken construction contracts or work that a third party, such as a bonding or surety company, completed or made financial statements on? Made an assignment of assets in settlement of construction obligations for less than the debts outstanding? Been convicted or found guilty of, or entered a plea of nolo contendere to, regardless of adjudication, a crime in any jurisdiction within the past 10 years?' Had claims or lawsuits filed for unpaid or past due accounts by your creditors as a result of construction experience? Been charged with or convicted of acting as a contractor without a license, or if licensed as a y contractor in this or any other state, keen "subject to" disciplinary action by a state, county, or municipality? NOTE. If you have answer YES to any of the questions below, you must attach a written explanation including the nature of the charges, dates, and outcomes, sentences of conditions imposed. You must also attach proof of payment, satisfaction of lien or judgement, bankruptcy discharge, or agreements for payment.*If you have had a felony conviction, proof that your civil rights have been restored will be required prior to licensure. Contractor Licensing — FIRM Application Rev. 712022 Page 4 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive . Naples, FL 34104 . (239) 252-2431 contractorslicensin-q@coifiereou � Page 246 of 496 Goer C014ftty Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY IV. EXPERIENCE VERIFICATION EDUCATION - List below and provide transcripts for any formal education you have obtained in the area of competency for which this application is being made: rr f�vz Q� l!I ► I 1 1�� rnlle il'� iN N to List below non formal education (on the job training) you have obtained in the area of competency for which this application is being made: f + r OO � i nI-rt D CURRENT/PREVIOUS LICENSE: List below and attach copies any other certificates of competency/licenses you hold/have held in Collier County or any other jurisdiction. Include the license #, Type, and county you hold it in. AFFIDAVIT Under the penalties of perjury, i declare that I have read the foregoing application any�he facts stated in it are true. ay-��-V Pfl Av tl Applicant {please Tint} State of T` D P, I b County of C0 The foregoing instrument was acknowledged before the by means of D9 physical presence or Elonline notarization on this day of �' R 20 _�_a , by LyG A r►'t tt c7 V IA Such person(s) Notary Public must check applicable box; 3q are personally known to the © has produced a current driver license ❑ has produced as identification. { "ar SeaWlary Public State of Florida Jenny orozco IIII My Commission HH �05557 Expir95 6/1/2027 Notary Signature - Contractor Licensing — FIRM Application Rev. 7/2022 Page 5 of 14 Operations & Regulatory Management Division, Contractor Licensing a 2800 North Horseshoe Drive ■[Naples, FL 34104 . (239J 252-2431 contrgctorsiicensingggp fiercoc�ntvfl.aov Page 247 of 496 Coffler Comj4ty Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY CERTIFICATION OF APPLICATION The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County No. 2006-46, as amended, and under penalties of perjury. l 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. aVkm i JQI� Qt�kY Hk�k)b AOL Applicant (please print Name of Company Signature of Applicant State of _ r-Z�Q,?— 17 k1 County of Coy.� ! G' (? The foregoing —instrument was acknowledged before me by means of physical day of i$ttJf� 202L, by i�c� S (A o i v t Such person(s) Notary Public must check applicable box: Aare personally known to nee ❑ has produced a current driver license ❑ has produced (Notary Sea[) Notary Public State of Florida Alik Jenny QrozCD ! hey Commission HH 405557 Expires 61112027 Contractor Licensing - FIRM Application Rev. 712022 as identification. Notary Signature: or ❑ online notarization on this v Avi'!a Page 6 of 14 Operations & Regulatory Management Division, Contractor Licensing . 2800 North Horseshoe Drive + Naples, FL 34104 ■ (239) 252-2431 contractorslitensing(o7colliercountrN i.00v Page 248 of 496 16 C�0 7eY C07411ty Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY WORKMEN'S COMPENSATION AFFIDAVIT It is understood and acknowledged by the Collier County Contractors' Licensing Board and myself that if I fail to acquire, or maintain at all times effective Workmen's Compensation Insurance it will result in the possible revocation of my Certificate of Competency. HMO AV Applicant {please print V f Lea i�1n1'� L"�Cra� �v � j.1 �}r1�c r]I � r!r �� ►1� � Name of Company Signature of Applicant BEFORE ME this day personally appeare U -D AV t 14g who affirms and Applicant (pleas print) says that he has less than one employee and does not require Workmen's Compensation understands that at any time he employees one or more persons he must obtain said Workmen's Compensation Insurance. State of a i () A County of (�Ltieiz The foregoing instrument was acknowledged before me by means of Kphysical presence or ❑ online notarization on this jLday of —IjAnVPP,20_23. by - C-S VL 61Mf�2— �r4AID tJ 1 tR _— Such person(s) Notary Public must check applicable box: mare personally known to me ❑ has produced a current driver license ❑ has produced as identification. (Notary Seal) Notary public State of Florida Ak Jenny Orozco Notary Signature: 1MWIIMy Commission HH 4p5557 Expires 611/2027 Contractor Licensing — FIRM Application Rev. 712022 Page 7 of 14 Operations & Regulatory Management Division, Contractor Licensing a 2800 North Horseshoe Drive a Naples, FL 34104 a (239) 252-2431 contractorsllcensin colliercount fl. ov Page 249 of 496 Cv per County Growth Management Community development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY STATEMENT OF OWNERSHIP This certifies that I,Qoq V I 't'�� n i �1� (Ln am a member or managing j i APPLICANT'S NAME (please print memberoflj lrkkhf ky- .)C'A wm) �)UySkyy 5cNim thy. (LIMITED LIABILITY COMPANY NAME I own 1 cc) % of the units issued by the Limited Liability Company listed above. Affidavit of Applicant: I certify tender penalty of perjury that the information contained is a true and correct statement to the best of my knowledge. ►r �Cy� State of ��p [ZI DLf County of 613 bR A plicant (please print) Nr _(;Q Y, VO'b jlY_ Nam4 of Company The foregoing instrument was acknowledged before me by means of &physical presence or ❑ online notarization on this -43 day of— tJA ' 20 , by VL4 h i m f ' 4)1 [.4 Such person(s) Notary Public must check applicable box: kg -arc personally known to me ❑ has produced a current driver license ❑ has produced as identification. (Notary Seal) K lic Slate of Florida Notary Signature: y Oroaco ission lilt 4C5557 s 6/1/2027 Contractor Licensing — FIRM Application Rev. 712022 Page 9 of 14 Operations & Regulatory Management Division, Contractor licensing . 2800 North Horseshoe Drive . Naples, FL 34104 . (239) 252-2431 cont ractorslic nsing[ cA�lliercountvfl.gov Page 250 of 496 GITS, LLC Examination Operations Division Providing the services and products to assist Government Agencies to make informed educated decisions. Official Examination Score Report Official Score Report: Candidate Information: Name — Carlos V Mayo Avila Candidate #: 18784021M Online Testing �Site: Ocala, FL Final Score Result: April 29, 2024 Business Procedures Excavation Contractor Demolition Contractor Score: 84% (01/28/2024) Score: 76% (04/12/2024) Score: 76% (04/27/2024) 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. 1f 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 Page 251 of 496 CREDIT CHECKsm CONFIDENTIAL Individual Credit Report Name ... :MAYO AVILA CARLOS VLADIMIR Ordered By:24602 Address:1685 47TH AVENUE NE Customer :9999 NAPLES FL 34120 Received :01/27/25 Social#: Applicant: _ 1576 Completed :01/27/25 CREDIT SCORE: APPLICANT FICO SCORE: 614 (scores range from 300 to 850) SOURCE(S): EXPERIAN TRANSUNION PUBLIC RECORDS: PUBLIC RECORDS HAVE BEEN CHECKED AT THE LOCAL, STATE AND FEDERAL LEVELS WITH THE FOLLOWING RESULTS AS OF 01/27/25: DETAILS FOLLOW CREDIT RECORD CREDIT RECORD Credit history has been checked fora period of seven years or from open date. creditor Date Date High Unpaid Past Historic Status Current Mos Acccunt Number Reported Opened Credit Balance Due 30 60 90 Status Re-: Ec'W� BK OF AMER 0440 05/23 01/12 6927 0 DLA=05/23 BK OF AMER 4950 01/23 04/14 5006 0 DLA=01/23 BRCLYSBANKDE 00028778858 08/21 05/17 2318 0 DLA=08/21 CCB/IKEAPC 456420500096 11/20 04/19 5026 0 DLA=11/20 FRD MOTOR CR 52687705 11/20 11/15 3201C 0 DLA=11/20 SYNCB/RMSTGO 601919123301 12/20 01/15 1090 0 DLA=12/20 PDCOLLECT 0 R9P 00 I PDCOLLECT 0 R9P 00 I PDCOLLECT o R9P 00 TL PDCOLLECT 0 R09 00 I AS AGREED 0 00 00 00 101 48 I X PDCOLLECT R9P 00 I Licensee Applicant: APPLICANT — SEE NAME ABOVE Reporting Agency: Credit Check, Inc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409 . (561 616- 5 age 2 0 496 M CREDITCHECk CONFIDENTIAL Name: MAYO AVILA CARLOS VLADIMIR Customer: 9999 Page:2 SYNCB/TJX COS 604585100591 10/24 06/12 DLA=03/24 YAMAHAMOTOFN YM1200010003293847 12/24 09/18 DLA=12/24 AS AGREED 1460 0 0 06 01 03 R01 99 I COLLECTION 35163 20981 20981 109 00 I Total trade lines on this report: 8 PUBLIC RECORDS: PUBLIC RECORDS SEARCH IS AS FOLLOWS: CIVIL JUDGMENT DADE COUNTY (FL) AMOUNT: $761.75 CREDITOR: CITIBANK NA SEE ATTACHED END OF PUBLIC RECORDS SEARCH. RESIDENCE HISTORY: 11341 NW 2ND ST, MIAMI FL 33172 11241 NW 1ST ST, MIAMI FL 33172 901225 PO BOX 901225, HOMESTEAD FL 33090 FILED: 05/05/24 #2021001474SP23 SATISFIED 01/28/25 COMMENTS: FRAUD RECORDS HAVE BEEN SYSTEMATICALLY CHECKED BY THE ACCESSED BUREAUS. CHECKS FOR IDENTITY THEFT, FAKE SSN, DECEASED SSN AND OFAC DATABASE PERFORMED. CREDITOR PHONE DIRECTORY: BK OF AMER BC1597029 (800) 421-2110 PO BOX 982238 EL PASO TX. 79998 CCB/IKEAPC HFINZ8353 PO BOX 182120 COLUMBUS OH. 43218 BRCLYSBANKDE BZIZZB001 (888) 232-0780 P.O. BOX 8803 WILMINGTON DE. 19899 YAMAHAMOTOFN AU2F8K001 (866) 719-3902 PO BOX 504125 SAN DIEGO CA. 92150 FRD MOTOR CR FA3796761 (800) 727-7000 POB 542000 OMAHA NE. 68154 SYNCB/RMSTGO HF9992545 (866) 396-8254 PO BOX 71757 PHILADELPHIA PA. 19176 CREDIT CHECK Z 0630273 (877) 616-5556 3017 EXCHANGE COUR WEST PALM BEAC FL. 33409 *** END OF REPORT *** This wdonaabon is oorr6derrbal and is not to be divilged except as regred by #* Far Credo Rsporhng Act This persoriat report is furrr..hed smply as an aid n determrrrrgg die credit desirability of fhe appk4si (s). It rs based Lyp�oon irdormatim obtained n �.,p�oaodd faith by ttrs agency from sources deemed reliable. 7fia acaracy of same. however, ts in no way guararRee i By your acceptance and use of this report you specifically agree to hold Credit Check Irrc_ harmless from any iabilily whatsoever. Licensee Applicant: APPLICANT - SEE NAME ABOVE Reporting Agency: Credit Check, Inc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409. (56� 616-� 5 age 2 5o 496 IN THE COUNTY COURT FOR THE 1 I TH JUDICIAL CIRCUIT IN AND FOR MIAMI-DADE COUNTY, FLORIDA CASE NUMBER: 2021-W I474-SP-23 CITIBANK N.A., Plaintiff, VS. CARLOS V MAYO, Defendant. SATISFACTION OF JUDGMENT KNOW ALL MEN BY THESE PRESENTS that CITIBANK NA., the Plaintiff in the above styled cause, wherein a judgment was rendered on May 5, 2024 in the above -named Court for $761.75 against CARLOS V MAYO, the Defendant herein, said judgment having been duly recorded in the minutes of said Court and a copy thereof having been recorded in Official Records at Book 34214, Page I558 of the public records of Miami -Dade County, Florida, does hereby acknowledge satisfaction thereof and consent that the same shall be satisfied of record. Signed, Sealed and D livered ' the Presence of: /t_ �PrintName � L6rcrk_ 1133 S. University Dr., 2"d Floor PIton, FL 33324 I I)O ` t Print NameS6 J Co"C- ti 9-- be 1133 S. University Dr., 2" Floor Plantation, FL 33324 State of Florida County of Broward By: Elias Leo and Dsouza, Esq., FL Bar #399477 Attorney for Plaintiff I HEREBY CERTIFY that on this day, before me, an officer duly authorized in the State of Florida to take acknowledgements, personally appeared Elias Leonard Dsouza, Esq., to be known to be the person described in and who executed the foregoing Satisfaction of Judgment and (s)he acknowledged by means of physical presence before me that (s)he executed same. WITNESS my hand and seal in the County and State aforesaid the ki- day of"I an Ik QN 2025. NOTARY PUBLIC My Commission Expires: This document was prepared by: LEKITA DEOTHA DENNIS W COMMISSION # HH 300223 �- a'FoF, EXPIRES: August 14, 2M N RAS LaVrar, LLC 1133 S. University Drive, 2nd Floor Plantation, FL 33324 E-4 K[TA DEOTHA DENNIS OMMISSION # HH 300?` XPIitES:Augustt4,242 Page 254 of 496 CREDITCHECK"I CONFIDENTIAL Commercial Credit Report Company: VLADIMIR BOBCAT AND NURSEY SERVICES INC Date: 01/27/25 Address: 11341 NW 2ND STREET Cust. No: 9999 MIAMI, FLORIDA 33172 Ordered By: 24602Page: 1 Telephone: (305) 219-0431 (X) Corporation PR iN C IPALS: EIN: 81-1038340 PRESIDENT MAYO, CARLOS V. Address: 1685 47TH AVENUE NORTHEAST NAPLES, FLORIDA 34120 Social Security Number: Stock Ownership: [Address: Social Security Number: + Stock Ownership: 100% VLADIMIR BOBCAT AND NURSEY SERVICES INC was INCORPORATED in the county of MIAMI-DARE, state of FLORIDA, on 01/08, 2016. The charter number is P16000003212. The registered agent is MAYO, CARLOS V. of 11341 NW 2ND STREET, MIAMI, FLORIDA 33172. 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 BANK OF AMERICA The officer handling the account is NIA - MIAMI, FLORIDA R9parted for: APPLICANT - SEE NAME ABOVE Reported by: Credit Check, Inc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409. (561) 616-5556 Page 255 of 496 CREDIT CHECK CONFIDENTIAL Commercial Credit Report Company: VLADIMIR BOBCAT AND NURSEY SERVICES INC * Address* 11341 NW 2ND STREET MIAMI, FLORIDA 33172 Date: 01/27/25 Cust. No: 9999 Ordered By: 24602 Page: 2 PUBLIC RECORDS WERE CHECKED FOR MIAMI-DADE COUNTY, FLORIDA. A SEARCH OF LOCAL, STATE, AND FEDERAL RECORDS HAS BEEN CONDUCTED WITH THE FOLLOWING RESULTS: CLEAR AS OF 01/27/25 - SEVEN YEAR SEARCH. *** Credit Profile *** Creditor Opened High Balance Rating -- ---------- ---------- N/A REMARKS: N/A = NOT APPLICABLE/NOT AVAILABLE * NAME CHANGE AMENDMENT FILED 02/23/21; OLD NAME WAS: VLADIMIR BOBCAT SERVICES INC REPORT WORKED BY KELLY END OF REPORT. This convnerdal report is "shed Wm* as an aid in d9anWring the aedt dedraWtly of ft app ft qs). It Is ba5W upon irftmatlon obtained In good faith by ft agency fmm sources deemed rellaWe- The acaracy of same, however, Is In no rvay guaranteed. By yom soceptance and use of Oft report, ym spedseaity agree m hM Credt Chic, Inc. he less from any lablily whaIsoerer. Page 256 of 496 FLORID& DEPARTMENT 0 STATE Dery3rmen; of State / Division of Cor r I Search Records I Search IN Lritjy N&M 1 Detail by Entity Name Florida Profit Corporation VLADIMIR BOBCAT AND NURSERY SERVICES, INC Filing Information Document Number P16000003212 FEIJEiN Number Date Filed 01/08/2016 Effective Date 01/08/2016 State FL Status ACTIVE Last Event NAME CHANGE AMENDMENT Event Date Filed 02/23/2021 Event Effective Date NONE Rrinci al Address 11341 NW 2ND ST MIAMI, FL 33172 Mailing Address 11341 NW 2N D ST MIAMI, FL 33172 Registered Agent Name & Address MAYO. CARLOS V 11341 NW 2N D ST M IAM I, FL 33172 OfficerlDirector Detail Name & Address Title P MAYO. CARLOS V 11341 NW 2ND ST MIAMI, FL 33172 Annual Rem -Las:,1search.sunbiz-orgjInquuVlCorporationSearchjSearchRes ...rder�VLADIMIRBpBCATNURSERYSERVICES%20P760000032121 1/20,25, 11:18a.m. Page`iA� of 496 Report Year Filed Date 2022 04111/2022 2C23 04JI812023 2024 04/19/2024 morwr4WIT-4-114 Ajg;ZL24 AiNtNUAL REPQFr 041181,2023 ANNUAL RrFCF,' 9411112022 - ANNUAL REPOR 04123/2021 -- ANNUAL RFPOP- Q1 11 4/2D20 - - ANNUAL RE POR MaaQl 9 -- ANNUAL REPOT, 01 J 1112018 - - ANN UAL RE PCP' 02/02/2017 - ANNUAL REPO:-. Q I MQQ 1 $ - Domestic Protit https:llsearch.5Unbiz.org/inquiryiCc?rporationSearchISearchRes-.rder=VLAL)iMIRBC)SCA7NL)RSERYSERVICcs%2oPleoo00032121 1120125� 11:18 a -el Pbqma 2 de Page 258 of 496 IRS DEPARTMENT OF THE TREASURY p'p4i J INTERNALREVENUE SERVICE CINCINNATI OH 45999-0023 VLADIMIR BOBCAT SERVICES INC % VLADIMIR BOBCAT SERVICES INC 11341 NW 2ND ST MIAMI, FL 33172 Date of this notice: 01-08-2016 Employer Identification Number: 81-1038340 Form: SS-4 Number of this notice: CP 575 A For assistance you may call us at: 1-800-829-4933 IF YOU WRITE, ATTACH THE STUB AT THE END OF THIS NOTICE. WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER Thank you for applying for an Employer Identification Number (EIN). We assigned you EIN 81-1038340. This EIN will identify you, your business accounts, tax returns, and documents, even if you have no employees. Please keep this notice in your permanent records. When filing tax documents, payments, and related correspondence, it is very important that you use your EIN and complete name and address exactly as shown above. Any variation may cause a delay in processing, result in incorrect information in your account, or even cause you to be assigned more than one EIN. If the information is not correct as shown above, please make the correction using the attached tear off stub and return it to us. Based on the information received from you or your representative, you must file the following form(s) by the date(s) shown. Form 1120 03/15/2017 Your Form 2290 becomes due the month after your vehicle is put into use. I£ you have questions about the form(s) or the due date(s) shown, you can call us at the phone number or write to us at the address shown at the top of this notice. If you need help in determining your annual accounting period (tax year), see Publication 538, Accounting Periods and Methods. We assigned you a tax classification based on information obtained from you or your representative. It is not a legal determination of your tax classification, and is not binding on the IRS. If you want a legal determination of your tax classification, you may request a private letter ruling from the IRS under the guidelines in Revenue Procedure 2004-1, 2004-1 I.R.B. 1 (or superseding Revenue Procedure for the year at issue). Note: Certain tax classification elections can be requested by filing Form 8832, Entity Classification Election. See Form 8832 and its instructions for additional information. IMPORTANT INFORMATION FOR S CORPORATION ELECTION: If you intend to elect to file your return as a small business corporation, an election to file a Form 1120-S must be made within certain timeframes and the corporation must meet certain tests. All of this information is included in the instructions for Form 2553, Election by a Small Business Corporation. Page 259 of 496 Co -je-r C0-9.rtty Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name: 04/0 _5 (%� 1�//�. AlA Yd Certificate Category Requested: E , V A'l I �� &r �[�f 4l 4 .1 4&-7WAG1V/2 The applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate, the applicant must verify hislher experience within this trade. You are being requested to provide information that will aid the applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker (e.g., as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience for the above -named applicant must provide the following information: Name: -7CLW- ©IWIF44A Title. Business Name: 40PIS V emco f 4W,0L11- C Phone: 7,94 O-Ur 1&t0/ License No. (if applicable): r Business Address: 71i/ _ IV ele el /_�1/Ar+t i Street .' City State Zip The applicant was employed by me from aAre.Gh 2cl'/ 7/to OA7�_ Applicant's title: V lA,ElrOL4 eL, (� SFJZVt cis The applicant's scope of work (specific duties) included: 4V-2!�K V4Z E_ "J de ,v,� -- ��.•+arc�'ov �i'l/ivt �v �1�,- _ �, Sr� .��Gurc �'oa/ r"` Additional comments: _e fwae��(.t NOTE TO LICENSED CONTRACTORS: Falsifying any information provided herein may subjecur license to revocation Under penalty of perjury, I declare that the facts stated here are true. Signature of penT ng a statement State of _ �L. ('aunty of o�°�The tbregoing instrument was acknowledged bel'ore me by means of 0 ph) sical presenonline notarization on this 0day of LkL. , 20 Z4 , by CAWT7� Such person(s) Notary Public must check applicable box: Su �1 are personally known to me ❑ has produced a current driver license has produced as identification. (notary' Sean RICARDO E. BERMUDEZ tNotary Public cris-'v State of Flo, ida Comm# HH284353 Expires 7/5/2026 Notar} Si name: Contractor Licensing - FIRM Application Rev. 712022 Page of 14 Operations & Regulatory Managemenl Division, Contractor Lcensing . 2800 North Horseshoe drive • Naples. FL 34104 . (239) 752-2431 contractorslicensin 0colfiercounl fl. qcjv Page 260 of 496 Color County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name: Carlos Vladimir Mayo Certificate Category Requested: Excavation, Grading, & Demolition Contractor The applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate, the applicant must verity his/her experience within this trade. You are being requested to provide information that will aid the applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker (e.g., as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience for the above -named applicant must provide the following information. Name Valdemar Benitez Business Name: Valmar Construction, Corp Phone: 954-391-8571 Business Address: 1303 N. State Rd., 7 Suite B-5 Street The applicant was employed by me from 2018 Applicant's title: Owner of Vladimir Bobcat & Nursery services Inc Title: President License No. (if applicable): CGC 1530982 City to 2024 FL 33063 State Zip The applicant's scope of work (specific duties) included: Multiple tasks with heavy construction equipment such as excavation. earthwork, dirt grading, Backfill, drilling. He work with excavators, skid steers, Backhoes jack hammers, etc. Additional comments: Very dependable & professional NOTE TO LICENSED CONTRACTORS: Falsifying any information provided herein may subject your license to revocation. Under penalty of perjury, I declare that the facts stated here are true. of perso ding the statement State,A�Dqia—L County oI& M)YA .0 rforegoing instrument was ac 11 rvled d of re me by means o day of� , 20Z, by Such person(s) Notary Public must check applicable box: ( are personally known to me © has produced a current driver license ❑ has produced as identification. (Notary Seal) ............KAITLYN FREY Notary Public State of Florida Commission k HH 369921 a My Comm. Expires Mar 6, 7027 Banded through National Notary Assn, Otar}' Signature presence or ❑ online notarization on this Contractor Licensing — FIRM Application Rev. 7r2022 Page 11 of 14 Operations & Regulatory Managemem D wsion, Contractor Licensing • 2800 North Horseshoe Dnve • Naples, FL 34104 • (239) 252-2431 conlracturs;icnsinOO-colligfqQunMi.gof Page 261 of 496 Cdfler C014nty Growth Management Community Development department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name: JZ /- j U / /` Certificate Category Requested: V () +[/G //!�L] The applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate, the applicant must verify his/her experience within this trade. You are being requested to provide information that will aid the applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker (e.g., as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience for the above -named applicant must provide the following information: Name: _ &IC iI 1�� Z Title:'G -�;M Business Name: 5 Phone: Business Address: ° 'r License No. (if applicable): F,I- 3J 12�j Street city State Zip i The applicant was employed by me from _ � �� C�LJ �% !+� to Applicant's title: V � I 12 006C The applicant's scope of work (specific duties) included: i e>#14I0 .._� Psl--i"7AV,r�,P Additional comments: �s NOTE TO LICENSED CONTRACTORS: Falsifying any information provided herein mayam�lecf your license to Under penalty of perjury, I declare that the facts stated here are true. � j� Sig lure of p�Zrog the "tent State of �.- County of�_�_ The foregoin instrument was acknowledged before me by Means of�p ysical presenine notariz on on this day of g�� z02—A by b �t Such person(s) Notary Public must check applicable box: personally known to me ❑ has produced a current driver license Ae e I ' ❑ has produced as identification. (Notary S JESSICACOCIULAZO PIP M13 NotarySignature: Contractor Licensing - FIRM Application Rev. 712022 Page 10 of 14 Operations & Regulatory Management Divisfon, Contractor Licensing . 2800 North Horseshoe Drive ■ Naples, FL 34104 ■ (239) 252-2431 Lontractors licens i nQ Qool lie rcount . v Page 262 of 496 CO#CY County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF COUNTY OF 4/' I P l- I, CZoa L C l Cc. having been first duly sworn, state and affirm: ..6a—o— I am a resident of (foCL,'ofZ County, Re)kl blk (State) and have resided here for more than five (5) years. , rr ,/ '� During the last five (5) years I have known S Uj: � L"1L S(4 (applicant). I have had the opportunity to observe his or her business and personal dealings and find him o her to be a person of on ty, integrity and good character. Signature Printed fume Address: q c--3"-� 2 3 I?J Street c1y State Zip Telephone.��2-39 State of RJ213z t i)_ County of � p t r C ! Z__ The foregoing instrument was acknowledged before me by means of t9physicai presence or ❑ online notarization on this day ofZA n 4.) A 1Z 20 — , by Rn cvx L. C I A Such person(s) Notary Public must check applicable box: ;K are personally known to me ❑ has produced a current driver license ❑ has produced as identification. (Notary Sea[) Notary Public State of Florida `t Jenny Orozco Notary Signature: till My Commission NN 405557 Co Expires 6,1112027 U n ev. 712022 Page 13 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive . Naples, FL 34104 . (239) 252-2431 contractors lieensingAcolliercountyfl.gov Page 263 of 496 CO Ter Comity Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF Z_�fZ��r=� COUNTYOF LOCI�_Ier7Z '5 cI, Vh_71 �0 1 , having been first duly sworn, state and affirm: am a resident of L oLz/ 6—i County, /L_ ey-L ()�5' f ' (State) and have resided here for more than five (5) years. During the last five (5) years I have known (�s9%z�t�5 +'/ ��6��'("%� pli nt� had! the opportunity to observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and good character. Signature Printed Name Address: -_?'� I U� Street v%��P City State Zip Telephone: ;?31 `T 3-,,�' 4-3 State of Tzole i jq County ofc_�_" LI-I. cis~ The foregoing instrument was acknowledged before me by means of D9physical presence or ❑ online notarization an this day of ll t3A 20 Z , by ►'1 1 %T� Such person(s) Notary public must check applicable box: 1A are personally known to me ❑ has produced (Notary Seal) Notary public State of Florida �� Jenny Orozco lliilii 11 My Commission HH 405557 Expires 6/1/2027 ❑ has produced a current driver license as identification. Notary Signature: Contractor Licensing — FIRM Application Rev. 712022 Page 14 of 14 Operations & Regulatory Management Division, Contractor Licensing a 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractarsficensin cofliercaun ov Page 264 of 496 Florida a' Flupe srn N W Weff1' irpfis Aran 110776 Bev. 3M I M2a Hr Ca uoL-� a�sANsA LMRY0A%oILA PiCAftOS VI.Ai? MIR ooe M0211978 i6su M 1nE]CP ti/02IM7 tgHc- 6-11" REaT 40NC �. udc HA w ss TfN2f12pT9 :sc Krvxamav¢-ra � r • . aC�-.. fTl f 8�Oi3 p.r�wOkw tAnsnwlw e�wM qa! r.grr".d ]y iaw Cuss-A-A—Tr--f—d-r h. GVWR of 26"OO1 t .a rrwn REST fw. i. (14- ff-iw - LAURCLN— R E PL►E:mikx1 [1cm5k RKkmp pNorm m oA,.] OFAOORESS OR NAME CK&F4GE WWV4"FLHSMV.GOV Page 265 of 496 Cher County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY JOURNEYMAN APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY This application must be typewritten or legibly printed. The application fee must be paid upon approval and is NOT refundable. All checks should be made payable to: Collier County Board of County Commissioners. For further information, consult Collier County Ordinance No. 200646, as amended. TYPE OF JOURNEYMAN LICENSE: electrician $80.00 ❑ Plumber $80.00 ❑ Mechanical $80.00 I. APPLICANT PERSONAL AND BUSINESS INFORMATION: Name: I-e(PiM Q h )3 V2la First Middle Initial Last t Address: I o_� 1 Go71Q/t'�, Ln, , f0l PL 1. Street \ j city State Zip Email. Telephone: `t ` 3gr L 9 qW SS# (Last 4 digits only): d T Date of Birth: off] IQV -[ Q6 Driver's License # (Last 4 digits only): Pursuant to Collier County Contractor Licensing Ordinance ll 2006A6 Section 2.1.1., all applicants are required to submit their social security number, driver's license, and date of birth for the following purposes: a) Assess applicant's ability to satisfy creditors by reviewing their credit history. b) Verification of applicant's test scores and information. c) Verification of applicant's identity. Our office will only use the personal information noted above for those reasons pursuant to Chapter 119, Florida Statutes, and as may otherwise be authorized by law. We are fully committed to safeguarding and protecting your personal information and once collected, will be maintained as confidential and exempt under Chapter 119. Florida Statutes. Contractor Licensing — Journeyman Application Rev. 712022 Page 2 of 10 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractcrslicensinq aPcolliercountyfl.gov Page 266 of 496 Collier County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY Provide the names and telephone numbers of two persons who will always know your whereabouts. Name: l / ��62 A Xdo Name: _ �Q � a ye,/a Telephone: 501 " 66-4- 73 y& II. FINANCIAL RESPONSIBILITY Telephone: Q 3 "I - J ` 4 - 7b - YES NO ALL APPLICANTS MUST ANSWER THE QUESTIONS BELOW: Filed for or been discharged in bankruptcy within the past 5 years? Had a lien filed against you by the Internal Revenue Service or Florida Corporate Tax Division? Undertaken construction contracts or work that resulted in liens, suits, or judgments being filed? Undertaken construction contracts or work that a third party, such as a bonding or surety company, completed or made financial statements on? Made an assignment of assets in settlement of construction obligations for less than the debts outstanding? Been convicted or found guilty of, or entered a plea of nolo contendere to, regardless of adjudication, a crime in any jurisdiction within the past 10 years?* Had claims or lawsuits filed for unpaid or past due accounts by your creditors as a result of construction experience? charged with or convicted of acting as a contractor without a license, or if licensed as a JBeen contractor in this or any other state, been "subject to" disciplinary action by a state, county, or municipality? NOTE. If you have answer YES to any of the questions below, you must attach a written explanation including the nature of the charges, dates, and outcomes, sentences of conditions imposed. You must also attach proof of payment, satisfaction of lien or judgement, bankruptcy discharge, or agreements for payment. *If you have had a felony conviction, proof that your civil rights have been restored will be required prior to licensure. Contractor Licensing — Journeyman Application Rev. 7/2022 Page 3 of 10 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensingacolliercountvfl oov Page 267 of 496 CC01flCr 4Courrty Growth Managennent Department Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY III. 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: �\ / w"iPr-S S� rV1- .a �cn- List below non formal education (on the job training) you have obtained in the area of competency for which this application is being made: r) -r CA-rt'Qc t `�-C' V, U)' S CURRENT/PREVIOUS LICENSE: List below and attach copies any other certificates of competency/licenses you hold/have held in Collier County any other jurisdiction. Include the license #, Type, and county you hold it in. AFFIDAVIT Under the penalties of perjury, I declare that I have read the foregoing application an the facts stated in it are true. Applicant (please print) State of 0 vs - County of Lo �- % C- iz - nature of Applicant � $$qe foregoing instrument was acknowledged before me by means of $physical presence or ❑ online notarization on this dayof tw4ty'4 12016_,by f IV15�9—(1- V,Mk6L-A Such person(s) Notary Public must check applicable box: ❑ are personally known to me Xh as produced a current driver license ❑ has produced (Notary Seal) 201ViLY pu" * � OF FLO as identificatio JOSEPH A. MARINO Commission # HH 609719 Expires November 5, 2028 Notary S JOURNEYMAN APPLICATION.docx REV 07/16/2020 Page 4 of 11 Page 268 of 496 Coilier County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY CERTIFICATION OF APPLICATION The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County No. 2006-46, as amended, and under penalties of perjury. I declare that I have read the foregoing qualifier information and that the facts stated in it are true. The undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to be licensed in all matters connected with its contracting business and that he has full authority to supervise construction undertaken by himself or such business or organization and that he will continue during this registration to be able to so bind said business organization. The qualified license holder understands that in all contracting matters, he/she will be held strictly accountable for any and all activities involving his license. Any willful falsification of any information contained herein Is rounds for disqualification. r rP rn Y l �� \x --r. Applicant (please print Name of Company nature o Applicant State of 0Q , ct County of Lee The foregoing instrument was acknowledged before me by means offphysical presence or ❑ online notarization on this a-7%day of uta/ , 20 Z , by J216 ✓1; Q i� �i'✓�/� Such person(s) Notary Public must check applicable box: �re personally known to me ❑ has produced (Notary Seal) ❑ has produced a current driver license 1;-, ,'�n(�oCHELSEA AIELLO I,Jy COMMISSION # HH 124682` t ^ EXPIRES: Ma 2,2025 F;cr F�°; Bonded Thru Notary Public Underwriters. _ Contractor Licensing — Journeyman Application Rev. 7/2022 as identification. Notary Signature: Page 5 of 10 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractors licensinana colliercountvfl -gov Page 269 of 496 Coiner COH.vnty Gmwth Management Department Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE J Applicant's Name: -�-Cre- f%I I've rn Certificate Category Requested: lJil ec4r) �a {l J a(,-U rrle y1tVAn LZf l6e The applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate, the applicant must verify his/her experience within this trade. You are being requested to provide information that will aid the applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker (e.g., as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience for the above -named applicant /must provide the following information: Name: Name: Taca )r-el-r err Title: Business Name:rL4AII e le`' inkis f selylI C s i�� S LI-,Fz � hone: o L P` c6-3,23 ✓ License No. (if applicable): C. 6 1-3U d Cv % 3 � Business Address: I Z,/60 ea_�'f" 54 14, �n/f>S Ft 3J� �f Street / I City 11State Zip The applicant was employed by me from (ST/ _! I �L5 to PYt%r'f i r Applicant's title: 16lan tt f Qn The applicant's scope of work (specific duties) included: Maw' 1 1 '14 ZOY +� �4 �i �Olne' e6if7�i Low Additional comments: i eL° r r 15� �?]67�j^ CL�fDIs NOTE TO LICENSED CONTRACTORS: Falsifying any information provided herein may subject your license to revocation. Under penalty of perjury, I declare that the facts stated here are true. atur f person provi ' he statement State of Fjpar i� OiQ County of �,��. The foregoing instrument was acknowledged before me by means of N6hysical presence or ❑ online notarization on this 2__1 day of. ,1.n ,,20Zj by JO-COb FeLtZrie-1- Such person(s) Notary Public must check applicable box: J 'ar e personally known to me ❑ has produced a current driver license ❑ has produced identification. (Notary Seal) t�RY FV ,-�.1 • •' • `-fir:=: JESSICA KAUSALIK - MY COMMISSION # HH 414146 f ' EXPIRES: October 6, 2927 Notary Signature: '�.FaF rL�,� i )_� Contractor Licensing — Journeyman Application Rev. 712022 Page 6 of 10 Operations & Regulatory Management Division, Contractor Licensing a 28M North Horseshoe Drive a Naples, FL 34104 . (239) 252-2431 contractorslicensin colliercoun ov Page 270 of 496 Contractor Licensing CO *er C0.94"ty 2800 N. Horseshoe Dr. FL 34104 Growth Management Department PhNaples, one - 239-25252-2431-2431 Fax - 239-252-2469 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF COUNTY OF k t= [� I , ! =,V 4 JC (4 i /J 0 /0 0 (A- , having been first duly sworn, state and affirm: I am a resident of k L C— County, more than five (5) years. (State) and have resided here for During the last five (5) years I have known _1 C--ge�5 rt i 4 14 9 "v (c %applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and good character. State of C1 CA County of Lee — The foregoing instrument was acknowledged before me by means of c; h day of J OUQ1 , 20,—A - , by ) ., (k i A C Such person(s) Notary Public must check applicable box: T<re personally known to me ❑ has produced (Notary Seal) Signature Printed Name Address: I? u 6 3 W C- y—OC`t. Street n_e / S 332a City State Zip Telephone: q1 ?3 - y (o �4 — -71 o c, presence or ❑ online notarization on this ❑ has produced a current driver license as identification. ro {"•' CHELSEA:HH rygMY COMMISSIO4682 Nota Si nature:EXPIRES: MBonded Thru Notary rwriters Contractor Licensing — Journeyman Application Rev. 7 F2022 Page 9 of 10 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractors licensing(&colliercountvfl.00v Page 271 of 496 cOWCT cOUHty Growth Management Department Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF c) COUNTY OF LR I, �jo ho Pa ncha having been first duly sworn, state and affirm: I am a resident of ( C2 II ,ref County, � ICJ/.'j Q (State) and have resided here for more than five (5) years. During the last five (5) years I have known �e�Ei(� i fah ,�✓wq (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 s , integrity and i good character. Signature Printed Name Address:,�EI33 1-4 yrPh t1ov/' Street NMe s Ft- 3q1/3 ty State Zip Telephone: ;?-3 I — 2- —Y 4f 7S State of �j QKJ a County of The foregoing instrument was acknowledged before me by means of 21'physical presence or ❑ online notarization on this 07Aday of ��nUU/� 20 o-U , by SOho Yin GhCLe, Such person(s) Notary Public must check applicable box: ;<are personally known to me ❑ has produced (Notary Seal) ❑ has produced a current driver license CHELSEA AIELLO MY COMMISSION # HH 124682 EXPIRES: May 2, 2025 Bonded Thru Notary Public Underwriters Contractor Licensing — Journeyman Application Rev. 7/2022 as identification. Notary Signature: de Page 9 of 10 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractors licensingecolliercountvfl oov Page 272 of 496 Florida MM LICE f:AESE aa�LmR'� - 4 •309-0 " I RIVERA 2JEREMIAH e12102 MONTEREY PINE LN FORT MYERS. FL 3396"03 3 ocs 0812911996 i5SE:4 M 4oew 08129nG29 76«G- 6'40" 7zRs3T B 9.=_Nc NONE ►Domm SAFE DRWER 144% MIR12020 5Do MM4aa,5W3 7tEPLACEC 03t1542024 Opermjop of a mow -pale corstwr tes aortsem m Gov svb—ty test .�— red ov ,w Tne s,ma US of FIOM rMMnS ail �II property ngMs hefHn. 1 082996 Rev 03101/2020 CLASS: E -Arry rwncwrrt,ercwl veh w,th a GVWR < 26.001 bs. or any RV _ REST: BC —Lenses oil, END: None REPLACEMENT LICENSE REQUIRED WITHIN . DAYS OF ADDRESS OR NAME CHANGE. WWW.FLHSMV.GOV Page 273 of 496 0 Score Letter, Rivera I message :corenoreply@provexam.com <scorenoreply@provexam.com> fo: riverajeremiah@gmail.com <riverajeremiah@gmail.com> Score Report Print Fri, Dec 20, 2024 at 1:34 PN Name: Jeremiah Rivera Test: Journeyman Electrician 2020 Sponsor: Collier County Date: 12/20/2024 ID #: Test ID: 248072337 Score: 78 Result: Pass # Unanswered Questions: 0 Module Subject Area Status LOW Cut Score HIGH - -- --------------------------------------------------- General FLGET&P Electrical P Theory & Principles --------- -- ---- ------------------------------------- FLW&P Wiring & P ----------------------------- ------------------------------- Protection -------------------------- FLWM&M Wiring Methods P ------------- --------------------------------------------- ---------------------------------- & Materials - _-. Motors & FLM&C F ----- - ------ --- - ------ ------------------------------------------ Controls - ---- - -- ---------------- FLEGU Equipment for F General Use --------------------------------------------------------- FLSO Special P Occupancies --------- ------- ---------------- FLSE Special F -------------------- Equipment ------------------:-- ------------- FLSC Special P -------------------------------------- ---------------- --- - - - Conditions -----------------.._-- ---- ----------------------------------------------------------------- FLCOMS Communication F Systems Page 274 of 496 Contractor Licensing �r0 7Cr C;0_14Hty 2800 N. Horseshoe Dr. Naples, FL 34104 Growth Management Department Phone - 239-252-2431 Fax - 239-252-2469 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY v�� v G c� c�� 3 FIRM APPLICATION FOR COLLIER COUNTY �bU CERTIFICATE OF COMPETENCY �,0- O S This application must be typewritten or legibly printed. The application fee must be paid upon approval and is NOT refundable. All checks should be made payable to: Collier County Board of County Commissioners. For further information, consult Collier County Ordinance No. 2006-46, as amended, TYPE OF CERTIFICATE OF COMPETENCY: ❑ General $230.00 ❑ Electrician $230.00 ❑ Building $230.00 ❑ Plumber $230.00 ❑ Residential $230.00 ❑ Air Conditioner $230.00 ❑ Mechanical $230.00 ❑/Swimming Pool $230.00 El Roofing $230.00 Vf Specialty $205.00 Specialty Trade: _ �, f l % J' Qlh� C A-f-'Ar I. APPLICANT PERSONAL INFORMATION: Name: ce to {!W ` - ` , I F rst Business Name: Address: /aa_ Email: Middle Initial k IrGv Last S-reef City / State Zip Telephone: *SS # (Last 4 digits only): Date of Birth: G I Driver's License # (Last 4 digits only): *Pursuant to Chapter 1-19, Florida Statutes and Collier County Contractor Licensing Ordinance 2006-46 Section 2.1.1., all applicants are required to submit their social security number (SSN) for the following purposes: a) Assess applicant's ability to satisfy creditors by reviewing their credit history_ b) Verification of applicant's test scores and information. Our office will only use your SSN noted above for those reasons pursuant to Chapter 1-19, Florida Statutes, and as may otherwise be authorized by law. We are fully committed to safe -guarding and protecting your SSN and once collected, will be maintained as confidential and exempt under Chapter 1-19, Florida Statutes. Firm_Application.docx Rev 4/06/2020 Page 3 of 15 Page 275 of 496 CO 76Y C;014 Ity Growth Management Department Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY GC.)CX) FIRM APPLICATION FOR COLLIER COUNTY v� "'0C) a-\ o oot� a ° CERTIFICATE OF COMPETENCY This application must be typewritten or legibly printed. The application fee must be paid upon approval and is NOT refundable. All checks should be made payable to: Collier County Board of County Commissioners. For further information, consult Collier County Ordinance No. 2006-46, as amended. TYPE OF CERTIFICATE OF COMPETENCY: ❑ General $230.00 ❑ Electrician $230.00 ❑ Building $230.00 ❑ Plumber $230.00 ❑ Residential $230.00 ❑ Air Conditioner $230.00 ❑ Mechanical $230.00 El Swimming Pool $230.00 ❑ Roofing $230.00 rJ Specialty $205.00 Specialty Trade. %4 I Pa,,i- 1 dam. I. APPLICANT PERSONAL INFORMATION: N Name First Middle Initial Last Ar Business Name: rho 1%(?-Ck1r fA4C Address: Alfeh E-, - l Z eriT Street City State Zip (e-oly e Lac PmaiL ppGa 4v r % ih rL LAK V K Telephone: 3 ��fv `SS # (Last 4 digits only): �� 6 nl +a of Rirth- / 1 % In I I / 9 8"� nriifar'c I irPnca # (I act d rlinitS onlV)• 5Z " 0 *Pursuant to Chapter 1-19, Florida Statutes and Collier County Contractor Licensing ordinance 2006-46 Section 2.1.1., all applicants are required to submit their social security number (SSN) for the following purposes: aj Assess applicant's ability to satisfy creditors by reviewing their credit history. b] Verification of applicant's test scores and information. Our office will only use your SSN noted above for those reasons pursuant to Chapter 1-19, Florida Statutes, and as may otherwise be authorized by law. We are fully committed to safe -guarding and protecting your SSN and once collected, will be maintained as confidential and exempt under Chapter 1.19, Florida Statutes. Firm_Application.doex Rev 4/06/2020 Page 3 of 15 Page 276 of 496 Cr0�7BY C.atmty Growth Management Department Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY Provide the names and telephone numbers of two persons who will always know your whereabouts. Name: Name: t4JRfV Telephone: a , — Ff.5d — Telephone: 11. NAME OF APPLICANT'S BUSINESS: Business Name: .� 1' �[ / 11�� - - Business Address: 9115 C�CNT!'� I /�/e. � � Street City I State Telephone: ac 39) yyi� ��"��02 Email: � Al-Fd � v11h cA raw►. law Ire— Ye S l/ ry c re ✓h Federal ID Tax No.: y Ill. FINANCIAL RESPONSIBILITY VA CIT eqil Zip YES NO ALL APPLICANTS MUST ANSWER THE QUESTIONS BELOW: Filed for or been discharged in bankruptcy within the past 5 years? Had a lien filed against you by the Internal Revenue Service or Florida Corporate Tax Division? Undertaken construction contracts or work that resulted in liens, suits, or judgments being filed? Undertaken construction contracts or work that a third party, such as a bonding or surety company, completed or made financial statements on? Made an assignment of assets in settlement of construction obligations for less than the debts outstanding? Been convicted or found guilty of, or entered a plea of nolo contendere to, regardless of adjudication, a crime in any jurisdiction within the past 10 years?* Had claims or lawsuits filed for unpaid or past due accounts by your creditors as a result of construction experience? Been charged with or convicted of acting as a contractor without a license, or if licensed as a contractor in this or any other state, been "subject to" disciplinary action by a state, county, or municipality? NOTE. If you have answer YES to any of the questions below, you must attach a written explanation including the nature of the charges, dates, and outcomes, sentences of conditions imposed. You must also attach proof of payment, satisfaction of lien or judgement, bankruptcy discharge, or agreements for payment."If you have had a felony conviction, proof that your civil rights have been restored will be required prior to licensure. Firm Application.docx Rev 4/06/2020 Page 4 of 15 Page 277 of 496 Co ler County Growth Management Department Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY IV. EXPERIENCE VERIFICATION EDUCATION: List below and provide transcripts for any formal education you have obtained in the area of competency for which this nnnlinnfinn i-q hainn rnarla• ,_��1� o"" P+2L- - R04 Ar) k i cs dJ3d^51*� ..J fGCu List below non formal education (on the job training) you have obtained in the area of competency for which this application is being made: r, C CURRENT/PREVIOUS LICENSE: List below and attach copies any other certificates of competency/licenses you hold/have held in Collier County or any other jurisdiction. Include the license #,, Type, and county you hold, it in. L Let- 1 aW7 AK _6L+��Sr /� Cen Se 5,,1%ce rj2Bj y ei o4 y ofi�Gr' T AFFIDAVIT Linder the penalties of perjury, I declare that I have read the foregoing application and the facts stated in it are true. Applicant (please print) Signature of Applicant State of rLID County of C"tL The foregoing instrument was acknowledged before me by means ofVl physical presence or ❑ online notarization on this day of 9W401 L4 , 20 1 by M-Cn r,. W LoY u O—Lo Such person(s) Notary Public must check applicable box: ❑ are personally known to me i'Khas produced a current driver license ❑ has produced as identificatio (Notary Seal) JOSEPH A. MARINO Notary " Commisslnn # HH OD9719 p'�EOF �oePt Expires Nowmber5, 2D28 n. Signatur t Firm Application.docx Rev 4/06/2020 Page 5 of 15 Page 278 of 496 Contractor Licensing C;0 7eY C0T4nty 2800 N. Horseshoe Dr. Naples, FL 34104 Growth Management Department Phone - 239-252-2431 Fax - 239-252-2469 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY CERTIFICATION OF APPLICATION The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County No. 2006-46, as amended, and under penalties of perjury. I declare that I have read the foregoing qualifier information and that the facts stated in it are true. The undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to be licensed in al[ 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. nocla LOT�C6 A plicant (4kase print ' (rlcy� Name of CQnpan !�C Si�Waturybf Applicant State of k Dkl b 4 County of C-0 C_L e foregoing instrument was acknowledged before me by means of ❑ physical presence or CI online notarization on this day of 4, 20 _LS , by 1W C, ';�-l—o �-b T l)R-c o Such person(s) Notary Public must check applicable box: ❑ are personally known to me ?has produced a current driver license ❑ has produced (Notary Seal) rosEta WJW0 ' * � a F1H B097t8 as idenL Catior Notary Firm Application.docx Rev 4/0612020 Page 6 of 15 Page 279 of 496 VFL Coe-r County Growth Management Department Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY WORKMEN'S COMPENSATION AFFIDAVIT It is understood and acknowledged by the Collier County Contractors' Licensing Board and myself that if I fail to acquire, or maintain at all times effective Workmen's Compensation Insurance it will result in the possible revocation of my Certificate of Competency. r, h rcd Applicant lease riot CYP+1� biu Name of Umpany Signature Applicant BEFORE ME this day personally appeared I kuo who affirms and Applicant (please print) says that he has less than one employee and does not require Workmen's Compensation understands that at any time he employees one or more persons he must obtain said Workmen's Compensation Insurance. State of 1�tp f- 11 County of L ) LL I fw-- The foregoing instrument was acknowledged before me by means of ❑ physical presence or ❑ online notarization on this jday of , 20 �6, by —No ('71�L-6 Tt� ��. 0 Such person(s) Notary Public must check applicable box: © are personally known to me Chas produced a current driven- license 13 has produced (Notary Seal) JOSEPH A. MARINO ComnOMM 0 HF! W9719 E>plm Nctvengw 5, 2028 identification. Notary S Firm_Appllcation.docx Rev 4/06/2020 Page 7 of 15 Page 280 of 496 C,011C-r C014Vity Growth Management Department Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 239-252-2400 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY STATEMENT OF OWNERSHIP This certifies that I,Aov�o L7,4 am a member or managing APPLICANTS NAME (please print) member of K, S VAC(-P"gV2nZ Cr le n 4- N0'7 {LIMITED LIABILITY COMPANY NAMV [ own ._ C % of the units issued by the Lki�lted 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 1 �I Applicant (please print) J/11- A (Tee ////I, Name of o U• �%,e APanY Signature of Applicant State of � X j 0 P County of n LL) IE The foregoing instrument was acknowledged before me by means of ❑ physical presence or ❑ online notarization on this -7�,_dayof �fWOA-Qy ,20L-C, =by ( f, U✓L C_O Such person(s) Notary Public must check applicable box: ❑ are personally known to me IX -has produced a current driver license ❑ has produced (Notary Seal) comni WW # HH 609Ti9 ExpIras Navw iw 5, 2028 as identification. Notary Firm_Applicatfon.docx Rev 4/06/2020 Page 9 of 15 Page 281 of 496 Florida �.Y ' - -L. -321-0 .E lc,r-RGI ANGELG WILLtAM s UNLEN5T �t r YERS. FL MIG-1522 s wa 09101r1984 ,sSax M *UP OWQ1r= IIW.T 5-11" Afii-A asEwoNAME 7ean� SA r _ f7RA 07120V :2020 tCC �a ]7aGi]M�t -0n1115S !D dr`Y IN�Jnstl �1Y'iW Page 282 of 496 Michael Antonelli 555 Fairway Terrace Naples, FL 34103 (248) 709-1886 To Whom It May Concern, I am writing to highly recommend Kingsway Paver Sealing for their outstanding work in sealing pavers and travertine at multiple residences in Naples. FL, Our experience with their team has been exceptional. and we are extremely happy with the results. In addition to sealing our pavers and travertine. they also performed a soft wash on our roof, leaving it looking fresh and revitalized. The professionalism, attention to detail, and commitment to customer satisfaction demonstrated by Kingsway Paver Sealing were truly impressive. I wholeheartedly endorse their services and encourage anyone in need of paver sealing or exterior cleaning to consider Kingsway Paver Sealing Sincerely, Michael.Antonelli Page 283 of 496 To Whom It May Concern, I am delighted to provide this letter of recommendation for Kingsway Paver Sealing and Pressure Cleaning. i have had the pleasure of working with this exceptional company on several projects, including my own personal residence. Their work consistently demonstrates their commitment to excellence and their high standards of professionalism. Luminary Hotel, tort Myers: Kingsway Paver Sealing and Pressure Cleaning undertook the task of cleaning and sealing the pavers at the Luminary Hotel. Their team demonstrated remarkable expertise in handling the extensive paver surfaces. The project was executed with meticulous attention to detail, ensuring that every corner was thoroughly cleaned and that the sealing provided a durable, protective finish. The results have not only enhanced the aesthetic appeal of the hotel but also ensured that the pavers are well -protected against the elements, contributing to the hotel's overall maintenance and value. Innovation Hotel, Naples: At the Innovation Hotel in Naples, Kingsway Paver Sealing and Pressure Cleaning once again showcased their skill and dedication. The project involved a comprehensive pressure cleaning and sealing of various outdoor surfaces. The team was prompt, efficient, and respectful of the hotel's operational needs_ Their work has significantly improved the hotel's exterior appearance and longevity of the surfaces, reflecting the company's capability to handle projects of varying scales and complexities. Personal Residence: On a personal level, I entrusted Kingsway Paver Sealing and Pressure Cleaning with the cleaning and sealing of the pavers at my own home. Their work exceeded my expectations in every aspect. The team was professional, punctual, and attentive to the specific needs of my property. The thorough cleaning and high -quality sealing have resulted in a stunning transformation of my outdoor spaces, providing both functional protection and visual appeal. In summary, Kingsway Paver Sealing and Pressure Cleaning has consistently delivered outstanding results across all projects. Their expertise in paver sealing and pressure cleaning is evident in the quality of their work and their commitment to customer satisfaction. I highly recommend them for any future projects and am confident that they will continue to provide exceptional service. Should you require any further information, please feel free to contact me. Sincere] 101-316 I Page 284 of 496 To Whom It May Concern, am pleased to provide a reference for Kingsway Paver Sealing, who recently completed a comprehensive cleaning and sealing project at our property. They thoroughly cleaned and sealed five pool decks, enhancing both their appearance and durability. In addition, they performed an excellent roof wash on our cabana, removing dirt, debris, and algae, leaving it looking fresh and well -maintained. Throughout the project, Kingsway Paver Sealing displayed professionalism, attention to detail, and a strong commitment to quality. Their team was punctual, efficient, and respectful of our property, ensuring that all work was completed to our satisfaction. I highly recommend Kingsway Paver Sealing for any cleaning and sealing needs. Their work is exceptional, and I will certainly be using their services again in the future. Sincerely, Timothy Mace Property Manager (Wilderness Naples) trnaL,e(a;wiidernesscc, corn (239) 825-3287 Page 285 of 496 To whom it may concern, The Legends Community in Fort Myers highly recommends Kingsway Paver Sealing and Pressure Cleaning. We have contracted Kingsway to clean our sidewalks, walkways, pool deck, roofs and buildings throughout the community. The Kingsway team shows up when they say they will and do what they say they will do. Kingsway are experts in their field and do an excellent job protecting our plants and pool during the cleaning process. l do not hesitate to recommend Kingsway Paver Sealing to anyone. Sincerely, David Maxwell Maintenance Director Legends Golf and Country Club YO -5 i 7--)My' Page 286 of 496 To whom it may concern, I am writing this letter with enthusiasm to recommend Angelo and his team at Kingsway Paver Sealing and Pressure Cleaning. I have worked with Kingsway Paver Sealing for the past few years manage many properties in Lee and Collier Counties and I have always been completely satisfied with the work from Kingsway. The attention to detail and care for the properties always stands out. They are punctual, communicate well and are trustworthy. I am happy to recommend their services. Sincerely, Crissy Crook 2;1-3f4 -R57S Page 287 of 496 .� co per county Growth Management Department Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 239-252-2400 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF 0, 4— COUNTY OF l6 f f 12r having been first duly sworn, state and affirm: I am a resident of ® l t er County, more than five (5) years. (State) and have resided here for During the last five (5) years I have known l�r� (applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and good character. State off^ �Q Cl` 2 County of Ie � n 1� Signature c DO Printed Name Address: 175Y Street N"t fL wit City state zip Telephone: �!,"30 - 301L 1 - 146 The foregoing instrument was acknowledged before me by means of I1(physical presence or © online notarization on this -)day of�e� , 20 , by C r CAr �s1�t`c;�z Such person(s) Notary Public must check applicable box: 0 are personally known to me M has produced a current driver license ❑ has produced as identification. (Notary Seat) Nolary Public State of Florida Liria D. Fredea•Selli Notary Signature: My COM666i0n HH 424294 A Expires 7/2412027 L _. �-- Firm_Application.docx Rev 4/06/2020 Pag 13 of 1 Wage 298 of 496 CO 7BY IICOU ty Growth Management Department Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 239-252-2400 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF COUNTY OF I, having been first duly sworn, state and affirm: I am a resident of Gill County, 001 � (State) and have resided here for more than five (5) years. During the last five (5) years I have known All e 1(1 { �J, 6) (applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her -rson of honesty, integrity and good character. Signature Printed Name State of 7fCounty of _ L e e - The foregoing instrument was acknowledged Zdayof� tgej,20a�_,by Address: 17b.8 b� 5-� S-�,/ Street �,45 � City State Zip Telephone: 13q - qq0 - 33g6 me by means of E/physical presence or ❑ online notarization on this Such person(s) Notary Public must check applicable box: ❑ are personally known to me l(has produced a current driver license ❑ has produced as identification. (Notary Seal) =Notaryte of Florida Notary Signature: Ak es-Selli HH 424?64/2027 Firrn_Application.docx Rev 4/06/2020 Page 14 of 15 Page 289 of 496 Sit Phone: 850-539-8000 Emai1:unitedcrsapps@gmail.cam 1111111111111re www.UnitedCRS.com . Un ttedt RSA_ 3590 Frontier Road [ i-eolil Rc-J,-r„•Iir,,Se -vie _ Tallahassee, FL 32309 BUSINESS CREDIT REPORT Entry # 16734-0000 KING'S WAY PRESSURE CLEANING & NON -PRESSURE ROOF CLEANING LLC DBA: KINGSWAY PAVER SEALING 1224 ALLEN ST. FORT MYERS, FL 33916 PHONE: (239) 440-8245 Trade Lines Found: 10 Credit Standing: Good Standing Business Type: LLC FEIN Number: 47-1605879 Florida SOS Document #: L14000128604 Key Facts Years in Business: Key Personnel: Florida Registered Agent: As of:12116/24 Credit Summary: ✓ Bankruptcies: ✓ Liens: ✓Judgments Filed: ✓Collections: DBPR PUBLIC RECORD STATEMENT: PUBLIC RECORDS HAVE BEEN CHECKED AT LOCAL, STATE AND FEDERAL LEVELS RESULTS NONE FOUND Page 1 of f 10 Years Manager: LOTURCO, ANGELO W LOTURCO, ANGELO W 1224 ALLEN ST. FORT MYERS, FL 33916 Page 290 of 496 rSUnited• W- S;;;:7 �1 `.-edit c�ljonrthsq 1c•�-ric•c� -. PERSONAL CREDIT REPORT MERGED REPORT COMPILED FROM NATIONAL RECORDS Entry # 16734 Phone: 850-539-8000 Email: u nitedcrsaPPsCrDamail.com www.UnitedCRS.com 3590 Frontier Road Tallahassee, FL 32309 December 23, 2024 FICO CLASSIC SCORE . 765 Personal Information Since 01/07111 FAD 12/16/24 Reported Name LOTURCO, ANGELO W SSK -7965 DOB: C9101/1988 Address 1224 ALLEN ST, FORT MYERS, FL 33916 08/17 - 12/24 Address 1298 CARLENE AVE, FORT MYERS, FL 33901 04/24 - 12/24 Address 1230 ALLEN ST, FORT MYERS, FL 33916 04123 - 12/24 Summary PR/OI 0 Rev 16 # Accts 32 30 0 Hist 30 0 Lowest HC $2,300 Bankruptcies 0 Inst 16 # Inq 9 60 0 Hist 60 0 Highest HC $456,000 Collections 0 Open 0 Curr Accts 32 90 0 Hist 90 0 Tyae High Balance Past Due Payment %Avail Revolving $142,001 $1.249 $0 $41 99% Installment $18,099 $6,862 $0 $176 Real Estate $351,000 $345,095 $0 $3,279 Open/Other $0 $0 $0 $0 Totals $511,100 $353,206 $0 $3,496 Revolving Accounts Current Status Hist Status Acc NamelAddress RPTD High PMT Sal PastDue Mths 30 60 90 Rating Date OPND Limit Terms DLA ECOA CBNA 12/24 $10 $0 )9 R 1 Customer:485FP00552 12/15 $2,501 Est. CHARGE 11/23 Individual AMOUNT IN WC COLUMN IS CREDIT LIMIT DISCOVER 12/24 $10 $0 36 R 1 Customer- 155BB03747 11/21 $12,500 Est. CREDIT CARD 10/24 Individual AMOUNT IN H/C COLUMN IS CREDIT LIMIT Page 1 of 4 Page 291 of 496 CITI 12/24 $41 $1,249 76 R 1 Customer:906BB00040 07/18 $25,000 CREDIT CARD 11/24 Individual AMOUNT IN HIC COLUMN IS CREDIT LIMIT AMEX 11/24 $10 $0 75 R 1 Customer:402BB48257 07/18 $1,000 Est. CREDIT CARD Individual AMOUNT IN HIC COLUMN IS CREDIT LIMIT CITI 11/24 $10 $0 03 R 1 Customer:906BB00040 08/24 $22,000 Est. FLEXIBLE SPENDING CREDIT 09/24 Individual CARD AMOUNT IN HIC COLUMN IS CREDIT LIMIT JPMCB CARD 11/24 $10 $0 C R 1 Customer:458ON13374 08/24 $10,000 Est. FLEXIBLE SPENDING CREDIT 11124 Individual CARD AMOUNT iN HIC COLUMN IS CREDIT LIMIT AMEX/CBNA 11/24 $10 $0 2� R 1 Customer:636BB52112 09/22 $8,000 Est. CRED#T CARD 01/23 Individual AMOUNT IN HIC COLUMN IS CREDIT LIMIT SYNCB/BAER 11/24 $6,000 $10 $0 36 R 1 Customer: 404 F F05899 11121 Est. PAID ACCOUNTIZERO BALANCE Individual CHARGE CBNA 10/24 $5,900 $10 $0 99 R 1 Customer:362HT00120 07/14 Est. PAID ACCOUN7I2ERO BALANCE 06122 Individual ACCOUNT CLOSED DUE TO INACTIVITY WFB CD SVC 07/24 $8,000 $10 $0 R 1 Customer:162BB10365 07/18 Est. ACCOUNT CLOSED AT 12/20 Individual CONSUMER'S REQUEST PAID ACCOUNTIZERO BALANCE JPMCB CARD 03/22 $10,000 $10 $0 30 R 1 Customer:45SON13374 08/19 Est. PAID ACCOUNTIZERO BALANCE 1 1 /20 Individual ACCOUNT CLOSED BY CREDIT GRANTOR CITI 03/22 $12,500 $10 $0 58 R 1 Customer.906BB00040 04/17 Est. PAID ACCOUNTIZEROBALANCE 11/19 Individual ACCOUNT CLOSED DUE TO INACTIVITY SYNCS/SAMS 01/22 $3,000 $10 $0 26 R 1 Customer: 404ON01950 11 /19 Est. PAID ACCOUNTIZERO BALANCE Individual ACCOUNT CLOSED DUE TO INACTIVITY SYNCB/NTWK 04/21 $10 $0 6-- R 1 Customer:404FF02672 03M6 $4,000 Est. PAID ACCOUNTIZERO BALANCE 12117 individual AMOUNT IN HIC COLUMN IS CREDIT LIMIT SYNCS/SAMS 05/17 $2,300 $10 $0 2;; R 1 Customer: 404ON01 950 09/15 Est. ACCOUNT CLOSED AT 12/15 Individual Page 2 of 4 Page 292 of 496 CONSUMER'S REQUEST PAID ACCOUNTIZERO BALANCE DISCOVER 10/15 $174 35 R 1 Customer:165BB03747 03/04 $9,300 AMOUNT IN H!C COLUMN IS 10/15 Terminated CREDIT LIMIT Revolving Totals $41 $1,249 $0 Installment Accounts Current Status Hist Status Acc Name/Address RPTD High PMT Bal PastDue Mths 30 60 90 Rating Date OPND Limit Terms DLA ECOA DOE AIDV 11124 $5,500 $56 $2,361 99 1 1 Customer:491FZ94229 08113 STUDENT LOAN 11/24 Individual FIXED RATE DOE AIDV 11/24 $2,599 $27 $1,143 99 11 Customer: 491 FZ94229 10/13 STUDENT LOAN 11124 Individual FIXED RATE DOE AIDV 11/24 $4,500 $39 $1,036 :9 11 Customer: 491 FZ94229 11 /10 STUDENT LOAN 11/24 Individual FIXED RATE DOE AIDV 11/24 $2,750 $27 $1,161 99 11 Customer: 491 FZ94229 09M 2 STUDENT LOAN 11/24 Individual FIXED RATE DOE AIDV 11/24 $2,750 $27 $1,161 99 11 Customer: 491 FZ94229 09/12 STUDENT LOAN 11124 Individual FIXED RATE DOE AIDV 02/23 $3,300 $0 99 11 Customer: 491 FZ94229 06/13 120M PAID ACCOUNT/ZERO BALANCE 01/20 Individual STUDENTLOAN SUNCOASTCU 10/22 $40,140 $0 Customer:728FC00168 02/22 60M PAID ACCOUNT/ZERO BALANCE 10/22 Individual AUTO SUNCOASTCU 11119 $10,537 $0 5C 11 Customer:728F000168 09/15 60M PAID ACCOUNT/ZERO BALANCE 11/19 Individual SECURED SUNCOASTCU 09118 $6,937 $0 16 11 Customer:728FC00168 05117 PAID ACCOUNT/ZERO BALANCE 09/18 Individual SECURED CARMAXFIN 05115 $14,516 $0 115 11 Customer:850FA00369 12/14 60M PAID ACCOUNT/ZERO BALANCE 04/15 Individual Installment Totals $176 $6,862 $0 Mortgage Accounts Current Status Hist Status Acc Name/Address RPTD High PMT Bal PastDue Mths 30 60 90 Rating Date OPND Limit Terms DLA ECOA Page 3 of 4 Page 293 of 496 FLAGSTARBK 12124 $456,000 $0 Customer:168BB00847 01124 30Y ACCO U N T TRAN SFERRED OR 11/24 Individual SOLD FANNIE MAE ACCOUNT LOANCARE 12/24 $175,000 $1,812 $174,301 Customer:832FMO9667 05124 FREDDIE MAC ACCOUNT 12/24 Individual REAL ESTATE MORTGAGE SUNCOASTCU 11/24 $176,000 $1,467 $170,794 Customer: 728FC00168 11122 REAL ESTATE MORTGAGE 11124 Individual CONVENTIONAL MORTGAGE ROCKETMORT 10124 $175,000 $0 Customer:168FMO2206 05124 30Y ACCOUNT TRANSFERRED OR 09124 Individual SOLD FREDDIE MAC ACCOUNT ROCKETMORT 06124 $456,000 $0 Customer:168FMO2206 01124 30Y ACCOUNT TRANSFERRED OR 05124 Individual SOLD FANNIE MAE ACCOUNT LOANCARE 01/23 $100,000 $0 Customer:832FMO9667 09120 30Y PAID ACCOUNT/ZERO 12122 Individual BALANCE FREDDIE MAC ACCOUNT Mortgage Totals $3,279 $345,095 Inquiries Date Customer Name 1112712024 FCTUALDATA 09/02/2024 CAPfTALONE 08/04/2024 CBNA 02/1412024 SYNOVUS 02/14/2024 FCTUALDATA 12/12/2023 FCTUALDATA 05/09/2023 FCTUALDATA 03/21/2023 TOWNEBANK 03/21/2023 CAPITALFOR 06 22 24 04 04 26 $0 Customer Number 497ZBO1738 484BB05812 4040 N 01703 944FM00175 497ZBO1738 497ZBO1738 497ZBO1738 015BB01294 991 AN71196 PUBLIC RECORDS PUBLIC RECORDS HAVE BEEN CHECKED AT THE COUNTY, STATE, AND FEDRAL LEVELS RESULTS: NO PUBLIC RECORDS FOUND 11 11 11 11 11 END OF REPORT 11 is with understanding that the credit score attached to this report can fluctuate daily and can change drastically. In some cases, over 100 points when making big purchaxe, etc. Page 4 of 4 Page 294 of 496 DIVISION Or CORPORATIONS V*1 U1Yf.:«a! I qj r r I I .org G��'_ rrrr �•li:� r•r? ',!a!•r�r I}�reLr ;,: %• ?rr Department of State 1 Division of Corporations ! Search Records 1 Search by En i Name Detail by Entity Name Florida Limited Liability Company KING'S WAY PRESSURE CLEANING & NON -PRESSURE ROOF CLEANING LLC A ig Information Document Number L14000128604 FEI/EIN Number 47-1605879 Date Filed 08/15/2014 Effective Date 08/10/2014 State FL Status ACTIVE Principal Address 1224 ALLEN ST. FORT MYERS. FL 33916 Changed: 04M 3/2017 Mailing Address 1224 ALLEN ST. FORT MYERS, FL 33916 Changed: 04/13/2017 &gistered gent Name & Address LOTURCO, ANGELO W 1224 ALLEN ST. FORT MYERS, FL 33916 Address Changed: 04/13/2017 Authorized Per5Qn(1) Detail Name & Address Title MGR LoTurco, Angelo W 1224 Allen St. Fort Myers, FL 33916 Annual i3eW= Report Year Filed Date Page 295 of 496 2019 03/06/2019 2020 02/05/2020 2021 01/21/2021 Document Imagg& 1 1 2 21 --ANNUAL REPORT 02/05/2020 — ANNUAL REPORT 03106/2019 -- ANNUAL REPORT 04120/2018 — ANNUAL REPORT 04113/2017 — ANNUAL REPORT 04/01/2016 — ANNUAL REPORT 04130/2015 —ANNUAL REPORT View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format 08115/2014 -- Florida Limited Liability. View image in PDF format Page 296 of 496 Electronic Articles of Organization L14000128604 For FILED 8:00 AM Florida Limited Liability Company Sec. Of State014 jdharrns Article I The name of the Limited Liability Company is: KING'S WAY PRESSURE CLEANING & NON -PRESSURE ROOF CLEANING LLC Article II The street address of the principal office of the Limited Liability Company is: 1736 MARLYN RD. FORT MYERS, FL. 33901 The mailing address of the Limited Liability Company is: 1736 MARLYN RD. FORT MYERS, FL. 33901 Article III The name and Florida street address of the registered agent is: ANGELO W LOTURCO 1736 MARLYN RD. FORT MYERS, FL. 33901 Having been named as registered agent and to accept service of process for the above stated limited liability company at the place designated in this certificate, I hereby accept the appointment as registered agent and agree to act in this capacity. I further agree to comply with the provisions of all statutes relating to the proper and complete performance of my duties, and I am familiar with and accept the obligations of my position as registered agent. Registered Agent Signature: ANGELO W. LOTURCO Page 297 of 496 Article IV The name and address of person(s) authorized to manage LLC Title: MGR ANGELO W LOTURCO 1736 MARLYN RD. FORT MYERS, FL. 33901 Article V The effective date for this Limited Liability Company shall be: 08/10/2014 Signature of member or an authorized representative Electronic Signature: ANGELO LOTURCO L14000128604 FILED 8:00 AM August 15, 2014 Sec. Of State jdharris I am the member or authorized representative submitting these Articles of Organization and affirm that the facts stated herein are true. I am aware that false information submitted in a document to the Department of State constitutes a third degree felony as provided for in s.817.155, F.S. I understand the requirement to file an annual report between January 1 st and \lay 1 st in the calendar year following formation of the LLC and every year thereafter to maintain "active" status. Page 298 of 496 DIVISION OF CORPORATIONS vwt AQW.Org Previous on List Next on List Return to List No Filing History Fictitious Name Detail Fictitious Name KINGSWAY PAVER SEALING Filing Information Registration Number G21000074930 Status ACTIVE Filed Date 06/03/2021 Expiration Date 12/31/2026 Current Owners 1 County MULTIPLE Total Pages 1 Events Filed NONE FEIIEIN Number NONE Maiiing Address 1224 ALLEN ST. FORT MYERS, FL 33916 Owner Information Djvj�xj!� ;1 Ir I1 KING'S WAY PRESSURE CLEANING & NON -PRESSURE ROOF CLEANI 1224 ALLEN ST. FORT MYERS, FL 33916 FEIIEIN Number: 47-1605879 Document Number: L14000128604 Document Images 06J03/2021 -- Fictitious Name Filing View image in PDF format Previous on List Next on List Return to List No Filing History Fictitious Name Search Submit Fictitious Name Search Submit Page 299 of 496 GITS, LLC Examination Operations Division Providing the services and products to assist Government Agencies to make informed educated decisions. Official Score Report: Candidate Information: Name — Angelo W. Loturco Candidate #: 19883210L Testing Site. Fort Myers, FL Final Score Result: Official Examination Score Report August 22, 2024 Business Procedures Score: 80% These results represent the grade that has been achieved on the above named examination(s) administered by Gainesville Independent Testing Service for Collier County, Florida on March 25, 2021. If you have any further questions, please do not hesitate to contact us. Sincerely, Jay E. B�oowermeister President PO Box 831127 Ocala, Florida 34483-1127 — Voice (352) 369-GITS — Fax (352) 387-2443 800 997 2129 Page 300 of 496 v C W a I z 41 c- 4' •, ccsj N G +� L+ S.. N +-I V +� a 41 4 f. •d ri � 9) 341 Q� n a 41 �• H �J I%a T}i 47 L �• � u � .I .h C J i. C a cm c �w o-C10 NG C 41 F U fil 1:.... •i � �, s 41 c� w m v Q� sai C is QI a G+ IU a O •r. ?,.-1 atv w rz a N m a C I w W O NLZ W sa N N D u N ro 3 a� C rn.N+ O O N •, a it o ... - O a m ro u ro 3 O rp 17 w G1 'cco a O N cv Ea i eG C ro a X ,c N m ro 4 I C Oa IL I H H T r, l O N L C '0 L.0 0 >+ 6 U U Ga7 ? o m N ? UJ .�. U C �n N a W Ca+E U-~i U N. �O.a V 4 C TON `7.,rq� 0)0) TC •CJ 1y+p ., a •-i w J NE IQ G: 77 c v ro N� C a w+ C O G �' • N 4 1Ni a L Cy�'� la C '� Cx 0C NUN 4 16u O C-•am >, w C=-C H W L UU :7 U O U O7 N 3.y ?_�w^S-3 H O p °• O rq Sni Fs roC' Q c ro +u w N �'-�+ x � Ca '-li vmi ww " C 0 0 C, O ...{ IC N L7 UJ Ol •p O 0 C: '14 J C Am 0y .0 of N -.c-I 1 r- y, w vs T ro J a C CC;, c u m m ;� W 4 IT O ro QN40❑p0p O a m sS 07 v�� yW vpp, Eai c:: aH(r � } • 14 rw-I�Or7 •C I -� W 1+ �� U R N U CJ U ? i N 4 W x F CO Wr CO14nt;y Growth Manegernent Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY �9WL-6v VERIFICATION OF CONSTRU�,CTION EXPERIENCE Applicant'sName �r y)({ o �Z ` pter. nC \ dk2 Certificate Category Requested: "�� 1 t R• �, `Oro r The applicant is seeking a Collier County Certificate of Competency in the trade indicated above As part of the application for this certificate, the applicant must verify his/her experience within this trade. You are being requested to provide information that will aid the applicant in meeting this requirement You should verify time of active experience working as an apprentice or a skilled worker (e.g., as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience, The person verifying trade experience for the above -named applicant must provide the following information Name: aGk Q r �� Ofe- s Title, -9r-e51 (1.er A (O -)rwr- Business Name: Y C-� I .� t 1 Phone: v+�3 9 tf-!; . License No. (if applicable): _DOD:) C) 0 Business Address: D 3 O l - N w N C Its 3 y a o Street v City + Slate CZip The applicant was employed by me from �a�^- 13- ) O I b to Applicant's title: CA n4-P V The applicant's scope of work (specific duties) included: 'f� rt'�pall ` rt i (> ask- SPLI�r et �f dtCIA, . tie haS 9 ati)ed a tL) Jr v,C 1 aw'ied It ovi., 4Irs�.j Additional comments: kf (S r eG & o o n h.t r O w l Z Li a-0% hj f, UkCk O nk1rr tVl? pain ' r-g 16W['A(55 NOTE TO LICENSED CONTRACTORS. Falsifying any information provide T7��- %se to revocation. Under penalty of perjury, I declare that the facts stated here are true. Signs n providing the statement State of 0 i 1 C� County of The foregoing instrument was acknowledged before me by means of physical F Z3 day of an r , 20 2 , by Such person(s) Notary Public must check applicable box: ❑ are personally known to me as produced a current driver license ❑ has produced as identification. or 0 online notarization on this (Notary Seal) ;0y,.& JULIO URQUIDi `�. .� �- w • Notary Public - State of Florida ?�j a Commission # HH 313144 Notary SI �natu °F ray Comm. Expires Sep 18,102fi ry 6 Contractor Licensing - FIRM Application Rev. 712022 Page 10 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252.2431 agn;radnrslicansing(Mcolliercountyfl gov Findings of Fact, Conclusions of Law and Decision of the Board Collier County Contractor Licensing Board For Applications Submitted to the Board for Review Type of Application: X Credit Report Review Waiver of Testing Requirements X Reinstatement of License Request to Qualify Second Entity Other (specify) THIS CAUSE came on for public hearing before the Contractor Licensing Board (hereafter Board) on October 18, 2023, for consideration of an application submitted to the Board for review. The application submitted is for a license as a Cabinet Installation Contractor. RAUL IRIGOYEN, d/b/a All About Homes, Inc. (hereinafter "Applicant") is before the Board for review of his credit score and a determination of whether the Applicant's credit should prevent the license from being issued to the Applicant. The Board, having heard testimony under oath, received other evidence, and heard arguments relative to all appropriate matters thereupon, issues its Findings of Fact, Conclusions of Law and Order of the Board as follows: FINDINGS OF FACT 1. The Applicant applied to the Collier County Contractor Licensing Supervisor, or his designee, for issuance of a license as a Cabinet Installation Contractor. 2. Based on the credit report supplied by the Applicant to the Licensing Supervisor, a review of the creditworthiness of the Applicant by the Board is necessary. 3. The Applicant was present at the public hearing and was not represented by counsel. 1 Page 303 of 496 4. The Applicant has demonstrated to the Board's satisfaction that the Applicant has improved his creditworthiness to be issued the subject license subject to certain restrictions. CONCLUSIONS OF LAW 1. All notices required by the Code of Laws and Ordinances of Collier County, as amended, have been properly issued and the Board has jurisdiction over the matter. 2. Pursuant to Section 22-184(b) of the Code of Laws and Ordinances of Collier County, as amended, the subject application met the requirement(s) requiring Board review and approval of the application. 3. The Applicant has sufficiently demonstrated to the Board that he meets the creditworthiness standard(s) as set out in Code of Laws and Ordinances of Collier County, as amended, to be issued a license as a Cabinet Installation Contractor subject to certain restrictions. ORDER OF THE BOARD 1. Based upon the foregoing Findings of Fact and Conclusions of Law, and pursuant to the authority granted as applicable in Chapter 489, Florida Statutes, and Code of Laws and Ordinances of Collier County, as amended, by a vote of 8 in favor and 0 opposed, a unanimous vote of the Board present, the application for licensure as a Cabinet Installation Contractor is hereby granted. 2. The subject license is issued on a probationary basis for up to twelve (12) months. Within 90 days, the Applicant must submit to the Contractor Licensing Supervisor or designee a payment plan approved by the State of Florida for the payment of all outstanding Tax Liens or show that all tax liens have been paid in full. 2 Page 304 of 496 3. Within 90 days, the Applicant must submit to the Contractor Licensing Supervisor or designee a written updated status report on the disputed amount of $22,482 with Altus Global Trade Solutions, or a payment plan approved by Altus Global Trade Solutions. 4. Within 6 months, the Applicant must submit to the Contractor Licensing Supervisor or designee an updated business credit report showing that any payment plan with the State of Florida is current and there are no other credit issues. 5. Within 12 months, the Applicant must submit to the Contractor Licensing Supervisor or designee an updated business credit report showing all State of Florida Tax Liens have been paid in full and there are no other credit issues. 6. If the Contractor Licensing Supervisor or designee determines the Applicant has failed to provide the required information by the deadlines set forth above, the Applicant may be brought back before the Board for the Board to take any further lawful action as deemed necessary. In the event of compliance with this order, as determined by the Contractor Licensing Supervisor or designee, the probationary status on the license shall be automatically lifted at the end of the twelve (12) month probationary period. ORDERED by the Contractor Licensing Board effective the 18th day of October, 2023. CONTRACTOR VQESING BOARD COLLIE ORIDA By: Tj d AI en, Chair I HEREBY CERTIFY that a true and correct copy of the above and foregoing Findings of Fact, Conclusions of Law, and Order of the Board has been furnished to the Applicant, and Timothy Crotts, Contractor Licensing Supervisor, 2800 North Horseshoe Drive, Naples, FL 34103 on this day of 20 z-s . Secretary/Contractor Licensing 3 Page 305 of 496 Findings of Fact, Conclusions of Law and Decision of the Board Collier County Contractor Licensing Board For Applications Submitted to the Board for Review Type of Application: X Credit Report Review Waiver of Testing Requirements Reinstatement of License Request to Qualify Second Entity Other (specify) THIS CAUSE came on for public hearing before the Contractor Licensing Board (hereafter Board) on October 18, 2023, for consideration of an application submitted to the Board for review. The application submitted is for a license as a Landscaping Contractor. JUAN M. MACIEL, dlbla FAMILIA TREE AND LANDSCAPE INC (hereinafter "Applicant") is before the Board for review of his credit score and a determination of whether the Applicant's credit should prevent the license from being issued to the Applicant. The Board, having heard testimony under oath, received other evidence, and heard arguments relative to all appropriate matters thereupon, issues its Findings of Fact, Conclusions of Law and Order of the Board as follows: FINDINGS OF FACT 1. The Applicant applied to the Collier County Contractor Licensing Supervisor, or his designee, for issuance of a license as a Landscaping Contractor. 2. Based on the credit report supplied by the Applicant to the Licensing Supervisor, a review of the creditworthiness of the Applicant by the Board is necessary. 3. The Applicant was present at the public hearing and was not represented by counsel. Page 306 of 496 4. The Applicant has demonstrated to the Board's satisfaction that the Applicant has improved his creditworthiness to be issued the subject license subject to certain restrictions. CONCLUSIONS OF LAW 1. All notices required by the Code of Laws and Ordinances of Collier County, as amended, have been properly issued and the Board has jurisdiction over the matter. 2. Pursuant to Section 22-184(b) of the Code of Laws and Ordinances of Collier County, as amended, the subject application met the requirement(s) requiring Board review and approval of the application. 3. The Applicant has sufficiently demonstrated to the Board that he meets the creditworthiness standard(s) as set out in Code of Laws and Ordinances of Collier County, as amended, to be issued a license as a Landscaping Contractor subject to certain restrictions. ORDER OF THE BOARD 1. Based upon the foregoing Findings of Fact and Conclusions of Law, and pursuant to the authority granted as applicable in Chapter 489, Florida Statutes, and Code of Laws and Ordinances of Collier County, as amended, by a vote of 8 in favor and 0 opposed, a unanimous vote of the Board present, the application for licensure as a Landscaping Contractor is hereby granted. 2. The subject license is issued on a probationary basis for up to twelve (12) months. The Applicant is required to submit to the Contractors Licensing Supervisor or designed a new credit report before the end of the probationary period showing a credit score of at least 660 and no additional credit issues. 0 Page 307 of 496 3. 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. 4. If the Contractor Licensing Supervisor or designee determines the Applicant has failed to provide the required information by the deadlines set forth above, the Applicant may be brought back before the Board for the Board to take any further lawful action as deemed necessary. In the event of compliance with this order, as determined by the Contractor Licensing Supervisor or designee, the probationary status on the license shall be automatically lifted at the end of the twelve (12) month probationary period. ORDERED by the Contractor Licensing Board effective the 18th day of October, 2023. ENSING BOARD FLORIDA Icy: TobtfAllen, Chair I HEREBY CERTIFY that a true and correct copy of the above and foregoing Findings of Fact, Conclusions of Law, and Order of the Board has been furnished to the Applicant, and Timothy Crotts, Contractor Licensing Supervisor, 2800 North Horseshoe Drive, Naples, FL 34103 on this �,-.� day of A16of8er— 20=. Secretary/Contractor Licensing Board 3 Page 308 of 496 Certificate of Completion AWARDED BY 1 EXAM PREP I)BPR/C1LB PROVIDER #0005785 This docionent is to certify the attendance and successfrd completion by Juan Maclel of the following online Flonda CILB Approved Course 14 Hour Financial Responsibility & Stability, #0612806 .Date(s): 10/15/2023 program Manager: Andrea Hoffman Coconut Creek, Florida 33073 Andrea Hoffman - Miami- FLORIDA CILB APPROVED r clus It CILB Approved Instructor !experian9 At a glance FICO° Score 8 300 Poor Account summary Open accounts 8 Self -reported accounts 0 Accounts ever late 5 Closed accounts 0 Collections 1 Average 6 yrs 9 mos account age Oldest account 10 yrs 11 mos 579 FICaSCoREg Experian data Feb 10, 2025 Overall credit usage Credit used: $36,720 Credit limit: $30,883 Prepared For JUAN M. MACIEL Personal & confidential Date generated: Feb 10, 2025 850 Debt summary Credit card and credit line $36,720 debt Self -reported account balance $0 Loan debt $232,510 Collections debt $2,069 Total debt $271,299 Page 310 of 496 !experian. Prepared For JUAN M. MACIEL Date generated: Feb 10, 2025 Personal information Name JUAN M MACIEL Also known as Generational identifier Year of birth 1991 Personal statements No Statement(s) present at this time Addresses 4502 ROSEA CT NAPLES, FL 34104-4473 1370 GREEN VALLEY CIR NAPLES, FL 34104-4615 PO BOX 10438 NAPLES, FL 34101-0438 Employers SELF EMPLOYED - FTL I 7Eli We1kq111-197e1aI�v Page 311 of 496 ••. ��yy expelr ian. Prepared For JUAN M. MACIEL Date generated: Feb 10, 2025 • Open accounts CAPITAL ONE $440 Exceptional payment history Balance updated Feb 06, 2025 �' Account info Account name CAPITAL ONE Balance $440 Account number 552342XXXXXX Balance updated Feb 06, 2025 Original creditor - Credit limit $1,250 Company sold - Credit usage 35% Account type Credit card Monthly payment $28 Date opened Apr 02, 2014 Last Payment Date May 03, 2023 Open/closed Open Highest balance $601 Status Open/Never late. Terms - Status updated Feb 2025 Responsibility Individual Your statement $ Payment history Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2025 ✓ ✓ 2024 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2023 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2022 ✓ ✓ ✓ ✓ ✓ 2021 ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2020 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2019 ✓ ✓ ✓ Current/Terms met - Data Unavailable 0 Contact info Address PO BOX 31293 SALT LAKE CITY, UT 84131 Phone number (800) 955-7070 Q Comments Page 312 of 496 ••. ��yy expelr ian. Prepared For JUAN M. MACIEL Date generated: Feb 10, 2025 • CAPITAL ONE $6,459 Exceptional payment history Balance updated Jan 18, 2025 [o Account info Account name CAPITAL ONE Balance $6,459 Account number 517805XXXXXX Balance updated Jan 18, 2025 Original creditor - Credit limit $7,000 Company sold - Credit usage 92% Account type Credit card Monthly payment $224 Date opened Jun 23, 2014 Last Payment Date Jan 13, 2025 Open/closed Open Highest balance $7,206 Status Open/Never late. Terms - Status updated Jan 2025 Responsibility Individual Your statement $ Payment history Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2025 ✓ 2024 ✓ ✓ ✓ ✓ ✓ ✓ 2023 2022 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2021 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2020 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2019 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2018 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ Current/Terms met - Data Unavailable 0 Contact info Address PO BOX 31293 SALT LAKE CITY, UT 84131 Phone number (800) 955-7070 Q Comments Page 313 of 496 ••. ��yy expelr ian. Prepared For JUAN M. MACIEL Date generated: Feb 10, 2025 • JPMCB CARD $1,904 1 late payment Balance updated Jan 21, 2025 [o Account info Account name JPMCB CARD Balance $1,904 Account number 41474OXXXXXX Balance updated Jan 21, 2025 Original creditor - Credit limit $2,400 Company sold - Credit usage 79% Account type Credit Card Monthly payment $97 Date opened May 30, 2018 Last Payment Date Nov 30, 2024 Open/closed Open Highest balance $6,454 Status Open. Terms - Status updated Oct 2022 Responsibility Individual Your statement $ Payment history Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2025 ✓ 2024 ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2023 2022 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 30 ✓ ✓ ✓ 2021 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2020 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2019 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2018 ✓ ✓ ✓ ✓ ✓ ✓ ✓ Current/Terms met 30 Past due 30 days - Data Unavailable 0 Contact info Address PO BOX 15369 WILMINGTON, DE19850 Phone number (800) 945-2000 Q Comments Page 314 of 496 ••. ��yy expelr ian. Prepared For JUAN M. MACIEL Date generated: Feb 10, 2025 • REGIONS BANK $232,510 1 late payment Balance updated Feb 05, 2025 [o Account info Account name REGIONS BANK Balance $232,510 Account number 401189XXXXXXX Balance updated Feb 05, 2025 Original creditor - Original balance $250,260 Company sold - Paid off 7% Account type Mortgage Monthly payment $2,527 Date opened Apr 29, 2021 Last Payment Date Jan 28, 2025 Open/closed Open Terms 30 Years Status Open. Responsibility Joint Status updated Jan 2024 Your statement $ Payment history Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2025 ✓ ✓ 2024 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2023 ✓ 30 Current/Terms met 30 Past due 30 days - Data Unavailable Q Contact info Address PO BOX 110 HATTIESBURG, MS 39403 Phone number (800) 986-2462 Q Comments Page 315 of 496 ••. ��yy expelr ian. Prepared For JUAN M. MACIEL Date generated: Feb 10, 2025 • SYNCB/CARE CREDIT $4,453 Exceptional payment history Balance updated Jan 26, 2025 [o Account info Account name SYNCB/CARE CREDIT Balance $4,453 Account number 601918XXXXXX Balance updated Jan 26, 2025 Original creditor - Credit limit $4,310 Company sold - Credit usage 103% Account type Charge Card Monthly payment $150 Date opened Jan 17, 2023 Last Payment Date Jan 17, 2025 Open/closed Open Highest balance $5,437 Status Open/Never late. Terms - Status updated Jan 2025 Responsibility Individual Your statement $ Payment history Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2025 ✓ 2024 ✓ ✓ ✓ ✓ ✓ ✓ 2023 ✓ ✓ ✓ ✓ ✓ ✓ Current/Terms met - Data Unavailable p Contact info Address 950 FORRER BLVD KETTERING, OH 45420 Phone number (937) 534-6950 D Comments Page 316 of 496 ••. �y QexpeQ lr ian. Prepared For JUAN M. MACIEL Date generated: Feb 10, 2025 • TDRCS/YARD CARD $0 Exceptional payment history Balance updated Jan 21, 2025 [o Account info Account name TDRCS/YARD CARD Balance $0 Account number 600610XXXXXXXXXX Balance updated Jan 21, 2025 Original creditor - Credit limit $323 Company sold - Credit usage 0% Account type Charge Card Monthly payment $0 Date opened Mar 18, 2022 Last Payment Date Jun 16, 2024 Open/closed Open Highest balance $4,125 Status Open/Never late. Terms - Status updated Jan 2025 Responsibility Individual Your statement $ Payment history Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2025 ✓ 2024 ✓ ✓ ✓ ✓ ✓ ✓ 2023 ✓ ✓ ✓ ✓ ✓ ✓ 2022 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ Current/Terms met - Data Unavailable 0 Contact info Address 200 CAROLINA PARKWAY 131 GREENVILLE, SC 29602 Phone number (877) 801-8667 D Comments Page 317 of 496 ••. ��yy expelr ian. Prepared For JUAN M. MACIEL Date generated: Feb 10, 2025 • THD/CBNA $9,464 Exceptional payment history Balance updated Jan 29, 2025 [o Account info Account name THD/CBNA Balance $9,464 Account number 603532XXXXXXXXXX Balance updated Jan 29, 2025 Original creditor - Credit limit $9,100 Company sold - Credit usage 104% Account type Charge Card Monthly payment $315 Date opened Sep 08, 2020 Last Payment Date Jan 24, 2025 Open/closed Open Highest balance $9,545 Status Open/Never late. Terms - Status updated Jan 2025 Responsibility Authorized user Your statement $ Payment history Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2025 ✓ 2024 ✓ ✓ ✓ ✓ ✓ ✓ 202Jj ✓ ✓ ✓ ✓ ✓ ✓ 2022 ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2021 ✓ ✓ ✓ ✓ ✓ ✓ 2020 ✓ ✓ ✓ ✓ Current / Terms met p Contact info Address Phone number D Comments Data Unavailable PO BOX 6497 SIOUX FALLS, SD 57117 (800) 950-5114 Page 318 of 496 ••. ��yy expelr ian. Prepared For JUAN M. MACIEL Date generated: Feb 10, 2025 • WFBNA CARD $0 Exceptional payment history Balance updated Jan 02, 2025 [o Account info Account name WFBNA CARD Balance $0 Account number 577442XXXXXXXXXX Balance updated Jan 02, 2025 Original creditor - Credit limit $6,500 Company sold - Credit usage 0% Account type Charge Card Monthly payment $0 Date opened May 29, 2020 Last Payment Date May 03, 2023 Open/closed Open Highest balance $6,498 Status Open/Never late. Terms - Status updated Jan 2025 Responsibility Individual Your statement $ Payment history Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2025 ✓ 2024 ✓ ✓ ✓ ✓ ✓ ✓ 202Jj ✓ ✓ ✓ ✓ ✓ ✓ 2022 ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2021 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2020 ✓ ✓ ✓ ✓ ✓ Current / Terms met p Contact info Address Phone number D Comments Data Unavailable PO BOX 393 MINNEAPOLIS, MN 55480 (855) 854-3502 Page 319 of 496 ••. ��yy expelr ian. Prepared For JUAN M. MACIEL Date generated: Feb 10, 2025 • Closed accounts AMEX $6,273 10 potentially negative months Closed �' Account info Account name AMEX Balance $6,273 Account number 3499929484503923 Balance updated Jan 26, 2025 Original creditor - Credit limit - Company sold - Monthly payment - Account type Credit card Past due amount $6,094 Date opened Jan 27, 2022 Highest balance $28,618 Open/closed Closed Terms 1 Month Status Account charged off. $15,114 Responsibility Individual written off. $6,094 past due as Your statement of Jan 2025. Status updated Apr 2024 $ Payment history Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2025 CO 2024 CO CO CO CO CO CO CO CO CO CO Charge off - Data Unavailable 0 Contact info Address PO BOX 297871 FORT LAUDERDALE, FL 33329 Phone number (800) 874-2717 D Comments Account closed at credit grantor's request Page 320 of 496 !experian. AMEX/CBNA Exceptional payment history [o Account info Account name Account number Original creditor Company sold Account type Date opened Open/closed Status Status updated $ Payment history Prepared For JUAN M. MACIEL Date generated: Feb 10, 2025 Closed AMEX/CBNA Balance - 377481XXXXXXXXX Balance updated - - Credit limit $700 - Monthly payment - Credit card Last Payment Date May 22, 2018 May 31, 2017 Highest balance $1,387 Closed Terms - Paid, Closed/Never late. Responsibility Individual Dec 2020 Your statement Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2020 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ CLS 2019p ✓ ✓ ✓ ✓ ✓ ✓ 2010 ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2017 ✓ ✓ ✓ ✓ ✓ ✓ ✓ Current/Terms met CLS Closed - Data Unavailable M Contact info Address 9111 DUKE BLVD MASON, OH 45040 Phone number (800) 243-6552 Q Comments Account closed at credit grantor's request Page 321 of 496 !experian. BARCLAYS BANK DELAWARE Exceptional payment history [o Account info Account name Account number Original creditor Company sold Account type Date opened Open/closed Status Status updated $ Payment history Prepared For JUAN M. MACIEL Date generated: Feb 10, 2025 Closed BARCLAYS BANK DELAWARE Balance - 000331XXXXXXXXX Balance updated - - Credit limit $1,300 - Monthly payment - Credit card Last Payment Date Nov 18, 2019 May 29, 2019 Highest balance $557 Closed Terms - Paid, Closed/Never late. Responsibility Individual Dec 2020 Your statement Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2020 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ CLS 2019 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ Current/Terms met CLS Closed - Data Unavailable 0 Contact info Address PO BOX 8803 WILMINGTON, DE 19899 Phone number (888) 232-0780 Comments Closed due to inactivity Page 322 of 496 !experian. BMO HARRIS BANK NA Exceptional payment history [o Account info Account name Account number Original creditor Company sold Account type Date opened Open/closed Status Status updated $ Payment history Prepared For JUAN M. MACIEL Date generated: Feb 10, 2025 Closed BMO HARRIS BANK NA Balance - 990730XXXX Balance updated - - Original balance $35,516 - Monthly payment - Auto Loan Last Payment Date Aug 23, 2021 Sep 19, 2017 Terms 75 Months Closed Responsibility Individual Paid, Closed/Never late. Your statement Aug 2021 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2021 ✓ ✓ ✓ ✓ ✓ ✓ ✓ CLS 2020 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2019 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2018 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2017 ✓ ✓ ✓ ✓ Current/Terms met CLS Closed - Data Unavailable O Contact info Address POBOX94934 PALATINE, IL 60069 Phone number (888) 340-2265 D Comments Page 323 of 496 !experian. • COMENITY BANK/BEALLSFL Exceptional payment history [o Account info Account name Account number Original creditor Company sold Account type Date opened Open/closed Status Status updated $ Payment history Prepared For JUAN M. MACIEL Date generated: Feb 10, 2025 Closed COMENITY BANK/BEALLSFL Balance - 585637XXXXXXXXXX Balance updated - - Credit limit $950 - Monthly payment - Charge Card Last Payment Date May 22, 2018 Aug 26, 2017 Highest balance $599 Closed Terms - Paid, Closed/Never late. Responsibility Individual Apr 2020 Your statement Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2020 ✓ ✓ ✓ CLS 2019 2018 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2017 ✓ ✓ ✓ ✓ Current/Terms met CLS Closed - Data Unavailable 0 Contact info Address PO BOX 182789 COLUMBUS, OH 43218 Phone number Q Comments Account closed at credit grantor's request Page 324 of 496 !experian. GM FINANCIAL Exceptional payment history [o Account info Account name Account number Original creditor Company sold Account type Date opened Open/closed Status Status updated $ Payment history Prepared For JUAN M. MACIEL Date generated: Feb 10, 2025 Closed GM FINANCIAL Balance - 458966XXX Balance updated - - Original balance $42,229 - Monthly payment - Auto Loan Last Payment Date Dec 03, 2021 Nov 20, 2015 Terms 72 Months Closed Responsibility Joint Paid, Closed/Never late. Your statement Dec 2021 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2021 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ CLS 2020 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2019 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2018 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2017 ✓ ✓ ✓ ✓ ✓ ND ✓ ✓ 2016 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2015 ✓ Current/Terms met ND No data for this period CLS Closed Data Unavailable 0 Contact info Address PO BOX 181145 ARLINGTON, TX 76096 Phone number (800) 284-2271 D Comments Page 325 of 496 !experian. LOANCARE Exceptional payment history [o Account info Account name Account number Original creditor Company sold Account type Date opened Open/closed Status Status updated $ Payment history Prepared For JUAN M. MACIEL Date generated: Feb 10, 2025 Closed LOANCARE Balance - 623005XXXXXXX Balance updated - - Original balance $250,260 - Monthly payment - Mortgage Last Payment Date Sep 13, 2023 Apr 29, 2021 Terms 30 Years Closed Responsibility Joint Transferred,closed/Never late. Your statement Oct 2023 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2023 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ CLS 2022 ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2021 ✓ ✓ ✓ ✓ ✓ ✓ ✓ Current/Terms met CLS Closed - Data Unavailable 0 Contact info Address 3637 SENTARA WAY VIRGINIA BEACH, VA 23452 Phone number (757) 892-1700 Comments Transferred to another lender Page 326 of 496 ••. ��yy expelr ian. Prepared For JUAN M. MACIEL Date generated: Feb 10, 2025 • SUNCOAST CREDIT UNION $14,000 8 late payments Closed [o Account info Account name SUNCOAST CREDIT UNION Balance $14,000 Account number 460819XXXXXX Balance updated Jan 27, 2025 Original creditor - Credit limit $16,000 Company sold - Monthly payment $282 Account type Credit card Last Payment Date Dec 04, 2024 Date opened Mar 06, 2014 Past due amount $282 Open/closed Closed Highest balance $16,000 Status Closed. $282 past due as of Terms - Jan 2025. Responsibility Individual Status updated Oct 2024 Your statement $ Payment history Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2025 30 - - - - - - 2024 30 ✓ ✓ 30 ✓ CLS 30 60 90 120 CLS 2023 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 30 ✓ 2022 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2021 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2020 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2019 CLS CLS ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2018 - I V I V V ✓ ✓ CLS CLS CLS CLS Current / Terms met CLS Closed 30 Past due 30 days 60 Past due 60 days - Data Unavailable 90 Past due 90 days 120 Past due 120 days O Contact info Address 6801 E HILLSBOROUGH AVE TAMPA, FL 33610 Phone number (813) 621-7511 D Comments Account closed at credit grantor's request Page 327 of 496 !experian. SUNCOAST CREDIT UNION Exceptional payment history [o Account info Account name Account number Original creditor Company sold Account type Date opened Open/closed Status Status updated $ Payment history Prepared For JUAN M. MACIEL Date generated: Feb 10, 2025 Closed SUNCOAST CREDIT UNION Balance - 462148X Balance updated - - Original balance $16,333 - Monthly payment - Auto Loan Last Payment Date Dec 15, 2022 Aug 16, 2021 Terms 72 Months Closed Responsibility Individual Paid, Closed/Never late. Your statement Dec 2022 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2022 V V V V V V V V CLS 2021 V V VI Current/Terms met CLS Closed - Data Unavailable 0 Contact info Address PO BOX 11904 TAMPA, FL 33680 Phone number Comments Page 328 of 496 !expenan.. SUNCOAST CREDIT UNION Exceptional payment history [o Account info Account name Account number Original creditor Company sold Account type Date opened Open/closed Status Status updated $ Payment history Prepared For JUAN M. MACIEL Date generated: Feb 10, 2025 Closed SUNCOAST CREDIT UNION Balance - 462148X Balance updated - - Credit limit $6,800 - Monthly payment - Line of Credit Last Payment Date Oct 18, 2019 May 22, 2018 Highest balance $6,800 Closed Terms - Paid, Closed/Never late. Responsibility Individual Feb 2020 Your statement Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2020 ND CLS 2019 ND CLS CLS CLS ND CLS CLS CLS CLS CLS CLS CLS 2018 - -V VCLS CLS CLS CLS Current/Terms met ND No data for this period CIS Closed Data Unavailable 0 Contact info Address PO BOX 11904 TAMPA, FL 33680 Phone number D Comments Account closed at credit grantor's request Page 329 of 496 !experian. SUNCOAST CREDIT UNION Exceptional payment history [o Account info Account name Account number Original creditor Company sold Account type Date opened Open/closed Status Status updated $ Payment history Prepared For JUAN M. MACIEL Date generated: Feb 10, 2025 Closed SUNCOAST CREDIT UNION Balance - 462148X Balance updated - - Original balance $16,914 - Monthly payment - Auto Loan Last Payment Date Sep 21, 2017 Aug 22, 2014 Terms 60 Months Closed Responsibility Individual Paid, Closed/Never late. Your statement Sep 2017 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2017 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ CLS 2016 ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2015 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2014 ✓ ✓ ✓ ✓ ✓ Current/Terms met CLS Closed - Data Unavailable 0 Contact info Address PO BOX 11904 TAMPA, FL 33680 Phone number Q Comments Affected by natural or declared disaster Page 330 of 496 !experian. SYNCB/CARE CREDIT Exceptional payment history [o Account info Account name Account number Original creditor Company sold Account type Date opened Open/closed Status Status updated $ Payment history Prepared For JUAN M. MACIEL Date generated: Feb 10, 2025 Closed SYNCB/CARE CREDIT Balance - 601918XXXXXX Balance updated - - Credit limit $4,800 - Monthly payment - Charge Card Last Payment Date Feb 22, 2021 Feb 09, 2015 Highest balance $1,483 Closed Terms - Paid, Closed/Never late. Responsibility Individual Jan 2023 Your statement Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2023 Cis 2022 ✓ ✓ ✓ ✓ ✓ ✓ 2021 ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2020 ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2019 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2018 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2017 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2016 ✓ ✓ ✓ ✓ Current/Terms met CLS Closed - Data Unavailable 0 Contact info Address 950 FORRER BLVD KETTERING, OH 45420 Phone number (937) 534-6950 Comments Account closed at credit grantor's request Page 331 of 496 !expenan.. SYNCB/CUTTING EDGE Exceptional payment history [o Account info Account name Account number Original creditor Company sold Account type Date opened Open/closed Status Status updated $ Payment history Prepared For JUAN M. MACIEL Date generated: Feb 10, 2025 Closed SYNCB/CUTTING EDGE Balance 603462XXXXXX Balance updated - - Credit limit $3,620 - Monthly payment - Charge Card Last Payment Date Dec 13, 2024 Mar 18, 2022 Highest balance $9,341 Closed Terms - Paid, Closed/Never late. Responsibility Individual Dec 2024 Your statement Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2024 ✓ CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS CLS 2023 ✓ ✓ ✓ ✓ ✓ ✓ 2022 ✓ ✓ ✓ ✓ ✓ Current/Terms met CLS Closed - Data Unavailable 0 Contact info Address PO BOX 71727 PHILADELPHIA, PA19176 Phone number (866) 396-8254 Comments Account closed at credit grantor's request Page 332 of 496 ••. ��yy expelr ian. Prepared For JUAN M. MACIEL Date generated: Feb 10, 2025 • SYNCB/WALMART Closed Exceptional payment history [o Account info Account name SYNCB/WALMART Balance - Account number 60322OXXXXXX Balance updated - Original creditor - Credit limit $1,250 Company sold CAPITAL ONE Monthly payment - Account type Charge Card Last Payment Date May 23, 2018 Date opened Apr 02, 2014 Highest balance $2,514 Open/closed Closed Terms - Status Closed/Never late. Responsibility Individual Status updated Oct 2019 Your statement $ Payment history Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2019 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ CLS 2018 2017 2016 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2015 ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2014 ✓ ✓ ✓ ✓ ✓ Current/Terms met CLS Closed - Data Unavailable O Contact info Address PO BOX 965024 ORLANDO, FL 32896 Phone number (855) 893-5848 Q Comments Purchased by another lender Page 333 of 496 !experian. UPSTART NETWORK INC. Exceptional payment history [o Account info Account name Account number Original creditor Company sold Account type Date opened Open/closed Status Status updated $ Payment history Prepared For JUAN M. MACIEL Date generated: Feb 10, 2025 Closed UPSTART NETWORK INC. Balance - L31410X Balance updated - - Original balance $6,400 - Monthly payment - Unsecured Last Payment Date Apr 06, 2022 May 06, 2019 Terms 36 Months Closed Responsibility Individual Paid, Closed/Never late. Your statement Apr 2022 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2022 ✓ ✓ ✓ CLS 2021 ✓ ✓ ✓ ✓ ✓ ✓ ND ✓ 2020 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2019 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ Current/Terms met ND No data for this period CLS Closed - Data Unavailable 0 Contact info Address 2950 S DELAWARE ST STE 3 SAN MATEO, CA 94403 Phone number (855) 451-6753 Q Comments Page 334 of 496 !experian. WFBNA CARD Exceptional payment history [o Account info Account name Account number Original creditor Company sold Account type Date opened Open/closed Status Status updated $ Payment history Prepared For JUAN M. MACIEL Date generated: Feb 10, 2025 Closed WFBNA CARD Balance - 577442XXXXXXXXXX Balance updated - - Credit limit $3,300 - Monthly payment - Charge Card Last Payment Date May 23, 2018 May 25, 2015 Highest balance $3,133 Closed Terms - Paid, Closed/Never late. Responsibility Individual Jun 2018 Your statement Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2018 V V CLS CLS CLS CLS 2017 2016 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2015 ✓ ✓ ✓ ✓ ✓ ✓ ✓ Current/Terms met CLS Closed - Data Unavailable 0 Contact info Address PO BOX 393 MINNEAPOLIS, MN 55480 Phone number (855) 854-3502 Q Comments Account closed at credit grantor's request Page 335 of 496 !experian. Collection accounts CAPIO PARTNERS LLC Original creditor: NAPLES COMMUNITY HOSPITAL INC n Account info Account name CAPIO PARTNERS LLC Account number 366149XX Original creditor NAPLES COMMUNITY HOSPITAL INC Company sold - Account type Collection Date opened May 22, 2024 Status Collection account. $2,069 past due as of Feb 2025. Status updated May 2024 $ Payment history Prepared For JUAN M. MACIEL Date generated: Feb 10, 2025 $2,069 Balance $2,069 Balance updated Feb 03, 2025 Original balance $2,069 Monthly payment - Past due amount $2,069 Terms 1 Month Responsibility Individual Your statement Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2025 C C 2024 C C C C C C C Collection - Data Unavailable O Contact info Address 2222 TEXOMA PKWY STE 150 SHERMAN, TX 75090 Phone number (903) 892-7400 R Comments Page 336 of 496 !experian. Prepared For JUAN M. MACIEL Date generated: Feb 10, 2025 Public records No public records reported. Page 337 of 496 !experian. Prepared For JUAN M. MACIEL Date generated: Feb 10, 2025 Inquiries CAP1 /BASS Inquired on Apr 2, 2023 Business Type: Bank Credit Cards PO BOX 30281 SALT LAKE CITY, UT 84130 (800)227-4825 This inquiry is scheduled to continue on record until May 2025 LAKE MICHIGAN CREDIT U Inquired on Mar 14, 2024 Business Type: Credit Unions PO BOX 2848 GRAND RAPIDS, MI 49501 (616) 242-9790 This inquiry is scheduled to continue on record until Apr 2026 Page 338 of 496 !expenanm Prepared For JUAN M. MACIEL Date generated: Feb 10, 2025 Credit scores FICO° Score 8 Load �e °a 579 1Your score is well below the average score of U.S. consumers and demonstrates to lenders that you are a risky borrower. ao " 300 850 FICOSCORE8 Experian dam v,a,zazs What's helping o Long credit history • You have an established credit history. • Your oldest account was opened: 10 Years, 11 Months ago • FICO High Achievers opened their oldest account 25 years ago, on average. • Average age of your accounts: 6 Years, 10 Months • Most FICO High Achievers have an average age of accounts of 9 years or more. • FIC00 Scores measure the age of the oldest account and the average age of all accounts being reported. Generally speaking, having a relatively long credit history and not opening many new accounts is reflective of lower risk. What's hurting - Negative items • You have a serious delinquency or derogatory indicator, public record and/or collection on your credit report. • Number of your accounts that were ever 60 days late or worse or have a derogatory indicator: 2 accounts • Virtually no FICO High Achievers have a 60 days late payment or worse listed on their credit report. • Number of collections on your credit report: 1 collection • Virtually no FICO High Achievers have a public record or collection listed on their credit report. The presence of a serious delinquency or derogatory indicator and a derogatory public record (such as a bankruptcy) or collection is a powerful predictor of future payment risk. However, newer versions of the score including FIC00 Score 9, FICOO Score 10, and FIC00 Score 10 T only consider unpaid collections. Most collections, public records and delinquencies stay on the report for no more than seven years - though there are certain items that could remain longer. As these items age, they may have less impact on the FIC00 Score. Satisfying the public record or paying off the collection will not remove the item from a credit report. And it will still be considered by a FICOO Score as long as it is reported. - High credit usage You've made heavy use of your available revolving credit. Ratio of your revolving balances to your credit limits: 72 i • For FICO High Achievers, the average ratio of the revolving account balances to credit limits is less than 7%. Page 339 of 496 • The FIC0O Score evaluates balances in relation to available credit on revolving accounts. The extent of a person's credit usage is one of the most important factors considered by a FICOO Score. People who keep their ratio of balances to credit limits lower are generally considered less risky to lenders than those with higher ratios. Note, consolidating or moving debt from one account to another will usually not change the total amount owed. - Recent missed payment • You recently missed a payment or had a derogatory indicator reported on your credit report. • Your most recent missed payment happened: 1 Month ago • About 98 i of FICO High Achievers have no missed payments at all. But of those who do, the missed payment happened nearly 4 years ago, on average. • The presence of missed or late payments or derogatory indicators on a credit report, including the number of missed payments, how late they were and how recently they occurred, are correlated with future credit risk. Generally speaking, people who consistently pay their bills on time are less risky compared to people with recently missed payments. As missed payments age, they have less impact on a FIC0O Score. - Bad payment history You have one or more accounts showing missed payments or derogatory indicators. • Number of your accounts with a missed payment or derogatory indicator: 4 accounts • About 98 i of FICO High Achievers have no missed payments at all. But of those who do, the missed payment happened nearly 4 years ago, on average. The presence of missed and late payments or derogatory indicators on a credit report, including the number of late payments, how late they were and how recently they occurred, are correlated with future credit risk. Your FIC0O Score was lowered due to the number of missed and late payments and/or accounts with derogatory indicators reported. As the number of accounts with delinquency or derogatory indicators decreases, they have less impact on a FIC0O Score. Page 340 of 496 !expenanm Prepared For JUAN M. MACIEL Date generated: Feb 10, 2025 Disclaimer About your FICO® Score 8 or other FICO® Scores Your FICO° Score 8 powered by Experian data is formulated using the information in your credit file at the time it is requested. Many but not all lenders use FICO® Score 8. In addition to the FICO® Score 8, we may offer and provide other base or industry -specific FICO® Scores (such as FICO® Auto Scores and FICO® Bankcard Scores). The other FICO® Scores made available are calculated from versions of the base and industry -specific FICO° Score models. Base FICO® Scores (including the FICO® Score 8) range from 300 to 850. Industry -specific FICO® Scores range from 250-900. Higher scores represent a greater likelihood that you'll pay back your debts so you are viewed as being a lower credit risk to lenders. A lower FICO® Score indicates to lenders that you may be a higher credit risk. There are many scoring models used in the marketplace. The type of score used, and its associated risk levels, may vary from lender to lender. But regardless of what scoring model is used, they all have one purpose: to summarize your creditworthiness. Keep in mind that your score is just one factor used in the application process. Other factors, such as your annual salary and length of employment, may also be considered by lenders when you apply for a loan. What this means to you: Credit scoring can help you understand your overall credit rating and help companies better understand how to serve you. Overall benefits of credit scoring have included faster credit approvals, reduction in human error and bias, consistency, and better terms and rates for American consumers through reduced costs and losses for lenders. Your lender or insurer may use a different FICO° Score than FICO® Score 8 or other base or industry -specific FICO® Scores provided by us, or different scoring models to determine how you score. Page 341 of 496 Findings of Fact, Conclusions of Law and Decision of the Board Collier County Contractor Licensing Board For Applications Submitted to the Board for Review Type of Application: X Credit Report Review Waiver of Testing Requirements Reinstatement of License Request to Qualify Second Entity Other (specify) THIS CAUSE came on for public hearing before the Contractor Licensing Board (hereafter Board) on August 16, 2023, for consideration of an application submitted to the Board for review. The application submitted is for a license as a Swimming Pool/Spa Servicing/Repair Contractor. Rafael Aguilar, d/b/a RL Installers, Inc. (hereinafter "Applicant") is before the Board for review of his credit score and a determination of whether the Applicant's credit should prevent the license from being issued to the Applicant. The Board, having heard testimony under oath, received other evidence, and heard arguments relative to all appropriate matters thereupon, issues its Findings of Fact, Conclusions of Law and Order of the Board as follows: FINDINGS OF FACT 1. The Applicant applied to the Collier County Contractor Licensing Supervisor, or his designee, for issuance of a license as a Swimming Pool/Spa Servicing/Repair Contractor, 2. Based on the credit report supplied by the Applicant to the Licensing Supervisor, a review of the creditworthiness of the Applicant by the Board is necessary. 1 Page 342 of 496 3. The Applicant was present at the public hearing and was not represented by counsel. 4. The Applicant has demonstrated to the Board's satisfaction that the Applicant has improved his creditworthiness to be issued the subject license subject to certain restrictions and reporting requirements. CONCLUSIONS OF LAW 1. All notices required by the Code of Laws and Ordinances of Collier County, as amended, have been properly issued and the Board has jurisdiction over the matter. 2. Pursuant to Section 22-184(b) of the Code of Laws and Ordinances of Collier County, as amended, the subject application met the requirement(s) requiring Board review and approval of the application. 3. The Applicant has sufficiently demonstrated to the Board that he meets the creditworthiness standard(s) as set out in Code of Laws and Ordinances of Collier County, as amended, to be issued a license as a Swimming Pool/Spa Servicing/Repair Contractor, subject to certain restrictions and reporting requirements. ORDER OF THE BOARD 1. Based upon the foregoing Findings of Fact and Conclusions of Law, and pursuant to the authority granted as applicable in Chapter 489, Florida Statutes, and Code of Laws and Ordinances of Collier County, as amended, by a vote of 7 in favor and Q opposed, a unanimous vote of the Board present, the application for licensure as a Swimming Pool/Spa Servicing/Repair Contractor is hereby GRANTED. 2. The subject license is placed on a probationary term for up to twelve (12) months. Within six (6) months the Applicant shall provide an updated credit report to 2 Page 343 of 496 the Contractor Licensing Supervisor, or his designee, evidencing an improved credit score with no new delinquencies or non -payments. If the credit score is 660 or greater the probationary term shall be automatically lifted. If the score is not 660 or greater at the six (6) month period, the Applicant shall provide a second updated credit report to the Contractor Licensing Supervisor, or his designee, at twelve (12) months. If the credit report is 660 or greater the probationary period shall be automatically lifted. If the score has not improved to at least 660 the Applicant shall appear back before this Board to explain the reason(s) the score is below the 660 minimum requirement. If the Applicant provides an updated credit report to the Contractor Licensing Supervisor, or his designee, evidencing an improved credit score of 660 or higher at any time during the twelve (12) month probationary term, the probation shall be automatically lifted from the subject license and no further action shall be taken. 2023. ORDERED by the Contractor Licensing Board effective the 16th day of August CONTRACTOK L 'EN ING BOARD COLLIER 0 . F ORIDA By: Tqidc�AIIen, Chair I HEREBY CERTIFY that a true and correct copy of the above and foregoing Findings of Fact, Conclusions of Law, and Order of the Board has been furnished to the Applicant, and Timothy Crotts, Contractor Licensing Supervisor, 2800 North Horseshoe Drive, Naples, FL 34103 on this day of 2023. Secretary/Contractor Licensing Board 3 Page 344 of 496 BEFORE THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD BOARD OF COUNTY COMMISSIONERS, COLLIER COUNTY, FLORIDA, Petitioner, V. ABNER SANTOS VALLADAREZ D/B/A VALLE CUSTOM BUILDERS LLC Respondent. Case No: 2025-01 Licensee # LCC20170002560 CEMIS20240012270 ADMINISTRATIVE COMPLAINT Collier County (County) files the Administrative Complaint against ABNER SANTOS VALLADAREZ (Respondent), a Collier County licensed contractor with license numbers 20170001309 (Floor Covering) & 201900000892 (Tile & Marble) and states the following facts and allegations in support of the cited violations below: The Respondent is currently licensed as a Floor Covering and Tile & Marble contractor, by Collier County Contractors' Licensing. 2. The Respondent, ABNER SANTOS VALLADAREZ, is the Collier County license holder of record for the company Valle Custom Builders LLC. (Q20170001458). 3. Under the provisions of Chapter 489 Florida Statutes §489.105(12) F.S. and the Collier County Code of Laws and Ordinances Sec. 22-202, the Collier County Contractors' Licensing Board (Board), is authorized to impose penalties against Collier County Certificate of Competency holders who violate the Collier County Code of Laws and Ordinances. 4. Under the provisions of the Collier County Code of Laws and Ordinances Sec 22- 202, the following actions of the Respondent constitute misconduct and grounds for discipline. 5. On December 19, 2024, the Collier County Licensing Department received a complaint from the Collier County Building Department regarding unpermitted interior renovations at 215 Torrey Pines Pt. Contractors Licensing case # CEMIS20240012270 was opened to investigate further. 6. Upon investigation, it was discovered on December 9, 2024, Valle Custom Builders LLC, entered into a written contract with property owner, Charles Marcinkiewcz, to perform renovations of the master bathroom, to include drywall & durarock Page 345 of 496 installation, tiling, and flooring, for $8,000.00. An initial deposit of $4,000.00 was made to Valle Custom Builders LLC. 7. On December 19, 2024, Collier County Licensing Investigator Greg St. Jean observed interior renovations that included demolition, drywall & durarock installation, plumbing, tiling, and flooring, at 215 Torrey Pines Pt. 8. On December 19, 2024, a review of County records revealed no building permits were issued for interior renovations being performed by Valle Custom Builders LLC, at 215 Torrey Pines Pt. and a Stop Work Order was issued. 9. On December 19, 2024, Collier County Site Plans Reviewer II, Robert Moore, confirmed a permit was required for the interior renovations. 10. Based on the investigation, and pursuant to Collier County Code of Laws and Ordinances Section 22-202(a)(2) and (b), the Contractors' Licensing Supervisor determined sufficient cause exists to warrant the filing of formal charges. 11.On December 26, 2024, a Notice of Hearing to appear before the Collier County Contractors' Licensing Board on February 19, 2025, at 9.00 am, was issued in person to and signed by the Respondent. 12. The County now brings the following count(s) in this Administrative Complaint against the Respondent: COUNT I A. ABNER SANTOS VALLADAREZ is the holder of a Collier County license for FLOOR COVERING and TILE & MARBLE CONTRACTOR. ABNER SANTOS VALLADAREZ'S license does not allow for the scope of services he contracted for and performed that included drywall, durarock, and plumbing. B. VALLADAREZ, ABNER SANTOS is in violation of Collier County Code of Laws and Ordinances Section 22-201(2), which states, in pertinent part, that it is misconduct by a holder of a Collier County Certificate of Competency to contract to do any work outside of the scope of his/her competency as listed on his/her competency card and as defined in this ordinance or as restricted by the Contractors' Licensing Board. COUNT II A. Upon review of the Collier 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. Page 346 of 496 B. ABNER SANTOS VALLADAREZ is in violation of the Collier County Code of Laws and Ordinances Section 22-201(18), in pertinent part, that it is misconduct by a holder of a Collier County Certificate of Competency, to proceed on any job without obtaining applicable permits or inspections from the City building and zoning division or the County Building review and permitting department. WHEREFORE, the Petitioner asserts the above facts and charges are grounds for disciplinary action under Collier County Code of Laws and Ordinances Sec. 22-201 and, WHEREFORE, in consideration of the foregoing, the Petitioner respectfully requests the Collier County Contractors' Licensing Board to find the Respondent guilty of the violation(s) charged. Dated: Z'1Z " Signed: Collier County Contractors' Licensing Supervisor Page 347 of 496 Contractors' Licensing Board 2800 North Horseshoe Dr. Naples, FL 34104 Complaint Number: 2025-1 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 19, 2024 Against: Contractor's Name: VALLADAREZ, ABNER SANTOS Phone: 239-273-1695 Business Name: Valle Custom Builders LLC License(s) Held: Floor Covering, Tile & Marble Collier County Competency number: 20170001309/201900000892 Contractor's Business Address: 25 Mentor Drive, Naples, FL 34110 Filed By: Name: Collier County Contractors' Licensing: Greg St.Jean Address: 2800 N. Horseshoe Dr., Naples, FL 34104 Business Phone: 239-252-8288 Address where work done: 215 Torrey Pines Point City: Naples County: Collier Date of contract: December 9, 2024 Date job started: December 16, 2024 (approx.) Page 348 of 496 Date job completed or new home occupied: N/A Were there plans and specifications: No Is there a written contract: Yes If yes, amount of Contract: $8,000.00 Has Contractor been paid in full: No If not, what amount: $4,000.00 Was a permit obtained: No Was a permit required: Yes Permit number if known: Have you communicated by letter with the licensee: Yes Date: 12/26/2024 Do you have a reply: N/A Please attach to this form all copies of the purchase agreement, building contract, home improvement contract, copies of receipts and/or cancelled checks available and any additional evidence to substantiate your allegations. List any subsections of Collier County Ordinance number 22-201, which, in your opinion, have been violated by the contractor, which is the subject of this complaint, (list subsection number): a. Collier County Ordinance 22-201(2) Contracting to do work outside the scope of his/her competency card and as defined in this Ordinance or as restricted by the Contractors' Licensing Board. b. Collier County Ordinance 22-201(18) Proceeding on any job without obtaining applicable permits or inspections from the city building and zoning division or the county building review and permitting department. Please state the facts which you believe substantiate your charge of misconduct against the subject contractor. List facts separately for each subsection number above: a. Collier County Ordinance 22-201(2) Contracting to do work outside the scope of his/her competency card and as defined in this Ordinance or as restricted by the Contractors' Licensing Board. 1. VALLADAREZ, ABNER SANTOS is the holder of a Collier County license for FLOOR COVERING and TILE & MARBLE CONTRACTOR. VALLADAREZ, ABNER SANTOS license does not allow for the scope of services he contracted for and performed in a condominium that included demolition, drywall, durarock, and plumbing. 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. Page 349 of 496 1. Upon review of the Collier 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. V3 Q, '� C-L-U Gr g St.Jean Code Enforcement Investigator — Licensing State of V N County of LLV�I (z The foregoing instrument was acknowledged before me by means ofu physical presence or ❑ online ation on this 1��rday of , 20 �7 Y Such person(s) Notary Pdblic must check applicable box: e personally known to me ❑ has produced a current driver license ❑ has produced (Notary Seal) as identification. Notary Signature: o�lay pusc� NEILC.DAY Y * * Commission # HH 1-4 48 Expires August 26, 2025 �Op ? Bonded Thru Budget Notary Services Page 350 of 496 Co3-r Conr.vi.ty Growth Management Division Planning & Regulation Operations Department Licensing Section Date: December 20, 2024 Mr. Abner Valladarez 25 Mentor Drive Naples, FL 34110 RE: Case # CEMIS20240012270 — 215 Torrey Pines Point Mr. Abner Valladarez, 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, February 19, 2024, at 9:00 AM in the Board of County Commissioner's Room, Third Floor, Administration Building (W. Harmon Turner Bldg.), at 3301 East Tamiami Trail, Naples, Florida 34112. Your presence before the Collier County Contractors' Licensing Board is required at this time. The packet concerning your case marked composite exhibit "A" will be delivered to the members of the Contractors' Licensing Board one week prior to the hearing. If you wish to receive a copy of this packet, please notify the Contractor Licensing Customer Service Office. If you wish to prepare a defense packet and have it delivered in conjunction with composite exhibit "A", you must make fifteen copies and have them in our office by 8:00 AM on Wednesday, one week prior to the hearing. In your packet, you may give a summary of events. At this meeting, you may present evidence and be represented by an attorney of your choice. In the event the Contractors' Licensing Board finds you in violation of 22-201(2) and 22- 201(18) of the Collier County, FL Code of Ordinances: Sec. 22-201— MISCONDUCT — Collier County/city certificate of competency. Sec. 22-201(2) Contracting to do any work outside the scope of his/her competency as listed on his/her competency card and as defined in this Ordinance or as restricted by the Contractors' Licensing Board. Sec. 22-201(18) - Proceeding on any job without obtaining applicable permits or inspections Growth Management Division*Planrsing & Regulation*2800 North Horseshoe Drive*Naples, Florida 34104*239-252-2400*www.colliergov.net Page 351 of 496 Ca��- CoH.nty Growth Management Division Planning & Regulation Operations Department Licensing Section from the city building and zoning division or the county building review and permitting department. The range of disciplinary sanctions which may be imposed are, (1) Revocation of a Collier County or city certificate of competency; (2) Suspension of a Collier County or city certificate of competency; (3) Denial of the issuance or renewal of a Collier County or city certificate of Competency: (4) A period of probation of reasonable length, not to exceed two years, during which the contractor's contracting activities shall be under the supervision of the contractors' licensing board; and/or participation in a duly accredited program of continuing education directly related to the contractor's contracting activities; (5) Restitution; (6) A fine not to exceed $10,000.00; (7) A public reprimand; (8) Reexamination requirement; or (9) Denial of the issuance of Collier County or city building permits or requiring the issuance of permits with specific conditions; (10) Reasonable investigative and legal costs for the prosecution of the violation. incerely, Greg St. Jean Licensing Compliance Officer Collier County Contractors' Licensing 239-252-8288 /,,?/a(,laoay Initials. g V Growth Management Division'Planning & Regulation*2800 North Horseshoe Drive'Napies, Florida 34104*239-252-2400*www.coliiergov.n(-. Page 352 of 496 Cd* r ov.net Report TitI&I Code Case Details Date: 2/10/2025 11:25:22 AM Case Number CEMIS20240012270 I Case Number: ICEMIS20240012270 I Case Type: Misconduct Priority: Normal Inspector: IGreg.StJean Jurisdiction: I Collier County Origin: Complaint Detail Description: Unpermitted bathroom renovation Location Comment; 215 Torrey Pines Pt Naples, FL 34113 F#55401640001 Address 215 Torrey Pines PT, Naples Property 55401640001 Contacts Status: Refer to CLB Date & Time Entered: 12/20/2024 9:00:15 AM Entered By: Greg.StJean Case Disposition: Case Pending Complainar,, Collier County Building Dept. Address:2800 N Horseshoe Dr. Property Owner C & K MARCINKIEWICZ TRUST Violator VALLADAREZ, ABNER S Business Management & Budget Office 1 Page 353 of 496 Code Case Details Execution Date 2/10/2025 11:25:22 AM Desc Assigned Required Completed Outcome Comments Preliminary Investigation Greg.StJean 12/19/2024 12/20/2024 Needs I received a complaint from Director Crotts Investigatio regarding unpermitted interior renovations. n Needs Investigation. Cont. Investigation Greg.StJean 12/19/2024 1/6/2025 Complete SITE VISIT: I made contact with the property owner Charles Marciniewicz and advised him we had received a complaint regarding some interior renovations being performed. Mr. Marciniewicz told me they were doing work in the master bathroom. I asked if he would be willing to show me the work and tell me who is performing the work so a permit determination can be made. Mr. Marciniewicz provided me with a copy of the contract between himself and Valle Custom Builders dated December 9, 2024. The contract was for floor and backslash installation, tub/shower installation (labor only), installation of durarock, drywall, waterproofing over walls, and metal, plastic and pencil edges. The total contract is for $8000.00 of which $4000.00 has been paid via check. Mr. Marciniewicz agreed to send me a copy of the deposit check. Mr. Marciniewicz also told me that VCB did the demo work and removed all the drywall, tile, flooring and plumbing fixtures and discarded the material. Mr. Marciniewicz told me that he believed the contractor was licensed because they provided him with their license numbers. I then asked Mr. Marciniewicz how he came to hire VCB and he told me he met them at home depot and they only had this time to do the install. I asked who he dealt with at VCB and he told me Luis Gonzalez. He then allowed me into the house, and observed 2 men and a woman (Obed Tomas/Gumecindo Dammgo/Geyvana Nolosco) and they were installing drywall and durarock in the entire bathroom. I asked for the name of their company and they told me Valle Custom Builders and they gave me a phone number for Pedro Hernandez, 239-200 -4579 and they told me they were hired that morning for $100 per day each to perform the work. They did confirm they were day laborers and not employees of the company. I then asked Mr. Marciniewicz if he was aware there were no permits for the work being done and he told me that he did not realize permits were required. I asked Mr. Marciniewicz if the company he hired performed all the work that had been completed and he told me everything except the electrical work that he Business Management & Budget Office 2 Page 354 of 496 Code Case Details Execution Date 2/10/2025 11:25:22 AM did. I asked Mr. Marciniewicz who performed the demo work and he told me that other employees from Valle Custom Builders had done the demo work including removing all the plumbing fixtures. I told the 3-day laborers and Mr. Marciniewicz that I was posting a SWO until permits were issued. I also asked permission to take photos for a permit determination to be made and Mr. Marciniewicz agreed. The day laborers were told to make the site safe & secure collect their tools and vacate the job. PHONE CALL: Pedro Hernandez, 239-200- 4579 I told Mr. Hernandez the complaint we received and confirmed that he was hired to perform the work at the subject property and Mr. Hernandez confirmed that he was hired for the job. I asked Mr. Hernandez for the name of the company that was hired, and he told me it was Valle Custom Builders. I asked Mr. Hernandez if he was an employee of Valle Custom Builders, and he told me he was a sub -contractor. Again, I asked Mr. Hernandez for the name of his company, and he did not give it to me. I asked Mr. Hernadez what work he was hired to perform, and he told me he was hired to do install the drywall and durarock in the master bathroom. I asked Mr. Hernandez how much he was paid for the work and he confirmed he would be paid $800.00 in cash by Luis Gonzalez from Valle Custom Builders. I then asked who Mr. Gonzalez was and he told me he was the site supervisor for VCB and he provided me with a contact number. I told Mr. Hernandez that I was posting a SWO for the property because there was no permits for the work and he stated he understood. I also told Mr. Hernandez we would need to meet regarding the work he performed because a search of the Collier County and the State of Florida licensing database showed no license for any scope of work. He told me again he was working under Valle Custom Builders license as a subcontractor. I educated Mr. Hernandez that 1099 sub -contractors need to hold a license for the scope of work they are performing. Mr. Hernandez agreed to set a date for a meeting regarding this project and citations that will be issued. PHONE CALL: Luis Gonzalez, Valle Custom Builders, 239-662-9611 I told Mr. Gonzalez about the complaint and my observations at the subject property and confirmed he was the project manager for Business Management & Budget Office 3 Page 355 of 496 Code Case Details Execution Date 2/10/2025 11:25:22 AM VCB and Mr. Gonzalez did confirm that information. I asked Mr. Gonzalez how he was employed by VCB and he told me that he was a W2 employee that is paid every week. I confirmed with Mr. Gonzalez that VCB held a floor covering and tile & marble license. I asked Mr. Gonzalez what work they were hired to perform, and he told me that they were hired for all the demo work including all plumbing fixtures and to install tub/shower, durarock over the existing studs, drywall, metal or plastic pencil edges of walls. I again confirmed with Mr. Gonzalez that they removed and demolished all the plumbing fixtures and he did confirm that they did that work. Mr. Gonzalez also confirmed that he hired Pedro Hernandez as a sub -contractor to perform the physical labor and he could not confirm the amount he paid him because payments would be made in case and all contracts were verbal. I asked how he came to hire Pedro Gonzalez, and he told me they had met a couple of weeks earlier on a previous job site. I also asked Mr. Gonzalez how he kept track of sub- contractors and payments if all contracts were verbal, and payments were made in cash and he told me he "just remembers". I asked Mr. Gonzalez who he reports to at VCB and he provided me with Abner Valadarez (qualifier) Valle Custom Builders, 239-273-1695. Mr. Gonzalez agreed to work with me and provide me with any information I needed. Cont. Investigation Greg.StJean 12/19/2024 1/6/2025 Complete PERMIT DETERMINATION: Collier County Plans Reviewer 11, Robert Moore determined permits are required for the work being performed. Issue Stop Work Order Greg.StJean 12/19/2024 1/6/2025 Complete CE Phone Call Greg.StJean 12/19/2024 1/6/2025 Complete PHONE CALL: VALLADAREZ, ABNER SANTOS (qualifier), Valle Custom Builders LLC, 239-273-1695 I confirmed with Mr. Valladarez that his company was contracted for work at the subject property and he told me it was his job and that Luis Gonzalez is the project manager. I asked Mr. Valladarez what work he was hired to do and he told me he would need to speak with Mr. Gonzalez because it was his job. I explained that I observed 3 workers installing durarock and drywall at the property. I also confirmed he performed the demo work in the bathroom and he did confirm his company did the demo of the bathroom. I also confirmed that he holds only a floor covering and tile & marble license in Collier County and he again Business Management & Budget Office 4 Page 356 of 496 Code Case Details Execution Date 2/10/2025 11:25:22 AM confirmed he only holds those 2 licenses. I asked if he knew the 3 persons working at the site and he told me they were hired by Mr. Gonzalez/ I asked if he knew Pedro Hernandez and he told me that Mr. Hernandez is a sub -contractor and he thought he held a drywall license. I explained that Mr. Hernandez did not hold any license for any scope of work but told me he is an employee of VCB. I asked Mr. Valladarez how Mr. Gonzalez was employed and he told me he was an employee of the company. Mr. Valladarez stated he would call me back with the information I requested. PHONE CALL: Melanie Orben, Valle Custom Builders (officer of company), 239-404-1101 Ms. Orben told me she was the wife of VALLADAREZ, ABNER SANTOS from VCB and an officer of the company. Ms. Orben started our conversation off with the fact that this is a small job and the only work they were doing is the tile work. I explained that I had 3 persons on site that claimed to be working for VCB that had performed the demo work and they were installing drywall and durarock. Ms. Orben stated they can do that work because it pertained to the tile work they were hired to perform. I explained to Ms. Orben that the work they contracted for, received payment, and performed with day laborers is outside of the scope of their license. Ms. Orben did not agree with me. Ms. Orben then went on to inform me that Luis Gonzalez is a 1099 salesman/project manager for the company and does not have authorization to write contracts outside of floor covering and tile & marble work. I asked her if she was aware of the contract written for the subject property and she told me she was and again I explained that on the contract it was written for work they are not licensed to perform. Ms. Orben did not agree with me and asked if we could just give her a fine so they could move on and I explained that they need to meet with me to receive a notice of hearing in front of the CLB. Ms. Orben began telling me about what all other contractors are doing and I should go after them and not her company because they are a small company. Ms. Orben and Mr. Valladarez agreed to meet with me a GMD on December 26, 2024 at 9:00 am to discuss this case and receive the NOH. I also explained that the complaint came from Director Crotts and needed to be addressed asap. Business Management & Budget Office 5 Page 357 of 496 Code Case Details Execution Date 2/10/2025 11:25:22 AM GMD MEETING - ISSUE NOH: December 26, 2024 I met with Ms. Orben and Mr. Valladarez at GMD and explained the process to them regarding the notice of hearing and again Ms. Orben asked why we are going after them for a little $8,000.00 job and I explained that they contracted for work outside of the scope of her license. Ms. Orben immediately told me that it is on the invoice that a plumber and electrician would be hired. I told her the work they had performed during demo and the installation of drywall and durarock is outside of their scope. I did ask if they were aware that Luis Gonzalez wrote this contract without them knowing he wrote the contract and Mr. Valladarez told me it is his company and he is responsible for the work and contracts. I told them they would be scheduled for the hearing on February 19, 2024, and they could present the case to the CLB. Ms. Orben asked if they could just be fined and move on and I told her she could not. I also explained that a search of the Collier County licensing database showed that they had been issued a citation (case#20230005563) for unlicensed plumbing at 4120 Looking Glass Lane in June of 2023 and the citation was paid in June of 2023. Ms. Orben told me that it was Collier county's fault because they gave her the wrong information. I explained to her once the citation was paid it goes down as a guilty plea. I explained the NOH to both of them and they both told me they understood and had no questions but wanted to let me know they did not think they had to go to a hearing and was not willing to work with them so they could move on. Ms Orben continues to tell me that I had the power to just fine them and not take them to hearing. I explained that my supervisor makes that decision and gave them contact information for Director Crotts and Supervisor Bogert and they could reach out to them if they chose. Mr. Vallarez signed and dated the NOH and told me he would see me in court. FURTHER CONTACT: Ms. Orben did email Supervisor Bogert requesting a meeting to avoid a hearing and Supervisor Bogert also informed her that this is the 2nd offense and Mr. Vallarez would be required to appear for the hearing. Business Management & Budget Office 6 Page 358 of 496 Code Case Details Execution Date 2/10/2025 11:25:22 AM Ms. Orben did call me to again argue about going to a hearing and that it would cost them alot of money and they would rather just pay a fine. I explained to her that it was not possible because we do not fine or issue citations to license contractors any longer. I did explain to her she can plead he case to the CLB. Cont. Investigation Greg.StJean 12/26/2024 1/6/2025 Complete CASE RESEARCH: Permits: No open/active permits or permit applications for the subject property Valle Custom Builders LLC Collier County Floor Covering - LCC20170002560 - VALLADAREZ, ABNER SANTOS (qualifier) Collier County Tile & Marble - LCC20170002560 - VALLADAREZ, ABNER SANTOS (qualifier) Website: https://vallecustombuilders.com Valle Custom Builders website is advertising for bathroom and kitchen remodels throughout Collier County, Naples, FL, and Marco Island, FL I did confirm this with VALLADAREZ, ABNER SANTOS (qualifier) and told him he 3 business days to remove this from his website or he would be issued citations for unlicensed advertisement. Mr. Valladarez confirmed he would remove all information he is not licensed to perform. Generate CLB Notice of Hearing Greg.StJean 12/26/2024 1/6/2025 Complete Issued in person on December 26, 2024 Cont. Investigation Greg.StJean 1/2/2025 1/6/2025 Complete CASE REASEARCH (cont.) Valle Custom Builders LLC - History CEUL20230005563 - Unlicensed Plumbing - 4120 Looking Glass Ln #6 - Citation #11929 CECV20230005345 - No Issued Permits - 4120 Looking Glass Ln #6 - No citation issued Attach Picture(s) Greg.StJean 1/6/2025 1/6/2025 Complete 215 Torrey Pines Pt Schedule for CLB Greg.StJean 1/6/2025 1/6/2025 Complete I Notice of hearing issued in person on December 26, 2024 Business Management & Budget Office 7 Page 359 of 496 Code Case Details Execution Date 2/10/2025 11:25:22 AM Desc Assigned Required Completed Outcome Comments Not Applicable Greg.StJean 1/6/2025 1/6/2025 Not Required Enter Hearing Results Greg.StJean 2/19/2025 Pending Violation Description Status Entered Corrected Amount Comments Hearings Title Reason Result Compliance Fine/Day Condition Business Management & Budget Office E Page 360 of 496 LABOR ONLY ESTIMATE Tub Shower Renovation / 37224408-1 Customer Phone Email Address City ST Postal Code Customer Info Charles Marcinkiewicz (443) 721-4099 cmarci nk i ewicznea rthl ink, net 215 Torrey Pines Pt Naples FL 34113 Installer Phone Email Estimator Store # (877) 477-1017 Installation Info Valle Custom Builders LLC (239) 662-9611 luiss onzalez _iecustombuilders.com Luis Gonzalez WO # 37224408-1 265 Estimate Date 12/09/2024 Bathroom I Ceramic / Porcelain 1 72.00 Sq. Ft. Bathroom THIS QUOTE IT'S ONLY FOR LABOR & IT DOES NOT INCLUDE ANY MATERIALS AT ALL . An additional charge might apply to your existing estimate if subfloor requires preparation such as grinding bumps or leveling low areas!!! Grinding bumps $85.00 per Hr Self level concrete patch $85.00 per bag If HOA Requires to Install a Primed & Glued Sound Proofing , Install Cost $2.00 per Sq Ft Homeowner is responsible to hire a professional license and insured plumbing to install toilets back, our installers are not allowed to do any plumbing or electrical work at all !!! Installation Page 1 of 3 Page 361 of 496 LABOR ONLY ESTIMATE (877) 477-1017 Project.. Installation $ 8,000.00 Subtotal $ 8,000.00 Project Total $ 8,000.00 Deposit $ 4,000.00 Balance $ 4,000.00 Page 2 of 3 Page 362 of 496 HOME IMPROVEMENT AGREEMENT Valle Custom Builders LLC Work Order # 37224408 25 Mentor Dr PLEASE READ THIS Total Contract Amount $ Naples, FL 34110 Deposit $ License #: L18000285638, 201900000892, 201700001309 Due Upon Completion $ Customer Name & Project Address Customer Address (if different) Primary Phone (443) 721-4099 Charles Marcinkiewicz Alternate Phone 215 Torrey Pines Pt Email cmarcinkiewicz@earthiink.net Naples, FL 34113 This agreement (the "Agreement") between the customer identified above ("Customer") and the Contractor includes any State Supplement and Change Order, if applicable, provides for Contractor to provide the installation services described on the attached Estimate # at the Customer's address referenced above (the "Installation Services"). The State Supplement and Change Order, if applicable, and Estimate are herein incorporated by reference. The Installation Services shall be performed by Contractor in accordance with all applicable laws. Contractor does not perform architectural or engineering services or make structural changes to dwellings or other structures. Payment Options (Subject to fund verification and/or credit approval) Customer may pay the Total Contract Amount by authorizing an electronic checking account withdrawal or utilizing an accepted credit card or financing. Upon execution of this contract, Customer authorizes the processing of the Deposit payment, if applicable, from the designated checking, credit card or finance account. Upon execution of the Completion Certificate, Customer authorizes the immediate processing of the Due Upon Completion payment from said designated account. Customer is subject to the terms and conditions of the cardholder or loan agreement, as applicable, to which Contractor is not a party. Any interest payments or other finance charges will be determined by such cardholder or loan agreement, and will be in addition to Customer's payments under this Agreement. CANCELLATION: CUSTOMER MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR OBLIGATION BY DELIVERING WRITTEN NOTICE TO CONTRACTOR BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING THIS AGREEMENT. SEE THE NOTICE OF CANCELLATION FOR AN EXPLANATION OF THESE RIGHTS. SEE ATTACHED STATE LAW SUPPLEMENT FOR ADDITIONAL CANCELLATION RIGHTS SPECIFIC TO YOUR STATE IF APPLICABLE. If the Agreement is so cancelled, Customer payment(s) will be returned ten (10) business days after receipt of Customer's cancellation notice. GENERAL TERMS AND CONDITIONS TIME OF SERVICE: The Installation Services are estimated to start thirty days from the transaction date, based on the reasonable availability of the Installer and any special order or custom materials, if applicable. The Installation Services are estimated to be completed sixty days from the transaction date. RESPONSIBILITIES. Contractor shall perform the Installation Services in a professional and workmanlike manner. Contractor will obtain required permits and provide permit numbers, if applicable, unless Customer is required to do so by applicable law. Customer shall keep posted permits on display at all times. Prior to the installation, Customer will identify any pre-existing physical or environmental hazards, building code violations or other legal encumbrances that could affect the Installation Services. Customer is responsible for any delays or interference to the installation caused by Customer or any third party under Customer's direction or control. CHANGE ORDERS: Any changes to the Installation Services, including but not limited to changes necessitated by undisclosed, unidentified or unforeseen conditions on the site, are subject to a written Change Order, which shall specify the change in scope and any adjustment to the Total Contract Amount, which will be reflected in the Balance Due on Completion. Contractor shall have no obligation to remediate any such conditions and, at its discretion, may immediately discontinue the installation or ask for a Change Order. Contractor will not remediate any mold, asbestos or lead -based paint and is not responsible for any delays caused by events beyond either party's control, including but not limited to acts of nature, governmental actions, delivery delays, or delays caused by third parties, labor strikes, project financing, incorrect information provided by Customer or Customer's non-compliance with this Agreement. LIEN WAIVER: if Customer makes all payments as required under this Agreement, Contractor hereby waives its right to file a Page 363 of 496 mechanics and/or materialmen's lien and will protect Customer's property from any such lien filed by any person in connection with the Installation Services. LIMITED WARRANTY: TO THE EXTENT PERMISSIBLE UNDER APPLICABLE LAW, CONTRACTOR WARRANTS THE WORKMANSHIP OF THE INSTALLATION SERVICES FOR ONE (1) YEAR FROM THE COMPLETION DATE. THIS WARRANTY DOES NOT COVER DAMAGE CAUSED BY ACTS OF GOD, INSTALLATION OR REPAIRS MADE BY PERSONS OTHER THAN CONTRACTOR, OR ABUSE, MISUSE, NEGLECT OR NORMAL WEAR AND TEAR. MATERIALS ARE COVERED EXCLUSIVELY BY THE MANUFACTURER'S WARRANTY, IF ANY. THIS LMITED WARRANTY GIVES CUSTOMER SPECIFIC LEGAL RIGHTS. CUSTOMER MAY HAVE OTHER RIGHTS THAT VARY FROM STATE TO STATE. WAIVER OF CERTAIN DAMAGES: CUSTOMER WAIVES ANY CLAIM AGAINST CONTRACTOR FOR LOST USE, LOST PROFIT, LOST REVENUE, OR INDIRECT, INCIDENTAL, OR CONSEQUENTIAL DAMAGES RELATING TO THE INSTALLATION SERVICES OR THIS AGREEMENT, THIS SECTION MAY NOT APPLY TO THE EXTENT THAT CUSTOMER'S STATE DOES NOT ALLOW THE EXCLUSION OR LMITIATION OF INCIDENTAL OR CONSEQUENTIIAL DAMAGES. LEAD SAFE INFORMATION: Federal and applicable state laws require that Customer be provided with a lead hazard information pamphlet such as the Renovate Right: Important Lead Hazard Information for Families, Child Care Providers and Schools. By signing this Agreement, Customer acknowledges having received a copy of this information pamphlet before work began informing Customer of the potential risk of the lead hazard exposure from renovation activity performed in Customer's dwelling unit or facility. A copy of the pamphlet is available at the following website: https:llwww.epa.govlsiteslproduction/files/doctiF.,,: fitstrenovaterightbrochure.pdf TERMINATION: If Customer breaches this Agreement or declines a reasonable Change Order request, Contractor may immediately terminate this Agreement without further obligation. In the event of such termination, Customer agrees to pay Contractor the costs of materials, labor, expenses, and services provided by Contractor in connection with the Installation Services through the date of termination, plus any other amounts set forth in this Agreement or allowed under applicable law. HOME IMPROVEMENT AGREEMENT FLORIDA SUPPLEMENT NOTICE OF FLORIDA'S CONTRUCTION LIEN LAW ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS 713.001-713.37, FLORIDA STATUTES), THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND SERVICES AND ARE NOT PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY. THIS CLAIM IS KNOWN AS A CONSTRUCTION LIEN. IF YOUR CONTRACTOR OR A SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS OR MATERIAL SUPPLIERS, THE PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU HAVE ALREADY PAID YOUR CONTRACTOR IN FULL. IF YOU FAIL TO PAY YOUR CONTRACTOR, YOUR CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR PROPERTY. THIS MEANS IF A LIEN IS FILED YOUR PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR, MATERIALS, OR OTHER SERVICES THAT YOUR CONTRACTOR OR A SUBCONTRACTOR MAY HAVE FAILED TO PAY. TO PROTECT YOURSELF, YOU SHOULD STIPUTALTE IN THIS CONTRACT THAT BEFORE ANY PAYMENT IS MADE, YOUR CONTRACTOR IS REQUIRED TO PROVIDE YOU WITH A WRITTEN RELEASE OF LIEN FROM ANY PERSON OR COMPANY THAT HAS PROVIDED TO YOU A "NOTICE OF OWNER." FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX, AND IT IS RECOMMENDED THAT YOU CONSULT AN ATTORNEY. CHAPTER 558 NOTICE OF CLAIM CHAPTER 558, FLORIDA STATUTES CONTAINS IMPORTANT REQUIREMENTS YOU MUST FOLLOW BEFORE YOU MAY BRING ANY LEGAL ACTION FOR ALLEGED CONSTRUCTION DEFECT. SIXTY DAYS BEFORE YOU BRING ANY LEGAL ACTION, YOU MUST DELIVER TO THE OTHER PARTY TO THIS CONTRACT A WRITTEN NOTICE, REFERRING TO CHAPTER 558, OF ANY CONSTRUCTION CONDITIONS YOU ALLEGED ARE DEFECTIVE AND PROVIDE SUCH PERSON THE OPPORTUNITY TO INSPECT THE ALLEGED CONSTRUCTION DEFECTS AND TO CONSIDER MAKING AN OFFER TO REPAIR OR PAY FOR THAT ALLEGED CONSTRUCTION DEFECTS. YOU ARE NOT OBLIGATED TO ACCEPT ANY OFFER WHICH MAY BE MADE. THERE ARE STRICT DEADLINES AND PROCEDURES UNDER THIS FLORIDA LAW WHICH MUST BE FOLLOWED TO PROTECT YOUR INTERESTS. FLORIDA HOMEOWNERS' CONSTRUCTION RECOVERY FUND PAYMENT MAY BE AVAILABLE FROM THE FLORIDA HOMEOWNERS' CONSTRUCTION RECOVERY FUND IF YOU LOSE MONEY ON A PROJECT PERFORMED UNDER A CONTRACT, WHERE THE LOSS RESULTS FROM SPECIFIED VIOLATIONS OF FLORIDA LAW BY A LICENSED CONTRACTOR. FOR INFORMATION ABOUT THE RECOVERY FUND AND FILING A CLAIM, CONTACT THE FLORIDA CONSTRUCTION INDUSTRY LICENSING BOARD AT THE FOLLOWING TELEPHONE NUMBER AND ADDRESS: DIVISION OF PROFESSIONS, CONSTRUCTION INDUSTRY LICENSING BOARD, 1940 NORTH MONROE STREET, TALLAHASSEE, FLORIDA 32399. PHONE: 850-487-1395 E-MAIL CALL.CENTER@DBPR.STATE.FL.US. SIGNATURE AND ACCEPTANCE: By signing below, Customer acknowledges and agrees that (1) Customer has read, Page 364 of 496 understands and voluntarily accepts the terms of this Agreement; (2) this is the entire Agreement between Customer and Contractor regarding the Installation Services; and (3) this Agreement supersedes all prior discussions and agreements, either oral or written, relating to the Installation Services. This Agreement cannot be assigned except by writing signed by Customer and Contractor. Customer will receive a copy of this Agreement upon acceptance. CUSTOMER HAS THE RIGHT TO REQUIRE THE CONTRACTOR TO HAVE A PERFORMANCE AND PAYMENT BOND. CUSTOMER IS ENTITLED TO HAVE A COMPLETELY FILLED IN COPY OF THIS AGREEMENT SIGNED BY YOU AND THE CONTRACTOR BEFORE ANY WORK MAY BE STARTED. �.� W 0 Me consent to the terms and conditions of this Agreement Signature Date Valle Custom Builders LLC Provider Signature Page 365 of 496 LABOR ONLY ESTIMATE (877) 477-1017 Estimate Summary Next Steps for Your Project: This estimate covers the cost for the installation portion of your project. It does NOT include the cost of materials required. When you are ready to move forward with your project, use the Shopping List provided to purchase your materials from Floor & Decor. Next, sign in to My Projects, click on MAKE PAYMENT to process your deposit and follow the instructions to review and sign your Sale Contract and Notice of Right to Cancel. If you need assistance, call 877-477-1017. Subfloor: If the existing flooring is removed and the subfloor requires leveling or repair, there may be additional charges which would be documented in a Change Order. Acknowledgments: My payment serves as acknowledgement that (i) Installation Made Easy is not acting as a General Contractor; (H) I am purchasing the installation services specified above from an independent local contractor pursuant to a separate Sale Contract with such contractor; and (iii) Payment will be made directly to Installation Made Easy on behalf of such contractor. Payment Instructions: The Deposit is due prior to scheduling the installation. Final payment is due upon satisfactory completion of the project. Payments can be made online via My Projects at pros. myhomeprojectcenter.com or by calling 877-477-1017. Cancellation Policy: I may cancel this transaction without penalty or obligation within the Right to Cancel period, as set forth in the Notice of Right to Cancel. Any changes made after the expiration of the Right to Cancel will require a signed Change Order. All products are special ordered. Consequently, there will be charges if the order is canceled after the expiration of the Right to Cancel, Licenses: Installation Made Easy, Inc. (IME) coordinates a network of local independent contractors who provide installation services. While IME is not and does not act as the General Contractor, IME is licensed or registered as a contractor in the following states or counties: FL (CGC1511439), RI (19953), CA (800861), AZ (ROC241999), OR (183271), WA (HOMES**99589), CT (HIC 0623809), MA (166726), PA (PA070282), MD (MHIC No. 126816), NV (0079725), Nassau County, NY (H1778250100), Suffolk County, NY (38568-H) and Westchester County, NY (WC-11418-HO1). Valle Custom Builders LLC holds the following licenses L18000285638, 201900000892, 201700001309. 48 Month Fixed Pay at 6.990/o APR: 6.99% APR for 48 Months on purchases of $2,500 or more made with your Floor & Decor Credit Card. Fixed monthly payments required for 48 months. Interest will be charged on the promo purchase amount from the purchase date at a reduced 6.99% APR, and fixed month4y payments are required until paid in full. These payments are equal to 2.394211/o of initial total promo purchase amount, rounded up to the next whole dollar and may be higher than the payments that would be required if this purchase was a non -promo purchase. During the last month(s) of the promo period the required monthly payment may be reduced due to the prior months' rounding. Regular account terms apply to non -promo purchases and, after promo period ends, to the promo balance. New Accounts: As of 07/16/2024: Purchase APR 34.9911/o. Penalty APR 39.99%. Min Interest Charge is $2. A promo fee will be charged equal to 211/6 of the amount financed on an equal payment no interest promotion of 18 months or more. A Promo Fee does not apply to this offer. Existing cardholders: See your credit card agreement terms. Subject to credit approval. We reserve the right to discontinue or alter the terms of this promotional financing offer at any time. Page 3 of 3 Page 366 of 496 DIVISION OF CORPORATIONS qj org mr official .511me of . lofha websire Department of State / Division of Corporations / Search Records / Search by Entity Name / Detail by Entity Name Florida Limited Liability Company VALLE CUSTOM BUILDERS LLC Filing Information Document Number L18000285638 FEI/EIN Number 82-3030441 Date Filed 12/11/2018 State FL Status ACTIVE Principal Address 25 MENTOR DR NAPLES, FL 34110 Mailing Address 25 MENTOR DR NAPLES, FL 34110 Registered Agent Name & Address DH Bookkeeping Services 501 Goodlette Road North Suite A206 Naples, FL 34102 Name Changed: 02/10/2023 Address Changed: 02/10/2023 Authorized Person(s) Detail Name & Address Title MGR VALLADAREZ, ABNER S 25 MENTOR DR NAPLES, FL 34110 Title MBR ORBEN, MELANIE Page 367 of 496 25 MENTOR DR NAPLES, FL 34110 Annual Reports Report Year Filed Date 2022 01 /31 /2022 2023 02/10/2023 2024 02/09/2024 Document Images 02/09/2024 --ANNUAL REPORT View image in PDF format 02/10/2023 --ANNUAL REPORT View image in PDF format 01/31/2022 --ANNUAL REPORT View image in PDF format 03/20/2021 --ANNUAL REPORT View image in PDF format 06/08/2020 --ANNUAL REPORT View image in PDF format 03/20/2019 --ANNUAL REPORT View image in PDF format 12/11/2018 -- Florida Limited Liability. View image in PDF format Florida Department of State, Division of Corporations Page 368 of 496 Search > Account Summary i Bill Details Business Tax Account #171385 VALLE CUSTOM BUILDERS LLC Current owner: Current business address: Current business phone: VALLADAREZ, ABNER 25 MENTOR DR 239-273-1695 NAPLES, FL 34110 More Details 2025 Details Account number: 171385 Mailing address: Business start date: 11/17/2017 Physical business location: Collier County Owner(s): Business address: VALLE CUSTOM BUILDERS LLC 25 MENTOR DR NAPLES, FL 34110 Business phone: 239-273-1695 RECEIPTS AND OCCUPATIONS RECEIPT 171385 CONTRACTOR 10/01/2024- Units:1 $0.00 FLOOR COVERING CONTRACTOR 09/30/2025 RECEIPT 200364 CONTRACTOR 10/01/2024- Units:2 $0.00 TILE & MARBLE CONTRACTOR 09/30/2025 uGet bills by email VALLE CUSTOM BUILDERS LLC 25 MENTOR DR NAPLES, FL 34110 VALLADAREZ,ABNER 25 MENTOR DR NAPLES, FL 34110 S Print this receipt(PDF), Q Print this receipt (PDF), Page 369 of 496 Collier County Board of County Commissioners Certificate of Competency Collier County * City of Marco * City of Naples * City of Everglades Issued Date: 08/22/2024 Company: VALLE CUSTOM BUILDERS LLC Address: 25 MENTOR DR NAPLES, FL 34110 Telephone: (239) 273-1695 Qualifier: VALLADAREZ, ABNER SANTOS License #: LCC20170002560 Issuance #: 201700001309 Classification: FLOOR COVERING - Valid Thru: 09/30/2025 #� State License #: I -Ant V State Valid Thru: i It is the Qualifier's responsibility to keep current all records with Collier County. This shall include insurance certificates and/or contact information. Always verify licenses online at https://cvportal.colliercountyfl.gov/CityViewWeb/ Do not alter this document in any form. This is your license. It is unlawful for anyone other than the licensee to use this document. This Collier County Certificate of Competency's status and expiration date may change on July 1, 2025, due to the State of Florida Senate Bill No. 1142. Please visit our website at www.colliercountyfl.aov/government/growth-management/divisions/operations- reaulatory-management/contractor-licensing for more information as it becomes available. Page 370 of 496 Collier County Board of County Commissioners Certificate of Competency Collier County * City of Marco * City of Naples * City of Everglades Issued Date: 08/22/2024 Company: VALLE CUSTOM BUILDERS LLC Address: 25 MENTOR DR NAPLES, FL 34110 Telephone: (239) 273-1695 Qualifier: VALLADAREZ, ABNER SANTOS License #: LCC20170002560 Issuance #: 201900000892 Classification: TILE &MARBLE - Valid Thru: 09/30/2025 State License #: State Valid Thru: i It is the Qualifier's responsibility to keep current all records with Collier County. This shall include insurance certificates and/or contact information. Always verify licenses online at https://cvportal.colliercountyfl.gov/CityViewWeb/ Do not alter this document in any form. This is your license. It is unlawful for anyone other than the licensee to use this document. This Collier County Certificate of Competency's status and expiration date may change on July 1, 2025, due to the State of Florida Senate Bill No. 1142. Please visit our website at www.colliercountyfl.aov/government/growth-management/divisions/operations- reaulatory-management/contractor-licensing for more information as it becomes available. Page 371 of 496 Page 372 of 496 ige 373 of 496 Page 374 of 496 P C, c 'I F. , - - .I .'.\.e - I I 1 � v Page 376 of 496 Page 377 of 496 Sent from my Whone Greg StJean Code Enforcement Officer I Code Enforcement Office:239-252-8288 Greg.StJean(a�colliercountyfl.gov je Collier Count Page 378 of 496 Greg StJean From: Robert Moore Sent: Thursday, December 19, 2024 12:03 PM To: Greg StJean Subject: RE: 215 Torrey Pines Pt Permit required. Robert Moore Site Plans Reviewer II Building Plan Review & Inspection Office:239-252-5705 Robert. Moore(c�colliercountyfl.gov How are we doing? Please Click here to fill out a Customer Survey. We appreciate your Feedback! From: Greg StJean <Greg.StJean@colliercountyfl.gov> Sent: Thursday, December 19, 2024 11:59 AM it Collier Count To: Robert Moore <Robert.Moore @colliercountyfl.gov>; Greg StJean <Greg.StJean@colliercountyfl.gov> Subject: 215 Torrey Pines Pt Mr. Moore, Single-family house performing a full master bathroom remodel, including all plumbing fixtures, and electrical outlets and lighting. the bathroom is currently down to the studs and unlicensed contractors were in the process of reinstalling drywall and Dura rock. Can I please get a permit determination? Respectfully, Page 379 of 496 Under Florida Law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by telephone or in writing. 10 Page 380 of 496 Dec 19, 2024 at 11:54:31 AM Taken by InvestigatQr Greg St.Jean CcAll icensing DO NOT REMOVE THIS NOTICE Date: IU 111-UtITUA �1111 I i i Address/Legal: 7-IC' TokQ.E 7 PIPJ F. T PT y�olation: C& MENGIM & W 00W WATNO UT A f CAM li. � 11A AC IE SITE S AF_t SSG! R.W A Remarks: w L L_ MAY QE- com moi (— WIT Anl Work is being done contrary to permit conditions or ordinances, or in a dangerous or unsafe manner and shall immediately cease. Work under this order shall not be resumed until the condition(s) is/are corrected, reinspected and this order has been lifted. Your cooperation in correcting this violation is requested. You may speak to the investigator or inspector by phone from 8:00 am to 4:00 pm if you wish to discuss this matter. /� {1.�A Investigator/Inspector (QRi iT. �1 40 Phone: Page 381 of 496 H i STORY: Valle Custom Builders Abner Santos Valladarez CEUL20230005563 - Unlicensed Plumbing - 1 st Offense - $1000.00 Page 382 of 496 Agov.net Report Title Code Case Details Date: 2/13/2025 12:55:00 PM Case Number CEUL20230005563 I Case Number: ICEUL20230005563 I Case Type: Unlicensed Priority: Normal Inspector: I TimothyBroughton Jurisdiction: lCollier County Origin: I Complaint Status: Closed Date & Time Entered: 6/23/2023 11:37:42 AM Entered By: TimothyBroughton r---Case Disposition: Paid Detail Description: Unlicensed Plumbing - Valladarez, Abner - Citation #11929, $1000.00, 1st Violation, Owner of Valle Custom Builders LLC Location Comments:14120 Looking Glass Lane Unit #6 Address 4120 Looking Glass LN 6, (Unit) , Naples Property 1 63743750120 Contacts _ Complainant Lucy David Property Owner BOTTS, JEFFREY CARLTON MELISSA DIANE BOTTS Violator VALLADAREZ, ABNER SANTOS Business Management & Budget Office 1 Page 383 of 496 Code Case Details Execution Date 2/13/2025 12:55:00 PM Desc Assigned Required Completed Outcome Comments Preliminary Investigation TimothyBroug 6/23/2023 6/23/2023 Citation Unlicensed Plumbing. Needs Investigation. hton Required TB Cont. Investigation TimothyBroug 6/23/2023 6/23/2023 Complete I received the complaint from Supervisor hton Crotts. 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 complainant (Lucy David 239-354-1154). The phone number provided by the complainant is a bad number. I also knocked on the complainant's door (unit #3). 1 received no response. I observed no contractor's onsite and observed no signs of any work taking place at this time. TB Cont. Investigation TimothyBroug 6/23/2023 6/23/2023 Complete I conducted a 2nd site visit to the said hton location. I talked to Mr. Diego Imul through google translate. I then talked to the owner of Valle Custom Builders LLC, Mr. Abner Valladarez (239) 273-1695. He stated that he was hired by the homeowner to install new vinyl floors throughout and new tile in the bathrooms. I then talked to the homeowner, Ms. Missy Botts (270) 834-0446. 1 advised her of my complaint. I received verbal permission over the phone to enter her condo with the worker onsite, Mr. Imul to check on the scope of work taking place. I observed new vinyl floors installed throughout the condo. I also observed both bathrooms renovated to include new pex plumbing, toilets, new tile, new cement board for tub and shower area and new conversion from tub to shower (in master bath). The homeowner, Ms. Botts confirmed that her husband completed all the plumbing work. Mr. Valladarez confirmed that he completed the new vinyl floor installation, new cement board in both baths and new tile work in both baths. I asked Ms. Botts to email me her contract and form of payment for the said scope of work with Valle Custom Builders. A permitting check revealed no issued permits for the said location and said scope of work. I took my site photos and posted a stop work order for unpermitted work and advised the contractor and homeowner to make the site safe and secure. TB Attach Picture(s) TimothyBroug 6/23/2023 6/23/2023 Complete hton Issue Stop Work Order TimothyBroug 6/23/2023 6/23/2023 Complete hton Business Management & Budget Office 2 Page 384 of 496 Code Case Details Execution Date 2/13/2025 12:55:00 PM Desc Assigned Required Completed Outcome Comments Cont. Investigation TimothyBroug 6/23/2023 6/23/2023 Complete I advised Supervisor Crotts on my case. He hton advised me to issue Mr. Abner Valladarez, owner of Valle Custom Builder LLC a citation for Unlicensed Plumbing instead of taking him to the CLB for working outside the scope of license. Mr. Valladarez is licensed in Collier County as a Flooring Contractor and Tile and Marble Contractor. I set up a meeting with Mr. Valladarez at the GMD on Monday, June 26, 2023 at 10:30am to discuss the said case. TB Cont. Investigation TimothyBroug 6/23/2023 6/23/2023 Complete Also Reference Case Number hton CECV20230005345 for unpermitted bathroom renovations. TB Cont. Investigation TimothyBroug 6/26/2023 6/26/2023 Complete I met with Mr. Abner Valladarez, owner of hton Valle Custom Builder LLC at the GMD. Also present in the meeting was Investigator Greg St. Jean. I again advised Mr. Valladarez of my complaint. I confirmed with him that in installed the cement board in both bathrooms at the said location. I confirmed with Mr. Valladarez that he contracted for and received payment from the homeowner for the said scope of work at the said location. I then issued Mr. Abner Valladarez, owner of Valle Custom Builder LLC citation #11929 for unlicensed plumbing. I advised him on the rear of the citation and asked him if he had any questions. He stated no. TB Issue Citation (Licensing) TimothyBroug 6/26/2023 6/26/2023 Complete Unlicensed Plumbing - Valladarez, Abner - hton Citation #11929, $1000.00, 1st Violation, Owner of Valle Custom Builders LLC. TB Citation Paid/Contested Deidra.DeLaC 7/11/2023 7/11/2023 Payment ruz Not Received Generate Follow Up Letter (10 Days) Deidra.DeLaC 7/11/2023 7/11/2023 Complete ruz Citation Paid (Second) Deidra.DeLaC 7/25/2023 7/26/2023 Payment PRINTED (FIRST) 10 DAY LETTER ruz Not WAITING FOR PAYMENT/ 45 DAY LETTER Received --DeLaCruzDeidra 07/11/2023 7:53 AM Generate Follow Up Letter (45 Days) Deidra.DeLaC 7/26/2023 7/26/2023 Complete ruz Citation Paid (Third) Deidra.DeLaC 8/11/2023 7/26/2023 Paid PRINTED (FIRST) 10 DAY LETTER ruz WAITING FOR PAYMENT/ 45 DAY LETTER --DeLaCruzDeidra 07/11/2023 7:53 AM PRINTED (SECOND) 45 DAY LETTER WAITING FOR PAYMENT OR BO -- DeLaCruzDeidra 07/26/2023 8:17 AM Violation Violation Description Status Entered Corrected Amount Comments Unlicensed Plumbing Open 6/23/2023 $0 Business Management & Budget Office Page 385 of 496 Code Case Details Execution Date 2/13/2025 12:55:00 PM Title Reason Result Compliance Fine/Day Condition Business Management & Budget Office 4 Page 386 of 496 C L- 2,,o zZ 000 556 3 COLLI9R COUNTY 11929 —QROWTH MANAGEMENT DIVISION CITATION Pursuant to section 489 Florida Statutes. the undersigned hereby certifies that upon personal investigation, he/she has reasonable and probable grounds to believe that the person whose name appears below as issued to, did violate subsection 489.127.(1). Florida Statues, and the Collier County Contractors Liceming Ordinance No. 2006-46 (as may be amended) by committing the violation stated below Month'" V'14 e- zip 3q 110 OPTIONS I have been informed of the violation for which I have been charged and elect the following option (Check one) 00 1 l 0 I choose to pay the penalty of s 2) [] [ choose not to pay the penalty, and will request in writin* by certified mail r ban delivery an Administrative Hearing before the Contractors Licensing 13yorty � a Description of Violation Date Violation Observed a) ❑ Falsely hold setf or business organization out as a licensee, certificat hol er or registrant; f , b) [] Falsely impersonate a certificate holder or registrant; 1 '' c) 0Present as his/her own the certificate or registration of another; d) ❑ Knowingly give Use or forged evidence to the Board or a member thereof; e) []Use or attem t o use a certificate or regist which has been suspended f) )(revoked; i-I CR i-j prIX►1 1�j t gager a in the business or act in the capacity of a contractor odvertise self business organization as available to engage in the business or act in the capacity of a contractor without being duly registered or certified.; g) ❑Operate a business organization engaged in contracting after (60) days; h) ❑ Commence or perform work for which a building permit is required Pursuant to an adopted state minimum building code or without such permit being in effect; i) ❑ Willfutly or deliberately disregard or violate any Collier County ordinance relating to uncertified or unregistered contractors. A person or business organization operating on an inactive or ed certificate, or registration, or operating beyond the scope of work a )Q�the �r+eg�iissttration, its not duly certified or registered. �] LI 1. fREfCIPIE/NT) 5i 'RF/�IVESTIGATOR) TS NAME) PRINT (INVESTIGATORS NAME) Pursuant to 489.127,?Florida Statues, willful reftaual to sign and accept this citation constitutes a misdemeanor of the second degree, punishable as provided in section 775.082 or 775.083 Florida Statutes,. (SEE REVER..St FOR INSTRUCTTDNS) COLLIER COUNTY CONTRACTORS LICFN1SIE Page 387 of 496 INSTRUCTIONS PAYMENT OF CITATION: the penalty for each uncontested violation has been set by the Huard of Col- lier County Com inissioners, and shall be payable to the Board of Collier County Commissioners, 2800 North Horseshoe Drive, Naples. Florida 34104, no later than I days of notice receipt, excluding weekends and legal holidays.. PA't YENT'S MUST M MADE BY CASfI, [_HECK. OR IONFY ORDER; ALL FEES Al UST BE REMITTED ix U.s. FL wDs. FINE. SCHEDULE - UNCUN`rrsTEU Vim.ATLoNs ,lst• Unciwitested Offense w 1,000.01? _'nd Uncontested Offense +2,000.00 Notwithstanding the above -referenced penalties, in the event a First uncontested violation is the result of the violator er aagg�►►rig in the business or acting in the capacity of a contractor or advert.iS1M himself or herself or a business organization a< available to engage in tine business or act it) tJw capacity of a contractor without beit#g duly registered or certified- The penalty shall abated from 51,000.00 to Si{t0.00 it the violator submits a compfeted ap.plicatian in accordance with sec- !1on 2.1 and 2.2 of this Ordinance within forty-five (45) days of the date of issu- nce of the Citation for the violation. REQUEST FOR HEARING: You may request an Administrative Hearing within the same ten (?0) day time frame before the Collier C.Ounty Con,traetors licensing Board upon ncrtice, in writing, to the'Contraclor:ti Licensing SupeT-iisor. If you Jo not rcquext a hearing ur pay the penalty fee as described. the citation shall automatically become a Final Order of the Contractor's licensing Board, ordering the violator to pay the civil penalty set Forth on the citation without a hearing. A certified copy Of such Order shall l_7t recorded in public records and thereafter shall constitute a Lien against roost real and personal property owned by the violator. Upon petition to the Cir- cuit Court, such Order may he enforced in the same manner as a Court Judgment I the Sheriff's Office or the State. l(after three (3) months from Kling such lien, the lien remains unpaid, the Contractor's Licensing Roard may authorize the County Attorney-; Office to foreclose on the lien- Il)e maximum penalty for a contested citation is S2.500,00 for each ciao the violation exists. F-&eh day a willful knowing violation continues it shall constitute a separate offense as penalties• %flail continue to -accrue. Anv aggrieved party may appeal a Final Admiriistradve Order of the Board to the Circuit Court. Sucti appeal shall.' not be a hearing de 4o►e-but shall he limtted to appellate review of the record created before the Board. Artappeal must be filed within thirty OM days of exewtion of the tTrder. xlditinm err:.,` n Call COPJ`?��44 cKem PC V..,.A,. "- 6 , Page 388 of 496 Collier County, FL Code of Ordinances Page 1 of 163 Chapter 22 - BUILDINGS AND BUILDING REGULATIONS Footnotes: --- (1) --- Cross reference— Housing finance authority, § 2-866 et seq.; affordable housing commission, § 2-966 et seq.; development services advisory committee, § 2-1031 et seq.; community development, ch. 42; environment, ch. 54; fire safety standards, § 58-26 et seq.; floods, ch. 62; impact fees, ch. 74; manufactured homes and trailers, ch. 86; planning, ch. 106; construction in public rights -of -way, § 110-26 et seq. Special act reference— Special acts pertaining to buildings and building regulations, ch. 214. State Law reference— Authority to adopt building regulations, F. S. § 125.01(1)(i); construction industry, F. S. ch. 553; building construction standards, F. S. ch. 553. ARTICLE I. - IN GENERAL Secs. 22-1-22-25. - Reserved. ARTICLE II. - FLORIDA BUILDING CODE Footnotes: --- (2) --- Editor's note— Ord. No. 2012-14, §§ 1, 2, Mar. 27, 2012, provided for the adoption of the 2010 Florida Building Code to read as herein set out. Section 3 of said ordinance provided for the repeal of former article 11, §§ 22-26, 22-22, pertaining to the 2007 Florida Building Code, as enacted by: Ord. No. 2009-59, §§ 1, 4, adopted Nov. 10, 2009. See the Code Comparative Table for a detailed analysis. Cross reference— Fire safety standards, § 58-26 et seq. Land development code reference— Building board of adjustment and appeals, div. 5.4. Sec. 22-26. - Adoption of and additions to the Florida Building Code. (a) Adoption. There is hereby adopted by reference, the Florida Building Code, Sixth Edition (2017), and any amendments thereto, to be enforced by Collier County in the unincorporated portions of the County. (b) Additions. The following exemptions are added to Section 105.2 of the Florida Building Code: 105.2.4. Exemptions for minor repairs residential. The following permit exemptions have been established for Collier County based on Section 102.2.5 (3) of the Florida Building Code and Section 553.80(3)(c), Florida Statutes Page 389 of 496 about:blank 11 /2572019 Collier County, FL Code of Ordinances Page 47 of 163 Epoxystone contractor requires 24 months experience with a passing grade on a business and law test and means those who are qualified to batch and mix aggregates, epoxy, hardener, and gravel to specifications, or to construct forms and framework for the casting and shaping of epoxy and aggregate, or to pour, place and finish over concrete base. (18) Excavation contractor requires 36 months experience and a passing grade on an approved test and a passing grade on a business and law test and means any person who is qualified to excavate to obtain or remove materials such as rock, gravel and sand; to construct or excavate canals, lakes and levees, including the cleaning of land of surface debris and vegetation as well as the grubbing of roots; and to remove debris and level surface land incidental and necessary thereto in compliance with all environmental laws, the building code, and other applicable codes and regulations. Minor excavations, such as footings, backfill without compaction, and similar activities are exempt hereunder. The use of explosives is not included in this category. (19) Fence erection contractor requires 24 months experience and a passing grade on a business and law test and means any person who is qualified to install, maintain or repair fencing or decorative prefabricated walls on grade. (20) Floor coveringsinstallation contractorrequires 24 months experience installing the specific product and a passing grade on an approved business and law test and means any person who is qualified to install carpet, sheet vinyl and/or all types of wood flooring. This category does not include, tile, marble, or terrazzo. (21) Gasoline tank and pump contractor requires 48 months experience and a passing grade on an approved test and a passing grade on a business and law test and means those who are qualified to install, maintain, repair, alter, or extend any aboveground system used for the storing and dispensing of gasoline, kerosene, diesel oils and similar liquid hydrocarbon fuels or mixtures (not to include pollutant storage). (22) Glass andglazing contractor requires 24 months experience, a passing grade on an approved test and a passing grade on a business and law test, and means those who are qualified to select, cut, assemble, and install all makes and kinds of glass and glass work, and execute the glazing frames, panels, sash and door and holding metal frames, ornamental decorations, mirrors, tub, shower Page 390 of 496 about:blank 11 /2572019 Collier County, FL Code of Ordinances Page 52 of 163 including such minor field fabrication as may be necessary, of any profile, perimeter or cross-section, that are or may be used as structural members for buildings and structures, and the erection of communication towers, including riveting, welding and rigging, only in connection therewith. (44) Structure moving contractormeans persons who are required to be general, building or residential contractors, and who are qualified to lift and secure structures and transport said structures from one site to another, whether or not such transport is across public roads, including the proper placement of structures at a new location. (45) Tile and marble installation contractor requires 24 months experience, a passing grade on an approved test and a passing grade on a business and law test, and means those persons who are qualified to set tile, marble and stone. (46) Tile, marble and terrazzo installation contractor requires 24 months experience, a passing grade on an approved test and a passing grade on a business and law test, and means those persons who are qualified to mix, prepare, and finish terrazzo, prepare the base, and set tile, marble and stone. (47) Underground utility and excavation contractorrequires 48 months experience, a passing grade on an approved test and a passing grade on a business and law test, and means contractors whose services are limited to the construction, installation, repair, on public or private property, whether accomplished through open excavation or other means, including, but not limited to, directional drilling, auger boring, jacking and boring, trenchless technologies, wet and dry taps, routing, and slip lining of main sanitary sewer collection systems, main water distribution systems, and storm sewer collection systems, and the continuation of utility lines from the main systems to a point of termination up to and including the meter location for the individual occupancy, sewer collection systems at property line on residential or single -occupancy commercial properties, or on multi -occupancy properties at manhole or "wye" lateral extended to an invert elevation as engineered to accommodate future building sewers, water distribution systems, or storm sewer collection systems at storm sewer structures. These contractors may install empty underground conduits in rights -of -way, easements, platted rights -of -way in new site development, and sleeves for parking lot crossings no smaller than two inches in diameter, provided the conduit system is designed by a licensed professional engineer or by an authorized employee of a municipality, county, or public utility, and Page 391 of 496 about:blank 11 /2572019 Section 105 Permits [A] 105.1 Required Any owner or owner's authorized agent who intends to construct, enlarge, alter, repair, move, demolish or change the occupancy of a building or structure, or to erect, install, enlarge, alter, repair, remove, convert or replace any impact -resistant coverings, electrical, gas, mechanical or plumbing system, the installation of which is regulated by this code, or to cause any such work to be performed, shall first make application to the building ofcialand obtain the requirecipermit. [A] 105.1.1 Annual facility permit In lieu of an individual permitfor each alterationto an existing electrical, gas, mechanical, plumbing or interior nonstructural office system(s), the building official is authorized to issue an annual permitfor any occupancy to facilitate routine or emergency service, repair, refurbishing, minor renovations of service systems or manufacturing equipment installations/relocations. The building official shall be notified of major changes and shall retain the right to make inspections at the facility site as deemed necessary. An annual facility permit shall be assessed with an annual fee and shall be valid for one year from date of issuance. A separate permit shall be obtained for each facility and for each construction trade, as applicable. The permit application shall contain a general description of the parameters of work intended to be performed during the year. [A] 105.1.2 Annual permit records The person to whom an annual permitis issued shall keep a detailed record of alterations made under such annual permit. The building official shall have access to such records at all times or such records shall be filed with the building offlcialas designated. 105.1.3 Food permit In accordance with Section 500.12, Florida Statutes, a food permit from the Department of Agriculture and Consumer Services is required of any person who operates a food establishment or retail store. 105.1.4 Public swimming pool The local enforcing agency may not issue a building permit to construct, develop, or modify a publicswimming pool without proof of application, whether complete or incomplete, for an operating permit pursuant to Section 514.031, Florida Statutes A certificate of completion or occupancy may not be issued until such operating permit is issued. The local enforcing agency shall conduct their review of the building permit application upon filing and in accordance with Chapter 553, Florida Statutes. The local enforcing agency may confer with the Department of Health, if necessary, but may not delay the building permit application review while awaiting comment from the Department of Health. [A] 105.2 Work exempt from permit Exemptions from permit requirements of this code shall not be deemed to grant authorization for any work to be done in any manner in violation of the provisions of this code. Permits shall not be required for the following: Gas: Portable heating appliance. Replacement of any minor part that does not alter approval of equipment or make such equipment unsafe. Mechanical: Portable heating appliance. Portable ventilation equipment. Portable cooling unit. Steam, hot or chilled water piping within any heating or cooling equipment regulated by this code. Replacement of any part that does not alter its approval or make it unsafe. Portable evaporative cooler. Self-contained refrigeration system containing 10 pounds (4.54 kg) or less of refrigerant and actuated by motors of 1 horsepower (0.75 kW) or less. The installation, replacement, removal or metering of any load management control device. Plumbing: 1of7 Exported from O UpCodes Page 392 of 496 Sec. 22-201. - Misconduct —Collier County/city certificate of competency. The following actions by a holder of a Collier County/City Certificate of Competency shall constitute misconduct and grounds for discipline pursuant to section 22-202: (1) Knowingly combining or conspiring with an unlicensed contractor by allowing one's Certificate of Competency to be used by an unlicensed contractor with intent to evade the provisions of this Ordinance. When a licensed contractor acts as the qualifying agent for any firm without first making application under this Ordinance to represent said firm, such act shall constitute prima facie evidence of intent to evade the provisions of this Ordinance. When a certificate holder allows his certificate to be used by one or more companies without having any active participation in the operations, management, and control of such companies, such act constitutes prima facie evidence of an intent to evade the provisions of this Ordinance. Active participation requires job site supervision, knowledge of and participation in the business operations of the company(s), including all contractual matters. a. If any individual qualifying any business organization ceases to be affiliated with such business organization, he shall so inform the Board. In addition if such individual is the only certified individual affiliated with the business organization, the business organization shall notify the Board of the individual's termination and shall have no more than sixty (60) days from the date of termination of the individual's affiliation with the business organization in which to affiliate with another person certified under the provisions of this article. In any event, the business organization shall not enter into any new contracts and may not engage in any new contracting until such time as a qualifying agent is employed. (2) Contracting to do any work outside of the scope of his/her competency as listed on his/her competency card and as defined in this Ordinance or as restricted by the Contractors' Licensing Board. (3) Abandoning a construction project in which he/she is engaged or under contract as a contractor. A project may be presumed abandoned if the contractor terminates the project without just cause, or fails to notify the owner in writing of termination of the contract and basis for same, or fails to perform work for ninety (90) consecutive days without just cause and no said notice to the owner. (4) Diverting funds or property received for the execution of a specific contract project or operation or diverting funds earmarked for a specified purpose to any other use whatsoever. (5) Departing from or disregarding in any material respect the plans or specifications of a construction job without the consent of the owner or his duly authorized representative. Page 393 of 496 (6) Disregards or violates, in the performance of his contracting business in Collier County, any of the building, safety, health, insurance or Workers' Compensation laws of the State of Florida or ordinances of this County. (7) Falsifying or misrepresenting any material fact in his application and supporting papers for the purpose of obtaining a Certificate of Competency under this Ordinance. (8) Committing mismanagement or misconduct in the practice of contracting that causes financial harm to a customer. Financial mismanagement or misconduct includes, but is not limited to, any of the following: a. The contractor fails to fulfill his/her contractual obligations to a customer because of inability, refusal or neglect to pay all creditors for material furnished or work or services performed in the operation of the business for which he/she is licensed, under any of the following circumstances: 1. Valid liens have been recorded against the property of a contractor's customer for supplies or services ordered by the contractor for the customer's job; the contractor has received funds from the customer to pay for the supplies or services; and the contractor has not had the liens removed from the property, by payment or by bond, within 30 days after the date of such liens; 2. The contractor has abandoned a customer's job and the percentage of completion is less than the percentage of the total contract price paid to the contractor as of the time of abandonment, unless the contractor is entitled to retain such funds under the terms of the contract or refunds the excess funds within 30 days after the date the job is abandoned; 3. The contractor's job has been completed, and it is shown that the customer has had to pay more for the contracted job than the original contract price, as adjusted for subsequent change orders, unless such increase in cost was the result of circumstances beyond the control of the contractor, was the result of circumstances caused by the customer, or was otherwise permitted by the terms of the contract between the contractor and the customer. b. The contractor's job been completed, and it is shown that the customer has incurred financial harm by having to seek a variance or other administrative remedy because of actions by the contractor. (9) Performing any act which assists a person or entity in engaging in the prohibited unlicensed practice of contracting, if the licensed contractor knows or should have known that the person or entity was unlicensed. (10) Page 394 of 496 Failing to promptly correct faulty workmanship or promptly replace faulty materials installed contrary to the provisions of the construction contract. Faulty workmanship means work that is not commenced, not continued, or not completed in accordance with all specifications of the applicable written agreement. Faulty workmanship includes any material flaw(s) in the quality and/or quantity of the unfinished or finished work product, including any item that does not function properly as a part of the entire project. If there is no written agreement provision regarding the specific faulty workmanship issue, faulty workmanship exists if the work, process, product or part thereof does not meet generally accepted standards in Collier County in relation to the entire project. Faulty workmanship does not include matters of esthetics unless the esthetically related item clearly violates a written contract specification directly related thereto. (11) Failure to maintain at all times, with an insurance company authorized to do business in the State of Florida, the limits of liability and other categories of insurance as required by this Ordinance. (12) Failing to claim or refusing to accept certified mail directed to the contractor by the Contractors' Licensing Board, or its designee. (13) Failing to maintain a current mailing address. (14) Failing to appear in person or through a duly authorized representative at any scheduled hearing on a complaint filed against the contractor. (15) Being convicted or found guilty, regardless of adjudication, of a crime in Collier County which directly relates to the practice of contracting or the ability to practice contracting. (16) Allowing another to take a qualifying examination on the applicant's behalf. (17) Engaging in contracting business in Collier County or the City when prohibited from doing so by the Contractors' Licensing Board of Collier County. (18) Proceeding on anyjob without obtaining applicable permits or inspections from the City building and zoning division or the county building review and permitting department. (19) Failing in any material respect to comply with the provisions of this Ordinance as a contractor or as a qualifying agent for a business entity engaging in contracting. (20) Signing a statement with respect to a project or contract falsely indicating that the work is bonded; falsely indicating that payment has been made for subcontracted work, labor, or materials which results in a financial loss to the owner, purchaser, or contractor; or falsely indicating that Workers' Compensation and public liability insurance are provided. (21) Failure of a qualifying agent for a firm/legal business entity to comply with the requirements set forth in F.S. §§ 489.119 and 489.1195. (22) Falsifying or misrepresenting any material fact to another person with the intent or for the purpose of engaging in the contracting business, providing materials or services, or soliciting business for an employer, as a contractor, or as an employee, regardless of any Page 395 of 496 financial consideration. (23) Failing or refusing to provide proof of public liability and property damage insurance coverage and workers compensation insurance coverage. (24) Misconduct in the practice of contracting (see section 22-201.1, below). (Ord. No. 90-105, § 4.1; Ord. No. 92-61, § 4; Ord. No. 94-34, § 4; Ord. No. 97-68, § 1, 10-28-97; Ord. No. 99- 45, § 4.1-4.1.24, 6-8-99; Ord. No. 2002-21, §§ 1(4.1-4.1.24); Ord. No. 2006-46, §§ 4.1-4.1.24, 10-10-06) Page 396 of 496 BEFORE THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD BOARD OF COUNTY COMMISSIONERS, COLLIER COUNTY, FLORIDA, Petitioner, V. Case No: 2025-02 Licensee No: LCC20230002495 LAURIE ROMAS CEMIS20240006352 D/B/A SUNSHINE POOLS OF NAPLES, LLC Respondent. 1 ADMINISTRATIVE COMPLAINT Collier County (County) files the Administrative Complaint against MS. LAURIE ROMAS (Respondent), a State Certified Swimming Pool Contractor, Collier County (Issuance No. 202300003254), and states the following facts and allegations in support of the cited violations below: 1. The Respondent is currently the Certificate Holder by the State of Florida as a CERTIFIED SWIMMING POOL CONTRACTOR (License No. CPC1460294). 2. The Respondent, MS. LAURIE ROMAS, is currently the Certificate Holder and Qualifier of record for SUNSHINE POOLS OF NAPLES, LLC. (Q20230002494) 3. Under the provisions of Chapter 489 Florida Statutes [§489.105(12)] and Collier County Code of Law and Ordinances {Sec. 22-2021, the Collier County Contractors' Licensing Board (Board), is authorized to impose penalties against Collier County Certificate of Competency holders who violate the Collier County Code of Law and Ordinances. 4. Under the provisions of Collier County Code of Law and Ordinances Sec 22-202 the actions of the Respondent, constitute misconduct and grounds for discipline. 5. On July 3, 2024, the Collier County Contractors Licensing Department received a complaint from the property owner of 5533 Wilmar Lane, Mr. Ledion Leka, regarding an unfinished pool under permit #PRSPL20220942199. Contractors' Licensing case # CEMIS20240006352, was opened to investigate the complaint. 6. Upon investigation, it was discovered on or about June 1, 2022, that SUNSHINE POOLS OF NAPLES, LLC., entered into a written contract with the property owner, to install a swimming pool. The contracted amount was $67,000.00. An initial deposit of $10,000.00 was issued to SUNSHINE POOLS OF NAPLES, LLC. by personal check, on June 1, 2022. Page 397 of 496 7. On July 11, 2024, Investigator Timothy Broughton conducted a site visit to 5533 Wilmar Lane, Naples, Florida. A review of County records revealed permit # PRSPL20220942199 had been applied for on September 2, 2022, issued on August 22, 2023, and a FAILED electrical inspection dated May 9, 2024. 8. On July 11, 2024, Investigator Broughton made telephone contact with the property owner regarding his complaint. Attempts to contact the Respondent via phone and email were met with negative results. 9. On September 30, 2024, Investigator Broughton made telephone contact with the owner of SUNSHINE POOLS OF NAPLES, LLC., Mr. Christopher Romas, who is the husband of the Respondent. Mr. Christopher Romas was advised of the complaint, the FAILED (701) electrical inspection, and was given a timetable to correct the issue. 10-On December 10, 2024, a review of County records revealed the (701) Electrical Final remained failed with no attempts to correct the failed inspection since October 2, 2024- 11 -On December 10, 2024, Collier County Chief Building Official, Fred Clum reviewed this case and deemed it to be consistent with a "willful" building code violation based on the failed electrical inspection on permit #PRSPL20220942199. 12. Based on the investigation, and pursuant to Collier County Code of Laws and Ordinances, Section 22-202(a)(2) and (b), the Contractors' Licensing Supervisor determined sufficient cause exists to warrant the filing of formal charges. 13.On December 10, 2024, a Notice of Hearing to appear before the Collier County Contractors' Licensing Board on February 19, 2024, at 9:00 am, was sent to the Respondent, MS. LAURIE ROMAS, via USPS Certified Mail (tracking #9589 0710 5270 2143 6142 33) to the certificate holder's mailing address located at 6999 Burnt Sienna Circle, Naples, Florida, 34109. 14.On December 18, 2024, the Notice of Hearing to appear before the Collier County Contractors' Licensing Board on February 19, 2024, at 9:00 am, was delivered to the Respondent, MS. LAURIE ROMAS, via LISPS Certified Mail (tracking #9589 0710 5270 2143 6142 33). 15. The County now brings the following count(s) in this Administrative Complaint against the Respondent: COUNT I A. The homeowner, Mr. Ledion Leka, paid a state certified certificate holder for a swimming pool installation. The Respondent, MS. LAURIE ROMAS, failed her obligation, as a contractor, and has caused, a building code violation for a FAILED (708) Electrical Final. After numerous phone calls, emails, and direction, the Electrical Final inspections remain failed with no attempt to correct the failed inspection since October 2, 2024. Page 398 of 496 B. The Collier County Chief Building Official, Fred Clum reviewed the case and agreed the Respondent willfully failed to correct the code violation and constitutes a willful code violation. C. MS. LAURIE ROMAS is in violation of Collier County Code of Laws and Ordinances Section 22-201.1 (2), which states in pertinent part, that willfully violating the applicable building codes or laws of the state, city or Collier County shall constitute misconduct and grounds for discipline. WHEREFORE, the Petitioner asserts the above facts and charges are grounds for disciplinary action under Collier County Code of Laws and Ordinances Section 22-201 and, WHEREFORE, in consideration of the foregoing, the Petitioner respectfully requests the Collier County Contractors' Licensing Board to find the Respondent guilty of the violation(s) charged. t DatedSigned: ichael P. ogert Collier County Contractors' Licensing Supervisor Page 399 of 496 Contractors' Licensing Board 2800 North Horseshoe Dr. Naples, FL 34104 Complaint Number: 2025-02 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 10, 2024 Against: Contractor's Name: Laurie Romas Phone: 239.404.2991 Business Name: Sunshine Pools of Naples, LLC License(s) Held: Certified Pool Contractor Collier County Competency number: 202300003254 Contractor's Business Address: 6999 Burnt Sienna Circle Naples, 34109 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: 5533 Wilmar Dr. City: Naples County: Collier Date of contract: June 1, 2022 Page 400 of 496 Date job started: On or after June 1, 2022 Date job completed or new home occupied: N/A Were there plans and specifications: Yes Is there a written contract: Yes If yes, amount of Contract: $67,000.00 Has Contractor been paid in full: Yes If not, what amount: Was a permit obtained: Yes Was a permit required: Yes Permit number if known: PRSPL20220942199 Have you communicated by letter with the licensee: Yes Date: December 10, 2024 Do you have a reply: Yes — NOH Delivered December 18, 2025 Please attach to this form all copies of the purchase agreement, building contract, home improvement contract, copies of receipts and/or cancelled checks available and any additional evidence to substantiate your allegations. List any subsections of Collier County Ordinance number 22-201, which, in your opinion, have been violated by the contractor, which is the subject of this complaint, (list subsection number): a. Collier County Ordinance 22-201.1(2) Willfully violating the applicable building codes or laws of the State, City or Collier County. Please state the facts which you believe substantiate your charge of misconduct against the subject contractor. List facts separately for each subsection number above: b. Collier County Ordinance 22-201.1(2) Willfully violating the applicable building codes or laws of the State, City or Collier County. The homeowner, Mr. Ledion Leka, paid a state certified certificate holder for a swimming pool installation. The Respondent, MS. LAURIE ROMAS, failed her obligation, as a contractor, and has caused, a building code violation for a FAILED (708) Electrical Final. After numerous phone calls, emails, and direction, the Electrical Final inspections remain failed with no attempt to correct the failed inspection since October 2, 2024. Page 401 of 496 Ti othy Broughton Code Enforcement Investigator — Contractor Licensing State of l CaCounty of Q The foregoing instrument was acknowledged before me by means of14hysical presence or ❑ online n tarizati n on this day of , 20 , by Such person(s) Notary Aublic must check applicable box: �7 are personally known to me has produced a current driver license ❑ has produced (Notary Seal) as identification. Notary Signature: o,�PRV PUBIi NEIL C. DAY * , * Carmission 4 HH 444248 N� c* Expires August 26, 2025 9jFAf londedThn+QudpotNotarySavlox Page 402 of 496 Co1evCou-h.ty Growth Management Division Planning & Regulation Operations Department Licensing Section Date: December 10, 2024 Ms. Laurie Romas Sunshine Pools of Naples LLC 6999 Burnt Sienna Circle Naples, Florida 34109 RE: Case # CEMIS20240006352 — 5533 Wilmar Dr. Naples, Florida — Willful Code Violation - Date of Violation: October 2, 2024 (Failed Electrical Inspection). MS. LAURIE ROMAS, 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, February 19, 2025, at 9:00 AM in the Board of County Commissioner's Room, Third Floor, Administration Building (W. Harmon Turner Bldg.), at 3301 East Tamiami Trail, Naples, Florida 34112. Your presence before the Collier County Contractors' Licensing Board is required at this time. The packet concerning your case marked composite exhibit "A" will be delivered to the members of the Contractors' Licensing Board one week prior to the hearing. If you wish to receive a copy of this packet, please notify the Contractor Licensing Customer Service Office. If you wish to prepare a defense packet and have it delivered in conjunction with composite exhibit "A", you must make fifteen copies and have them in our office by 8:00 AM on Wednesday, one week prior to the hearing. In your packet, you may give a summary of events. At this meeting, you may present evidence and be represented by an attorney of your choice. In the event the Contractors' Licensing Board finds you in violation of 22-201.1 of the Collier County, FL Code of Ordinances: Sec. 22-201.1— MISCONDUCT — State Certified Contractors The following actions by state certified contractors shall constitute misconduct and grounds for discipline pursuant to section 22-202 of this article. Growth Management Division*Planning & Regulation*2800 North Horseshoe Drive*Naples, Florida 34104*239-252-2400*www.colliergov.net Page 403 of 496 Copier Cozz.Hty Growth Management Division Planning & Regulation Operations Department Licensing Section (2) Willfully violating the applicable building codes or laws of the state, city, or Collier County. The range of disciplinary sanctions which may be imposed are, (1) denial of Collier County/City building permits or require the issuance of permits with specific conditions; (2) recommendation for suspension, revocation, or restriction of your certificate of competency, or a fine to be levied by the Construction Industry Licensing Board. Sincerely, TIMOTHY BROUGHTON Licensing Compliance Officer Collier County Contractors' Licensing Collier County Code Enforcement 239-252-2563 239-571-5492 Initials: Growth Management Division* Planning & Regulation*2800 North Horseshoe Drive*Naples, Florida 34104*239-252-2400*www.colliergov.net Page 404 of 496 m m ru � y '- O m s c„ i O ru N M - O C M o I"-E M = ru O •- „Ln CO '�• O � C O L. LL I. m m N � Ir N cn m 0 Z CD 0 E :s L r) M - Q N 0 z� o 00 Q): 2 �' E U J O LL M O O C6 cm Q O `O � T e� � O z Ln OD C C- O a N C6 0 0- 0 EE 2fiT9 EfiT2 02.29 OTI-O 6996 d c9 rn 0 LO 0 a� 0) cZ d 'GUSPSCOM saw Rsw� a" USPS Tracking" Tracking FAQs > Get the free Informed Delivery feature to receive automated notifications on your packages Tracking Number. Remove X 9589071052702143614233 0 Copy A Add to Informed Delivery G Delivered Latest Update Delivered, Left with Individual NAPLES, FL 34109 Your item was delivered to an individual at the address at 2:02 December 18, 2024. 2:C2 pro pm on December 18, 2024 in NAPLES. FL 34109. See All Tracking History Get More Out of LISPS Tracking: What Do LISPS Tracking Statuses Mean? LISPS Tracking Plus' Page 406 of 496 Cdlitergov.net Report Title: Code Case Details Date: 2/7/2025 12:58:40 PM Case Number: CEMIS20240006352 I Case Number: ICEMIS20240006352 I Case Type: Misconduct l Priority: Normal Inspector: l TimothyBroughton Jurisdiction: I Collier County Status: Refer to CLB Date & Time Entered: 7/11/2024 12:40:34 PM Entered By: TimothyBroughton Case Disposition: I Case Pending Origin: Complaint I Detail Description: Failed (708) Electrical Inspection - Permit #PRSPL20220942199 JAdmin Complaint 2025-2 Location Comments: 15533 Wilmar Lane Address 5533 Wilmar LN, Naples Property 406000002 Primary Contractor SUNSHINE POOLS OF NAPLES, LLC Complainant LEKA, LEDION Property Owner LEKA, LEDION Business Management & Budget Office 1 Page 407 of 496 Code Case Details Execution Date 2/7/2025 12:58:40 PM Desc Assigned Required Completed Outcome Comments Preliminary Investigation TimothyBroug 7/11/2024 7/11/2024 Needs Failed Inspections - Permit hton Investigatio #PRSPL20220942199 and Code Violation n (No Pool Barrier Fence) - Needs Investigation. TB Cont. Investigation TimothyBroug 7/11/2024 7/11/2024 Complete I received the complaint from AD Crotts - I hton conducted a site visit to the said location. I talked with the homeowner / complainant, Mr. Leolion Leka (239) 383-4592. 1 advised on the failed inspections regarding pool permit and code violation - no temporary pool barrier fence. I asked him to email me his contract and form of payment. I then called the qualifier for Sunshine Pools of Naples LLC, Ms. Laurie Romas (239) 404-2991. 1 left a voice message regarding the failed inspection for the said permit and the code violation for the pool barrier fence. I then followed up with an email to the qualifier regarding the said violations. I also talked to the qualifier for FC Romas Construction, Mr. Frederick Romas and advised him that his permit (PRAS20231043370) for the screen enclosure was ready for issuance - he also stated that he would reach out to his son Christopher Romas (owner or Sunshine Pools of Naples) and advise him about the said violations regarding the pool. TB Attach Picture(s) TimothyBroug 7/11/2024 7/11/2024 Complete hton Cont. Investigation TimothyBroug 7/15/2024 7/15/2024 Complete 2nd attempt - I called the qualifier for hton Sunshine Pools of Naples LLC, Ms. Laurie Romas (239) 404-2991. 1 left a voice message regarding the failed inspection for the said permit and the code violation for the pool barrier fence. Cont. Investigation TimothyBroug 7/23/2024 10/2/2024 Complete Code Investigator Dee Pulse conducted a site hton visit to the said location and observed the temporary pool barrier / fence up around the pool. Investigator Pulse took her site photos and scanned them to her case #CESD20240006448. Violation regarding pool barrier fence is abated at this time. TB Cont. Investigation TimothyBroug 7/24/2024 7/24/2024 Complete 3rd attempt - I called the qualifier for hton Sunshine Pools of Naples LLC, Ms. Laurie Romas (239) 404-2991. 1 left a voice message regarding the failed inspection for the said permit and the code violation for the pool barrier fence. I also advised that I would be seeking a wilful code violation since I've received zero response from the qualifier. TB Business Management & Budget Office Page 408 of 496 Code Case Details Execution Date 2/7/2025 12:58:40 PM Desc Assigned Required Completed Outcome Comments Cont. Investigation TimothyBroug 8/2/2024 8/2/2024 Complete 4th attempt - i called the qualifier for Sunshine hton Pools of Naples LLC, Ms. Laurie Romas (239) 404-2991. 1 left a voice message regarding the failed inspection for the said permit and the code violation for the pool barrier fence. I also advised that I would be seeking a wilful code violation since I've received zero response from the qualifier. I also followed up with an email to the qualifier regarding the issue. TB Cont. Investigation TimothyBroug 91412024 9/4/2024 Complete A permitting check still shows failed electrical hton as of 519124. 1 have received no call back from the qualifier or owner of Sunshine Pools of Naples. TB Cont. Investigation TimothyBroug 9/4/2024 9/4/2024 Complete I sent an email to the qualifier for Sunshine hton Pools of Naples LLC, Ms. Laurie Romas (239) 404-2991. 1 advised her that I would be meeting with the Chief Building Official and seeking a Willful Code Violation. I have had zero response from the qualifier. TB Cant, Investigation TimothyBroug 9/5/2024 9/5/2024 Complete I had a meeting with the Chief Building Official hton for Collier County, Mr. Fred Clum. I advised him on my complaint. I also advised him that i have had zero response from the qualifier for Sunshine Pools of Naples LLC, Ms. Laurie Romas. Mr. Clum declared a WILLFUL CODE VIOLATION and signed a copy of the permit which I scanned into my case. I have left several voice messages and sent several emails to the qualifier regarding the failed inspection and no pool barrier fence around the pool at the said location. As of this date I have had zero response. I then prepared a Notice of Hearing for October, 16, 2024 and mailed a copy certified mail with tracking #9589071052702143613892 to the qualifier. I also emailed a copy of the NOH to the qualifier. TB Not Applicable TimothyBroug 9/5/2024 9/5/2024 Complete NOH emailed and sent USPS to Qualifier for hton October 16, 2024 CLB Hearing. TB Cont. Investigation TimothyBroug 9/5/2024 9/5/2024 Complete NOH emailed and sent USPS to Qualifier for hton October 16, 2024 CLB Hearing. TB Not Applicable TimothyBroug 915/2024 10/212024 Not DO ADMIN COMPLT. hton Required Cont. Investigation TimothyBroug 9/19/2024 9/19/2024 Complete I sent a 2nd copy of the Notice of Hearing for hton October, 16, 2024 to the address listed in DI3i I mailed a copy certified mail with tracking #E70223330000014331084 to the qualifier. TB CE Phone Call TimothyBroug 9/27/2024 9/30/2024 Complete I received a callback I voice message from htan Mr. Chris Romas (770) 900-0646, owner of Sunshine Pools of Naples LLC - He stated that he received my complaint regarding the code complaint 1 failed inspection. I returned his call and received no response. I left a voice message for him to call back. TB Business Management & Budget Office Page 409 of 496 Code Case Details Execution Date 2/7/2025 12:58:40 PM Desc Assigned Required Completed Outcome Comments GE Phone Call TimothyBroug 9/30/2024 9/30/2024 Complete I called Mr. Chris Romas (770) 900-0646, hton owner of Sunshine Pools of Naples LLC - I left him a voice message that I received his call 1 voice message and that I needed him to call me regarding the said complaint. TB Cont. Investigation TimothyBroug 9/30/2024 9/30/2024 Complete I received a call back from Mr. Chris Romas hton (770) 900-0646, owner of Sunshine Pools of Naples LLC - I advised him on the failed electrical inspection for permit #PRSPL20220942199. Mr. Romas stated that he would call in the inspection for Wednesday 10/2124. 1 also advised him on the CLB Hearing scheduled for 10/16/24 and if the violation was abated then there would be no hearing. TB Cont. Investigation TimothyBroug 10l112024 10/2/2024 Complete I called and talked with the homeowner/ Mon complainant, Mr. Leolion Leka (239) 383- 4592. 1 advised him that I talked with the owner of Sunshine Pools of Naples, Mr. Chris Romas and the electrical inspection was scheduled for 1012124. 1 advised the homeowner to work with the contractor to allow access for the building inspector to complete the inspection. I verified that the inspection was schedule for 1012124 - Inspector Umberto Conigliaro was assigned to complete the inspection. TB Cont. Investigation TimothyBroug 10/2/2024 10/212024 Complete I received a voice message from Mr. Chris hton Romas (770) 900-0646, owner of Sunshine Pools of Naples LLC - He advised me that he called in the final electrical inspection for 1012124 but the homeowner was not returning his calls to have someone at the residence to allow the for the inspection. TB Cont. Investigation TimothyBroug 10/2/2024 1012I2024 Complete I talked to the owner of Sunshine Pools of hton Naples, Mr. Chris Romas, after receiving notification of the NOH for 10116/24. Mr. Chris Romas, owner of Sunshine Pools of Naples immediately called in the final electrical inspection - He also advised me he was having issues with the homeowner allowing access. The homeowner has stated that he is having contractual issues with the contractor. Since the contractor is making an attempt to correct the issue. I cancelled the NOH for 10/16/24 and granted the qualifier for Sunshine Pools of Naples LLC, Ms. Laurie Romas 30 days to have the failed electrical inspection corrected. I followed up with an email to the qualifier + owner regarding the 30 day notice. TB Cont. Investigation TimothyBroug 10/3/2024 10/3/2024 Complete I received an email from the owner of hton Sunshine Pools of Naples, Mr. Chris Romas - He stated that he was sending his crew to the complainant's home this morning to make additional corrections and work with the homeowner so the final inspection can be called in. I scanned a copy of the email thread into the case. TB Business Management & Budget Office 4 Page 410 of 496 Code Case Details Execution Date 2/7/2025 12:58:40 PM Desc Assigned Required Completed Outcome Comments Cont. Investigation TimothyBroug 11/5/2024 11/5/2024 Complete Investigation Continued. TB hton Cont. Investigation TimothyBroug 11/18/2024 11/18/2024 Complete I have emailed both parties involved - I asked hton the homeowner to work with the contractor and allow access to the property. I asked the qualifier for Sunshine Pools to submit a contractor withdrawal if the homeowner is not working with them. I gave the qualifier until 12/6/24 to submit that contractor withdrawal or correct the failed inspection. TB Cont. Investigation TimothyBroug 12/10/2024 12/10/2024 Complete I talked with the CBO, Mr. Fred Glum. I hton advised him on my complaint. He signed a willful code violation for a failed electrical inspection that has not be corrected. I scanned a copy of the signed willful code violation into my case. TB Cont. Investigation TimothyBroug 12/10/2024 12/10/2024 Complete I emailed + mailed (USPS - certified) a NOH hton to the qualifier for Sunshine Pools of Naples, LLC., Ms. Laurie Romas for a failed electrical inspection that has not been corrected on permit #PRSPL20220942199, The hearing is scheduled for February 19, 2025 at 9:00am. TB Schedule for CLB TimothyBroug 12/10/2024 12/10/2024 Complete Scheduled for 2/19/25 at 9:00am. TB hton Generate CLB Notice of Hearing TimothyBroug 12/10/2024 12/10/2024 Complete Mailed + Emailed on 12/10/24 to the qualifier. hton TB Investigation TimothyBroug 12/10/2024 12/10/2024 Refer to Scheduled for a Hearing in front of the hton CLB Contractor Licensing Board for a Willful Code Violation. TB Cont. Investigation TimothyBroug 1/8/2025 1/8/2025 Complete The NOH with tracking hton #9589071052702143614233 was delivered by the USPS certified mail on 12/18/24 at 2:02pm to the qualifier. I scanned a copy of the delivery notice into the case. TB Enter Hearing Results TimothyBroug 2/19/2025 Pending hton Violation Description Status Entered Corrected Amount Comments 4.2 Misconduct State Certified Contractors Open 7/11/2024 $0 Title Reason Result Compliance Fine/Day Condition Business Management & Budget Office Page 411 of 496 (ter i r POMAS I.' 'd c i R l; C T i..: N `% 1 4 AM r SUNSHINEPOOLS General Contractor 5567 Taylor Rd #4, Naples FL 34109 Christopher Romas: 770.900.0646 Mike Dix: 239.293.6663 STATE CERTIFICATION: CGC-056810 STATE LICENCE 4CPC1456759 F.C. Romas Construction /Sunshine Pool Services of N. FL, LLC agrees to build a swimming pool and spa, furnish and install all additional items as listed on this Contract. Customer(s): Focuz Ventures Group LLC Property Address (Property): 5533 Wilmar Lane Naples FL 34112 Subdivision- Phone: 617.396.6384 Email: thchousegurus@gniail.com CONTRACT PRICE: $67,000.00 (Price Valid for 15 days) SCHEDULE OF BILLING: Deposit: 20%: Day of installing shotcrete: 50% Day of installing tile : 255% Upon water fill up: 5% (purchaser understands final payment to be collected at fill up, not to be held for final inspections or warranty work) Submitted by Contractor on: 6-01-2022 1 -- -- - - - - -- -- - - —� - - -- Page 412 of 496 IN( 1'.1 1)E1) 1N (.O\'I Rm I.: -STANDARD POOL PER PLAN WITH I LED COLOR CHANGING LIGHT, WATERLINE TILE ($8.00 PER SQ FT ALLOWANCE), TRAVERTINE COPING, FLORIDA SILVER PEARL INTERIOR FINISH -NEGATIVE EDGE SPA PER PLAN RAISED 18" ABOVE GRADE WITH 6 JETS, 1.5 H.P. BLOWER, 1 LED COLOR CHANGING LIGHT, FLORIDA SILVER PEARL INTERIOR FINISH, TILE ($8.00 PER SQ FT ALLOWANCE) -AUTOMATION WITH INTERNET CONNECTION -STEPS, BENCH AND SUNSHELF PER PLAN -115K BTU ELECTRIC HEAT PUMP -SALT SYSTEM -VARIABLE SPEED PUMP AND FILTER -DIRT HAUL GRADING -ELECTRICAL HOOK UP -PERMIT FEES \O I IN( I.( MA) i_\ (0\ I RM -SURVEYING -STORMWATER PLANS IF NECESSARY -STORMWATER WORK IF NECESSARY -LANDSCAPE OR SPRINKLER REPAIR -PERMANENT BARRIER (FENCE, SCREEN ENCLOSURE, BABY FENCE) 2 Page 413 of 496 ADDENDUM FOR CONTRACT All construction and mechanical details covered by this contract shall conform to standard Sunshine Pool Services of N Florida, LLC. Structural and mechanical specifications and/or working drawings, which are available on demand to the owner, pool structure shall be steel reinforced gunite/shotcrete construction, with integral bond beam. Purchaser/client must provide access to construction areas to electrical and water service throughout the construction process. Any cost to remove items in in the way of access will be at the client's expense. The client is also responsible for (but not limited to): any trees, bushes, sod, walls, wells, sprinkler repair or re -installation, fences, stucco repair or painting repair of any kind, hurricane shutters, telephone, underground rock drilling or removal, buried underground utilities, additional fill if needed to raise grade or if existing fill is unsuitable, retaining walls, pilings, excessive water, driveways, culverts or sidewalks or any other obstructions above or below ground in the area required for construction. Sunshine Pool Services of N Florida, LLC. Is not responsible for final grade elevations. Any item not listed in the scope of services above is specifically excluded from this contract. I HAVE READ THE ABOVE DETAILS: SINGATURE Construction that takes longer than 6 mb�ths past contract date with no fault of Sunshine Pool Services of N Florida LLC may be subject to price increases due to rising material and labor costs. I understand that there is no verbaLagreement associated with this contract. If it is not written in this contract it is not part of our scope of work. Signature: Page 414 of 496 TERMS AND CONDITIONS I. Contract Documents, The "Contract Documents" or "Contract" shall consist of the first two pages above, which are incorporated herein by reference, as well as these Terms and Conditions, the deal summary sheet and any drawings or specifications detailing the components and design of the swimming pool, but only if such drawings are attached hereto and made a part hereof. 2. integration. The Contract Documents constitute the entire agreement between the Contractor and Customer and supersede all other brochures, written or verbal communications or correspondence. 3. Work, The "Work" includes all labor, materials and services necessary to complete the swimming pool in accordance with the Contract Documents. The swimming pool to be constructed is depicted on the artistic rendering attached to the deal summary. The artistic rendering is not intended to constitute an "as built" plan because pool location, elevation, location of utilities, soil conditions, location of decking, set back requirements and existing improvements may require changes in Contractor's reasonable discretion. If requested by Contractor, Customer shall provide an as built survey of the Property showing the location of existing improvements and utilities. Customer shall hold the Contractor harmless for any losses or claims related to inaccurate information provided by the Customer regarding the location of improvements and/or utilities. Customer shall provide adequate access through his/her own Property or through adjacent property for all workers, materials and equipment as required to perform this Contract and the Work, including, but not limited to, excavation, hauling, concrete mixing and pumping and delivery vehicles or equipment. Customer shall obtain written permission of adjacent property owners for ingress and egress of Contractor, materials and equipment during the Work, if needed. Customer understands that pool depth may vary and may not equal exact depth specified in contract. Contractor assumes no responsibility for depth variations, within reason. 4. Ownership of Plans. The Contractor shall retain all ownership rights in any plans and specifications related to the swimming pool for the Property. 5. Financing. Prior to commencement of the Work, the Contractor may require Customer to provide evidence that Customer has the necessary funds or financing to pay for the Work. If such evidence is insufficient in Contractor's reasonable discretion, then Contractor may terminate this Contract with notice to the Customer. 6. Site Characteristics. if requested by Contractor, Customer shall provide surveys of the Property, as well as any information regarding utility configurations. If the Contractor discovers concealed physical site conditions or subsurface conditions that will result in a material increase in the cost or amount of time necessary to complete the Work, then Contractor may stop Work and enter into an amendment to this Contract specifying the appropriate increase in cost and/or time for the additional work. If such an agreement cannot be reached, Contractor may terminate this Contract with notice to the Customer. Within ten (10) business days of such termination, Customer shall pay Contractor for all Work performed and overhead and profit on all remaining Work to be performed. If, during the course of the Work, Contractor discovers archaeological materials or human remains, Contractor shall stop the Work, notify the Customer, and the Customer shall acquire all necessary governmental approvals and consents necessary to recommence the Work. If Customer does not obtain such approvals within 90 days, Contractor may terminate the Contract with notice to the Customer. Within ten (10) business days of such termination, Customer shall pay Contractor for all Work performed and overhead and profit on all remaining Work to he performed. The Customer shall bear the risk of all latent defects in soil and site conditions necessary to carry out the Work. Contractor assumes no responsibility for and shall not be liable for repair or replacement of any seawalls or deadmen or the existing retaining walls or structures, and Customer agrees to indemnify, defend and hold Contractor harmless from any claims against Contractor for subsequent failure of seawalls, deadmen, or the existing retaining walls or structures. 7. Landscaping. Customer shall be responsible for all landscaping on the Project. if there are any trees, landscaping, or bushes that require removal, Customer shall remove them at Customer's sole cost and expense prior to commencement of the Work. Customer shall be solely responsible for all costs and expenses associated with restoring and/or replacing any landscaping and/or irrigation systems disturbed by the Work. Unless otherwise stipulated in the Contract, Customer shall be responsible for any costs of removal and re -erection of fences, gates, and ornamental walks, whether such removal and/or re -erection is necessary for access for the Work or otherwise. Compliance with local fence laws shall be the responsibility of Customer. 8. _Quality of Work. Contractor shall complete the Work in accordance with the Contract Documents in all material respects. Contractor shall execute the Work with reasonable skill and attention and be solely responsible for and have control over the construction methods employed to execute the Work. 9. Warranty. Contractor warrants that the Work shall be free from material defects for a period of one (1) year from substantial completion of the Work and provides a limited lifetime warranty for the shell structure. However, notwithstanding anything in this Contract to the contrary, soil conditions, including muck, sand or water that cause the swimming pool to settle or move are not covered by this warranty. Substantial completion is defined in this Contract as the date the Work is sufficiently complete for its intended purpose for use as a swimming pool by Customer. Contractor warrants that equipment and materials used in the Work shall be new and of good quality. Certain components of the swimming pool, including the pump, are covered by a manufacturer's warranty. Contractor expressly disclaims any and all warranties related to equipment covered by a manufacturer warranty, and 4 — Page 415 of 496 Customer shall look solely and exclusively to the manufacturer for all such warranty claims. Customer acknowledges that the swimming pool requires proper maintenance and chemical treatments, and that failure to maintain the swimming pool may result in damage to the pool and its components. Contractor shall not be required to repair and shall have no warranty obligations to Customer for any damage caused by failure of the Customer to properly maintain the swimming pool. The following matters are expressly excluded from the foregoing Contractor's warranty: shadows, staining or minor defects in interior pool finish, expansion or settling cracks in patios decks or retaining walls, new decking applied over old concrete, and any damages to any component of the pool, including shell, decking or plumbing caused by unstable soil conditions such as water, sand or muck. The foregoing warranty shall not be valid unless Customer signs a substantial completion certificate upon substantial completion of the Work. Customer, at its sole cost and expense, shall be responsible for insuring the Work against loss due to theft, fire, flood, windstorm, earthquakes and other causes, and shall pay for any loss falling within any applicable deductibles under such insurance. Contractor shall not be liable for repair to Work nor replacement of equipment for damages caused by neglect, negligence, willful acts, or damage caused by acts of Customer and/or persons not performing Work for or on behalf of Contractor. 10. Clean up. The Contractor shall maintain a reasonably clean Project during all stages of the Work. Upon substantial completion, the Contractor shall remove all trash, unused material and equipment from the Project. 11. Change Order. If Customer requests any change in the Work, such change shall be evidenced by a written change order that details (i) the nature of the change in the Work, (ii) the amount of the increase in the Contract Price and (iii) the amount of additional time, if any, provided to Contractor to complete the Work. Customer shall pay for 100% of the cost of any change order in advance of such work and upon execution of such change order by Contractor and Customer. If Customer requests more than one (1) change order, and, in addition to the cost of the work associated with that change order, Contractor may charge Customer a fee of $100 for each additional change order. 12. Allowances. If Customer exceeds the allowances set forth in the Contract Documents, then Customer shall pay Contractor 100% of the cost of such excess within ten (10) calendar days of demand by Contractor. If Customer fails to timely pay Contractor then Contractor may terminate this Contract with notice to the Customer 13. Final Payment. Final payment by the Customer shall constitute a waiver of any and all claims against Contractor other than (i) construction liens related to the Work, (ii) Contractor's failure to complete the Work in accordance with the Contract Documents, or (iii) the Contractor warranties set forth herein. 14. Time. Subject to extensions of time set forth herein, Contractor shall complete the Work within 180 days of Excavation. 15. Force Majeure. If the Contractor's execution of the Work is delayed by acts of the Customer or Customer's agents, or due to fire, natural disaster, unusual weather, unusual delays in material deliveries, unavoidable casualties, acts of God, or other causes beyond the control of Contractor, then the Completion Date shall be extended by a reasonable time to provide Contractor with adequate time to complete the Work. 16, Indemnification. Customer acknowledges that swimming pools are inherently dangerous and use thereof may result in death or serious bodily injury. Customer does and shall indemnify, defend, and hold harmless Contractor from and against any and all causes of action, losses, claims, damages, liabilities, attorneys' fees and court costs, and all other expenses related to, growing out of, or arising from any use of the swimming pool or its components, provided, however, that such indemnity shall not extend to claims arising from Contractor's breach of Contract, but only to the extent such breach is caused by Contractor. 17. Breach/Damages. Except as otherwise provided in the Contract, if either party breaches any provisions of this Contract and fails to cure such breach within ten (10) calendar days of written notice from the other party, the non -defaulting party may terminate this Contract with written notice to the defaulting party. Notwithstanding the foregoing, the cure period shall be extended by a reasonable amount of time if Contractor is exerting diligent efforts to cure such default. Upon such termination for cause, the non - defaulting party may pursue an action for actual damages or specific performance. In no event shall either party be entitled to indirect or consequential damages. If Customer terminates this Contract for a Contractor default, then Customer shall pay Contractor for all Work performed in accordance with the Contract Documents prior to such termination. 18. Interest. If Customer fails to make any payment when due hereunder, such payment shall bear interest at the highest rate permissible by law. 19. Attomey's Fees. In the event of a dispute arising out of or in anyway related to this Contract and/or the Work, the attorneys' fees, costs and expenses of the prevailing party, as well as attorneys' fees and costs in litigating entitlement to fees and costs, as well as determining or quantifying the amount of recoverable attorneys' fees and costs including, without limitation, attorneys' fees and costs at trial, on appeal, in bankruptcy proceedings or otherwise, shall be paid by the non -prevailing party. 20. Information and Ownership. Upon request from Contractor, Customer shall provide Contractor with all information necessary to comply with Florida construction lien law, including without limitation, a legal description of the Property and evidence of ownership acceptable to Contractor in Contractor's reasonable discretion. Customer represents and warrants that Customer is the fee simple owner of the Property. 21. Governing Law. This Contract shall be governed by the laws of the State of Florida without giving effect to any choice of law or conflicts of law provisions that would cause the application of the laws of any other jurisdiction other than the State of Florida. — — - Page 416 of 496 22. WAIVER OF JURY TRIAL AND DISPUTE RESOLUTION. EACH OF THE PARTIES HERETO IRREVOCABLY WAIVES ANY AND ALL RIGHT TO TRIAL BY JURY IN ANY LEGAL PROCEEDING ARISING OUT OF OR RELATING TO THIS CONTRACT, THE WORK, OR THE TRANSACTIONS CONTEMPLATED HEREBY. Any and all disputes arising out of or related to this Contract and/or the work shall have their sole and exclusive venue in state circuit court in Naples, Collier County, Florida. Contractor and Customer shall not object to venue and/or personal jurisdiction in state circuit court in Naples, Collier County, Florida. 23. Savings Clause. Should any court of competent jurisdiction deem any provision or clause of this Contract to be illegal, invalid, or unconscionable and unenforceable, such provision or clause shall be fully severable from this Contract and, in its place, there shall be added to this Contract a similar provision as near in intent as possible but which is not illegal or unconscionable, and this Contract shall be construed and interpreted as if such illegal, invalid or unconscionable and unenforceable provision or clause had never comprised a part of this Contract. 24. Successors and Assigns. This Contract shall be binding on Contractor and Customer's successors and permitted assigns. Customer shall not assign this Contract or any portion of it without prior written consent of Contractor. 25. Counterparts. This Contract may be separately executed in one or more counterparts (including facsimile, email, and PDF copies), each of which shall be deemed an original, but all of which shall collectively constitute one and the same instrument. 26. FLORIDA HOMEOWNERS' CONSTRUCTION RECOVERY FUND PAYMENT, UP TO A LIMITED AMOUNT, MAY BE AVAILABLE FROM THE FLORIDA HOMEOWNERS' CONSTRUCTION RECOVERY FUND IF YOU LOSE MONEY ON A PROJECT PERFORMED UNDER CONTRACT, WHERE THE LOSS RESULTS FROM SPECIFIED VIOLATIONS OF FLORIDA LAW BY A LICENSED CONTRACTOR. FOR INFORMATION ABOUT THE RECOVERY FUND AND FILING A CLAIM, CONTACT THE FLORIDA CONSTRUCTION INDUSTRY LICENSING BOARD AT THE FOLLOWING TELEPHONE NUMBER AND ADDRESS: Construction Industry Licensing Board 2601 Blair Stone Road Tallahassee, FL 32399-1039 (850)487-1395 27. CHAPTER 558 NOTICE OF CLAIM ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBJECT TO THE NOTICE AND CURE PROVISIONS OF CHAPTER 558, FLORIDA STATUTES 28, SWIMMING POOL SAFETY ACT This Contract includes a residential swimming pool, so Contractor must provide Customer with a document containing the requirements of the Preston de Ibern/McKenzie Merriam Residential Swimming Pool Safety Act (Chapter 515, Florida Statutes) and a copy of the publication adopted by the Department of Health that provides information on drowning prevention and the responsibilities of pool ownership. Customer acknowledges and agrees that Contractor has provided Customer with a copy of this documentation/information. Page 417 of 496 F.C. Romas Construction Sunshine Pool Service o L, L Contractor Signature r Print Name l �►` Date Title: Manager Customer Signature Print Name / / Date I have been provided with and reviewed the Safety Guidelines for Residential Pools and Chapter 515 Residential Pools Safety Act. of 496 MATERIAL WAIVERS AND RELEASES Sand Set Pavers Variations in color, texture, shade are inherent in concrete pavers. Pavers set on san without lime rock base will settle overtime will have NO warranty. Pavers set on lime base rock will have a 1 year warranty for a free reset. Settling of pavers is a normal characteristic and is not a failure on installation. I accept a�d understand the inherent nature of t e pr du and installation. Date: Signature: Natural Stone Pavers & Coping Travertine, Marble & Shellstone materials are a product of nature. There will be variation in color, shade, texture & veining are inherent due to being a nature stone. Variations in natural stones will occur during quarrying, cutting, polishing and exposure to the elements. Holes are expected in these natural stone materials. Edges & corners may not be perfectly squared, they may be rounded or chipped. If you are adding to or extending and existing area, it is unlikely the stones with match as the materials have been quarried at a different time and from a different area of the quarry. Sealing of decking after completion is an opti an is N included in this contract/ Date:Signature: Coiored interior finishes & dark interiorfinishes Dark & colored pebble interior finishes have inherent characteristics such as blotchiness and can have a wide range of shade variations. The shade riations & color differences are T a fai .xe of the material orthe installation of installer. Dater Signature: Glass Tile & Natural Stone Tiles % Glass and stone tiie are hand crafted tile and each size may differ in size & depth. This is what gives the tile's that specific look. Due to the irregular character of this tile, the installation can possibly have irregular grout joints and uneven tile. This is not a failureel cept and understand the in ent na re of these products and installation. Date: Signature: 7 8 Page 419 of 496 IgOMAS CON STRUCTI ON 1 SUNSHINEPOOLS 5567 TAYLOR RD #4 NAPLES, FL 34109 CLARIFICATIONS AND QUALIFICATIONS PROJECT DATE: PROJECT NAME: PROJECT ADDRESS: PROJECT CONTACT: BID CLARIFICATIONS: GENERAL REQUIREMENTS: 09.22.23 LEKA RESIDENCE 5533 WILMAR LN NAPLES, FL CHRISTOPHER M. ROMAS: 239.404.2991 - CHRIS@FCROMAS.COM THE CONSTRUCTION RELATED ITEMS LISTED HERE ARE REQUIRED TO COMPLETE THE PROJECT AND COSTS FOR THE FOLLOWING ARE INCLUDED: • NO SMOKING ALLOWED ANYWHERE ON THE PROPERTY • HAULING DEBRIS RELATED TO THE SCOPE OF THE WORK IS INCLUDED • CONTRACTOR TO MANAGE THE FIELD OPERATIONS AND AN INSIDE PROJECT MANAGER DEDICATED TO PROCESSING THE REQUIRED PAPERWORK SEC. 1 GENERAL CONDITIONS • JOBSITE SUPERVISION o PROVIDE SUPERVISION OF SUB -CONTRACTORS • PERMITS & FEES o ALL FEES HAVE BEEN INCLUDED TO COVER PERMITTING (I.E. — IMPACT, INSPECTION, GENERAL FEES, PERMIT APPLICATION) • CLEANING o FINAL SITE CLEANING AFTER INSTALLATION OF SCREEN ENCLOSURE • DUMPSTER o REMOVAL OF CONSTRUCTION RELATED DEBRIS AS IT PERTAINS TO SCOPE OF WORK WILL BE DONE WITHOUT ONSITE DUMPSTER Page 420 of 496 r L J ROMAS C O N S T R U C T I O N SEC. 5 CONCRETE & MASONRY r SUNSHINEPOOLS • FOOTER O DIG, FORM, AND STEEL 132 LINEAR FEET, 12" X 12" WTTH (2) #5 REBAR CONTINUOUS o POUR FOOTER WITH CONCRETE ■ TOTAL - $3,960.00 SEC. 21 FLOORING/DECK • FOOTER CAP O SUPPLY & INSTALL 132 LINEAR FEET OF STONE TO MATCH COPING OF POOL ■ TOTAL - $2,261.00 SEC. 32 PERIMETER WALL & FENCING SCREEN ENCLOSURE O SUPPLY & INSTALL SCREEN ENCLOSURE PER PLAN UP TO 2918 SQ FT TOTAL - $23,779.00 BID QUALIFICATIONS: THESE CLARIFICATIONS AND QUALIFICATIONS ABOVE WERE USED FOR THIS BID PRESENTATION AND ACCURATELY ITEMIZE THE TASKS NEEDED TO COMPLETE THE SCOPE OF WORK AS DISCUSSED. WE HAVE USED OUR PAST EXPERIENCE TO CREATE THIS SCOPE OF WORK BASED UPON OUR SITE MEETING AND THE PRELIMINARY SKETCHES. BY EXECUTING THIS DOCUMENT, WE AS THE CONTRACTOR, ARE ACKNOWLEDGING THAT WE HAVE VISITED THIS SITE AND CORRECTLY UNDERSTAND THE LOGISTICS TO PROPERLY PERFORM THIS SCOPE OF WORK ABOVE. ALL WORK IS GUARANTEED FOR A PERIOD OF ONE YEAR FROM THE DATE OF FINAL COMPLETION AND APPROVAL OF PERMIT. ANY CHANGES IN THE INITIAL AGREED PRICE ($30,000.00) AND DESCRIPTIONS MUST BE PRESENTED ON CHANGE OF WORK ORDER AND MUST BE SIGNED BY BOTH THE CONTRACTOR AND OWNER. DRAW SCHEDULE ***ALL MATERIALS TO BE PAID IN FULL BEFORE ORDERING*** 30% DUE AT SIGNING CONTRACT 40% DUE AFTER RECEIVING ENGINEERING FOR SCREEN ENCLOSURE 20% DUE THE DAY OF POURING FOOTER 20% DUE AT INSTALLATION OF SCREEN ENCLOSURE Page 421 of 496 -0-1 .14 rJ ;4, r R 0 M A 5 CONSTRUCTION SUNSHINEPOOLS SIGNATURE OF THE OWNER: BY SIGNING BELOW, YOU ACKNOWLEDGE THAT YOU FULLY UNDERSTAND THE CLARIFICATIONS AND QUALIFICATIONS SET FORTH ABOVE IN THESE DOCUMENTS. LEDION LEKA SIGNATURE OF THE CONTRACTOR: CHRISTOPHER M. ROMAS DATE: 09.22.23 DATE: 09.22.23 Page 422 of 496 r L J ROMAS CON STRUCTI ON 1 101 SUNSHINEPOOLS 5567 TAYLOR RD #4 NAPLES, FL 34109 CLARIFICATIONS AND QUALIFICATIONS PROJECT DATE: PROJECT NAME: PROJECT ADDRESS: PROJECT CONTACT: BID CLARIFICATIONS: GENERAL REQUIREMENTS: 09.22.23 LEKA RESIDENCE 5533 Wu MAR LN NAPLES, FL CHRISTOPHER M. ROMAS: 239.404.2991 - CHRIS@FCROMAS.COM THE CONSTRUCTION RELATED ITEMS LISTED HERE ARE REQUIRED TO COMPLETE THE PROJECT AND COSTS FOR THE FOLLOWING ARE INCLUDED: • NO SMOKING ALLOWED ANYWHERE ON THE PROPERTY • HAULING DEBRIS RELATED TO THE SCOPE OF THE WORK IS INCLUDED • CONTRACTOR TO MANAGE THE FIELD OPERATIONS AND AN INSIDE PROJECT MANAGER DEDICATED TO PROCESSING THE REQUIRED PAPERWORK SEC. 1 GENERAL CONDITIONS • JOBSITE SUPERVISION o PROVIDE SUPERVISION OF SUB -CONTRACTORS • PERMITS & FEES o ALL FEES HAVE BEEN INCLUDED TO COVER PERMITTING (I.E. — IMPACT, INSPECTION, GENERAL FEES, PERMIT APPLICATION) • CLEANING o FINAL SITE CLEANING AFTER INSTALLATION OF SCREEN ENCLOSURE • DUMPSTER o REMOVAL OF CONSTRUCTION RELATED DEBRIS AS IT PERTAINS TO SCOPE OF WORK WILL BE DONE WITHOUT ONSITE DUMPSTER Page 423 of 496 r-eml � / 0 FFR � *a . ROMAS c o N s r R u c T; ON SUNSHINEPOOLS SEC. 5 CONCRETE & MASONRY • FOOTER o DIG, FORM, AND STEEL 132 LINEAR FEET, 12" X 12" WITH (2) #5 REBAR CONTINUOUS o POUR FOOTER WITH CONCRETE ■ TOTAL - $3,960.00 SEC. 21 FLOORING/DECK • FOOTER CAP O SUPPLY & INSTALL 132 LINEAR FEET OF STONE TO MATCH COPING OF POOL ■ TOTAL - $2,261.00 SEC. 32 PERIMETER WALL & FENCING SCREEN ENCLOSURE O SUPPLY & INSTALL SCREEN ENCLOSURE PER PLAN UP TO 2918 SQ FT TOTAL - $23,779.00 BID QUALIFICATIONS: THESE CLARIFICATIONS AND QUALIFICATIONS ABOVE WERE USED FOR THIS BID PRESENTATION AND ACCURATELY ITEMIZE THE TASKS NEEDED TO COMPLETE THE SCOPE OF WORK AS DISCUSSED. WE HAVE USED OUR PAST EXPERIENCE TO CREATE THIS SCOPE OF WORK BASED UPON OUR SITE MEETING AND THE PRELIMINARY SKETCHES. BY EXECUTING THIS DOCUMENT, WE AS THE CONTRACTOR, ARE ACKNOWLEDGING THAT WE HAVE VISITED THIS SITE AND CORRECTLY UNDERSTAND THE LOGISTICS TO PROPERLY PERFORM THIS SCOPE OF WORK ABOVE. ALL WORK IS GUARANTEED FOR A PERIOD OF ONE YEAR FROM THE DATE OF FINAL COMPLETION AND APPROVAL OF PERMIT. ANY CHANGES IN THE INITIAL AGREED PRICE ($30,000.00) AND DESCRIPTIONS MUST BE PRESENTED ON CHANGE OF WORK ORDER AND MUST BE SIGNED BY BOTH THE CONTRACTOR AND OWNER. DRAW SCHEDULE ***ALL MATERIALS TO BE PAID IN FULL BEFORE ORDERING*** 30% DUE AT SIGNING CONTRACT 40% DUE AFTER RECEIVING ENGINEERING FOR SCREEN ENCLOSURE 20% DUE THE DAY OF POURING FOOTER 20% DUE AT INSTALLATION OF SCREEN ENCLOSURE Page 424 of 496 —�1 % r Jsam 01 � ROMAS co N S T R u CTJ ON SUNSNINEPOOLS SIGNATURE OF THE OWNER: BY SIGNING BELOW, YOU ACKNOWLEDGE THAT YOU FULLY UNDERSTAND THE CLARIFICATIONS AND QUALIFICATIONS SET FORTH ABOVE IN THESE DOCUMENTS. LEDION LEKA SIGNATURE OF THE CONTRACTOR: CHRISTOPHER M. ROMAS DATE: 09.22.23 DATE: 09.22.23 Page 425 of 496 S� 1442 FOCUX VENTURES GROUP LLC r N ►ill H rin OAfC PAY TO THE t j i TIDEROF_ — + I r• COLLARS � •�'• ! BANK OF AM ERICA `r/ ' acHl�t �soe'rr —t7' wn ! M Page 426 of 496 Re: 5533 Wilmar Lane - Pool Payments ®House Guru <thehousegurusC9mail.com> To Timothy Broughton Cc Timothy Broughton Hi McBroughton I was able to find some of the receipts for the payments Payment Date Amount 1. Draw. 6/7/2022 $3300 2.Draw. 6/1/2022. $10,0D0 3.Tile. 9/11/2023. $33,500 4.finish. 10/9/2023. $16750 Extra water fill $850 pool leak inspection. $489 Total = 564,589 Pool cage Payments Payment. Date. Amount 1. Draw. 9/22/23. $6210 2. Sec draw.10/23/23. $12000 3. Third pay.12/20/23. $6240 Total = $24450 Contracted amount is supposed to be at $27,739. $30,000 • $2261 looter cap which had already paid / installed <-j Reply <� Reply AN i Forward j Mon 2/3/2025135 PM Page 427 of 496 DIVISION OF CORPORATIONS org an official 3uue of Florida websify Department of State / Division of Corporations / Search Records / Search by Enti Name / Detail by Entity Name Florida Limited Liability Company SUNSHINE POOLS OF NAPLES, LLC Filing Information Document Number L21000300953 FEI/EIN Number 87-1470301 Date Filed 06/30/2021 Effective Date 06/30/2021 State FL Status ACTIVE Last Event REINSTATEMENT Event Date Filed 09/30/2023 Principal Address 5567 TAYLOR ROAD, SUITE 4 NAPLES, FL 34109 Mailing Address 5567 TAYLOR ROAD, SUITE 4 NAPLES, FL 34109 Registered Agent Name & Address BYTNAR, BRANDON R, ESQ. 9120 GALLERIA COURT, SUITE B NAPLES, FL 34109 Name Changed: 12/21/2022 Authorized Persons) Detail Name & Address Title MGR ROMAS, CHRISTOPHER M 6999 Burnt Sienna Circle NAPLES, FL 34109 Annual Reports Report Year Filed Date 2022 12/21 /2022 2023 09/30/2023 Page 428 of 496 IlEf COLLIER COUNTY Q 1 TAXCOLLECTOR ZF,' Vehicle Registration Renewal Q Property Tax 1@ Business Tax f Tourist Tax C' Z Reports Search ) Account Summary )Ball Details Business Tax Account #12272 SUNSHINE POOLSOF NAPLES, LLC Current owner. Current business address Currentbusiness phone: ROMAS, LAURIE 5567 TAYLOR RD STE 4 219-404-2991 ► . Get bills by ema NAPLES. FL 34109-1897 More Details 2025 Details Account number; 12272 XWft address SUNSHINE POOLS OF NAPLES, LLC 5567TAYLOR RD STE 4 Business start date: 08121/2023 NAPLES, FL34109-1891 Physical business location: Collier County Owner{sk ROMA5,LAURIE Bu siness address: SUN5HINE POOLS OF NAPLES, LLC 5567 TAYLOR RD STE 4 NAPLES, FL34109-1897 Business phone: 239 404 2991 RECEIPTS AND OCCUPATIONS RECEIPT 2403% Print this receipt {PDFI CONTRACTOR 10l01J2024-09130025 Units:10 5000 P001- 5PACONTRACTOR-COMMERCIAL Page 429 of 496 THE OFFICIAL SITE OF THE FLORIDA DEPARTMENT OF BUSINESS & PROFESSIONAL REGULATION 46�- F orida ', Department of Business r&pProfessional Regulation ONLINE SERVICES Apply for a License Verify a Licensee View Food & Lodging Inspections File a Complaint Continuing Education Course Search View Application Status Find Exam Information Unlicensed Activity Search AB&T Delinquent Invoice & Activity List Search LICENSEE DETAILS HOME CONTACT US MY ACCOUNT Licensee Information Name: ROMAS, LAURIE (Primary Name) SUNSHINE POOLS OF NAPLES, LLC (DBA Name) Main 6999 BURNT SIENNA Address: CIRCLE NAPLES Florida 34109 County: COLLIER License 6999 BURNT SIENNA Location: CIRCLE NAPLES FL 34109 County: COLLIER License Information 12:05:45 PM 9/19/2024 View Types of Work Licensee Can Perform License Type: Certified Pool/Spa Contractor Rank: Cert Pool License Number: CPC1460294 Status: Current,Active Licensure Date: 08/01/2023 Expires: 08/31 /2026 Special Qualification Effective Qualifications Commercial Pool/Spa 08/01/2023 Contractor Construction 08/01/2023 Business Types of Work Licensee Can Perform Commercial Pool/Spa Contractor This contractor can build or repair any swimming pool or spa, both public and private. This contractor's scope of work includes the installation and repair of equipment, work on interior finishes, the installation of package pool heaters, the installation of perimeter and filter piping, and the construction of equipment rooms or housing for pool/spa equipment. This contractor cannot make direct connections to water or sewer lines. Page 430 of 496 0 c-6 O LL Z O w = N Q v J w a N D Q z w N w LV Q o oC O F N -E Q m F- F- o CN N Qtl i Ui ZU E�U _ J* O ai Q J w O u "e N th W LJJ " a)W w— �`� J 0LL V w O LL ZQ o * N - I Z V� Q 1 m v O O (1) w O f-- ' E , F- c O 0 Z a � Q Oa 'tip 0 a o !— to Z O Q�� ,� w J Z Z a "' O L- Z U U� O Z co Q (A O c N o Z Q 2o'Z Z FQ- u +, _ a :z U_ O X > W 0 N N w m - V� J cn 3 ' F- F— Q > Q ai Z u O W Z C2 a U O- D F- o O Q u N v N o a w 9 jr 3�rl • JOY Jr., % ssss vil-ImAx r Permit Application Status PRSPL20220942199 In order to view fees or schedule inspections, you need to be signed in. Summary Locations Contacts Application Number: PRSPL20220942199 Application Type: Pool Application Status: Inspections Commenced Property Owner's Full Name: LEKA, LEDION Category of Work: Accessory Occupancy Code: Residential, One and Two Family New or Guest House Description of Work: MASTERING OF POOL & SPA ENGINEERING- PAVER DECK WITH FOOTER, NO LIGHT NICHE PRP020210631454 5533 Wilmar LN, Naples, Single Family Application Date: 09/02/2022 Issued Date: 08/22/2023 Expiration Date: 11/05/2024 1-2 Family or Comm: 1-2 Family Applicant: Christopher Romas, Address:4079 Golden Gate Blvd E Property Owner: LEKA, LEDION, Address: PO BOX 890043, Phone:(239) 383-4592 SubContractor: Electrical: BERGEL ELECTRIC LLC, Address:4571 CAPRI DR, Phone:(239) 234-6594, State Reg #'s EC13009420, Licensee # LCC20130004037 License Status Qualifier - Historical: WHITE, BRENT A., Address:4279 CEDAR ROAD, Phone:(904) 219-8358, Licensee # LCC20160000550 License Status Contractor: Historical: SUNSHINE POOL SERVICES OF NORTH FLORIDA LLC, Address:4279 CEDAR RD, Phone: (904) 219-8358, State Reg #'s CPC1456759, Licensee # LCC20160000552 License Status Qualifier: ROMAS, LAURIE, Address:6999 BURNT SIENNA GRACE, Phone:(404) 660-4229, Licensee # LCC20230002494 License Status Primary Contractor: SUNSHINE POOLS OF NAPLES, LLC , Address:5567 TAYLOR RD, Phone:(239) 404- 2991, State Reg #'s CPC1460294, Licensee # LCC20230002495 License Status Permits (Click to See Reviews) Deposits & Bonds Inspections Outcome Requested Scheduled Date Ins ected/1 701 - Pool Final Pending Inspector: - _ 708 -Pool Electrical Final Pending Inspector: Y i� Page 433 of 496 Corrections: Correction 1: Miscellaneous Corrections Status: Outstanding Date Status Changed: 10/02/2024 Comments: Miscellaneous Corrections: 10/02/24 1) Remove plant in front of pool panel working space. 110.26 2) Heater over -fused: max 50A. 110.3 3) Unused opening at Aqualink panel. 110.12(A) 4) Jandy blower requires GFI protection per install instructions. 110.3 5) Improper strain relief right side cable. 680.24(E) 6) Spa alarm not working. 4501.17 7) No perimeter protection. FS515.29/R4501.17.1FBC3304.1/3306.5/OSHA 1026 //uvc Note: Pool filled and running. 814 - Erosion/Silt Pass 9/8/2023 9/8/2023 09/08/2023 Inspector: Reggie Smith ((239) 292-4228) Send Email 700 - Pool Bonding Cancellation By 09/11/2023 Contractor Inspector: Web Registered User 704 - Pool Shell Reinforcement (NOTE:Survey may be required within 10 Cancellation By 09/11/2023 days) Contractor Inspector: Web Registered User 706 - Pool Plumbing Rough Cancellation By 09/11/2023 Contractor Inspector: Web Registered User 704 - Pool Shell Reinforcement (NOTE:Survey may be required within 30 Pass 9/13/2023 9/13/2023 09/13/2023 days) Inspector: Tim Stick ((239) 438-5185) Send Email 706 - Pool Plumbing Rough Pass 9/13/2023 9/13/2023 Inspector: Jamel Casado ((239) 631-0161) Send Email 700 - Pool Bonding Pass with notes 9/13/2023 9/13/2023 Inspector: Umberto Conigliaro ((239) 877-7942) Send Email Corrections: Correction 1: Pass with Inspector Notes Status: Outstanding Date Status Changed: 09/13/2023 Comments: Pass with Inspector Notes: 09/13/23 Four as marked. No niche. //uvc 709 - Pool Pipe Pressure Test Fail - no fee 9/20/2023 9/20/2023 Inspector: Jamel Casado ((239) 631-0161) Send Email Corrections: 09/13/2023 09/13/2023 09/20/2023 Correction 1: Inspector Notes Status: Carried Forward Date Status Changed: 09/20/2023 Comments: Inspector Notes: FRC4501.12.1 35psi min gauge at 20 psi 09/20/23 IC 709 - Pool Pipe Pressure Test Pass 10/19/2023 10/19/2023 10/19/2023 Inspector: William Richards ((239) 877-8130) Send Email Corrections: Correction 1: Inspector Notes Status: Outstanding Date Status Changed: 09/20/2023 Comments: Inspector Notes: FRC4501.12.1 35psi min gauge at 20 psi 09/20/23 IC 711 - Pool Footings Failed - Building 12/6/2023 12/6/2023 12/06/2023 Inspector: Karl O. Pabst ((239) 877-2502) Send Email Page 434 of 496 Corrections: Correction 1: Inspector Notes Status: Carried Forward Date Status Changed: 12/06/2023 Comments: Inspector Notes: R403.1.3.2 3-4" clearances for rebar to ground Footers washed out. 12/6/23 KP 711 - Pool Footings - Pass 12/7/2023 Inspector: Karl O. Pabst ((239) 877-2502) Send Email Corrections: Correction 1: Inspector Notes Status: Outstanding Date Status Changed: 12/06/2023 Comments: Inspector Notes: R403.1.3.2 3-4" clearances for rebar to ground Footers washed out. 12/6/23 KP 12/7/2023 714 - Pool Equipotential Bonding Grid Pass with notes 12/7/2023 12/7/2023 Inspector: Mark Bauer ((239) 438-0341) Send Email Corrections: 12/06/2023 12/07/2023 Correction 1: Pass with Inspector Notes Status: Outstanding Date Status Changed: 12/07/2023 Comments: Pass with Inspector Notes: No cups. Footers bonded. Bond wire to equipment pad in place. /mwb 801 - Site Drainage Pass 1/11/2024 1/11/2024 01/11/2024 Inspector: Reggie Smith ((239) 292-4228) Send Email 810 - Exotic Vegetation Removal Pass 1/11/2024 1/11/2024 01/11/2024 Inspector: Reggie Smith ((239) 292-4228) Send Email 708 - Pool Electrical Final Failed - Building 5/9/2024 5/9/2024 05/09/2024 Inspector: Joe Justice ((239) 253-3165) Send Email Corrections: Correction 1: Miscellaneous Corrections Status: Carried Forward Date Status Changed: 05/09/2024 Comments: Miscellaneous Corrections 05/09/24 1. Notification sent 08:29. Onsite 09:14 no answer at the door to verify alarms. FS 515.27/ R4501.17.1.09 2. Panel schedule blank. NEC408.4 3. Pool light ]-Box requires support. NEC314.23 4. Blower motor requires support. NEC110.3 5. No pool barrier in place. FS515.29 6. Pool filled and in operation with no saftey barrier. FS515.29/R4501.17.1FBC3304.1/3306.5/OSHA 1026 Inspection incomplete. 707 - Pool Plumbing Final Pass 5/9/2024 5/9/2024 05/09/2024 Inspector: William Richards ((239) 877-8130) Send Email 708 - Pool Electrical Final Cancellation By 09/30/2024 Contractor Inspector: Web Registered User Page 435 of 496 Corrections: Correction 1: Miscellaneous Corrections Status: Carried Forward Date Status Changed: 09/30/2024 Comments: Miscellaneous Corrections 05/09/24 1. Notification sent 08:29. Onsite 09:14 no answer at the door to verify alarms. FS 515.27/ R4501.17.1.09 2. Panel schedule blank. NEC408.4 3. Pool light 3-Box requires support. NEC314.23 4. Blower motor requires support. NEC110.3 5. No pool barrier in place. FS515.29 6. Pool filled and in operation with no saftey barrier. FS515.29/R4501.17.1FBC3304.1/3306.5/OSHA 1026 Inspection incomplete. 708 - Pool Electrical Final Failed - Building Conditions Spot Survey CO Hold Master Clone Request 10/2/2024 10/2/2024 10/02/2024 Inspector: Umberto Conigliaro ((239) 877-7942) Send Email Corrections: Correction 1: Miscellaneous Corrections Status: Resolved Date Status Changed: 10/02/2024 Comments: Miscellaneous Corrections 05/09/24 1. Notification sent 08:29. Onsite 09:14 no answer at the door to verify alarms. FS 515.27/ R4501.17.1.09 2. Panel schedule blank. NEC408.4 3. Pool light 3-Box requires support. NEC314.23 4. Blower motor requires support. NEC110.3 5. No pool barrier in place. FS515.29 6. Pool filled and in operation with no saftey barrier. FS515.29/R4501.17.1FBC3304.1/3306.5/OSHA 1026 Inspection incomplete. Correction 2: Miscellaneous Corrections Status: Carried Forward Date Status Changed: 10/02/2024 Comments: Miscellaneous Corrections: 10/02/24 1) Remove plant in front of pool panel working space. 110.26 2) Heater over -fused: max 50A. 110.3 3) Unused opening at Aqualink panel. 110.12(A) 4) Sandy blower requires GFI protection per install instructions. 110.3 5) Improper strain relief right side cable. 680.24(E) 6) Spa alarm not working. 4501.17 7) No perimeter protection. FS515.29/R4501.17.iFBC3304.1/3306.5/OSHA 1026 //uvc Note: Pool filled and running. Status Category Open Department: Building Review and Permitting Expiration Date: Due Date: Description: A Spot Survey will be required within ten days of passing a 704 shell reinforcement or 103/133 inspection of slab. Prior to obtaining County approval of the Spot Survey, the permit holder's construction activities are at his/her own risk. After 10 days an "Inspection HOLD" will be placed on this Permit for survey review. NOTE: A Spot Survey must verify slab meets setbacks and minimum elevation per Chapter 62, Collier County Code of Laws and Ordinances, e.g., 18" above the crown of the road or the elevation established by the SFWMD permit. Condition Type: CO Hold Resolved Department: Building Review and Permitting Expiration Date: Due Date: Description: Submit a request on company letterhead signed by the qualifier or authorized agent. Request should include the approved master number and the site -specific address. Condition Type: Informational Page 436 of 496 Master Site Specific Letter Resolved Department: Building Review and Permitting Expiration Date: Due Date: Description: Per Florida statute 553.79 - Provide a site -specific letter from the engineer of record referencing the master permit number and affirming that the master building permit will conform to conditions at the specific site. Condition Type: Permit Hold Clearing Restrictions Resolved Notice of Commencement Department: Environmental Services Expiration Date: Due Date: Description: NOTICE OF CLEARING RESTRICTIONS: The issuance of a building permit for a single-family dwelling allows up to one (1) acre of native vegetation to be cleared. Clearing more than one (1) acre may be allowed for accessory structures and requires a separate Vegetation Removal Permit. Properties located in the following zoning district overlays may not be allowed to clear one (1) acre: Rural Fringe Mixed Use District (RFMU), Big Cypress Area of Concern (ACSC), and Special Treatment Overlay (ST). There may be additional restrictions related to clearing native vegetation and impacts to wetlands or protected species found on the property. State and Federal agency permits may be required. Contact the Growth Management Department's Environmental Services at (239) 252-2400 for additional information. Condition Type: Informational Resolved Department: Building Review and Permitting Expiration Date: Due Date: Description: Notice of Commencement: Upload to the condition on the portal. -------------------------------------- Condition Type: Inspection Hold FEMA - Equipment and Material Requirements Open Department: Building Review and Permitting Expiration Date: Due Date: Description: FEMA - All equipment must be above flood plus one foot. Any materials used below flood level must comply with FEMA regulationsFEMA ELEVATION CERTIFICATE CONDITION FOR POOLS BFE : 8 ft NAVD. Provide an Elevation Certificate that states the installed equipment is at or above 9 ft NAVD, *OR* Complete a pool exemption letter for the installations: Contact Flood Hotline by phone 239-252-2943 or email floodinforequest@colliercountyfl.gov Condition Type: CO Hold Miscellaneous Conditions Open Department: Expiration Date: Due Date: Description: Any pool safety fence or screen enclosure will be required to be applied for on a separate permit 1 Condition Type: Informational Sub Contractor (Electrical) Resolved Department: Building Review and Permitting Expiration Date: Due Date: Description: Sub Contractor (Electrical) Upload to the condition on portal. Condition Type: Inspection Hold Spot Survey Stipulation Inactive Page 437 of 496 Spot Survey Inspection Hold Department: Building Review and Permitting Expiration Date: Due Date: Description: Please upload a Spot Survey demonstrating the finished slab or pool shell that meets the required setbacks, easements, and minimum elevation per Chapter 62, Collier County Code of Laws and Ordinances. Prior to obtaining County approval of the Spot Survey, the permit holder's construction activities are at your own risk. After 10 days an "Inspection HOLD" will be placed on this Permit for survey review. Condition Type: Stipulation Resolved Department: Building Review and Permitting Expiration Date: Due Date: Description: Please upload a Spot Survey demonstrating the finished slab or pool shell that meets the required setbacks, easements, and minimum elevation per Chapter 62, Collier County Code of Laws and Ordinances. Prior to obtaining County approval of the Spot Survey, the permit holder's construction activities are at your own risk. PRAS20231043370 - screen Condition Type Inspection Hold Request Changes to Permit Contractors or Status Open Department: Building Review and Permitting Expiration Date: Due Date: Description: Use the form located at hips://www.colliercountvfl.gov/home/showdocument?id=105797&t =638403984984558370 to request Permit extensions, cancellations, and changes/withdrawals of Contractors, Subcontractors and Qualifiers. Instructions are provided with the form. Change/withdrawal of contractor does not apply to self -issued permits. Contact Building Permit Resolution Services at 239-252-2493 for assistance completing the form. Submit the form by clicking the Browse button below. Condition Type: Informational Documents & Images Date Uploaded IFile Type (Name 05/29/2023 Approved Plans (PR) su 2 S cialty Engineering and Specification Sheets (May 24 Leka 0427337 001 EE.pdf) O5/29/2023 sub2 Storm Water Plan (Leka Residence Stormwater Worksheet.p> n 06/28/2023 Letter 08/21/2023 08/21/2023 08/22/2023 08/22/2023 08/22/2023 08/22/2023 — 08/25/2023 09/02/2022 09/07/2022 09/08/2022 09/09/2022 09/15/2022 09/15/2022 09/15/2022 09/15/2022 10/04/2022 10/04/2022 10/04/2022 Receipt Approved Plans (PR) Letter Response Letter Affidavits Payment S i (RFI-Customer PR). Leka Residence NOC Recorded.pdf Receipt for transaction:2023-074339 Approved Construction Documents Residential Combined Permit and Inspection Job Card Corrections Response Letter (Leka Residence Correction Response Letter (Received), 12df) Vegetation Removal Affidavit (Leka Residence Vegetation Removal Form (Receive ,per, Elec Sub Form complete.pdf Letter Incomplete Application Notice (Generate Incomplete Application Notice). Letter Incomplete Application Notice (Generate Incomplete Application Notice)_ Letter Payment Slip (PR). Receipt Receipt for transaction: 2022-091821 Approved Plans (PR) Construction Plans (Ledd Residence 5 Construction Drawing 2022 06 01 - Prepared.pdf) Approved Plans (PR) Construction Plans (Leka Residence Pool Safety Act - Prepared.pdf) Approved Plans (PR) Construction Plans (Leka Survey with Drainage Arrows - Prepared.pdf) Approved Plans (PR) Construction Plans (LEKA-5533 (270) 6 14 22 Signed CALCS - Pregared.pdf) Support Docs Certified Site Plan (5533 WILMAR LN Layout2-Layoutl W_(-j) - Prepared (Received)_pdf) Letter Corrections Letter EPR - Outstanding Corrections Letter Master Approval Letter (Leka Master Pool Permit Letter -Pre a(� red (R iv .ndfl Page 438 of 496 I Uploaded (File Type (Name 10/04/2022 Letter Site Specific Engineer Letter (SPS-LEKA -Master-Itr-2022-0582-Collier Signed - Prepared (Receivedl,pd�f , 12/11/2023 Applications updated permit app.pdf Page 439 of 496 Sec. 22-201.1 - Misconduct —State certified contractors. The following actions by state certified contractors shall constitute misconduct and grounds for discipline pursuant to section 22-202 of this article. (1) Failing or refusing to provide proof of public liability and property damage insurance coverage and workers compensation insurance coverage as required by Florida Statutes. (2) Willfully violating the applicable building codes or laws of the state, city or Collier County. (3) If the CLB finds through its public hearing process that the contractor was found by another county or municipality within the past 12 months, to have committed fraud or a willful building code violation and the CLB finds that such fraud or other willful violation would have been fraud or a willful violation if committed in Collier County or within the respective city. (4) Fraud. (Ord. No. 94-34, § 4; Ord. No. 99-45, § 4.2-4.2.3, 6-8-99; Ord. No. 2002-21, §§ 1(4.2--4.2.3); Ord. No. 06-46, § 1(4.1.8.2)) Page 440 of 496 Timothv Brouahton From: Timothy Broughton Sent: Tuesday, December 10, 2024 11:48 AM To: Chris Romas; Laurie Romas Cc: Timothy Broughton Subject: RE: 5533 Wilmar Lane - permit #PRSPL20220942199 - Failed Electrical Inspection - NOH for 2/19/25 Mr. Chris Romas, The failed inspection has to pass for the violation to be abated. Please correct the failed inspection and have the permit finaled. The screen enclosure permit is issued and that installation can commence. Respectfully, Timothy Broughton Code Enforcement Officer I Code Enforcement Office :239-252-2563 Mobile:239-571-5492 Contractor licensing 2800 N Horsehoe Drive Operations and Regulatory Management Division Naples, Florida 34104 Timothy.Broughton(o)colliercountyfl.gov From: Chris Romas <chris@fcromas.com> Z_ Collier Cour, [Ifflool Sent: Tuesday, December 10, 2024 11:43 AM To: Timothy Broughton <Timothy. Broughton @co lliercountyfl.gov>; Laurie Romas <laurie@fcromas.com> Cc: Timothy Broughton <Timothy.Broughton@colliercountyfl.gov> Subject: Re: 5533 Wilmar Lane - Permit #PRSPL20220942199 - Failed Electrical Inspection - NOH for 2/19/25 EXTERNAL EMAIL: This email is from an external source. Confirm this is a trusted sender and use extreme caution when opening attachments or clicking links. Everything has been fixed except for barrier which we have been fighting to get done for a long time. Can l call for a partial pass? Get Outlook for iOS From: Timothy Broughton <Timothv.Broughton@colliercountyffl.gov> Sent: Tuesday, December 10, 2024 11:39 AM To: Chris Romas <chris@fcromas.com>; Laurie Romas <laurie fcromas.com> Page 441 of 496 Cc: Timothy Broughton <Timothy.Broughton@ coIlie rcountyfl.gov> Subject: 5533 Wilmar Lane - Permit #PRSPL20220942199 - Failed Electrical Inspection - NOH for 2/19/25 Ms. Laurie Romas Sunshine Pools of Naples LLC CPC1460294 Please see the attached Notice of Hearing in front of the Contractor Licensing Board for February 19, 2025 at 9:00am. The failed Electrical Inspection (708) for the above location has not been completed and still listed as failed on pool permit #PRSPL20220942199. To abate the violation, have the failed inspection corrected / pass and the permit finaled. Respectfully, Tim Broughton Contractor Licensing Timothy Broughton Code Enforcement Officer I Code Enforcement Office'239-252-2563 �� Mobile:239-571-5492 Contractor Licensing 2800 N Horsehoe Drive Operations and Regulatory ®� Q Management Division Naples, Florida 34104 Timothy. Brou hchton_C colliercountyfl.gov From: Timothy Broughton <Timothy.Broughton@colliercountyfl.gov> Sent: Monday, November 18, 2024 8:32 AM To: Chris Romas <chris@fcromas.com>; Laurie Romas <laurie@fcromas.com> Cc: Timothy Broughton <Timothy.Broughton @colliercountyfl.gov> Subject: RE: 5533 Wilmar Lane - Permit #PRSPL20220942199 - Failed Electrical Inspection Chris Romas + Laurie Romas Sunshine Pools of Naples LLC CPC1460294 have read all the emails from both parties — Again this is your permit and you are responsible for correcting the failed inspections and closing the permit out. If you are receiving no cooperation from the homeowner, then you need to complete a CONTRACTOR WITHDRAWAL with the permitting department and it must be approved by the Building Official (Please Contact Permit Intake for Info Regarding the Contractor Withdrawal). Page 442 of 496 You will need to complete a contractor withdrawal for the pool permit and enclosure permit. I'm giving you until 12 6 24 to submit the contractor withdrawal or work out a plan with the homeowner to correct the failed inspection and start the screen enclosure. Respectfully, Tim Broughton Contractor Licensing Timothy Broughton Code Enforcement Officer I Code Enforcement Office:239-252-2563 Mobile:239-571-5492 Collier Cour. Contractor Licensing 2800 N Horsehoe Drive Operations and Regulatory Management Division Naples, Florida 34104 Timothy. Broughton(a)_colliercountyfl.gov From: Timothy Broughton <Timothy.Broughton @colliercountyfl.gov> Sent: Thursday, October 3, 2024 8:29 AM To: Chris Romas <chris@fcromas.com>; Laurie Romas <laurie@fcromas.com> Cc: Timothy Broughton <Timothy.Broughton @colliercountyfl.gov> Subject: RE: 5533 Wilmar Lane - Permit #PRSPL20220942199 - Failed Electrical Inspection Chris Romas + Laurie Romas, Sounds good — Please work with the homeowner to resolve the failed inspection and getting the enclosure installed — Also your screen enclosure permit is ready for issuance, please pay you final fee for that and work on a date to install the enclosure. I will monitor both permits and hopefully everything will be resolved by November 16, 2024, Respectfully, Tim Broughton Contractor Licensing Timothy Broughton Code Enforcement Officer I Code Enforcement Office:239-252-2563 Mobile:239-571-5492 Contractor Licensing 2800 N Horsehoe Drive Operations and Regulatory Management Division Naples, Florida 34104 Timothy. Broughton(D-colliercountyfl.gov Collier Cour [Ifflool Page 443 of 496 From: Chris Romas <chris@fcromas.com> Sent: Thursday, October 3, 2024 7:14 AM To: Timothy Broughton <Timothy. Broughton @colliercountyfl.gov>; Laurie Romas <laurie@fcromas.com> Cc: Timothy Broughton <Timothy.Broughton@colliercountyfl.gov> Subject: Re: 5533 Wilmar Lane - Permit #PRSPL20220942199 - Failed Electrical Inspection EXTERNAL EMAIL: This email is from an external source. Confirm this is a trusted sender and use extreme caution when opening attachments or clicking links. My guy is going today and will have everything fixed minus the remaining barrier. I will have him talk to the owner to see if they will get that 4th side. Get Outlook for iOS From: Timothy Broughton <Timothy.Broughton @colliercountyfl.gov> Sent: Wednesday, October 2, 2024 3:00:32 PM To: Chris Romas <chris@fcromas.com>; Laurie Romas <laurie@fcromas.com> Cc: Timothy Broughton <Timothy.Broughton @coIliercountyfl.gov> Subject: 5533 Wilmar Lane - Permit #PRSPL20220942199 - Failed Electrical Inspection Ms. Laurie Romas Sunshine Pools of Naples LLC CPC1460294 Location of Violation: 5533 Wilmar Lane - Failed Electrical Inspection - Permit #PRSPL20220942199. The hearing in front of the Contractor Licensing Board for OCTOBER 16, 2024, has been CANCELLED since your making an attempt to correct the failed electrical inspection. I am giving you 30 days from today to have the failed electrical inspection corrected. I see that you called in your electrical inspection for today October, 2, 2024 but it failed again. I have talked with the owner of Sunshine Pools of Naples, Mr. Chris Romas and it has been noted that you are having an issue contacting the homeowner to have someone at the residence to allow inspection and or make the appropriate corrections. If that's the issue then you would need to submit a contractor withdrawal and remove yourself from the permit if the homeowner is not allowing you access to the property. Please respond to this email that you received it and are working on the failed inspection for the above permit. Page 444 of 496 Also Mr. Chris Romas please call me to discuss this issue. Respectfully, Tim Broughton Contractor Licensing Timothy Broughton Code Enforcement Officer I Code Enforcement Office:239-252-2563 Mobile:239-571-5492 Contractor Licensing 2800 N Horsehoe Drive Operations and Regulatory Management Division Naples, Florida 34104 Timothy. Broughton(c)-colliercountyfl.gov From: Timothy Broughton <Tim.othy.Broughton@colliercountyfl.gov> Sent: Monday, September 30, 2024 1:59 PM To: chris@fcro_mas.com Collier Cour. Uffifflof Cc: Timothy Broughton <Timothy.Broughton@colliercou_ntyfl.gov_> Subject: FW: NOTICE OF HEARING for OCTOBER 16, 2024 AT 9:OOAM - 5533 Wilmar Lane - Permit #PRSPL20220942199 - Failed Inspection - Code Violation (No Temp Pool Fence) Mr. Chris Romas, Please call me as soon as possible regarding this complaint. Page 445 of 496 Respectfully, Timothy Broughton Contractor Licensing Timothy Broughton Code Enforcement Officer Code Enforcement Office-.239-252-2563 Mobile:239-571-5492 Contractor Licensing 2800 N Horsehoe Drive Operations and Regulatory Management Division Naples, Florida 34104 Timothy. Broughton(d_)colliercountyfl.gov From: Timothy Broughton <Ti.math.y..B.roughton@colliercou_ntyfl.gov> Sent: Thursday, September 5, 2024 10:05 AM To: LA_U..RIE@FCROMAS.COM; OF_FI_C_E@FCROMAS.com Collier Cour [JE001 Cc: Timothy Broughton <Timothy_.Broughton@coll.ierc.ountyfl.gov> Subject: NOTICE OF HEARING for OCTOBER 16, 2024 AT 9:OOAM - 5533 Wilmar Lane -Permit #PRSPL20220942199 - Failed Inspection -Code Violation (No Temp Pool Fence) Ms. Laurie Romas SUNSHINE POOLS OF NAPLES, LLC License #LCC20230002495 + CPC1460294 A complaint has been filed against you bythe above referenced entity. A hearing on this complaintwilt be held bythe Contractors' Licensing Board on Wednesday, October 16, 2024, at 9:00 AM in the Board of County Commissioner's Room, Third Floor, Administration Building (W. Harmon Turner Bldg.), at 3301 East Tamiami Trail, Naples, Florida 34112. Page 446 of 496 Please see the attached Notice of Hearing. If the failed inspection is corrected and the permit finaled before the hearing date the violation is abated. Please call me to discuss. Respectfully, Timothy Broughton Contractor Licensing Timothy Broughton Code Enforcement Officer I Code Enforcement Office:239-252-2563 Mobile:239-571-5492 Contractor Licensing 2800 N Horsehoe Drive Operations and Regulatory Management Division Naples, Florida 34104 Timothy. Broughton ,colliercountyfl.gov From: Timothy Broughton <Timothy.Broughton@colliercountyfl.gov> Sent: Wednesday, September 4, 2024 7:58 AM To: LAURI_E@FC_ROMAS..COM; OFFICE@FCR_OMAS.com Collier Cour. GE801 Cc: Timothy Broughton <Timothy._Broughton@coll_iercounty_fl.gov> Subject: RE: 5533 Wilmar Lane - Permit #PRSPL20220942199 - Failed Inspection - Code Violation (No Temp Pool Fence) Page 447 of 496 Ms. Laurie Romas SUNSHINE POOLS OF NAPLES, LLC License #LCC20230002495 + CPC1460294 Location of Violation: 5533 Wilmar LN — Failed Inspection. Your 30 days has expired - I will seek a WILLFUL CODE VIOLATION from The Chief Building Official which could result in the suspension of your permit pulling privileges in Collier County. I wilt also notify DBPR_regarding the violation. I have received zero response from you or anyone from Sunshine Pools of Naples. Please call me regarding these_ issues!! Respectfully, Timothy Broughton Code Enforcement Officer I Code Enforcement Office:239-252-2563 Mobile:239-571-5492 Collier Cour Contractor Licensing 2800 N Horsehoe Drive Operations and Regulatory offlool Management Division Naples, Florida 34104 Timothy. Brouhton colliercount fi. ov Page 448 of 496 From: Timothy Broughton <Timothy.Bro)ughton@cotUi mou.ntyfl.g_ov_> Sent: Friday, August 2, 202411:05 AM To: LAURIE_(a)FCROMAS.COM: OFFICE@FCROMAS.com Cc: Timothy Broughton <Timothy_Rro"hton_@cottiercountyfl.gov> Subject: RE: 5533 Wilmar Lane - Permit #PRSPL20220942199 - Failed Inspection - Code Violation (No Temp Pool Fence) Ms. Laurie Romas SUNSHINE POOLS OF NAPLES, LLC License #LCC20230002495 + CPC1460294 Location of Violation: 5533 Wilmar LN — Failed Inspection and Code Violation (No Temp Pool Fence). Your 30 days will expire on August 11, 2024— I have received no response from you regarding this matter. I left 4 voice messages and this is my 2"d email to you regarding this issue. If the violations are not corrected by the due date, I will seek a WILLFUL CODE VIOLATION from The Chief Building Official which could result in the suspension of your permit pulling privileges in Collier County until the violation is addressed and corrected. I will also notify DBPR regarding the violation. Please call me regarding these issues H Respectfully, Page 449 of 496 Timothy Broughton Code Enforcement Officer I Code Enforcement Office:239-252-2563 Mobile:239-571-5492 Z' Collier Cour, Contractor Licensing 2800 N Horsehoe Drive Operations and Regulatory 910001 Management Division Naples, Florida 34104 Timothy. Broughton(o)-colliercountyfl.gov From: Timothy Broughton <Timothy.Broughton@coltiercountyffl.gov> Sent: Thursday, July 11, 202412:36 PM To: LAURIE@FCROMAS.COM; OFFICEPF_CROMAS.com Cc: Timothy Broughton <Timothy_.Broug-hton.@colliercountyfl.�ov> Subject: 5533 Wilmar Lane - Permit #PRSPL20220942199 - Failed Inspection - Code Violation (No Temp Pool Fence) Ms. Laurie Romas SUNSHINE POOLS OF NAPLES, LLC License #LCC20230002495 + CPC1460294 Location of Violation: 5533 Wilmar LN — Failed Inspections — Code Violation (No Temp Pool Fence). I am giving you 3030 days from today to have the failed inspections corrected for the above permit. Please call me regarding the temporary pool barrier fence. This needs to be installed as soon as possible. Please keep me updated with the permit status. Please respond to this email that you received it and are workinga on failed inspections and temporary pool fence issue. io Page 450 of 496 Respectfully, Timothy Broughton Code Enforcement Officer I Code Enforcement Office:239-252-2563 Mobile:239-571-5492 Contractor Licensing 2800 N Horsehoe Drive Operations and Regulatory Management Division Naples, Florida 34104 Timothy. Broughton cbcolliercountyfl.go� Under Florida Law, e-mail addresses are public records. if you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by telephone or in writing. 11 Page 451 of 496 HISTORY Active Case —July 11, 2024 — CEMIS20240006352 —Refer to CLB — Willful Code Violation — Failed (708) Electrical Final. CLB Case #2025-02. Page 452 of 496 LLM BEFORE THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD BOARD OF COUNTY COMMISSIONERS, COLLIER COUNTY, FLORIDA, Petitioner, u Case No: 2025-03 LCC20230000198 CEMIS20240003900 Roman Raab (DBA) Project Blue Lines Corp. Respondent. ADMINISTRATIVE COMPLAINT Collier County (County) files the Administrative Complaint against ROMAN G. RAAB Respondent), a State certified Building contractor (Collier County Issuance #202300000247), and states the following facts and allegations in support of the cited violations below: The Respondent is currently the certificate holder by the State of Florida as a CERTIFIED BUILDING CONTRACTOR (License #CBC1265751) 2. The Respondent, ROMAN RAAB, is the certificate holder and qualifier of record for PROJECT BLUE LINES CORP. (Q20230000242) 3. Under the provisions of Chapter 489 Florida Statutes §489.105(12) F.S. and the Collier County Code of Laws and Ordinances Sec. 22-202, the Collier County Contractors' Licensing Board (Board), is authorized to impose penalties against State of Florida Certificate of Competency holders who violate the Collier County Code of Laws and Ordinances. 4. Under the provisions of the Collier County Code of Laws and Ordinances Sec 22- 202 the actions of the respondent, constitute misconduct and grounds for discipline, 5. On April 26, 2024, the Collier County Licensing Department received a complaint from Thomas Hay, property owner, regarding expired permit with a failed nspection on permit #PRMFH2O230414649. A Contractor Licensing Case # CEMIS20240003900 to investigate the case. 6. Upon investigation, it was discovered on March 13, 2023, Project Blue Lines Corp. entered into a contract with property owners, Thomas and Jennifer Hay, to perform interior renovations in their condominium at 700 Bentwater Cir. #101, which included drywall, plumbing, and electrical, and flooring for $155,919.35. A deposit of $38.799.81 was paid on March 22, 2023, and 3 additional payments totaling Page 453 of 496 $138,159.48 have been made via bank wire by the property owners to Project Blue Lines Corp. 7. On April 26, 2024, Collier County Licensing Investigator Greg St. Jean observed interior renovations that included demolition, drywall, cabinetry, plumbing, flooring, and electrical at 700 Bentwater Cir. #101. 8. On April 26, 2024, a review of County records revealed that permit #PRMFH20230414649 was expired and had a failed 524, Electrical final inspection. 9. On July 2, 2024, Project Blue Lines submitted a contractor withdrawal and was removed from permit #PRMFH20230414649 10.On July 26, 2024, Investigator St.Jean received an order per Chief Building O 11.fficial, Fred Clum, that Project Blues Lines did not have sufficient evidence to be removed from permit #PRMFH20230414649 and declared a wilfull code violation for the expired permit and failed 524 Electrical Final inspection. 12. From July 26, 2024, to October 28, 2024, the property owner was out of state and unavailable to allow the contractor access to the property. 13.On November 26, 2024, the contractor was allowed access for the failed 524, Electrical Final inspection. 14. On December 2, 2024, Jewitt Engineering Inc., supplied an Engineers letter to Grant Greyling, Project Blue Lines Corp. to submit to the county. 15.On January 14, 2025, a review of permit #PRMFH20230414649 still shows failed 524 Electrical Final inspection. 16. Based on the investigation, and pursuant to Collier County Code of Laws and Ordinances Section 22-202(a)(2) and (b), the Contractors' Licensing Supervisor determined sufficient cause exists to warrant the filing of formal charges. 17.On January 14, 2025, a notice of hearing was mailed USPS certified mail #7021 2720 0002 5772 8415 to 16111 Bentwood Palms Drive, Ft. Myers, FL, 33908 18.On January 15, 2025, the notice of hearing was delivered and signed by an individual at the address of record. 19. The County now brings the following count(s) in this Administrative Complaint against the Respondent: COUNT I Page 454 of 496 A. ROMAN G. RAAB is in violation of Collier County Code of Laws and Ordinances Section 22-201(2), which states, in pertinent part, that it is misconduct by a holder of a State of Florida license to willfully violate the applicable building codes or laws of the state, city, or Collier County. WHEREFORE, the Petitioner asserts the above facts and charges are grounds for disciplinary action under Collier County Code of Laws and Ordinances Sec. 22-201 and, WHEREFORE, in consideration of the foregoing, the Petitioner respectfully requests the Collier County Contractors' Licensing Board to find the Respondent guilty of the violation(s) charged. Dated: Z° Z- Signed: is ael Contracting Licensing Supervisor Page 455 of 496 Contractors' Licensing Board 2800 North Horseshoe Dr. Naples, FL 34104 Complaint Number: 2025-3 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: February 10, 2025 Against: Contractor's Name: Roman G. Raab Phone: 239-248-2300 Business Name: Project Blue Lines Corp. License(s) Held: Certified Building Contractor, CBC 1265751 Collier County Competency number: 202300000247 Contractor's Business Address: 16111 Bentwood Palms Dr, Ft. Myers, FL 33908 Filed By: Name: Collier County Contractors' Licensing: Greg St.Jean Address: 2800 N. Horseshoe Dr., Naples, FL 34104 Business Phone: 239-252-8288 Address where work done: 700 Bentwater Cir., # 101 City: Naples County: Collier Date of contract: March 13, 2023 Date job started: December 13, 2023 (approx.) Page 456 of 496 Date job completed or new home occupied: N/A Were there plans and specifications: Yes Is there a written contract: Yes If yes, amount of Contract: $155,919.35 Has Contractor been paid in full: No If not, what amount: $17,759.87 Was a permit obtained: Yes Was a permit required: Yes Permit number if known: PRMFH2O230414649 Have you communicated by letter with the licensee: Yes Date: Several Do you have a reply: Yes Please attach to this form all copies of the purchase agreement, building contract, home improvement contract, copies of receipts and/or cancelled checks available and any additional evidence to substantiate your allegations. List any subsections of Collier County Ordinance number 22-201, which, in your opinion, have been violated by the contractor, which is the subject of this complaint, (list subsection number): a. Collier County Ordinance 22-201.1(2) Willfully violating the applicable building codes or laws of the state, city or Collier County. Please state the facts which you believe substantiate your charge of misconduct against the subject contractor. List facts separately for each subsection number above: a. Collier County Ordinance 22-201.1 (2) Willfully violating the applicable building codes or laws of the state, city or Collier County. 1. Failed 524 inspection on permit #PRMFH2O230414649 Page 457 of 496 Gr St.Je Code Enforcement Investigator — Licensing State of _ fLOfzl P A County of C 0G4 IAF9 The foregoing instrument was acknowledged before me by means of physical presence or El online notarization on this / 3 day of f &(j , 20 L S, by 6xtF& -19-- J&AW _ Such person(s) Notary Public must check applicable box: Kare personally known to me ❑ has produced a current driver license ❑ has produced (Notary Seal) as identification. Notary Signature: aY r Y•v. DONALD JOSEPH * * CommWolon / HH 611321 Ffl°-11e Expires November 11, 2M Page 458 of 496 Co�e-r Co-r�v�ty Growth Management Division Planning & Regulation Operations Department Licensing Section Date: January 14, 2025 Mr. Roman Raab Project Blue Lines Corp. 16111 Bentwood Palms Drive Ft. Myers, Florida 33908 RE: Case # CEMIS20240003900 — 700 Bentwater Cir. #101 — EXPIRED PERMIT AND FAILED 524 INSPECTION ON PERMIT #PRMFH2O230414649 Mr. Roman Raab, 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, February 19, 2025, at 9:00 AM in the Board of County Commissioner's Room, Third Floor, Administration Building (W. Harmon Turner Bldg.), at 3301 East Tamiami Trail, Naples, Florida 34112. Your presence before the Collier County Contractors' Licensing Board is required at this time. The packet concerning your case marked composite exhibit "A" will be delivered to the members of the Contractors' Licensing Board one week prior to the hearing. If you wish to receive a copy of this packet, please notify the Contractor Licensing Customer Service Office. If you wish to prepare a defense packet and have it delivered in conjunction with composite exhibit "A", you must make fifteen copies and have them in our office by 8:00 AM on Wednesday, one week prior to the hearing. In your packet, you may give a summary of events. At this meeting, you may present evidence and be represented by an attorney of your choice. In the event the Contractors' Licensing Board finds you in violation of 22-201(18) of the Collier County, FL Code of Ordinances: Sec. 22-201.1 (2)— MISCONDUCT — State Certified Contractors The following actions by state certified contractors shall constitute misconduct and grounds for discipline pursuant to section 22-202 of this article. (2) Willfully violating the applicable building codes or laws of the state, city, or Collier County. Growth Management Division*Planning & Regulation*2800 North Horseshoe Drive*Naples, Florida 34104*239-252-2400*www.colliergov.net Page 459 of 496 Co�e-r Co-r�v�ty Growth Management Division Planning & Regulation Operations Department Licensing Section The range of disciplinary sanctions which may be imposed are, (1) denial of Collier County/City building permits or require the issuance of permits with specific conditions; (2) recommendation for suspension, revocation, or restriction of your certificate of competency, or a fine to be levied by the Construction Industry Licensing Board. Sincerely, Greg St.Jean Licensing Compliance Officer Collier County Contractors' Licensing 239-252-8288 Initials: Growth Management Division*Planning & Regulation*2800 North Horseshoe Drive*Naples, Florida 34104*239-252-2400*www.colliergov.net Page 460 of 496 Z U is a lator I t raci Page 461 of 496 2/10/25, 12:39 PM USPS.com® - USPS Tracking® Results ALERT: WINTER STORMS IN THE MIDWEST THROUGH THE NORTHEAST U.S. MAY DELAY FIN... USPS Tracking' FAQs > Tracking Number: Remove X 70212720000257728415 Copy Add to Informed Delivery (https://informeddelivery.usps.com/) Latest Update Your item was delivered to an individual at the address at 11:34 am on January 15, 2025 in FORT MYERS, FL 33908. -n Get More Out of USPS Tracking: rD USPS Tracking Plus° v n Delivered Delivered, Left with Individual FORT MYERS, FL 33908 January 15, 2025, 11:34 am Arrived at Post Office FORT MYERS, FL 33912 January 15, 2025, 10:05 am Departed USPS Regional Facility FORT MYERS FL DISTRIBUTION CENTER January 15, 2025, 8:19 am Arrived at USPS Regional Origin Facility FORT MYERS FL DISTRIBUTION CENTER January 14, 2025, 7:07 pm Departed Post Office NAPLES, FL 34119 https://tools.usps.com/go/TrackConfirmAction?tRef=fullpage&tLc=2&text28777=&tLabels=70212720000257728415%2C&tABt=false Page 462 of 2/10/25, 12:39 PM January 14, 2025, 6:00 pm USPS picked up item NAPLES, FL 34119 January 14, 2025, 3:02 pm Hide Tracking History USPS.com® - USPS Tracking® Results What Do USPS Tracking Statuses Mean? (https://faq.usps.com/s/article/Where-is-my-package) Text & Email Updates USPS Tracking Plus® Product Information Track Another Package Enter tracking or barcode numbers u U u See Less /\ Need More Help? Contact USPS Tracking support for further assistance. FAQs https://tools.usps.com/go/TrackConfirmAction?tRef=fullpage&tLc=2&text28777=&tLabels=70212720000257728415%2C&tABt=false Page 463 of 4M Greg StJean From: Sandra Delgado Sent: Thursday, January 25, 2024 5:25 PM To: Greg StJean Cc: Timothy Crotts; Alyshia Morse; ContractorsLicensing Subject: FW: Preliminary Complaint Form - Permit # PRMFH2023041464901 - 700 Bentwater CIR 101, (Unit) , Naples, FL 34108 Attachments: Collier County -Preliminary Complaint Form_012424.pdf Greg, Another State Certified contractor that may be a DBPR referral. Please investigate. Respectfully, CJM'I.G{Tia o.e(."" Supervisor -Operations, Licensing c0flerCourtly Growth Management Community Development Department Operations & Regulatory Management Division Exceeding Expectations, Every Day! 2800 North Horseshoe Drive, Naples FL 34104 Phone: 239.252.2431 Sandra.Delgado@colliercountvfl.gov ContractorsLicensing@colliercountyfl.gov From: ContractorsLicensing <ContractorsLice nsing@ col liercountyfl.gov> Sent: Thursday, January 25, 2024 4:32 PM To: Sandra Delgado <Sandra.Delgado@colliercountyfl.gov>; Timothy Crotts <Timothy.Crotts@coIIiercountyfl.gov> Cc: ContractorsLicensing <ContractorsLicensing@colliercountyfl.gov> Subject: FW: Preliminary Complaint Form - Permit # PRMFH2023041464901 - 700 Bentwater CIR 101, (Unit) , Naples, FL 34108 Hello, Not sure if there is anything we can do but wanted to forward this so it can be reviewed. Regards, Alyshia Morse Customer Service Specialist Il From: Tom Hay <haytw@comcast.net> Sent: Wednesday, January 24, 2024 1:22 PM Page 464 of 496 To: ContractorsLicensing<ContractorsLicensing@colliercountyfl.gov> Subject: Preliminary Complaint Form - Permit # PRMFH2023041464901 EXTERNAL EMAIL: This email is from an external source. Confirm this is a trusted sender and use extreme caution when opening attachments or clicking links. Alyshia — Per phone conversation last week, please see attached Preliminary Complaint Form for a project done by Project Blue Lines (License CBC1265751) for Thomas and Jennifer Hay at 700 Bentwater Circle #101, Naples, FL 34108. I scanned the form and select documents to provide context for the complaint. In addition to this, the GC has breached our original contract, breached a subsequent written contract from September, and breached yet another contractual commitment they in writing through their own attorney to complete all open items by 10/31/23 (they failed). They have subsequently ignored our attorney requests for documentation in accordance with FL statutes. As we discussed, we do not have final inspection approval for electrical, nor do we have our CO or certificate of re - piping. Beyond those formal requirements, we are missing other items (like a door to our guest bathroom that was never ordered, hardware for any pocket doors (never ordered/installed), tile work that needs to be stripped and redone in our kitchen, incomplete/shoddy door installation overall, and much more. I have already spent thousands to re -work many of the items that the GC failed to do correctly or didn't do at all. I would like them to be held accountable for the costs I have incurred and the costs I have yet to incur to fix their shoddy work once our association quiet period ends 4/30/24. I fully intend to file a complaint with the DBPR as this GC has no business operating in either Collier or Lee county. I look forward to hearing back from your office. I would be happy to stop in to review more detailed photographic and text evidence of wrongdoing by the contractor. I have something on the order of 500 photos of failures during the project, and I have both journal entries and email documentation showing that I reached out to the owner with specific concerns and updates without reply. The email string toward the end of the project includes 26 emails to the owner of Project Blue Lines documenting their dishonesty, lack of follow-through, and shoddy workmanship. I can also put you and/or DBPR in touch with the other two clients who had similar, bad experiences with the same GC. Thanks, Tom Tom Hay 700 Bentwater Circle, #101 Naples, FL 34108 224-715-1995 Under Florida Law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by telephone or in writing. Page 465 of 496 Agov.net Report Title Code Case Details Date: 2/13/2025 11:23:54 AM Case Number CEMIS20240003900 I Case Number: ICEMIS20240003900 I Case Type: Misconduct Priority: Normal Inspector: I Greg.StJean Jurisdiction: Collier County Status: Investigation Date & Time Entered: 4/26/2024 9:17:59 AM Entered By: Greg.StJean r---Case Disposition: Case Pending Origin: Complaint Detail Description: Project Blue Lines was removed from permit #PRMFH20230414649 on July 2, 2024. The case will be referred to code enforcement for review. Case reopened on July 25, 2024, CBO Fred Clum declared a willful code violation for failed inspection. Project Blue Lines Corp being removed form permit #PRMFH20230414649 was revoked and they were added back to the permit on July 24, 2024. Location Comments: 700 Bentwater Cir #101 Naples, FL 34108 F#24720015021 Address 700 Bentwater CIR 101, (Unit) , Naples Property 124720015021 Complainant HAY, THOMAS W & JENNIFER S Property Owner HAY, THOMAS W & JENNIFER S Violator RAAB, ROMAN GERALD Business Management & Budget Office 1 Page 466 of 496 Code Case Details Execution Date 2/13/2025 11:23:54 AM Desc Assigned Required Completed Outcome Comments Cont. Investigation Greg.StJean 7/26/2023 4/26/2024 Complete 30-Day notice to address failed inspection email sent to Roman Raab(Qualifier) Project Blue Lines Corp. (see docs/images) Preliminary Investigation Greg.StJean 4/26/2024 4/26/2024 Needs I received an email complaint from Director Investigatio Crotts regarding breech of contract, n workmanship and failed inspections. I was provided a copy of the contract between the property owner and Project Blue Lines Corp. Case needs further investigation. CE Phone Call Greg.StJean 4/26/2024 4/26/2024 Complete PHONE CALL: Roman Raab (Qualifier) Project Blue Lines Corp., (239) 900-6148 1 told Mr. Raab about the complaint we received regarding work he completed at the subject property. Mr. Raab confirmed this is his job but stated there is ongoing litigation concerning this address and the project. I explained to Mr. Raab that there is failed and unscheduled inspections (524 - Remodel Com Electrical Final). Mr. Raab told me he needed to speak with his attorney prior to committing to any further work on this project. I told Mr. Raab he has 30 days to address the failed inspection. I told him I would follow our conversation up with an email. I also took the time to explain the process of removing himself from the permit and that it would not interfere with the civil issue. Mr. Raab thanked me and stated he had no further questions and would call me when he spoke with his attorney. Cont. Investigation Greg.StJean 5/24/2024 5/24/2024 Complete Additional 30 days was given to address this failed inspection, email sent to Roman Raab, Project Blue Lines Inc Cont. Investigation Greg.StJean 6/19/2024 6/19/2024 Complete PHONE CALL: Dawn Mars, DBPR Supervisor contacted Ms. Mars to ask where the DBPR complaint was and if she had any information regading this case. Ms. Mars told me the case was in legal and would be investigated once the case returns to them. Email was sent to Thomas Hay (property owner) to let him know the status. Business Management & Budget Office 2 Page 467 of 496 Code Case Details Execution Date 2/13/2025 11:23:54 AM Desc Assigned Required Completed Outcome Comments Cont. Investigation Greg.StJean 6/20/2024 6/24/2024 Complete PHONE CALL: Raymond Bass Jr, Esq, Project Blue Lines spoke with Roman Raab's counsel regarding the subject property and explained that permit #PRMFH2O230414649 needed to be addressed because of the failed inspections. I explained the options that Mr. Raab had to his attorney and that should the permit issue not be taken care of I would schedule him for a hearing infront of the CLB. I told Mr. Bass that if Mr. Raab removes himself from the permit that they could continue with the civil case. Mr. Bass stated he understood and would speak to his client. I did tell Mr. Bass that the issue needed to be taken care of asap as I have had this case open for 4-5 months and Mr. Raab did not make any attempts to address the failed inspections until I notified him of the hearing. PHONE CALL: Roman Raab, Project Blue Lines spoke with Mr. Raab and gave him the same information I gave to his attorney. I explained the process in the event he did not address the failed inspection on the permit. Mr. Rabb became upset and told me I was threatening him to revoke his license. I told him that is not the case and we did not have that authority. I told him our CLB hearing would move the process along only if he did not work towards addressing this permit. I told Mr. Raab to speak with his attorney as he understood my description of the process. Case will be set out 1 week for review. Cont. Investigation Greg.StJean 6/28/2024 6/28/2024 Complete I review of permit #PRMFH2O230414649 showed that an incomplete contractor withdrawal letter was sent to Project Blue Lines. I sent an email asking that they address the request asap. A phone message was left for Roman Raab (qualifier) Project Blue lines. Cont. Investigation Greg.StJean 7/2/2024 7/2/2024 Complete Project Blue Lines, Roman Raab (qualifier) was removed from permit #PRMFH2O230414649 via public portal with a contractor withdrawal form. Both Roman Raab and Thomad Hay (property owner) will be notified via email of the permit status. Enter Settlement Details Greg.StJean 7/10/2024 7/10/2024 Complete Project Blue Lines was removed from permit #PRMFH2O230414649 on July 2, 2024. The case will be referred to code enforcement for review. Business Management & Budget Office Page 468 of 496 Code Case Details Execution Date 2/13/2025 11:23:54 AM Desc Assigned Required Completed Outcome Comments Generate Closure Documentation Greg.StJean 7/10/2024 7/10/2024 Complete Investigation Greg.StJean 7/12/2024 7/10/2024 Settled Project Blue Lines was removed from permit #PRMFH2O230414649 on July 2, 2024. The case will be referred to code enforcement for review. Business Management & Budget Office 4 Page 469 of 496 Code Case Details Execution Date 2/13/2025 11:23:54 AM Desc Assigned Required Completed Outcome Comments Cont. Investigation Greg.StJean 7/25/2024 7/25/2024 Complete Case was reopened on July 25, 2024, Collier County Chief Building Official Fred Clum declared a willfull code violation for failed inspection. Project Blue Lines Corp., Roman Raab (qualifier) was added back to the permit #PRMFH2O230414649 on July 24, 2024 and is now responsible for this permit/project at the subject property. PHONE CALL: Thomas Hay, property owner, 224-715-1995 1 told Mr. Hay that Project Blue Lines Corp had been added back to the permit because he was removed in error. I explained that PBL is again responsible for the failed inspection on the permit and that CBO Fred Clum has declared a willful code violation and PBL qualifier Roman Raab will be scheduled for a hearing in front of the CLB on September 18, 2024. Mr. Hay stated that he understood and had no questions regarding the process. I also explained that this hearing is being scheduled for code violations and licensing issues. He understands that workmanship and monatary issues will be handled civily between himself and the contractor. I made sure he is aware that we do not get involved in civil issues and that we can only bring contractors to hearing for Collier County code vioolations and licensing issues. Mr. Hay asked me to send a copy of my report to him to be forwarded to states attorney office for review. Director Crotts told me to let him know to file a public records request which I explained to Mr. Hay. PHONE CALL: Roman Raab (qualifier) Project Blue Lines Corp. 239-248-2300 1 told Mr. Raab that he was added back to permit #PRMFH2O230414649 because he was removed in error. I explained to him that he is again responsible for the failed inspection on the permit. Mr. Raab again began to refer to his civil issue between the property owner and himself. I told Mr. Raab that we can only address code violations and licensing issues. Mr. Raab was asked to come in to receive a notice of hearing and he explained that he needed to speak with his attorney. I told Mr. Raab I would just send him the notice via certified mail and Mr. Raab stated he understood and had no questions. Business Management & Budget Office Page 470 of 496 Code Case Details Execution Date 2/13/2025 11:23:54 AM Desc Assigned Required Completed Outcome Comments Hearing Notice Service/Posting Greg.StJean 7/25/2024 7/25/2024 Complete Notice of hearing was sent to Project Blue Lines Corp., Roman Raab (qualifier) on July 25, 2024 Certified mail receipt #7021 2720 0002 5772 8385 Affidavit of Service/Posting Greg.StJean 7/25/2024 7/25/2024 Complete Hearing Notice Service/Posting Greg.StJean 9/12/2024 9/12/2024 Complete Notice of hearing was sent to Project Blue Lines Corp., Roman Raab (qualifier) on September 12, 2024 Certified mail receipt #9589 0710 5270 1751 8427 17 Affidavit of Service/Posting Greg.StJean 9/12/2024 9/12/2024 Complete Cont. Investigation Greg.StJean 10/21/2024 10/21/2024 Complete I am waiting for the date to be set to address the failed inspection. Both parties have attorney's that are trying to address the failed inspection. Cont. Investigation Greg.StJean 11/19/2024 11/19/2024 Complete An email was sent to Thomas Hay informing the information from CBO, Fred Clum regarding allowing access to Project Blue Lines into the property to address the failed inspection. CBO, Fred Clum stated that the county will not wait until spring of 2025 to allow access to the contractor to address a failed inspection. If access is not granted there is a chance that Project Blue Lines will be allowed to remove themselves from the permit. Cont. Investigation Greg.StJean 12/10/2024 12/10/2024 Complete Email sent to Roman Raab regarding reactivating permit #PRMFH2O230414649 so the enginner s letter can be submitted. Cont. Investigation Greg.StJean 12/27/2024 12/3/2024 Complete Project Blue Lines submitted the engineers affdavit and field report for the failed inspection on November 27, 2024 Cont. Investigation Greg.StJean 12/30/2024 1/6/2025 Complete Permit #PRMFH2O230414649 was reactivated on December 12, 2024. An engineers letter for the final electrical (524) inspection was submitted to Greg Hamm for review. I have spoken with Roman Raab, qualifier, Project Blue Lines and he told me as soon as the electrical letter is inspected and passed he will call in for the final inspection. This case is being worked on to be closed out. I allowed 30 days for this permitted to be finalized or a new hearing date will be scheduled. Business Management & Budget Office E Page 471 of 496 Code Case Details Execution Date 2/13/2025 11:23:54 AM Desc Assigned Required Completed Outcome Comments Hearing Notice Service/Posting Greg.StJean 1/14/2025 2/10/2025 Complete Case was reopened on July 25, 2024, Collier County Chief Building Official Fred Clum declared a willfull code violation for failed inspection. Project Blue Lines Corp., Roman Raab (qualifier) was added back to the permit #PRMFH2O230414649 on July 24, 2024 and is now responsible for this permit/project at the subject property. Notice of hearing was sent to Roman Raab for February CLB also spoke with Roman Raab and told him that the permit needs to be reactivated and the engineers letter needs to be submitted to permitting dept for review. USPS Certified mail 7021 2720 0002 5772 8415 Cont. Investigation Greg.StJean 1/14/2025 1/14/2025 Complete Notice of hearing was sent to Roman Raab for February CLB I also spoke with Roman Raab and told him that the permit needs to be reactivated and the engineers letter needs to be submitted to permitting dept for review. USPS Certified mail 7021 2720 0002 5772 8415 Affidavit of Service/Posting Greg.StJean 1/15/2025 2/10/2025 Complete USPS Certified mail 7021 2720 0002 5772 8415 Delivered and signed for pn January 15, 2025/ 1134 hrs Enter Hearing Results Greg.StJean 2/19/2025 Pending gar"'". Violation Description Status Entered Corrected Amount Comments Title Reason Result Compliance Fine/Day Condition Business Management & Budget Office 7 Page 472 of 496 Collier County Property Appraiser Property Summary Site Address Site Zone FParcel No 24720015021 *Disclaimer 700 BENTWATER CIR Site City NAPLES *Note 34108 Name / Address HAY, THOMAS W=& JENNIFER S 700 BENTWATER CIR #101 City I NAPLES I State I FL I Zip 134109 1 Map No. Strap No. Section Township Range Acres *Estimated 3A33 t198100 1 1013A33 33 48 25 0 Legal BREAKWATER AT PELICAN BAY V THE, A CONDOMINIUM BLDG 1-101 Millage Area O 79 Sub./Condo 198100 -BREAKWATER AT PELICAN BAY V, THE A CONDOMINIUM Use Code O 4-CONDOMINIUM Latest Sales History (Not all Sales are listed due to Confidentiality) Date Book -Page Amount 09/06/18 5550-1400 $ 600,000 10/19/12 4849-2315 $ 444,500 08/19/03 3373-3188 $ 425,500 08/29/02 O-2282 $ 0 12/11/98 2490-2492 $ 244,000 Millage Rates O *Calculations School I Other I Total 4.292 1 5.6054 1 9.8974 2023 Certified Tax Roll (Subiect to Chanqe) Land Value (+) Improved Value (_) Market Value $ 0 $ 989,585 $ 989,585 (-) Save our Home $ 241,382 (_) Assessed Value $ 748,203 (-) Homestead $ 25,000 (_) School Taxable Value (-) Additional Homestead (_) Taxable Value $ 723,203 $ 25,000 $ 698,203 It all Values shown above equal U this parcel was created after the Final Tax Koll Page 473 of 496 Property Review Parcel Number: 24720015021 Property Details Parcel Number: 24720015021 Parent Parcel Number: 66679081067 Status: Active Legal Description: BREAKWATER AT PELICAN BAY V THE, A CONDOMINIUM BLDG 1-101 Acres: 0.00 Block: 1 FLN: 24720015021 Improvement Value: $989,585.00 Land Value: $0.00 Map Number: 3A33 Range: 25 Section: 33 Taxes: $7,017.69 Township: 48 Use Code: 4 Addresses Street # Pre -Direction Street Name Direction Unit # Status 700 Bentwater CIR 101 Active 700 Bentwater CIR 101 Historic 700 Bentwater CIR 101 Historic Contacts Type Description Property Owner HAY, THOMAS W & JENNIFER S, Address: 700 BENTWATER CIR #101 Historic Owner NEWMAN JR, RALPH E & JILL B, Address: 700 BENTWATER CIR APT 101 Historic Owner NEWMAN JR, RALPH E & JILL B, Address:1437 COLLINS ROAD Historic Owner NEWMAN JR, RALPH E & JILL B, Address:1437 COLLINS RD Historic Owner LUTZ, MICHAEL A NINA A WISHBOW, Address:482 NICHOLAS DRIVE Historic Owner LUTZ, MICHAEL A NINA A WISHBOW, Address:452 NICHOLAS DRIVE Historic Owner LUTZ, MICHAEL A NINA A WISHBOW, Address:452 NICHOLAS DR Historic Owner HAY, THOMAS W & JENNIFER S, Address:2725 LAWNDALE AVENUE Historic Owner HAY, THOMAS W & JENNIFER S, Address:2725 LAWNDALE AVENUE Permit Applications Permit # I Type Work Class Status I Date Issued PRMFH20230414649 Multi Family Home Alteration/Remodel Inspections Commenced 06/26/2023 Permits: Description: 1) Kitchen- Replace all cabinets in existing locations. 2) Master Bath- Replace all existing cabinets and fixtures in existing locations. 3) Powder room, Guest Bath and Utility Room - Replace cabinets and fixtures in existing locations. 4) Doors- Replace existing doors and trim. 700 Bentwater CIR 101, (Unit) , Naples PRCN20151033384 Convenience Alteration/Remodel Finaled 11/20/2015 Permits: Description: CONVENIENCE BOOK FOR A/C REPLACEMENT A/C CHANGE OUT 700 BENTWATER CIR UNIT 101 Mechanical, Electrical, Plumbing, Gas & Fire Permit Applications Permit # Type I Work Class IStatus IDate Issued PRPL20171142867 Plumbing Alteration/Remodel Finaled 11/16/2017 Permits: PRHV20120919142 Description: replace 40 gallon water heater with 40 gallon water heater 700 Bentwater CIR, Unit:101 Mechanical Alteration/Remodel Finaled Permits: Description: INSTALLATION OF AN EXHAUST FAN AND SWITCH 700 BENTWATER CIR Powered by CityView IV 10/02/2012 Page 475 of 496 Contract This agreement ("Contract") is made this day of Monday, March 13, 2023 between Project Blue Lines Corporation, License Nr. CBC1265751, a Florida Corporation ("Contractor") and Tom and jenny Hay, ("Owner"), regarding the property located at 700 Bentwater Circle, Unit 101, Naples, FL 34108 ("Property„), The work described in Section 1 below shall be performed in accordance with all plans, specifications and other Contract documents for the project known as: 700 Bentwater Circle, Unit 101, Naples, FL 34108 Section 1. Scope of Work shall be as outlined in the Scope of Work attached hereto as Exhibit "A". These are in addition to site meetings and conversations between the parties, however the Scope of Work shall not be altered or changed unless agreed to in writing between the parties. Section 2. Price and Payment. The Owner agrees to pay the Contractor for the performance of the work, the sum of One -Hundred Fifty -Five Thousand One Hundred Ninety -Nine and 26/100 (155,199.26) subject to adjustments for additions (Change orders) or deletions (Credits) in the work as may be agreed to by the Owner and the Contractor, or as may be required by Government Authority or Building Department. The Owner agrees to pay the Contractor for ail work completed. Payment to be made per the attached Proposed Draw Schedule. Section 3. Entire Agreement. This agreement represents the entire agreement between the Contractor and the Owner regarding the work described in Section 1 and supersedes any prior written or oral agreements or representations as to that work. Section 4, Time. Time is of the essence of this agreement. Any changes and or selections made buy owner will dictate the time of completion. Delay days will be added to the timeline in accordance with the number of days each task accrues. The estimated time of completion is within 90 days after issuance of the permits. Section 5. Whenever an adjustment in the Contract price or Contract time is required because of Government Authority or Building Department change request, differing site conditions, errors in the plans or specifications, or other circumstances beyond the control of the Contractor (including acts of any governmental authority, acts of a public enemy, fire, flood, unusual deiay in transportation, abnormal weather conditions, labor disputes, strikes, lack of work access, acts of God, natural disasters, or acts of third parties), the Contractor shall submit to the Owner, within a reasonable time, a detailed estimate with supporting calculations and pricing, together with any adjustments to the Contract price and the Contract time. Pricing of the adjustment shall be in general accordance with the pricing structure of this contract. However, to the extent that such pricing is inapplicable, cost of the change or the amount of the adjustment shall be determined based on the cost to the Contractor plus reasonable amounts for overhead and Initials: Page 1 of 4 Initials: � { Page 476 of 496 profit. If additional work is added to the scope of work, contractor is granted the same rate, fee, and supervision structure as well as the afforded extra time to perform the additional work. The Contractor shall not perform changes in the work or additional work until the Owner has approved, in writing, the changes to the Contract price and the Contract time. Section 6. Suspension of Work. The Contractor, at its option, may suspend work under the Contract as a result of the following: (1) Owner's failure to timely pay sums due to the Contractor, until such payment is made; (2) a dispute over payment for extra work, differing site conditions, changes by the Owner or other circumstances beyond Contractor's control if such circumstance will cause the Contractor to suffer substantial financial hardship if Contractor is required to continue work; or (3) Owner's failure to provide Owner's ability to pay Contractor for work remaining to be performed by Contractor. Any suspension of work under this Contract will also suspend the progress and completion dates set forth in Section 4. Section 7. Site Access and Rights of Way. The Owner shall provide, no later than the date needed by the Contractor, all necessary access to the site or sites upon which the Work is to be performed, including convenient access to the site or sites designated in the Contract documents for use by the Contractor. Owner shall continue to provide such access until completion of the Contract. Any delay in providing such access shall entitle the Contractor to an equitable adjustment in the Contract price and the Contract time. Section 8. Permits. Contractor shall obtain all permits. The Owner and Contractor shall assist each other in obtaining such permits and licenses. Contractor will apply and expedite permitting but all permit fees will be paid for by the Owner. Contractor shall give all notices and comply with all laws, ordinances, rules and regulations bearing on the performance of the Work. If the Contractor observes that drawings, specifications or other Contract documents are at variance with such laws, ordinances, rules and regulations, the Contractor shall promptly notify Owner of such variance. If any such variances result in any necessary changes in the work, then Contractor shall be entitled to an equitable adjustment to the Contract price or Contract time. Section 9. Termination, The Owner reserves the right to terminate the work for its convenience upon notice in writing to the Contractor. In such an event, the Contractor shall be paid its actual costs for the portion of the work performed to the date of termination, and for all of the Contractor's incurred costs of termination, including demobilization and any termination charges by vendors and subcontractors, plus 20% of all of Contractor's actual and incurred costs for profit and S% for overhead. Should the Owner become insolvent or commit a material breach or default under the Contract, including, but not limited to, failure to pay timely undisputed sums due to the Contractor, then the Contractor may terminate this Contract. Section 10. Insurance. The Contractor shall, at its expense, procure and maintain insurance of its operations under this Contract consisting of the following coverages: a. Worker's Compensation and Employer's Liability Insurance. b. Commercial General Liability Insurance Covering Contractor's operations; and, Initials: Page 2 of 4 Initials:___..' Page 477 of 496 c. Automobile Liability Insurance, including coverage for Contractor's owned, hired and non - owned automobiles. The Owner shall, at its expense, procure and maintain insurance under this Contract consisting of the following coverages: property insurance coverage for subject property, including loss or damage to Contractor's work. Such insurance shall also apply to any of Owner's property in the care, custody, or control of Contractor. Owner waives all rights of recovery against the Contractor for loss of use €f the Owner's property, including consequential losses due to fire or other hazards, however caused. Section 11. Arbitration. Any controversy or claim arising out of or relating to this Contract or its alleged breach, which cannot be resolved by mutual agreement, shall be settled by arbitration in accordance with Construction Industry Rules of the American Arbitration Association in effect on the date of the contract, and judgement upon the award rendered by the arbitrator(s) may be entered in any court having jurisdiction. Owner and Contractor agree that, should Contractor be potentially or be a party to a lawsuit or arbitration arising out of or connected to this Contract, the Owner shall appear in, and be bound by the decision in, that lawsuit or arbitration. The prevailing party in any action or proceeding to enforce this Contract shall recover its reasonable attorneys' flees and costs (including expert witnesses) in that action or proceeding. Section 12. Warranty. The Contractor warrants to the Owner that all materials and equipment furnished under this Contract shall be new unless otherwise specified and that all work under this agreement will be performed in a good and workmanlike manner, shall be of good quality, free from faults and defects, and in conformance with Contract documents. Prior to final payment by Owner, Contractor will remedy items found lacking or deficient as determined by a final "walk-through" inspection conducted by both parties. The date of such final payment will serve as the "Date of Completion". Contractor also expressly provides Owner with an extended warranty for a period of one (1) year beyond the Date of Completion for any faults or defects in materials or workmanship subsequently discovered. Schedule of Payments: Upon contract deposit $ 38,799.gi Upon completion of 25% $ 38,799.81 Upon completion of 50% $ 33,799.81 Upon completion of 75% $ 21,039.87 Upon Certificate of Occupancy: $ 17,759 96 Project BLUE LIN S C rpo flan (L Tom'and Je y Hay 1 Initials Page 3 of 4 *6-313 020 Date 7Z Date Initials: � Page 478 of 496 Tam and Jenny May 700 Bentwater Circle, unit 101 Naples, FL 34108 1611 1' Bentwood Palms Drive w. Fort, -Myers, I✓L 33908 (239) 248-2300 C8C 1265751 C8C 125Y42i - www.biu linesbuildirlg.ccsrn''` INVOICE 700-23-3-13-02 August 29, 2023 PRODUCT /DESCRIPTION PYMT PYMT PYMT MADE AMOUNT PERCENT schedule DUE Contract Deposit 25% 38,799.81 38,799.81 0.00 After completion of 25% 25% 38,799.81 38,799.81 0.00 After completion of 50% 25% 38,799.81 38,799.81 0.00 After completion of 75% 14% 21,039,85 0.00 21,039.85 Upon Completion 11% 17,759,96 0.00 0.00 Change Order Number: 1 1,276.15 1,276.15 0.00 Change Order Number: 2 7,552.00 7,552.00 0.00 Change Order Number: 3 418.85 418.85 0.00 Change Order Number: 4 -6,385.28 0.00 -6,385.28 Contract Sum $ 155,199.26 Change Orders Total $ 2,861.72 Contract Sum Total $ 158,060.98 CURRENTLY DUE 14,654.58 1l{ k This invoice is due upon reciept. 1of1 Project Blue Lines Corporation, WELLS FARGO - Account # 9061239365 Routing Numbers: Direct deposits and electranical payments #0631075 i 3 - Wire transfers domestic # 121000248 Checks payable to Project Blue Lines Corporation 700 Bentwater- Invoice Page 479 of 496 DIVISION OF CORPORATIONS 1� fry—+� un ufflrisit! Suuy U%Ilur!!is! rsebsi,'y Department of State / Division of Corporations / Search Records / Search by Entity. Name / Detail by Entity Name Florida Profit Corporation PROJECT BLUE LINES CORP. Filing Information Document Number P21000030028 FEI/EIN Number 86-3097588 Date Filed 03/26/2021 State FL Status ACTIVE Principal Address 16111 BENTWOOD PALMS DRIVE FORT MYERS, FL 33908 Mailing Address 16111 BENTWOOD PALMS DRIVE FORT MYERS, FL 33908 Registered Agent Name & Address RAAB, ROMAN G 16111 BENTWOOD PALMS DR FORT MYERS, FL 33908 Officer/Director Detail Name & Address Title P RAAB, ROMAN G 16111 BENTWOOD PALMS DR FORT MYERS, FL 33908 Title SEC RAAB, JILLA 16111 BENTWOOD PALMS DR FORT MYERS, FL 33908 rmrai% Page 480 of 496 GREYLING, GRANT 3224 Areca Ave NAPLES, FL 34112 Annual Reports Report Year Filed Date 2022 06/23/2022 2023 04/10/2023 Document Images 04/10/2023 --ANNUAL REPORT View image in PDF format 06/23/2022 --ANNUAL REPORT View image in PDF format 03/26/2021 -- Domestic Profit View image in PDF format Florida Department of State, Division of Corporations Page 481 of 496 Search > Account Summary > Bill Details Business Tax Account #1078449 PROJECT BLUE LINES CORP. I Renew or request a change to your Business Tax account Current owner: Current business address: WILLIAM SHANER/ ROMAN RAAB 16111 BENTWOOD PALMS DR FORT MYERS, FL 33908-3057 (D More Details 2025 Details Account number: Business start date: Physical business location: Business address: RECEIPTS AND OCCUPATIONS RECEIPT 2201870 REGULATED- DBPR CONSTRUCTION BUSINESS 1078449 03/21/2022 UNINCORPORATED LEE CO. PROJECT BLUE LINES CORP. 16111 BENTWOOD PALMS DR FORT MYERS, FL 33908-3057 10/01/2024 - 09/30/2025 Mailing address: Owner(s): $0.00 $ I Get bills by email hw PROJECT BLUE LINES CORP. 16111 BENTWOOD PALMS DR FORT MYERS, FL 33908-3057 WILLIAM SHANER/ ROMAN RAAB 16111 BENTWOOD PALMS DR FORT MYERS, FL 33908-3057 ED Print this receipt (PDF) Page 482 of 496 THE OFFICIAL SITE OF THE FLORIDA DEPARTMENT OF BUSINESS & PROFESSIONAL REGULATION b a 1 Department of Business & Professional RMilati©n ONLINE SERVICES Apply for a License Verify a Licensee View Food & Lodging Inspections File a Complaint Continuing Education Course Search View Application Status Find Exam Information Unlicensed Activity Search AB&T Delinquent Invoice & Activity List Search LICENSEE DETAILS Licensee Information HOME CONTACT US MY ACCOUNT 12:08:00 PM 211012025 Name: RAAB, ROMAN GERALD (Primary Name) PROJECT BLUE LINES CORP. (DBA Name) Main Address: 16111 BENTWOOD PALMS DRIVE FORT MYERS Florida 33908 County: LEE License Information License Type: Rank: License Number Status: Licensure Date: Expires: Special Qualifications Construction Business Alternate Names Certified Building Contractor Cert Building CBC1265751 C u rrent,Active 07/26/2022 08/31 /2026 Qualification Effective 07/26/2022 View Related License Information View License Complaint 2601 Blair Stone Road, Tallahassee FL 32399 :: Email: Customer Contact Center:: Customer Contact Center: 850.487.1395 The State of Florida is an AA/EEO employer. Copyright ©2023 Department of Business and Professional Regulation - State of Florida. Privacy Statement Under Florida law, email addresses are public records. If you do not want your email address released in response to a public -records request, do not send electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. *Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have one. The emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public. Please see our Chapter 455 page to determine if you are affected by this change. Page 483 of 496 71 1 Page 484 of 496 COLLIER COUNTY GOVERNMENT GROWTH MANAGEMENT DEPARTMENT / BUILDING REVIEW & INSPECTION DIVISION 2800 N. horseshoe Drive, Maples FL 34104 • Phone (239) 252-2428 Outstanding Corrections Date: June 01, 2023 PERMIT NO: P€ NIFH2O23041464901 Contact Name. Roman Raab APPLICATION NO: PRMFH20230414649 Address: 16111 Bentwood Palms Dare JOB SITE ADDRESS: 700 Bentwater CIR 101, (Unit) . City, State Zip. Fort Myers, FL 33908 Naples Email, roman Pbl uelinesbui Iding.com Dear Applicant Plans submitted with the referenced permit have been reviewed. We are unable to approve your permit application for the reason(s)indicated below. For Applications Submitted through rho GMD E-Pormitting Portal: • Resubmitlals must be submitted in the same session and the changes must be clouded. • Corrected docurents must be submitted as complete files (with the corrected sheets replacing the rejected streets). Submittals containing just the corrected sheets will be returned as Insufficient. • A written letler of response summarizing the changes Made to address each correction comment must t.,e: included err your resubmdLal Failure to include a .vntter, letter of response voll result in a rejection. • After your resubmittal is ptocessed the documents will be reviewed again: additional deficiencies may be identified through this process. JQ. DE-CRIE7N: 1jKitchen- Re0ace all cabinets in existing locations. 2) I'lasier Bath- Repface all existing cabinets and fixtures in existing locations. 31 Powder room, Guest Bath and Utility Room - Replace cabinets and fixtures to existing locations. 4) Doors- Replace existing doors and trim. 700 Bentwater CIR 101, (Unit) , Naples • Rejected Review: Electrical Review Reviewed By: Jerry Hitch Phono:239-252-5581 Email:jorry.hitch acolIiorcountyff.gov Correction Comment 1 Please provide complete electrical intent as required by FBC 107.3.5 Rejoctod Review: Fire Review Roviowed By: Margarita Acevedo VEN Phono:239-252-2309 Email:Margarita-Acovodo@coltiorcountyfl.gov Correction Comment 1. Please identify on the floor plan any tenant wall separations Should damage occur to fire rated assembly (i.e. Aoor;cedingPNall), provide onsite for fire inspector the repair method with an approved '?UL7 or equal design FFPC 7th ed 101 8 3.5.1 Please acknov;Iodge o,-i correction. Correction Comment 2 Any alterabon:modification to the fire sprinkler system and fire alarm system will require a separate permit prior to working on the system. Please acknowledge on correction. Roj"tod Roviow: Plumbing and Handicap Roviow Reviewed By: Tobias Hytonen Page 485 of 496 Phone: 239-252-2659 Email:Toblas.Hytonen@colliercountyfl.gov Correction Comment 1: Provide a complete scope of work _ Will the shower file and pan be replaced or lust the toilet and sink in the bathrooms ? Correction Comment 2: Informational only: FBC 107.2.1 Construction documents shall be of sufficient clarity to indicate location. nature and extent of the work proposed and show in detail that it will conform to the provisions of this code and relevant laws, ordinances, rules, and regulations as determined by the building official. NOTE: All corrections are to include a response letter identifying the changes made for each rejection comment and corrections on the plans clouded This review shall be considered incomplete pending receipt of requested and required information. Subsequent review(s) may reveal additional deficiencies. Rejected Review: Structural Review Roviowed By: Wiliam Graft Phone: 239-252-2634 Email:William.Craft@coillercountyfi.gov Correction Comment 1: FBC-B 7th 2020 107.2.1 - Information on construction documents. - Listed below are the guidelines for kitchen and bathroom remodels. Please provide responses and drawings where appropriate for the following items: 2, 3, 4. 5. 6.7.&8 KITCHEN ANDiOR BATH REMODELS: Plans shall be provided with the following information as applicable: 1. Scope of work describing all changes. additions, modifications. 2. Existing floor plan of unit with room designations prior to modifications. 3. Proposed floor plan. EX_ change to layout of kitchen cabinets, location of appliances, walls etc. 4. Location and type of construction of any walls, ceilings etc, being altered, moved. deleted, or added. Provide wall detail. 5. Indicate location of all tenant separation walls, if tenant wails or ceilinglfloor separation assemblies are being disturbed please provide repair method with an approved ?UL? or equal design for the review. 6. If plumbing is being moved or added (ex. tub to shower conversion, moving kitchen sink or new kitchen island) provide the drain location and method of floor repair with termite treatment if applicable. 7_ Location of electncal fixtures or outlets being moved or added (it applicable) also method of floor repair with termite treatment if cutting concrete floors for floor outlets etc 8. If flooring is to be replaced with coverings other than carpet the underlayment shall show compliance with the FBC 1207 for sound transmission. 9. Location of gas lines being moved or added. (if applicable) 10. Location of HVAC ducts or vents being moved or added. (if applicable) Correction Comment 2. FBC-B 7th 2020 107 1 - Submittal documents - The construction documents shall be prepared by a registered design professional where required by Chapter 471. Florida Statutes or Chapter 481. Florida Statutes. Based on the scope of work provided. this appears to be a level t alteration per 2020 Existing FBC. However be advised if any layout or system changes are made. then it becomes a level 2 alteration. Pursuant to FBC 71h Edition 2020 section 107 1. the Building Official, Fred Clum, has determined al! plans shall be signed and sealed by a registered Design Professional (architect or engineer) in all cases where alterations are classified as Level 2 Alteration (Existing FBC Chapter 6) and layouts, wails, ceiling. floors, factures OR systems such as HVAC. fire suppression etc, are changed, moved or modified in any way. Correction Comment 3 Per Florida Building Code Section 107.3 design professional shall provide project data information on drawings. It shall include but not be limited to. a. Type of construction. b address and owner c Occupancy classification d. Occupancy load. (as applicable) e Use and occupancy of all adjacent tenants. if applicable. f. Applicable Building Codes g. Level of alteration (Existing FBC Chapter 6) h Square Footage of Work Area Page 486 of 496 Correction Comment 4. Design professional shall submit stab on grade data per FBC 2020 Section 1907, along with Section 1816 termite protection, were slab is removed for new plumbing. ATTENTION: Collier County Plan Review and Inspections routinely reviews all outstanding permit applications in order to determine their status. The review process includes appropriate responses from the permit applicant when the permit cannot be approved. When the applicant is advised of defic:encies and does not respond within 180 days with corrected plans or an appeal to the Code Enforcement Board. the permit application will become Void as per Collier County Ordinance 2002-01, Section, 104.5.1.1 to 104.5.1.4 (vs amonded). (Rejected Review: Electrical Review Reviewed By: Jerry Hitch Phone;239-252-5581 Email: jerry.hitch@colliercountyfl,gov Correction Comment 1: Please provide complete electrical intent as required by FBC 107.3.5 Correction Response 1: Replacing existing recessed incandescent ceiling light fixtures with new LED light fixtures in existing locations. Replacing existing bathroom wall sconces with ne� w i Page 487 of 496 Permit Application Status PRMFH2O230414649 In order to view fees or schedule inspections, you need to be signed in. Expand All I Collapse All Note: You can collapse and expand individual sections by clicking the header of the section you wish to collapse/expand. Summary Application Number: PRMFH2O230414649 Application Type: Multi Family Home Application Status: Inspections Commenced Property Owner's Full Name: MAY, THOMAS W & JENNIFER S Category of Work: Alteration/Remodel Occupancy Code: Residential, Multi -Family Description of Work: 1) Kitchen- Replace all cabinets in existing locations. 2) Master Bath- Replace all existing cabinets and fixtures in existing locations. 3) Powder room, Guest Bath and Utility Room - Replace cabinets and fixtures in existing locations. 4) Doors- Replace existing doors and trim. 700 Bentwater CIR 101, (Unit) , Naples Application Date: 04/07/2023 Issued Date: 06/26/2023 Expiration Date: 04/22/2024 1 2 Family or Comm: Commercial Business Name at Location (Portal) Locations Contacts Business Name: 700 BENTWATER CIRCLE #101 Locations: Property 24720015021 Address 700 Bentwater CIR 101, (Unit) , Naples Applicant: Roman Raah, Address:16111 Bentwood Palms Drive Property Owner: HAY, THOMAS W & JENNIFER S, Address:700 BENTWATER CIR #101 Subcontractor: Plumbing: RBS SERVICES CORP, Address:613 NE JUANITA PLACE, Phone:(727) 313-7012, State Reg #'s CFC1430103, Licensee # LCC20190001818 License Status SubContractor: Electrical: SAME & Q ELECTRIC, INC., Address:11415 NW 7 STREET, APT #101, Phone:(305) 989-9854, State Reg #'s EC13007128, Licensee # LCC20210002207 License Status Primary Contractor: PROJECT BLUE LINES CORP., Address:16111 BENTWOOD PALMS DRIVE, Phone:(239) 248-2300, State Reg #'s CBC1265751, Licensee # LCC20230000198 License Status Qualifier, RAAB, ROMAN GERALD, Address:16111 BENTWOOD PALMS DRIVE, Phone:(239) 900- �� ! 6148, Licensee # LCC20230000242 License Status A L Permits (Click to See Reviews) Permit Number: PRMFH2O23041464901 Permit Type: Building Permit Status: Inspections Commenced Deposits & Bonds There are no deposits or bonds for this permit application. Yam""�ryY,�v'l Page 488 of 496 Inspections Inspection Outcome Requested (scheduled Date Inspected 174 - Remodel Com Building Final Pending Inspector: ....... ............. ...- i 524 - Remodel Com Electrical Final Pending Inspector: E Correction 1: Miscellaneous Corrections Status: Outstanding Date Status Changes 10/25/2023 Comments: Miscellaneous Corrections. 10/25/23 1. Type IB construction, NM not permitted. NEC334.10.2 2. Homeowner provided pictures of electrical modifications during rough, no 523 on the }nspection due to no modifications. Remove coverings (FBC110.1) or provide an engineers' letter. For a PE Letter to be Considered it shall contain: Corrections: Permit 9 Address Date of inspection Who conducted the inspection [ if not a PE must be a BN j How the inspection was conducted to meet applicable code Verbiage to Hold Collier County harmless with regard to subject inspection ORIG signature of PE , copy not acceptable If Digital signature , must be emailed to Greg. Hamm@col I iercountyFl. Gov 215 - Remodel Com Plumbing Rough Pass with notes 7/13/2023 7/13/2023 07/13/2023 Inspector: Tobias Hytonen ((239) 252-2659) Send Email Correction 1: Inspector Notes Status; Withdrawn Corrections: Date Status Changed: 07/14/2023 Comments: 216 - Remodel Com Plumbing Final Pass 10/25/2023 Inspector: Peter Williams ((239) 292-2780) Send Email 610 - Penetration Protection Pass Inspector: Mayra Castillo VEN ((239) 252-) Send Email 618 - smoke/Heat/Duct Detectors Pass Inspector: Mayra Castillo VEN ((239) 252-) Send Email 641 - Final Fire Pass Inspector: Mayra Castillo VEN ((239) 252-) Send Email 524 - Remodel Corn Electrical Final Failed - Building 10/25/2023 Inspector: Joe Justice ((239) 253-3165) Send Email 10/25/2023 10/25/2023 10/25/2023 I 10/25/2023 10/25/2023 10/25/2023 10/25/2023 Page 489 of 496 Correction 1: Miscellaneous Corrections to us: Carried Forward Date Status Changed: 10/25/2023 Comments: Miscellaneous Corrections. 10/25/23 1. Type 113 construction, NM not permitted. N EC334.10.2 2. Homeowner provided pictures of electrical modifications during rough, no 523 on the inspection due to no modifications. Remove coverings (FBC110.1) or provide an engineers' letter. For a PE Letter to be Considered it shall contain: Corrections: Permit # Address Date of inspection Who conducted the inspection t if not a PE must beaBN] How the inspection was conducted to meet applicable code Verbiage to Hold Collier County harmless with regard to subject inspection ORIG signature of PE , copy not acceptable If Digital signature , must be emailed to Greg. Hamm@colt iercountyFl.Gov Conditions Status Department I� Category E�xp�ratian Bate Du e Date Notice of Commencement Resolved Building Review and Permitting Description: Notice of Commencement: Upload to the condition on the portal. /DENIED: NOC has to be recorded by Collier County Cleric of Courts before uploading to the condition tab on the portal. CubelaChristina 05/05/2023 1:54 PM DENIED: THE NOC NEEDS TO BE RECORDED BY THE COLLIER COUNTY CLERK OF COURTS. PLEASE UPLOAD A RECORDED NOC TO THE CONDITIONS TAB ON THE PORTAL. THANK YOU. OjedaAngalfsa 04/13/2023 10:26 AM denied: NOC must be recorded by the collier county clerk of courts. Please revise and upload NOC to the portal. Thank you. TriminoKaily 05/01/2023 4:16 PM Condition Type• Inspection Hold Fire Certificate - Notice of Resolved Building Review and Fire Compliance Permitting Description: > Fire Certificate - Notice of Fire Compliance Condition Types;, CO Hoid Fire Inspection Scheduling Resolved Fire Department North Collier Description: Fire Inspection Scheduling go to www.northcollierfire.com/inspections or Call 239-597-9227 Condition Types Informational Elevation Certificate Under Not Rid Building Review and equre Construction Permitting Description: At the time of permit application, the permitted structure is in the special flood hazard area. An Under Construction Elevation Certificate is required within 10 days of passing a 103 or 133 inspection of slab or other foundation system. Prior to obtaining County approval of the Under Construction Elevation Certificate, the permit holder's construction activities are at his/her own risk. Under Construction Elevation Certificates must verify the slab meets minimum elevations per the Florida Building Code and Chapter 62, Collier County Code of Laws and Ordinances (e.g., BFE +1 or 18" above the crown of the road, whichever is higher, and the elevation established by the SFWMD permit). Condition ivpg CO Hold Elevation Certificate Not Required Building Review and Permitting Demotion: > Elevation Certificate C-Udition Types CO Hold Sub Contractor (Electrical) Resolved Building Review and Permitting Descri ti n: Sub Contractor (Electrical) Upload to the condition on portal. Condition Type: Inspection Hold Page 490 of 496 Sub Contractor (Plumbing) Resolved Building Review and Permitting Description: Sub Contractor (Plumbing) Upload to the condition on portal. Condition Typg Inspection Hold Request Changes to Building Review and Permit Contractors or Open Permitting Status Description: Use the form located at https://www.coiliercountyfl.gov/home/showdocument?ld=lOS797&t=6384039849B4558370 to request Permit extensions, cancellations, and changes/withdrawals of Contractors, Subcontractors and Qualifiers. Instructions are provided with the form. Change/withdrawal of contractor does not apply to self -issued permits. Contact Building Permit Resolution Services at 239-252-2493 for assistance completing the form. Submit the farm by clicking the Browse button below. Condition Type; Informational Notice of Commencement Not Required Building Review and Permitting Description: Notice of Commencement: Upload to the condition on the portal. Due to contractor withdrawal processed. Contractor withdrawal has been reversed as per the Building Official, Fred Clum, Condition Type. Inspection Hold Sub Contractor (Electrical) Not Required Building Review and Permitting Description: Sub Contractor (Electrical) Upload to the condition on portal. Due to contractor withdrawal processed. Contractor withdrawal has been reversed as per the Building Official, Fred Clum. ndition Types Inspection Hold Sub Contractor (Plumbing) Nat Required Building Review and Permitting Description: Sub Contractor (Plumbing) Upload to the condition on portal. Due to contractor withdrawal processed. I Contractor withdrawal has been reversed as per the Building Official, Fred Clum, i Condition Type, Inspection Hold Miscellaneous Conditions Not Required Descnp i n: Change of Contractor must be processed prior to proceeding with permit work. Contractor withdrawal has been reversed as per the Building Official, Fred Clum. Condition Typg Inspection Hold Documents & Images ,ate Uploaden' File Typ,- �06/01/2023 Applications 105/01/2023 N.O.C. 106/01/2023 Approved Plans (PR) 04/12/2023 Letter 04/13/2023 Letter 05/01/2023 Letter - 05/02/2023 Letter 05/02/2023 Letter 05/04/2023 05/04/2023 Receipt 05/04/2023 05/05/2023 _ Letter 05/08/2023 .. N. O.C. 06/01/2023 Letter Application Form (Permit- Completed permit appo - Prepared (Received).pdf) Notice of Commencement (Recorded NOCO.pdf) Architectural Plans (permit- Pg 1 and 2 Prints - Prepared (Received).pdf) Incomplete Application Notice (Generate Incomplete Application Notice) Incomplete Condition Notice ... ......... - Incomplete Condition Notice Payment Slip (PR - App) Payment Slip (PR - App) Recorded NOC.pdf — -..... ......... ........., Receipt for transaction:2023-039449 Recorded NOCO.pdf Incomplete Condition Notice Recorded NOC- Collier couty- THIS VERSION.pdf Corrections Letter EPR - Outstanding Corrections Page 491 of 496 Date Upioaded 06/01/2023 — ............. 06/09/2023 06/05/2023 06/09/2023 06/09/2023 06/09/2023 - 06/09/2023 06/09/2023 06/26/2023 06/20/2023 06/21/2023 06/26/2023 j06/26/2023 06/27/2023 07/10/2023 07/11/2023 07/11/2023 10/25/2023 06/20/2024 _.__.-..-.._.-..-.._ ... .... .._,_, 06/26/2024 06/28/2024 06/28/2024 06/28/2024 07/02/2024 Portal Home File Type Name Letter Corrections Letter EPR - Outstanding Corrections Response Letter Corrections Response Letter (i_ Permit Resubmission 6_2 - Prepared (Received).pdf) Letter Incomplete Resubmittal Notice (Generate Incomplete Resubmittai Notice) Plans Corrections Response Letter (1_, Permit- Structural - Prepared (Received),pdf) Approved Plans (PR) Fire Plans (1_ Permit- Fire - Prepared (Received).pdt) Approved Plans (PR) Plumbing Plans (1_ Permit- Plumbing - Prepared (Received).pdf) Approved Plans (PR) Electrical Plans (1_ Permit- Electrical - Prepared (Received).pdf) Letter Corrections Letter EPR - Outstanding Corrections Response letter Corrections Response Letter (1_ Permit Rejection Response 2 - Prepared (Received).pdf) Letter Payment Slip (RFI-Customer PR) Receipt Receipt for transaction:2023-054242 Approved Plans (PR) Approved Construction Documents Commercial Letter Combined Permit and Inspection Job Card SUBCONTRACTOR FORM 700 BENTWATER CIR #101.pdf Elec Attachment signed.pdf Letter Incomplete Condition Notice Elec Attachment signed.pdf Notice of Fire Compliance (N.O.EC.) PRMFH2O230414649.pdf Request Changes to Permit Status 2024-06-20_130254.pdf Letter Incomplete Condition Notice ... .......... ............. -----_--......... _....... _ Letter of Notification to Thomas Hay.pdf Certified Mail Receipt 2024-06-20_131215.pdf Certified Mail Receipt and Tracking History.pdf --... Document .... ....... -....... ,. _ - --- 001002.pdf ............... .................. Page 492 of 496 Sec. 22-201.1 - Misconduct —State certified contractors. The following actions by state certified contractors shall constitute misconduct and grounds for discipline pursuant to section 22-202 of this article. (1) Failing or refusing to provide proof of public liability and property damage insurance coverage and workers compensation insurance coverage as required by Florida Statutes. (2) Willfully violating the applicable building codes or laws of the state, city or Collier County. (3) If the CLB finds through its public hearing process that the contractor was found by another county or municipality within the past 12 months, to have committed fraud or a willful building code violation and the CLB finds that such fraud or other willful violation would have been fraud or a willful violation if committed in Collier County or within the respective city. (4) Fraud. (Ord. No. 94-34, § 4; Ord. No. 99-45, § 4.2-4.2.3, 6-8-99; Ord. No. 2002-21, §§ 1(4.2-4.2.3); Ord. No. 06- 46, § 1(4.1.8.2)) Page 493 of 496 Jewitt Engineering, Inc. 623 Bayside Drive Fort Myers, Florida 33919 Phone 239-432-1550 Jewitt Engineering, Inc. Established 1994 11/27/2024 To: Grant Greyling Project Blue Lines Corporation 16111 Bentwood Palms Drive Fort Myers, FL 33908 (239) 273-4672 From: Jeffrey J. Jewitt P,E. LEED AP Re: 700 Bentwater Circle, Unit #101 Naples, Fl. 34108 A Site Visit was completed on 11/26/2024. 1 observed the electrical installation in two kitchen walls to comply with the NEC 2020. \'`\ t JA.MES /�, _ * • No. 47564 STATE OF ZORID SIO�NA�E�,��. Digitally signed This item has been electronically signed and sealed by Jeffrey J. Jewitt P.E. on the date adjacent to the seal using a SHA authentication code. Printed copies of this document are not considered signed and sealed and the SHA authentication code must be verified on any electronic copies. y JEFFREY J. JEWITT Date: 2024.11.27 14:15:32-05'00' Page 494 of 496 Jewitt Engineering, Inc. 623 Bayside Drive Fort Myers, Florida 33919 Phone 239-432-1550 Jewitt Engineering, Inc. Established 1994 TO: Grant Greyling Project Blue Lines Corporation 16111 Bentwood Palms Drive Fort Myers, FL 33908 (239)273-4672 FROM: Jeffrey J. Jewitt P.E. LEED AP DATE: 11/27/2024 I i21Eel 14a2Eel WI PROJECT: 700 Bentwater Circle, Unit #101 Naples, Fl. 34108 PRESENT: Mr. Jeffrey Jewitt P.E., Grant Greyling and four others. Date of Visit: 11/26/2024 REASON FOR VISIT: Site visit to observe the electrical installation in two kitchen walls was performed in accordance with the NEC 2020. OBSERVATIONS: All electrical work was observed to comply with the NEC 2020 ACTION NEEDED: None ATTACHMENTS: Follow link for site observation Pictures. BENTWATER CIRCLE 101 Site Observation Report By: Jeffrey J. Jewitt PE, LEED AP Page 495 of 496 Page 496 of 496