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CLB Agenda 01/21/2009CONTRACTORS’ LICENSING BOARD AGENDA January 21, 2009 AGENDA COLLIER COUNTY CONTRACTORS' LICENSING BOARD DATE: WEDNESDAY - JANUARY 21,2009 TIME: 9:00 A.M. W. HARMON TURNER BUILDING (ADMINISTRATION BUILDING) COURTHOUSE COMPLEX ANY PERSON WHO DECIDES TO APPEAL A DECISION OF THIS BOARD 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 THAT TESTIMONY AND EVIDENCE UPON WHICH THE APPEAL IS TO BE BASED. I. ROLL CALL II. ADDITIONS OR DELETIONS: III. APPROVAL OF AGENDA: IV. APPROVAL OF MINUTES: DATE: DECEMBER 17, 2008 V. DISCUSSION: Tom Warren - Prometric Agreement VI. NEW BUSINESS: Charles R. Mc Dermott - Contesting Citation Shelli A. Mehri - Review of Credit Report John Tangorra - Request to Qualify 2nd Entity Olga Kolesnikova - Review of Construction Experience Affidavits VII. OLD BUSINESS: Calvert N. Courtney II - End of Year Profit Loss Statement VIII. PUBLIC HEARINGS: Case #2009-01 James Schuck D/B/A: Marco Marine Construction, Inc. (Cert. #26439) Case #2009-03 Donald Ricci Sr. D/B/A: Marco Marine Construction, Inc. (Cert. #13520) Todd Grup D/B/A: TAG. Professional Carpentry, LLC. (Cert. #26457) Case #2009-02 IX. REPORTS: X. NEXT MEETING DATE: WEDNESDAY FEBRUARY 18, 2009 W. HARMON TURNER BUILDING, 3RD FLOOR (COMMISSIONERS MEETING ROOM) 3301 E. TAMIAMI TRAIL NAPLES, FL. 34112 (COURTHOUSE COMPLEX) December 17,2008 TRANSCRIPT OF THE MEETING OF THE CONTRACTORS' LICENSING BOARD OF COLLIER COUNTY Naples, Florida December 17, 2008 LET IT BE REMEMBERED, that the Contractor Licensing Board, in and for the County of Collier, having conducted business herein, met on this date at 10:30 a.m. in REGULAR SESSION at Collier County Development Services Center, 2800 North Horseshoe Drive, Room 609-619, Naples, Florida, with the following members present: CHAIRMAN: Les Dickson Richard Joslin Eric Guite' (Absent) Lee Horn Terry J erulle Thomas Lykos Michael Boyd Glenn Herriman (Absent) ALSO PRESENT: Patrick Neale, Attorney for the CLB Robert Zachary, Assistant County Attorney Michael Ossorio, Zoning & Land Development Review Page 1 . December 17,2008 CHAIRMAN DICKSON: Good morning. I'd like to call to order the meeting of the Collier County Contractor Licensing Board, December 17th, 2008. Anyone who would like to -- that appears before this Board and would like to make an appeal will need a verbatim record of that proceeding, which is being taken. I'd like to start with roll call to my right. MR. JERULLE: Terry Jerulle. MR. L YKOS: Tom Lykos. CHAIRMAN DICKSON: Les Dickson. MR. JOSLIN: Richard Joslin. MR. HORN: Lee Horn. MR. BOYD: Michael Boyd. CHAIRMAN DICKSON: So we have six, and two absent. We do have a vacancy on the Board. Vacancy still exists for a consumer, which we would love to get filled. The only requirement is that they live within the City of Naples, right? MR. OSSORIO: That's correct. CHAIRMAN DICKSON: City -- Naples corporate city limits, because it is a representative -- good morning, Mr. Zachary. MR. ZACHARY: Good morning. CHAIRMAN DICKSON: It is the representative from the City of Naples. Second requirement is that you have never had any association with the construction industry in any way, shape or form. So if anyone's interested, we would sure like to have them contact Sue Filson and fill out a form. ---Any additions or deletiol1s~to the-miIitites?------ Ian? MR. JACKSON: Ian Jackson, License Compliance Officer for Collier County. We have one addition under discussion after the vote on new Page 2 \ December 17, 2008 chair. Jennifer Guttuso, discussing the Virginia Graeme Baker Pool and Spa Safety Act, and which I have some paperwork to distribute, if the addition is approved. CHAIRMAN DICKSON: Okay. And Jennifer's here? MS. GUTTUSO: Yes, I am. CHAIRMAN DICKSON: Okay, good. No more changes. Do I hear a motion to approve the agenda as amended? MR. JOSLIN: So moved, Joslin. CHAIRMAN DICKSON: Second, Dickson. All those in favor? MR. JOSLIN: Aye. MR. BOYD: Aye. MR. JERULLE: Aye. CHAIRMAN DICKSON: Aye. MR. L YKOS: Aye. MR. HORN: Aye. CHAIRMAN DICKSON: Have you had a chance to read the minutes? I need either changes that you may have encountered or an approval as they're written. MR. JOSLIN: I make a motion, Mr. Chairman, that we approve the minutes as written. MR. L YKOS: Second, Lykos. CHAIRMAN DICKSON: All those in favor? MR. JOSLIN: Aye. MR. BOYD: Aye. MR. JERULLE: Aye. CHAIRMAN DICKS0N: AyE-- MR. L YKOS: Aye. MR. HORN: Aye. CHAIRMAN DICKSON: Done. Discussion. Discussion of citation procedures. Page 3 .. December 17,2008 I'll let you take the floor on that, County. MR. OSSORIO: Hang on, Mr. Chairman. Sorry about that, Mr. Dickson. For the record, Mike Ossorio, Contractor Licensing Supervisor. Welcome. CHAIRMAN DICKSON: Good morning. MR. OSSORIO: Good morning. I wanted to discuss just a quick bulletin about the discussion of the citation procedure. I know that we've been issuing citations for about 10 years. And of that 10 years, we've probably issued 4,000 to 4,500 citations. Of that 4,000 citations we've issued over the last couple of years, there are about 400 outstanding. And out of that 400, 129 or 160, I believe, have been issued in '08. So there seems to be a little bit of issue of noncompliance in issuing citations for the '08 year. And we brought on Karen Clements. I don't know if you're familiar with Karen Clements. She was in licensing before. She has just started working with us and she is heading up our citation procedure. And also she's going to be doing investigations and obviously going out there on unlicensed activities as well. So we added a staff member, which is good news, thanks to Bob Dunn, that we are at full staff now. And just wanted to let you know that you'll see something on the agenda in the upcoming months, hopefully will be on the consent agenda, we're going to be -- start doing on the consent. In other words, when you approve the agenda, the consent will be approved. And at the end of the meeting we'll have the chairman sign off on the orders for proceeding with the clerk's office for tne citation process. So I want to let you aware of that's what we're going to be doing the upcoming months. CHAIRMAN DICKSON: Anybody have any questions? MR. JOSLIN: Are these citations factors you're talking about, Page 4 December 17, 2008 these citations that have not been paid? Is that what you're talking about? MR. OSSORIO: That's correct. MR. JOSLIN: So there's 120 of them out there that have been cited and not -- MR. OSSORIO: I would say over 120 to 160. I'm not sure, I haven't really looked at it. But it seems to be a lot more issue in '08, maybe due to the fact of the economy, whatever it is. But we need to go ahead and start getting the procedure. And we've had a procedure, it's just that we haven't had the means or know how to do it. But obviously I sat down with the county attorney and the board's attorney and we've come up with a good solution we're going to be starting hopefully in the next month or two. CHAIRMAN DICKSON: Yeah, that's a big number. MR. JOSLIN : Yes, it is. At $300 a -- most of the citations are about $300 apiece, aren't they? MR. OSSORIO: Yeah, most of them are $300 apiece. MR. JOSLIN: Sizeable amount of money. MR. JERULLE: Do you have a list? MR. OSSORIO: We have a list. MR. JERULLE: Is it a public record of-- MR. OSSORIO: Yeah, we have -- that's all public information. If somebody wishes to get that, we'll do it for you. So the policy's there, the procedure is there, and we're waiting on just a confirmation from the county attorney and then we're going to start proceeding. And I think we're going to get a lot of compliance. Some citations we're going to be issue (sic) that no matter what we do or what the Board does, we're just not going UFeollect. That's -------.. and I don't know how the Board feels about after we go through this whole procedure on foreclosing on something that's going to cost us more money to do than what it's worth. So we'll come to that bridge when we get there. But right now Page 5 December 17,2008 we're in the final stages of actually implementing this policy, so I think it's going to be -- it's a good policy and I think we're going to get good compliance with it. MR. L YKOS: Good. CHAIRMAN DICKSON: Okay, next is vote on chairmanship for the upcoming year. After six years as your chairman, we've gone to a yearly chairmanship and a yearly vice-chairman, which will be elected each December. They will serve starting in January of the new year through December of the same year. I've already noticed a change on this Board. It's more vibrant that way. It's the way the County Commissioners do it. Instead of listening to the same old guy all the time, a new voice, new face. So with that, I will entertain nominations for chairmanship for the year 2009. MR. L YKOS: Mr. Chair, I nominate Mr. Joslin for chair for 2009. CHAIRMAN DICKSON: I second that. Mr. Joslin has been vice chair for the last six years. MR. JOSLIN: It's been a pleasure. MR. OSSORIO: And he still can't get it right, right? CHAIRMAN DICKSON: He just talks a different language. MR. JOSLIN: That's what the recorder said, I just talk fast. CHAIRMAN DICKSON: Any other nominations? (N 0 response.) MR. JOSLIN: I would like to -- are we just on chairman now? CHAIRMAN DICKSON: Yes. MR. JOSLIN: Okay, never mind. .. ---- CHAIRMAN DICKSON~All those in fav-0to-f-M-r~J(js~liIi, - signify by saying aye. MR. JOSLIN: Aye. MR. BOYD: Aye. MR. JERULLE: Aye. Page 6 December 17,2008 CHAIRMAN DICKSON: Aye. MR. L YKOS: Aye. MR. HORN: Aye. CHAIRMAN DICKSON: Opposed? (No response.) CHAIRMAN DICKSON: Unanimous. Congratulations. MR. JOSLIN: Thank you very much. CHAIRMAN DICKSON: Nomination for vice-chairman. MR. JERULLE: I nominate Tom Lykos. MR. JOSLIN: I'll second that motion. CHAIRMAN DICKSON: We could do campaigning. I mean-- we could put signs up, whatever you want. MR. JOSLIN: Can I sell him? MR. L YKOS: Let's not go there. MR. JOSLIN: I'm only kidding. MR. JERULLE: Are you from Illinois? CHAIRMAN DICKSON: Can you believe that? Absolutely shocking. MR. JOSLIN: Really. That is amazing. CHAIRMAN DICKSON: That's not all he sold either. Interesting. Okay, no other nominations, then I'll move for a vote. All those in favor of Mr. Lykos? MR. JOSLIN: Aye. MR. BOYD: Aye. MR. JERULLE: Aye. ---- --~=CHAIRMAN DICKSGN~~ye~- ~-------==--- MR. L YKOS: Aye. MR. HORN: Aye. CHAIRMAN DICKSON: Opposed? (No response.) Page 7 December 17,2008 CHAIRMAN DICKSON: Also unanimous. Congratulations, gentlemen. MR. L YKOS: Thank you. MR. JOSLIN: Thank you. CHAIRMAN DICKSON: I know you'll serve well. Now I can start hushing my mouth. I'm sure many people will enjoy that. MR. JOSLIN: Before we go any farther, as the new acting chairman, I would like to just extend our greatest appreciation and gratitude, Mr. Dickson, for the past years that you have been chairman. And it has been a pleasure, I'm sure from all the Board members and myself as the vice-chairman, to have served under you. CHAIRMAN DICKSON: Thank you. MR. L YKOS: Yes, thank you very much. CHAIRMAN DICKSON: Thank you. It's nice. I'm still staying on the Board, though, so you can't get rid of me. MR. JOSLIN: That's fine. CHAIRMAN DICKSON: Okay. Jennifer Guttuso. It's now her time. MS. GUTTUSO: Good morning. How are you? My name is Jennifer Guttuso. I'm the supervisor for the pool program for the Collier County Health Department. I'm sorry? MR. OSSORIO: Spell your name. MS. GUTTUSO: Oh, I'm sorry. O-U-T-T-U-S-O. I'm here to talk about the Virginia Oraeme Baker Act, briefly. The first thing I wanted to set out there is that we as the Collier . -~~ounty Health Department are actually a state office. We're called Collier County Health Department because that's our area of jurisdiction. We actually are a state office, though. This Virginia Oraeme Baker Act is actually a federal congressionally enacted law, but we have been asked by the CPSC, Page 8 December 17,2008 who's administering the law, to help them enact this. They simply don't have the manpower to do so. So we're trying to get the word out to -- so that the contractors know what's going on, what's expected of them, what is allowed, what is not allowed. So very briefly, Virginia Graeme Baker was a seven-year-old girl who on June 15th of 2002 was at a pool party. She got stuck on the main drain grate of a spa in a residential spa in somebody's backyard and consequently drowned. It took them 10 minutes to get her off that grate. F or those of you that don't know, the main drain is the big grate, the big hole, usually in the deepest part of the pool. Unfortunately when you're talking about spas or wading pools, which are about 12 inches deep for the little kids, they're actually not that far away from the children and arms and legs and should they fall and land on them and things like that. Virginia Graeme's grandfather was the former Secretary of State James Baker. And her mother went on to lobby for safer laws in terms of pools and spas that are on direct suction so that things like this wouldn't happen. As she was lobbying, not a lot was happening, although there were a couple other children getting hurt. What happened was there was a young child in I believe it was Minnesota in a wading pool and had fallen and landed on the main drain grat and was disemboweled, and that kind of spurred them. What they did was they took this act and they buried it an extremely comprehensive energy bill, so it actually passed through. The law was signed into effect on December 19th of 2007. And basically what it did was it described a minimum safety standard for new drain covers that would be used to cover these drains so that children would not become entrapped in terms of their body getting stuck, because of the suction, and fingers couldn't get in and hair Page 9 December 17, 2008 couldn't get in and vortex around where people would be drowning. The law gave them a year for compliance. The problem was that they -- the minimum standard that they set out was not finished being written yet. So by the time that safety standard was written, there was already four or five months of that year of compliance gone. The problem we're having now is once the standard was written, five months behind the ball, now the manufacturers could go out and manufacture it. But then they have to go through the testing period and the approval process. So now that the law is out there and it goes into effect on Friday, physically these grates are not out there to be gotten, okay? And that's part of the problem that we're having. The act, the Virginia Graeme Baker Act, names it as a consumer product safety law. So the entire law is being overseen and enforced by the Consumer Product Safety Commission. They have acknowledged that these drains are very difficult to get. And so what they're doing, or what they say they are doing, is that they will be doing their inspections on a complaint only basis for now until they can kind of get their ducks in a row in terms of how they will get out there to enforce this. They're putting an emphasis on the pools and spas that cater towards the children: The interactive pools where the water shoots up and the kids run through them, the wading pools which are about 12 inches deep that the kids play in, and the spas. Because these are the ones that are most dangerous for the children. If anybody has any information or -- I'm sorry, is looking for any information, it's -- they actually have a website. It's ---WWW.CPSC.Gov. And they're outlining what theytre doing there. There's also a secondary portion of this act that requires a secondary device on systems that have only one main drain. And this is where the licensing board kind of gets into it. There's a list of five secondary devices. Now, the State of Florida only recognizes one of Page 10 December 17, 2008 them. It's called a collector tank, which puts the pool on a gravity feed so the pump isn't sucking directly from the drain. Really cuts down on the amount of suction. But there are four other choices out there that the CPSC will allow. The state, once our code is revised, and we expect that to come out in the middle of February, beginning of March, is only recognizing one of those and that is that collector tank. So the other four devices that are being installed are not recognized by the State of Florida. So the contractors can go out, install these devices. They don't need to be approved by us, they don't need to be inspected by us. And with the Consumer Product Safety Commission not coming out, really nobody's looking at these devices that are being installed. And what we're finding out or what we're realizing as this law draws closer and people are really starting to panic, while these devices are required to be installed by a commercially licensed contractor, we're finding that a lot of the contractors out there are not aware of the limits of their licensing. The -- on the federal level what it says is that any pool contractor can install these devices. That includes residential. The county has some limiting laws that override that, however, saying only commercially licensed people can work on commercial pools. And that's where we're running into some problem. We as the health department have exposure to most of the commercially licensed pool contractors out there, simply because we interact with them. We have very little interaction with the residentially licensed people. And what we're finding -is the res-identially licensed people are __ reading the act and kind of interpreting it their own way. And while it does make sense, there are some gross misinterpretations out there that I'm afraid are not going to have the safety effect that we're looking for, as well as cost the consumers and residential people out there a lot of Page 11 December 17,2008 money that they really don't need to be spending. Which is part of why I'm here, to get that commercial licensing issue out there. But we also wanted to get out the effects of this act and what it is that we're afraid of. The health department does have a little bit stricter standards on the drain covers that are being installed. And we do have a website out there. We've tried to get that out to everyone so that they're aware of what's approved and what's not. If the contractors are putting on a drain cover that is federally approved but is not state approved, we as the state, when the inspectors go out, will be closing those pools. Because those drain covers will be limiting the flow of the pool, will be limiting the sanitation of the pool and start the safety issue on a whole nother level. So we're trying to get some information out there. Again, the health department really only deals with commercial pools. And that's about it. Any questions? CHAIRMAN DICKSON: Thank you very much. MR. JOSLIN: Thank you, Jennifer. MR. OSSORIO: Jennifer, I do have one question. I'm sorry. On a level of licensing as a building review and permitting as in permits, do you foresee that the building department will be getting involved in issuing building permits for these drains? MS. GUTTUSO: I don't believe so. It's not really a structural change, so I don't think it's really something that the county will be getting involved in. I do think -- as I was speaking with Rick, I do think that there will be some changes or some addressing in the ----residential permitting side of it in terms of when the spas are being built as new spas. But to take an existing spa or pool and just change the drain cover, it's literally unscrewing four screws and screwing something back. So I really don't think that the building department would need Page 12 December 17, 2008 to get involved in that. MR. OSSORIO: Another question is, is that when you're building a commercial swimming pool, that's one of the things that the building inspector is going to look at, or is that something that you're going to be inspecting? MS. GUTTUSO: Actually, both. We as the state come out after the piping is done and after they've set up the concrete shell and we inspect the piping, we also come back after everything is finished. And then we final it. Once it's final ed, we take over all the inspections. But my understanding is the county is out there when the piping is first put in. They then come back out after the cement structure is set up while the piping is under pressure, they do an inspection then. And they come out at the end. I believe they do sanitary facilities and fences at the end. So the county is involved in the building process of it. Once it's done being built, they then drop out and the state takes over. On the commercial pools anyway. MR. OSSORIO: Okay. And my last question is, you had mentioned something about a collection tank equalizing. Is that something we're going to get involved with permit-wise, or no? Because that's adding service or adding to the pump house. MS. GUTTUSO: Well, the ones that have to be retrofitted, it will have to be permitted. I don't believe that the building department gets involved in that. I think that is considered a repair or modification and comes directly through our office in the state. For the most part, I believe it was 1983 or '84 where the State of - --- Florida required that all new pools at that point be built with a collector tank. So for the most part, most of the pools out there already have them. However, there are some still in direct suction that will have to be retrofitted. Those plans are reviewed by our engineer and approved at the Page 13 December 17, 2008 state level. I think they do building permits over here, though, in terms of where they're digging and where they'll be placing these pits. Because the pits do extend down into the ground. But I don't know what inspections are done by the county on that level. MR. OSSORIO: Okay, thank you. MR. JOSLIN: One last comment. I'll just interject here, only because I think it's -- everyone's wondering, probably on the Board, too, of why that -- and I was the one that brought this to the attention. First of all was because of the media coverage that I'm sure that we're going to give on TV. Only because to let the public be aware of what's going on with this particular act, since it is a federal act. And the second thing is because of the licensing issue that we have here in Collier County. Michael Ossorio and I have been in conversation for the past two weeks about this. And it appears, now, I'm not 100 percent certain but I'm pretty positive, that we have a conflict of ordinance regarding our ordinance, a swimming pool contractor/servicing repair companies versus the state statute of 489. And the way that the actual law has come out from the HRS says that any licensed pool contractor can do the service. Which the State of Florida 489 says that there are only three classifications of licenses. There are only commercial, residential contractors or a pool/spa servicing contractor, according to 489. In our code, in our ordinance, it lists a forth license, which is a residential pool/spa servicing contractor only. The difference is is that the servicing contractor can only ___maintain pools. This was a license that we issued I believe in the ordinance change last year, which kept a licensed contractor able to only go out and service pools, but not repair pools. According to the code now, we have -- the code says that a licensing service contractor. Well, apparently the State of Florida now Page 14 December 17,2008 has overridden us to a degree and now our ordinance is really at a moot point. And this is something that we probably need to bring up for discussion down the road or in our ordinance change for the coming year, put on the agenda to maybe modify it or change it. And this is just terminology in the ordinance. But you can see how it would affect Collier County license versus a state certified license. CHAIRMAN DICKSON: Is that it? Thank you very much. MS. GUTTUSO: Thank you. CHAIRMAN DICKSON: Moving on. New business. Edwidge Bourdeau, are you present? Yes, sir, if you would, come up to this podium. If you would, state your name and then I'll have this pretty lady swear you in. MR. BOURDEAU: My name is Edwidge Bourdeau. (Speaker was duly sworn.) CHAIRMAN DICKSON: You're going to have to talk louder than you did. You hear my level at this point? That's what I need to hear. Okay? You're wanting to be -- you're here to reinstate your license without retesting. Looks to me like you've been in Port St. Lucie all this time; is that correct? MR. BOURDEAU: Yes. CHAIRMAN DICKSON: Louder. MR. BOURDEAU: Yes. Well, I had my office up here, and then I decided to move it in Port St. Lucie, since I live in Port St. Lucie. So, you know, I went down there, have met all the requirements down there. ------- - And from the county here, I don't believe+ever receive any notice stated that I was supposed to renew up here. But I've been doing that in Port St. Lucie. And as you know, as an electrician you have to continue your education every two years, and I've been doing that. But I never knew Page 15 December 17,2008 that if I'm not doing business in this area I will have to, you know, continue to renew it every year. As soon as I did find out that I had to do that, then I called here. And then they told me, you know, this is what -- this was my situation. But I have -- like I said, I've maintained insurance, I've done everything that I was supposed to down in Port St. Lucie. MR. JOSLIN: Mr. Bourdeau, I have a question for you. On your packet here, I'm looking at four different Department of Business and Professional Regulation licenses that you have in your possession. MR. BOURDEAU: Yes. MR. JOSLIN: Have you ever read one of those? MR. BOURDEAU: If I have read them? MR. JOSLIN: Have you read the license itself, a copy of the license? It gives -- MR. BOURDEAU: Somewhat. MR. JOSLIN: -- you the ability to -- as an ER number, to be able to work as a registered electrical contractor as Bourdeau Electric and Power Electrical Company. Also, it says very clearly at the bottom of that license, the individual must meet all local licensing requirements prior to contracting in any area. MR. BOURDEAU: Yes, I understand that. But like I said, since I had -- I moved to Port St. Lucie, so to my understanding I met the requirements down there. But I didn't know I had to maintain it going up here when I wasn't going in business here. That's my main problem that I didn't know. And I'm sorry about that. MR. L YKOS: Mr. Ossorio, how long has the license been lapsed here in Collier County?_ MR. OSSORIO: More than 18 months. And more than -- and he hasn't taken the exact within three years. But it's always been a policy of the Board, especially when you deal with a state registered contractor, whatever it might be, building, residential, electrical or Page 16 December 17,2008 mechanical. He has kept up -- he is current with the state registration. He has obviously let the county lapse. And unfortunately we don't have any jurisdiction to reissue it, so he has to apply to the licensing board. I have no objections. He's done all his CU credit hours, he's licensed in the State of Florida, and I recommend that we approve it and pay all back penalties and fees. CHAIRMAN DICKSON: And I agree with that. I mean, I'm sitting here -- I understand what you're saying, and I understand what you're saying, but he moved out of the area, but he still maintained his license; he still maintained with the state and the local county. Didn't maintain with the county back where he originated the license. And I might have been confused about that as well. So as long as you're not opposed to paying back penalties and fees, I don't see a problem either. MR. JERULLE: I have a question. Your insurance certificate shows you have general liability insurance? MR. BOURDEAU: Yes. MR. JERULLE: Do you have auto insurance? MR. BOURDEAU: Yes. MR. JERULLE: Because it doesn't show it on the certificate that I have. MR. BOURDEAU: Because this is a new certificate. And I'm not -- right now the business is slow and I'm not using the vehicles, so -- I only got -- as a matter of fact, I only got one van. MR. JERULLE: How about Workmen's Compensation? I didn't see in that either. ---- - MR. BOURDEAlhWe had-that back then also. MR. JERULLE: Is that in the package? MR. BOURDEAU: If you want to verify, you can-- MR. JERULLE: Did I miss it? MR. JOSLIN: No, I have an exemption form I found. Page 1 7 December 17, 2008 MR. OSSORIO: Yeah, there's a -- the state requires him to have a Workers Compo policy or be Workers Compo exempt. MR. JERULLE: I didn't see -- CHAIRMAN DICKSON: Auto is not our concern. MR. JOSLIN: The exemption form that I'm looking at here shows that he's exempt, but yet on the company background information, it shows the number of employees being as two. Do you have other employees that are listed on here that shouldn't have been? MR. BOURDEAU: Yes, I used to. Right now I don't have any employees at all. Since business is, you know, so slow. MR. JOSLIN: At this time I'll go along with Mr. Dickson's thoughts on the approval of the license, but I would want to make sure that staff has definitely a knowledge of the Workmen's Compensation or if he has more than one employee, because it's very ambiguous here as far as the number of employees versus the exemption form. CHAIRMAN DICKSON: I make a motion to approve -- MR. JOSLIN: I second. CHAIRMAN DICKSON: -- reinstatement without retesting. MR. JOSLIN: I second the motion. CHAIRMAN DICKSON: Discussion? MR. L YKOS: I guess I would ask that we also require that all the back fees be paid to get current. CHAIRMAN DICKSON: Yeah. And I'll add that to the motion. Any more discussion? (No response.) CHAIRMAN DICKSON: Call for the vote. All those in favor? MR. JOSLIN: Aye.m---u ----- MR. BOYD: Aye. MR. GUITE': Aye. CHAIRMAN DICKSON: Aye. MR. L YKOS: Aye. Page 18 December 17, 2008 MR. HORN: Aye. CHAIRMAN DICKSON: Opposed? (No response.) CHAIRMAN DICKSON: Unanimous. Now, you can't do this today, because all your stuff is in here. You have to come back tomorrow, okay? And then go see Maggie. All right? Wish you well. MR. BOURDEAU: Thank you. CHAIRMAN DICKSON: Myron Smith, are you there? Good morning, sir. MR. SMITH: Good morning. CHAIRMAN DICKSON: If you would, come up and state your name, I'll have you sworn in also. MR. SMITH: I'm Myron Smith. (Speaker was duly sworn.) CHAIRMAN DICKSON: You got a citation for what? Engaging in business as a contractor or advertising -- MR. L YKOS: Tree trimming. CHAIRMAN DICKSON: -- tree trimming without being duly registered or certified. And you would like to protest that citation. MR. SMITH: Yes, sir. CHAIRMAN DICKSON: Floor's yours. MR. SMITH: I've been a licensed contractor in Collier County for 1 7 years, I guess it is. I'm not sure exactly. A long time. And I had -- it had lapsed. It wasn't that I -- I guess at the time it lapsed I was unlicensed, and I do admit that. We've had a large struggle in our house which caused our office --- we have our office in our house, in our den, and we had a leak in the - wall and the whole kitchen, dining room and den had to be taken out. And so we had to -- it disrupted our whole household, our whole office. And I have also with me proof of that what I'm saying, with the Page 19 December 17, 2008 mold in the house and our whole house getting -- and I had just -- in the chaos, along with my wife that during this time just got -- I don't want to blame it all on her, but she -- it was a tough time physically and emotionally with the whole house getting disrupted. And I overlooked getting my license renewed at the proper time. And that's what happened. CHAIRMAN DICKSON: Well, I'll be honest with you, I'll be real blunt. I don't care for people that come in here and blame it on their wives. MR. SMITH: I'm not. CHAIRMAN DICKSON: You're the license holder. MR. SMITH: I am. CHAIRMAN DICKSON: Okay? MR. SMITH: Yes. She usually does all the paperwork and does all that. And that was why -- you know, I'm not trying to blame it on my wife. It is my responsibility, absolutely. MR. JOSLIN: Could we have Mr. Kennette to say exactly what he saw the day of the citation? CHAIRMAN DICKSON: Yeah. Mr. Kennessa (sic)? (Speaker was duly sworn.) MR. KENNETTE: My name is Allen Kennette, Contractor Licensing Compliance Officer. What I actually saw was the -- out on Ditch Apple Lane, the gentleman was by a tree, sharpening his saw and getting it ready to do some more cutting. He had a lot of stuff down. There was another worker there with him removing debris that he had cut down. They ________ were loading it onto 'ltra.iler. SoT -- he had no markings or anything on his truck. I asked him for his license; he said he did have one. Produced one, and I informed him that it had expired 9/30 of '08, that he hadn't renewed it yet and we were in October already. And he just said that Page 20 December 17, 2008 he had not proper time to get down and do it. He knew he needed to do it. He's been in business for 17 years. And I said well, you know, it needs to be renewed every year at this time, you've been doing it right along. And he said well, he's had some problems at home and that he would take care of it as soon as possible. I did issue him the citation for working with an unproperly registered license. CHAIRMAN DICKSON: Have you since renewed the license? MR. SMITH: Yes, sir. Immediately, the next day. CHAIRMAN DICKSON: Anybody else have any questions? MR. BOYD: Is he licensed as a tree trimmer? MR. KENNETTE: Yes, he is. He has a landscaping restricted, which includes tree trimming. MR. JOSLIN: How about the insurance requirements? MR. KENNETTE: The -- he's Workers Compo exempt. And he did have liability insurance. On the form that I had shows it was renewed for 1/31 of 2009. MR. JERULLE: How long has he had his license? MR. KENNETTE: License was issued in 1995. MR. JERULLE: '95. Has it ever lapsed prior to this? MR. KENNETTE: As far as I know, according to our system, it wasn't that far back, I haven't seen anything on him on not renewing it. We only go back so far without really pulling the records out of Iron Mountain. But as far as we have ours, it showed that he has paid every year, except for this one time. MR. JERULLE: Mr. Smith, has it ever lapsed before? MR. SMITH: No, sir. MR. L YKOS: I make a motion that we uphold the citation. MR. JOSLIN: I second the motion. And also, I think staff needs to dig into the license that he does reinstate and -- or uphold, I'm sorry, upholding this citation, but dig into his insurance qualifications. Ifhe's got two men working on the Page 21 December 17,2008 job, or himself plus another man, right, in tree trimming, I would think he would need some type of insurance, Workmen's Compo or something to protect those men. MR. OSSORIO: The code is pretty ambiguous referencing a tree service. If you are just trimming a tree, it's considered non-construction, you can have up to three employees with no insurance. If you're actually on a construction site and you're actually cutting the tree down, then you will fall under the category of construction. So we take that into account when we go out there. MR. JOSLIN: Okay. MR. SMITH: I was just trimming trees. MR. KENNETTE: The other worker wasn't working, he was just MR. JOSLIN: Loading? MR. KENNETTE: -- removing trees that he had already cut down, the branches. MR. JOSLIN: My second still stands then. MR. L YKOS: The reason I think we need to uphold the citation is I think we start to get into a gray area when we say how long has it been, how long have you been in the community. You know, it expires, these are the rules we've established. And we start being subjective with the decision-making -- MR. JOSLIN: That many years in business -- MR. L YKOS: -- then we might as well change the rules. So let's just keep the rules the way they are and uphold the rules that we have. CHAIRMAN DICKSON: I'm just the opposite. We're in discussion mode. I guess I've got Christmas spirit or something. I mean, 17 years and he's never done it before. And he did -- your redeeming grace was you went and got the license renewed the next day. So I was going to give him a reprieve. MR. SMITH: I'd appreciate that. MR. JERULLE: I agree. I mean, if -- the reason there is a board Page 22 December 17,2008 is to be subjective in some cases. Otherwise, Mr. Ossorio could handle it. I think the history has a great deal to do with it. MR. JOSLIN: But a history also has to do with the fact that ifhe has been in business for 1 7 years, then obviously he knows he has to renew that license. He knows he has to be qualified to do this work. I mean, because he does it the next day, well, okay, he's done it, but-- CHAIRMAN DICKSON: Yeah. And it only over-lapsed what, a couple of weeks? MR. SMITH: Right. MR. JOSLIN: I can understand your thoughts. CHAIRMAN DICKSON: That's why we have a board and that's why we vote. Anybody else? (No response.) CHAIRMAN DICKSON: Okay, the motion is to -- the citation will stand. Call for the vote. All those in favor? Show of hands. MR. JOSLIN: Aye. MR. L YKOS: Aye. MR. HORN: Aye. CHAIRMAN DICKSON: All those opposed? MR. JERULLE: Aye. MR. BOYD: Aye. CHAIRMAN DICKSON: Aye. CHAIRMAN DICKSON: Okay, citation is dropped. Because the vote was that it stands, you didn't get a majority. Right, legalese? Mr. Suits? MR. NEALE: Yeah, you got it. CHAIRMA:N"PICKSON: And even though it was a t~ vote, the ... .--motion was that the citation stands. Didn't gain a majority, so a tie goes to you as well. So just don't let it happen again, and -- MR. SMITH: It won't. Page 23 December 17, 2008 CHAIRMAN DICKSON: -- say Merry Christmas. MR. SMITH: Yes, sir. Thank you very much. CHAIRMAN DICKSON: See you later. I've got Christmas spirit today. MR. JOSLIN: Yes, you do. That's okay. CHAIRMAN DICKSON: Oh, my, I'm going to get this right. Last name's easy, Ortega. Nahamani? MR. ORTEGA: Nahamani. CHAIRMAN DICKSON: Close, wasn't I? MR. JOSLIN: That's pretty good. CHAIRMAN DICKSON: Good morning. MR. ORTEGA: Good morning. CHAIRMAN DICKSON: If you would, state your name, spell the name for her and I'll have you sworn in. MR. ORTEGA: Nahamani Ortega. N-A-H-A-M-A-N-I. (Speaker was duly sworn.) CHAIRMAN DICKSON: Okay, so we got some questions on your experience when you applied for a license, correct? MR. ORTEGA: Yes. CHAIRMAN DICKSON: Okay. Which ones are they? Which one got kicked up? MR. ORTEGA: The one under Genuine Homebuilders, Ms. Kimberly Todd. MR. OSSORIO: Mr. Chairman, if you look on the verification experience, I did call Kimberly Todd, and she does not -- she unfortunately does not know Mr. Ortega. She knows, I believe, your brother that we have no knowledge of. And Mr. -- Mrs. Todd was kind of embarrassed by it and took aback by it, because she was ass-uming ._- it was for Mr. Ortega. And she was kind of upset about it. And I told her that unfortunately this gentleman has misrepresented himself on the licensing application, so I was not able to come to a conclusion about issuing him the certificate. So I wrotee Page 24 December 17, 2008 him a letter telling him that he must apply to the licensing board for the license. CHAIRMAN DICKSON: Okay. And that's that one -- I'm hoping I've got the right one here. MR. OSSORIO: It should be circled with a question. CHAIRMAN DICKSON: Okay, there we go. I'm with you. Okay, tell us what happened here. MR. ORTEGA: All right. Ms. Kimberly Todd does know who I am, obviously because my brother and I work for the same company. And we used to work together as a pair. It's just the misunderstanding was she thought she was signing for him. My brother tells me that when he talked to her, he did explain to her that it would be -- you know, the signature would be for me. Because he's known her for many more years, he's got more friendship with her. So, you know, he took the liberty of talking to her, see if she would do that for me. I mean, she does know who I am. Just obviously there was a misunderstanding with the whole thing of who she signed for. MR. OSSORIO: But Mr. Ortega, when I talked to Mrs. Kimberly Todd, you can look on the years of experience from 2005 to 2008, she was under the impression she was signing for your brother. She said she wouldn't have signed for you because she didn't know your work and you just started working for the company. That's only going verbatim what she told me. MR. ORTEGA: Right, I understand. CHAIRMAN DICKSON: Did you call on the other two, Mr. Ossorio? MR. OSSORIO: No, I did not. ---------- . MR. JOSLIN: Also in the packet there's two other forms-in the packet that aren't even completed. One of them's an affidavit of integrity and good character. And then also the second one is a resolution of authorization, showing the business name and partners. Page 25 December 17, 2008 And none of those are filled out. Is there a reason why those weren't filled out? MR. ORTEGA: Yeah, Maggie put an "X" on those. I think -- yeah, you can tell on the top right. Because I've already had the license with Collier County, a fencing contractor's license. So I guess she crossed that out. I guess you didn't need to do it again, I would imagine that's why she did that. MR. OSSORIO: That is a procedure issue, and we'll address that when -- the time of application. If the gentleman already has a license, we tend -- he does not have to sign another good character reference. And if he owns more than 51 percent of the company, then therefore he doesn't need an authorization letter from the company because he is the company. So there's certain things we do procedure-wise in the office, but-- MR. JOSLIN: Okay. Maybe a stamp or something that's already on file or something, so we know. MR. OSSORIO: Excellent. MR. L YKOS: Mr. Ortega, if I understand correctly, you have a fence license now? MR. ORTEGA: Yes, sir. MR. L YKOS: And you want to get a license for installing shower doors or for windows and glazing? What is it you're trying to get a license for? MR. ORTEGA: Yes, for shower doors and mirrors. Just -- I mean, since the way things are with the fencing and construction, I've got the experience with glass and the mirrors, I figured I'd also pull that and try to get some more income coming in. That was the purpose of trying to getthis other license. MR. L YKOS: So you've been doing fencing with your own company and you've been doing shower doors and mirrors working -- MR. ORTEGA: Yes. MR. L YKOS: -- for somebody else or on your own as well? Page 26 December 17,2008 MR. ORTEGA: Yes. Yes, I started doing the fencing. I ended up having to do it weekends or after work, because with the little work that was coming. So I started doing the shower doors for the company, correct. MR. L YKOS: And what company were you working for doing shower doors and mirrors? MR. ORTEGA: First in Miami Gardens with Best Price Glass and Mirror, which is -- the owner changed now anyways. And now -- well, not anymore, with Creative Glass was my last employer. MR. L YKOS: How come we don't have affidavits from either of those companies to verify your experience and your background? MR. ORTEGA: Employers are not going to sign that for you. I mean, they know you're going to be their competition eventually, so-- CHAIRMAN DICKSON: Not in Miami Gardens. MR. ORTEGA: Well, I couldn't get ahold of him because he sold his business. And my understanding was he moved away. So that -- I was trying to get ahold of him, I figured maybe he would sign it. But that's been a problem trying to get ahold of him. CHAIRMAN DICKSON: The problem is the fact remains you're -- the one we called on is a bust. Okay? MR. ORTEGA: I understand. CHAIRMAN DICKSON: That's gone, it's over with. We didn't call on the other two. So we don't -- MR. L YKOS: And the other two are builders, they're not glass companIes. MR. ORTEGA: Right. My understanding was supervising, you know, the work. These builders supervise the work while they're there, you know, and you're doing the job. Correct? MR. L YKOS : Well, I would personally like to see if you worked for a glass company, a glass company that could verify your expertise. MR. ORTEGA: My question. What ifmy former employer doesn't want to do it? What if he doesn't want to sign it? Page 27 December 17, 2008 MR. JOSLIN: Why would he not want to sign it for you? I mean, if he wants to see you get ahead, I'm sure -- MR. ORTEGA: 90 percent of the time I know plenty of, you know, people that have pulled licenses and their employers won't get it -- you know, they won't give it to them because eventually they know that they're going to have to go up against them. So, you know -- not all of them, but a lot of times that's how it is. MR. L YKOS: You tell Bev and Lance I want to see a letter from Bev and Lance. MR. ORTEGA: Okay. MR. L YKOS: Okay? MR. ORTEGA: Will do. MR. OSSORIO: My understanding is, is when I talked to the Creative Glass, and I'm going to paraphrase this, that you left on bad terms, supposedly. And I'm not saying quoting. But maybe you didn't leave on bad terms, but your brother did, because your brother is the one who has all the experience who's actually been working in Collier County. You've worked in Miami-Dade and I don't doubt that. But this is your brother's affidavits. How come your brother's not taking the exam? MR. ORTEGA: He is. He's taking it next month. MR. OSSORIO: My recommendation is is that your brother -- MR. ORTEGA: The reason -- I'm sorry, go ahead. MR. OSSORIO: My recommendation is that you withdraw this application, have your brother take the exam and use these affidavits and we'll -- I'll review it and see where we're at and go for it. MR. ORTEGA: It would definitely be the easiest way. My brother's already contacted a former employer and he said he would SIgn. So, I mean, in regards with me getting the other experience, from my other former employer, most likely it's not going to happen. And in leaving with bad terms with Creative Glass, we didn't. I Page 28 December 17,2008 mean, when he let us go, we talked about it, it was okay. I explained to him why we did it. You know, he kept mentioning he's going to close down his business, you know. And his reason was, well, I was just upset every time I said it. Yeah, but, you know, I've got to watch out for my family, you know, and I've got to -- you know, I've got to make sure that I don't get stayed out in the street. So if they're something that I know how to do, I'm going to try to get a license for that. Obviously it's a conflict of interest, but who wouldn't do it in my position? CHAIRMAN DICKSON: Okay, anybody ready to make a motion? Or do you want to withdraw your application? MR. ORTEGA: I wouldn't want to, but it's up to you guys. CHAIRMAN DICKSON: Well, then we'll take care of it. I make a motion that we deny the request to approve the experience affidavit and the application be denied. MR. JOSLIN: I second the motion. CHAIRMAN DICKSON: Discussion? MR. JOSLIN: I would feel that if he could get together some more applications or some more affidavits that were correct and were legal and Mr. Ossorio could check on them, that maybe we would reconsider it again. But at this point, no. CHAIRMAN DICKSON : You've just got to do it again. This one ain't gonna fly. MR. ORTEGA: No, I understand. CHAIRMAN DICKSON: Okay, all those in favor-- MR. JERULLE: And the Board -- excuse me. I think the Board appreciates you coming in for a license as opposed to going out and ... --- doing this work without a license. And I would caution you not to do that. We do appreciate you coming in, but like the Board has said, I don't think you meet the qualifications. MR. ORTEGA: Understand. Page 29 December 17,2008 MR. OSSORIO: Mr. Chairman, just for the -- just before you vote, just make sure Mr. Ortega knows is that -- that he does have a certificate with our office and we could have charged him on a misconduct for misrepresenting to the licensing board information that was submitted today, and we did not do that. MR. ORTEGA: Understood. MR. L YKOS: Holiday spirit for everybody. MR. JOSLIN: Yes. MR. L YKOS: It's going to end come January, though. MR. JOSLIN: Look out. CHAIRMAN DICKSON: I've got one coming up. I haven't seen yours yet, so we'll see if it continues. Call for the vote. All those in favor of the motion to deny. MR. JOSLIN: Aye. MR. BOYD: Aye. MR. JERULLE: Aye. CHAIRMAN DICKSON: Aye. MR. LYKOS: Aye. MR. HORN: Aye. CHAIRMAN DICKSON: Opposed? (No response.) CHAIRMAN DICKSON: Have a Merry Christmas. MR. ORTEGA: Thank you. CHAIRMAN DICKSON: Sorry it wasn't better. MR. ORTEGA: That's okay. Thank you. CHAIRMAN DICKSON: Robert Brogdon, come on up. Robert, if you would, state your name and I'll have you sworn in also. MR. BROGDON: Robert Joe Brogdon. (Speaker was duly sworn.) CHAIRMAN DICKSON: Okay, you got two citations, right? MR. BROGDON: Yes, sir. Page 30 December 17,2008 CHAIRMAN DICKSON: Okay, tell us what happened. MR. BROGDON: Some friends of ours bought a house. A young couple, first house they bought. The husband works with my wife for about three years. They had a little fix-me-up that they needed a little help in the house. So I went over and took a look. And needed some help doing a little demolition. So I thought well, I'll donate a little time to them. About four days into it, Rob stopped by. And the house was partially completed to start with. Somebody laid some tile and they were -- drywall had been done prior to them buying the house. Well, he come up and said I was laying tile and doing drywall work, which ain't the fact. So that's about the name of that tune. So he got me for unlicensed drywaller and laying floor tile, which I did none of the above. So I deny that. MR. JOSLIN: What were you doing there? What were you actually doing there? MR. BROGDON: A little bit of demolition. Tore out some cabinets, took up a couple toilets. Just demolition work. No -- replaced nothing. I did no floor tile or no drywall, period. MR. L YKOS: But you did plumbing work and carpentry work. MR. BROGDON: No, I didn't do no carpentry work or -- I replaced nothing. Just total demolition. Put the cabinets in the garage. MR. L YKOS : Well, you took cabinets off the walls -- MR. BROGDON: Yes, sir. MR. L YKOS: -- and turned off the plumbing to the toilets and pulled the toilets. MR. BROGDON: Turned off the shut-off valve. MR. OSSORIO: Mr. Lykos, I'd like to have Rob Ganguli sworn in and we'll show you some photographs. MR. JOSLIN: Okay, please. CHAIRMAN DICKSON: Go ahead, Rob, I'll have you sworn in. (Speaker was duly sworn.) Page 31 December 17,2008 MR. GANGULI: For the record, Rob Ganguli, G-A-N-G-U-L-I, Investigator, Collier County Contractor Licensing. CHAIRMAN DICKSON: Good morning. MR. GANGULI: Good morning, sir, how are you? CHAIRMAN DICKSON: Good, how are you doing? MR. GANGULI: My recollection of the incident is as follows: On October 21st, 2008, I was on the job site at 9741 Campbell Circle and observed an interior renovation consisting of the initial demolition and rebuilding of wall openings, plumbing and electrical work and the replacement of existing flooring. I met with Mr. Brogdon, who was working on-site, who informed me that the homeowner was not present. When asked about the work he was performing, Mr. Brogdon stated he was doing the demo work, along with the tiling of the flooring, drywall and painting but was not doing any electrical or plumbing work. When asked about his licensing information, Mr. Brogdon stated he did concrete work in Lee County and was doing this job because his business had slowed. My on-site research revealed that Mr. Brogdon did have a Lee County business tax receipt for a concrete pumping business, but no other licensing information was discovered. Based on my observations depicted in the photographs, as well as the information that Mr. Brogdon provided to me, I issued two $300 citations for unlicensed tile/marble work and for unlicensed drywall work, issued a stop work order and informed the area code enforcement investigator of the unpermitted plumbing and electrical work in progress. I also spoke to the homeowner, Emily Koszinski (phonetic), about permitting unlicensed contractor requirements. On November 6th, 2008, I was contacted by Mr. Joel Newman of the license general contracting company Trinity Project Management Group, CGC060 140, and Collier County Certificate Page 32 December 17, 2008 30330, who informed me that they had been hired to permit the necessary work and complete the construction of the residence. Mr. Newman further informed me that Mr. Brogdon would no longer be working on the job site. CHAIRMAN DICKSON: Questions of Mr. Ganguli? (No response.) CHAIRMAN DICKSON: Response? MR. BROGDON : Well, it's what it was. I mean, I didn't lay tile and I didn't do drywall. I mean, I was just donating some time because they're friends of ours. There wasn't no contract deal, I wasn't getting paid for this effort at the house. You know, they're good friends. I've been working with them for three years at work. They were a young couple fixing to have a baby in January. Trying to expedite the deal a little bit. So I guess that's what you get for doing a favor, I don't know. CHAIRMAN DICKSON: Did she offer to pay for the citations? MR. BROGDON: They were going to pay for the citations. But I thought why, you know what I mean, I'll go to the hearing. Yeah, they were going to pay for it right away. But, I mean, I thought what's the purpose, you're struggling now to move in a house, you know, and -- it wasn't no money deal, wasn't no transaction. I contracted to do this work. I don't know, you know. I think he's making it more out of something that, you know, it really ain't. If I was contracting to making a salary off this job, it would be one thing. But, you know, they was just trying to save a little money and help them out, and he'd do what he can, one of them deals. MR. JERULLE: You said you didn't do any of the tile work? MR. BROGDON: No, sir. MR. JERULLE: Who did the tile work you see in the photos? MR. BROGDON: That was just a little bit of linoleum. That wasn't laying no tile. That was some old linoleum that was left in the house. Page 33 December 17, 2008 MR. JERULLE: I see tile work. MR. BROGDON: That was prior -- the tile work was in the house when they purchased the house. Some of it was partially finished. The tile work, there was drywall unfinished. I mean, they had a -- people went in there and had a report when they bought the house. There was so much unfinished that probably started in that house and never completed. I mean, there was a homeowners inspection when the house -- there was a big '01 list this thick of projects started in the house, never finished. But I laid no tile in that home. No drywall. I never told him I hung drywall or laid tile. The tile was laid all the way through the living room up to the kitchen and stopped. None I laid. MR. JERULLE: Would this work require a demolition permit in the county? MR. GANGULI: I believe it would. Mr. Ossorio? MR. BROGDON: I mean, I can see demolition. I did demolition. I mean, that's -- I'll -- you know. MR. JERULLE: Just asking the question here. MR. OSSORIO: In a perfect scheme of things, what typically happens when you're doing a remodeling job or you're trying to explore -- probably Mr. Lykos would probably be more apt to tell us, that sometimes you do get a demolition permit to take things off the wall, to do some exploring to see where the electrical work is, where the plumbing is, and then the demolition permits gets issued, gets C.O.'d, and then you apply for your main building permit. And obviously this didn't happen on this particular case. MR. JERULLE: Well, that's what my question was. There was no demolition permit? MR. OSSORIO: There was no permit at all, no. MR. L YKOS: If I would have stepped in a project like this, the first thing I would have done was brought the inspectors on-site to inspect the existing conditions to even know what the scope of work Page 34 December 17, 2008 that needed to be done to make sure that everything that was existing was up to code. How can you start into something without knowing what the existing conditions are, or how code compliant they are? MR. BROGDON: They had a home inspector come in the house. MR. L YKOS: I'm talking about the building department. MR. BROGDON: Oh, okay. Right. MR. L YKOS: And I wouldn't be very safe working in the job where wires are hanging from the ceilings and -- it doesn't appear to me that a small amount of minor work was done to this proj ect. I understand that you think there was some work that had already been done before you got there, but I see tools laying on the floor. This is not something that somebody stepped into. What you're trying to imply is that a bunch of work got done, and the people that did it left their extension cords, their power tools, their hand tools, their garbage cans and all the demolition material and just abandoned the job site and you just happened to step in there and was going to do all this work for free. MR. BROGDON: I only was there four days, sir. MR. L YKOS: I understand. But what you're implying is that other people did work before you got there, and those people brought on jackhammers and power cords and air guns and compressors and tore apart this house, and most of that work got done before you got there to scrape linoleum off the concrete. MR. BROGDON: No, sir. The only thing I'm saying is I did no tile work, I did no drywall. Strictly demolition. That's my only argument. MR. L YKOS: Well, you're demoing walls and there's bare framing exposed. You had to take drywall down to do that work. MR. JOSLIN: Electrical covers over the light sockets, over the electrical sockets, over the plugs. There's a lot of things in here that Page 35 December 17, 2008 are being done that should have required a permit for starters, there's no doubt. I don't know, I'm under the impression of saying that -- I'm going to make a motion that the citations stand. Whether or not you were doing the work there, you were caught there at the job. And I can tell by Mr. Ganguli's comments that he felt that you were doing that job, and I think that's enough for us to act on. MR. L YKOS: Second, Lykos. CHAIRMAN DICKSON: Discussion? (No response.) MR. JOSLIN: Christmas spirit? CHAIRMAN DICKSON: I don't know. MR. BOYD: Robert, did you talk to the homeowner? MR. GANGULI: I did talk to the homeowner, sir. MR. BOYD: Was he being paid, or is he actually a friend? MR. GANGULI: I can't answer that, Mr. Boyd, I'm sorry. I can't answer that. The contributing factor to me writing the citations was Mr. Brogdon's specific admission that he was not doing electrical and plumbing work. But he was doing the others. He specified that deliberately. And based on what I observed, I had no reason not to believe him. MR. BROGDON: Can I speak? I told him if I had time I would have helped the homeowner do some drywall at one point in time. But at that point there was no drywall, you know, done in the house. And he was saying well, you can help the homeowner if the homeowner is present, you know. But I'm still saying I'm helping the guys out. You know, this is not a contract situation where -- I don't know. MR. JERULLE: Do you have a license in Lee County? MR. BROGDON: Yes, sir. MR. JERULLE: And what is the license for? Page 36 December 17,2008 MR. BROGDON: Concrete, pumping. MR. JERULLE: So you know that certain work needs requirements for licensing? MR. BROGDON: Well-- MR. JERULLE: You're aware that you need a license. MR. BROGDON: Yes, sir. MR. JERULLE: So being in this house and doing the work that you were doing, were you not aware that you needed a license for some of this work? MR. BROGDON: Well, I was going to do no plumbing-- MR. JERULLE: Whether you're helping somebody -- MR. BROGDON: -- no electrical. MR. JERULLE: Whether you're helping somebody under a contract or as a favor, were you not aware that this work needed to be licensed? MR. BROGDON: Well, it looked like a handyman list to me. I mean, you know, there was just raw edges that somebody started a bunch of proj ects in this house and never finished. MR. JERULLE: You're not answering my question, though. My question is were you not aware that this work required a permit and to be done by a licensed contractor? MR. BROGDON: My observation, me just helping them out, no, sir, I didn't think that, no. No, I didn't. I mean, if I would have thought that, I wouldn't even got involved in the deal. It was kind of like, you know, you help deals -- MR. JERULLE: But you're a licensed contractor in Lee County. MR. BROGDON: Yes, sir. I do concrete. I don't do -- I don't claim to be a drywaller or none of the above. MR. OSSORIO: Mr. Ganguli, just for the record again, when you talked to this gentleman, he just specified that things were slow and this is why he was doing this? MR. GANGULI: Yes, sir. Page 37 December 17, 2008 CHAIRMAN DICKSON: Any more discussion? MR. L YKOS: I have a hard time justifying any circumstances where this scope of work is being completed without a permit without a licensed contractor. MR. JOSLIN: I agree. MR. JERULLE: Yeah, I agree also. MR. L YKOS: I don't know what -- any circumstances that you could justify, I'm somebody's friend and I was -- I can't imagine that we would recommend as a Board that our county employees allow this kind of work to go on. I just can't -- I can't envision the circumstances where we'd allow this to go on. Electrical, plumbing. How do we know there wasn't structure of the building being affected? MR. JOSLIN: One thing for Mr. Ganguli. After you spoke to the homeowners of the property, you said that there was then another contractor that was going to continue finishing the work? MR. GANGULI: Mr. Joslin, very expeditiously I was contacted by a licensed contractor. The company's name is Trinity Project Management Group. The representative's name is Joel Newman. And he told me that he had been hired by the homeowner to remedy the situation that existed. MR. JOSLIN: I got you. MR. GANGULI: There are permits -- MR. JOSLIN: After the fact then. MR. GANGULI: After the incident with Mr. Brogdon, there are permits ready to be picked up from Trinity Project Management to proceed. MR. JOSLIN: I got you. So Trinity could have done the same work that was done there that you saw when you went to the home as far as demolition goes with a permit by Trinity, if no one else had done it. MR. GANGULI: Not chronologically, Mr. Joslin. They had Page 38 December 17,2008 been hired after the incident occurred with Mr. Brogdon. Am I understanding your question? MR. JOSLIN : Yes, I understand what you're saying. I'm just saying that if this gentleman had not done that work, Trinity, being hired by the homeowner, could have done the same work that he did-- MR. GANGULI: Yes, sir. MR. JOSLIN: -- what you saw that day. MR. GANGULI: Yes, sir. MR. JOSLIN: So it was after the fact for sure. MR. GANGULI: Absolutely. MR. JOSLIN: Okay. CHAIRMAN DICKSON: Okay, let's put this to bed. Call for the vote. I have a motion that the citations, both citations, two total, stand. All those in favor? MR. JOSLIN: Aye. MR. BOYD: Aye. MR. JERULLE: Aye. CHAIRMAN DICKSON: Aye. MR. L YKOS: Aye. MR. HORN: Aye. CHAIRMAN DICKSON: Opposed? (No response.) CHAIRMAN DICKSON: It's unanimous. The citations stand. MR. BROGDON: Okay, thank you, gentlemen. CHAIRMAN DICKSON: Thanks for coming in. Thank you, Mr. Ganguli. Jeff Baker, are you here? MR. BAKER: Yes. CHAIRMAN DICKSON: How are you doing? MR. BAKER: Good. How are you? CHAIRMAN DICKSON: Good. Come up to this one. Change Your Colors, Inc. update on a Workers' Compensation Page 39 December 17,2008 and review of license. If you would, state your name and then I'll have you sworn in. MR. BAKER: Jeffbaker. (Speaker was duly sworn.) CHAIRMAN DICKSON: Before you get started, I'm going to turn this over to Mr. Ossorio. Give us kind ofa background and bring us up to date. I don't remember this one. MR. JOSLIN : You weren't here, I don't believe. CHAIRMAN DICKSON: Okay. MR. OSSORIO: Mr. Chairman, if you look in your package, you'll see a finding of fact that was ordered by this Board. And you can look at the paragraph one, probation for a period of one year, at which time the contracting activities shall be under the supervision of the contractor licensing staff, the contractor licensing board. Such probation may be revoked at any time by the Board at a hearing noticed for such purpose and to reappear before the Board within six months for review. This is just clearly Mr. Baker just showing up, telling me I'm still in business, I've done what I was supposed to do, I'm still on probation, and it's a six-month review. You can call it that, if you wish. You can ask him any questions. I believe Mr. Baker -- and I've talked to Ian Jackson about it, who's the investigator on the case, that he has called in every job he has done and he has applied by and paid all the civil fines and also went to school and probation and did the business procedure test agaIn. So he has complied with your order. This is just a review to stop in and say here I ani, I'm doing what I'm-supposed to be doing. MR. JOSLIN: So in your opinion, did everything that we gave him for disciplinary actions so far has been done and met and everything's on the copasetic and everything's up to par? MR. OSSORIO: Yes, you can -- one through six, he has Page 40 December 17,2008 complied with everything, and he is in good standing with our office, other than being on probation. MR. L YKOS: Do you have employees working for you, Mr. Baker? MR. BAKER: No. MR. L YKOS: So you're Workers' Compo exempt. MR. BAKER: Yes. MR. L YKOS: And you understand if you get employees, you have to have Worker's Comp.? MR. BAKER: Yes, sir. MR. L YKOS: Okay. MR. JOSLIN: I make a motion that we set aside this order as far as for another six months, since this gentleman has done all the requirements that we have set ahead of time. And I commend you for doing that. We took a chance on you. I remember the case very well. And I took a chance on you at that point and I'm glad you made a good person out of me and made me feel good now. So we'll see you in six months. Is that something we need to vote on, correct? MR. L YKOS : Well, you made a motion -- MR. JOSLIN: I'm sorry. MR. L YKOS: -- I'm not sure I understand what the motion was. MR. JOSLIN: Motion that we accept this -- let me see what I've got a motion to. What are we actually doing? We're hearing the Case No. 21660 regarding the findings of fact and the conclusions of law and the order of the Board. And that at this moment -- MR. OSSORIO: Mr. Chairman, I don't think he has to make a motion, this is just informative. And after today he'd still be on probation for six months. So that will just expire sometime next year. MR. JOSLIN: Right. Page 41 December 17,2008 MR. OSSORIO: So this is just Mr. Baker to say -- MR. NEALE: Informative. MR. OSSORIO: -- I'm doing what he's (sic) supposed to be doing. He's satisfied. You take it at face value and he goes on his way. MR. JOSLIN: So he's good to go. CHAIRMAN DICKSON: If -- always looking for a way to expedite activity for the Board. Being that he's done everything that he was requested to do in a very timely manner, could it be that the Board could excuse him from appearing at the end of one year if you were satisfied with him doing everything? Leave it up to county whether he returns or not? MR. OSSORIO: I don't think the Board -- I don't think -- well, when I read the order of the Board, it actually just says has to appear within six months. He doesn't have to reappear every six months. He's on probation for one year. If you want to take a look at him in six months, everything's okay, then it will expire sometime. The probation will expire within a year, so -- CHAIRMAN DICKSON: No need to come back here. MR. OSSORIO: You don't need to come back here, no. MR. NEALE: No, he's good to go. MR. L YKOS: Mr. Baker, thank you very much for your compliance. We appreciate it. MR. JERULLE: Goodjob. CHAIRMAN DICKSON: Have a nice Christmas. MR. BAKER: Merry Christmas. CHAIRMAN DICKSON: You, too. Calvert Courtney, are you here? Yes, sir, if you would, come up. What did you do, do all this stuff while 1 was gone? Okay. How are you, sir? MR. COURTNEY: Fine. CHAIRMAN DICKSON: Mr. Joslin, why don't you take this? MR. JOSLIN: Mr. Courtney, I remember this. Page 42 December 17, 2008 THE COURT REPORTER: Do I need to swear him in. CHAIRMAN DICKSON: Oh, that's right, thank you. MR. JOSLIN: Yes. (Speaker was duly sworn.) MR. JOSLIN: Mr. Courtney, I know in the findings of fact that you were before us on May 21 st of '08 and you were -- indicated you had to do some items. MR. COURTNEY: Yes. My recollection of it and the way I interpreted the stipulations that I read was I think it was Mr. Lykos or Mr. Dickson requested a profit and loss and a credit report six months from the time that you reinstated the license. So I've brought those with me today. There's one for each one of you. MR. JOSLIN: This had to do with your credit report, correct? MR. COURTNEY: No. What Mr. Dickinson's (sic) statement, as I remember it was, is they wanted to make sure that the business did not incur any more debt. And that's what I've brought here. He wanted to look at the profitability of the business as a -- MR. JOSLIN: I got you, okay. MR. OSSORIO: If you remember Mr. Courtney, we did have a couple of cases on him. And you suspended his license and then it got revoked. And then he petitioned the Board to get reinstated and you denied it and I think Mr. Lykos said well, if you really wanted to, you would pay everyone off the 30 some thousand, in which he did. So he came back with his attorney and said, okay, I paid everyone off, please let me have my license back. And you said fine, we'll put you on probation. I want to see you in six months, I want to see what you have on your credit statements and make sure that you have a bona fide businessn and-you're in business and you're not taking any more deposits that you cannot do. We have had one complaint since then, but I think it was more of a prior one which Mr. Courtney did not know that it was out there. I believe he is making payments on it. So the homeowner is satisfied at Page 43 December 17, 2008 this time that he is -- you know, this homeowner is getting paid, slowly but surely. Am I correct? MR. COURTNEY: (Nods head affirmatively.) MR. JOSLIN: Have you seen a copy of this report that he has (sic) going to provide us? Have you seen a copy of this report? MR. OSSORIO: No, I have not. He just brought it today. MR. COURTNEY: Should I just hand them to you? MR. OSSORIO: I recommend we just hand it out. You can review it, if you have any questions, and it's on the record and then we'll see what happens. MR. COURTNEY: At the time that the request was made for the P&L, I asked if it had to be an audited statement, and Mr. Dickinson (sic) said no. This is simply off of my accounting software. I use a Quick Books programs. And it's dated from April 1 through end of business day yesterday. So it shows where we are. And I ran a -- had In Balance, a local credit reporting agency run the three major bureaus on a credit check on the company, and there's nothing there, of course. MR. OSSORIO: You can look on the Page 3 and it says respondent's business balance sheet and profit and losses, dated six months from the date of hearing. MR. COURTNEY: We were actually supposed to have this meeting in November, but it got postponed. MR. JOSLIN: That's okay. CHAIRMAN DICKSON: It's nice to see someone makes profits. MR. COURTNEY: The percentage is okay, it's just the gross revenues are so small in this quiet economy. CHAIRMAN DICKSON: Hey, there's nobody making profits, so if you're making profits, count your blessings. MR. JOSLIN: Really. MR. L YKOS: Couple of things, Mr. Courtney, I'd like to make a Page 44 December 17,2008 note of. We don't have your balance sheet, and that shows your debt. And that was one of our concerns was that you'd be increasing your debt. We don't have your balance sheet, so I'd like to see that. MR. COURTNEY: Mr. Lykos, there are no revolving lines of credit, there's no chattel mortgages. There is one debt to a homeowner, a past customer, and it's in the amount of $18,000. And that's all the debt there is. MR. L YKOS: I understand. But in our order to you, we wanted to see your balance sheet as well as your P &L. MR. COURTNEY: I will admit the mistake to that. I did not realize you wanted to see that balance sheet. MR. L YKOS: You have a great attorney. Do you have a good accountant? MR. COURTNEY: I have an expensive one. MR. L YKOS: You have $103,000 in casual labor? MR. COURTNEY: I use 1099. I have a Workmen's Compo exemption, and on the paver brick side I physically can't do the work. I can a lot of the landscaping. But I have a group of subcontractors out of Fort Myers that I 1099 at the end at the end of the fiscal year. I call it casual labor, the entry -- that's the heading I use in the Quick Books system. I do this myself. I don't have a bookkeeper. MR. L YKOS: I understand. MR. COURTNEY: Right. MR. JOSLIN: Is this a licensed contractor that you contract to do this work for you? MR. COURTNEY: Yes, it is. MR. JOSLIN: They have their own Workman's Compo insurances and -- MR. COURTNEY: They do. And I'll qualify that statement. I don't ask for that on every job. If the homeowner requires it -- I'm doing no work for contractors at this point. If they ask for it, I have them provide proof of it, and so far they have complied with that at Page 45 December 17,2008 every request. They are a Lee County/Collier County contractor. MR. JOSLIN: Do you know what that contractor's name is? MR. COURTNEY: Croat. MR. JOSLIN: What is it? MR. COURTNEY: Croat. C-R-O-A-T. MR. JOSLIN: I think just for your own sake, it would be good to have it on file for your insurance purposes, because if you get audited, they're going to ask you for the certificates. And if you're claiming this is a 1099, that could be the same thing as you paying them on the side as just a payrolled employee that you're not paying insurances on. MR. COURTNEY: There are some guidelines at that that are unclear to me, Mr. Joslin. I've yet to learn that, exactly what determines a 1099. I understand if you tell them to be there at 9:00 in the morning that you've violated 1099 guidelines. I wish I had a better understanding. I'm kind of doing a commonsense thing. I set up the time for the job and do a little quality control. MR. L YKOS: I really would like to see the balance sheet. I want to see your payables and your receivables. If you're using Quick Books, this is probably in an accrual report. MR. COURTNEY: It is. MR. L YKOS: Yeah, I'd like to see your balance sheets. One of our concerns was that you were going to create debt again and use customers' deposits to pay old debt and that -- I think it's important that we can verify that you're not just moving debt around, and that's why we need to see your balance sheet. MR. COURTNEY: Okay. MR. L YKOS: You should be able to print that report with Quick Books, just like you do the P &L. MR. COURTNEY: I use the simple start, but I can pull it. I don't have the professional Quick Books. This is the $99 one, not the 700. MR. L YKOS: I understand. MR. COURTNEY: And it won't print my balance sheet, but I Page 46 December 17,2008 can pull it for you, I can create it. I know -- MR. JOSLIN: Mr. Lykos, how about also that we get into this casual labor situation. As far as ifhe's saying he's using a licensed contractor to do $103,000 worth of work for him, then he should surely have certificates of some sort they would be more willing to give him. So we're sure that he's covered with this insurance and not just paying casual labor . MR. COURTNEY: I have no problem with that at all. MR. JOSLIN: Okay, that's-- MR. COURTNEY: I'll share anything that you request. I didn't realize -- I thought today was to come and simply provide the credit report and to show you the P &L. I didn't have any idea that these other things would enter into it, and I'll be glad to produce whatever you request. MR. JOSLIN: Okay, super. MR. L YKOS: We don't want to run your business, we just want to make sure that you're doing a good job of doing it yourself. MR. COURTNEY: I gotcha. MR. L YKOS: And those reports will help us verify that you're doing that. MR. COURTNEY: Gotcha. So what is the specific list of your requirements and what are the time frames? MR. L YKOS: Well, I think we've got end of the year coming up. If we can get an end of the year P &L and end of the year balance sheet and -- MR. JOSLIN: Copies of the certificates by the end of the year I'm sure shouldn't be a problem. Out of all the subcontractors that you have worked or paid, it shouldn't be hard to do. And then one other thing. If he can provide this, do we need to look at this again through the Board next month, or would staff be able to -- Page 47 December 17, 2008 MR. L YKOS: Yeah, I think we should look at it at the January meeting. MR. JOSLIN: January meeting? MR. L YKOS: Yeah, let's look at the P &L and the balance sheet. MR. JOSLIN: Okay. So at the January meeting you'll have to resume coming back here again one more time with that information. MR. COURTNEY: Do I have to submit this to Maggie by the 1 st, or can I bring it like this? MR. OSSORIO: No, it would be fine. I think what we should do is that we'll collect the folders that you have outstanding here, you'll go back, add more things to it and we'll add you to the agenda for January -- or January 21 st over in the Board of County Commissioners chambers. No, not a problem. MR. L YKOS: Thank you. Very good start, though, Mr. Courtney. MR. JOSLIN: Collect all these again? CHAIRMAN DICKSON: Public hearing. We've been at it an hour and 20 minutes. Anybody need a break? We okay? Let's do 10 minutes. 12:00 sharp back in here. Is it going to be a long hearing? You never know? If your stomach growls, we won't chastise you for it. MR. OSSORIO: I'd say 40 minutes. CHAIRMAN DICKSON: Okay, sounds good. We stand adjourned for 10 minutes. (Recess. ) CHAIRMAN DICKSON: I'd like to call back to order the meeting of the Collier County Contractor Licensing Board. Moving on to public hearings. We now have a public hearing with Daniel L. Scott. Daniel, are you present? Sir, if you would, come up here on the front row. I'm going to have you sit there on the front, just in back of that podium there. Page 48 December 17,2008 MR. JOSLIN: You want to swear him in first? CHAIRMAN DICKSON: No. The way this case is handled, it's kind of quasi judicial. Once you get up here, we'll swear you in. Everybody else has been sworn In. Does the county have anybody else that's going to testify that hasn't already been sworn in? Ian, you haven't been sworn in, have you? MR. JACKSON: No, I have not. MR. GANGULI: Mr. Dickson, the complainant also is here and may need to be sworn in, should we require his testimony. It's pretty redundant in comparison -- or with regard to his sworn statement that you all have in front of you, but if you would -- CHAIRMAN DICKSON: I can do the packet for him. Are they going to testify? Is the complainant going to testify? MR. GANGULI: Yes, sir. CHAIRMAN DICKSON: Okay, when they come up, I'll do that. It's Case No. 2008-15, License No. 11229, Board of Collier County Commissioners, they are the petitioner, Board of Collier County Commissioners, not us. Here in the blue coat is Mr. Neale, who's the attorney that represents the licensing board. Mr. Zachary in the gray coat represents Collier County and the Commissioners. Versus Daniel Scott d/b/a Colonial Carpentry, Incorporated. The way this thing handles is -- and get this name right, Ganguli ? MR. GANGULI: Very good. CHAIRMAN DICKSON: Got it, okay. The county will open up, Mr. Ganguli will make an opening statement, and then you'll make yours. Then he'll present his evidence. You can cross-examine witnesses he has. Then the floor will be yours. Page 49 December 17,2008 After that's over, we'll close -- you make closing statements. Then we'll close public hearing and you'll hear us decide. So with that, would you stand up here and state your name, Mr. Scott? MR. SCOTT: Daniel Scott. CHAIRMAN DICKSON: Okay. And Ian Jackson is also going to testify. I'm going to have both of you sworn in right now, and then I'll get the homeowner when they come up. (Speakers were duly sworn.) CHAIRMAN DICKSON: Do you have any questions, Mr. Scott, before we start? MR. SCOTT: No. CHAIRMAN DICKSON: Okay, go ahead and have a seat and I'll turn it over, opening statement, to Mr. Ganguli for the county. MR. GANGULI: Mr. Dickson, Case 2008-15, County Commissioners versus Daniel L. Scott, doing business as Colonial Carpentry, Incorporated. Sir, I have a summary that may be a little longer than usual, but I feel all the facts in it are pertinent. On October 21 st, 2008, I, Rob Ganguli, Collier County License Compliance Officer received a preliminary complaint form submitted by a Kent G. Smith, who stated that he had been working for Colonial Carpentry, Incorporated at the residence of Rabbi Fishel Zaklos at 1195 Creech Road, on or about the first week of July, 2008. Mr. Smith stated he had sustained an injury on the job site. And when he had informed the qualifier, Daniel L. Scott of Colonial Carpentry, Incorporated of this, he was informed that he was not covered by Workers Compensation insurance. Mr. Smith presented a copy ofa Colonial Carpentry, Incorporated company paycheck dated for the time frame which he stated was in substitute for his usual means of compensation through Page 50 December 17,2008 an (sic) Employee Leasing Solutions which provided his insurance coverage. After contacting Employee Leasing Solutions, I verified that Mr. Smith's last paycheck and period of Workers' Compensation coverage was on May 16th, 2008. Mr. Smith further state that the scope of the work performed consisted of the installation of windows and a French door on the addition to the rear of the single-family home. When interviewed for the issuance of this notice of hearing on October 24th, 2008, Mr. Scott denied that Colonial Carpentry, Incorporated had ever worked at this job site. Mr. Scott also stated that the slowdown in construction had resulted in Colonial Carpentry, Incorporated having not worked in several months. However, when questioned by Investigator Ian Jackson about an existing job site employing Colonial Carpentry, Incorporated on Marco Island, Mr. Scott then recanted his statement. A notarized statement was also later obtained from the property owner of 1195 Creech Road, stating the presence of Colonial Carpentry, Incorporated performing this type of work as described by Mr. Smith at his home and during this time frame. The notarized statement submitted by the complainant, Kent G. Smith, regarding the form of payment from Colonial Carpentry, Incorporated construes a violation of State Statute 440.10, and 440.107, which regulates securing the payment of Workers' Compensation, and therefore is also a violation of Collier County Ordinance 2006-46, Section 4.1.6. CHAIRMAN DICKSON: Okay, Mr. Scott, if you would, please, tell us where -- come up to the podium. Opening statement. Tell us where you're going to go. MR. ZACHARY: Mr. Dickson, could we get the packet moved into evidence? Page 51 December 17, 2008 CHAIRMAN DICKSON: Oh, thank you very much. MR. JOSLIN: I'll make a motion that we move Case No. 2008-115, License No. 11229, Daniel L. Scott, d/b/a Colonial Carpentry, Inc. packet for his administrative complaint into evidence. CHAIRMAN DICKSON: I second that. All those in favor? MR. JOSLIN: Aye. MR. BOYD: Aye. MR. JERULLE: Aye. CHAIRMAN DICKSON: Aye. MR. L YKOS: Aye. MR. HORN: Aye. CHAIRMAN DICKSON: Thank you, gentleman. Mr. Scott, tell us where you're going to go with your defense. Opening statement. MR. SCOTT: Colonial Carpentry, Inc. never did work at the job site. Colonial Carpentry, Inc. doesn't work for homeowners, only works for general contractors. Workers Compo insurance: I have a copy here that Kent Smith was still on the payroll for Colonial Carpentry up until August 4th. So if Colonial Carpentry did do the job at any time frame until August 4th, he was still actively on the payroll. I'm really fuzzy about the job on Marco Island. That job was not started -- Colonial Carpentry did not work on that Henning job until the second week of September. That's when we started that. I don't understand that statement in the thing here. And what statement I recanted, I don't know what he's talking about. The job that was done at Creech Road was for Rabbi Fishel through a friend of a friend to take care of a water intrusion problem. He had -- we removed the siding and -- I went over there and removed the siding. Colonial Carpentry never had anything to do with Page 52 December 17,2008 the job. I mean, there's no contract, there's no compensation, nothing. Colonial Carpentry had nothing to do with it. It was a friend of a friend. Went over and removed the siding and was going to flash it properly and put the siding back on. There's no compensation. I've never been -- it was just helping the guy out. I mean, I -- Colonial Carpentry, I mean, I've been in business for 14 years, and I've never worked for a homeowner. I only work for general contractors. I've always had Workman's Compo insurance since the day I've been open. Liability insurance, vehicle insurance, I've had it all. So I mean, I don't know what else to -- CHAIRMAN DICKSON: Okay, that's good for an opening statement. All right, County, present your case. MR. OSSORIO: County calls Mr. Smith. CHAIRMAN DICKSON: Mr. Smith, if you'd go to that podium over there, I'll have you state your name please and then I'll have you sworn In. MR. SMITH: Kent Smith. (Speaker was duly sworn.) CHAIRMAN DICKSON: Go ahead. MR. GANGULI: Good afternoon, Kent. Just a few simple questions for you. On or about the first week of July, 2008, did you work as an employee of Colonial Carpentry, Incorporated at the address 1195 Creech Road? MR. SMITH: Yes, sir, I did. MR. GANGULI: Did the work consist of window and French door installation? MR. SMITH: Yeah, we removed siding, we removed exterior door, we removed some windows. We reframed a wall. We took a set of French doors that was in the existing home and moved them to where we reframed them on this addition. Were tar-papered it. We Page 53 December 17, 2008 insulated it. There was electrical moved to compensate everything that had been done. We then hung drywall. And the next day that I had went back I was informed the job was shut down because there was no permits pulled on the job. So we cleaned up the job. At this time I was told by Dan Scott, the owner, to carry a door that we had removed from the home to his truck; he was going to take it to his home. In the process of doing this, I injured my neck and my back severely, and now I am -- the burden is on my family and myself to pay all these bills, and I have not been able to work since, due to doctor's orders. MR. GANGULI: Mr. Smith, for this particular job that you did for Colonial Carpentry, were you paid in an unusual manner as opposed to the ways that had been compensated before? MR. SMITH: Yes. Generally I was paid through Staff Leasing -- or Leasing Solutions. At this time when I was going to be paid, I was asked to go to Mr. Scott's house. He then wrote me a check out of Colonial Carpentry checking account, and that's how I was paid. When I informed him about my injury, that's when I was informed I was not covered by any Workmen's Compensation. MR. OSSORIO: Mr. Smith, if you look at your packet E-4, does that depict the method of payment you received? MR. SMITH: I don't have it, but I did review it earlier. Yes, that is the check that would have been for 18 hours of work. I was paid $25 an hour. MR. OSSORIO: How long have you worked for Colonial Carpentry, Incorporated? MR. SMITH: Eleven and a half years. MR. OSSORIO: And all that time you got paid by the leasing company? Page 54 December 17,2008 MR. SMITH: Yeah. The first six to eight months I was piecework. After that, from probably 1998 on was always through a leasing company. MR. GANGULI: Gentlemen, Mr. Scott had stated that his employee, Leasing Solutions company that he hired provided Workers' Compo coverage up to some point in August. And when I contacted -- the lady's name was Shannon Ingram, of Employee Leasing Solutions, I asked her the policies involved and how coverage is implemented for people who are on the Leasing Solutions program. And if they don't receive a check, they are not covered. Their names may still be on the list, but if a check is not issued to them, their coverage ceases at that point. MR. OSSORIO: Mr. Ganguli, do you have any more questions for your witness? MR. GANGULI: I have no more for this witness, no, sir. CHAIRMAN DICKSON: Mr. Scott, do you have questions of the witness? MR. SCOTT: What's that? CHAIRMAN DICKSON: Do you have questions of the witness? MR. SCOTT: Oh, absolutely. . CHAIRMAN DICKSON: Why don't you come over here to this podium. MR. SCOTT: This has gotten out of hand. CHAIRMAN DICKSON: It was a yes or no question. MR. SCOTT: First question is, on or about July 10th did you go to Ohio? MR. SMITH: Yes, I did. MR. SCOTT: Did you call me from Ohio about a week after that and say that you coughed in the front yard and you went to your knees, you can't move, and your brother and your dad had to help you up? MR. SMITH: I informed you before I went to Ohio, I was going Page 55 December 17,2008 to Ohio to take my daughter to visit relatives because -- MR. SCOTT: No, you were going to Ohio -- CHAIRMAN DICKSON: Whoa, whoa, whoa, whoa. We don't run it this way here. You let him finish the answer. We don't do two people talking, and we don't get argumentative. MR. SMITH: So I informed you again when I went to Ohio that my condition had worsened. I also asked you again, I need to go seek medical help. I have a severe InJury. And what I explained to you yes, did happen. I explained to you I had to go to the hospital, what was I supposed to do? Was there Workmen's Compo You again told me no, you were not covered by Workmen's Comp., do what you have to do. MR. SCOTT: No. Did you or did you not come over to the house? Because I've got two witnesses. I wish I had brought them in. The mechanic that worked on your truck before you went to Ohio and the shocks were replaced on your truck before you went to Ohio the day before? MR. SMITH: Yes, that I paid in cash. MR. SCOTT: And you helped do that and you were fine? MR. SMITH: I didn't help do anything. You put the shocks on my truck, you took the tires off of it. I stood there. You asked -- you said I could come out there because you had a lift. You have never once called me after I informed you of my injury. You continued to work. And you had spoke to other people informing them that they inform me you were going to make a decision for me when I got back whether I had a job with you or not, which I never was called back to work. MR. SCOTT: Should I bring in Dr. Berktold (phonetic) and show all these people how long he's been -- he's worked on your neck as a chiropractor and -- Page 56 December 17, 2008 MR. SMITH: Well, this has nothing -- MR. SCOTT: -- how long you've been going to the doctor -- CHAIRMAN DICKSON: One at a time. MR. SCOTT: -- for years. MR. SMITH: This has nothing to do with this. Back in 2002 I had a door fall on my head. Took my wife forever to get any kind of information for Workmen's Compo She finally got it from the man. 2006 I was injured, ruptured disc in my neck. Nothing near as severe as it is now. I informed Mr. Scott again I need to get help, there's a definite problem here. I had to seek this on my own. I've been paying for a doctor ever since 2006. So then when I pick up this door again in 2008, now my injuries are so severe I cannot work anymore. I had to file for Social Security disability . MR. OSSORIO: Mr. Chairman? I'm going to interrupt you. But this really has no bearing on the case in hand. MR. SCOTT: No, but he's -- CHAIRMAN DICKSON: I disagree. It does. Because we're hearing some dates here that have a bearing on this. MR. SMITH: Right. MR. SCOTT: Well, Rob-- CHAIRMAN DICKSON: Wait, wait, just -- MR. SMITH: I have never got to get my Workmen's Compo for anything -- injuries I've had except for the one in 2002. I have all the x-rays. I've had to get MRI's. My doctor sent me for new ones in July, because she had to see what was going on with my body to know where I stood. I have eight ruptured discs. Every disc in my neck is ruptured and three in my lower back. All these injuries stem from working for Page 57 December 17, 2008 Mr. Scott. MR. JOSLIN: What you're telling us is that this injury that you occurred (sic) happened while you were working at Cabinetry (sic) in 2002? MR. SMITH: That was -- that healed up and everything. This injury I have now stems from this 2008 lifting and carrying this door from the home that we're talking about on Creech Road. CHAIRMAN DICKSON: What happened in 2006? MR. SMITH: I was carrying doors, it was for a job in Bonita on Bonita Beach for D. Garrett Construction, working for Colonial Carpentry . The doors were extremely heavy. I was sent to the job by myself to do this work. CHAIRMAN DICKSON: Okay. And we've got a good feel for it now, and we don't need to go through that anymore, because the issue still remains whether or not there was Workers' Compo coverage at the time of this alleged incident in July of 2007. That's the issue, okay? Not car issues, not changing out stuff, none of that. Was there coverage in place, that's the issue. Okay, you got it defined? It doesn't matter all the other stuff. Did you have Workers' Compo coverage. MR. SCOTT: Colonial Carpentry had Workers' Compo coverage but -- CHAIRMAN DICKSON: Okay, that's what we're here -- MR. SCOTT: -- Colonial Carpentry didn't do the job. CHAIRMAN DICKSON: -- to discuss. MR. SCOTT: Colonial Carpentry didn't do the job. Whenever Colonial Carpentry did a job, license, insurance, everything. CHAIRMAN DICKSON: And we'll decide that. Okay, very good. Any other questions of Mr. Smith? MR. SCOTT: No. I mean, I'm not going -- I'm not-- Page 58 December 17,2008 CHAIRMAN DICKSON: Okay. Do you have any redirect, Mr. Ganguli? MR. GANGULI: (Shakes head negatively.) CHAIRMAN DICKSON: Mr. Smith (sic), if you would, please sit down. And Mr. Smith, if you would sit down and the county continue with your case. MR. GANGULI: Gentlemen, obviously we have two different stories regarding what the company payroll check was for. And I just would like to call Investigator Ian Jackson to try to establish what may be inconsistent here. CHAIRMAN DICKSON: Okay. MR. JACKSON: I'll answer from here. CHAIRMAN DICKSON: Okay, that's fine. MR. GANGULI: Were you sworn? CHAIRMAN DICKSON: Yeah, he's already sworn. MR. GANGULI: Good afternoon, sir. On October 24th, 2008, Daniel L. Scott was interviewed and served this notice of hearing at the Contractors Licensing Office. Were you present at this interview, sir? MR. JACKSON: Yes. MR. GANGULI: When asked about work performed by Colonial Carpentry, Incorporated at the address of 1195 Creech Road, do you recall what Mr. Scott's response was? MR. JACKSON: Not quoting, his response was that there was no work performed there. And that's of course not a direct quote, but that was the gist of the conversation. MR. GANGULI: Mr. Jackson, do you recall Mr. Scott stating that Colonial Carpentry, Incorporated was not presently working at any job sites and had not been working for, quote, several months? MR. JACKSON: I do recall that. MR. GANGULI: Mr. Jackson, do you have any information Page 59 December 17, 2008 indicating that this statement was not entirely accurate at the time it was made? MR. JACKSON: At that time I had been on job sites on Marco Island the previous week, roughly the week of October 14th, where they were working as a subcontractor for Henning on a condo. MR. OSSORIO: What was your purpose looking for this Colonial Carpentry Contracting? MR. JACKSON: Our office received a complaint regarding employees being on this job site and not being on the employee list from the leasing company. I went to the job site twice, interviewed all companies there. Daniel -- Colonial Carpentry was not there on either of those two visits. But there was confirmation from the super that they were the sub on that job. MR. GANGULI: And one last question for you, Mr. Jackson. Would you please inform the Board of Mr. Scott's reaction after being confronted with this information that you knew. MR. JACKSON: After Mr. Scott said that he hadn't been working in some time and I brought up the job on Panama Court, he then said, well -- it was recanted or yes, I do have that job. And of course once again it's not a quote, but that was the general conversation. MR. JOSLIN: Meaning the job on Creech Road? MR. JACKSON: Meaning the job on Marco Island. MR. JOSLIN: On Marco Island. MR. JACKSON: Right. MR. GANGULI: I have no more questions for Mr. Jackson. I'd like the Board to be aware of what I feel may be contradictory. We have two sworn statements, one coming from the homeowner placing Colonial Carpentry, Incorporated at that job site at 1195 Creech Road at the time of the alleged violation. MR. OSSORIO: Mr. Ganguli, for the record, can you turn to Page 60 December 17,2008 Page E-8 and can you read the homeowner's statement for the record? And this is your handwriting? MR. GANGULI: Yes, sir. MR. OSSORIO: And Mr. -- the homeowner of Creech Road was at our office? MR. GANGULI: Yes, sir. MR. OSSORIO: Okay, go ahead, if you wouldn't mind, just read into the record his statement. MR. GANGULI: Regarding work performed by Daniel L. Scott, qualifier of Colonial Carpentry, Incorporated, Collier County Certificate 11229. I Fishel Zaklos do hereby affirm that on or about the first week of July, 2008, Colonial Carpentry, Incorporated, qualified by Daniel L. Scott, performed work at my residence at 1195 Creech Road. This work consisting of installation of windows and a French door was performed on an unpermitted addition to the rear of the single-family home, resulting in Code Case No. CESD2008-000-9970, and it was initiated to correct the leak intrusion. And it's signed by him and dated November 10th, 2008. MR. JOSLIN: Mr. Ganguli, just one quick question. In the packet here, it seems unusual to me that if this work and this affidavit was signed saying that Colonial Carpentry was on this job at that time that there would not be a contract of some sort for this type of work being done. Was there a contract initiated? MR. GANGULI: The Rabbi told me it was done verbally, sir. It wasn't a written contract. MR. JOSLIN: Okay, thanks. CHAIRMAN DICKSON: Was there any money? Any check? MR. GANGULI: From the Rabbi to Colonial Carpentry? CHAIRMAN DICKSON: Yes. MR. GANGULI: I cannot verify that, sir. CHAIRMAN DICKSON: Okay. Page 61 December 17, 2008 Mr. Scott, again, do you have questions of Ian Jackson at this point? MR. SCOTT: No. CHAIRMAN DICKSON: Continue on. MR. GANGULI: The county rests. CHAIRMAN DICKSON: I thought you were going to -- is the complainant here? MR. GANGULI: We've heard from him, Mr. Dickson. CHAIRMAN DICKSON: Oh, okay. I was thinking maybe -- I got confused, thinking it was the homeowner on Creech. Okay. Mr. Scott, at this point the floor is yours. If you would come up to this podium, present your case, sir, and call any witnesses you choose. MR. SCOTT: Let's see. No, I don't -- I'm not going to go -- I'm not going to stand up here and argue about it. I don't know what else to say. I mean, we just -- Colonial Carpentry did not work there. You know, it's just -- I have no witness. MR. JOSLIN: Is there any vehicles in your company? MR. SCOTT: What's that? MR. JOSLIN: Is there any vehicles in your company? MR. SCOTT: Yes, a van and a truck. MR. JOSLIN: Does Mr. Smith drive one of your vehicles? MR. SCOTT: Yes, he did. MR. JOSLIN : Was it possible that that vehicle was at that job site to do that work? MR. SCOTT: Is it possible? Yeah, it's possible, yeah. That's what he was driving. I mean, he was driving -- drove it wherever. I mean, he had free roam to drive it wherever he wanted. MR. JERULLE: Are you the license holder -- MR. SCOTT: Yes. MR. JERULLE: -- of Colonial Carpentry? MR. SCOTT: Yes. Page 62 December 17, 2008 MR. JERULLE: Are you the owner of Colonial Carpentry? MR. SCOTT: Yes. CHAIRMAN DICKSON: Did you receive any money for that work on Creech Road? MR. SCOTT: No, I did not. Received no compensation. I did it for a friend of a general contractor. That's his Rabbi. I did it for him as -- I mean, I've worked for that company for almost 14 years. And I just -- you know, I'm just a friend. MR. JOSLIN: So there really was no written contract for you to go and do this job, but as a friend of a friend through a general contractor that you work for, do work for, he asked you can you go over and take care of Mr. Rabbi's (sic) house, and in turn Mr. Smith ended up on the job? MR. SCOTT: Yeah, he knew. He came willingly. I mean, we did it for the Rabbi. MR. JERULLE: So just so I understand it, a contractor that you worked for -- do you mind telling who -- MR. SCOTT: What's that? MR. JERULLE: Who was the contractor that you typically work for? MR. SCOTT: Core Construction. MR. JERULLE: They asked you to go to the Rabbi's house? MR. SCOTT: No, they did not. The person that works for them. An employee of theirs. MR. JERULLE: An employee of Core Construction asked Colonial Carpentry -- MR. SCOTT: Yes. MR. JERULLE: -- to go to the Rabbi's house to-- MR. SCOTT: Yeah, he's a friend of mine. He works for the company. And he asked if I would go over there and see where the water intrusion was coming in, and I went over there and the siding wasn't -- Page 63 December 17,2008 MR. JERULLE: And so you took your people over there and he drove the van to the house. MR. SCOTT: I just went over there myself first. And we weren't working and he said he was going to Ohio to put siding on his mother-in-Iaw's house and work on his parents house, so he needed some extra cash for gas to get up there and stuff, so I had him help two days. MR. JERULLE: And you paid him. And you've paid him then? MR. SCOTT: I gave him money to go up north, yeah. Fix his truck, put freeze plug in his truck, put shocks on his truck. I mean -- MR. JOSLIN: So was this out of compensation? MR. SCOTT: We didn't have any -- Colonial Carpentry didn't have any work so he was going up north to work on his mother-in-law's house, put siding on it. MR. JOSLIN: So was that check that we have in our packet, was that a check that you gave him for compensation to go and do the work for the friend of a friend of your Rabbi's, or was it a check to give him to go up north with? MR. SCOTT: It was a check for cash to -- because he was driving north. To go to put siding on his mother-in-Iaw's house and his parents' house. Like I said, that's when he called me about a week, week and a half later and said that he -- his brother and his dad had to help him in the house. So I have no idea what went on in Ohio. MR. L YKOS: Mr. Scott, where did you come up with a dollar amount of $450? Why not 1,000, why not 250? Where's the 450 number come from? MR. SCOTT: He hadn't worked in -- I think the last time he worked was in May. I mean, I was living on my -- living on life insurance money. I just helped him out. MR. L YKOS: So again, where did that $450 number come from? Page 64 December 17,2008 MR. SCOTT: No idea. Just 450 bucks. Probably what I could spare. MR. L YKOS: You just wrote a check for $450, and no reasonable explanation for the dollar amount. Had he come the next day, it could have been 800. MR. SCOTT: It could have been. Could have been 200. Could have been 1,000. I don't know. I mean, just whatever I had. MR. L YKOS: Do you think it's reasonable that an employee of a company, when told to show up and work somewhere, would be under the impression that they're working for that company? MR. SCOTT: Yeah, if the company was working there. The company wasn't working there. MR. L YKOS: Well, if you were there working and your employees were there working, how do you say the company wasn't working? MR. SCOTT: I was working there as a friend of a friend. And I knew -- MR. L YKOS: If you're the owner of the company and you're there working and your employees show up and do work there, how do you say the company was not there working? Do you know if you're driving the company vehicle and you get into a car accident, your company and you are liable? You're not working, but you represent the business. So if the -- MR. SCOTT: That's my work truck. MR. L YKOS: -- if the owner of the company and the employees of a company are working at somebody's home, how is that not the company is working? And then you compensate somebody, how is that not paid for work? MR. SCOTT: The company wasn't working. It wasn't a contract job for the company. MR. L YKOS: Who is the company? MR. SCOTT: Who is the company? Page 65 December 17,2008 MR. L YKOS: Who is the company? You said the company wasn't working. Well, who is the company? Is it some entity that shows up? MR. SCOTT: It's me. MR. L YKOS: Well, you are the company and your employees are the company. So if you and your employees show up somewhere to work, then that is the company working. You can't decide that we're going to work today and our liability insurance is in effect and our Workers' Compo is in effect and tomorrow we're going to work, it's all the same people and all the same tools but today well, this isn't the company working, this is just a bunch of people all getting together to have fun. MR. SCOTT: So you're saying if I go over to my neighbors and I drive my van in their driveway -- I'm just trying to clarify this -- if I go over to my neighbors or my brother's house, pull my van in the driveway, get a saw out of the truck and work on his front door, that Colonial Carpentry is doing the job, not me? MR. L YKOS: That's correct. MR. JOSLIN: That's correct. MR. SCOTT: So what do I have to do? I mean, it's the only truck I've got. It's the only truck that I have the tools in. CHAIRMAN DICKSON: And that's especially true if you have an employee with you. MR. JOSLIN: Yes. MR. SCOTT: I mean -- CHAIRMAN DICKSON: So it's really quite simple. MR. JOSLIN: He's under your supervision. You've given him the means to get there. You've given him the tools to go and work. Whether he touches anything or not, he's on the job. CHAIRMAN DICKSON: See, what happens here today is in no way going to help Mr. Smith. He doesn't benefit from the actions today. This is an action just on your license, or you as a license holder. Page 66 December 17, 2008 So there's no gain here for him. It's just as a matter of you say one thing, he says something else and the county says something else, and we have documentation to prove what's been said. And then you recant. How do you address that I've got county employees -- they don't have anything in for you -- that say you recant statements? MR. SCOTT: So all these years that I've been going over to friends houses -- CHAIRMAN DICKSON: I need you on the mic. MR. SCOTT: All these years I've been going over to friends houses and driving my truck, that's the company's over there? CHAIRMAN DICKSON: Well, you're avoiding my question. If you take employees and go somewhere in your truck and work, yes, you are working. That is the company. But what about recanting statements? Did you recant statements? Did you say times are tough and you let the Workers' Compo lapse? MR. SCOTT: My Workers' Compo never lapsed. I got it through -- my Workers' Compo was always there. It goes from the-- CHAIRMAN DICKSON: You can't prove that, though. MR. SCOTT: Huh? CHAIRMAN DICKSON: You can't prove that. MR. SCOTT: Yeah. MR. L YKOS: Mr. Scott, with an employee leasing company, if you don't run -- MR. SCOTT: I know, but -- MR. L YKOS: -- employees time cards through the -- MR. SCOTT: Exactly. MR. L YKOS: -- employee leasing company, there is no Workers' Compo So for you to say you had a policy, then why doesn't Mr. Smith have access to Workers' Compo for his medical bills? The fact is, with an employee leasing company, if you do not Page 67 December 17, 2008 submit that employee's time cards into the leasing company -- MR. SCOTT: Exactly. MR. L YKOS: -- there will be no Workers' Compo coverage. MR. SCOTT: Right. There was no -- MR. L YKOS: So for you to ask your employee to show up at somebody's house and do work, you're putting the homeowner and the employee at risk. MR. SCOTT: I did not demand he go there. I did not -- CHAIRMAN DICKSON: Oh, come on. MR. SCOTT: You know, I just asked ifhe wanted to help. We were going over to the Rabbi's to help. He went willingly. I mean, I understand the Workmen's Comp., if there's no payroll run, I understand that. Because I turn in people all the time when I hire them. I understand that. They can't step foot on the job until you turn them in. MR. JERULLE: You did this work at the Rabbi's house. Did you pull a permit? MR. SCOTT: No, I had no idea it wasn't permitted. It wasn't -- all we were -- MR. JERULLE: You had no idea -- MR. SCOTT: -- going over there was to look at a water intrusion problem. MR. JERULLE: -- yet you're a contractor with a license and you started the work -- MR. SCOTT: I can't pull permits with my license. The homeowner takes care of that. If there was a permit to be pulled, he pulled the homeowner permit. MR. L YKOS: You removed the windows and doors and may have done electrical work and framing and installation, and you didn't know that you needed a permit? MR. SCOTT: I did no electrical work. None. MR. L YKOS: I said may. But we know that you did siding and Page 68 December 17, 2008 did work on windows and doors and you didn't know that you needed a permit, and you didn't ask the homeowner to go get one first. MR. SCOTT: No, I've done a couple sidings and called here and they said it was cosmetic, that I didn't need a permit for it. I called the office and asked. MR. L YKOS: And you've done work on windows and doors and didn't think a permit was required. MR. SCOTT: The door, we just hung the door. That's all we did. We just-- MR. L YKOS: Was it an exterior door? MR. SCOTT: Huh? MR. L YKOS: Is it an exterior door? MR. SCOTT: Yes, it was a double -- MR. L YKOS: Does it meet -- MR. SCOTT: -- French door. MR. L YKOS: -- the wind load and impact requirements for Collier County? MR. SCOTT: I don't know if the door was or not. I couldn't -- CHAIRMAN DICKSON: Okay, do you have anything else to present in your defense? MR. SCOTT: What's that? CHAIRMAN DICKSON: Do you have anything else to present? MR. SCOTT: No. I just --like I said, we just -- we were asked to go over and help and I went over and helped the guy. I just -- good friend of mine and I just -- CHAIRMAN DICKSON: Anybody else have any questions? (No response.) CHAIRMAN DICKSON: Okay, closing statements. County? Stay where you are, Mr. Scott. MR. GANGULI: Mr. Dickson, it's for all of you to decide what exactly the company check from Colonial Carpentry, Inc. made payment -- made out to Kent Smith was for. Page 69 December 17,2008 I'd like to turn your attention to Exhibit E-10, section two, regarding securing the payment of Workers' Compensation. Specifically where it's stated if at any time an employer materially understates or conceals payroll, materially misrepresents or conceals employee duties so as to avoid proper classification for premium calculations, or materially misrepresents or conceals information pertinent to the computation and application of an experienced rating modification factor, such employer shall be deemed to have failed to secure payment of Workers' Compensation and shall be subject to the sanctions set forth in this section. This in turn is a violation of what I am charging Daniel Scott with, Collier County Ordinance, Section 4.1.6, for disregarding or violating 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 . MR. OSSORIO: Just to finish up, you heard testimony from Mr. Ganguli, you heard testimony from the complainant that was on the job site, you heard testimony from Mr. Scott. His opening statement, I believe he said he was never on the job site and now he was on the job site, and then he wasn't, and then he was doing it for a friend. But we have a sworn affidavit from the homeowner from Creech Road stating the fact that he was present. And the implication is Mr. Smith was assuming -- the complainant was assuming that he was an employee of the company working on that job site. He had no knowledge of the fact that Mr. Scott was a friend of a friend working on that job site. Mr. Smith, the complainant, only realized that he was a worker and he went to a job site to perform work for the company at hand. And with that, we have no -- we close. CHAIRMAN DICKSON: Mr. Scott, closing statement? Page 70 December 17,2008 MR. SCOTT: What he just said about saying that I was never there and then I was there, when I said that I said Colonial Carpentry wasn't there until later in the proceedings you were saying that I was, my truck had to be -- okay, then if that's the way you look at it. I mean, even though Colonial Carpentry wasn't contracted to do the job and there was no contract, no notice to owner, no none of that stuff that I always send, you know, because -- then I can understand where he's saying that. CHAIRMAN DICKSON: Is that it? MR. SCOTT: (Nods head affirmatively.) CHAIRMAN DICKSON: All right, do I hear a motion to close public hearing? MR. L YKOS: So moved, Lykos. MR. JOSLIN: Second, Joslin. CHAIRMAN DICKSON: All those in favor? MR. JOSLIN: Aye. MR. BOYD: Aye. MR. JERULLE: Aye. CHAIRMAN DICKSON: Aye. MR. L YKOS: Aye. MR. HORN: Aye. CHAIRMAN DICKSON: Okay, everybody sit down. Now, what you're going to hear us do is get guidance from the attorneys, and then we're going to first settle on whether you're guilty of the charge before we go into any penalties. Mr. Neale? MR. NEALE: In a case like this, the Board shall ascertain in its deliberations that fundamental fairness and due process were afforded to the respondent. However, pursuant to Section 22-202.G.5 of Collier County ordinance, the formal Rules of Evidence as set out in Florida Statute shall not apply. The Board shall consider solely evidence presented at Page 71 December 17, 2008 the hearing in the consideration of this matter. The Board shall exclude from its deliberations irrelevant, immaterial and cumulative testimony. It shall admit and consider all other evidence of a type commonly relied upon by a reasonably prudent person in the conduct of their affairs. This is whether or not the evidence so admitted would be admissible in a court of law or equity. Hearsay may be used to explain or supplement any other evidence in a case like this, but by itself it's not sufficient to support a finding in this or any other case unless it would be admissible over objection in a civil court. The standard of proof in this type of case where the respondent may lose his privilege to practice his profession is that the evidence presented by the complainant must prove the complainant's case in a clear and convincing matter. This burden of proof on the complainant is a larger burden than the preponderance of evidence standards set for normal civil cases. The standard and evidence are to be weighed solely as to the charges set out in the complaint as Ordinance 90-105.4.1.6 of the Collier County Code of Ordinances, which is 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. The -- in order to support a finding that the respondent is in violation of the ordinance, the Board must find facts that show violations were actually committed by the respondent. The facts must show to a clear and convincing standard the legal conclusion that the respondent was in violation of the relevant sections of Ordinance 90-105 as amended. As the charges that are listed in the complaint are the only ones the Board may decide upon, since they are the only ones which the respondent has had the opportunity to prepare a defense. Page 72 December 17, 2008 Any damages that the Board would find, should the respondent be found guilty, must be directly related to those charges. The damages may not be for matters not related. The decision made by this Board today shall be stated orally at this hearing, as effective upon being read by the Board. The respondent, if found in violation, has certain appeal rights to this Board, the courts and the State Construction Industry Licensing Bureau, as set out in the ordinance in Florida Statutes and Rules. If the Board is unable to issue a decision immediately following the hearing because of questions of law or other matters of such a nature that a decision may not be made at this hearing, the Board may withhold its decision until a subsequent meeting. The Board shall vote based upon the evidence presented on all areas, and if it finds the respondent in violation, adopt the administrative complaint. The Board shall also make findings of fact and conclusions of law in support of the charges set out in the administrative complaint, should the respondent be found in violation. CHAIRMAN DICKSON: Thank you, sir. All right, gentleman, as far as the one complaint and that one complaint only, that's all we're looking at. What's your feelings, discussion? And I'll entertain a motion. MR. L YKOS: I make a motion that we find the defendant guilty of the charges. MR. HORN: Second, Horn. CHAIRMAN DICKSON: Discussion? (No response.) CHAIRMAN DICKSON: Call for the vote. All those in favor? MR. JOSLIN: Aye. MR. BOYD: Aye. MR. JERULLE: Aye. CHAIRMAN DICKSON: Aye. Page 73 December 17,2008 MR. L YKOS: Aye. MR. HORN: Aye. CHAIRMAN DICKSON: Opposed? (No response.) CHAIRMAN DICKSON: Okay, guilty of the charge. Now the penalty phase, Mr. Neale. MR. NEALE: As the respondent's been found in violation of the ordinance, the Board shall consider and order sanctions under the parameters set out in Collier County Ordinance 90-105, as amended. These sanctions are set out in the ordinance and the codified ordinance of22-203.B.1 and in the revised ordinance in Section 4.3.5. The sanctions which this Board may impose are: Revocation of the respondent's Certificate of Competency; suspension of the Certificate of Competency; denial of issuance or renewal of the Certificate of Competency; probation of a reasonable length, not to exceed two years, during which the contractor's contracting activities shall be under the supervision of the Board; and/or participation in a duly accredited program of continuing education. Probation may be revoked for cause by the Board at a hearing noticed to consider said purpose. The Board may order restitution, a fine not to exceed $10,000 per incident, a public reprimand, a reexamination requirement, denial of the issuance of permits or requiring issuance of permits with conditions, and also reasonable, legal and investigative costs, as proven. In considering these sanctions and imposing these sanctions, the Board shall consider five elements: Number one, the gravity of the violation; number two, the impact of the violation; number three, any actions taken by the violator to correct it; number four, any previous violations committed by the violator; and number five, any other evidence presented at the hearing by the parties relevant as to the sanction that is appropriate for the case, given its nature. Page 74 December 17,2008 The Board also shall issue a recommended penalty to the State Construction Industry Licensing Board. That penalty may include a recommendation for no further action, a recommendation of suspension, revocation or restriction of the registration, or a fine to levied by the state board. CHAIRMAN DICKSON: Before we go into that. County? I assume Mr. Ossorio. What are your recommendations and-- MR. OSSORIO: County's recommendation is a $5,000 fine, paid within 30 days; $500 investigation cost; one-year probation. Gentleman -- qualifier must reexamine the business procedure test within one year and must take a two-hour accredited course for Workers' Compo insurance. And no restitution. And no notifying the State of Florida, since he's the county license holder. CHAIRMAN DICKSON: Let me go through that again: $5,000 fine, $500 investigation, one-year probation. And what about the testing? MR. OSSORIO: Must take the -- must retake the business procedure test and take a two-hour accredited course for Workers' Compo insurance within six months. No restitution. CHAIRMAN DICKSON: And no recommendation to the state. MR. OSSORIO: And no recommendations to the state, that is correct. CHAIRMAN DICKSON: Okay, gentlemen. MR. JOSLIN: What is the fine, $5,000? MR. OSSORIO: Five thousand dollar fine, yes. MR. JOSLIN: And $500 was for the -- CHAIRMAN DICKSON: Investigation. MR. JOSLIN: -- investigative costs? MR. OSSORIO: That's correct. MR. JOSLIN: This is unfortunate. Gentleman, I think that this is probably one of the worst cases that we've had as far as Workmen's Compo goes, because there was an injury on the job. Page 75 December 17,2008 I'm not totally convinced I guess that the man was hurt totally on the job that he did that particular day. Nevertheless, he was hurt. So I'd more or less be willing to go along with just about anything that Mike Ossorio has prompted us to recommend, the punishment. Does anyone feel that the person who got hurt here should be compensated for his injuries? CHAIRMAN DICKSON: That's a tough issue. And it gets into legalities, too, because we're talking a preexisting injury. It started in 2002, was aggravated in '06 and happened again in '08. MR. NEALE: Yeah, and there was no evidence presented as to dollar value of the compensation or anything like that, so the Board has nothing on the record, nothing in evidence to base any restitution on. CHAIRMAN DICKSON: Quite honestly -- Mr. Scott, I know you're listening; it's a closed hearing -- but the recommendation of the county was much easier than I thought it was going to be. I think the county has looked kind of lightly on you; one, to pay a fine and learn a lesson but to still keep you operating, still keep you in business. I expected a revocation recommendation. I think probably some of the other people did too. MR. JERULLE: I'm surprised also. CHAIRMAN DICKSON: I'm very surprised. MR. JERULLE: By his own admission it gives the impression that he's done this before. By his own testimony. And I just -- I'm not comfortable -- I'm thinking about the one-year probation, I don't know that I'm comfortable with that. MR. JOSLIN: I'm thinking more on the phases (sic), maybe two years. MR. L YKOS : Well, I would say too that I agree that this seems a little bit lenient, especially when you consider the fact that we've had some people in here that have made mistakes and they've owned up to those mistakes and not tried to make excuses. And it just seems that Page 76 December 17, 2008 Mr. Scott is making excuses and trying to sidestep his responsibilities and try to play word games with us and with the county employees. I have a lot more respect for somebody that says I made a mistake and I accept my punishment and I'm going to do the right thing. And that's not the situation that we have here. MR. HORN: My other question was notifying the state. Mr. Ossorio said -- in our recommendation, should we be considering making a recommendation to the state, gentlemen? CHAIRMAN DICKSON: Well, it's a county license, so the state wouldn't take any action. MR. HORN: Oh, okay. CHAIRMAN DICKSON: The only thing you can do, it's a registered license, so he just registers with the state. The Workers' Compo people may take issue to this. I would say that's probably not out of the realm of possibilities. MR. JACKSON: If I may? CHAIRMAN DICKSON: Yes. MR. JACKSON: I think Workers' Compo would have to physically observe the violation to take action. CHAIRMAN DICKSON: Okay. MR. JACKSON: Even with the finding of fact, they have to physically observe the violation. MR. JOSLIN: At the time that it happened, you mean? MR. JACKSON: At the time it happens. For example, if they show up to a job site and employees are having lunch and there's no coverage, they can't take action. CHAIRMAN DICKSON: Really? MR. JOSLIN: Right. CHAIRMAN DICKSON: Well, one of the biggest problems is misreporting payroll and misclassifying payroll. That's why carpenters ended up being a more expensive class than roofing, because all the GC's were taking their roofers and putting them in carpentry, and then Page 77 December 17,2008 all of a sudden carpentry shot above roofing. Even with an audit they can't? MR. JOSLIN: Got to be caught. MR. JACKSON: I was at a seminar in November, and that specific question was asked. If there is a finding of fact of our Board for a Workers' Compo violation, will you take action, and they said no. CHAIRMAN DICKSON: Wow. Okay. Well, how do you feel, guys? We need to resolve it. MR. JOSLIN: One other item I'm really not -- I guess I'm not in totally agreement with is I'm not sure that I believe either one of them totally. I think that there was probably some other underlying things that we don't know about that has prompted this to happen. Whether it be a friend of a friend or he did it for a friend, I'm not certain that the injury that he sustained possibly could have been something that he did on that job that particular day that brought him to this situation. Looks like there may be a conflict of personalities going on besides. So I guess with that said, I'm going to make a motion. I'll make a motion that we place -- we have found, I'm sorry, Daniel L. Scott of d/b/a Colonial Carpentry, Inc., guilty of Count 1,4.1.6. And his penalty be as -- he be placed on probation for a period of two years. He's to pay a $5,000 fine within 30 days of the hearing of this date. He's to pay $500 investigative fees. He's to take 14 hours of continuing education, six hours of which will be by Workmen's Compo policies. And to retake the business and procedures test. And no further action would be sent to the State Licensing Board. CHAIRMAN DICKSON: No restitution? MR. JOSLIN: Restitution for $500 -- no, I'm sorry. CHAIRMAN DICKSON: No restitution. That's investigative. MR. JOSLIN: And no restitution. I'm sorry, yes. MR. HORN: Question. Time frame on the education? MR. JOSLIN: The 14 hours, 14 hours of it, I'd like to see done Page 78 December 17, 2008 within 60 days. MR. JERULLE: What is probation? MR. JOSLIN: Well-- CHAIRMAN DICKSON: Mr. Ossorio, do you want to answer that? MR. OSSORIO: Typically probation is a -- is something we use in our office when a homeowner or a perspective buyer calls. Ifhe's on probation, we tell them they're on probation. And probation also means that this gentleman should be contacting us on a monthly or a weekly basis, let him (sic) know what job he's on, what he's doing and where he's going to be so then we have an opportunity as a tool to go out to the job sites, like Ian was just telling you earlier, to check payroll, to make sure everyone's on payroll. That's what probation means to me. And if there's ever another infraction, he automatically goes in front of the licensing board for violation of his probation. CHAIRMAN DICKSON: Only word I didn't like in your explanation was should be contacting you. Is that mandatory or is it not? MR. NEALE: It is if the Board so orders. It is essentially voluntary unless the Board orders it. In the past this Board has ordered people found in violation to report on a regular basis. They've given specific time frames. CHAIRMAN DICKSON: Okay. MR. JOSLIN: With that, I think I -- under that circumstance, I think I'd like to amend the motion just to say that during this probation period that Mr. Scott will be required to report all jobs to Collier County Contractor Licensing on a per job basis. And if there's any violation at all that takes place during that time period of the two-year probation, then his license would be immediately revoked. In other words, if he's caught doing something without Workmen's Compo or something that would oversee-- Page 79 December 17,2008 MR. JERULLE: Building permits. MR. JOSLIN: Building department. There's no permits. He doesn't require permits, so we can't say that. CHAIRMAN DICKSON: Okay. MR. JERULLE: He doesn't require -- CHAIRMAN DICKSON: You understand the motion? MR. OSSORIO: One more thing, just to clarify. The $500 restitution, you mean the $500 for investigation costs within 30 days as well? MR. JOSLIN: Yes. MR. OSSORIO: Okay. MR. JOSLIN: As well as the $5,000 fine. MR. JACKSON: I have a question as well, please. Sixty days for the 14 hours of continuing education. And would that also include the business and law -- MR. JOSLIN: Yes. MR. JACKSON: -- in that 60 days? MR. JOSLIN: Yes. MR. JACKSON: Okay. Thank you. CHAIRMAN DICKSON: Just so I don't give the man something he can't do, Ex -- not Experior, but Gainesville can do this for him; is that correct? MR. OSSORIO: Gainesville, he can sign up today or tomorrow and take it the next day, not a problem. CHAIRMAN DICKSON: Okay. MR. L YKOS: How long to pay the fine? MR. JOSLIN: Thirty days. CHAIRMAN DICKSON: Thirty days was the motion. - MR. L YKOS: I'll tell you, I don't feel real strong either way, so I guess that means I'm good with it. I don't feel it's too harsh, I don't feel it's too lenient so I guess I'm comfortable with it, because I don't feel real strong either direction. Page 80 December 17, 2008 MR. JOSLIN: I want to see it happen in a sooner time; 15 days, I was thinking. However, we do have the Christmas holidays. So let's call it a Christmas 15-day period. So by the middle of January it should be paid. CHAIRMAN DICKSON: Okay, I've got a motion. Does everyone understand it? I do not have a second. MR. HORN: Second, Horn. CHAIRMAN DICKSON: Okay, now we're in the slot. Okay, discussion? (No response.) CHAIRMAN DICKSON: Mr. Neale, you okay with the motion? MR. NEALE: I'm fine with it. CHAIRMAN DICKSON: All right, sir. No more discussion, I'll call for a vote -- MR. JOSLIN: Anything else that we missed or that we don't feel comfortable with, now's the time. MR. L YKOS: I'll ask a question just for clarification. Maybe it doesn't have anything to do with this specifically. But a comment was made by Mr. Scott that he doesn't pull permits. Maybe Mr. Scott needs to understand what the limitations of his license are and what he's allowed to do. CHAIRMAN DICKSON: That's why he got the 14 hours in the business test. MR. L YKOS: Okay, we're going to take care of that, okay. CHAIRMAN DICKSON: Yeah, we're going to get some more education in there. MR. L YKOS: Okay, good. CHAIRMAN DICKSON: Anything else? --- _n__ (No response.) CHAIRMAN DICKSON: Call for the vote then. All those in favor? MR. JOSLIN: Aye. Page 81 December 17, 2008 MR. BOYD: Aye. MR. JERULLE: Aye. CHAIRMAN DICKSON: Aye. MR. L YKOS: Aye. MR. HORN: Aye. CHAIRMAN DICKSON: Opposed? (No response.) CHAIRMAN DICKSON: It's unanimous. Mr. Scott -- no, I'll do that -- yeah. What we've done -- come up here to the podium. And I really do think this could have been handled a whole lot better. But $5,000 fine -- you'll get an order, this will all be in writing to you. Five thousand dollar fine paid in 30 days; $500 investigation cost; two-year probation. On a job basis you'll let the county know where you're working, and that's easy to do. There's three wonderful ladies in there working, and everyone answers the phone, they're good people. You're going to take 14 hours of education. Best place to go is called Gainesville Testing, they'll tell you where to go. County will work with you on this. It's a good outfit. They're also -- you're going to take a business and law test, which you've done before, but you're going to do it one more time. Two hours of Workers' Compo course. Was that in the motion? MR. JOSLIN: Six hours. CHAIRMAN DICKSON: Six hours of Workers' Compo So you're going to know Workers' Compo well enough to sell it. Go to work for AFLAC, maybe, I don't know, it's probably better than construction right now. And no restitution and no state recommendation. I really am -- I really thought it would be harder. You're still in business, and I would count my blessings for that. It could have gone Page 82 December 17,2008 the other way real quick. So do you have any questions of the Board? MR. SCOTT: No, I learned some things that I didn't know, so-- CHAIRMAN DICKSON: Okay. I'm glad you're still in business. MR. SCOTT: I will never drive a company truck to -- CHAIRMAN DICKSON: Just be straight. MR. SCOTT: Yeah, I had no idea. I didn't know that. MR. JOSLIN : You go to that business and law test, you better ask some more questions, because there are a lot of things that you may not know about driving a company vehicle or wearing a company T -shirt. There's a lot of things that fall into play when you start doing that type of thing. MR. SCOTT: That's -- well, I got to thinking about that sitting down over there. If I give my company truck to somebody else and they go work at somebody's house, I'm liable for it. MR. JOSLIN: Exactly. MR. L YKOS: Correct. Also,just so you don't -- I still think you're missing a little bit. If you're at a friend's house working and you think you're not on the clock and you damage their house, real quick they're not your friend anymore. MR. SCOTT: I understand that. MR. L YKOS: You're the general contractor. And all of a sudden there's no friendship anymore and all they say is he's my general contractor. MR. SCOTT: I understand how fast things can change. MR. L YKOS: All right. Well just don't -- it's not just about the truck sitting in the driveway, okay? People expect that you're an expert and you know what's right and what's wrong. And the court will feel the same way. MR. SCOTT: Understandable. CHAIRMAN DICKSON: Very good. Wish you well. Hope you Page 83 December 17, 2008 still have a nice Christmas. MR. SCOTT: Okay, thank you. CHAIRMAN DICKSON: Thank you. Mr. Neale, do you have a short form for me? MR. NEALE: Yes. CHAIRMAN DICKSON: This is my last one. And I must admit, this is the one thing I've never enjoyed doing. MR. NEALE: But we shortened it. CHAIRMAN DICKSON: At least you shortened it. Case No. -- and it has to be done. Case No. 2008-15, License No. 11229, came before public hearing, the Contractor Licensing Board today. Consideration of an administrative complaint filed against the license holder, which I just stated, which his name is Daniel L. Scott, d/b/a Colonial Carpentry, Incorporated. Service of the complaint was made in accordance with Collier County Ordinance 90-105, as amended. The Board having at this hearing testimony under oath, received evidence and heard arguments respective to all matters, thereupon issues findings of fact, conclusion of law and order of the Board as follows: Findings of fact: That Daniel L. Scott was present and he is license holder -- holder of the License 11229. The Board of Collier County Commissioners of Collier County, Florida is the complainant in this matter. That the Board has jurisdiction, that's number three, of the respondent, and that Daniel L. Scott was present. He was not represented by counsel. Number four, all notices required by the Ordinance 90-105, as amended, have been properly issued. And service was personally delivered -- correct? Okay. Number five, respondent acted in a manner that in the violation of Collier County ordinance is the one who committed the act. That the allegations of the fact as set forth in administrative complaint as to Page 84 .. December 17, 2008 4.1.6, disregard or violates in the performance of the contracting business in Collier County any of the building, safety, health, issuance or Workers' Compensation laws of the State of Florida or ordinance of this county. And found to be supported by the evidence presented at the hearing. Conclusions of law -- I can do the down button. The conclusion of law, alleged and set forth in the administrative complaint as to the count which was stated was approved, adopted and incorporated to wit. The respondent violated that section as read. Collier County Ordinance 90-105, violation set forth in the administrative complaint. Based upon the foregoing findings of fact, conclusion of law pursuant to the authority granted in Chapter 489, Florida Statutes, Collier County Ordinance 90-105, as amended, by a vote of six in favor and zero opposed, a majority of the Board members present, the respondent has been found in violation as set out above. Further, it is hereby ordered by a vote of six in favor and zero opposed by a vote of the Board members present that the following disciplinary sanctions related order are hereby imposed upon the holder of Collier County Contractor Certificate of Competency No. 11229. That is, number one, a $5,000 fine, payable to the Collier County within 30 days. Number two, $500 investigative costs, paid to Collier County within 30 days. A two-year probation during which time the -- Mr. Scott, Daniel L. Scott will report to Contractor Licensing regularly what jobs he is working on. A 14-hour continuing education to be done within 16 days, number four. Number five, six hours of Workers' Compensation continuing education. Number six, to pass -- to take and pass the business/law test Page 85 .. ,. December 17,2008 successfully within 60 days. Where am I at, number seven? No restitution. Number eight, no state recommendation. My numbers may be out of order, but you can correct them. And so ends and closes that case. Any questions, comments? Anything I missed? MR. L YKOS: I just want to clarify, that was the short version. CHAIRMAN DICKSON: Oh, yes. Yeah, the only one had two more pages. MR. JOSLIN: Make sure that you print me out a copy of that, okay, so the next time I have to do this that I won't -- MR. NEALE: I will make sure that we've got printed copies. I'll send it over to Maggie and make sure it's in the packet for next meeting, how about that? MR. JOSLIN: Perfect, thank you. CHAIRMAN DICKSON: I commend the Contractor Licensing Office for what you're doing. It is extremely difficult out there. All of us contractors know that better than anybody. And we know you have a difficult task and we know people are bending rules. We know they're stretched to the max. There's a lot of pressure out there. I can only imagine some of the confrontations that you encounter. Because there is so much pressure on people out there. I thank you for what you do. I appreciate the opportunity to work with you all these years. You guys are a phenomenal bunch. And I'm glad you got the extra employee, because you sure did need it. And to the Board I wish -- and county staff, these two geniuses over here, and the prettiest court reporter in Collier County, I wish all of you a Merry Christmas and may next year be abundantly blessed for all of you. No reports. Next meeting, Wednesday , January 21 st, 2009. They go fast, don't they? Page 86 . December 17,2008 And we'll all hope that 2009's better than 2008. MR. JOSLIN: Let's hope so. CHAIRMAN DICKSON: Anything else to come before the Board? MR. JOSLIN: We should that the Board of Commissioners I think for passing this resolution reimbursing all the board members and all the people that serve on these advisory committees for some fuel mileage, the expenses that takes to get here, to and from. I think that was a very nice gesture on their part, and I thank them. CHAIRMAN DICKSON: With nothing else -- MR. L YKOS: They must have a bunch of extra money laying around. CHAIRMAN DICKSON: I think something maybe happened. With all that, do I entertain a motion -- I move that we adjourn. Do I hear a second? MR. JOSLIN: I second that motion. CHAIRMAN DICKSON: All those in favor? MR. JOSLIN: Aye. MR. BOYD: Aye. MR. JERULLE: Aye. CHAIRMAN DICKSON: Aye. MR. L YKOS: Aye. MR. HORN: Aye. ***** There being no further business for the good--of the-County, the meeting was adjourned by order of the Chair at 1:04 p.m. Page 87 . December 17,2008 CONTRACTOR LICENSING BOARD LES DICKSON, Chairman These minutes approved by the board on presented or as corrected as Transcript prepared on behalf of Gregory Reporting Service, Inc., by Cherie' R. Nottingham. Page 88 COLLIER COUNTY BUILDING REVIEW & PERMITTING CONTRACTOR'S LICENSING 2800 N. Horseshoe Drive · Naples, Florida 34104 · (239) 403-2432 · Fa,x (239) 403-2469 November 3,2008 Charles R. Mc Dermott 110 Cypress E. Napl€s, FL. 34110 RE: Contesting Citation Dear, Charles R. Me Dermott: You have been added to the agenda for the Contractors' Licensing Board meeting on Wednesday, January 21,2009. The meeting is held at 9:00 a.m. at the W. Harmon Turner Building (Bldg. F, Admin. Bldg.), :)(PI E. Tamiami Trail., Naples, FL. in the Commissioner's Meeting Room on the 3rd-!fc>or. c o {~ e r c o u ..... t:. .v - ~~~d'/~/~p~-J [;;~~ (~c~ ,:J,<"U' 7d ~- ,r /4;t.( /'r-- ;/FY (/C1(!'-,,~ / i{f YlLi~ ~~ l1 /)' ~~ ~.~ / ......v / L:./:1r L t..;e;-<.J I~~'~R~~/ ~. _.~. .~ CL- ~~":) r 6- 7cL ~~ ,:/r fLz,}~ J h..J-C-- t/ ~ T .2/')'~--rI-.c-A'- ~~r- ? 'y/'o /) J t.~. ~r ~. C:~ .?-V"'7L-b ,Sk~ ~~'L-J~ .~~ ~~ ~f2 _ a~ /~~ /~ ,~~ ~~ .~- k~AA:!-z;'~ ft ~.. --- / / ! . ~ COLLIER cOUNriN24 2 81 ~ ~?:J BUILDING REVIEW & p.~RMrftING ^ CITATION rurs~nt to scclion 489.127. (3)(a), Florida Slatucs, the ndersigned hereby certifies that upon Jcrson~1 investigation, he/she has reasonable and probable grounds to believe th~t the person whose namc appears below, as Issucd To, did violate Subsection 489127(1), Flonda Stalu.tes, md Collier counly Contractor's Licensing Ordinance No. 97 -68 (as may be amended from time o lime) by commiuing the violation slated below. MonthOCj. IDay ~.3 ItOr?' hJlplt) ~ Issued To: C#'()L~.f f(.. He ~~/tHd.rrr- Address 10 IS ax 1 I tJ~ 3 / . AAII1JU./ State jtL . I. .n;J.!,j -l"...r(' (if appli ble) Y/-, Color ~ Tag N City Zip ~f/Id f' Height - ex ~ r-d/f tVV,{llt~~ e.c.-. -. OPTIONS - ~ I(~ ...."... I have been informed of the violation of which I have been charged and elect the following Jption (Check one) 'J "0 /,} I) 0 I choose to pay the penal lies of $ .:>tJ, . CA-' on the Citation. 1) 0 I choose not to pay the penalty and will request in writing by certified mail or hand lelivery an Administrative Hearing before the Conlractor's Licensing Board. )eseription of Violation fo~.vlf. Q~Vi~~bserved (J...:t-d I) 0 Falsely hold self or business organeafion out as a license, eertificale holder or registrant; J) 0 Falsely impersonate a certificate holder or registranl; :) 0 Present as his own the certificate or registration of another; 1) 0 Knowingly give false or forged evidence to the Board of a member thereof; ,) 0 Use or attempt to use a certificate or registration which has been suspended or ~ev ked; . Engage in the. business ?r act in the cap~city of a ~ontractor o~ advertise. self or USI ss organization as avatlable to engage m the busmess or act m a capacity of a contractor without being duly registered or certified; l) 0 Operate a business organization engaged in contracting after (60) days . following the termination of its only qualifying agent without designatmg another pnmary qualifying agent, except as provided in ss 489.1 19 and 489.1 195, Florida Statues; 1) 0 Commence or perform work for which a building permit is required pursuant to an adopted state minimum building code, without such permit being in effect, or o Willfully or deliberately disregard or violate any Collier County ordinance relating to uncertified or unregistered contractors. ... person or business organization operating on an inactive or suspended certificate or -egistration, or operating beyond ope of work or geographical sco e of the 'egistration, is not dul e registered. PRINT (REqp(ENrS NAME) 'ursuanl to 9.127, Florida Statues, willful rcfusallo sign and acceptlhis cil' Ion conslitutes I misdem ,nor of the second degree, punishable as provided in section n .082 or 775.083 "Iorida atules. COlLlIER cou~rrv CONTRACTORS LICENSE DEPARTMENT \ N~ BUILDING REVIEW & PERMI TlNG CITATION ~ 179 :l J--- Pursuant to section 489.127. (3)(a). Florida Statutes, the under gned hereby certifies that opon 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), Flonda Statutes, and Collter county Contractor's Licensing Ordinance No. 97-68 (as may be amended from time to lIme) by committing the violation stated below. I I Day I 8 ~~g:O I lAM/e) '""<dT'f J/ ~ ~ ~,/OS ~. A1 ~ 0: If jl.1 crT Addresse; ... ii" II 'Q ~i /I 0 C f'tr:. ,.S.J U<1"';1~--; City 1./ 1}.{J L ES State F(. Zip 3 'i ((j ~ (JLLlER COUNTY 2149 --- Month Date of Birth J-C:-"--S'6 Color Ta~. --V' Pd.)" . C- -J.. 70 Lr:;On of Violation ~ 08- 6Jc. jVJ(;,,4 P(- OPTIONS I have been informed of the violation of Whi2:h have been charged and elect the following option: (Check one) . G ~ r- . . I) 0 I choose to pay the penalties of $ on the CitatIOn 2) 0 I choose not to pay the penalty and will request in writing by certified mail or hand delivery an Administrative Hearing before the Contractor's Licensing Board. lrJ Description of Violation: Date Violation Observed: I- I / Q 1\ (.~ (':, - \i~ a) 0 Falsely hold self or business organization out as a license, certificate holder or registrant; b) 0 Falsely impersonate a certificate holder or registrant; c) 0 Present as his own the certificate or registration of another; d) 0 Knowingly give false or forged evidence to the Board or a member thereof; e) 0 lJse or attempt to use a certificate or registration which has been suspended or t) ~~:-ge in the business or act in the capacity of a contractor or advertise self or ~rg~nization.as available to engage in .the btWfsS ,PIJ~}}.j',fap'!j;ity"o~ ~ contractor WithOut bemg duly regtstered or certified; t" I ,,) c; A:..J"'" K tI < g) 0 Operate a business organization engaged in contract \fler SIXty (60) days following the termination of its only qualifying agent without designating another primary qualifying agent, except as provided in ss 489.119 and 489.1195, Florida Statutes; h) 0 Commence or perform work for which a building permit is required pursuant to an adopted state minimum building code, without such permit being in effect, or i) 0 Willfully or deliberately disregard or violate any Collier County ordinance relating to uncertified or unregistered contractors. A person or business organization operating on an inactive or suspended certificate or registration, or operating beyond the scope of work or geographical scope of the registration, is not duly certified or registered. ~.~/ ~h~ SIGNA: (RECIPIENT) SIGNATURE (INVESTIGATOR) ""'^- /1;t-kx..."!..6-:. ft/'f)c-/::/.J1<? 7l' UI.) M.~-.J l/ou-t,,JCA/lJVCiJ PRINT (RECIPIENT'S NAME) PRINT (INVESTIGATOR'S NAME) Pursuant t0489. I 27, Florida Statutes, willful refusal to sign and accept this citation constitutes a mIsdemeanor of the second degree, pumshahle as provided m section 775.082 or 725.083 FlondaStatutes I' / (SEE REVERSE FOR INSTRUCTIONS) vi' ... CGbLtll~R-C()lJf\JTYCG()NTRACTORS. L1CEN SEDEPARTMENT rgifiL-"--•*---••••k44;listy4t. --7,..'%11..10K-- •44,-'-'4,„..,'4•4-4.i4,:4-P,'-':4.---''--.41-4-444 :44;-1-4444•44`.44;At4744,44,44Vtall:t4.ttrattqi,t1. .4,47.-,44.7 ,.„7-777,71. *414140.*:•444,44 ; •-'-'••It, t.4 . t4. -4,44,,,,,;•-•.r..'.44.14,t'44„.„,,,... •.4 i .4,4!4,44,4,RttNita<4„mipti4AttEt44;440.0344 - - - . •. t44$•!4:-...t.-444--•-.•-•:.1.7:"44.-$44 (..---.--.-. -• ._..''-'''-•.4,44-.7; -:-4.!.• r^: av • fAktt10.1.4041**, �i } -,4,44.444,4?m 'k . - w • 14 to.^f 'oe„lyy t z ,bY � tea^ k s. • * • .• , '4114 4 ,s.1,« ¥41''''-''.- i : a.,_..M- _- a°` sd1 e,. • .:, -.?,., ---, .cii::::c-!..,;:ii.,:i;o'ii-11--,;;:i.........,::-. '.:--":.;:','.:.':i:'''''.::.:,:'.,.'''.-:.'-':'-ii.".:::'-!.. N l' 3 w..,n.cz-s's;.a' — }x+F� � i, ,,,.;,,,,,-,,,,14„ d` ,1•:.'::,..,....:Ii'4.-'•'''''471.fig'',1:R•1•7;i146'::,',:-''...-•:,.,.;.'.'.'• .';'::::,,.:4-,-,1'::::,:•,;;;;:i4;1'1,•:;,,; r••••.,..,'"'''''-',1•11..,..!:‘,14.'",40..,t,„,.....:44.4 '44-'••••:.:•::•,:,,:,•,:•-•••i'l:•:;,!,1!..:-•-•,:'77;.4..?:::40;XLI.4..;4:,,,,,,:'4!•;4445..1‘10.4 tl mow., w ePP Shetli A. Mehri 339 Burnt Pine Drive Naples, F134119 239-692-1046 I was told to write down the reasons for the appearance of my credit report for consideration to renew my contractor's license. I understand that typically the credit of an individual reflects the individual themselves. This is definitely not the case is my circumstance. For what the credit report does not show is all that was paid, all that was accomplished. Choices are made daily in my world... these are the choices I have made. I have and continue to successfully raise six children. I took in a seventh child for 4 years with no financial assistance. My three daughters are all enrolled in college and are honor students. My son whom is 20 is a musician, whom has released two cd's and will be performing in concert at Germain Arena at the end of this month. (I don't even want to tell you how much the electric and food bill was for two years while they practiced their music in my garage). The child that I took in is in his junior year of college. Had I not stepped up to bat, he would have continued living on the street. Instead he received not one but two scholarships and knows that he is loved. My youngest children, 13 & 12, are both excelling in school, play football and attend church on Wed & Sunday. I have managed to keep a roof over their heads and food on the table. No one was ever turned away. My responsibilities went beyond my children to my father & mother. I refinanced my home at a ridiculous rate so that I could put a roof over their head when they had none. I traveled back and forth to Pittsburgh while my mothers was dying from cancer to help them. Last year in my mother's final weeks of life, I was the sole caregiver administering the medicines provided by hospice. When my father broke down, I took care of the funeral expenses, bought a plot and even fetld the mourners and had my children all present. As far as medical bills, yes there are those I haven't paid. But what of those I have? Without insurance, I have managed to have tonsils & appendixes removed, teeth extracted and replaced, bones mended and appendages sewn on. I have personally been hospitalized for loosing all the blood in my brain and heart and being without a pulse from antifilactic shock not once but twice. This past year alone my youngest son had a capsulated infection that almost ruptured into his brain. Emergency surgery was performed and meningitis was reversed. Now "the icing on the cake". During all of this I was dealing with my husband of I 7 years arrested for drugs. I would rather not go into details, you can simply google Moeen Mehri since it made the front page of the Naples Daily News. It listed our home address. My children where humiliated. My 13 year old son was beat up so bad that I had to call the police. Our neighbors looked down on us and the children's friends where all making fun. But yet I held my family together through this time. Moeen was unable to work. I carried us & my family up north. When my youngest almost died was the day my knees finally buckled but I still I managed to let people think I was strong. Moeen was given 5 years probation. Immigration took him for what was suppose to be 72 hours and turned into three months. During that time, my house went into foreclosure and two daughters graduated. I moved into a small townhouse while I worked on getting Moeen back for his children's sake. I know that many think that I should have hung him out to dry. For the first couple of weeks in the beginning I did. But "people are not disposable" was the lesson I chose to give my children. It must have made an impact because it was the basis of my daughter's essay that got her into The University of Florida. I have managed to get us back into our home and stop foreclosure. It was badly vandalized, but still it is home. I let Ford Credit take the car. The payment was over 500 a month and I opted for an old Isuzu while I climbed out of the hole of debt. I will be working with Gonzolo at Trinity Credit to repair my credit. When I am so consumed with life I think. it is best to get some direction from the experts. In closing, I do apologize that your time had to be taken up to discuss my case. I hope that I will be judged on all the clients (listed on my website) that I have had over the years and their satisfaction with my work. I do not wish to be another faux finisher that sneaks and does their base coats. What message would I be sending out to my children after I have worked so hard to be honest? Thank. you for your consideration in this matter. I look forward to hearing from your offices as to your final decision. Si9cerely. I / / - I ',. - \\.1;/.// ( (/ /..././.' . .~t. f'. ..' "- ..-"-e' .... ~"""_#'" ~. '_'''->''(''' ...... ...-.......--....-...--..... ---..._:/ /' Shelli Mehri \\ \\ \\ t!ll'hc;LuJ)nl'p;liI1!.,.\.'lul COLONIAL BANK. N.A. r-.^PLFS HGR;OA 1199 THE BEAUTY OF PAINT INC. 339 BURNT PINE DR. NAPLES. FL 34119 63.1322 631 34024 /.~- .if (--1-- I ) PAY TO THE /.'" .." ORDER OF J( ( L -II) . I {'l (L ) I ~'1. j~L(/"~ ! ...( ,it \... .. J lfL\ , .) . ~-I ~ l vi 11 I (- (. .:)ll 1) i. .~) l (. ) ( ( :~ /f~ , \.. -2.J . V \ I ' ~ Ii' ( / , . 'J' . S 'X.L) (. ( If" { : I' , "f DOLLARS BUSINESS ADVANTAGE " '/E\'::/ I (.It r;, ,i..f' iL,rA.!.:) i l (: \" n. X 11100 ~ ~ggll. 1:01; j ~ ~ j 2 2 21: --_...~~..f~"\.'.' 80"'I;O?~~ l ..... _ '..._,~_ -- ------- Co~-y County "" -,- - - BUILDING REVIEW AND PERMITTING CONTRACTOR LICENSING SECTION COLLIER COUNTY/CITY OF NAPLES/CITY OF MARCO APPLICATION FIRM - PART I , " .. . "-:-.L~ = Contractors' licensing Board, Community Development & Environmental DRIVER LICENSE CLASS E M600-781-67 -96~~-O ":3 Services Division ': SHELl! ANN MEHRl 2800 N. Horseshoe Drive 7070 VENICE WAY UNIT2903 Naples, FL 34104 NAPLES, FL 3411'-8632 Telephone: (239) 252-2431 =~~1-~~11~~1 ~ F HOT: 6~2 Fax: (239) 252-2169=~" 1l':-~-201" " Inst~uc~ions: This apt cation must e typewritten or l.egi?le pric:,,"_)l...AQ.-J~:;t ;2d~4"; application. The fee IS NOT refundable after the application he: ... c".... ~ ... checks should be made payable to the "Board of County CO 6,';,V.~,'.?~7~~L. "'0'10 ,"""C,,,,,, "."."". ~'Y wl....y..., '"""".d I.,.. Collier County Ordinance No. 2006-46, as amended. 1. Name of Firm~1~ '&~(l II t '-\ D t 'j1.). \ I yl,J nc D/B/A (if applicable) 2. --3 ~ (j Bu R-.YT ,,),/\) E Business Address (Number & Street) 33 q i3> L RkTi '-0 :Jc Business Mailing Address 3. 0/2 City "DIL City ICLth 1\/ H PLt'? ~ State l L. . 51/1q Zip Code '3 i.1 1/ 9 Zip Code IV'I-1PLE ~ J-- ~L State 4. Business Phone Number: 2~(..j. ~~/j 2 5. Fax Number: Mobile Phone Number: Federal Emp. 10#: .5 .~~ .- .) .-) (,.~!y- 5 [/ ~ 6. Legal form of Business: corporation:-X- LLC: 7. Name of the Firm's Qualifying Agent < ~jl ~ L. LJ 1\-1 e f-f R I (license Holder) 8. INDICATE NATURE OF REQUEST - (A) To Qualifv as a: ( ) General $150.00 ( ) Electrician $150.00 ( ) Building $150.00 ( ) Plumber $150.00 ( ) Residential $150.00 ( ) Air Conditioning $150.00 ( ) Mechanical $150.00 i3 Roofing $150.00 ( ) Swimming Pool $150.00 . ) s~ecialt~ $135.00 ~,. { , -..--- 0 , rr+\ nC) (Specialty trade type) (8) ChanQe of Status: $10.00 ( ) Active License to Dormant ( ) From Individual to Qualifying a Business ( ) Dormant License to Active ( ) From Qualifying a Business to Individual ~ J Address Change . () To Qualify Additional Entity ~ Reinstatement (fJ2o..--reA.d ~tJ7 ( ) From One Business to Another r7 ! i i ,,/1 . I I I j,.. ."} f1_ / I....r /,"11 .,-/ Page 1 of 5 9. The names, titles, home address and phone numbers of all Officers/Managing Members of the Firm. S!)!: LL, /llC'i-f Ii' i 17 c '> --)2,'1 Wrrf Pill( Vii U.phj LiC / L /' J 1-) S H <t. L ( i TO "I I u> t), ~ <, 3-;.1) (f p.~) f rd f l k( bL I' :.;~ / J i~lJ-){) U..~'Lt Stiv LL r/t; ':YC ,fitC's. ~~ ~ &((rt PUll V,i I' 10. List all businesses. firms, entities or contracting businesses you have been associated with during the last ten years (ex. Held a license for or been a partner). Attach extra pages if needed. lJy b--t(u.-h, c ~.. Pnlr11, [.}( 11. List all debts you or any company(s) associated with you refused to pay and the reasons for the refusal to pay. Attach extra pages if needed. AFFIDAVIT I, ~ge/IJ tYJehl2;' STATE OF FLORIDA........ (( '"' COUNTY OF (. \; ("1 The foregoing instrument as acknowledged before me this J 2/2 'f / ) (i (. Y ell (' (I ,') n n /1 7 f J) j' , M 1(1. (Date) /) -r By .) I of 1 e A'~. ~ Y ,) i ~ ., (Name of officer, title/agent) (Name of Corporation) t (')" . (;) -... Corporation, on behalf of the corporation. He/She (State or Place of Corporation) 10....' J...... .) J,f.1 J L I (t'~~_( t-f- has produced 111 L Cl. 'J~' J .., 1 .. '/1 j, .. L' a NOTARY'S SEAL as identification and did not take an oath. ~T-,J . . /7 /-/.._-- . ) SltATURE~ ~OTA~ / t" 4/ L / . tv- J { ../ NOTARY PUBLIC (PRINT NAME OF NOTARY) 'r&~~:"~' DAVID L TABER, JR. {::' =:} MY COMMISSION # 00831964 ", .' EXPIRES October 16. 2012 (407) j~153 FI0rtdaNotarySerY':":I:.t,;OITi Page 2 of 5 APPLICATION COLLIER COUNTY/CITY OF NAPLES/CITY OF MARCO FIRM - PART II (to be comoleted bv the Qualifvina Aaent) Contractors' Licensing Board Community Development & Environmental Services Division 2800 N. Horseshoe Drive Naples, FL 34104 Telephone: (239) 252-2431 Fax: (239) 252-2569 Driver's License # nIl.,. ~ -1.\/ ~ / '/1.-.1 ~ , '. -; I (. 'I . ) , .. { L ! (First) S.S. # 000-00-' ~.i 7-) (Last 4 numbers only) 1 II \., '\v (Middle) 1. Name of Qualifying Agent " .'1 , _ , / I I C- - // /.. / (Last) Date of Birth I..).. ... -) " -... 1'1(- 2. Home Address of the Qualifying Agent ) ') () . \' (~) I'L L' ') /.--'.; '/ I / Y I ' Ii _ _ ) 3. Name of the Firm . if I t i)t')-r, I'll (;. / }-) /\" I , I 4. Type of Certificate of Competency for which application is made. 1 / " . ,) 1 j;)L 1..:'/1. ,',~ l f. 4-.. Home Phone # -.~ =; V /, (I'). I ( / If '''' 1:\: ". C'i -\, },i f) ( '/l ( '"' L /CcA';C' 5. The names and telephone numbers of two persons who will know your whereabouts. L ( (L.j ) tl II { In)' f ) ~ .-.? I ,/ . ./ { ,I ,.,l.. t I)",;'/i /1 (,~li t L L I 7Z ~ ( I .....~ I.J 'J i J' '" 6. Have you ever been convicted of a crime related to Contracting? ." ( (If yes attach extra sheet with explanation) 7. Have you or any firms you have been associated with ever filed bankruptcy? .1 i' 8. List all debts you or any company(s) associated with you refused or failed to pay and reasons why. 9. List your business or work experience during the past ten years. , I I - it""). t , /.:' .'''1' ( (d i l /) (1./,' F.' i' 10 .. / I) '1/ _ . '.. t ~' ." ft.. :. .";, " .r. ,.':'. ( .. .. / /,., I (~". \ , -.' " ..../ 10. Statement of any formal training you have had in the area for which the application is made. I' / I , . \,i .) / I / /" ,7 i l '(. /,/ Page 3 of 5 AFFIDA VIT The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County Ordinance No. 2006-46, as amended. and vouches for the truth and accuracy of all statements and answers herein contained. 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 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. l If f U ILl ( N' . APPLICANT (PLEASE PRINT) I?J{ ;:clh /l( G. Ii-ill,; I \( NAME OF COMPANY t.,..... <._( \- SIGNATURE OF APPLICANT STATE OF FLORI~A / ./ COUNTY OF ~?--L-,- ~ The foregoing instrument as acknowledged before me this / .;:2 - ;;L ;; - d 6 (Date) by SJhf2LL; Jl-1l1I_n. /11 ~Lf / who has produced PL--'))?'7';t! /I( ~ ~tJ ?cF/ ~ 7 ;;6..2- d (Name of person acknowledging) (Type of identification) as identification and did not take an oath. t I (;;<.: g ~ ,. " 'I """0,: t\.o~ ~-- !r:: )f~~A~~ SI ATURE OF NOTARY " .' \ NOTARY PUBLIC (PRINT NAME OF NOTARY) NOTARY'S SEAL Page 4 of 5 AFFIDA vIr 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, ,(/,-,- (~ ( SIGN..trURE OF APPLICANT ") '7 if { I'~ J) [, J't 1 () l' r I ~), l J ! '\- ( BUSINESS NAME ' /.J.J tl"j( ( j DATE (5 ^- dt.. ,. /lr...d r- ; /. - BEFORE ME this day personally appeared . {tlf U f llL., }//~. I who affirms and says that he has less than one employee and does not require Workmen's Compensation and understands that at any time he employs one or more persons he must obtain said Workmen's Compensation Insurance. STATE OF FLO~DA COUNTY OF W LL .' oil.-/'- The foregoing instrument was acknowledged before me this /1.-.....::1-9 - dO (Date) S--J / I. jJ If/! I . PL-D";;t!:... by it .e-- L-C/ f11'\-1,." r ( ~ I who has prod uced /1{ ~ 0 ~ ??1 ~ ? ~,0 z. Q (name of person acknowledging) (Type of identification) as identification and who did not take an oath. ,,1.-"" '..' ., ie ~ ~ ~#. i-~ ~IG AT EOFN TARY , NOTARY PUBLIC ';'< NOTARY SEAL \\w\\,sunbiz.org - Depm1ment of State Page I of2 Home Contact Us E-Filing Services Document Searches Forms H Previous on List Next on List Return To List Events No Name History Entity Name ~ Detail by Entity Name Florida Profit Corporation THE BEAUTY OF PAINT, INC. Filing Information Document Number P01 0001 09691 FEI Number 522362548 Date Filed 11/15/2001 State FL Status ACTIVE Last Event REINSTATEMENT Event Date Filed 12/18/2008 Event Effective Date NONE Principal Address 339 BURNT PINE DR NAPLES FL 34119 Changed OS/27/2004 Mailing Address 339 BURNT PINE DR NAPLES FL 34119 Changed OS/27/2004 Regi~tered Agent Name & Address MEHRI. SHELL! A 339 BURNT PINE DR NAPLES FL 34119 US Address Changed: OS/27/2004 Officer/Director Detail Name & Address Title P MEHRI SHELL! 339 BURNT PINE DR NAPLES FL 34119 http://www.sunbiz.org/scripts/cordet.exc'?action DFITII.&illn doc 1l1lI11h,'r,P() 1 (H)() 1 lit} 1')/'10nnnQ \\\\\\,sunhiz,org - Department of State Title V SHELLITO. LUCIA 339 BURNT PINE DR NAPLES FL 34119 Title ST SHELLITO, BRAD 339 BURNT PINE DR NAPLES FL 34119 Annual Reports Report Year Filed Date 2006 11/02/2006 2007 12/18/2008 2008 12/18/2008 Document Images '_-,2 :? )('::6 -- PFii'.jST/~ TEi\.1ENT ( - .'\\! t\~ j r~~ ~:(J()~:~T r --,2,-;04 -~- ~\r\i~~t)i~i F:E!-")()R r l ~7 .1:),^-,';3 -- ,~J,>j Rl=PO::;;T I :'~::; "; 1 -".',-,~,-~- ( ~^'< '.-,' t" ~_ j t-< ( _.~ ;'j i\J -; '1 .~ 5O:~~):":< -- [)orn(~.~;tJ'_~ PrcFjt I : 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 I Note: This is not official record, See documents if question or conflict. Previous on List Next on List Return To List ) ) ] 1 ] J Page 2 of2 Events No Name History Entity Name: http://wv.w.sunhiz.org/scripts/cordet.exe?actionDFI"FII.&inndncnlll11ht...pnlnnn 1 ()q 1 ')/')qn()()Q .(} In Balance it Bui/ding rour Business a Befler BOflom Line Recognized Credit Reporting Agencv 12268 Tamiami Trail E. Suite 301 . ~aples. FL 34113. 239-774-5100 The information you requested is provided below, The information provided was gathered by third party sources not aftiliated with In Balance, Inc. The information provided has not been reviewed veritied by In Balance. Inc" and therefore responsibility for its accuracy, completeness, and the manner in \\hich it was gathered rests ultimately with the third party sources notwithstanding In Balance, Inc.'s exercise of reasonable care in selecting said third party sources, Personal Credit Report Summary All infimnation contained be/ow is accurate and true as of the indicated search date Name of Individual: Shelli Ann Mehri Social Security Number: 171-64-8875 Credit Score: 524 Search Date: December 29, 2008 Searches Requested: Liens, Judgments and Bankruptcies A search of local, state, and federal databases on the above individual generated the following results: LOCA TION DATE AMOUNT ALL SEARCHES FOR LIENS, JUDGMENTS AND BANKRUPTCIES PROVED NEGATIVE tt In Balance tt 12268 Tamiami Trail E. Suite 301 . Naples. FL 34113. 239-774-5100 ,..., ..., ," .... .~ '--'-'\..' - ..... ..~.- - -- ....... --' -- -~..... ..'~":,, ~-:.:, ~ "il"- "'-: 'i-:::)~==::: ":;.2..':-.' .:...?:, _i" ~~?~~2 ~~ 3~::?9E32 ;, ?':=-:---: 6 - '=':3 .___~ ~ :-.: .' - .'-~~ ..... - ~l""'~ ~ :::.~:::: ~ .- -- ~ .- . .... _ c ~ ': c ~ ~. 339 2~~~~ p=~~ ~R ~;AP~~S ?~ 3~:~99-~5 ;;?~~: ;3,-;~3 -=-c ~ r.- -~ 4X *2,139 H==EAW~Y SCC~H :2 =~C=A~APC~IS =~ 462622077 RP:C: 2-)4 :0 4-C3 v *SHE:LI A SEE~LITO, MEHRI SHELL! --. ,- ...,,- ~ . _. t~, . , . ~ ' . .::::' : - ~ --. :"""' - .. _ ...... - r~ -1 - :; :: ~ .':.- I...~;". ~: '-'C"R:~'l-;'.~: :'C2: .....__ ~_~ C -, ...... - -- -..,"'\,.-. ~ ,..\=._ _': ..,:.-_. c _ -..~ ~~- _.~.. ". _::r:.. ~.:......... __ ~ ~ -~ -,~,,.. --,~ ~:-:-....~-~'~ ~ ,,-F::-:: E<-; = PUBLIC RECORCS-------J INS~/OTH 3AL---$36,784 R ESTA~E BAL--$458,693 TO? REV BAL-------$146 ------------------------------ PROFILE SC~~j~RY ------------------------------- CNT 32/11/1:' 199 Sfl..TIS j:..CC~S---l NOW DEL/:JRG--23 ~'iAS DELI DRG---3 OI.,D TRADE--9-J2 INQCIRIES---1 IN,:;;S/6 ['10---0 '::'RADELINE--27 PAl;:) ACCT-.2.-4 PAST DeE AMT---$9~,C8C SCH/EST PAY---------$O+ R ESTATE PAY----$3,~54 TOT REV AVAIL-------c~ ------------------------------- SCORE Sr;MMARY -------------------------------- EXP/FJUR ISMC RISK SCOR.E :2 524 SCORE FF.cTORS: 38, 1.3, ::'8, ID SUBSCRIBER OPEN SOB# KOB TYP TRM ECCA BALDATE ACCOUN~ # LAST PC ----------------------------------- TRADES ----------------------------------- AMT-TYPl AMT-TYP2 ACCTCOND ?YMT STATUS BALANCE PYMT LEVEL MOS REV PYMT HISTORY MONTH PAY FAST uUE :-:F.XI "lfJivl BY t'iCNTH *F1R3T PREMIER BANK 1210189 BC eRe REV 8-C3 1 4-1.1-08 )-J7 543362801291 $161-~ $j46 $146-C CHARGOFF DELINQ 120 4-~8 (5~) ~4321CCCCCCCl $146 CCCCICCCCCCC *PA~=ShCES CCLLECT=G~ - :~-os ** ACCCU~~ CLCSEC AT CCNSCXER'8 REQCES~ w-. $:,21:~-O "'''\ =C~~ACC~ 19?3927. ','C FCO 1;:-;:1-.~2 ?A=.:A'::~C~25-283IJ J~=~=~h~ :;~C='~JR: hi 'T , _.~ ~~- .-,..... ,.... 'h __l-O:;_L'-,~-,;::"~ ,::' -4 ~'-,::-,F ,:'.:,:"'S'T :':;j_~EC''=-=Cl< ~ . '1;- v ':t -:..:; ~ -".~ ~ ~, ~ s e .[~ :.~ :::",267 ') _ (', c;, {47, 3r~GGGGGCGi:'~G~ l:-C5j~' ~GGGG----,~G- --""~...,/ (' s =-, ) t-- ~.- . -----. -'.---~ ,v~_~~> $C t;-. :? .~ (' .... ,', ~ -- .... ,....".............., ,_,'.~)~LI:.;,.:.,'_"'__. ~ / - :"t .~. -~~~~~~~~~~r.-~ --' '1 I . :';._,-_;'-:-:,-..:;~.I,.~ _~-.:) ~"J'.':; '-..J S.3 E " :_ _c is! ~' ,=c!_~c:=':=- - :CGC~ ~:?- ~ ~.= :~P~~~=~.t:: =- =: '~0~.= '-~,;'-=-, ,::::'~ ?;:'.Y~\i:2~~'~ .jh~,h ") --".-' ,":\2 ::: :"13;1 >: ~= ;-: :-< ~: , s :.~ ::: ~~ .__. - ":-'< -:- 1'- ~ ---> ...- L." l-' +~..- -...- ~<c:?r: ~_ .- : C 4 ~ 8 - ~-, ; ,-, .:... - 3 3 ~j :3 - R :'j '~ J~. _~: \~::: / :'-~.~; P ~~,~s <-~. ~ ._~ ./ ,,/ / tl In Balance tl 12268 Tamiami Trail E . Suite 30 1 . Naples. FL 3-+ 113 . 239-77-+-5100 ........ ~ L. ~ =~<::= "'1 C : _ ~ .. .-,..... ......- -- ~ ,.---- .::::' -":=:::: '-- .:.-\~ =!:.:\ --., =- :;''\. S_=" --.,.., - ---,'-' --~ -...... ~" ~. .---..- '"-' - ~ .. ." ,. ....",-- =........~...........'.... ::.. ~- ':"' !? ~' ;:.~.: .::.. -' '_/:-:" ;.-. - '_. .~, '-' ..', - ::: :<c:~'~~ ?;;':..' ~ .= ~~~ =- ~-, <....... '':;;'..'2 T ....... '-',"" T ':' ,--.,-'-' -- ".1'.: __\.., .....~J........'- _ _ ,--.'..~ S ::.2..f-C ~:;;S ~~ : 5 y.: ~:: ."_ <-i -:'33.~ 9:::-; ,.-~- ------ J;:<::~::~;.h.~" C;:;';::::::::T::::F,: EC::':::l,=- ?';Y:-':D::: :::.';::';',) r- ________ *G0LF CC~ST =O~~EC~=ON :1-C4 $Sl6-C 29,~1;J=5 ~'C ,:CL I 12-C'=,-C'3 $5:6 :526.272 '~~ .~~ ~ ,,-'f-'..l~___- ORIG~NA~ CR~C~TCR: MEC:::<:AL PP1Y:V:EN~ ~G0~F CCAS: CCL~EC:=CN ::-c.J $1.32-0 298lC;~5 'Ie eeL 12-()2-C8 {... -: ,'""',n Y ..J...IJ U -:. 5 2 621 5 -' '::>-0-5- ORIG::;\AL CREDITCl('ME'C'ICAL Pj:,Y~V:Et-iT ::: A T f:.. -....... --.--- *GCLF COAST CO~LECTION 6-08 $1,845-0 29Cl.OC5 YC eeL 1 1- 12-Q2-C.2,. Sl,.-G-4_.~ 3176610 ORIGINA~ CREDITOR: MEDICAL PAYMENT DATA ~- , ---- ----- ~KANSAS CC~NSELCRS 99210CO YA COL 3-06 1 11-3C-C8 $2:5-C ~/..,,, y.....,-...J i373l34C5'l45E ORIGINAL CREDITOR: ~EbICAL P.h.YMENT DATA--~ 't,,";'.F CCLLECTICN SER'/ICE 9-::;8 :31E2-0 :3-:'62 :.981\~9: YC::CL I E-30-C2 1 ':'.';14650':;149'"723 :RI:::;:L:--J;'..:-":REDI~CR: :'::ED'~;~:j:~L Fj;'fr"lE:;:iT D;:'..l:',-i:.~ \ *~JCC F=~J i/ ~~ ,5 ~---g:;',~ S:, l34-C' 99;:C:~CS -:C ,:CL S: , :.34 1- =- :C-/:3-;~2 ,~ :'1 =- :. " : 6 -: CRIC:~AL :::8EJ::?C~: ~E:::~CA=- FAY~EK? J.h.~.A " ""'~--"'-' ~ ::';~.':~:~:"";~S3 ='J\A.:~ J.'.,.;=,--->:=~T :: - J'~ s .'.',~ :3 .::::. - (: =_ '_~ .~ : 'I .~~:: .. ? -~> '.~ i,:"" :::.,...., < d ---' -' - '-" -. ,-~, - --.. ~ -., ~ r- '"'"Cl -', ..~ -., ..,... .-, ,- - )t\~+"",-,~,~"~jI 'C_";~L~ .I'~ -. I j~ '", ;-<'.:':' ::~;..~ ':' >: E ~.; ~L1 ~~. ,=-\ ~ i:" ?1 ,:... 'j=~ . .'-" -.--. ....... ,-,- .' ~ :~ ;: l.{, _ , ;:.):-: :~, : - .: ,:~ :,- ~.':...- 3 ~.J I. ::~\j'~- :: _..\~'-' i_,i~-='/~/\1-:,t~~J;~~~ _, ?l....S.-:. ,:.:':: - ~. ',' ? ;:. ,:'.~'.-~..-.-:< .- ::::: v '\.;"Y~' ~ ~.:">~~- =-.i:=\TE::'" -:.<c S::2.; l-'~ 5 $::::6 1-C5 $ J.:JC ~-C;3 '" 04 c ""'"\1..,1--,,.:; 6-06 $2~5 lO-C:? 2162 _.~~ -, --, -., .' ,;,,'-,-',-, .~ ~ ~, ~~:"1 '~ '" ?'~'>1"? S--~~l-:"=-~S . . -- ;--.. r -.,.- _'4<..,2, :\::..,' H~:3::KY ,>:'-~.:..:\ =~,~--->: :=c~~;.::=: 36:: ~~:~=~,~,=,'~:G'-.~':;':'=G ::-:6;~ C;~GG'~G--~G~G '=C~~hC:':' ~S) l~i=GGGGGGGGGGG 2.1-IJ6/G G(~C';C;C;G- - GGI':;G CC=-LACCT (48) GGGGCGGGGGGGG ll-C6/G C;GG(;i:;(~- -GGCG r::CLLACCT ~t /: I;GGG COLLACCT (30) GGG---GGGGGG- :O-06/G -G---GG-GGG- C<~LLACCT l' r CCL~-"A\='='T 'J ..... ,''''. -' ~, -., .--...-,..,..., .,1 ,"---c'-r':.'_...'_____..;. ,~ il In Balance il 12268 Tamiami Trail E . Suite 301 . Naples. FL 3-\.113 . 239-77-\.-5100 ...' ,.~ '-' ....-.. -- ~ .........." ::: _~:::____~_~=.t.:\ ~ --- - .~ ~ - ~~ : .= '3 ~ ~.-~ --........~ _.' - . '- . ~~ . - - ~ .. ........ :::. :::,:;:: ."":~~ ~- \.,-:,-- .=-.2.....'" ~~ -: >~ -=- ::; ...:~,~c ?:=\ :: h '~=1ge:: ':'):: =-c~ CR=GI~JA:=R22=TCR; MEJIC~L ?AY~~~:'~ :ATA $::59-0 ~9622S4 ,; ,~ : : ~ ;:: ::"\- ~:.;.~ : ':- - =- ':' :? ~~ .;__-. -.-: '::' c.:::~ : ........" ......., ... ,--, .... ,- ,-~ -. ;:- .: .\'~ ~ :::: - .-" ~ -':: ,--,~......."....~~ '::;.":.~L,l.....~ .::.. 3Fc.~.=:":<,--"'2: ::.~.~.~':- ~_==T,'~=- >:::'~ E:::~ .. ~ .....~ ,-..,. r:___2_,-.~,: - ";'" ... ~ ......-, __~c.... ='"- ::80:':.-;-; ? ::,,": ?:'..3:- =,~~~::: >:..2...:':::.::-.-'>1 3'f :"lC>;-=-~ $LJ,::,~~-::: ...,,, ~ -r ....., .......--..." '-''-.'_..i......'-l..............i. 9-~:-:=t $ 4, := 8 ,3 :::::- c \..:;---'......., " ... r- -,,-" ~ '-:f , :: 2. \5 --._---~----- -. 1983623 YC CC~ U~K ~!~AT=CNW~DE RSCCVERY SE :; G 3 ~ .3 e, :: l B:: I) C'~ : ~= :.~ C C (-(:8 '....,'"'. T - "" .'-"'-":T> .....V..L.J~K'--'l....-j,. 9-;]7-8:3 $559 9-CS OP.:::GIN;..L:::~ECITCR: ~'lEC:::CAL p.::"Yl'-':nr:' D.:;'::'J'... ~ '::: l~ .,.~ 3::841.3 *PROFESSIC~AL AD~X~: co 3-03 :982445 YC COL 1 8-21-08 r,_0~ ....; '..)...... $~~:s-c ~')""":'c "T''-...... COLLf".CCT ,64) G------------ 7-C6/G G-GGG-GGGGGG $2i5 CR:::GI~A~ CRECI'::'CR: MECICAL PAYMENT CAT A *PROFESSIO~AL AD~M~T :982445 YC COL 1 6067:37 ORIGINAL CREDITOR: -~ CO 2-C6 1 8-21-08 $360-0 COLLACCT co""",-' " -?LvU 4-06 ( 29; 7-C6/G 'J------------ 8~C6 tv!E0ICA~ Pl".YMENT $2CC G-G(;G-G(~GGGG ------- CAT~___'-:~ *[V'.}'d~" COLLECTICN :.98U91 YC COL 7e 6977 60::'4 9620 CRIGINAL CREDITOR: MEDICAL PAYMENT OATA 'Ai:NI, INC. .:98C8i8 YC CC='; J C::~~:3~r~':829 SEEVICE 1 1 5-08 6-19-:]:3 $55-0 $55 COLLACCT 6-08 ; 1; G $55 .~ 1 --'----s=-I~-- 1 6-08-08 6-C~: $5C-C :CL~ACC'I sse $50 '--- CRIGINAL CREC:::TOR: EMSARQ $4,36-'J C':L~~;'~CCT *NA~IC~~ICE ~,~CGVEPY SE :983623 y~ ,=c~ C~K ~' :. 2 9 5 [1 E =: C ::J ~ ~: .= := 0;;', ~,~ ~ ~Jh.~~ CF~,;~ = '~CE: k ;-:,:~~,'/i:..i:':_C r:c; =-- ,..... ~:;_:>= ~ = .:~; >J ~-~ :~j :,~ ~; ,i C <.j :. ~I f~ 6 ':_ .~ '~:' (~ ~'- .~ '::; -"'- :-: /'-, ~ --'t\~:=;:'=-C;: ..0- .4_ ,- ~ -!- >~ c: [-.;, ~~ .- ,_ _ ~~2;,-,-:' - ~ ~_ 9'::, 'j9 2-='-C8 $436 - \ \...] \Ji":;"" -- ~--e'~;'---I-:'~'\/~~~;::-'--:;:-~-::--'---_._" ~~ ~.'__:"~~:_L'_ '~'..1-1':'!-1 ::- ;7 ..,.. ..~ ---.., ;2:3:,~ -: ,,__--- 'X~.~j<-' ~~ ::';-~.9-~- " ''r/ "~:;,\ '------.::...~ ~,. ~:F:~~:,,~ >~F;~;:; T , ?;1 ::=~-~ ~... - - ~. (.~-:; ,~ - ~ ;'_~.':.. - ~ ~~ :3 ~_~~-\~;-~ i." _ ::~-= -':~~. "v";'= / :<.;::: _-,--,~:..~ '< ---,-- s-u ~r ?5;~''1 tl In Balance tl 12268 Tamiami Trail E. Suite 301. \lapks. FL 34113 . 239-774-5100 - --. .-.......... . _ ........' _, M ....;. -. ._-~ . :?-_'22::~ =3=~ ,-~ ::'7'" S~_,'2 :t r:"~C2 - \- =- -~.... < - :'<_~'. .:.... '-- '..... .:....... ...... -', - ....., 7'. -,-- ....... ,- ......- -- .---.;~~.~- 1;~-'" c'~ ~_- ~': ~ 4= _~K,---" _ ::;...., --:\:SCB =:tJ,c ~0_~6 __9;~~~'=: =~ :c:. ~. - - ~ -~ -;- ::C3C56C2C455~25C . '~-:~~:-E~'C e......'~ ~:-L.-' .L...-'--\.L~.. ~~- '--- C~I3=~JAL CRE==':OR: *ALL=~C =~;T2RS~A?E =~c b-u:J 2-C3-06 ::'985562 YC ::':OL . .L ~ ~ 38:45373 12-CS CR:GINAL CREJITOR: CINGULAR W=RE~ESS *CAP~TAL C~E AUTO FI~AN 2-1.]6 l63:3 64 0 FA AU? .". 62062l::'0161991001 l 11-3C-02 9-C8 *FRANKLIN CREulT MNGMNT lO-06 ::'993288 F1 R/C 30Y 1 11-30-08 2375053 6-07 ** FORECLOSGRE PROCEEulNG STAR?ED ** *ESBC BANK 3240877 Be CRC REV 548955510981 ** PURCHASED BY ANOTHE~ LENDER ** 1 .L 6-04 2-31-08 i-08 .~ : -: r: : _ :-- .::..".,,--- -',;:- . .. . ~ -... - - r-"""'- >'," --.._ s'!-__....:.......,'- .::.. :.:~' ~< ~:: ?'.::" '~. SS, .~l::-C ~:: '~;::: ..... _" '-....l... ~ ~.:--i_ .....;;.,. --' ---- $2,5EE-C $,1, <lEG 824,494-0 $1',647 8459,000-0 $458,693 $3,754 SO-L 3900510 FM R/C 30Y 9-30-05 ~7983578 9-05 *CHASE r"':;'__NHF..~rI'AN YIOR'~'~A 5-C4 S3Cl,75C-C Io-::'ORC CRE::; ::. 6 3 ~_ <14 C ~i\. ACT G 5 9-02 .L 2-14-'J6 2-06 .:3:8.3~2,~9 ~F:IC~ or~E ~CR~GA~E S i 3, ':' 5::)-0 8998:23 ~~: ~/I,= 3=Y 6 -,~ '7 - C .i ':J - '.J .j $ ~ :. 9 , .~ ~, ::: - C~ ( . ~ 7: G i :. ,~ -.:= :. ~ =_ - r: ::: ';" 2 .~ c:: 2< -;- : 6 -:3 ~"--'-T~ >1::::<.2: ,~ ,--,,', -~i<S ~ ~ - ':j;::;:; (1 ~V::~2F',-=, 2:--:E=~.=~_~_ ,",y- ':::;- :~.C' "'k .,. ~ '-"' ..-~,:":'~ - .-: ':" ? -~ .~.: .: -=:. '::: ~~ =- - ~ ..1 _ ., . ..~.~_ ~....J'__ .,...... ,..... ~.~ ~. ~..v.:: _""\l:... :'::"2-:-:' 2-:.;-"::,~:S :: '.'\:'~' :-: _= S ~IJ~ .,{ ;-~ :-..::- _ _ _.L. :v:..~~:..:.:: :,':'~'>l cf-:- ~~$5,2.lS ~~ -G'..., ... " 4f:6 3',:" Y1C;~-=-:--i .....,'7 ~ ";"\ ,....... .....~ _.\j.L.~~-...'_. _... =CL~i'\'=CT I/'-Ilcb \ '9) .:;GG-----G 2 ;j,~.>J~ --....., ') ~ ---.-/' ~ ,---CELINQ 180 /) l:J.H~ H6654C CHARGOFF B-L-4321CeCC4 321ceccccocc 9-05 PAlC 30 WAS 60 (14; BIJ~CC2e12cIC -; .-. -' -:. / ~ ...l... L ,_i -' I 1. PA:D CCR WAS3C-6+ ::.::.::. :,::':'iC:1 :::: 4:; E=:CCCICC:1'iC '~:CR? ACC~ .. ~:'-',r<r,:............(" ! '- -- -'" -... _/ ~- '.~ ---------------------------------- ~_REPCSESS lO-08 ~.:.4) 11-08 $78,833 FOREPE C (19 ) '.~~ ._; -4 ~'~ =- .'~ Ox' ,~~ ~ r " ,~ ,--' -- - . ----..:. _ -:;. .~ ':.i ~_ t:: 'I - ': ___, ..< ~ _..-".-' j $732-C ':'RANSFER 5. \ I .L I 8-C8 2-;)t P/2.#::: =:: E-:)L1 :-:~,~:'" ::: /~'~.::1?;_'2~) ~ ~__ t). In Balance .{} 1~~68 Tamiami Trail E . Suite 301 . ~aples. FL 34113 . ~39-774-5100 ._,f:. ~ ::.. ~.- - ,..., ~ - - ....- ~ : : . ~ t_~ :v' '_~ :2:':~~~1E~ AS2=S~~\CE 2C:~~~~::: .~". --"~~ -- -.... 2.;\:: ':':"::-<._:-...\ - "' ~ ~>:::':::s.::.:~>j ~ !'.+;....-:.:./j/~.~. f =-:__~ ='-.."'::: .- '-- ,-, :~.-=--.~_::::~, _d. - - - ~- =,,3:':. ~9-. 3-.~.: tl In Balance tl Building rour Business a Better Bottom Line Recognized Credit Reporting Agency 12268 Tamiami Trail E. Suite 301 . ~aples, FL 34113. 239-774-5100 The information you requested is provided belo\\, The information pro\ ided was gathered by third pany sources not affiliated with In Balance, Inc, The information provided has not been reviewed\eritied by In Balance, Inc" and therefore responsibility for its accuracy. completeness, and the manner in \\ hich it was gathered rests ultimately with the third pany sources notwithstanding In Balance, Inc.'s exercise of reasonable care in selecting said third pany sources. Business Credit Report Summary All information contained below is accurate and true as qj'the indicated search date Name of Company: The Beauty of Paint, Inc. FEI Number: 52-2362548 Reference (if necessary): Shelli Mehri Search Date: December 29, 2008 Searches Requested: Credit, Liens, Judgments and Bankruptcies A search of local, state, federal, and national databases on the above company generated the following results: LOCATION Collier County Circuit Court Doc #: 4097898 Collier County Circuit Court Doc#: 4156870 Collier County Circuit Court Doc #: 4097897 Collier County Circuit Court Doc #: 4156869 Collier County Circuit Court Doc#: 3446391 Collier County Circuit Court Doc#: 3446391 Collier County Circuit Court Doc#: 3355057 DATE 11/20/2007 Filed AMOUNT $3,355 State Tax Lien $3355 State Tax Lien $350 State Tax Lien $350 State Tax Lien $201 State Tax Lien $201 State Tax Lien $191 State Tax Lien 04/24/2008 Released 11/20/2007 Filed 04/24/2008 Released 05/1 7/2004 Filed 07/26/2004 Released 03/06/2004 Filed t} In Balance {}- Building rOll!' Business (l Better Bottom Line Recognized Credit Reporting Agency 11~68 Tamiami Trail E. Suite 301 . ~aples. FL 34113. 239-774-5100 The information you requested is provided below, The information pro\ ided was gathered by third party sources not affiliated \\ ith In Balance, Inc. The information provided has not been reviewed'veritied by In Balance. Inc., and therefore responsibility for its accuracy, completeness, and the manner in which it was gathered rests ultimately \\ ith the third party sources notwithstanding In Balance, Inc.'s exercise of reasonable care in selecting said third party sources, LOCATION DATE Collier County Circuit Court OS/20/2004 Released Doc#: 3404296 AMOUNT $191 State Tax Lien tl In Balance tl 12268 Tamiami Trail E. Suite 301 . Naples. FL 34113. 239-774-5100 :' Business Profile - BEAUTY OF PAINT . ... . .... .: :: Experiarr ..... . .. . Subcode: 515210 Ordered: 12/29/200808:33:58 CST Transaction number: C036516443 Search inquiry: The Beauty of Paint, Inc. / 339 Burnt Pine Drive / naples / FL / 341191 522362548 A ,,,,.lrj,;,;fu!;IQht Company Information '_" ____,___.'._n"'_.._____ ._______~_.._._ _ THE BEAUTY OF PAINT, INC. Business Identification Number: 7386306991 339 BURNT PINE DR Experian File Established: 08/2001 NAPLES, FL 34119-9775 SIC code: PAINTING, PAPER HANGING, DECORATN - 17211 I (239) 430-2723 , l_______.__..___________________"______________________--.-__._____,______J Executive Summary Legal Filings and Collections Bankruptcy filings: Tax lien filings: details (FilED 03/04-11/07) Judgment filings: Total collections: details (PLACED 04/03) Sum of legal filings: UCC filings: Cautionary UCC filings present? o 4 o 1 $4,097 o No Trade Information Monthly average DBT: Highest DBT previous 6 months: Highest DBT previous 5 quarters: Total continuous trades: Current continuous trade balance: Trade balance of all trades (0): Average balance previous 5 quarters: Highest credit amount extended: 6 month balance range: o o o o $0 $0 $0 $0 $0 - $0 Legal Filings and Collections r,~'"O 04/2003 Closed, Partial Payment $1,553 $1,353 01/2004 Agency DIVERSIFIED ADJUSTMENT SEf3,VIc:E (783) 230-1800 t} In Balance tl 12268 Tamiami Trail E . Suite 301 . ;\aples. FL 34113 . 239-774-5100 Date Type Number 04/24/2008 State Tax Lien Released $350 4156869 COLLIER COUNTY CIRCU 04/24/2008 State Tax Lien Released $3,355 4156870 COLLIER COUNTY CIRCU 11/20/2007 State Tax Lien Filed $350 4097897 COLLIER COUNTY CIRCU 11/20/2007 State Tax Lien Filed $3,355 4097898 COLLIER COUNTY CIRCU 07/26/2004 State Tax Lien Released $201 3446391 COLLIER COUNTY CIRCU 05/17/2004 State Tax Lien Filed $201 3401706 COLLIER COUNTY CIRCU OS/20/2004 State Tax Lien Released $191 3404296 COLLIER COUNTY CIRCU 03/06/2004 State Tax Lien Filed $191 3355057 COLLIER COUNTY CIRCU Company Background Information : Key Personnel i Principal(s): SHELLI A. MEHRI, PRESIDENT Additional Company Background Information - . Operating Information Primary SIC Code: PAINTING, PAPER HANGING, DECORATN - 1721 , Secondary SIC Code: PAINT, GLASS, & WALLPAPER STORES - 5231 Additional SIC Code: 7231 Years in Business: 7 Number of Employees: 2 . ._-_._-------_.-._-~------_._-----~-._-----,._...._- Experian prides itself on the depth and accuracy of the data maintained on our databases. Reporting your customer's payment behavior to Experian will further strengthen and enhance the power of the information available for making sound credit decisions. Give credit where credit is due. CaI/1-800-520-1221, option #4 for more information. End of report 1 of 1 report NOTICE OF ELECTION TO BE EXEMPT I''''asc thoroughl~ rcad thc instrurtions before t'omplcting this applil'ation. Print legibly in carh data entr~' field, If this applil'ation contains incomplete or inarrurale information or if the handwriling is not legible. it may cause a dela~ in the issuance of~our e,emption, SECTIO:~ I: i Applirant 'liamc lpleas~ print): -S-l~ LL ( Applkant's sodal sccurit} number: /L1e:1-fR. / , /7 I &4- 9875' Sh I {~&,~ 0J ft()L. cO ,t{ Applirant's E-mail address (optional): SECTlO:\ 2: I am appl}ing for exemption as a (You must check only one box in this section): CONSTRLCTlON INDUSTRY (550 FEE REQl'IRED).-_ · tJ Officer of a Corporation (Titlc): PI2~<; I DE/I' { NON-CONSTRCCTION INDL'STRY (NO FEE REQCIRED) D Officer of a Corporation (Title): -OR- D Member ofa Limited Liability Company lLLC) The Di\ision will accept a money order, a cashier's check, or an electronic payment made payable to the DFS we Administration Trust Fund. An officer electin an exem tion under Cha ter 440, Florida Statutes is not entitled to benefits under this cha ter. SECTION 3. The corporation of which you are an officer or the limited liability company of which you are a member must be registered and in an active status with the Florida Division of Corporations, Applicants applying as an officer of a corporation must be~listed as an officer of the Corporation with the Florida Division of Corporations, List the document number (document number s~own on your Armual Report) on file with the Florida Division of Corporations. :J. " C(" I () '/ C' SECTION 4. This exemption application applies only to the person signing the application, the Corporation/LLC that is listed b~low, and the scope of business or trade listed: I/x:', FEIN: 5';).. ~J.3'~a9i8 Phone: (l.?ii) L.,qZ -/ Ot/-~ Business Name: Applicant's Address of Record: City: JJ A-P LES: Scope of Business or Trade: I, PR I tVTJtJ &-- 2, 3. County: (! OLLI E'L 4. SECTION 5. List all certified or registered licenses issued pursuant to Chapter 489, F.S. held by the applicant, or the certified or registered license numbcrs hcld by the qualifier for the corporation or LLC listed on this application of which the applicant is a corporate officer: SECTION 6. If you have submitted an electronic payment for this application, write the transaction confinnation number in the following space: SECTION i. Are you affiliated with any corporation (including LLC) other than the corporation (including LLC) to which this application applies? DYes ~ No IF YES, PLEASE LIST THE NA:YIE(s) AND FEIN(s) OF THE AFFILIATED CORPORATION(s) OR LLC(s): ,",\'\IE: FEIN: SECTION 8. If your corporation or LLC is engaged in thc construction industry, you must provide the rcquired proof of O\\ncrship in th~ corporation or LLC. ;\, To be eligiblc for a construction indust!), exemption as an officer of a corporation, the applicant must be a shan:holder, owning at least 10% of the stock of the corporation. A COpy OF A STOCK CERTIFICA TE EVIDENCING THE REQUIRED OWNERSHIP MUST BE ATTACHED, [3, To be eligible for a construction industry exemption as a member of a limited liability company, the applicant mllst confillll o\\ncrship of at kast 10% of the company, THE REQUIRED OWNERSHIP ;VIA Y BE ESTABLISHED BY rnODL'CTION OF DOCUMENTATION REFLECTING THE REQUIRED OWNERSHIP, OR BY SLB;\HTTING A STATEMENT ATTESTING TO THE REQUIRED OWNERSHIP. THIS APPLlCATIO," IS CONTINUED 0:'11 PAGE 2 DWC 250, NOTICE OF ELECTION TO BE EXEMPT - REVISED 01/2008 :-.IOTlCE OF ELECTlO:-.l TO BE EXDIPT - Page 2 SECTIO'i 9. FRAl'D NOTICE A, Any person" ho, knowingly and with intent to injure, defraud, or deceive the department or any employer or em ployee, insurance company or any other person, files a notice of election to be exem pt containing any false or misleading information is guilty of a felony of the third degree, B. Attestation of applicant - By gning b'e1 w, I att · t I have read, understand and acknowledge the foregoing notice. S ECTIO'i 10. You must identify the workers' compensation insurance carrier that covers any non-exempt employees of your business, Carrier Name: I'lL) 0711(:.,;2 Ef'vlPL(.-yEC.s Jt.-T TJI-/ S 7jllJE"' NOTARY STATE OF FLORIDA, COUNTY OF Co II, e r Sworn to and subscribed before me this 2'1 day of /)~ \. e_ (-r , 2 ()()J' , by OR Produced Identification V Ty,ge of Identification L.<< "...LA ~ Jt.1 bO<: -7J- I -/7-<:0 l - (} My Commission Expires ess oad Pensacola, FL 32504-6320 Telephone (850) 453-7804 3,11 S, Dixie Highway, Suite # 123 West Palm Beach FL 33405 Telephone (561) 837-5716 401 NW 2" Avenue Suite #321, South Tower Miami FL 33128 Telephone (305) 536-0306 TALLAHASSEE SUBMITTERS 400 West Robinson Street Room #512, North Tower Orlando FL 32801 Telephone (407) 835-4406 or (407) 245-0896 499 Northwest 70'" Ave" Suite # 116 Plantation FL 33317 Telephone (954) 321-2906 1111 NE 25'" Ave" SUite # 403 Oea!a FL 34470 Telephone (352) 401.5350 Walk-in submiSSions. 2012 Capital Circle SE Suite #102, Hartman Bldg, Tallahassee FL 32399.2161 Telephone (850) 413-1609 LNe Oak Business Center 5'J69 Cattlemen Lane 2urasota FL 34232 Te'epl1one (941) 329-1120 Mail In submissions. 200 East Gaines Street Tallahassee FL 32399-4228 Telephone (850) 413-1609 1313 N, Tarr.pa Street. SUite # 503 T arcpa FL 33602 T'~I[phone i313) 221-6506 "The collection of the social security number on this form is specifically authorized by Section 440.05(3), Fiorida Statutes, The social security number wi!1 be used as a unique identifier in Ci'Jision of 'Norkers' Compensation database systems for individuals who have applied for and/or been issued a Certificate of Election To Be Exempt. It will also be used to identify information a:id documents in those database systems regarding individuals who have applied for and/or been issued a Certificate of Election To Be Exempt for internal agency tracking purposes and for purposes of responding to both public records requests and subpoenas that require production of specified documents The social security number may also be used for any other purpose specifically required or authorized by state or federal law," DWC 250, NOTICE OF ELECTION TO BE EXEMPT - REVISED 01/2008 ~ hell,' 4..(, (1'1 ~ L r ( 10 lit 11.0. L STATE USE ONLY Effective/Issue Date: Expiration Date: Control Number: Postmark Date: Payment Number: Received Date: ----..:' .. ~ -:o.Rl). CERTIFICATE OF LIABILITY INSURANCE OP 10 TL BEAUT-4 12 18 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTlFICA TE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PRODUCER 08 Oswald Trippe and Company, Inc P. O. Box 60139 Ft. Myers FL 33906-6139 Phone: 239-433-4535 Fax:239-433-4148 INSURERS AFFORDING COVERAGE The Beauty of Paint , Shelli Mefiri 339 Burnt Pine Drive Naples FL 34119 COVERAGES Inc. 'i'<SuRER A INSuRER B ii'<SLRER C ii'<SuRER 0 NSuRER E Bankers Insurance Company NAIC # 13990 INSURED THE POliCIES OF INSuRAi'<CE LiSTED BE LO'''' ,.,AVE BEEN ,SSloED TO THE iNSURED NAMED ABOVE FOR THE PCLlCY PERiOD NDiCATEC NOT',VITHSTANDiNG ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT CR OTHER DOCLJMENT \NITH RESPECT TO '/.JHICH THIS CERTIFiCATE MAY BE iSSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POuCiES DESCRIBED HEREiN IS SuBJECT TO ALL THE TERMS EXCLUSI'JNS AND CONDITIONS 'JF SUCH POLICIES AGGREGATE liMITS SHC'NN MAY HA'.E BEEN REDlICED BY PAID CLAIMS -------- ------~.-----_.------_..._---- INSR ADD'\.; L TR INSRO TYPE OF INSURANCE GENERAL LIABILITY POLICY NUMBER LIMITS A X COMMERCIAL GENERAL LIABILITY 090005339994000 12/18/08 EACH OCCURRENCE ,!. ~, 000 , 000 \JAMJ\C;FTU1~ENTEU--- -- 12/18/0 9P!,E.MISES ,Ea c,:curer,c,,: , $]. 00.,000 MED EXP IAny one person: S ~_L9 .0_0.... . PERSONAL & ADV~U~_S_!.!_<>"O_Cl.!.. 0..09 ~~ERAl AG~~EGATE .__..!.~. 0 o.ClJQQQ . PRODUCTS. COMPiOP AG..c'...._~J:!JlOOLOgo. CLAIMS MADE X OCCUR )o{__ $.~~g_deductib!_~__ GEN'L AGGREGATE LIMIT APPLIES PER -'. ,~ PRO- POLICY JECT AUTOMOBILE LIABILITY LOC ANY AUTO ALL O'.',NED AUTOS , SCHEDULED AUTOS I HIRED AUTOS NON-OWNED AUTOS COMBINED SINGLE LIMIT i (Ea aCCIdent) I BODilY INJURY I (Per person) I : $ I-~~----~~------_.~- I BODILY INJURY i (Per accident) I--~-----'-----,,----;--,-~-- , , : I PROPERTY DAMAGE (Per aCCident) i $ . GARAGE LIABILITY 1-""] , ANY AUTO EXCESS/UMBRELLA LIABILITY OCCUR '~ CLAIMS MADE I AUTO ONLY - EA ACCIDENT I $ I ---:-:-i--~---_._- i OTHER THAN EA ACC I $ AUTO ONLY ~T$'-'----'u- I EACH OCCURRENCE $ c---'-.---.-___._______ '_ j AGGREGATE ' $ ----~-__._.......l_, ___._____.___.~__ ! $ -_._~-~._---+---_._---~--- '--._--,----~--- I DEDUCTIBLE i RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED" If yes .jescrlbe under SPECIAL PROVISIONS below OTHER ~--_~..oBY..L.I~.S---'-_...i..E~l_._ ___. I E L EACH ACCIDENT ' $ r-------~--..---_.--_____ E.L DISEASE. EA EMPLOYEE $ E L DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS painting interior CERTIFICA TE HOLDER CANCELLA TlON Collier County Building Codes Contractors Licensing 2800 N Horseshoe Drive Naples FL 34104 COLLIE 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRA TlON DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHAll IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES, AUTHO REPRESENT ~ ACORD 25 (2001/08) @ ACORD CORPORA TlON 1988 ,'I 5584301 722@ - . . 0 ~~~~ ~~ 0"0: .lJ ~~ lii ~~~-< "'C;'"T1,,< "'0 "" .. ;.:-z~ n;u $; c:: "^' m>",....., ~ ~Q.I ~n", ~~ i . J 2"''''0 .lJ ~;;,g: ~~ .'" :r O>O>oj 0 ~ ~ ~ ~.o '" ~~~ !!'f;:J:~ "'.. 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I , t,J,j: i:II\1 \IBVR OF (-"IPun I'I:S - liklll"IIL ,,j l1u'IlI,,! ,,jIl)\licIY i ii, 1'11.1,1,\ 1111" \PPROI'I<I\lL,\RL\S- 1":\'1:1,:1111111" II,,'I\'! 1\\>11'1'''1'(\. ,'\IIII1I,.'I'.d lIPlh: h; "",';;liJJ.'___' (:lJ:,ll')!\ i!'"',,!,/,;d.,",, l'll_' l 'tiJ)!hl..'1"I1! ",\_';11'-.. ,I ,'\lilllh:I.J!' \ ,.i" '\I'.'l:IIi."1 1:'.1..1'111\', ')11 Iii',! 11\ hll'llh,'... '! IlllIl\ i,llI,iI: ! ." ST \11': 1 ICE\SE OR ('unl I'I<' \T H f\ \i 1 'IBER - 'Illh! Ii 1\4 ph"l" ',Ofl\ i.l,I,d,' Ii< i'iI'.(' it I <Ii,' !iIUh(d !Ill!, ''1'ldi,'d --.-.--------..---------- p.~ H ;~i "1 \ ~ i F~', (H '!~~ ~~:H ~.!\ ., {: i "_~,:-l r H \ ~ ~ i ~ \" ~ j "', T i it ! ~ q~;. {d H '-.. ~ ?t H \ I; '\ ~ \ -'\ ~ j I j, \ I \1 ~ "l '-i \~T ;,: ~'\.. t f \{~ i H f' ~ ~. i ;Ji, ~{~.''1 ~ \. ~ \ i..~ '\" ~ ) \ '\ \ ~ i ~ '\ ""', I '" ~ ( '..~ \ J ~ ; '\~. , < ...... ", j ~, ,,! !- .,.. ,I ~ . , ! ~ .' ~H ~. L' .~\; f\,. ~ \, ~'~' ! .' 1': L ~ <', ~ "" "~ - ~ 'l \ t ~ " l } \ PAY TO THE ORDER OF \..l ( \~E',10 ( (, THE BEAUTY OF PAINT INC. 339 BURNT PINE DR, NAPLES, FL 34119 ( (\ f ) \ c'- '.' '-.. .: "- "L \, \-) (",'., I' ... " b - ':\ 1 '-' COLONIAL BANK, N,A. '.APt f F, (H~IDA , o. \ C \)1 t' c C; , I. : (' 1)(,.\-\ l I (. I~ ,- .~ (-' li'OOI.20jll'I:Objl.l.j2221: 'I, I I ,/ / l." BUSINESS ADVANTAGE ,. . ,I ~' -_ .; f '..... aD L. b01~ sa 2w- l. (" Southwest Floor Design Inc. 2805 S. Horseshoe Dr. Suite-5, Naples, Fl. 34104 - Phone: (239) 595-3324 - Fax (239) 659-6432 COVER LETTER To: Collier County Date: 10/14/2008 Attn: Board Members From: JOHN T ANGORRA Fax :It : Pages: 1 (Induding Cover Page) CC: Re: Second Company MESSAGE: This letter is to inform you that I, John Tangorra of Southwest Floor design would like to be able to qualify Oaudio Fontanari of Rema Wood Flooring for the following reasons. His wife had been the qualifier of his license in Collier County but they have recently divorced after being married for many years. They are both Italian immigrants and moved to the Naples area more than ten years ago. I have personally known both of them for this amount of time. Oaudio is unable to pass the necessary exam required in Collier County due to lack of comprehension of the English language and asked for my help in this matter. He has worked for me as a subcontractor for many years and has been a large part of our businesses success to this poin~and I am more than happy to help out. He is also one of the finest craftsman at his trade in the area. He pays his bills on time and keeps excellent records of his banking, insurances, and other related financial duties required for his company. I will not be financially compensated for this service. BUILDING REVIEW AND PERMITTING CONTRACTOR LICENSING SECTION COLLIER COUNTY I CITY OF NAPLES I CITY OF MARCO ISLAND Contractors Licensing Board Community Development & Environmental Services Division 2800 North Horseshoe Drive Naples, Florida 34104 Telephone: (941) 403-2431 Facsimile: (941) 403-2345 A IT ACH (TAPE ON ALL SIDES) A RECENT PHOTO OF QUALIFIER. PHOTO MUST BE FULL-FACED, V1EW APPROX. 2" x 2", A CLEAR AND RECOGNIZABLE LIKENESS. APPLICATION TO QUALIFY SECOND ENTITY THIS FORM MUST BE COMPLETED IF YOU WISH TIO INITIATE OR CHANGE THE STATUS OF AN EXISTING LICENSE. READ ALL INSTRUcnONS AND MAKE SURE YOU HAVE SIGNED WHERE INDICATED. TYPE OR PRINT IN INK. MAKE CHECKS PAYABLE TO THE COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS. ALL CHECKS MUST CLEARLY STATE APPLICANT'S NAME AND ADRESS. PLEASE ALLOW 2 - 3 WEEKS FOR PROCESSING. r.(.} FEE $ bJ),<t / 1. Applicant's Name (Licensee) ~ \\,V\ "1z1~t)n -0, ,) J....- 1'(Oj ~'I d- Q03f LICENSE # 11. b UNDER THE FEDERAL PRIVACY ACT, DISCLOSURE OF SOCIAL SECURITY NUMBERS IS VOLUNTARY UNLESS SPECIFICALLY REQUIRED BY FEDERAL STATUTE. IN THIS INSTANCE, SOCIAL SECURITY NUMBERS ARE MANDATORY PURSUANT TO TITLE 42 UNITED STATES CODE, SECTIONS 653 AND 654; AND SECTIONS 455.203(9), 409.2577, AND 409.2598, FLORIDA STATUTES. SOCIAL SECURITY NUMBERS ARE USED TO ALLOW EFFICIENT SCREENING OF APPLICANTS AND LICENSEES BY A TITLE IV-D CHILD SUPPORT AGENCY TO ASSURE COMPLIANCE WITH CHILD SUPPORT OBLIGA nONS. SOCIAL SECURITY NUMBERS MUST ALSO BE RECORDED ON ALL PROFESSIONAL AND OCCUPATIONAL LICENSE APPLICATIONS AND WILL BE USED fOR LICENSE IDENTIFICATION PURSUANT TO THE PERSONAL RESPONSIBILITY AND WORK OPPORTUNITY RECONCILIATION ACT OF 1996 (WELFARE REFORM ACT), 104 PUB.L. 193, SEC. 317. a$J _/~b/1~33 Social Security Number 1 SEX: -L Male _ Female :1 1 I I ~ p;t./ ~J.- I: Place of Birth: (City) C \~lC\ rJ (Slate) e \t (Nation) \) S t1 Date or Birth: RACE: ~I) White _; (2) African-American ;_(3) Hispanic _; (4) Asian_(5) Indian; (6) Other 2. Name of Business To Be Qualified: 1.e\\'<<\. ~~ -\-\00\"\1'<1 \n(. Mailing Address: .$"ft:M> Y>~Y' eat':> Lh. l\q~E>') +~l 1'-\ht; Street or P.O. Boll City State Zip Street Address: Street City State Zip Business Phone Number: ~ ) S"t17' g S-" 3 FederallD Number: d-()() 5'1 & b '31 3. Applicant's (Licensee) Name: APPLICATION TO QUALIFY SECOND ENTITY ? h\ll,P ~,\ )H i1f Last 00 \\ \') Fim Middle Applicant's (Licensee) Official Mailing Address of Record: ~~f\\ S' HcrSt5~\)f' br.-1\S Street ~\tJ City 1tlhf( County 'fL. State "1t/lc4 Zip Street Address (if Post Office Box is listed above): Street City County State Zip Home Phone (a.l'l ) 410~ Oobg ffi If)' .:-ct - III J J o ce Phone (J 11) !1; ~ I 4. VERIFICATION OF GENERAL LIABILITY INSURANCE and WORKERS' COMPENSA nON (or exemption from Workers Law) INSURANCE (AITACH A CERTIFICATE OF INSURANCE OR EXEMPTION. I HEREBY AFFIRM THAT I HAVE OBTAINED GENERAL LIABILITY AND PROPERTY DAMAGE INSURANCE IN THE AMOUNTS SET FORTH BELOW and workers' compensation insurance (unless exemption has been filed with and approved by the Bureau of Workers' Compensation compliance), for the safety and welfare of the public. I further affirm that I have met all continuing education requirements. I understand that it is my responsibility to maintain all documentation supporting this affirmation of eligibility. I affirm that these statements are true and correct and I recognize that providing false information may result in a FINE, SUSPENSION or REVOCATION of my contractor's license. Jo\\Y\ \"""ur,..., PRINT OR TYPE NAME )011\/06 DATE MINIMUM AMOUNTS REQUIRED FOR' GENERAL LiABiLITy-iNSU:RANCE . - . . .. SlOO,OOObodilyhtjury ,S25,OOOprO})erty daIDage' .. :. \ . ""' COMBINED SINGLE LIMIT POUCIES MUSTBEINTBEMINIMmf AMOUNTSREQUmED TO FILE A NOTICE OF ELECTION TO BE EXEMPT from the provisions of the FLORIDA WORKERS' COMPENSATION LA W~ contact your nearest Florida Department of Labor and Employment Security, Bureau of Workers' Compensation Compliance office to obtain form # BCM-250- T. 3 APPLICATION TO QUALIFY SECOND ENTITY 5. QUESTIONNAIRE - QUALIFYING A SECOND ENTITY THIS FORM MUST BE COMPLETED BY THE APPLICANT REQUESTING TO QUALIFY A SECOND ENTITY OR REQUESTING A CHANGE TO AN EXISTING SECOND ENTITY QUALIFICATION. THE APPLICANT AND PRESIDENTS (OR PARTNERS/OWNERS) OF ALL COMPANIES INVOLVED MUST SIGN WHERE INDICATED. PLEASE USE mIS SHEET. ONLY USE ADDmONAL SHEETS IF NECESSARY. A. Explain why you wish to maintain your present license(s) while qualifying this additional business. ::t \f..o'- 'J q , ~<:(.\ ~ A~ s c . B. Has the proposed entity been previously qualified? If so, explain why the previous qualifier is no longer willing to continue to qualify this entity. ~'t'7 \ ~\,:-\ f{)\l~~ -\cD se-ef- tH\,J ~"chhti. C. If the proposed entity has been qualified within the last 12 months, list the last three jobs completed by the proposed entity. Include dates of completion, address, description of work, name of previous qualifier and name of owner. \~~()~ \\w\ e 3G~' ~rJon t)r' 11.>/31e~ wt.f~ -\\~t( ~ a,7S ~h\1j ~C\l\t Ic/~ltq , ....u.\ {-'6ci fJ ,.,co b-'~' 8.1'4. -tt> )Ia.. q1~o\ D. List the last three jobs completed by you under your existing license. Include date of completion, address, description of work, name of previous qualifier and name of oWner. ~ee ~~"Je E. Do th~ business(s) you presently qualify and/or wish to qualify have any outstanding liens against them or agamst the property of consumers as a result of construction work or a contract they had with your firm? YES NO L- If yes, identify business and provide explanation. F. List principal suppliers for the past six months for the business you presently qualitY. !)e>e ~-\-\c(l \."tl G. List principal suppliers for the past six months for the business you are applying to qualify. 5,",c\'t\\t1t 1~e' '''I 'S" Uhe~ ,\-\, ~'t' \)~ ~d 4 APPLICATION TO QUALIFY SECOND ENTITY H. List persons authorized (currently and in the past 6 weeks) to pull permits on your license(s). ~'It I. How are you being paid by the business(s) you presently qualify (examples: salary, % of profits, etc.)? &1\4\"1 ~\"~ J. How will you be paid by the business you are applying to qualify? ~t),\- b~,(V\ ~~. K. What percentage of ownership do you have in the present business(s) you are qualifying and what percentage of ownership will you have in the business you are attempting to qualify? I tJo1o 50-.."\1 ~....'\ {\\It.( n'\?~~l\, CJ ''If} ~~~ \;.. c,A f\i)~l \~ L. Do you (applicant) have check writing authority for the present and proposed entity? YES _ NO I If yes, provide a letter from the banI" M. List officers (or partners, owners) of business you are applying to qualify and give title/position held. C lQ~'o tl\--\ct'/\Ciri ~re'J. N. List ofticers (or partners, owners) of business you presently qualify and give title/position held. 0\1 \\~ ~\\iJO{\-'i ~rh O. Do the business(s) you presently q~t and wish to qualify have any other licenses presently qualifying those businesses? YES _ NO . If yes, list licensee's name, license number and address. P. Submit notarized statements signed by an authorized agent of the entity(s) you presently qualify and from an authorized agent of the proposed entity attesting to the fact that each is aware of what entity you presently qualify, and what entity you are requesting to qualify. 5 APPLICATION TO QUALIFY SECOND ENTITY FINANCIAL RESPONSIBILITY. All applicantsllicensees must answer the questions below. )fyou answer "yes" to an~ of the qu~ions, a wri~en explanati~n is required. Additional documentation is also required, as indicated. If you are aoolvJDe: to auahfv a corooratlon. oartnershlp or other legal business entity. ALL OFFICERS OF THAT ENTITY MUST ALSO EXPLAIN IF ANY OF THE BELOW WOULD PERTAIN TO THEM. This would include the president, vice president, secretary, and/or partners or owner of the proprietorship. 6. HA VE YOU, the business organization, or any of the above mentioned individuals in any capacity ever: YES L B. Ie. L D. -L L Nj> L A. Undertaken construction contracts or work that a third party, such as a bonding or surety company, completed or made financial settlements? Had claims or lawsuits filed or unpaid or past due accounts by your creditors as a result of construction operations? Undertaken construction contracts or work which resulted in liens, suits or judgments being filed? Had a lien filed against you by the U. S.lntemal Revenue Service or Florida Corporate Tax Division? If tlyes", you must attach a copy of the Notice of Lien, and any payment agreement, satisfaction, Release of Lien or other proof of payment. L E. Made an assignment of assets in settlement of construction obligations for less than the debts outstanding? F. 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 tlsubject totl any disciplinary action by a state, county, or municipality? If ''yes'', you must attach a copy of any state, county, municipal or out-of-state disciplinary order or judgment. G. Filed for or been discharged in bankruptcy within the past five years? If "yes", you must attach a copy of the Discharge Order, Order Confmning Plan, or if a Corporate Chapter 7 case, a copy of the Notice of Commencement. / H. Been convicted or found guilty of, or entered a plea of nolo contendere to, regardless of adjudication, a crime in any jmisdiction within the past 10 years? NOTE: IF YOU, THE APPLICANTILICENSEE, HAVE HAD A FEWNY CONVICTION, PROOF THAT YOUR CIVIL RIGHTS HAVE BEEN RESTORED WILL BE REQUIRED PRIOR TO LICENSURE. NOTE: The Board requires any applicant/licensee who answers "yes" to any question contained in the Financial Responsibility Section of the Application to supply a complete explanation of the response, and include a statement detailing the steps taken by the licen~ to prevent a recurrence of the circumstances leading to the conviction, discipline., judgment, bankruptcy, or other event leading to the response. You must include any proof of payment. satisfaction of liens, judgments and bankruptcy discharge papers in your submittal, if applicable. Applicants may be required to appear before the Application Review Committee to answer questions regarding such responses. 7. CREDIT REPORT (Reports that do not include the fonowing information win not be acceptable) Reports for the present and proposed entities must be submitted (not more than six months old) from a nationally recognized credit- repo~ing agency and must be submitted before an additional license can be issued. If you are applying to qualify as an individual, the credit report must be on you. If you are applying to qualify a business organization, the credit report must be on the business organization. If your business is newly established, you will ALSO need to submit credit reports on the following: the newly formed business and the majority owners holding 25% or more interest PLUS letters from three constroction related suppliers indicating that an account either exists or has been opened for the entity you are applying to qualify. A credit report is also required for the entity that you are presently qualirying. 6 APPLICATION TO QUALIFY SECOND ENTITY Make sure you give written authorization to the credit agency so they can accurately check your credit references. Federal State, County (including all counties within the State of Florida) public records pertaining to judgments. bankruptcies, and tax liens must be searched and results noted on the credit report. The credit report must include a public records check of the, home counties and all other counties where 25% or more of the contractor's work has been done over the last three years. (If public records reflect unsatisfied obligations,. attach written explanation and legal documentation.) The credit report must reflect officers, partners, and proprietors and FEIN and Social Security numoors. Attach a credit report(s) from a nationally recognized credit-reporting agency to this application. If you are unable to receive the credit report. you may have a credit agency send the credit report directly to: Florida Construction Industry Licensing Board. 7960 Arlington Expressway, Suite 300, Jacksonville, Florida 32211-7467, and complete this statement: I have requested a credit report(s) on Date (PROPOSED ENTITY AND PRESENT ENTITY) to be sent directly from (NAME OF CREDIT REPORTING AGENCY) 8. CORPORATIONS - ATTACH A COpy of the current Annual Report Form filed with the Florida Secretary of State or, if your corporation is newly established, attach a copy of the Florida Certificate of Incorporation for the proposed and present entities, if applicable. All foreign (out of state) corporations must register with the Florida Secretary of State (850) 488-9000. 9. FICTITIOUS NAME - ATTACH A COPY of the recorded Fictitious Name Registration from the Division of Corporations; also submit a copy of the filed application or newspaper article for the proposed and present entities, if applicable. (This does not apply to corporations using their registered name. ) 10. ORGA~ZATION~L RELATIONSIDrs - Do you qualify any business other ~ the business you are applymg to qualIfy? YES _ NO 1-- (If "yes", what percentage of the busmess do you own (if any)? %). Contact Board office for guidelines to qualify more than one business. Company Name: Company Address: Your License Number: 11. PROOF OF CONTINUING EDUCATION IS REQUIRED when reactivating or reinstating a license. When reactivating or reinstating your license, you must attach a copy of your Certificate of Completion from a Board approved sponsor. You must provide proof of your continuing education hours, equal to those required of an active licensee, during the period of time your license was delinquent or inactive (beginning December of 1993). . 7 AFFIDA VIT I, J {) \\V\ \ it \~~ ~((l\ certify that the foregoing is true and correct to the best of my knowledge. '\ FFICER FOR THE FlRM STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this IS ~ ~ 0 c. In ~ d-iJ ul3 (DA ) by 0oU".J IA,..JbDR-LA- of ,SOu-rI~0(s( ?-LOclZ- ~l G,.J , (NAME OF OFFICER, TITLE/AGENT) (NAME OF CORPORATION) - a f-L (STATE OR PLACE OF CORPORATION) produced 7f.JL..:>c',.j~ t..,Jouf.i ,.:> as identification and did not take an oath. (TYPE OF In "RON) rr--i- corporation, on behalf of the corporation. He/She has NOmY PUBUC-STA1I OF FLORIDA ............. AMBER LaRAY PHIlliPS fW ~CommissiOD #D0570614 \~i Expires: JULY 04, 2010 10';;;;;;' nUlU ATIM"l1C BONDING co..1NC. SIGNA TORE OF NOT l ~&L- LA~-:P~, LL.; ~ (PRINT NAME OF NOTARY) NOTARY PUBLIC 8 AFFIDA VlT The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County Ordinance 90-105, as amended, and vouches for the truth and accuracy of all statements and answers herein contained. The undersigned hereby certifies that he/she is legally qualified to act on behalf of the business organization sought to be licensed in all matters connected with its contracting business and that he/she has full authority to supervise construction undertaken by himselflherself or such business or organization and that he/she will continue during this registration to be able to so bind said business organization. The qualified license holder understands that in all contracting matters, he 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. Jo~" 1q~ APPLICANT (PLEASE PRINT) SlGN Sru NAME STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this 15 t; olO-.cf-t f) (, 1- ~) 1J.~ by ~11i') whohasproduced &:::sn~ ~(.).- h l~ EOF~JC TION) ~o 1-1 t-t TAbD LLA (NAME OF PERSON ACKNOWLEDGING) as identification and who did not take an oath. NOWlYPUBUC.s1m OF 'PLOIIDA ~.-~ AMBEIlLidlAY PHIllIPS €W =~#DD570614 ~lllplres: JULY 04, 2010 llOHMDTRIltJ m.wnc1lOlmlNG cu.1NC. 9 RESOLUTION OF AUTHORIZATION WHEREAS, 50,", ,,,\.~ ilecr Oe~I~t\ \nL' (NAME OF BUSINESS ENTITY) proposes to engage in contracting as (0 r ~ . (TYPE OF LEGAL ENTITY: CORP., PARTNERSHIP, ETC.) in Collier County, Florida, according to Collier County Ordinance 99-45; and WHEREAS, Se \.\" \..;t"r\ {\~C~ ~'i 11" \ 'f\( . (NAME OF BUSINESS ENTITY) of Competency with (\o...~\C -tt)n.-\~~ctf: (NAME OF INDMDUAL) proposes to qualify for a Certificate NOW, THEREFORE, BE IT HEREBY RESOLVED THAT: We the undersigned C\ct,,~\\} {.c,,-kN.tr; of ~-e\...,,~ \..oet.\ f\cc'ri""l ,.,t- (OFFICERS, OWNERS, PARTNERS) (NAME OF BUSINESS ENTITY) resolve and represent to the Collier County Contractors' Licensing Board that the qualifying agent, hereby :'iO\\\'\ \ctl\,Ctr<i (NAME OF INDIVIDUAL) ~'t?\..~ ~\:)td Heel '''~ \I'\l. (NAME OF BUSINE S ENTITY) , is active in all matters connected with the contracting business of , and We further resolve and represent that 00h(\ Tq,~ljtttll (NAME OF INDIVIDUAL) is legally empowered to act for ~€\Nt ~'llc\ + leu h'\1 lnl. (NAME OF BUSINESS ENTITY) and has the authority to supervise construction undertaken by ~-eWq ~c"A -+ \Qlt I"" \ \\l . (NAME OF BUSINESS ENTITY) in all matters connected with its contracting business, ers - with Designation underneath) ~ 0' Swo . to and subSCTibed befure me this 1.5 "<lay of ry.$ E~ ~f-f' L..li.-P'.s NOTARY PUBLIC NAME P TED NO'JUfJIDIUC-S'DIJEOFJItOJID.\' COMMISSION NUMBER \,)~'Olp( ~ ~ AMBEIlI.IIIL\TJIHIUJPS MY COMMISSION EXPIRES: I -.( l.}'l:) i () \...,)CP-. lllllllDDS10614 ..~ IxpInls: .RU 04.2010 ~nlRu .vu!mC IO!IIOI!Wi co.. me Corporate Seal (if applicable) or Notary Public Certificate Cf2 Juloe./"" 10 69/38/2888 18:13 2392773258 ~IT CREDIT PAGE eH/84 BXP&RIAJI BOSDmSS RBpmft PAGB 1 .Rl'T DAft 'l'DCB 09/30/2008 08:41:11 POR'I' -IIW 'l'UJC aI10M' &0& --------------~----------------------------------------------------------------- SOU'l'BJ8fS'r n.oaa DB8:IGII n<<: 2895 IIORSBSHOB DR S Sft 5 HlPLlS FL 34104-6161 BXN: 824801646 PHORI: 239-659-'&31 ---------------------~---------------------------------------------------------- DBCmlW SUNMU'f TII2 PRDtARY BUSI.SS lOa SOO'fBIIBS'f I'LOOR DBSXGR IS FLOOIt LArXllG 6 n.ooa ~, NBC (sxe 1152) WID A ~ BOSu.ss ~ ~ T&mlASZO, ~ILE, 1aRBLB, ..SlUC$ (sre 1743.. 'I'D"!' ClMXGDlALLY PD.1II) 'lO DO _:0.88 011 IlIU6QB'f ~., 2006. MYS BRYOIID ftRB (DB'1') ... ~11ltm8'l' PLOOR DBSlc:II AS or 09/30/08 0 .. 'ftIXS BU$XUS$ ;1:8 _TnIG, OIl AY2lUU:R. PIOlDXC!rJOM I'QR 11-26-08: 1 0 nIlY IS) LAftR !'11M INVOICE Dtm DM'B." DB'l' ~ CA8P8M"lRI, ~ wtlRK: 7 ALL IRDOBftD&: 6 '1'IIE HQS~ FDQUIDIT 1PUlU.:BASD5 '!&lQIS III 'IBB CAlU'BIft'RY, I'LOOll WOIUt IIIDOSft.Y ARK: _~ 30, CJ:Ua)J.~ AMI) 0000000 DM MRGES MSED ~ CURIUIlft PADIBIft' BEllAnca: TIt:tS avsD&SS'S RABGB = 80' or o.s. BOSX8SSBS JIA.'VZ 'A DB'! 01" 0 - 15, 11\ OF V.S. BUS:mES8BS UW A DIr.r 01" 16 - 50, 5' 01' D, B. BD8:D111981lS IlAVII A DB'1' OF 51 - 90, .. ~ u. S. BUS:lRB8888 HAW A DB'1' or OYBR 90. RISTOIUCAI. "A~ QUD)R 6 HClftII ACCOO1I\f NJ~~ ~ : H%GRa8'l' CMOI'r MIOmI'.r _....--.,: nmuSfty PADIBlft' CONPAlUICIt l'AU.l"J ,.... DfD~J:OIf '200-$16200 (~~: $16200) $17100 OISD~: $2000) au 1JAXD ~ '1'RAlI SO.. 01' BBLM'Im PIR1C9 S'l'ABLB s:tClltI'tCAft I'UBLXC RBCORD D&'1'A; 1 OF 1 'OCC I'XLDIQS ~ W%'ftI c.B 011. ... OF DIB l'O.LLOIf':tXG COI.r.N:rIUtAL: lIBN.U'fta N::QUDUm 1IBOP COPIRIliH'l 2008 BXI'8IaM l""'nOlW SOLU'nOMa. :tNC. ALL J'tlGll'l'8 asavm. -- .COII'rIRUlU)_. 10/18/2008 13:55 2392773258 fERIT CREDIT PAGE 01/01 MERIT CREDIT, INC. 12734 Keowood Lane #85 Fort Myers. FL 33901 (MaUift81111drc$$ 0I)Jy) D~Tt aECEIVD RDORTTYn CON'l'llACTORS Lk.:,U4Sfl4G 10ll0f%0l8 RDOSIl'OaIES: BUSIIUSS I'ItEPAIIIJ) .Y: SSN/JI't:IN: 'D-f98Ql 2436 SAJIODILLA LA.NE SAINT JAMES crrY, FL 3>>S6 NAME: REM" WOOD Jl'I,.O()IUftC lNe - - - -- - -- - - - ~- - -- -- - ~- - - - - --- - -- - -, ---------~ -- ---- ---------~-----~ - - - - - - - - - - - -- --~ ---- - ----------- 1JIE REPOR.TING BUltEAU CEIlTIFJES TflAT: PUBUC RECORDS HAVE BEEN CHecKED ON ALL COUNTY, STATE AND FEDERAL LEVEL, INCLUDING PINEUA.S COUNTY FOR JtJDGEMENTS. fORECLOSURES, GARNISHMENTS, BANKJUJPTaES. TAX LIENS, AND 011lEll LEGAL AC1lONS INVOLVING mE SUBJECT(S) WEe OBTAINED DIRECTLY THROUGH 1HE REPOSlTOIUES USED. OR. BY DIRECT SEARCHES. OR. A PUBUC RECORDS SEARCH fIRM C1ntER THAN THE REPOSITOR.Y, OR BY ALL METHODS WITH lHE FOLLOWING RESULTS; PUBLIC ItECORl)S LEARNED: - 4) - -~ -- -- --- ---- -~-- - - - - - - ~--- ---- - - - - - -~ - -------- - --- ----- -- - - - - --- ---- PRINCIPAL: CLAVDIO Ji'ONTANARI 8.S.##: 593-93-5841 NO INJORMAUON WAS I'OUND AJTI:R ClUCKING TIlE rou.oWING DATABASES: TRADE PAYMENT DATA PUBLIC DCOBDS :BANKING INJ'OItMATlON uee FINANCIAL STATEMENTS COMPANY BACKGROUND COIlPORAU UCOIlDS SOURCE OF INJi'ORMATlON: EXPDUAN BUSINJ:SS INFORMATION SDVICJ:S IRS LIEN SEcnON COUNTY COURTHOUSE RECORDS ft.OlUDA DEPARTMENT 01' STATE I DIVISION OP CORPORAnoNS MERIT CREDIT: Telephcme 239-271-3202 01" 1-8OO-37l...J348 ToU Free FAX Z39-2'1"/-:J258 or l~ Toll free TIIia....f .. .......... ....... _ ~ ...........01.................. cnoMrisb. 111& ................. be heW illlIlrict ................. willi........... elf,... .... 91--'* leir c.-. ~ ^'<t.. Mar 11 Apr. \}. LUUtl j b: lj~~ 239 6~ No, 4003 P. 2 M.c:b lit 200' RE; SCMth Wrst Floor Desigu 218:1 S IIMcs1aoc Drive. SIc" , WtrMt. n. :M 114 To Vt'bma it IDlY C~: I b&ft bownJoJm TMIgOfta for 10 years ad.wmha always beal-.y ....6' s..al iI1 his ..... ~.ID rcpds tolo1111_.-4~l SMllhlllltFloor Desip we JaM Ix:aa doiaa bei..1ritb J..smcellis ... lie _.. opca .. otC&edit 1rida us 8IId pays his invoiceswifltio. our 1lermS 0130 ..,. 01' befiJre. 308 MeaB Boulevard - Oldsmar. FJot1da 34817 .... Phone: 813-855-5312 _ Fax: 813-MS-!923 Mar 11 Ap r. 9. 2008 j 6: 13Pt,\,rre 239659-6432 No. 4003 P. 1 CUSTOM WHOlESAlE R.OORS, fIC. . 512O-CEaltAdllnoDr.. T...~,PIOItde~8 Tel: (800) I3iWtU · (.13) 241-2414'. FiIX (113) 241..4 March 10, 2008 Re: Southwest Floor Design 280S Sooth HoIsesboe p.riW; Suite 5 Naples, F1. 34104 To Whom it may C:oncem: Mr. 101m Ta~'ofSollthwestFloorDesip bas ~.. ~ holder with Custom WhoJesale FlOOIS sDxe his b1i..a~~s inception in August 2006. . , . He has a CuI.oat opea liDe of credit OfS20,OOO.OO . Mr. Tangorra's pest payment history with Custom WhoIesaIc Floors has been flawless. We can .nVays count on him ~g his obJiptions. . . . Doe to the fact that he has been so reliable, Mr. Taitaoaa his been DallIed ODe of o.ur GemstDD.e ~ Deale:r's, ~ of t;dy 2 ia the Waples 1M1YP.t area. This gives him co..,&ae ~ to'aB of. our p1Jdoct om... incJud;ng our exclusive pri~ lines Colledion de Mcditmaaaa, aud DuCbateau Wood FIocn. South1NCSt Floor Designs to Pai-hl your most . ..,.-1IJtioU. SL.aa.d . my Manager .,.a.UI. TAUDA........ ........... ftDI au_ _ .._u__...._._ ~ -r . I ,:., :.\!ap~eS 0 ~~':Jor~tz Fort h!l\!ers ~ ~:;;-ar[ J r\.clr~'! Ro.~lr'!-l ,J ~.!\;'t;\C':.:: i..J oJ ....'1.) ......."-"............~ . .~ VfJ_ 1~~7:tJoring Supplies January 10, 2007 To Whom It May Concern: This letter is to certify that Shore-Line Carpet Supplies, Gulf Coast Inc. has an open credit account in the amount of $100,000 with John Tangorra of Southwest Floor Design, Inc. They are located at 2805 S Horseshoe Drive, Naples, FL 34104. We opened his account in September of2006 and since then he bas kept his account current with an average days to pay of 20 days. Prior to this, we have-enjoyed a long and very satisfactory relationship with him over the past 10 years. John is very knowledgeable in the flooring industry and an upstanding person. We look forwan:l to continuing our relationship with him in the years ahead. Very truly yours, SHORE-LINE CARPET SUPPLIES GULF COAST INC ~-) Step en R. Couture, President ~ FIFTH THIRD BANK (SOUTH R.ORlDA) P.O. BOX 630900 ONCINNATJ OH 45263-il9OO Statement Period Date: 9/1/2008 - 9/30/2008 Account Type: Bus Basics Checking Account Nunber: 7431062830 VI - - - - - SOUTHWEST FLOOR DESIGN INC 1687 GORDON RIVER LN NAPLES FL 34104-5296 o Banking Center: Radio Road Commercial Oienl: Services: 1-800-589-5355 www.53.com - - 13833 1..11..1..1...111111I.1..1..,1....,11.....1,..1,,1.1...1...111 - Account SUmmary -7431062830 09/01 Beginning Bafance 63 Checks 4 Withdrawals / Debits 11 Deposits / Credits 09/30 ~ &~_ $6,879.93 Number c# Days in Period $(88,369.64) $(6,014.1O) $89,872.00 ,?~!~ ._-----,,----- 30 -------- "'-"-',-_.._"~ Checks 63 c:hecb toQliug $88,369.64 * Indicates gap in chect sequence i.. EIedronic Image s = Substitute Chedc Number Date Paid Amount Number Date Paid Amount Number Date Paid Amount: 888 i 09/04 180.73 933i 09/16 1,800.00 955*; 09/17 200.00 911*i 09/02 1,128.00 934i 09/22 5,000.00 957*i 09/23 960.00 912 i 09/03 1,000.00 935 i 09/15 960.00 958i 09(l5 3,230.37 915*i 09/03 2,290.00 936i 09/16 1,250.00 959; 09/25 1,250.00 916 ; 09/03 1,000.00 937i 09/23 1,380.00 960; 09/24 1,220.00 917 i 09/02 2,697.50 938 i 09/15 335.00 961 i 09/24 950.00 918 i 09/02 1,050.00 939i 09/15 1,020.00 962 i 09/23 1,500.00 919 ; 09/02 4,184.00 940; 09/16 920.00 963i 09{29 196.14 920 ; 09/04 600.00 941i 09/24 50.00 964i 09/26 500.00 921 i 09/05 3,200.00 942; 09/29 50.00 965i 09/26 245.12 922 i 09/30 800.00 943; 09/17 1,m.n 967*i 09/25 96.00 923 i 09/04 319.00 944i 09/18 1,000.00 968i 09/29 334.85 924; 09/05 8,986.78 94Si 09/19 221.49 969; 09/30 1,000.00 925 i 09/09 1,050.00 946i 09/17 3,215.23 970i 09/29 1,150.00 926 i 09/09 750.00 947i 09/17 262.78 971i 09/30 325.50 927 i 09/23 400.00 948i 09/17 126.14 972 i 09/30 1,150.00 928 i 09/09 960.00 949; 09/22 165.00 973 i 09/29 360.00 929 i 09/08 157 .so 950i 09/23 2,698.81 974; 09/29 5,951.75 930 i 09/05 1,'187.00 951i 09/18 1,157.96 975; 09/29 360.00 931 i 09/08 1,966,00 952 i 09/18 72.58 976i 09/29 2,000.00 932 i 09/09 192.00 953; 09/17 5,053.64 9ni 09/26 3,000.00 Withdrawals I Debits Date Amount 09/04 1,503.60 09/11 1,503.60 09/18 1,503.60 09/25 1,503.60 Deposits I Credits Date 09/02 09/03 09/04 09/10 09/11 09/12 09/18 Amount 12,500.00 15,000.00 2,250.00 12,000.00 9,881.50 11,505.00 7,561.00 4 items mUla." $6,014AO DesL..~ PlNNAQ.E EMPlOYE WENT DB 0512031 SOUTHWEsr fLOOR DESIGN 090408 PlNNACl.E EMPlOYE WENT DB 0512031 SOUTHWEsr fLOOR DESIGN 091108 PINNAClE EMPlOYE CllENT DB 0512031 SOUTHWEsr FlOOR DESIGN 091808 PlNNAQ.E EMPlOYE WENT 08 0512031 sotiTHwEsr FlOOR DESIGN 092508 Desc.~ DEPOS1T DEPOSIT DEPOSIT DEPOSIT DEPOSIT DEPOSIT DEPOSIT 11 it8ns tot.A. $89,872.00 ~ FIFTH THIRD BANK (SOVTH R.ORJDA) P.O. BOX 630900 ONCINNATI Ott 45263-0900 ~ Statement Period Date: 7/1/2008 - 7/31/2008 Account Type: Bus Basics Checking Account Number: 7431062830 - - - - SOUTIiWEST FlOOR DESIGN INC 1687 GORDON RIVER LN NAPlES FL 34104-5296 o Banking Center: Radio Road Commerdal Oient Services: 1-800-589-5355 www.53.com - - - 13183 I. .11. .1..1...1111... .1. .1.1.1. ..1.11.1.. .11..1..1.1...1. ..III - AccountSUmmary- 7431062830 07/01 Beginning Balance 49 Checks 6 Withdrawals / Debits 5 Deposits I Credits 07/31 Ending Balance Number d Days in Period 31 $19,033.22 $(86,218.87) $(10,518.00) $101,055.31 $23,351.66 49 chedcs mtaIing $86,218.87 Checks * Indicates gap in check ~ i = EJed:ronic ImiIge 5 = SlDstitute om Number Date Paid Amount Number Date Paid Amount Number Date Paid Amount 7981 07/01 750.00 8231 07/15 1,880.75 8411 0712B 400.19 799 i 07/03 1,000.00 8241 07/17 10,088.29 8421 07/28 995.12 801*1 07/01 1,710.00 8251 07/16 8,201.41 8431 07/2B 1,136.63 806*1 07/02 960.00 8261 07/16 18,587.01 8441 07/25 509.12 809*1 07/02 800.00 82B*1 07/17 2,000.00 845 i 07/28 500.00 8101 07/02 3,200.00 829 i 07/21 1,204.00 847*1 07/2B 76.41 811 1 07/01 1,685.00 830' 07/21 5,922.81 8481 07/28 334.85 812 i 07/09 800.00 831 07{13 1,000.00 8491 07/30 539.31 814*1 07/08 600.00 832 07/22 900.00 8501 07/25 1,132.00 8151 07/08 960.00 833 07{23 350.00 8511 07/2B 50.00 816 i 07/07 1,432.00 834 07/21 1,152.00 8521 07/30 1,000.00 817 i 07/15 1,152.00 835 07/18 3,356.25 853 1 07/29 750.00 818 i 07/15 1,000.00 837* 07/28 139.77 8541 07/2B 1,020.00 819 i 07/15 750.00 8381 07/25 53.00 855 i 07/24 1,000.00 820 i 07/15 2,'Xil.n 8391 07/2B 120.13 8561 07/31 120.00 821 i 07/15 2,062.95 8401 07/2B 15.90 858*1 07/31 237.75 822 i 07/15 26.50 Withdrawals I Debits Date AmoUnt 07/03 1,503.60 07/10 1,503.60 07/17 1,503.60 07/23 3,000.00 07/24 1,503.60 07/31 1,503.60 6 items ~ $10,518.00 Da$Q1ption PINNAClE EMPlOYE alENT DB 0512031 SOUTHWEST FLOOR DESIGN 070308 PINNAClE EMPlOYE WENT DB 0512031 SOUTHWEST FlOOR DESIGN 071008 PINNAClE EMPlOYE alENT DB 0512031 SOUTHWEST FLOOR DESIGN 071708 TElEPHONE INITIATED PAYMENT AT DISCOVER PHONE PAY 3036 072308 PINNAO.E EMPlOYE alENT DB 0512031 SOUTHWEST FlOOR DESIGN On408 PINNAa.E EMPLOYE OJENT DB 0512031 SOUTHWEST FlOOR DESIGN 073108 - , ~ . > . Deposits I Credits Date 07/07 07/22 07/24 07/29 07/29 Amount 82,312.00 6,811.00 4,150.43 2,023.38 5,758.50 5 items blItaIil... $101,055.31 0........ ~. DEPOSIT DEPOSIT DEPOSIT DEPOSIT DEPOSIT -----lII---- FIFTH THIRD BANK (SOOTH R.0Rl0A) P,O. BOX 630900 QNClNNATI OH 15263-0900 ~ Statement Period Date: 9/1/2008 - 9/30/2008 Account Type: Bus Basics Checking Account Number: 7431892905 - - - SOUTHWEST flOOR DESIGN INC 1687 GORDON RIVER IN NAPlES Fl 34104-5296 o Banking Center: Radio Road Commercial aient ServIces: 1-800-589-5355 www.5~.com - - 13922 - - 1..11..1..1...1111....1..1.1.1. ..1.11.1.. .11..1..1.1...1. ..III Account Summary - 7431892905 09/01 6 Beginning Balance Chedcs Withdrawals / Debits Deposits / CreOJts Ending Ba~ _ $6,835.78 $(16.196.00) Nt.mber d Days in Period 30 4 09/30 $45,193.60 ---.--- -~,"'~~-- --------~. -_...-----"- .-.._---~-'---'-------------- Checks 6 chedrs ~19 $16,196.00 * Indicates gap in check sequence i = Electronic IITlilge s = Substitute Oleck Number Date Paid Amount Number Date PaId Amount Number Dale Paid Amount 10li 09/04 3,000.00 103 i 09/19 3,400.00 105 i 09/26 5,000.00 102 i 09/15 1,100.00 104 i 09/29 696.00 l08*i 09/26 3,000.00 Deposits I Credits 4 items WtoA.g $45,193.60 Date Amount Desa~. 09/03 25,469.00 DEPOSIT 09/04 1,500.00 DEPOSIT 09/10 4,209.10 DEPOSIT 09/26 14,015.50 DEPOSIT Daily Balance SUmmary Date Amount Date Amount Date Amount 09/03 32,304.78 09/15 33,913.88 09/26 36,529.38 09/04 30,804.78 09/19 30,513.88 09/29 35,833.38 09/10 35,013.88 YOU SET YOUR GOAlS. FIFTH 11-fIRD BANK WIlL HElP YOU REAOI11-fEM. TO FIND 0lTT HOW FIFTH 11-fIRD BANK IS MOVING FORWARD WITH YOU, STOP BY YOUR lOCAl FIFTH THIRD BANKING CENTER. MEMBER FDIC. TO COLLIER COUNlY CONTRACTOR'S LICENSING BOARD The Contractor's Licensing Office reviewed my application for Certificate of Competency as a Tile and Marble/ Flooring Contractor and referred it to the Collier County Contractor's Licensing Board for the reason of misrepresenting material facts. For that reason, I would like to go before Contractor's Licensing Board and explain material facts. Sincerely, Olga Kolesnikova COLLIER COUNTY BUILDING REVIEW & PERMITTING CONTRACTOR'S LICENSING 2800 N. Horseshoe Drive · Naples, Florida 34104 · (239) 403-2432 · Fax (239) 403-2469 October 10, 2008 Dear; Olga Kolesnikova. The Contractor's Licensing Office has reviewed your application, and has referred your Certificate of Competency as a Tile and MarblelFlooring Contractor to the Collier County Contractors Licensing Board. The reason for this referral is that it appears your verification experience letters have falsified or misrepresenting material facts. If you have any questions concerning this referral, please contact the Contractor Licensing Office at (239)252-2432 or (239)252-2431 c o ~~ l l ; e r c o u ... t .Y Co18lr County " --- - L- ," ',,- BUILDING REVIEW AND PERMITTING CONTRACTOR LICENSING SECTION COLLIER COUNTY/CITY OF NAPLES/CITY OF APPLICATION FIRM - PART I Contractors' Licensing Board Community Development & Environm Services Division v~ ~ 2800 N. Horseshoe Drive v.4-~ Naples, FL 34104~<O~. PHOTO MUST BE FULL-FACED Telephone: (239) 252-2431~ ~ <94;./ VIEW APPROXIMATELY 2" X 2" Fax: (239) 252-2569 ~ #>~ l. A CLEAR & RECOGNIZABLE LIKENESS. Instructions: This application must e4writte r legible printed. The application fee must accompany this application. The fee is NOT refunda~~ ~ftftE application has been accepted and entered on the records. All checks should be made payable to the" ard of County Commissioners". For further information, consult Collier County Ordinance No. 2006-46, a amended. 1, Name of Firm a. rJ e e~ II C/' tis' e J'{;~ (/ { l'l~ ...L" {' TAPE ON ALL SIDES OFTHE PICTURE A RECENT PHOTOGRAPH OF THE QUALIFIER. D/B/A (if applicable) () So' / c/'{)~)O 't'l:2 ~- J)O~ ~ Business Address (Number & Street) 3, ~'IJF ~t# f/)t< ~f!u. Business Mailing Address Cify State Zip Code 4. Business Phone Number:l..t3j) ,/;30 - 0.919~obile Phone Number: (cf3!J ) 7rf'~-C06.s:- 5. Fax Number: (J 3:;) Lf 30 - 0 g 19 / Federal Emp. ID#: 3''''9 - .3 c ~ 9 V.13 2. ~4 ,P.e State fC 3,//03 / Zip Code / 3'/ /0..3 / (8) ChanQe of Status: $10.00 ( ) Active License to Dormant ( ) Dormant License to Active ( ) Address Change ( ) Reinstatement LLC: ko~$Iu'jaJrli- / (License Holder) 8. INDICATE NATURE OF REQUEST - (A) To Qualify as a: ( ) General $150.00 ( ) Electrician $150.00 ( ) Building $150.00 () Plumber $150.00 ( ) Residential $150,00 ( ) Air Conditioning $150.00 ( ) Mechanical $150.00 () Roofing $150.00 ( ) Swimming Pool $150.00 ()4 Specialty $135.00 FL&J~r ~ () From Individual to Qualifying a Business () From Qualifying a Business to Individual ( ) To Qualify Additional Entity () From One Business to Another 6. Legal form of Business: Corporation: V 7, Name of the Firm's Qualifying Agent 01fq (Specialty trade type) Q:tte.. 2 <:} 35\.0 Page 1 of 5 I 9. The names, titles, home address and phone numbers of all Officers/Managing Members of the Firm, {J~ ~:h/~VQ. / (J/U5, r~~fo ~I/.tr r/Jol2-l1ud'o ~, :l'J?V-60br .f~/1 ~e-/ru,?y/ Vp, !~kL1! 'ILrcl~ /)o.ea/ldo ~ 7~f/-6o!#{) 10. List all businesses, firms, entities or contracting businesses you have been associated with during the last ten years (ex. Held a license for or been a partner). Attach extra pages if needed. ~' !huSe S&tt/i~! ;;,~ 11. List all debts you or any company(s) associated with you refused to pay and the reasons for the refusal to pay. Attach extra pages if needed. 1lafU- AFFIDAVIT I, OeoA ~&~h/hv4 Q certify that the foregoing is true and correct to the best of my knowledge. ~- Authorized Officer of the Firm STATEOFFL~~ COUNTY OF The ~egOing in;~u:ent a~ ~c~nowled~d before ~me this ~De ~ \ C8 By ~~ ~s.#{ ~I/a. r/:!.R.f of & /i-O<<.te ~/ltlt~ a (Na e of officer, title/agent) . ( ame of Corporation) F~~ Corporation, on behalf of the corporation. He/She (State or Place of Corporation) has produced ~ ~ NOTARY PUBLIC (PRINT NAME OF NOTARY) ....~jl~ JESSICA FRAINE 1'1 '. \ MY COMMISSION # DO 687760 ~;" EXPIRES: June 21, 2011 "I), Bonded Thru Notary Public Underwriters NOTARY'S SEAL Page 2 of 5 L- APPLICATION COLLIER COUNTY/CITY OF NAPlES/CITY OF MARCO FIRM - PART I t (to be com Dieted bv the Qualifvina Aaent\ Contractors' Licensing Board Community Development & Environmental Services Division 2800 N, Horseshoe Drive Naples, FL 34104 Telephone: (239) 252-2431 Fax: (239) 252-2569 1, Name of Qualifying Agent /{o,-e.e.s)1/ f'oua oe ~ (Last) (First) Date of Birth C:;/f1' / (G6'3 / S,S. # 000-00- cfo.9L- / /( . (Last 4.Jl't1mbers only) Driver's License # l ~ Lf J i- G f/ 0 ~ 6 3 ~ 7-63- 0 ./' 2. Home Address of the Qualifying Agent L;I;Jr J}t)k~do t).:e,l ~-f}J/ J:".e) 3t;lo~ / Home Phone # {.t.39} /;50.-0.9-79/ 3, Name of the Firm 114ff:eJ I/-t;u ge ~4<..Vt Y!.e~ J --11 C / - 4. Type of Certificate of Competency for which application is made. /-:::.eo~/l (!O(/.e.fet'kj / A// (Middle) 5. The names and telephone numbers of two persons who will know your whereabouts. ~ ~r;t ~4UU"v(jAJ r UiU-u~ ~&rY (J3.9) fJ1f(- b{J6~ (J33) 3t-rP- J2tLt20 6. Have you ever been convicted of a crime related to Contracting? IUO (If yes attach extra sheet with explanation) 7. Have you or any firms you have been associated with ever filed bankruptcy? /vO 8. List all debts you or any company(s) associated with you refused or failed to pay and reasons why. )w'he 9. List your business or work experience during the past ten years. ea.~/eN<,'t.t-<l h'Ce ~It DOVe !U'ltO 10, Statement of any formal training you have had in the area for which the application is made. Page 3 of 5 '3 AFFIDA VIT The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County Ordinance No. 2006-46, as amended, and vouches for the truth and accuracy of all statements and answers herein contained. 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 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. Ciga, J!o ee~I-1{'tova. APPLF'CANT (PLEASE PRINT) ~~ ~ge ~fU//C€~ lite NAM OF COMPANY C/'~ SIGNATURE OF APPLICANT STATE OF FLO~A a r COUNTY OF .tQC} I 0 ~ JESSICA FRAINE MY COMMISSION # DO 687760 EXPIRES: June 21, 2011 Bonded Thru Notary Public Underwriter. ~I.r \re ~~ (Type of identification) The foregoing instrument as acknowledged before me this by ~ V--C~\~ who has produced (Na of person acknowledging) as identification and did not take an oath. NOTARY'S SEAL ~\..CA NOTARY PUBLIC (PRINT NAME OF NOTARY) Page 4 of 5 t.J AFFIDA vIr 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. #~ SIGNATURE OF APPLICANT ~By /I-ott ft ,tUl0 ee.~ .L~C BUS ESS NAME tJ.9/~~ /1hI' DATE BEFORE ME this day personally appeared.ots- ~O\~Sr\I~O\J-A who affirms and says that he has less than one employee and does not require Workmen's Compensation and understands that at any time he employs one or more persons he must obtain said Workmen's Compensation Insurance. STATE OF FLORI~~ COUNTY OF CO \ ~ r b~L~o~~'1 ~D\J -f'\ who has produced ( e of person acknowledging) ~. ~~.g (Date) ~\ J..r l,<- (Type of identification) The foregoing instrument was acknowledged before me this as identification and who did not take an oath. NOTARY SEAL ~...v ~v~ 1I'4\f, . . \;,-, :. i , "'" or I'.\) Notary Public Siate of Florida Sharon Sue Frazier My Commission 00600052 Expires 10/28/2010 (.,. IVERIFICATION OF CONSTRUCTION EXPERIENC1 Collier County Contractor Licensing C/O Community Development & Environmental Services Division 2800 N. Horseshoe Drive Naples, FL 34104 Telephone: (289) 408-2431. (289) 408-2482 or (289) 218-2909 Applicant's Name: OL f 4 ~ le.s PJ / k 0 t/ C 1-/ /1 , Certificate Category Requested: /- /.- 0 <f) ~ L-O (/.e Ie L It 9 (/ 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 their 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 as an apprentice or a skilled worker (e.g. as a worker commanding the waJ(e of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but mayor may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience must provide the following information: Name, Title and license number of the person signing below and verifying Applicants relevant experience: (JO!}.U7 License Number ( L6- !lIe ~ Falsifying any information p ~~( State of Florida County of Collier The foregoing instrument was acknowledged before me on this ~ day of 5G:;Ptf31I,8&!- ZtJO ff by -VA..Al C ~~I who i(personally kno~o me or produced as identification and who did not take an oath. _~~._ ~ of Notary (VERIFICATION OF CONSTRIL.fI()N ~CE_ Collier County Contractor Licensing c/o Community Development & Environmental Services Division 2800 N. Horseshoe Drive Naples, FL 34104 Telephone: (239) 403-2431. (239) 403-2432 or (239) 213-2909 (() 8cA ~ Certificate Category Requested: Applicant's Name: U~h1'bVq ~ &~ #---- 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 their 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 as an apprentice or a skilled worker (e.g. as a worker commanding the wa~e of mechanic or better in the trade). Time served solely in a supervisory or adwninllltrative role should be described, but mayor may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience must provide the followin~ information: Name, Title and license number of the person Signing below and verifying Applicants relevant experience: Name: A:~/'Q/7 ~~4/4. ~f Title: /it /"'-1",/ . . License Number (if applicable): - Name of Business: c'/J7f;,"- d De ~e/l men j Business Address: /00/ )ht"/ &/;. Iv) Business Phone: d 5 3 - 3 J 7 7 The Applicant's years of experience from . / ~;f) 5~ to ~'l?[Ql I The applicant's scope of work (specific duties) inCluded:~.4 d ~ ~k:~.../ ~ ~.....1"~..M. jp Additional Comments: Falsifying any information provided herein may subject your license to revocation. ~<jJVCJIe/ Signature Printed Name: ~/a/l State of Aorida County of Collier 1 dA Thef'KOing instrument was ae'k1edged befo~ <!" <hi~~ go day of j ~b e r . 20o'i by I.fVdlL mShlM:i. or wboi.sonalJy 0YifYr0~ as identi.u:a_ and who did not.: an oath. . r :?~t!li.".t.r: ROBYN LEE JONES ~lgnatur f Notary ~~~.:;~ MY COMMISSION # DD654532 "'~oio;t.~- EXPIRES March 22, 2011 I (407;'396'.0 153 FIOr1daNotaryService.com . IVERIFICATION OF C9NSTR~CTI9N~ EX?~J.l~G~1I - tn I Collier County Contractor Licensing c/o Community Development & Environmental Services Division 2800 N. Horseshoe Drive Naples. FL 34104 Telephone: (239) 403-2431, (239) 403-2432 or (239) 213-2909 Applicant's Name: {}!?;;4 I!nLes tu 'h 1/4 Certificate Category Requested: ~__f}tJJe/2A k; 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 their 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 as an apprentice or a skilled worker (e.g. as a worker commandinl{ the wal{e of mechanic or better in the trade). Time served solely in a supervisory or admi."i~trative role should be described, but mayor may not be considered sufficient to demonstrate reauired trade experience. The person verifying trade experience must provide the followinl{ information: Name, Title license number of the person signing below and verifying Applicants relevant experience: I r:? ... ' ....'\11 Name: Title: License Number (if applicable): c.~, 'l... ~ 0 r-z... "" Name of Business: Business Address: \ot", 7 ~ G,-,-~o../ D\- ~'V">q. ,~I\U) ~~... C ";;-"1\ "\) l Business Phone: 2..'1- ~Bq-,-\<c4 ( The Applicant's years of experience from /9.f'.f to of l?OL '. The applicant's scope of work (specific duties) iucluded: U ..,.........'-><- n....'" ~ ') 4- C~, ~<- Additional Corhment~: State of Florida County of Collier The f< regoing instnJ.ment was acknowledged before me on this \ q ~ day of ~ ~ , }x)13 by W \ \" i f\Il who is personally known,! or produ~ \=- \OY-i' cL....a. ~'I,}{.A OA'~ as identifi tion and who did not take an oath. " x Falsifying any information provided herein may subject your Hcense to revocatio Co".,. County - """t.- 1 ' ~ _ ,," "4... BUILDING REVIEW AND PERMITTING CONTRACTOR LICENSING SECTION COLLIER COUNTY/CITY OF NAPLES/CITY OF MARCO APPLICATION FIRM - PART I Contractors' Licensing Board Community Development & Environmental Services Division 2800 N. Horseshoe Drive Naples, FL 34104 Telephone: (239) 252-2431 Fax: (239) 252-2569 TAPE ON ALL SIDES OFTHE PICTURE A RECENT PHOTOGRAPH OF THE QUALIFIER. PHOTO MUST BE FULL-FACED VIEW APPROXIMATELY 2" X 2" A CLEAR & RECOGNIZABLE LIKENESS. Instructions: This application must e typewritten or legible printed. The application fee must accompany this application. The fee is NOT refundable after the application has been accepted and entered on the records, All checks should be made payable to the "Board of County Commissioners". For further information, consult Collier County Ordinance No. 2006-46, as amended. 1. Name of Firm /l a.p ees /:I-tJ tae- S .ee ~ 'c:es: .ll'f C I D/B/A (if applicable) (!1 '1'1 ct.{)()(;> , 2. ~t;J3 ~O~cttJ ~ Business Address (Number & Street) 3. ij~t:!j XJvK-tl~ ~ Business Mailing Address r~ State ;:~ 3Y/03 Zip Code 4. Business Phone Number{)3J) ~3 O~O.f'rg 5, Fax Number: (;1.39) Lj 30- OY'?-g 6. Legal form of Business: Corporation: V 3'1/t1:1 State Zip Code Mobile Phone Number:Ct'3..9 ) 1.R~ - b't?cr Federal Emp.ID#: S9 - 3{;Lf .91/33 LLC: 7. Name of the Firm's Qualifying Agent 0.114 /(o,t?eghL' kOl/4 (License Holder) 8. INDICATE NATURE OF REQUEST - (A) To Qualify as a: ( ) General $150.00 ( ) Electrician ( ) Building $150.00 ( ) Plumber ( ) Residential $150.00 ( ) Air Conditioning ( ) Mechanical $150.00 ( ) ......-Roofing ( ) Swimming Pool $150.00 (.1' Specialty t e $150.00 $150.00 $150.00 $150.00 $135.00 (8) ChanQe of Status:, $10.00 ( ) Active License to Dormant ( ) Dormant License to Active ( ) Address Change ( ) Reinstatement (Specialty trade type) ( ) ( ) ( ) ( ) From Individual to Qualifying a Business From Qualifying a Business to Individual To Qualify Additional Entity From One Businessto Another Q~ 2.. 9 8Slo Page 1 of 5 9. The names, titles, home address and phone numbers of all Officers/Managing Members of the Firm. Oeg-t:< kofe.fhlhvtJ, fJ,eu, Teeatet'&(,. fr4'Ls J&o~ Jf#. ~~Y-60U- v. , .f~r; t:!Iuy;e'~v" VI! J&:/Ufe-Rj' ~I/..u- g)p~ -&., -1N-Coi.9tO 10. List all businesses, firms, entities or contracting businesses you have been associated with during the last ten years (ex. Held a license for or been a partner). Attach extra pages if needed. fZcr;~ 14ut~ ~~'cal ~e 11, List all debts you or any company(s) associated with you refused to pay and the reasons for the refusal to pay, Attach extra pages if needed. .~ AFFIDAVIT I, Oerya /~tU'kov~ v certify that the foregoing is true and correct to the best of my knowledge. . .__._.._~ - Authorized Officer of the Firm STATE OF FLORIDA COUNTY OF The foregoing instrument as acknowledged before me this q ~ \ coe, By Ofo",a, !r!o-eesu/ /.a;r/Q . (J /2Q <; of 1Ut./J &J fl.t2':t;) ~ftn Vt'(!ll!,. a (Nifne of officer, title/agent) , (I'fc!me of Corporation) f'&;/e{ 'tWt (State or Place of Corporation) has produced --pc ~L Corporation, on behalf of the corporation. He/She JESSICA FRAINE MY COMMISSION # DO 687760 EXPIRES: June 21, 2011 Bonded Thru Notary Public Underwriters OTARY PUBLIC (PRINT NAME OF NOTARY) NOTARY'S SEAL Page 2 of 5 APPLICATION COLLIER COUNTY/CITY OF NAPLES/CITY OF MARCO FIRM - PART I' (to be com Dieted bv the Qualifvina Aaent) Contractors' Licensing Board Community Development & Environmental Services Division 2800 N. Horseshoe Orive Naples, FL 34104 Telephone: (239) 252-2431 Fax: (239) 252-2569 1. Name of Qualifying Agent /('0 .fe ~ /U '/;01/4 () ~ (Last) (FirSt) OateofBirth 0';//9//gE3 S.S.# 000-00- EO.9L l/ . , (Last 4 numbers only) Driver's License # /L - 4'rt 6- r; y 0 ~ 6".3 - :;-S~' - 0 2. Home Address of the Qualifying Agent E/'/o!S $oea.ndo ~ ~' Home Phone # (239) ..f u (/[ -c.eJ .L nc I fi/ (Middle) ~&-t , f"--t 3Ylo..:3 1;jP~o.f-9-fJ 3. Name of the Firm 1la-~ , #tUf' .fe 4. Type of Certificate of Competency for which application is made. T;-ee tuuI ~-?& 5. The names and telephone numbers of two persons who will know your whereabouts. f~ f!kP~4AW Utv..<l & ~ rcf.!J9) TN-C~!JI/ (..t39~ .:i'Ji'J-~ 6, Have you ever been convicted of a crime related to Contracting? ho (If yes attach extra sheet with explanation) 7. Have you or any firms you have been associated with ever filed bankruptcy? /(,;0 8. List all debts you or any company(s) associated with you refused or failed to pay and reasons why. ~ 9. List your business or work experience during the past ten years. ~wtde I f~~/~/J~ /"'&, ~R &?t/ere.(~/~/lA'uirt;j/ h11f ~~ .Rt~t- 10. Statement of any formal training you have had in the area for which the application is made. Page 3 of 5 AFFIDA vIr The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County Ordinance No. 2006-46, as amended, and vouches for the truth and accuracy of all statements and answers herein contained. 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 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. {)//la K 0 f.eJ.' 11/." ko ~/I/ APP(1CANT (PLEASE PRINT) 1ZaLJ& IIoase k0'(!& .he NAMl!OFCOMPANY ~~ SIGNATURE OF APPLICANT STATE OF FL~~ COUNTY OF NOTARY'S SEAL Q\d<=i\c5R (Dale) . ~~ yp f identification) The foregoing instrument as acknowledged before me this by ~ ~\.p~\ t ~ ~ who has produced (Na e of person acknowledging) as identification and did not take an oath. ~ Page 4 of 5 AFFIDA vir 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. t/Y~ SIGNATURE OF APPLICANT 1tao& I!-tm.te Se-l!Vi f ce& the BUS'lNESS NAME /Og!MltP~ DATE BEFORE ME this day personally appeared O~ k.o&hl 'kyq who affirms and says that he has less than one employee and does not require Workmen's Compensation and understands that at any time he employs one or more persons he must obtain said Workmen's Compensation Insurance. STATE OF FL~~~ COUNTY OF ~\ <.: \" The foregoing instrument was acknowledged before me this ~ - J.. q . X (Date) ~\ or- \.'L (Type of identification) bY~~ \(c\~f"\ \(o--J.f\ who has produced ( me of person acknowledging) as identification and who did not take an oath. NOTARY SEAL ..... R" NI'.l18fY Puelie elate of Flori a R~J'ii'1- Sharon Sue Frazier ~ ~ j , My Commission 00600052 ~OFf\.o E ires 10/28/2010 " ,I'. Applicant's Name: VERIFICATION OF CONSTRUCTION . .. ".. .~. - - . ... - .""0 ".- ~4;' //-- The Applican is seeking a Collier County Certificate of Competency in the tr mcated above. As part of the applicati n for this certificate the Applicant must verify their ce .thin this trade. You are being reque d to provide information that will aid the Applic m meeting this requirement. You should verify time . worker (e.g. as a worker commanding the waJ(e of mechanic r better in the trade). Time served s in a supervisory or arln1ini~trative role should be described, bu ay or may not be consider cient to demonstrate required trade eXPerience. The person verifyin rovide the followinJ( information: Name, Title and license number of the person signing below and verifying Applicants relevant experience: Name: JJ4N -5. r! 0136 '-'/ Title: t2v:/VDL License Number (if applicable): Name of Business: J!z:;cD(7C '?F t:-c: J' 1J I ~ if; I (YC- - Business Address: ~557 ?~~?C 4vc ~;:c 3-5 Business Phone: 2 3<3~' '3OV -??~e Applicant's years of experience from /.9.9.9 The applicant's scope of work (specific duties) included: fJll1NPrUl~ J;65 0 OF ~t7~ J /f)/J12B27 DrJ %;; (3?A~ c::9 AP-PL1(J4('t~ to ..f (2L/.L :r7V5~?rw &()e)~ Additional Comment!;: State of Florida County of Collier (4) lIIIIOftMPRICE ....., NlIIc . ..... 01 florida · . IIpCuul.l1.I.L.........'.2011 ClulJllon . DO 145573 ......TIIIougIl NIlIcIIIIINclCIIy Assn J>r~ C!(' rll!ft./7' Falsifying any information rovided herein may subject your lice The foregoing instrument was acknowledged before me on this It? day of ~ ~1fitY2- , by -:DA:IU Co~()-r- who i~nallY kno~o me or produced as identification and who did not take an oath. ~~ SIgnature of Notary 2OZ/g . IVERlFICATlO~ OF C9NS'l'R.l:!.~()N ~~TJ<:l"lC!!l' I Collier County Contractor Licensing c/o Community Development & Environmental Services Division 2800 N. Horseshoe Drive Naples, FL 34104 Telephone: (289) 408-2481. (239) 403-2432 or (239) 213-2909 Applicant's Name: O~ Certificate Category Requested: Ro I!e! lV'h L/C{ lite .P ~~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 their 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 as an apprentice or a skilled worker (e.g. as a worker commanding the waJ:ce of mechanic or better in the trade). Time served solely in a supervisory or ad""'D'Atrative role should be described, but mayor may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience must provide the following information: Name, Title and license number of the person signing below and verifying Applicants relevant experience: N~e: ~n..., Q~~~~~ TItle: T Name of Business: ~~~ Business Address: \O~.-'i License Number (if applicable): C&....\7.50\'2.. S G~~, ~, t-0 ~~cr \hw, ~"2,r '.~ ~~~ to ot~o! ~"i.\~ Business Phone: ''l,,, -?,<Yr - "\lDG , The Applicant's years of experience from ~gg.9 The applicant's scope of work (specific duties) included: 9-1-,,\, ~;'-<- ~oo...; "', - ? c:crlA::~),i!:...Jl.... Additional Comment!'!: Falsifying any information provided herein may subject your license to revoca State of Florida County of Collier The fo egoing instrum7nt w~ acknowledged before me on this It] ~ day of ~ be.. V )()08 by. . . W, \ , woo is peroonally known ~ or proj C<d -1 rlVJ'4 0; ill0, ~'U" ~ as Idennfic _ and who did not - an oaIh, ~ J.1Lui(wJ . ,'"'''' of Notary .~~. LYNN WILLIAMS :.. . - : : .*: MY COMMISSION # 00732215 . . EXPIRES November 06, 2011 FloridaNOlaryServlce,com IVERIFI~ATIOl!\T C)F~~l'j"~g.<<jipN E;PE_~C~_ Collier County Contractor Licensing c/o Community Development It Environmental Services Division 2800 N. Horseshoe Drive Naples, FL 34104 Telephone: (239) 403-2431. (239) 403-2432 or (239) 218-2909 Applicant's Name: tJ~ u ~&3H{"~Vq 1/& @ /rltl/ita- Certificate Category Requested: The Applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate the Applicant must verify their 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 as an apprentice or a skilled worker (e.g. as a worker commandinR the wa<<e of mechanic or better in the trade). Time served solely in a supervisory or adminiAtrative role should be , described., but mayor may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience must provide the followin.r information: Name, Title ~d license number of the person signing below and verifyinR Applicants relevant experience: Name: Kf/"O" ;::;;'.~ulll& Title: ./'It/lLl7e/ License Number (if applicable): Name of Business: rrl I1v~~,.J Business Address: /00 s; ie,..-. Ie< res- B/vJ Business Phone: ? S $ ~,~ J.. 71 t's scope of work (specific duties) included: Additional Comment~~ Falsifying any information provided herein may sub.jeet your license to revocation. Signature /' /' / Printed Name: /)/r'.ro/\ rc-esAvai"/ State of Rorida County of Collier The ~egoing mstrument was acknowledged before me 00 Ihls 25 Aooy of S/pklh-~./r . Za:+I by Ie rtln fY<s~w:.<,-1e, wbo is persooaIly known:~. ~ n as identification and wbo did not take an _. . ~ ' :';A..~~:k~~o;. ROBYN LEE JONES 1;ignatur f Notary - . :*; ;-; MY COMMISSION # DD654532 \: tio....tl , EXPIRES March 22. 2011 (40;; '39ii-~153 FlorldaNotaryService.com CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA BOARD OF COUNTY COMMISSIONERS COLLIER COUNTY, FLORIDA, Contractors' Licensing Board Petitioner, vs. James G. Schuck d/b/a/ Marco Marine Construction, Inc, Respondent (s) ) ) ) ) ) ) ) ) CASE NO.2009-1 ) ) LICENSE NBR. :26439 ) ) ) ) ) ) ) ) ADMINISTRATIVE COMPLAINT The Contractors' Licensing Board of Collier County, Florida, (hereinafter Board), files this Administrative Complaint against James G. Schuck, d/b/a Marco Marine Construction, Inc., (hereinafter Respondent), License Number 26439 and says: COUNT I 4.1.11- 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. COUNT II 4.1.18- 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. COUNT III COUNT IV It is determined that the above stated charges are grounds for disciplinary ::::: unl:e: O:inance 90-105 of con:A[londa, as amended. J ' Director or his/her Designee Collier County Bldg. Review & Permitting Summary Case 2009-1 James G. Schuck d/b/a! Marco Marine Construction, Inc. Marco Marine Construction, qualified by James G. Schuck (certificate # 26439) and Donald P. Ricci Sr. (certificate # 13520), knowingly conducted business operations from approximately December, 2007 to December 2,2008 with no Worker's Compensation insurance or required USLS&H (Longshoreman's Insurance). Both qualifiers acknowledge the lack of coverage during this time period. On November 25, 2008 I, Ian Jackson, observed the construction of a seawall in process at 241 Harbor PI. N. on Goodland. While on-site, research showed a building permit still under review (not issued). On December 2, 2008 the building permit for the construction of this seawall was issued. This fact is acknowledged by both qualifiers of Marco Marine Construction. Table Of Contents Case 2009-1 James G. Schuck d/b/a! Marco Marine Construction, Inc. El / E2- Formal complaint E3 / E4- Certificate detail report E5- Hand delivered Notice of Hearing E6- Section 2.8 of Ord. 2006-46, Insurance Requirements E7- Permit for seawall at 241 Harbor PI. N. E8-Ell- Photos of seawall construction site from November 26,2008. E12- Stipulation agreement signed by James Schuck. """''',,1\: ~,~)~, i' ,~ CONTRACTORS' LICENSING BOARD 2800 N. HORSESHOE DRIVE NAPLES,' FLORIDA 33942. COMPLAINT NUMBER COVq - I COMPLAINANT: ANY PERSON WHO BELIEVES THAT A CONTRACTOR HOLDING A STATE CERTIFICATION OR CERTIFICATE OF COMPETENCY HAS VIOLATED COLLIER COUNTY ORDINANCE NUMBER 90-105, AS AMENDED, ,MAY SUBMIT A .sWORN COMPLAINT TO THE CONTRACTOR LICENSING SUPERVISOR, OR HIS/H~R DESIGNEE. THE COMPLAINT SHALL BE IN SUBSTANTIALLY THE' FORM PRESCRIBED BY THE CONTRACTOR LICENSING SUPERVISOR. THE COMPLAINANT SHALL PAY A FEE OF $50.00, TO pEFRAY THE COSTS OF ADMINISTERING THE COMPLAINT, AT THE TIME OF FILING THE COMPLAINT. THE COMPLAINING P~TY 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 \"2- \(,3 \0$ AGAINST: CONTRACTOR'S NAME:" ~O/ rn~'S 6, SJ~Vci BUS INESS NAME: KOI,('<.o ~~IlL' Cdnstfl{(~IiJ~ \V\C, . LICENSE NUMBER IF KNOwN: Z~4]i COLLIER CO . COMPETENCY ": liAsi' .CONTRACTOR'S BUSINESS ADDRESS: \757 ~V't'\IVlM(,u 'RI \1~I'Lu \st,\,\,J, (\ 31\15 PHONE: 394-gl~+ FILED BY: NAME: Coll\~/r Ci\ln~ loV1.L~llr L~~NJ~I1) ADDRESS: z.elftJ J, ~'<it'l~1IX l). ADDRESS WHERff WORK DONE: lil.J-l.6r vI J. CITY: 6oo;~wX . HOME PHONE: - BUS. PHONE: Z5Z-lt5\ DATE OF CONTRACT ~ COUNTY Ce>lli-i'( JOB STARTED ~J,,<. I~HOf) DATE DATE JOB COMPLETED OR NEW HOME OCCUPIED-- .- WERE THERE PLANS AND SPECIFICATIONS? --- IS THERE A WRITTEN CONTRACT!--- IF YES, AMOUNT OF CONTRACT ~ HAS CONTRACTOR BEEN PAID IN FULL?--===- IF NOT, WHAT AMOUNT?! ---' . , WAS A BUILDING PERMIT OBTAINED?$.\~O~ WHO OBTAINED BUILDING PERMIT? .1/'1\tJ.'\ LS"c.hllli PERMIT # IF KNOWNl.OnBO~~13~ ' HAVE YOU COMMUNICATED BY LETTER WITH THE LICENSEE? YE.S E. -..t D}\TE~DO YOU HAVE HIS REPLY?"l E..~ PLEASE ATTACH TO THIS - , FORM ~L COPIES OF THE PURCHASE AGREEMENT, BUILDING CONTRACT, HOME IMPROVEMENT CONTRACT, COPIES OF RECEIPTS AND/OR CANCELED CHECKS AVAILABLE AND ANY ADDITIONAL EVIDENCE TO SUBSTANTIATE YOUR ALLEGATIONS. LIST ANY SUBSECTIONS OF SECTION 4 OF COLLIER COUNTY ORDINANCE NUMBER 90-10S, AS AMENDED, WHICH, IN YOUR DPINION, HAVE BEEN VIOLATED BY THE CONTRACTOR WHICH IS THE SUBJECT OF THIS COMPLAINT, (LIST SUBSECTION NUMBER) 4.1.11- 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. 4.1.18- 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 (LIST FACTS SEPARATELY FOR EACH I Ka~~o ',06 J~ fill", ~~Ij 1)trllr~.Lut l\.r cm\ 1\ ~16. 00 ~I t.. <:r~w~ Qrhe~-lit.l~l~ J w, ~ . . ~~~Iirow!j rQI'tr"(1' I\~ 1!JILt11ji&'UiVK, ko1~hb ,\1.~lt..i ..,j\1,~\ O!l1l[\(). . <<, ~~lrl ~i. il!l!JlI!!l\~ j~< \~ J rllV6fa;f C a~lUl~,,\ ~. .. . . 1. \.I~ - II ~ [/(~i yJ c.q n ~ \ \r.l1l\\~ ,&kli. t1~'I',~ 11.'10 \1AfliII~~Il.t 'J q t 1:11 [\,t!ll[ 1\ J; M borJu. 0, ~I~ ~h<uVtj r~ruJ.J~ ~~ .ci.'Al4\\ i (i ~fa(~~ w\~\ ~lrfI\~ yJ\\: llN~\\), t ~ . DED, USE SEPARATE SHEET) MISCONDUCT AGAINST THE SUBJECT SUBSECTION ~BER ABOVE) .1. - (IF ADDITI~NAL SPACE LAINANT'S SIGNATURE) STATE OF COUNTY OF ~\1 ~J- -\"h and subscribed before me this~day of ~~OO~, -r. \ ' , 1'-' by.....J...- G.. n '- ) (\ C' t'\.. c:; n n . (name of person making statement) ~rn to (or affirmed! \ ~C' e-.mhe-r ..o"""~~. Notary Public State of Florida ~ . ~ Jennifer E Blanco 'A. c , 11 My Commission D0514564 .., Of ,.,f1O~ Expires 02105120 1 0 Personally PRINT, TYPE OR STAMP COMMISSIONED NAME OF NOTARY PUBLIC) known~or Produced identification ~-1- Certificate Detail Report CDPR2305 - Certificate Detail Report CERT NBR QUALIFIER NAME 26439 JAMES G. SCHUCK DBA MARCO MARINE CONSTRUCTION, INC. DETAIL STATUS ACTIVE CLASS CODE CLASS DESC 4240 MARINE SEAWALL & DOCK CONSTRUCTION STATE NBR ORIG ISSD DATE 9/21/2004 STATE EXP DATE RENEWAL DATE COUNTY COMP CARD COUNTY EXP DATE EXPIRE DATE 9/30/2009 OTH OL NBR COUNTY OL EXEMPT N CNCL DATE COUNTY OL NBR 040716 COUNTY OL EXP DATE 9/30/2009 OTH OL EXP DATE REINSTATE DATE DBA PHONE (239)394-8194 FAX (239)394-3163 MAILING ADDRESS P. O. BOX 1247 PHYSICAL ADDRESS 1757-A SAN MARCO RD MARCO ISLAND FL 34146- MARCO ISLAND FL 3 4 14 5 - LIABILITY INSURANCE COMPANY LUTGERT INS- MARCO EXP DATE 10/28/2009 PHONE (239)394-7575 EFFECTIVE DATE 10/28/2008 POLICY NUMBER N5JH24120 CNCL DATE INSURANCE LIMITS 2,000,000 WORKERS COMPENSATION INSURANCE WC EXEMPT N COMPANY LUTGERT INSURANCE - MARCO EXP DATE 12/2/2009 PHONE (239)394-7575 EFFECTIVE DATE 12/2/2008 POLICY CNCL DATE :ollier County Board of County Commissioners :D-Plus for Windows 95/NT Printed on Page 12/23/20 12:36:43PM 1 (-'?J CDPR2305 - Certificate Detail Report WC5385621 BOND INSURANCE COMPANY LUTGERT INSURANCE - MARCO EXP DATE 12/2/2009 PHONE (239)394-7575 EFFECTIVE DATE 12/2/2008 POLICY WC 538561 CNCL DATE INSURANCE LIMITS 1,000,0001 USL&H INCLUDED LAST UPDATE DATE 12/16/2008 LAST UPDATE USER WRIGHT M PREV UPDATE DATE 12/15/2008 PREV UPDATE USER WRIGHT M :ollier County Board of County Commissioners :D-Plus for Windows 95/NT Printed on 12/23/20 12:36:43PM Page 2 E..-f COLLIER COUNTY BUILDING REVIEW & PERMITTING CONTRACTOR'S LICENSING 2800 N. Horseshoe Drive · Naples, Florida 34104 · (239) 403-2432 · Fax (239) 403-2469 Hand DeIiVe1"04. {. ~,L'- Date: tZ- 5(0 James G. Schuck P.O. Box 1247 Marco Island. Fl. 34146 RE: Complaint filed against you by Collier County Contractor Licensing Dear Mr, Schuck A complaint has been filed against you by the above referenced individual. A hearing of this complaint will be held by the Contractors' Licensing Board on January 21,2009 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. Your presence before the Contractors' Licensing Board is required at this time. The packet you will receive 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 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 Section number(s) 4.1.11 and 4.1.18 of Ordinance # 2002-21, as amended, the range of disciplinary sanctions which may be imposed are from an oral reprimand to a suspension or revocation of your Collier County Certificate #26439 and/or suspension or revocation of your permit privileges against your state license # N/ A~ Si~cr,r 'il lyy" ~ Ian Jackson Licensing Compliance Officer phone# 239-252-2451 c o c~ e .. c -- o ... ... t y ....- E-S 2.8. Insurance. All licensed contractors shall maintain liability and other categories of insurance, as required by Florida law, at all times. Such insurance shall be with an insurance company authorized to do business in the State of Florida. The minimum limits of liability insurance required shall be not less than $100,000 for bodily injury and $25,000 for property damage or any higher minimums as required by Florida law. All licensed contractors shall maintain applicable Workers' Compensation insurance as required by Florida law and/or federal law, including, but not limited to, the provisions of the Federal Employers' Liability Act, the Longshoremen's & Harbor Workers' Compensation Act, the Defense Base Act, or the Jones' Act. 2.9. Dormant Status. 2.9.1. Any person or firm that holds a valid Collier County/City Certificate of Competency may place the Certificate of Competency on dormant status during which time said person or firm/entity shall not engage in contracting in Collier County, but may retain the certificate on a dormant status basis provided timely payment is made of an annual renewal fee as set forth in Section 2.1.5 of this Ordinance and applicable resolutions enacted by the Collier County Board of County Commissioners. 2.9.2. Persons or business organizations desiring to renew dormant certificate may do so by complying with the requirements of Section 1.4 of this Ordinance relating to renewals. 2.10. Restricted Certificates of Competency. The Contractors' Licensing Supervisor or designee may issue a Restricted Certificate of Competency to an applicant for a certificate in a particular trade, which Certificate is restricted to certain aspects of that trade where the applicant has satisfactorily demonstrated that he/she is qualified under this Ordinance in certain aspects of that trade, but lacks the required experience in other aspect(s) of that trade. For example, an applicant for a Certificate as a Floor Covering Installation Contractor may have the required experience in laying carpetv and/or tiles, but not wood flooring. Each staff level decision to restrict a Certificate shall be final unless reversed or modified by the CLB upon appeal by the certificate holder. 2.11. Emergency Restricted Certificates of Competency. In the event of a declaration of a state of emergency in Collier County by the Collier County / Board of County Commissioners or in the City by the City Council, in which substantial damage E......~ COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS PERMIT PERMIT #: ISSUED: MASTER #: 2008081339 12-05-08 BY: MURPHYLINDA COA #: PERMIT TYPE: SEWL APPLIED DATE: 08-27-08 VALID #: 339 APPROVAL DATE: 12-05-08 JOB ADDRESS: 241 HARBOR PL N JOB DESCRIPTION: REPL. 100' SEWL WI 16' PANELS 12"X16" CA JOB PHONE: (239)394-8194 SUBDIVISION #: 807 - Goodland Heiahts Amended BLOCK: 6 FLOOD MAP: 0025 ZONE: D ELEVATION: FOLIO #: 0000046273160003 SECTION-TOWNSHIP-RANGE]8 52 27 LOT: 11 OWNER INFORMATION: WEBSTER, SIDNEY W=& EVELYN D PO BOX 213 CONTRACTOR INFORMATION: MARCO MARINE CONSTRUCTION, INC. P. O. BOX 1247 GOODLAND, FL o 341400213 MARCO ISLAND,FL 34146- CERTIFICATE #: 26439 PHONE: ( 239) 394 - 819 4 FCC CODE: 999 - EXPRESs/NON-RESIDENTIAL OTHER CONSTRUCTION CODE: 10 I OTHER JOB VALUE: 12,000.00 TOTAL SQFT: SETBACKS FRONT: SEWER: CONTACT NAME: CONTACT PHONE: REAR: LEFT: SEPTIC WATER: MARCO MARINE CONSTRUCTION (239) 394-8194 RIGHT: WELL Per Collier County Ordinance No. 2002-0], as it may be amended, all work must comply with all applicable laws, codes, ordinances, and any additional stipulations or conditions of this permit. This permit expires if work authorized by the permit is not commenced within six (6) months from the date of issuance ofthe permit. Additional fees for failing to obtain permits prior to the commencement of construction may be imposed. Permittee(s) further understands that any contractor that may be employed must be a licensed contractor and that the structure must not be used or occupied until a Certificate of Occupancy is issued. NOTICE: PRIOR TO THE REMOVAL OF ASBESTOS PRODUCTS OR THE DEMOLITION OF A STRUCTURE, FEDERAL AND STATE LAWS REQUIRE THE PERMITTEE (EITHER THE OWNER OR CONTRACTOR) TO SUBMIT A NOTICE OF THE INTENDED WORK TO THE STATE DEPARTMENT OF ENVIRONMENTAL PROTECTION (DEP). FOR MORE INFORMATION, CONTACT DEP AT (239) 332-6975. [n addition to the conditions of this permit, there may be additional restrictions applicable to this property that may be found in the public records ofthis county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. r.:..l \' , \ " , , E.;\' BOARD OF COUNTY COMMISSIONERS Collier County, Florida Petitioner, vs. Case No. 2009-1 James G, Schuck D/B/A Marco Marine Construction, Inc. Respondent(s), STIPULA TION/AGREEMENT COMES NOW, the undersigned, James Schuck, on behalf of himself or as representative for Respondent enters into this Stipulation and Agreement with Collier County as to the resolution of Notice of Hearing in reference (case) number 2009-1 dated the 21st day of January, 2009. In consideration of the disposition and resolution of the matters outlined in said case number 2009-1, for which a hearing is currently scheduled for January 21, 2009; to promote efficiency in the administrative complaint process the parties hereto agree as follows: 1) The violations noted in the referenced Administrative Complaint are accurate and I stipulate to their existence. THEREFORE, it is agreed between the parties that the Respondent shall; 1) Pay operational costs in the amount of $500.00 incurred in the prosecution of this case within 60 days of this hearing. 2) Pay civil penalty in the amount of $5000.00, within 60 days, for count one. 4.1.11- Failure to maintain at all times, with an insurance company authorized to business in the State of Florida, the limits of liability and other categories of insurance as required by this ordinance. 3) Pay civil penalty in the amount of $1500.00, within 60 days, for count two. 4.1.18- 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. 4) Serve a probationary period of 12 months, in which any violation of Ordinance 2002-21, as amended, would result in the immediate suspension of Collier County Certificate #26439 and a hearing of the violation at the next scheduled Contractor Licensing Board. 5) Successfully complete an approved Business and Law test within the 12 month probationary period. 6 /2 -It!f-O~ pondent or Representative / Date I z(vz/oJ-- 'sor or Designee / Date Board Chair / Date o~..{ C;; l: 11 REV 12/1/08 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA BOARD OF COUNTY COMMISSIONERS COLLIER COUNTY, FLORIDA, Contractors' Licensing Board Petitioner, vs. Donald P. Ricci Sr. d/b/a/ Marco Marine Construction, Inc. Respondent (s) ) ) ) ) ) ) ) ) CASE NO.2009-2 ) ) LICENSE NBR.: 13520 ) ) ) ) ) ) ) ) ADMINISTRATIVE COMPLAINT The Contractors' Licensing Board of Collier County, Florida, (hereinafter Board), files this Administrative Complaint against Donald P. Ricci Sr., d/b/a Marco Marine Construction, Inc., (hereinafter Respondent), License Number 13520 and says: COUNT I 4.1.11- 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. COUNT II 4.1.18- 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. COUNT III It is determined that the above stated charges are grounds for disciplinary action under Ordinance 90-105 of Collier County, Florida, as amended. ~ I Dated: IL, \ , Director or his/her Designee Collier County Bldg. Review & Permitting Summary Case 2009-2 Donald P. Ricci Sr. d/b/a! Marco Marine Construction, Inc. Marco Marine Construction, qualified by James G. Schuck (certificate # 26439) and Donald P. Ricci Sr. (certificate # 13520), knowingly conducted business operations from approximately December, 2007 to December 2,2008 with no Worker's Compensation insurance or required USLS&H (Longshoreman's Insurance). Both qualifiers acknowledge the lack of coverage during this time period. On November 25,2008 I, Ian Jackson, observed the construction of a seawall in process at 241 Harbor PI. N. on Goodland. While on-site, research showed a building permit still under review (not issued). On December 5,2008 the building permit for the construction of this seawall was issued. This fact is acknowledged by both qualifiers of Marco Marine Construction. Table Of Contents Case 2009-2 Donald P. Ricci Sr. d/bla! Marco Marine Construction, Inc. Ell E2- Formal complaint E3 I E4- Certificate detail report E5- Hand delivered Notice of Hearing E6- Section 2.8 of Ord. 2006-46, Insurance Requirements E7- Permit for seawall at 241 Harbor PI. N. E8-Ell- Photos of seawall construction site from November 26,2008. E12- Stipulation agreement signed by Donald Ricci. CONTRACTORS' LICENSING BOARD 2800 N. HORSESHOE DRIVE NAPLES,' FLORIDA 33942 COMPLAINT NUMBER ZLro4~I. COMPLAINANT: ANY PERSON WHO BELIEVES THAT A CONTRACTOR HOLDING A STATE CERTIFICATION OR CERTIFICATE OF COMPETENCY HAS VIOLATED COLLIER COUNTY ORDINANCE NUMBER 90-105, AS AMENDED, .MAY SUBMIT A t.'AORN COMPLAINT TO THE CONTRACTOR LICENSING SUPERVISOR, OR HIS/HSR , DESIGNEE. THE COMPLAINT SHALL BE IN SUBSTANTIALLY THE' FORM PRESCRIBED BY THE CONTRACTOR LICENSING SUPERVISOR. THE COMPLAINANT SHALL PAY A FEE OF $50.00, TO pEFRAY THE COSTS OF ADMINISTERING THE COMPLAINT, AT THE TIME OF FILING THE COMPLAINT. THE COMPLAINING PARTY S~L 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 11~O~' AGAINST: C~NTRACTOR' S ' ~AME: Thl~U ? t\(Li SIC ' BUSINESS NAME :,}icttJ'(O M6\'n\~l ~U1~trV(.~(d~ll\If1L , LICENSE NUMBER IF KNOwN: \351.D COLLIER CO . COMPETENCY ##: 135lD PHONE: J14- 81~4 .CONTRACTOR'S EUSINESS ADDRESS: \ 151 ~0:~ ~0G\'('(\l ~l ~~n~, \S\C'vyJ; ~ ~4\tr FILED HOME PHONE:----- NAME: ADDRESS: BUS. PHONE:Z.5Z.-Z~S\ ADDRESS WHERE WORK CITY: &o-rd lo~V'(,~ COUNTY Cel \ltl DATE JOB STARTED b.~rt li~1lI! DATE JOB COMPLETED OR NEW HOME OCCUPIED ----- DATE OF CONTRACT - " , WERE THERE PLANS AND SPECIFICATIONS? --- IS THERE A WRITTEN CONTRACT':' .- IF YES, AMOUNT OF CONTRACT -- HAS CONTRACTOR BEEN PAID IN FULL?'-::-- IF NOT, WHAT AMOUNT? i ----. WAS A BUILDING PERMIT OBTAINED?~_.u1k WHO OBTAINED BUILDING' PERMIT? ,1roH l,,~,k1JtL PERMIT II IF KNOWN z.oO~O\;\~ HAVE YOU COMMUNICATED BY LETTER WITH THE LICENSEE? '<ES ~p~ DPE~5~ FORM ~L COPIES OF " DO 'YOU HAVE HIS REPLY? '(E.S PLEASE ATTAcH TO THIS THE PURCHASE AGREEMENT, BUILDING CONTRACT, HOME IMPROVEMENT CONTRACT, COPIES OF RECEIPTS AND/OR CANCELED CHECKS AVAILABLE AND ANY ADDITIONAL EVIDENCE TO SUBSTANTIATE YOUR ALLEGATIONS. LIST ANY SUBSECTIONS OF SECTION 4 OF COLLIER COUNTY ORDINANCE NUMBER 90-105, AS AMENDED, WHICH, IN YOUR DPINION, HAVE BEEN VIOLATED BY THE CONTRACTOR WHICH IS THE SUBJECT OF THIS COMPLAINT, (LIST SUBSECTION NUMBER) 4.1,18- 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. 4.1.11- 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, PLEASE STATE THE FACTS WHICH YOU BELIEVE SUBSTANTIATE YOUR CHARGE OF MISCONDUCT AGAINST THE SUBJECT CONTRACTOR:~ (LIST FACTS SEPARATELY FOR EACH . S UBSE CT I O~ ~B ER ABOVE) </ .I.I~ - II \JJ~~ ~h\t r~J C~D5kuJ"!. 'It 9il VIol \ III rroltls iAJI{j, . f.rll'l\- \I,Jlt r~.v"'.'ll\O\ l'i'i'''t, I"l.~~! \if. ~\u.l Sr a'!.~~IM\~~J ~ k(!\J.~i e~~ . ~ l^,&.M'+ \':MJ ~lf6~'. . .fJJj- '~\J<\\lCtt,~~ y, KIUi SLo,' K(\~IAJ~l, rlOwL41 ~l~Sl\'~,"S' (~~UC\tl'~~ -'om atUlorn'JJrm~L , \, 0 II \ 1)J~Ml\1x,LC1n ~ 1Y~:1I'I1~t(. Z'Jlaoe. 0 0 _ (IF ADDITIQNAL SPACE I EDED, USE SEPARATE SHEET) STATE OF o COUNTY OF Uc~,{ . CI" L.i SIGNATURE) rl"h and subscribed before me this~day of ~OO 8. .:r..' \ 1:),.' , 7'9-, by (\ n \. () 0 ~ () n I . . (name of person making statement) ~rn to (or affirmed) f" 0ram bf"r $I) Off\: Notary Public State of Florida JenniferEBlanco My Commission 00514564 Expires 0210512010 PRINT, TYPE OR STAMP COMMISSIONED NAME OF NOTARY PUBLIC) Personally known~or Produced identification Certificate Detail Report CDPR2305 - Certificate Detail Report CERT NBR QUALIFIER NAME 13520 DONALD P. RICCI SR. DBA MARCO MARINE CONSTRUCTION, INC DETAIL STATUS ACTIVE CLASS CODE CLASS DESC 4240 MARINE SEAWALL & DOCK CONSTRUCTION STATE NBR ORIG ISSD DATE 6/8/1981 STATE EXP DATE RENEWAL DATE COUNTY COMP CARD COUNTY EXP DATE EXPIRE DATE o llMCC 9/30/2009 COUNTY OL EXEMPT N CNCL DATE COUNTY OL NBR COUNTY OL EXP DATE 801460 9/30/2009 OTH OL NBR OTH OL EXP DATE REINSTATE DATE 12/28/2007 DBA PHONE (239)394-8194 FAX (239)394-3163 MAILING ADDRESS P. O. BOX 1247 PHYSICAL ADDRESS 1757 SAN MARCO RD MARCO ISLAND FL 34146- MARCO ISLAND FL 34145 LIABILITY INSURANCE COMPANY LUTGERT INS-MARCO EXP DATE 10/28/2009 PHONE (239)394-7575 EFFECTIVE DATE 10/28/2008 POLICY NUMBER N5JH24120 CNCL DATE INSURANCE LIMITS 2,000,000 WORKERS COMPENSATION INSURANCE WC EXEMPT N COMPANY LUTGERT INS-MARCO EXP DATE 12/2/2009 PHONE (239)394-7575 EFFECTIVE DATE 12/2/2008 POLICY CNCL DATE :ollier County Board of County Commissioners :D-Plus for Windows 95/NT Printed on 12/23/20 12:37:17PM Page 1 CDPR2305 - Certificate Detail Report WC538562l BOND INSURANCE COMPANY LUTGERT INS-MARCO EXP DATE 12/2/2009 PHONE (239)394-7575 EFFECTIVE DATE 12/2/2008 POLICY WC5385621 CNCL DATE INSURANCE LIMITS 1.000.000/ USLS& H LAST UPDATE DATE 12/16/2008 LAST UPDATE USER WRIGHT M PREV UPDATE DATE 12/2/2008 PREV UPDATE USER WRIGHT M :ollier County Board of County Commissioners :0- Plus for Windows 95/NT Printed on 12/23/20 12:37:17PM Page 2 COLLIER COUNTY BUILDING REVIEW & PERMITTING CONTRACTOR'S LICENSING 2800 N. Horseshoe Drive · Naples, Florida 34104 · (239) 403-2432 · Fa.x (239) 403-2469 Hand Delivery I Date: It 5[0& Donald P. Ricci Sr. P.O. Box 1247 Marco Island, PI. 34146 t::z C=C;/" 0 " 7",~/" RE: Complaint filed against you by Collier County Contractor Licensing Dear Mr. Ricci A complaint has been filed against you by the above referenced individual. A hearing of this complaint will be held by the Contractors' Licensing Board on January 21,2009 at 9:00 AM in the Board of County Commissioner's Room, Third Floor, Administration Building (W. Hannon Turner Bldg.), at 3301 East Tamiami Trail, Naples, Florida. Your presence before the Contractors' Licensing Board is required at this time. The packet you will receive 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 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 Section number(s) 4.1.11 and 4.1.18 of Ordinance # 2002-21, as amended, the range of disciplinary sanctions which may be imposed are from an oral reprimand to a suspension or revocation of your Collier County Certificate #13520 and/or suspension or revocation of your permit privileges against your state license # N/ A ~ Ian Jackson Licensing Compliance Officer phone# 239-252-2451 c o l~ e y c o << '" t .v .-- --. - 2.8. Insurance. All licensed contractors shall maintain liability and other categories of insurance, as required by Florida law, at all times. Such insurance shall be with an insurance company authorized to do business in the State of Florida. The minimum limits of liability insurance required shall be not less than $100,000 for bodily injury and $25,000 for property damage or any higher minimums as required by Florida law. All licensed contractors shall maintain applicable Workers' Compensation insurance as required by Florida law and/or federal law, including, but not limited to, the provisions of the Federal Employers' Liability Act, the Longshoremen's & Harbor Workers' Compensation Act, the Defense Base Act, or the Jones' Act. 2.9. Dormant Status. 2.9.1. Any person or firm that holds a valid Collier County/City Certificate of Competency may place the Certificate of Competency on dormant status during which time said person or firm/entity shall not engage in contracting in Collier County, but may retain the certificate on a dormant status basis provided timely payment is made of an annual renewal fee as set forth in Section 2.1.5 of this Ordinance and applicable resolutions enacted by the Collier County Board of County Commissioners. 2.9.2. Persons or business organizations desiring to renew dormant certificate may do so by complying with the requirements of Section 1.4 of this Ordinance relating to renewals. 2.10. Restricted Certificates of Competency. The Contractors' Licensing Supervisor or designee may issue a Restricted Certificate of Competency to an applicant for a certificate in a particular trade, which Certificate is restricted to certain aspects of that trade where the applicant has satisfactorily demonstrated that he/she is qualified under this Ordinance in certain aspects of that trade, but lacks the required experience in other aspect(s) of that trade. For example, an applicant for a Certificate as a Floor Covering Installation Contractor may have the required experience in laying carpetp and/or tiles, but not wood flooring. Each staff level decision to restrict a Certificate shall be final unless reversed or modified by the CLB upon appeal by the certificate holder. 2.11. Emergency Restricted Certificates of Competency, In the event of a declaration of a state of emergency in Collier County by the Collier County / Board of County Commissioners or in the City by the City Council, in which substantial damage COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS PERMIT PERMIT #: ISSUED: MASTER #: 2008081339 12-05-08 BY: MURPHYLINDA COA #: PERMIT TYPE: SEWL APPLIED DATE: 08-27-08 VALID #: APPROVAL DATE: 339 12-05-08 JOB ADDRESS: 241 HARBOR PL N JOB DESCRIPTION: REPL. 100' SEWL WI 16' PANELS 12"X16" CA JOB PHONE: (239)394-8194 SUBDIVISION #: 807 - Goodland Heiqhts Amended BLOCK: 6 FLOOD MAP: 0025 ZONE: D ELEVATION: FOLIO #: 0000046273160003 SECTION-TOWNSHIP-RANGE 18 52 27 LOT: 11 OWNER INFORMATION: WEBSTER. SIDNEY W=& EVELYN D PO BOX 213 CONTRACTOR INFORMATION: MARCO MARINE CONSTRUCTION. INC. P. O. BOX 1247 GOODLAND, FL o 341400213 MARCO ISLAND,FL 34146- CERTIFICATE #: 26439 PHONE: ( 239) 394 - 819 4 FCC CODE: 999 - EXPRESS/NON-RESIDENTIAL OTHER CONSTRUCTION CODE: 10 / OTHER JOB VALUE: 12.000.00 TOTAL SQFT: SETBACKS FRONT: SEWER: CONTACT NAME: CONTACT PHONE: REAR: LEFT: SEPTIC WATER: MARCO MARINE CONSTRUCTION (239)394-8194 RIGHT: WELL Per Collier County Ordinance No. 2002-01, as it may be amended, all work must comply with all applicable laws, codes, ordinances, and any additional stipulations or conditions of this pennit. This pennit expires if work authorized by the pennit is not commenced within six (6) months from the date of issuance of the pennit. Additional fees for failing to obtain pennits prior to the commencement of construction may be imposed. Pennittee(s) further understands that any contractor that may be employed must be a licensed contractor and that the structure must not be used or occupied until a Certificate of Occupancy is issued. NOTICE: PRIOR TO THE REMOVAL OF ASBESTOS PRODUCTS OR THE DEMOLITION OF A STRUCTURE, FEDERAL AND STATE LAWS REQUIRE THE PERMITTEE (EITHER THE OWNER OR CONTRACTOR) TO SUBMIT A NOTICE OF THE INTENDED WORK TO THE STATE DEPARTMENT OF ENVIRONMENTAL PROTECTION (DEP). FOR MORE INFORMATION, CONTACT DEP AT (239) 332-6975. [n addition to the conditions ofthis permit, there may be additional restrictions applicable to this property that may be found in lhe public records of this county, and there may be additional permits required from other governmental entities such as water nanagement districts, state agencies, or federal agencies. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PA YING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. BOARD OF COUNTY COMMISSIONERS Collier County, Florida Petitioner, vs. Case No. 2009-2 Donald P. Ricci Sr, D/B/A Marco Marine Construction, Inc. Respondent(s), STIPULA TlON/AGREEMENT COMES NOW, the undersigned, Donald P. Ricci Sr., on behalf of himself or as representative for Respondent enters into this Stipulation and Agreement with Collier County as to the resolution of Notice of Hearing in reference (case) number 2009-2 dated the 21st day of January, 2009. In consideration of the disposition and resolution of the matters outlined in said case number 2009-2, for which a hearing is currently scheduled for January 21, 2009; to promote efficiency in the administrative complaint process; and to obtain a quick and expeditious resolution of the matters outlined therein the parties hereto agree as follows: 1) The violations noted in the referenced Administrative Complaint are accurate and I stipulate to their existence. THEREFORE, it is agreed between the parties that the Respondent shall; 1) Pay operational costs in the amount of $500.00 incurred in the prosecution of this case within 60 days of this hearing. 2) Pay civil penalty in the amount of $5000.00, within 60 days, for count one. 4.1.11- Failure to maintain at all times, with an insurance company authorized to business in the State of Florida, the limits of liability and other categories of insurance as required by this ordinance. 3) Pay civil penalty in the amount of $1500,00, within 60 days, for count two. 4.1.18- 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. 4) Serve a probationary period of 12 months, in which any violation of Ordinance 2002-21, as amended, would result in the immediate suspension of Collier County Certificate #13520 and a hearing of the violation at the next scheduled Contractor Licensing Board. 5) Successfully complete an approved Business and Law test within the 12 mQ1lth. nrobationary period. - ~.\ r;~ ,J I' '. . _...-- ~ '2 7 ',?' /lta!'z' r C; c: c-.<J:/ 2 - "'7- 08 / -> x I <,...:/ ~ Respondent or Representative / Date'! Supe~!..or-'Designee / Date ,"" Board Chair / Date o~...( G E:1l.. REV 12/1/08 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA BOARD OF COUNTY COMMISSIONERS COLLIER COUNTY, FLORIDA, Contractors' Licensing Board Petitioner, vs. Todd A. Grup D/B/A T.AG. Professional Carpentry LLC. Respondent (s) ) ) ) ) ) ) ) ) CASE NO.2009-3 ) ) LICENSE NBR. :26457 ) ) ) ) ) ) ) )" ADMINISTRATIVE COMPLAINT The Contractors' Licensing Board of Collier County, Florida, (hereinafter Board), files this Administrative Complaint against Todd A. Grup d/b/a T.AG. Professional Carpentry LLC., (hereinafter Respondent), License Number 26457and says: COUNT I 4.1.2- 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 Contractor's Licensing Board. ;I COUNT II COUNT III COUNT IV COUNT V It is determined that the above stated charges are grounds for disciplinary action under Ordinance 90-105 of Collier County, Florida, as amended. Dated: Director or his/her Designee Collier County Bldg. Review & Permitting Summary C.L.B. - 2009-3 Todd A. Grup - d/b/a: T.A.G. Professional Carpentry L.L.C. On December 19th, 2008, I, Rob Ganguli, Collier County License Compliance Officer made a field observation at a jobsite at 6080 Dogwood Way in Golden Gate of carpentry work consisting of installation of roof trusses on an addition to the rear of the single family home being built under Owner/Builder permit # 2008062042. The three workers on site stated they were employed by T.A.G. Professional Carpentry and provided a business card for Todd A. Grup. My onsite research revealed an delinquent certificate # 26457 issued for Cabinet Installation Contractor. Further research revealed that Mr. Grup had scheduled the examinations for Roofing Contractor, and Carpentry Contractor several times, but had been unsuccessful in passing either test. This activity construes a violation of Collier County Ordinance 2006-46, section 4.1.2 which regulates "contracting to do any work outside of the scope of his/her competency". C.L.B. 2009-3 Todd A. Grup d/b/a - T.A.G. Professional Carpentry L.L.c. Table of Contents: . E 1 / E2 - formal complaint. . E3 - certificate detail report. . E4 - notarized statement from homeowner. . E5 - notarized statement from CBC #059162 Jack D. McNair. . E6 - business card presented by on-site workers when asked about their employer. . E7 - copy of notice of hearing personally served, and acceptance refused by respondent. . E8 - copy of notice of hearing sent Certified Mail. . E9 - photo of jobsite. . E 1 0 - photo of j obsite. . Ell - photo of jobsite. ~tr~gb~ " ,)/ ,~ CONTRACTORS' LICENSING BOARD ,., 2800 N. HORSESHOE DRIVE NAPLES,' FLORIDA 33942 COMPLAINT NUMBER d-OD' 'I -' '3' COMPLAINANT: ANY PERSON WHO BELIEVES THAT A CONTRACTOR HOLDING A STATE' CERTIFICATION OR CERTIFICATE OF COMPETENCY HAS VIOLATED C('1LIER COUNTY ORDINANCE NUMBER 90-105, AS AMENDED, ,MAY SUBMIT A t,WORN COMPLAINT TO THE CONTRACTOR LICENSING SUPERVISOR, OR HIS/H~R DESIGNEE. THE COMPLAINT SHALL BE IN SUBSTANTIALLY THE' FORM PRESCRIBED BY THE CONTRACTOR LICENSING SUPERVISOR. THE COMPLAINANT SHALL PAY A FEE, OF $50.00, TO pEFRAY THE COSTS OF ADMINISTERING THE COMPLAINT, AT THE TIME OF FILING THE COMPLAINT. 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 O~ TYPE AND RETURN SIGNED COPIES OF THE COMPLAINT. IJ.. ! d-"! /0 '& I DATE AGAINST: . CONTRACTOR' oS NAME: ' {: ~ t> A - 6-12... \.l P , BUSINESS NAME:' I. A. fro' ~Ilc> F'e. ~'$,O ~L LICENSE NUMBER IF, KNOWN: d- b L/ ' 5'::r COLLIER CO . COMPETENCY II: J..b L\ S'":f ,CONTRACTOR'S BUS INES S ADDRESS: ~ 'S ~ '. PHONE: (;2 '3 q) '-Il:.~€;.- 3...1 ~ ~ ~(1.~e"YI~ L .l,.,ci. I 04 <t1- A\J'E, I'J " t-J Aft-f-S . , t=t... ~L..//08 FILED BY: NAME: C-OLLlf;Jt ~CN,..s'fy : 'c...bNT~r6rz- ADDRESS: Do ~OO ,.,i'. HD(LS4:: 'S~ Dfa.. ADDRESS WHERE WORK DONE: ~o~o L I ~~:~ I,N 6- Of-.(: ,eLf.. BUS. PHONE: (;2 ~ q I ;1 S ~ - ,).q ,q . 1) c=>c.. \)..)~ f) t,U A~t . COUNTY , C' 0 L. LIe. t2. CITY: ~ A(1<...€.. S DATE OF CONTRACT ..J/A. ' , DATE JOB A ~' '-- STARTED ()iV ot.... ~(j"t t}€.~ 11S I ).06 i I-J./A I DATE JOB COMPLETED OR NEW HOME OCCUPIED ~ . , WERE THE~E pLANS AND SPECIFICATIONS? YEti IS THERE A WRITTEN CONTRACT':, No IF YES, AMOUNT OF CONTRACT HAS CONTRACTOR BEEN PAID IN FULL?__ IF NOT, WHAT AMOUNT? WAS A BUILDING PERMIT OBTAINED?_Y- (;'Ci WHO OBTAINED BUILDING! PERMIT? t')f/tJIJEL JBUIC_OE.(LPERMIT # IF KNOWN d-()O "o~;l..QCo/O\ , I HAVE YOU COMMUNICATED BY LETTER WITH THE LICENSEE? e..~ \ "f"~i'>f':ift' ;;;;~~p ,/ . . DATE .. ., DO 'YOU HAVE HIS REPLY? PLEASE ATTAcH TO THIS .' " FORM ~L COPIES OF THE PURC~E AGREEMENT/BUILDING CONTRACT, HOME IMPROVEMENT CONTRACT, COPIES OF RECEIPTS AND/OR CANCELED CHECKS AVAILABLE " , AND ANY ADDITIONAL EVIDENCE TO SUBSTANTIATE YOUR ALLEGATIONS. LIST ANY SUBSECTIONS OF SECTION 4 OF COLLIER COUNTY ORDINANCE NUMBER 90-105, AS AMENDED, WHICH, IN YOUR 'OPINION, HAVE BEEN VIOLATED BY THE CONTRACTOR WHICH IS THE SUBJECT OF THIS COMPLAINT, (LIST SUBSECTION NUMBER) 4.1.2- 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 Contractor's Licensing Board. PLEASE STATE THE FACTS WHICH YOU BELIEVE SUBSTANTIATE YOUR CHARGE OF MISCONDUCT AGAINST THE SUBJECT CONTRACTOR:~ (LIST FACTS SEPARATELY FOR EACH 'SUBSECTION NUMBER ABOVE) rE~~(LMt~& . , C.Afi.PE-to..Jt"~ (' ::i:N~TA-L..<-A-'\ION Df: K~F' T<<-.uss~~) u,uDE-tL ~ ~Al'" N- r.:T IN S'l A u...'" II" ... \ CJ:; ~ l' F' ~~ 0 ~ CJ:,AA~L'TE- N~ , ( (IF ADDITI~NAL SPACE IS STATE OF f= L.O ~ , DA ,COUNTY OF c...- (;) Ll.. , r;..ct Sworn to (or affirmed) and subscribed before me this day of , 19_, by . (name of person making statement) SIGNATURE OF NOTARY PUBLIC PRINT, TYPE OR STAMP COMMISSIONED NAME OF NOTARY PUBLIC) Personally known or Pr~duced identification E-J- Certificate Detail Report CDPR2305 - Certificate Detail Report CERT NBR QUALIFIER NAME 26457 TODD A. GRUP DBA T.A.G. PROFESSIONAL CARPENTRY, LLC DETAIL STATUS INACTIVE CLASS CODE CLASS DESC 4040 CABINET INSTALL CONTR. STATE NBR ORIG ISSD DATE 9/23/2004 STATE EXP DATE RENEWAL DATE COUNTY COMP CARD COUNTY EXP DATE EXPIRE DATE 9/30/2008 OTH OL NBR COUNTY OL EXEMPT N CNCL DATE COUNTY OL NBR 040724 COUNTY OL EXP DATE 9/3012008 OTH OL EXP DATE REINSTATE DATE DBA PHONE (239)594-7657 FAX (239)594-7657 MAILING ADDRESS 659 - 104TH AVE. N. PHYSICAL ADDRESS 659 - 104TH AVE. N. NAPLES FL 34108- NAPLES FL 34108- LIABILITY INSURANCE COMPANY FLORIDA CHARTERED INSURANCE GROUP EXP DATE 11/12/2009 PHONE (407) 359-1009 EFFECTIVE DATE 11/1212008 POLICY NUMBER 0424599 CNCL DATE INSURANCE LIMITS 2000,000 WORKERS COMPENSATION INSURANCE WC EXEMPT N COMPANY FLORIDA CHARTERED INSURANCE GROUP EXP DATE 10/28/2009 PHONE (407)359-1009 EFFECTIVE DATE 10/28/2008 POLICY CNCL DATE :ollier County Board of County Commissioners :D-Plus for Windows 95/NT Printed on Page 12/19/20 . 2: 30: 41 PM 1 E:-s ---- COMPLIANCE SERVICES STATEMENT FORM i name is: C- E..-~ fC", , A. _ UYTC~3'~ I live at: ('Jo~r),_.Dc.6-w~-bJ^f I0At'c....E.~ f'L..- .?>.4"r '{ c- (Jtc/ J.'l.-o- ~J-::f;) y phone number is: ~ - (..l.V~? ~. ef.=> 1\(" A,!:;l, My' social security # is: y date of birth is: "I - T , My driver's License # is:_?!.. <..27.<;(1 f61 C;q l:feD t. H,~ R. t-JM<..f..~) f"L. ~ )^-JOE R - ~N€R_ J P-.Vll DEl2 QElLl'A.\T r f?-L<"'~E:N~ tc:'~O ~Gk'J&ob WAItt' I 4=\- ~'t 0., Lf ,,(_ ~T I A'f T u ;oJ i)~ H-E-1Lf- (?, v A-f~ \ ~ r T "1H-A-Tl. t;jA-:;. f~ V~"-()AL A.C~(LE~Il.-{~~ ~tTtt ~f)b, A~ ,{l\uQ I 0 e€.Rf-<~(4v.. 0A'O-DEN'i\t-1 l>.. \~fLK (\1. ') TJ-\-E (<. E A~ ^' bf)t'\Ioo.. \ ~(),-....j'\'TK {')~l~ To M"I (LE ~ r {)t:.J0~.. I ()- (L0 P A ~rLE E:J) 'T~ pf2&-U" I 0 E- lfHS ' LA-p.,C/~ Fl:I(L 'T1+E :\o~ AI0f) Gvc1'Eh K " Tr\t:0 S'I'\ ".J I) t>CLLAJ~S '1'6 . fEfLf=~ 'TrtE... .00<1 A-<..JA-~ rt+E:.. E-Yt~'E.^-.l~ T (' U/(. A. r\R . C' All {> E t\.) <r Jt.\J " I A Fc..w ,10 ~ C" ~T)U.(. ~ 1.,(,) r , J-\ JA~ k ItA c: ^-J,Id'P-. dR ,u{ ~ UA~vt (J)'U.Yj,\ 1Ll)~/DW L ~ L...C ~ A LTHC'Ur;-l-\- M fl-... G-tLu{' HAD C"O"1A-\\U..EN'~.Jt_t) w{Jf...tx ~~ ,u.y ")0 f-, ~ "IE t-J e C ~ f E: to "'''''T, ~ "'-J J..l...4. f) "E '\ R LE:-10 Ti2-A ^-J~ FE k~t=-b . f )( ~ -~ :n bc.~ 4 S- STATE OF FLORIDA COUNTY OF COLLIER The foregoing statement ~as acknowledged before me this Q3 day ofTecem~r-, ;;J~ by (''1'0.: ~ 1\.. L~r.. who has produced.J:L,"i)L, l3S0 \0\ 5~ no 0 as identificat nand W 0 dld (did not) take an oath. of Notary Public) .... c.. rint Name of 0 ary Public) OTARY PUBLIC Serial/Commission # My commi'ssion Expires: 4 '-.".. "lot.. Notary Public state of FIoIItlll ~~. 'f. Joann Greenb8f'll . . My commissiOn 00600474 ~ C ,J Expires 0411I81201 1 ~",....' - --- (NOTARY'S SEAL) E-L{: ~ COMPLIANCE SERVICES STATEMENT FORM (c... B .Co- -:ft oS-q I b")"') '{ name is: J A~ "b .M ~ t-J AI R, _ J f0... (' D I'\r(t C:\'">\J'S''\ R.I..)~'~~ L.L C , live at: ~~ ol4 IV. ct;.J s ~ -- ~ w-, C~l.....s~ vll.-L.E:. fL,,,; _ l,~acS 'I I r y phone number is: ~+t,e1 ') d5"S - ~s C). " / My' social security # is: - - - -- ~ <=( y date of birth is: ;,)/~~/,'~IJ' My driver's License # is:_ ~ oday is (Mo./dt/yr) 11-;:;,'110.'1 I am at e.e"'-.}'D'1-A.~DK {,u=.No;:,~,(..'f)f'FI~ , , ' I I ~::t 'i>C)-e IV. rr\ c-lZs E ~1--M E. t>.t.. ~ N 4,ft.Xo t; f-L ,alking to 'Z.kJVf:., r,<r(A-\~ R 'tGo-tl.. G-A-Io. "...,'u , regarding , Ce.oJf'C-V\L.'f" Fr.-c't W1!'1~L<.. f\~r--'\f'-D Fe~ ~E: ~'-<.j7\)E:K. 011'fl..(- L~lre"';:' Al (;.0 "be) Dtt"H-0l:lCrf) v0A-j .,,i.:.:JOF 11 ("').v~fn I BtJ:d)['17 P6t:..",'J\ " I ~ ,.;l.oc~ o6.~ 04.;;1. . :c:: ::fA'Ll:<. D. M c.. ~^ I t2.. '"P... ont. f--R... Q, r A-t=-F\ tUvI.' T f+A.T t-Jo ~T~ E:..X\ ';'\<:, (')(2.. ~<;: E.\JE-Q E..)(.J <;'ff=:1) FoR. M~I0A-IR C"ro,U",-r-ftU~I~ L.l-.~. e...P,<:,- ~t;ct l~~ / ~OLLlF-rt , C-svr..:J"f C\ ~~\I f"I ~ ~ ~ q. "2,~C;- TO PE:-4Z-f=~/2JU.. .Al0.y CF Wa-Rt.<. AT Tt\-E I~E.... t*>F c..~,(__ LA"'\D~ , D6-er- Wnr-:,-{) lAJ Af' ' f0A-'O L-E..<; I t-L. ")l I ( I <0 . ~-+-e- T H-1't.EE. . f.A.) o~t.-<E-.yZ, ~ t:>, ':;C'.mJC tL€..t\ ~,..:; 'TPd ,~ JC,r,s'r1: I Fe:f) t=-K I ~ ~(Lll z.. I rs. M. AIL M 'E-f-.,; ()o-c.^A,rv D ~~ ltC-€: rL{ ~ () t,:Z:A- I ^ t'2--F_ f'-J cT. AN l) ~ \J I=- ~ E:\J €-Q & f::.~t\) f'l1\J A- N Y , EM.. fLC,/'EJ:- Lr=:.f1,,-.; r N (.- tu'S''\EIC.. f6 f( tV\. ~lV4trt c:.c,\J'SIIL\Jc.9,0N 'l-.L..~ ~ "11 (lE 1'\-, tCC>~ ~ft/372~/6~ STATE OF FLORIDA COUNTY OF COLLIER The foregoing statemel1t was acknowledged before me this ,J3 day of 'Dc'coet1l~r- , f}oo'1/ by '\."'{\( i). 1Vlc'f'{Ot:r JL who has producedn.L>L.'m..;l!'){.,'</d4.G,I'4(,,;:>.D as identification and who did (did not) take an oath. Public) -~ I''''''~' i\ Notary PUblic Slate of FIol1ll. - . . Jo8nn GrHnberg '\ ;I My Commilsion D0680474 ! .A.:: '" ExpiI'llS 04108I201 -... ... <<.nb~..' Name of Notary Public) OTARY PUBLIC erial on Expires: (NOTARY'S SEAL) ~-~ -,. Complete Renovation Specialists for Commerical,Residential, Over 25 Years in Business, New Construction, Remodeling, Additions, Custom Millworks, Cabinetry and Complete Service for Repair. / r r ~-b COLLIER COUNTY BUILDING REVIEW & PERMITTING CONTRACTOR'S LICENSING 2800 N, Horseshoe Drive · Naples, Florida 34104 · (239) 403-2432 · Fax (239) 403-2469 HAND DELIVERED ')':2"1/c~ ~~~C!~ ~-dJJ (U. Fu~ eJ) _ !Js .A"f4 ~O' Date: 12/23/08 pi''''' Todd A. Grup d/b/a - T.A.G. Professional Carpentry L.L.C. 659 104th Ave N. Naples. FL. 34108 - RE: Complaint filed against you by the Collier County Contractor Licensing Office. Dear Todd A. Grup: A complaint has been filed against you by the above referenced individual. A hearing of this complaint will be held by the Contractors' Licensing Board on January 2 I st, 2009 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. Your presence before the Contractors' Licensing Board is required at this time. The packet you will receive 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 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 Section number(s) 4.1.2 of Ordinance # 2006-46 the range of disciplinary sanctions which may be imposed are from an oral reprimand to a suspension or revocation of your Collier County Certificate # 26457 and/or suspension or revocation of your permit privileg against your state license # N/ A~ /,~~j. relY'~, ' ~, -', ......... " R:" Ganguli ; Licensing Compliance Officer Phone # (239) 252 2914 ... c o e r c o u ... t .'" r:;.-';f COLLIER COUNTY BUILDING REVIEW & PERMITTING CONTRACTOR'S LICENSING 2800 N. Horseshoe Drive · Naples, Florida 34104 · (239) 403-2432 · Fa..x (239) 403-2469 CERTIFIED MAIL # 700725600001 14855933 RETURN RECEIPT REQUESTED Date: 12/23/08 Todd A. Grup '. d/b/a - T.A.G~ Professional Carpentry L.L.c. 659 104th Ave N. Naples. FL. 34108 RE: Complaint filed against you by the Collier County Contractor Licensing Office. Dear Todd A. Grup: A complaint has been filed against you by the above referenced individual. A hearing of this complaint will be held by the Contractors' Licensing Board on January 21 st, 2009 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. Your presence before the Contractors' Licensing Board is required at this time. The packet you will receive 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 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 Section number(s) 4.1.2 of Ordinance # 2006-46 the range of disciplinary sanctions which may be imposed are from an oral reprimand to a suspension or revocation of your Collier County Certificate # 26457 andlor suspension or revocation of your permit privileges against your state license # N/A~ ~ciQCe.reIY'f_7 \. ) ..- ", L -- Rob Ganguli Licensing Compliance Officer Phone # (239) 252 2914 " c o l~ e y c o u .. to .v ~-~ - - - DARK PEAK LLC 5900 W. Charleston, Suite #2 Las Vegas, NY 89146 Minutes or Director's Meeting Special Meeting MaDagers: Marcia Tinberg Charles Willey Call to Order: Date: January 03, 2005 Time: 7:00 a.m. Place: Phone Conference Call Present: Marcia Tinberg Charles Willey Quorum Present Approval of Previous Minutes: The minutes of the December 01, 2004 meeting were read and approved. Report of Managers: Marcia reported that the contract had been executed for the rental property at 2521 Dark Peak Drive with tenant. Marda reported that carpet and vinyl were being selected to up-grade property at 2521 Dark Peak Drive. Unfinished Business: None Page 2 (Cont.) New Business: Resolved, that Marcia Tinberg agreed to go into real estate venture with Carlos J. Meran to buy property in Lee and/or Collier counties. Approved. Resolved, to loan. Charles WiDey and Nora Willey the sum of $17,000 to be paid with interest 015% within one year. Approved. Resolved, that Marcia Tinberg on or about February 20, 2005 to buy equipment with Carlos J. MeraD for paving in Southwest Florida aDd equipment for clothing business in Florida. Approved. Adjournment: The meeting was adjourned at approximately 7:30 p.m. Next Meeting: The next quarterly meeting is scheduled on or about Marc:h 28, 2005. Respectfully submitted: '-~......; ~---:.. \.,.; \.,- DARK PEAK LLC 5900 W. Charleston, Suite #1- Las Vegas, NV 89146 Minutes of the Director's Meeting Special Meeting Managen: Mards Tinberg Charles Willey ,,-1IlflIIIIIIlll: Call to Order: Date: March 15,2005 Time: 6:00 a.m. Place: Phone Conference Can Present: Marda Tinberg Charles Willey Quorum Present ( Approval of Previous Minutes: The minutes of the January 03, 2005 meeting were read and approved. Reports of Managers: Marcia reported that new carpet and'vinyl will be installed at 2521 Dark Peak Drive in the next month. Marcia Tinberg and Carlos Merlo informed Fred L. Baietto, partner in B & W Asphalt on March 15, 2005 that Carlos Merln aDd Martia Tinberg would be doinl paving In CoUler County under Charles Willey's license. They were in the process of purchasing paving equipment and leasing it to Charles Willey under the incorporated Dame ofB & W Paving Contractors of Southwest Florida. ~ .. \.; Page 2 (Cont.) Unfinisbed Business: On or about February 20, 2005, Marcia Tinberg agreed to buy equipment with Carlos J. Meran for paving business in Southwest Florida as well as equipment for clothing business in Florida. New Business: Resolved, to enter into real estate venture witb Carlos Meran. Approved. Resolved, to enter into clothing business with Carlos Meran. Approved. Resolved, to enter into paving business under B " W Paving Contractors of Southwestern Florida. Approved. Resolved, to purchase D LeeBoy on or before April 15, 2005. Approved pending available funds. Resolved, to purthase additional equipment and/or trailers, skid steers and a mustang 2076. Approval pending avaDable funds. Adjournment: The meeting was adjourned at approximately 6:30 a.m. Next Meeting: The next quarterly meetiDg is scheduled for on or about April 04, 2005. Respectfully submitted: ~d'z<-u~ O~k'O""" B & W PAVING CONTRACTORS OF SOUTHWEST FLORIDA, INC ....'''=l 1565 !~""L 4?kAI. /J . Do? r'\" Tl) ./"':? 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'- ...063113222.... -'- 307543919t~ -. 1/16/2009 Page 1 of 1 (COWNIAL BANlt The image(s) below are for your informational purposes only and may not accurately reflect the status of the item. This is not an original document or a substitute check. "'SlVaI - CASH - II UIEPOIIT1\CKET !I CARLOS .II111E1Wt i ,. ~NQ ava w IMPLES. Fl.Ml2IJ 1108_..... l. . H' I c ~---' :---, . ~::..n:- - 3 ~7 'J~" ~ 'f"??O:J o "COLO:'I1.u' &\.'lC_ ,{ -- ~HlClIIIll'W~I"'_,'" _&T ~??lq-~l~O~ 80~~01l~1q~ "'000~81'1000'" 8 . W PAVING COHTlIACTORS OF SOUTHWEST FLORIDA, INC ""'=l 1379 l~ .A-v. ,pJ' _as' MHO ~ T)IE ''''''E'H'F C~~ ~~. . . ._ . .J s.J.J, 77'.... . . ~1- #;~r4-! J...__4-h.1s-r.tL~ a>>"::"~ " C"COLO~~"'flC.. ~ , R'R ..~--~ (i0;::/,;.d. <-:&# I~O' B l H ~ ~I: 80~0 '1l 5 ~ 5 5" l;Uq 100038110001 I: I . I I I ! ~ ~ , . ... ~ .. .. II III .. II .. i __:.....,.ol.zij . ~ .. ! t;~ '! ~ - ., ..., - .i .;.' " 12 In 'l: f ~ , Thank you for banking at Colonial Bank, ~ " <. I ~. ". ; :"~W:~~l'. ~u.7'I _ _ _ :.~.oa ~ 2 3 63 . J{:,i- '..( ':-'; ,"n;9.0t . PE!SlPIlOOKE :;1JIIf7-'~"'" '.rl3li71Q:lIJ . '" "1 ) " .. ',:. ,. d~ W:,!JI1IlIlO I\. .~_3! 1~~.:'._. 3~:;b1j3o { {~JbA:~ http:// or1905 5ncrcss/inquiry/ servletlinquiry 1/16/2009 CARLOS" MEHAN 165 JUNG BLVD W PH 239-352-5457 NAPlES. FL 34120 12-03 63-1322/631 34021 1224 l'\TE 6-('r~ :~~[T+h\+ ~t.._,?/o/ n ~ ~d:S~ I ~Cl ~~ fli/e)~k'Jred ~f1?ZEJt'1~' e I ~OWNlAL"IANICNA ~ ,1 " l Naples, Florida , 24 Hr Colonial Connection 1-877-502-2265 ~ ~ ~F I: 0 b 3 I. I. 3 2 2 21: a 0 3 b a. I. a. 0 b I. 11"1. 2 2 a. ,.1 00 0 0 2 5 2 5 0 0 1.1 CARLOS .. MERAN 165 JUNG BLVD W PH 239-352-5457 NAPLES, FL 34120 12-03 63-1322/631 34021 1227 I [c\r6-j1"C}~ l. O....,/..~ (;./k/ a?02 ~ fsvJeAJ-!;] two pl-(u~ye/J - %""" I, I,ll' ,I,] ~OL~ridaBANICNA ~ 24 Hr Colonial Connection 1-877~2265 ']~~Re;,.g~, ~ ~~ I: 0 b 3 I. I. 3 2 2 21: a 3 b a. -I. a. 0 b I. n- I. 2 2 'i' ,,10000 2 20000,.1 if:, \, -H~ l ;~~~!ii;'~f';~-~~-' ;;.',', ~_t~;{,~,':,",~~*/K'1',"-ii\'i'~~.!.f~~~~U , llilWl~"'- Tif- ~~~",-!llme'iJi'l'il: ;:'I!"~~~~~~~";'l:l;,~ CARLOS" MEHAN 165 JUNG BLVD W PH 239-352-5457 NAPLES, FL 34120 12-03 63-1322/631 34021 1226 ; )".1';:0 -/~tlf' c:2~../~- t.-t_I&/ 2&ff) ~ ., I ^ ~ ....l.P r (t\l f\ ,... . D\ ____ c;D/ I .' '., , """': A OWv ~\v~~_;:~"'~-;~L:d'_" ~ ~OWNIAL BANICIU. ~' " l Naples. Florida 24 Hr Colonial Connec:tion 1-877-002-2265 !l~ tlli. rd? f/fJA.Je'C~~ . ~ ~ 1:0 b 3 I. I. 3 2 2 21: ao 3 b a. I. 1.0 b 1.11- I. 2 2 b ~IIOOOO 2001:mo,.' jl_\Y iF "hi ~ ~l ~*i\l.i'Ji'.it::;J,-;::,eti(;:'f;;2.).'r.~.;.;'~~ .lI ,Hi!: .! l;i!\_~~~ -, 't"" ..1..1 S_I!~~~Uiil'e:j.,,'1'WZ 1401 63-1322/631 CARLOS" MERAN 12-03 34021 ~~ ;=2~~ W mTE ~,.. ~O_--~ NAPLES, FL 34120,---- ,-- . n 1;!~;~~~~DEf, OF.1V!ri tJA.J-,/C-~' un s II <to J~ ~ ~fe tie &I .-ftt;.; cLs~ ...,11// /f.lehV~~f ~~.;L ~O~~~IU. 24 Hr Colonial connection 1-877-502-2265 ~..: ~\p ~~~. CARLOS J MERAN 165 JUNG BLVD W PH 239-352-5457 NAPLES, FL 34120 12-03 63-1322 '631 34021 1228 -C>'" .,- ,~ ~ , .-fl'"l " ~ - ..) \...-' -I /J.I (, /.,.." c.:. 1..-:-./.-. .'f ~". / / F ~ - ~ / \) Iv t"_ Hf:i,J~il1__ \n: ,; /L ~ (,_, Mj '~' If', ~/C".1;t ~OLO~1AL Bl\J.~'NA ,:;? 1~24 H; colof'al C~~:~tl~~r;~:77-602-2265 (\ (~ ~, ~ -{'~ ( 'f \' ~\.(t~)':s-:s/ Vl/\t /\ IX1-'-. I: 0 b 3 J. J. 3 2 2 21: 80 3 b ~ J. ~ 0 b J.1I1 . J. 2 28 III 0 0 0 0 .... gOOD "I / 'I' .07 ('C' /" .' 1.... X/'( .. ' . 0_5.....(~:, CARLOS J MERAN 165 JUNG BLVD W PH 239-352-5457 NAPLES, FL 34120 12-03 63-1322/631 34021 1249 {- ....'~ (-~ \ . '___...J I I L/'h;,.. f..> t:4;r .PJL/;, 0;;{.: I ~, ,C( ..t\~,c:..\ '-'~. 'tM '}~l;~~i'--~h '1' \.)8) ~i ,,} IVn,.-(-,j- Z() 'i:.OLONIAL BANKNA ... l Naples, Florida ( '~ . 24 Hr Colonial Connection 1-877-602-2265 \', . ~\ ' __" c::. O~.. t??"r""'" \''-...j k.Y-..~_') ,\ /\\'-..\J~. 'v\..., I: 0 b 3 J. J. 3 2 2 21: 80 3 b ~ J. ~ 0 b J.1I1 J. 2 ~ 11 ,I' 00 0 . 2 SO 0 0 0 ,I' .. ~;;~,.),.,;;.!:,t'..,...-:,,,.,1)',?'.(:e:,,., , ~,I-I X. 65,- 1380 ~ ~: CARLOS J MERAN 165 JUNG BLVD W PH 239-352-5457 NAPLES, FL 34120 12-03 63-1322/631 34021 /'/ c., /.". ./" /, //.;" ~~ \ 'i'{1ft ...:~,,-,-\{-'...:/} / I . /. Ce; I t: .. ,-/C', ,'X >' / .-"'1- c',, ;/ C/{)e'/;fC)/t.LJ;rc/j ~)( y' I' ---:::,':' "'.J/ 'i:.OLO~1AL BANKN.A 1\" ... l Naples, Florida \ 24 Hr Col~1 Connection 1-877.602.2265 \ , \\ , '.-;-.. [;V); ~~, ,,/t-' . J,;,,~,t:i~ \:"~ i)v\.l/\./Q'~'\... ,.., I: 0 b 3 J. J. 3 2 2 21: 80 3 b ~ J. ~ 0 b J.1I1 J. 380 '" 0 0 0 0 b ~ bODO," l t f{ i ~ CARLOS J MERAN 1&5 JUNG BLVD W PH 239-352-5457 NAPLES, FL 34120 12-03 63-13221631 34021 1349 ? __/_ I (~/1f'i'/~" 1<-. ~/ r~ ~~o~: &~~ N \ t ~-L -- 7;<T 24 Hr Colonial C~~:~ti~~'ii~877::02-2265, I \\C'\' S', 'I '\: \. _ _~/:"~" (: '\...~"-"\~'i()\"'~ ; ,V\.li\.(\ f"-.. I: 0 b 3 ~ J. 3 2 2 21: 8 0 3 b'" J. L. 0 b J.1I1 J. 3 L. g ,I' 0 0 0 0 ~ 50000," 7 2} c/ ,5" -1" ('C 'l. ) C C., X.~ B & W PAVING CON""CTO~ OF SOUTHWEST F"'O"-'DI\ IF ",'...;". ' ~. "'"'" 1~i&.4Ju.,)1 34024 1113 i \IE a ''f- .;La '" '- ;,.> . !E',)ld)f'.R ,/ ~t... 47~"..~ t'~~ " ~ ~ r-/k,-,A-j~, j~.1 5' NfJ4 r~ , ('~~=~ I L't~:c~,,:~:: ~..~ 2 21,~,~~~~:. ~ 5 255111 ~ ~ ~ 1 j "M:~ -r ~;~OO-~~~~JP.t~f: B & W PAVING CONTI:Il A~ OF SOUTHWEST FLORIQA"JNC 63-13221631 34024 1109 I l\TE #,,7~ I' ~J-: 4ft.. ".?,.!"or-?_ ~ /;rt/ ~ , 6/-e- r:~~.,:. i ~.; ~./,~.) -~hfcL It i 6J ~OWNIAL BANICN.A. __ l Naples. Florida 24 Hr Coloniel Connection 1-877-502-2265 C'~..r~'f. l:obl~i'12221: 8o~0?~525511. ~~o'i ~~~ B & W PAVING CONTRACTORS OF SOUTHWEST FLORIDA, INC 63-13221631 34024 1014 !):\T~Ait'V~ .~-:: !',\Yf\ \ THE URI)EF. /' L'!;dj".,j ~r.(". &!v;, ftfOA.,)~~' 4..~r~ j; 102'.:". [!l'iL\IZ::; tD ~OW~forida BANICN.A. 24 Hr Colonial Connection 1-871-502-2265 h'j-:. :!f .,/0,.... ~w'"'" @/ M' 1:0 b 1 . ~ 1 2 2 21: 80 ~o? ~ 5 255111 ~o ~ ~ " , B & W PAVING CONTRACTORS';~j:' OF SOUTHWEST FLORIDA, INC 63-13221631 34024 1100 ....,.~ . ,p A ~ ! \\1}'" V eJ , / Y "..,r' r! C)f,~t ,_..jj~b. A-."..,.~ > /~.?..~ ;tI.:...; 'r ~".NI1 j, /., ~ ./~cl.r...1. So ")'f ~ /,,(, . j:ll!i '. F - cD ~OWNIAL ~N.A. __ l Naples. Florida 24 Hr Colonial Connection 1-871-502-2265 ~<#/(Iv' ~.d"k~r- I: 0 b :i i., i. :i 2 2 21: 8 0 ~ 0 ? i. 5 2 5 511- i. i. 0 0 IS & W t"AVINUi \,;UN I KA\,; I UK~ OF SOUTHWEST FLORIDA, INC I IV,"", l )\r1 IJ r",,;)... Z' .1.- , 'f /'" L mfJ/.J A I/o.. "o/''''''::;:J'-. A"..-'7 cL, <: j ct~... l>"';:',<,. ,.' . \l,~> A 1.:...1 ~OWNIAL BANIC..... " l Naples. Florida 24 Hr Colonial Connection 1.sn-502-2266 I ~ >;-:, 5~;" 1:0 b j ~ ~ j 2 2 21: 8o....o? ~ 5 25511- ~ ~o 5 ~*)).HR';,~~'&i~'~~~~~1i'J:::',,~ B & W PAVING CONTRACTORS OF SOUTHWEST FLORIDA, INC 63-1322/631 34024 1107 "'J at- ~..(._'" > /3,-..'.' I" ~OL~ridaBANIC..... . 24 Hr Colonial Connection l..sn-502-2266 1,:01; H B 22 2': a~::{~ 5255" r':/f " ~ / ~ rr:..- A""., .I:..;-.J c/.. //.,. 11,-t_c'\1('~ tTI ~ i ^"' I ~ ~ ~o? (:"1.!V:~~\"-,\/i.(;t~~~~l\kQ;,\1!i~H"'~ 1-~~iB.,,~-KL' ;if..~;2;': B & W PAVING CONTRACTORS OF SOUTHWEST FLORIDA, IHC 63-I~~ 1106 i. '."IT. I' "'-",.,/' /0 - /'" _ /~ _ _ tf:~_~~--- /-' L. ..fi'i2 4.. ~:rl :.-.; ~~". /s'P,' . ~;'~~ /I;-~"J~"J -;;L.. A,eel..,.../ L /j:-. n r:;J ~OLONIAL BANICItA. " l Naples, Florida 24 Hr Colonial Connection 1.sn-502-2266 f. .?'-~...-/1- ~ 1:0 b j I. I. j 2 2 21: 8o....o? ~ 5 25511- I. 1.0 b B & W PAVING CONTRACTORS OF SOUTHWEST FLORIDA, INC 63-1322/631 34024 1108 ~,_<f t!?,i..- " , ~? U72 J ~ /?7~,:.;4- /~----z,i.' U:.-.r: ;?;(~4" -:-1 ~.'" ...(,...l.-..fe..t# i\ I. ~O~ridaBANIC..... ~__---7, ,. . 24 Hr Colonial Connection 1.sn-502.2266 ~....A /, . "I c"v"'-HVj'" 1:0 b j I. I. j 2 2 21: 8o....o? I. 5 25511- I. 1.08 Rt L:... !f: \ I\/P 7". t .f GLANTZ & GLANTZ, p, A. ATTORHm AT LAW English 954.423.0086.800.290.7871 Spanish 954,423,3516.800.213.8629 7951 Southwest Sixth Street Suite 100 Plantation. FL 33324 April 3, 2008 . B& W Paving Contractors Attn: Charles Wiley 165 Jung Blvd West Naples, FL 34120 Re: Our Client: Our File #: Premises: . Ms. Lee West 487585 825 5th Street SW Dear Mr. Wiley: The Law Offices of Glantz & Glantz, P.A. is writing on behalf of Ms. Lee West with regards to issues she is having with the driveway you installed at the above referenced premises. As you should be aware from previous communications from our client, she is very unhappy with the quality of the work performed and you failure to address the condition of the driveway. Ms. West advises that she agreed to pay the amounts requested after you assured her the workmanship and materials were guaranteed for one year and that the driveway should last for about 15 years. However, after only a few months, it is deteriorating beyond reasonable expectation. Although she has contacted you several times, you have been unable or unwilling to resolve this matter as indicated in the contract. Ms. West has not waived her right to receive professional workmanship and first quality materials as she paid for. In order to resolve this matter without resorting to further legal intervention, our client demands that you inspect the driveway and take the necessary steps to correct the problems. In the alternative, you may agree to allow our client to hire another contractor to repair the driveway at your expense based on your failure to comply with the written guarantee. Your performance and/or response are anticipated within 15 days receipt of this notice but no later than April 21, 2008. Your failure to respond as demanded herein shall be considered as an intention on your part to refuse to amicably resolve this dispute. You will therefore leave us with no choice but to advise our client concerning the avenues available under the law to protect her contractual rights. PLEASE GOVERN YOURSELF ACCORDINGLY. Very truly yours, FOW/ad! cc: Ms. Lee West '.'- ~,...._--_..... ..~~." ."_ _n.__,.._.__. PIH);\rUl;;SOHY....OTE .I"'" '\)" 0(' ,p",dlJ. I ,_,u~ ff..:_.. D4l~, \)1' -h{~'",,~~,c ._ _...' of _,.~18:'L'-___ H)R V AI...UE RECEIVED. the iJ1ideISi~ncd (jo;ntl! an.J s.~v-.:rally, ~f :HOn.; that~ om:) prornises to pay :0, CARLOS MERAN, or order, in 1.1"1-: n1ul'IlCI twn:maft;;,;r spt.a:ili.r:J. :hc prmclpal ~um of, Seventy.five Thousand and 00/100 ($75,000.00) D:.)ll:y~" !sid. inklt~s[ from this dUll'..H Ihe f.!te "y Six (6~'~) Per ('~n{, Per Annum, 1m th~: ba!ltn(~e frl.)~n time!u tilh,~ le~nllininl:; unpc:id ',ht saId prltlc:pa! and mt~r.;st shall h.: pUYi"lbk In h.vfu: monc} vfth.: Umt(;d St.ttes l,fAn.leri....a al111t plac~ l\f Holder s fesid~ncy in, Napks, F1l)!'ida, or ,It "LH.:h pl..II:': as :nayij....rc\ftt!. be dc';:gnatt.:d by \\'ritkn 11;lltCl: frnUl th,.: Lioder t'J lhe :\Iaker hl.:rc'.H, -1/1 ill\: dill.: i.illd in \1'1: manner li.lliuwirlg: I He pnn;:ipai sur,\ uf,fi'5, 000.00, !ogdhc'f w;Lhillh:i"!:~,';1 :'1\ the late ,jet out !lcrdu. ~:llUi! be paid lHl vI' by, T'N.) (2) Yt\hSl frOtn the dJ!1,; of the eXI;.'\.'ution ~ll';'l.:of, \.\lth intcl'cst aCc.rlllng Jurl:1g 8i,jd period. Tr,e \~:lkt.'1 r:.;~a"e. th: light tu pay lhlS !':\)t~ ill fuP at any time with no lh:nalty .lnd \'illy iHI."~fI.:st !)wl,;d to tIle Juk d tluyr;;":I~1 Howe\er, notwilhsUlnding the abt1Vl~, 'hi:; Not(';\llJ .\H illt~r,;:,t. is :l.lt~ ,:\1d OW'IIl1d. ;n full fwo (2) year,':! from th.:: (!lit;;; of t'Xt:cutWl\ h:':CI.:01\ If defralll be made in thl~ pifyr.~ent nf ail) l)frhc :hlms Ol l!lkrcst m,:nliu'ied hef~~;n or in ~ald !lln I:"',' /!(..... (,., (CW) 1101e. or ", the pednrnlnnl'e 01 Hny cfthc agrCCl'm:ms !:on!nin~.'..j herein (,r in ~,aid jH*~ then the entire !,rlneipal sorn :hid .Jctt'ue0 i,'."re81 slwll ut th.; option of llw 110Jdcr he,reof h~comc at once due anl1 \~ollcdibk' with\lllt notice, lime being of nll~ cs"cnt.:{; awl sflid prim:ipal sum and ac(;:rucd interest shall both bear ir.terest from s\lch time until paid n: the higl,est r'lte a!1owat'lle tinder t]ie !3W<;; oflhc St(ltt~ of nr)J;da hlllm c to csc.'lcisc thi:; qllion f;;Ulllnot !,:nf\'.liltl1i:' ;l w.,lIver ()f the right t() l:XCll i..c the same in ,he event of :m)' subsequent default I',ach p(~rsOn linble hereon whl~thcr Maker or End0!"'('r, h('rd,y waivl.;s presentn1cnt. protest. r:ili('(', no~icc Ilf'protC':it dud notk(~ of dishonor (ind :lgP.~f~S 1(1 pf\Y <ill costs. induding II rea:wnab1e 'llhlrney'~~ fe\';, \-vndhcr 5\1il. tiC brought or not. lf~ alter l1111hirity of this no~c or default hereunder, <.', ntn!'ld ';hall h:' employed 10 collect 1his note, 'Nh'~nc\'Cf ll~cd hCl'I..'in the jerlTI'~ "Holder", "\-lakc:r" and "Payee" shll11 b(; construed in ~hc ~lngt1IUI or plural :lS !hl,~ context may t'('q\1ir(~ or admit. MAKE1~ " ..-~) //""} ///'" . //'/ t::iJ' ,... kZ:' ('~ii:ti~5 wli~'LEv-' >'.ipks, Floridn (l1itiiJS,_ _{.;.'::..:.....^ .__." iCW) , / EVANS OIL COMPANY 3170 SOUTH HORSESHOE DH. P.O. BOX 856 NAPLES, FL 34106 PHONE: (239) 262-41 :24 FAX. (239) 262-7861 l cr"(~p~ ~TF. "I,jE ,''''}F i,JBn;(~l-\'r';{YN p~;/o!~t..J~':~T8 JW 'hAI11;[~~ ,. L J Our terms are let upon Acr:ounts '()1 Pdit1 wIT")I/1 (jays are S:;t)jf::Cl fO n fInance r:harqe of \ ;,'')l, oer :r\Onttl {-; go/C) per annum I 01' c1np31C' ',:-J13(1C(~ I do hereby <1qree to ;.;c; ImP. any cost incurred tor !h,H ,:;IJill-:)(;!10n of thIs. InVOIce, in(;l~KjTlIJ:oun (::y~rS dnd reasonable 3ttor"i!::Y tp{~S "','eUi ;,"' ,^",p i":~:.~ f I" B & W ASPHALT 165 JUNG BLVD. NAPLES, FL CHL"I\ ., W 34120 CM:;H, ',)T:..j q, POL LUTANT TAX PAID ON (iCSNSE N614~)O~Qii9593 DATE CUST. # FEDERAL 1.0, # OROEAED PACKAGE STYlE DESCRIPTION ERROR IN PRICE, EXn:NSI()N ANO i\i)Oii !i.,,],' )8'[(. I' rr) C()RRE,C r:;N SALES CODE 1 ~UST. p-0~~-T_::-~-\~5.~-~:~== ar<SHI:~:O ~+-O~~2~~__ I ' DOT EMERGENCY UIOEBOOK, PG2 OYEO-or~~~-~,-- USE. IF PROD T IS BE .' D W/O TAX,! YOU ARE 6 2.S990' 1,304.55 DEP 10. # 9/18/2007 0002630 611487831 GAS OIL, COMBUSTIB NONTAXAB USE ONL HESPONSI LE r'OR H 450.00 GAL LIQUID, \.JN1202, III PENALTY FOR TAXABLE MITTING TEE TAX. 304250 DIESEL FUEL #2 HS 00 NOT RGET KEY! ! 1# ~ .2 ~;../ .It -~ I dQ ~,.// I )'.? /4-/ ! I ii' :'i!-'; '.' 0.02072 I 0.00120 ! I NOTES ~_-L__.___~_a!~=1.~ax:_ .____ _..__.~~..'_~~__.._ /if p,.,," c~:2:;cc;;;Z;~ I~ELi~~ ~C----- r"-~ ~'OR ~;HF..RGF.:Nt._:Y ~;PTLL, T,EAK, F'IRF. OR j\i.:t:IDENT! ;::-:CEIVED BY .__________.__..._.__.~l~~~~.~/L. '"AI,L iWO-!;J") i3;:S3 24 HOURS; DAY I DAYS/WEEK -- . Federal L.U.S.T. Tax Florida Die3el Pollution F.1!lT- Fed. oil Spill Tax 0.00100 0.45 9.32 0.54 Tax CUSTOMER COpy I Ring Power a SALES ORDER Date 12/2/80 ACCT #: 769502 Contact Name: Charles Willie Carlos J Meran Cl :STOMFR' B & W Paving Contractors 165 lUNG BLY. NAPLES, FL, 34120 Ship To; SA/vIE (/3 K: ~J 1- .) {.:A - '~Y;;'U~ dry ~IATE Purchase Order #: County: <Try STATE Industry Code: Principal Work Code: WHEN SHIP SHlP VIA o NEW o Used DATE: CPU o Rental Conv "TY MAKE MODEL SERIAL YEAR AND DESCRIPTION (UnJl Price) (Extensioo) , ONE LEEBOY 7000 48942 ASPHALT PAVER $66,250,00 Sale Price $66,250,00 VOL VO MODEL' Trade Allowance Pay Off $0,00 Comments: THIS IS A CASH DEAL Subtotal $66,250.00 SALES TAX $3,975,00 SURTAX TOTAL $70,225.00 Down Pvmnt. (Description of Warranty if Applicable) WARRANTY INCLUDED: CAT INSURANCE: DYes DNa Dyes ONO TBD FINANCING TERMS Model and Serial Number: Trade Allowance: Payoff On Machine: Finance Company Owed To: UJlS O/IDER IS SUBJECT TO A-L4NAGEAfEA7" AND CREDIT APPROVAL. RING POWHR IS NOT HABLE FOU L-l7E DELlJ/bJ?Y DUE TO TIlE ABOVE CIR('UMSTANCES. CUSTOMER AGREES THAT AU. LIENS ON TRADES WIll. BE SAT/SHED. DYes 0 No Subsidies: 0 AlM-08-AN1 o AlM-08-AN6 Request for Approval and Docs 0 TRADE INFORMATION (if applicable) Phone: Good Through the Following Date: Contract! Account #: o JLG -08-RTl CCAN# Date Needed: Quote # Application # Current Ors: AnnualOrs: o WTl-08-ANl o WTl-08-AN6 Existing Cat Credit: Finance Company: Finance Type: Payments: Terms: Interest Rate: Sign In State: Estimated Monthly Payments: Request for Approval Dyes DNa o CFSC 0 AGeO 0 <mlER o ISC 0 Rnance Lease 0 CVO o Advanced 0 Arrears 012 024 036 048 o FMV 0 GoY 0 REX 060 o Ottler o RING POWER CORPORATION REPRESENTATIVE Company (Purcha>er ) (',muniS!llolOn '"!"o Date" MANAGER'S APPROVAL By Salf''-nlan nante Rouwman SaIel'maR Number 50 Name" TItle Apr 09 07 03:4610 p. 1 , . , .. EQUIPMENT INSURANCE INTERNATIONAL POLICY APPLICATION AGRICUL rURAL AND COMMERCIAL EQUIPMENT PHYSICAL DAMAGE INSURANCE Retaii Purchaser Meran, Carlos B&W Paving Contractors, Inc. 165 Jung Boulevard West Naples, FL 34120 (239) 825-3231 Insured lender Binder Number EIA091125935 Pit a.<2L ~CL~,~ /Yll~" ~,~h. "~PtL~t l,rtir) , o''Yt(}V - ~ riA; I O~ CONTRACT INFORMATION COVERAGE INFORMATION Term of Obligation: 60 TOTAL AMOUNT OF INSURANCE: $90,250.00 Effective Date: 4 - 9 - 2007 No. of Months: 12 Expiration Date: 4 - 9 - 2008 Description of Insured Property YEAR MAKE AND MODEL NAME 07 -N Lee Boy 7000 Aspha." Payer 07-N Basic 700 7 Wheel Roller IDENTifiCATION NUMBER 47905 403047003 AMOUNT OF INSURANCE $68,250,_~__ $22,500,00 -_.~--~._.---- - $0,00 -----...-.----.---'- . $0.00 ._----~----_.- "-' $0,00 --'--'~ $0.00 ~---_.__._-_......_-- $0,00 ---.----.--- $0,00 - ---~_.~-- Premium: $1,444,80 Equipment Use: Commercial Less Refund Applied $124.36 --- Total Due $1,320.44 Due By 4/1912007 Deductible: $1,000.00 II Covered Perils: Fire, Lightning, Windstorm, Hail, Explosion, Aircraft, Vehicles, Smoke, Flood. Collision, Vandalism And Theft, I hereby make applicaton to American National Insurance Company for the insurance coverage described in the above schedule. The option has been extended to me to purchase the insurance from any Company or Agent of my choice or to assign a policy which I currently possess and I freely choose the coverage herein applied for. I also agree there is no existing damage on the equipment listed above, Warning: Any person who knowingly, and with intent to injure, defraud or deceive any insurer, makes any claim for the proceeds of an insurance policy containing any false, incomplete or misleading information is guilty of insurance fraud, "'" Witness Date Retail Purchaser AGENT EQUIPMENT INSURANCE lNT'L, INC 126 S, REilLY ROAD FAYETTEVillE, NC 28314 Phone #: (800) 476-2379 Fax #: (910) 864-5854 oil COMMERCIAL INLAND MARINE RETAIL POLICY American National Property & Casualty Co. Credit Insurance Division PO Box 9007, League City, TX 77574-9007 DECLARATIONS POLICY # EJA0961 04052 Item 1: Named Insured and Address MERAN, CARLOS B&W ASPHALT PAVING, INC. 165 JUNG BLVD. W. NAPLES, FL 34120 Lienholder and Address Branch # 2601 Item 2: Coverage Period MO 9 MO 9 TERM IN MONTHS 12 LOAN NUMBER o j 12:01 A.M. Standard Time at the Address of the Named Insured stated herein. Item 3: Coverage Provide The Insurance afforded hereunder is only with respect to such, and to as many coverages as are indicated by specific premium charge or charges, COVERAGES AMOUNT OF INSURANCE PREMIUM Fire, Lightning, Windstorm, Hail, Explosion, Aircraft, Vehicles, INSURED VALUE $28,738,77 $678.72 Smoke, Flood, Collision with another object, Theft (but excluding mysterious disappearance), Vandalism and Malicious Mischief. Item 4: Deductible Amount: $500.00 PER LISTED ITEM $678.72 Item 5: Description of Insured Property YEAR MAKE AND MODEL NAME TYPE IDENTIFICATION NUMBER AMOUNT OF INSURANCE 06-U GEHL 5640E W/GRP SSL 05640A00507899 $28,738.77 $0.00 $0.00 $0,00 $0,00 $0.00 $0.00 $0.00 LOSS PAYABLE CLAUSE: Loss or damage under this policy shall be paid as interest may appear to you and the loss payee shown above. This insurance covering the interest of the loss payee shall become invalid only because of your fraudulent acts or omissions. However, we reserve the right to cancel the policy as permitted by policy terms and the cancellation shall terminate this agreement as to the loss payee's interest. We will give the same advance notice of cancellation to the loss payee as we give to the named insured. When we pay the loss payee we shall, to the extent of payment, be subrogated to the loss payee's rights of recovery. THIS POLICY DOES NOT PROVIDE PROTECTION AGAINST BODILY OR PROPERTY DAMAGE LIABILITY, NOR DOES IT PROVIDE PERSONAL INJURY PROTECTION BENEFITS, AND WILL NOT FULFILL THE REQUIREMENTS OF ANY FINANCIAL RESPONSIBILITY OR NO FAULT LAW. COVERAGE UNDER THIS POLICY PROTECTS THE NAMED INSURED AND/OR LIENHOLDER AS THEIR INTERESTS MAY APPEAR. BUT IN NO EVENT, MORE THAN THE LIMITS SET FORTH IN THE CONDITION TITLED COMPANY'S LIABILITY-SETTLEMENT OPTIONS. This Notice of Insurance has been issued by the following agency. Any questions on coverage or the reporting of claims should be directed to: AGENT EQUIPMENT INSURANCE INTL, INC. 126 S. REILLY ROAD FAYETTEVILLE, NC 28314 1-800-476-2379 ~ Date Issued: 09/24/2007 COUNTERSIGNED BY (IF REQUIRED BY APPLICABLE LAW) IIFS.71,1 002.CIMR-00-1 003 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMERICAN NATIONAL PROPERTY and CASUALTY COMPANY Credit Insurance Division, p, O. Box 9007, League City, TX 77574.9007 COMMERCIAL INLAND MARINE POLICY GENERAL CHANGE ENDORSEMENT This Coverage Endorsement is attached to and forms a part of Policy No. EJA096104052 and is subject to all terms and conditions of the Policy not inconsistent herewith, Issued to Carlos Meran/B&W Asphalt Pavinq, Inc, By American National Property and Casualtv Company Effective Date of Endorsement March 20, 2008 Date of Issue April 30, 2008 We agree that the following changes have been made to the Policy: Remove: 2005-Used 2005-Used 2005-Used 2005-Used Leeboy L 1 OOOT Paver Mustang 2076 Skid Steer Loader AR 13HA Multiquip Roller Vibromax 265 Roller 10# 42626 10# MMC02076C00003953 10# 250621 10# JKC5309001 Amount of Insurance: $46,000,00 Amount of Insurance: 28,150.00 Amount of Insurance: 11,000,00 Amount of Insurance: 26,000.00 Adjusted Insured Value is $28.738,77 Adjusted Premium is $ 678,72 A Premium refund in the amount of $621.40 has been issued to the Named Insured, IIFS.71.1001-CIM-OO-I003 Page 1.1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMERICAN NATIONAL PROPERTY and CASUALTY COMPANY Credit Insurance Division, P. 0, Box 9007, League City, TX 77574-9007 COMMERCIAL INLAND MARINE POLICY GENERAL CHANGE ENDORSEMENT This Coverage Endorsement is attached to and forms a part of Policy No, EJA0961 04052 and is subject to all terms and conditions of the Policy not inconsistent herewith, Issued to Carlos Meran/B&W Asphalt Pavina, Inc, By American National Property and CasuallY Company Effective Date of Endorsement January 14. 2008 Date of Issue April 30, 2008 We agree that the following changes have been made to the Policy due to a total loss claim: Remove: 2006-Used Leeboy 10000 Paver 10# 45665 Amount of Insurance: $46,000.00 Adjusted Insured Value is $182,237,00 Adjusted Premium is $ 2,986.77 A Premium refund in the amount of $422,36 has been issued to the Named Insured, IIFS. 71.100 1-CIM-00-1 003 Page 1.1 <<<< !~~~!~ ..,.~,.:",,~ r" . ~ ~ .... c ~ ~ ~ I) ~ ~~~~~~~ 1> .c: ~ i,;. w Jj : fa m a a lD J f ~ :I. i i o ~ ~~ .., ,.., ':1 Pi <II .... ~ , " 0 i ~ 1; i if III II: . Ie ; ~ ~ p ~ 8 i; 8 il " CARLOS J MERAN 165 JUNG BLVD W PH 239-352-5457 NAPLES, FL 34120 ,)\\2 4~ 12-03 63-1322/631 34021 1293 / ')~/ t-.., 'C'/& "'./.:- (fr _) "2 I,' j:J / _), ~~ :;'3/ /;<t-. ;/7't<D..;'- 71fC'(,'~A^-'/) THRG'i;:-- Hi.//..J,)I<'ED FIt="i(;etV ~OLOl'l1AL BANK.... ' I' 24 Hr Colonial c~~:~i~l~r;~:n502-2265 If\ \\ ~ ,:~~-: ~.~ /~i2: - 80 H,I, ~I,ob ~~~~ry\~~~~ Ice) CARLOS J MERAN 165 JUNG BLVD W PH 239-352-5457 NAPLES, FL 34120 12-03 63-1322:631 34021 1667 ,- j ~ ~ ;i ~_.~, .. 1./ ,'- r 'C'(./;;;r-Iia:5fM../~{,i!--, ;.f~{/V "'):!/!JJ t'~' ',,-fl- I,'C- ~/v'.L' ;) - I t-' 2OtJ6 45/2... .,1 ~~; ,"['0 ,C\ I I ~OL'.?~,,!."\NIC.. ~ ; ':0 b '~:'~:~:~::" ':~:': I, ~ 1,0 b ~". ~b b 7 . ~OOO I, 5 ~ 299,'; "c. ",x.""'~-'-"_i!:""-""!i~~,,,,~~;lI;"('<.'~-,,_"""''" ';'i':':'-~~V'''''''''':-l!I';'''::\i~;_ .,'-".._:'.....',1'l''/Ii,,',;o(j!Illll':,.:''l'Iit';:~ I 1 665 I -;'-/'~ cYCJ6 i A,Iii c .:;.s-'I/. :3 5- ' ~ /11- 1";- .lh". :."1-- ,/') hi.-I:: /7t.1-.r1-t, ..-;;/ j-it'iZi'J t./~r:,' ~ 11.) t;' ~ ,~,'. ~OLONL\L BANK N.A, (J' \'\ I~ l " l Naples, Florida l 24 Hr Colonial Connection 1-877.502.2265 , ~\. "\1---. ,\), ) I,:ob 1 ~ ~ 1 222': 80 1~~_~.':.~.~~1~ ~~~~,J1),,:O~~~ ~1,";~;~-1 CARLOS J MERAN 165 JUNG BLVD W ~.' PH 239-352-5457 ~ NAPLES, FL 34120 12-03 63-1322/631 34021 ~ ~ :! ~ " ..:> - L ),. .C~(;:.'.~ j 1647 ) i q .i 4 ; CARLOS J MERAN 165 JUNG BLVD W PH 239-352-5457 NAPLES, FL 34120 12-03 63-1322,631 34021 , (--', , , '1' ~_~,,_. //: 1:-'t!fitt54Ji-'; I t<..:C JI-Ct1fJ ~/;rwl;" '/':"IY~)IU/ I :// ,;:-/t.. V) ~';~.// -" //,[ r;U7~9 ~ I I, i 1 i ~ I . ~ .' ~OLOl"lAL BAJ.~K'NA. '- l Naples, Florida 24 Hr Colonial Connection 1-877-502.2265 ,1\ Ii il . 'i\~ ' " f....,:. \ f",', f!" .. I: 0 b j ~ ~ j 2 2 21: 8 0 j b L. ~ L. 0 b ~ II- ~ b L. 7 ."00005 2 2 7 9 9." CARLOS J MERAN 165 JUNG BLVD W PH 239-352-5457 NAPLES, FL 34120 12-03 63-\322/631 34021 1299 '" (). \ ~ "' It" , '\~. ,^-.I ~ A,. \..J . ,,-! q I' ~ 'J n0~:L~= &:~"~-b y ~~i) ~"=t'O Naples, Florida ~ 24HrColonial connect~n 1-877-502-2265 I :"\ IS ~--k -~-J i\\U_b. ~(-',.\>~i'91J~)~ '\~,~)'v\.,-__ I: 0 b j I. I. j 2 2 21: 80 j b L. I. L. 0 b 1.11. I. 2 g g III 0 0 0 0 2.... 0 0 DOl ~ - <""'. - ,?< .. ) vli..._.J " I --" ~.L, ,i \. '\. '\; . .~.. M:' -1:1 /L .("\1' / '-'/- - ... C' c.' ') ,~,... ,'~) C:":'C'(/../ Y'. .. I CARLOS J MERAN 12-03 " 165 JUNG BLVD W._ PH 239-352-5457 NAPLES, FL 34120 ~ . t\( -1 , I _'. ' .1"\~f\C::/ ri virJkv~c)5,w,u..' !i-u AI ?f',r-p (; F7 [kilL /M-'i' " ~OLO~'lAL BAI.~"N.... ~ ~ I " l Naples, Florida .' 24 Hr Colonial Connection 1.877-502-2265 ,'-~~\ ~ ~. '\'\\...\..A-~/v",-"" [.:m. H . > 22 2': ao H. I, .1,0 bin'. b ?l ."0000575 .98,0' .k,~,-"l;_~nj.'".,."~_, :',ll'tN~;,....';>w",,;;~'A-r'.<N'_">,.~I\\-~..._,.,..>:l:,_~ \~,",", ,-~.,.'...z;,..'-",.~.,w~,;,':"_-"~;"",-,~:*,l>""":'_JIo.,W~.:~'""":.,,';';;'i(.j_~""'1'"'.~~;"_~\lI!'.""~'.~M!lili:,'_<'.,,,,"";;l>'~'~';.:;e:m':..~,~-'.;-:"."',~,.,-."""'.:rt.$"p;,.-".".,'#".:~I.iWf"'."""';""",~:.., 63-1322/631 34021 1671 \ ,3..- c~() - ;;~DOb s~ 7f;I,98 .q<8/ _ ;;';00 \:l. 3-eZ2-- ~~ Ii ~ I' i 2., J<f)" G> I I CARLOS J MERAN i 165 JUNG BLVD W ~ PH 239-352-5457 NAPLES, FL 34120 12-03 63-1322/631 3402\ 1675 ,. rJMc t~----r:---r-' _ J / ,-., -; I~ 5/ ~,/,'" ~Ov IfDLS fl-k..~p y' fI1./{iJ'!.:Jctt-t.1J4)1 ~ IUJ lC~.!.t7' I 't.:'::' ,111.,,]) i:?"L"l ; ~ 1/ ~ COLONIAL BANK" N.A. I Naples, Florida ~ ~ 24 Hr Colonial Connection 1877.502.2265 I,.. cl~'" , I: 0 b j I. I. j 2 2 21: 8 0 j b L. ~ L. 0 b 1.11. I. b ? 5 III 0 0 0 0 2 l.... 2 b 5 l 6 o I '-I. 1332 'I I I ')'9 ~ .>< ><:. i I ~ ~ CARLOS J MERAN 165 JUNG BLVD W PH 239-352-5457 NAPLES, FL 34120 12-03 63-\322,63\ 3402\ :I /~11 ~j c..--:. "" .' )-/?.t-~ 5'/X ;:-j-lC, -;'-I~.) ";;&-;'I/C~A,'FY Fc."\.!~ '''<1( _ 0'00 ~~OLO~L\L BANKNA ,,, t. Naples, Florida I ..\ ' :14 Hr Colonial Connection 1-677-502-2265 I ! I '/", ('~ ,'.1," - ') ( (j \. \.., \c l, (,l ) I:Ob l I. ~:.\ 2221: 80 :.\b.... ~....Ob ~II. ~:.\:.\2 "",,":--, . -) / I {i Jl: I.. .1'[JOeLl b~J "(1.... S'II' CARLOS J MERAN 165 JUNG BLVD W PH 239-352-5457 NAPLES, FL 34120 /1 ,A-I-1+C 12~3 63-1322/631 34021 1297 5>Y 7 '7'O.j.5~"w";'; ,~r"lt~~llt.I)')1J /21?/) 7/~/Y51 K - ~OLONIAL. BANICN.A. ~ " " l Naples, Flonda ~ 24 Hr Colonial Connection 1-877.502.2265 / ~ , l ,') d' JrLi.u't i~ I: 0 I; 3 I. ~ 3 2 2 21: 80 3 I; L, I. L, 0 I; ~ III I. 2 g ? ',1' 0 0 0 0 I; 3 5 I; 7 lilt .--, / . A< ,.- f"- - ;'/,') I C/\", ,.., c.-' '.~ ~ 6.1::J6. ;t'~ -j'-t - 100 F~....,;"{"''''' :::'l"':<<I<d'~.:' ""'ce:' CARLOS J MERAN 165 JUNG BLVD W PH 239-352-5457 NAPLES, FL 34120 ~ ~ . .~ . " . .\,~/ 11'~/i"-'f-<</ <tv- /tk-L/zt,./:~,v. J ~~-- " . i(l~" ",/ ~OLONIAL. BAJ.~ICNA ~ " l Naples, Florida 24 ~COIOni~l.connect.lon 1.877.502.2265 ~ ~ 1"'~~ f>K~~. ~~~()l/V\' I: 0 I; 3 ~ ~ 3 2 2 21: 1t6 3 I; L, ~ L, 0 I; ~ III ~ 30 2 ,I' 0 000 :1 5 :1 ~ 12~3 63-1322/631 34021 1302 7--6 - tJ3- 3 S.)/, S'~. ., CARLOS J MERAN 12~3 165 JUNG BLVD W PH 239-352-5457 NAPLES, FL 34120 , \~.^~ rzz.~D Izt..o('{:':>1\Kd> fI iC--~~ r- J+e{,/l) DI2-fY) JJ Iv... ~fl- 63-1322/631 34021 1351 /j-.2-oS' 07/ A~)_D /100 ~ 4/, c.+ C' 7 ,^,C;<- I' ~OLONIAL BMXN.A. " l Naples, Florida 24 Hr Colonial Connection 1 877.502.2265 ~, ~'\"~u.."U~ I 8 0 3 b L, ~ L, 0 I; ~ III ~ 3 5 ~ III (] 0 00 2 a 0 90 7 ,I' ! 1:0 I; 3 ~ ~ 3 2 2 21: CARLOS J MERAN 165 JUNG BLVD W PH 239-352-5457 '") {It f(\ ('""'"" ~APlESFl341201f~~ ~ r' VU:,7U,i<t IOc' /L 7;;''''LS/WP Ale{~' I[ )ltt lit D /) riJ) JI;l.7 f'lv 'Ii.. !he D 1>;";0[; ~OLONIAL. BA.J.~ICNA "", ".o~ C~::::~;"~':':'HW"ffi \'.~ ~ / 1:01; j ~ ~ j 2221: 80 jl;~ ~~Ob ~1I1 ~ 38. III~", 12~3 63-1322/63 , 34021 1381 CARLOS J MERAN 12-03 63-132i~~~ 1661 165 JUNG BLVD W ~ ~~:C:~~5;~5:::20 .3 ' / C/. 2 &?Jh i , ~, _ ~l bJb,lf-7' l 'i 24 Hr Colomal c~';,P~:~il~l~r~~;J7.502-2265 -:--. · 6~' I I: 0 b ~ ~ ~ ~ 2 2 21: 8 0 ~ b L. ~ L. 0 b ~ II- ~ b b ~ l 0 0 0 0 2 b :1 b L. ? III 'tr'~~,;1i,J"''"tr':"'~.Il!!V-:'"Q:1'ik':'%''''!I4...)~".....~,..,",,,,'~~'''':'''.,;~,e,~',$;" r'ltgilJlllt...."''''''ffwIfo;<,~'''';;,;;;~ ," ",-" '4f...... 1i_~,......~Iii:i'V'M"'-"""'f~w"'..;W/"i.t"I'I"'~J~"'.:!'i'" 0:, ~...""'~~ J"'''''Jl;;(l,1IIo:l'' 12-03 63-1322;631 30\021 1673 CARLOS J MERAN 165 JUNG BLVD W PH 239-352-5457 NAPLES, FL 34120 ~ ~ 'I I I !itl4C/ I!~,;; /tCu'-"';'''b 7:'Ljk""'~/i;) /07.511--1'/"-'; . ~OLOJ'j'1AL BANKNA \t\ \\ '- l Naples, Florida, ' \; 24 Hr Colonial Connection '-877-502.2265 . \ I. - '. j "'~\..'J.~,~~ ~~: \'\^SLA.;Z).Jfv\ ",' t~"7,,~_~~~,,:_:,~,,~,~~,~~,:,,",a.,~,,,~~~,.~,,:~,~_~.'~:,v~~,~? ~ 1,1 000:1 2 L. b L. b-r ~.) -2/' ~/") <:)-6 J J 2J+6. t{{J %0- L1 1639" } ~ i I ~ ~OLONIAL BANKNA I '- l Naples. Floroda rf\. (l i """o~;" ,oo~ooo ,~,.~"'. ~ i .:m.H.l222': 80H......m..II. .blg ~"O~:'.J CARLOS J MERAN 165 JUNG BLVD W PH 239-352-5457 NAPLES, FL 34120 63-1322/631 34021 12-03 3- /. c..dO C, , ~ -r ---,--. . jl . . IJ V fff?1f-if.../ p-c '/,~i..~ /fv) I_I-;..f-tl.../.' /} c.f'U.) 1;'-1. 3 J ii ff 1.:2..5' f. )01 ,- ,H/Y _ N/i... ph) . //P'6 " CARLOS J MERAN 165 JUNG BLVD W PH 239-352-5457 NAPLES, FL 34120 53-1322/631 34021 '1 ~ 1638 ~ 12-03 ~ t;, Dttrc iJ s 1''' ,'j "-V ""V iJ,,^, j) i~'.JJ /Joifl jxv fiN "Ie) ~OLO~L\L RA.l~ICN.A. '- l Naples, Florida 24 Hr Colonial Connection '-877.502-2765 j , ~ . ~ -l., 797 J'5 1 By. .-'-- j / )Cl."'I I , ~ , f ; ~ .1: j ! ~ ..~ 2~2 t- 2.Oo~ ~~ 1110000 2797851,1 I: 0 b 3 ~ ~ :1 2 2 21: 8 0 ~ b L. ~ L. 0 b ~ III ~b 38 ~'<&~~~~~~~~~~~;~~ ~~ :> ~ :z: ~ ~~ oo~ >> :: Q)~ ~ ~ :>"" I i r ~ .= '" ~ ~ ~ .~ '11 ~ ~ ~ ... ~is ~ ?$> 0 II ~ .21 ~ lit- I.l")I u y cw 0 01 ~ J ~ I so: ~ i ~~ 2~i ~ __ Q) :; I ?$) .... CO 2 j ~ -- en ] ~ ~ ..... 'C U ~ .~ ~ ~ ~i~~~~ ~ ~~8~;~ ~ C/'Jr:;) ~"'~ ~ Z-< ~ ~ ~ ~ ~~~ t ~ ~ >$) ._ to- ~ ~ i1 Q t:.. ~ m ~~ i if >> <It ~ :E ~ ~ >> ~ ~ :J P1~ ~ 0 ~ ; ~.~ ~ ~ ~ ~ ~~ ~ ~ 0;;.::: ~.... ~ Q ~ ~.5 7r~~~fil~~~~~ UI Ul o 0' 1.01 Q: I I.l")i 01 1.01 0, I.l")l o z ~ "CI C :E i; 'i: '" J; , I I ~ r-I ~ ~ ~ ~ I C +J 4.1 i:: e Q) Cl. 5 'S ~ j, "0'0"" gc;;-s 01;"'- Zo~ ""...- "0 U .. c:: c:: U ::l ~ E u ::. C'Q .c-'" r-:::u J~-S C::"'_ 01;- - -; '" ~ C I I/..c ,- ..:::::E~ C:;1: ~ ~ ~ ~= :: . ~ ~ ~~~c ~ c: ~ J" ~.~ 01;'0 ~ 6 ~ ; ., _ 'J'; ;:: - c C': - .c::.c~ ":,-,"0"0 ~.&:. '"' c: c:~~~ ~ .;,- rJ' ,1;: L. ~ ~ '-' "-::: ~ .~ "'0 ~ -= ~ .~ :; ; w ~~.:; ..=~.E~ '" ::: - :$ ~~o;..!:! =E.c"" ~"'~-= v C'e .r. "0 ~ '-' 'j :: _ 2:.:: i ...... =: ~ <": i ,,""... 01; i"'OEL.'" I 8 t:.. E "" OI;;E;E ! '0 0" c:: '" ~ 'C;; "" "" '" "-.~=] ~-s"'~ - - E "" a~c~ ~ -;:~] 01;4.1""'" III .:: C ~- 4.1'::~'-~ ~ ;;;0 ~ t I. '0 "0 '" '" == "0';;; ,,~ .... .c '" "" = = o.c -= .; CIj - - *" i;;"CIf$C;;"C1 III c:: .c iU ~~-c: I. 4.IC"0I; ~ J ~ ~ -E .~ QII e.c 4.1 = 4.1 ~ =0;'''''0 ~ ;z r-8~5 :><: 4.1 j:l < e 4.1 "CI C III ~ 4.1 j:l < 4.1 "6i c r;: 00 ..0 r-l o o "" N ... ~ N . ... < " Q :; o 0 u : r:;) ~ Z i i _ III ~ CI:~< ;:) - '" to-~ U E <ltJ l.I.- ~~ Z" <It ~ ~ ~ o ~ U : en z ~ 0 Q s: u Z - ... E v ... ..s ~ "CI ~ ;: '-' '" .c ::l '" "CI C .. oS c ... c $ '" .~ ::c ~ t- o: C z -- SINGLE-FAMILY RESIDENCE MONTH-TO-MONTH RENTAL AGREEMENT Lease Start Oate:__l2..ct.qt!J"'/'~_i.s::-___.f?~__ .Ai' Date: (mojdayj_<~_!~_.. (yr).,..OS- _ RECEIPT IS HEREBY ACKNOWLEDGED by _____S~.(!j4J m<::,~_:.r...5..T~~ _.d1r~'~___ hereinafter called Lessor/Landlord; from ...___a#fhf;k-..L_iY. /~:_.._.__. .._n___...____ ____._.___ hereinafter called LesseelTenant. the ~um of $ '__"';;_~~~'___'d____"__ __.__.___ 10' tr'IS fIrst month's rent of the premises owned by said LasGo./Lalldiord and located at ___ _t.:Z~f(_..._~,.r>t-.b~~.tIL..4__d~/p"~1 R. hereinafter called premises, said premises the Lessor/Landlord r\eroby etgrae1;; to i'~int t said Lesseerrenant on a month-to-month basis at a rental of $.__~~.q_____'d'_ . ___._ per j(lonth, payable in advance on the ILl f6~.__ day of each and every succeed!ng 1.~&h:mdar month, In consideration of the us,s. or occupancy of said premises, LGsseerrenant ay:'br?s: 1. To maintain the premises in a clean, orderly, and law abiding manneI' and to ~:e:lp tnH yards thereof free of weeds, debris, and/or material that may become unsightly or aoetririsnt t. lme appearance of said premises. Lessor/Landlord shall have the right to enter- and inspectsaj(j p. emis. IS at any and all rea- sonable times. 2. No alterations or redecorating of any kind to the dwelling shall be made Witi" Jut :he prior written con- sent of Lessor/Landlord . 3, To pay for all utility service furnished to the property. 4. To pay the cost of all repairs for any damage done to said premises and thf~ crIst of any cleaning up of said premises which Lessor/Landlord may consider necessary. 5. No birds. animals, or other pets shail be kept on the prernises.without .he kllow'ddge and written con- sent from Lessor/landlord; any consent, so given may.be wiThdraWli\:, in the opinion. of Lessor/Landlord. such bird, animal, or other pet constitutes a nuisanee. cdu8',~s<Jornplairit from neigh- bors, or adversely affects the normal maintenance of the property, , . · .j.' " 6. Not to let or si:Jblet the:wnole or any part of the premise~ to an,yone for any purpose whatsoever with- out prior written permission from l.essor/Landlord, and the number of persons t) occupy said premises shall not exceed ~.(ff---. without written permission Itom Lessor/l.an.::flord. 7_ To give thirty days written notice by 'ogistered mail to lessor/l-andlorcl pdorio vacatIng said premis- es and to permit prospective Tenants the opportunity of r8(isonable inspecEion. 8. To clean up said premises upon vacating and restore said premises to tne;arne condition they are now in, reasonable wear and tear and damage by the elements excepted. 9, That the violation of any of the covenants of this agreement or the nonp lyment of any rent due and unpaid shall be sufficient cause for eviction from said prem,i~es upon t/)rfe (3: days written notice thereof by registered mail or by personal service, If suit be brought to collect );;,1 Of damages, to cause eviction from said premis~~~cor to collect the costs of repairs to or cie"nh,g of said promises. Lesseerrenant agrees to pay all 00:;t5 of such action, including reasonable at1(>. nt'y' fees as may be fixed by the Court. No waiver by Lessor/Landlord at any time of aQYOf.Jhe terms i)! tllS agreement shall be deemed as a subsequent waiver of the same, nor of the strict and prompt pertc.,'mance thereof by the LesseafTenant. , O. All rant shall be paid at the office of .-..---___/u.::.._~"_l_~;.,J .~~ _!:!/!2_~r any other _ ca designated by Lessq,r/;~andlord, Each party 11ereto acknowledges mceip1 of copy of this agree- t. By: _.~----------~_..,~.~-~~-._-_. ---.. Signed: Lesseerrenant "rc ..cssionili lducat<:ifl I"$litut~ PEl 29 A. Settlement Statement U.S. Department of Housing and Urban Development OMB Nll. 2:i()2()2(i5 B. Type of Loan I. 0 FHA ) 0 FmHA 4. 0 Y A 5. 0 C!)nv Ins. 3. [8] Conv Unins 6. 0 Sdkr Finance 6. Fik Number 0600021138 7. Loan Number 01l2932(,6111 x r\lort~a~L' IIh ( ';he NlIInher C. Note: This fon11 is fUlTIished to give you a statement of actual sellkment COSb. Amounts paid to and by tile ,elllement agent are shown. helm mailed d d I "I o.o.c.)" were oaid outside the dosinu: they are shown here for infolTIlational purpose, and arc notmdu e III thl..' lola \. D. Name & Address of Bon'ower E. Name & Address of Seller F Name & Address of Lender Carlos Meran HSBC Mortgage Corpofiltion 1~0~ Forest Lakes Boulevard 2929 Walden Avenue Naples, FL 34120 Depew, NY 1~0~3 G. Propelty Loe:auon H. Sellkment Agent Name 1404 Forest Lakes Boulevard LandAmerica L~lwyers Title Naples, FL 34120 5125 Castello Drive Naples, FL 3~ 103 Lot 33, Block B, Forest Lakes Homes, Collier County, Florida Place of Sellkment I. SdlklnL'nl Date: LandAmerica Lawyers Title 11115/2006 5125 Castello Drive hllld 11/20/2006 Naples, FL 3~103 .I. Summary 01' Borrower's Transaction HlO. Gross Amount Due from Borrower K. Summary of Seller's Trans<lction ~OO, Gross Amount Due to Seller 101. Contract Saks Price 40 I. ('ontraet Sales Price 102 Per,onal Propelt y 402. Personal Propert)' 103. Sellkment Charges to bOITower . $11,237,60 403. lO.t Payoff Countrywide Mortgage $337,929,111 404. 105. 405. Adjustments for items p<lid by seller in advance Adjustments for items Imid by seller in <ldnlllce 106. City propelty taxes 406. City property laxes 107. County property taxes 407. County property laxes 100. Water/Sewer 400. Water/Sewer II)'). Association fees 409. ASSOliation rcc~ 110. Solid Waste 410. Solid Wasle Ill. Association Fcc 411. A"ociallon Fcc 112 412. 113. 413. Il,l 414. 115 415. II() 416 120, (;ross Amount Due From Borrower $3~9,166.711 420, Gross Amuunt Due to Seller $(UlU 200, Amounts Paid By Or in Behall' 01' Borrower 500. Reductions in Amount Due tu Seller 201. Deposil or ealTIestmoney 501 Excess Depos i t 202. Principal amount of new loan( s) $343,000,00 502. Selllement Char~e' to Selin (11Ilc' I.WO) 201 Existing loall(s) taken subject to 503. Existing Loan(s) Taken Suhjed!ll 20.~. 504. Payoff of firq mortgage loan 20) 505. Payoff of second mOl1ga~e loan 20(,. 506. 207. 507. 20X 50X 20l) 50<), Adjustments for items unpaid by seller Adjustments for items unlmid hy seller 210. City property taxes 510. Clly propeJ1) taxes 211 Counly propeJ1y taxes 511. County property laxes 212 Water/Sewer 512. Water/Sewer 21.\. Ass()c'iation fees 513. Association fe,s 2l-L Solid Waste 514. Solid Was I, 21) Association Fee 515. A,so,ialJon Fcc 21(, 516. 217. 517 21X 51X 21'), 519. 2:!(). Totall'aid Bv/For Borrower $343,OO(),OO 520, Total Reduction Amount Due Seller $(J.(l() 300, C<lsh At Settlement Fromffo Borrower 600, Cash At Settlement To/From Seller 301. Gross Amount due from bOITower (line 120) $349,}(,6,711 601. Gros, Amount due to seller I line .CO) $(l.()(l .,02. LL'SS amounts paid by/for bon'ower (line 220) $343,000,00 602 Less redudillll'; In am\. due ,db (11I1e 520) $O.O(l 303, Cash From Uorrower $6,166.78 603, Cash Seller '!i0.00 I're\IOUS Editions arc Obsokte Page I l(lrmlllJD-1IS/X7) 11;1I1dhoo, .1105 2 *** 4167957 OR: 4362 PG: 0067 *** Prepared by: RBCORDED in OFFICIAL RECORDS of COLLIBR COUNTY, FL OS/20/2008 at 11:41AM DWIGHT R. BROCK, CLBRK CONS 1&3000.00 RBC PBR 10.00 DOC-.70 1141.00 Carlos Meran 165 Jung Blvd Naples, FL 34105 QUITCLAIM DEED Retn: CARLOS MBRAN 1&5 JUHG BLVD NAPLRS PL 34105 THIS <..!UITCLAIM DEED, Executed this _12_ day of __May :20m'i__, by lirst party Carlos Meran. a married Man and Charles Willey, a single man ___ whose post office address is 165 lung Blvd W Naples. FL 341:20 to second party,____ Carlos Meran, a married man__ whose post otTice address is 165 lung Blvd W Naples. FL 341:20 ---' WITNESSETH. That the said first party, for good consideration and for the sum of $ _J O.GO paid by the said second p<lrty. the receipt whereof is hereby acknowledged, does hereby remise. release and quitclaimunlO the said second party forever. all the right, title. interest and claim which the said first party has in and to the follll\\lI1g described parcel of land. aml Improvements and appurtenances thereto in the County o(__Collier_~, State of _ Florida, to WIt: Lot 33, Block B, of FORST LAKE HOMES, accurding to the map or plat thereof as recorded in Plat Book 12. Page 41 through 46, of the Public records of Collier County, Florida. Subject prope11y is not the homestead property of Carlos Meran, nor adjacent thereto. IN WITNESS WHEREOF, The said first party has signed and sealed these presenb the day and year lirst above wrillen. Signed, sealed qnd delivered in prese I , / , ~~ )11 % ALt/l/1 arlos Meran '---- -- -------- ._-~-- ~.- J,ritnoUis I r ' " '. .., .' . 'I. ; I. I C~\. . _~___Y\I 1\ \ I \J \,.... , Witness Print nan-/e tfti/./? ,/ /~ ...1 /// L:::-:-=--~---,' u . _ -- - ~Willey /' /74 /:::' .,./.' ./ ~/ "/~// /'/ / ~(/~ /.wiUl';:';;; dJ1~~~ L, t/;u~/feL> Witness Print name I STATE OF J F 11.-'1 (:J 4...... COUNTY OF : C L ' JlI t ( - ,; -7-+~ . / On.:!~~ ~ . before me,______. ' personally appeared_ ________ L_. personally known to me ~r proved to me on the basis of satisfactory evidence) to be the person(s) whose namc(s) is/arc sl,b~cribed to the \\ithin instrument and acknowledged to me that he/she/they executed the same in his/her/their authori/.ed eapacity( ies). and that by his/her/their signature(,;) on the instrument the person(s), or the entity upon behalf of which the person(s) acted. executed the in~trument. WITNESS my hand and ofticia! seal. / .~--) ~~&u#;l~~ ,/ AffIant: V Known ~~~~'n:.:... ,~"",.::..>t ~::'-~'):} ..~~~~ ""',Iif.~v:,..,,, .~,.:-~:-.~~ MARCO A. VilER!. JR It MY COMMISSION /I DD 41S9B8 EXPIRES: May 9, 2(". . , . Bonded Tn," Notary PUbliC~~~': ~~s \ \ Unknown I [) Produced: rSeal] BILL OF SALE, ABSOLUTE I This Instrument was Prepared By Gulf Cities Title 11725 Collier Blvd., Ste D Naples, FI 34116 KNOW ALL MEN BY THESE PRESENTS: That Carlos J. Meran, whose address is 165 Jung Blvd West, Napks, Florida, 34120 parties of the fIrst pari, for and in consideration of the sum ofTen Dollars ($10.00), lawful money of the United States, to be paid by Charles Willey, whose post office address is 1404 Forest Lakes Dr., Naples, Florida, 34105 parties of the second part. the receipt whereof is hereby acknowledged, ha&*V81& granted, bargained, sold, transferred and delivered, and by these presents do& *V82& grant, bargain, sell, transfer and deliver unto the parties of the second part, their heirs, successors and assigns, the following good and chattels located at 1404 Forrest Lakes Blvd., Naples, Florida, 34105: NONE To Have and to Hold the same unto the said parties of the second part, their heirs, successors and assigns forever. Alld they do for themselves and their heirs, successors and assigns, covenant to and with the parties of the second part, their heirs, successors and assigns, that they are the lawful owners of the said goods and chattels; that they are free from all encumbrances; that they have good right to sell the same aforesaid, and that they wIll warrant and defend the sale of the said property, goods and chattels hereby made, unto the said parties of the second part, their heirs, successors and assigns, against the lawful claims and demands of all persons whomsoever. III Witness whereof, the parties of the first part have hereunto set their hands and seals this. and delv-resence of us: ~~ 'Y\~J.A.,().~ Carlos J, eran ~!(~ 1 ess #2 Signature SARAH HARRELSON WItness #2 Printed Name STATE OF FLORIDA COUNTY OF Collier The foregoing instrument was acknowledged before me thi) who is/are personally known to me or has/have produced identification. ,2008 by Carlos J. Mcmn as SEAL // ~\\I\lnll~'!'!f#h: -- ~", ",\\BA~~ ~ ~.........'~~ , # ...~ co\tMlSs. -.. ~ l */ ~ ~~2q<l ignature -~. $: ~,.: 'Do"'... 1:!: ~ BARBARAG. PIEKAH \~,~~ ',. . Pr.ilrJ:Notary Signature ~ ~ '.:"It-..IU ld.Q~ >"Jr/C"~'~~tCF.,,~onllTIlssion Expires: ,. ,rATFOI'I'\",~ 'll-.I\\\: File No. 2008153 RETURN SERVICE REQUESTED PRESORTED FIRST-CLASS MAIL U,S. POSTAGE PAID Mail Services, Inc. COLONIAL BANK PO BOX 6600 HAGERSTOWN, MD 21740 58967 FIRST CLASS MAIL 1..11.1111111111.1111111111111111111111111111111111111111111.1 BSW PAVING CONT. OF SW FLORIDA 165 JUNG BOULEVARD W NAPLES FL 34120-3346 RETURN SERVICE REQUESTED PRESORTED FIRST-CLASS MAIL U.S. POSTAGE PAID Mail Services, Inc. COLONIAL BANK PO BOX 6600 HAGERSTOWN, MD 21740 FIRST CLASS MAIL 11111111111111111111111 II 1111111111111111111111111111111111111111 BSW PAVING CONT. OF SW FLORIDA 165 JUNG BOULEVARD W NAPLES FL 34120-3346 '''~Tn''~D ~~D\lTri=' Ti='1 ., 888-339-6074 COLONIAL BANK PO BOX 6600 HAGERSTOWN, MD 21740 PAGE 1 MERCHANT STATEMENT SUMMARV OF BANKCARD DEPOSITS MONTH ENDING 12/31/08 2 PAGES IN THIS STATEMENT 7 800118 8566 9000 3400 01 MERCHANT NUMBER 5180 8990 3400422 DDA/SAV/GL NR 8040715255 11111111111111111111111111111111111111111111111111111111111111111 BSW PAVING CONT. OF SW FLORIDA 165 JUNG BOULEVARD W NAPLES FL 34120-3346 CUSTOMER SERVICE TEL I: 888-339-6074 Co~r County . ~ ~.-. ~ - ~. - - COLLIER COUNTY/CITY OF NAPLES/CITY OF MARCO Contractors' Licensing Board Community Development & Environmental Services Division 2800 N. Horseshoe Drive Naples, FL 34104 Telephone: (239) 252-2431 Fax: (239) 252-4BS9 ~ Instructions: This application must e typewritten or legible printed, The application fee must accompany this a~plication, The fee is NOT refundable after the application has been accepted and entered on the records. All checks should be made payable to the "Board of County Commissioners", For further information, consult Collier County Ordinance ,No, 2006-46, as amended, , j 1. Name of Firm ~~'fJ\ ~~{{ A-l'\: 2. PA U t!J ~{., State 3, {J 4, Business Phone Number: Mobile Phone Number: ? 39 - ~ cS-:5 2 .3 / 5. Fax Number:23 9 - 3-..\ c- SJ/S? Federal Emp,ID#: g () - n / 7 QC T / 6. Legal form of Business: corporalion:~ LLC: - 7, Name of the Firm's Qualifying Agent . M ....\ ~ :s-: l11 e 12AA.J (License Holder) 8, INDICATE NATURE OF REQUEST - (A) To Qualifv as a: ( ) General $150,00 ( ) Electrician $150,00 ( ) Building $150,00 ( ) Plumber $150,00 ( ) Residential $150,00 ( ) Air Conditioning $150.00 ( ) Mechanical $150,00 ( ) Roofing $150,00 ( ) Swimming Pool $150.00 (~ specia~ty ~35.00 · 0 JO-AJ f h~ -~Iartytradetype) (B) Chanae of Status: $10.00 ( ) Active License to Dormant () From Individual to Qualifying a Business ( ) Dormant License to Active () From Qualifying a Business to Individual ( ) Address Change ( ) To Qualify Additional Entity ( ) Reinstatement () From One Business to Another (J 3L~<OD '7AN - 7 3m Page 1 of 5 9. mbers of the Firm, 10, List all businesses, firms, entities or contracting businesses you have been associated with during the last ten years (ex. Held a Ii~e for ~r been a partner). Attach extra pages if needed. j)-\-\k.l :b.';~} &f...~ oj 'ffnRdJc1 ,/,_f)\).~p~ tlEAL.L -bi-le E:.Q\)\~eUJ. 11, List all debts you or any company(s) associated with you refused to pay and the reasons for the refusal to pay. Attach extra pages Y:J\ Se-€- e--- .e..~ AFFIDAVIT certify that the Authorized Officer of the Firm is true and correct to the best of my knowledge, STATE OF FLORID~ ( \ COUNTY OF l '0 _ _ \~ .1l~ The foregoing instrument as acknowledged before me this I - CJ b'" () 9' f7\ 1 AL_ " /J.I' (Date) By~ '"d",'mB/.?~ ~ (Name of officer, title/agent)' (Name of Corporation) ~ ~ A- Corporation, on behalf of the corporation. He/She (State or Place ~ Corporation) has produced,. /)rIIJe~/;('~~e as identification and did not take an oath, It- m6SlJ//CJ63(f)MO ~ ~~' ~ - SIGNATUR OF NOTARY Es//LdI/J JEYtl ~ NOTARY PUBLIC NOTARY'S SEAL (PRINT NAME OF NOTARY) ,..,t/!!"""",- ESTRBJ.A LEY'VA ~\ MY COMMISSION t DO 4S5646 EXPIRES: August 25, 2009 IIGndId nwu NolIry P.\ilIIo UndIlwrIIers Page 2 of 5 APPLICATION COLLIER COUNTY/CITY OF NAPLES/CITY OF MARCO FIRM - PART I f (to be com Dieted bv the Qualifvina Aaent\ ..... Contractors' Licensing Board Community Development & Environmental Services Division 2800 N, Horseshoe Drive Naples, FL 34104 Telephone: (239) 252-2431 Fax: (239) 252-2569 M CI?A# f' M/Os , (Last) (First) Date of Birth (), - OS, / 9 6_'~ s,s, # Driver's license # /I1hSO / /()6. ~,~~ iJ 2. Home Address of the Qualifying Agent / - ~ .AIIl'il ().Jerf1' ~/RS F{- 3 L/ / cO HomePhone#239-gtZ.\- ~~2~J 3. Name of the Firm ~::<k \'V\ A ~ QI/{&.J 1:) ~ u; (J ~ 4 . Type .I1certi~cate of Competency for which a~plication is made. --- - . ~ 1-:1 C{J) !Vi /11.t::I'A:/ ~ 5. The name an . elephone numbers of two persons who will know your whereabouts, 1, Name of Qualifying Agent I (Middle) 6. Have you ever been convicted of a crime related to Contracting? (If yes attach extra sheet with explanation) ,1/0 7, Have you or any firms you have been associated with ever filed bankruptcy? AlO 8, List all debts you or any company(s) associated with you refused or failed to pay and reasons why, ~~ kt\~~___ . 9. List your business or work experience during the past ten years, 10. Statement of any formal training you have had in the area for w' the application s made, Page 3 of 5 AFFIDA vIr The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County Ordinance No, 2006-46, as amended, and vouches for the truth and accuracy of all statements and answers herein contained, 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 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, ~~ It M~e~ APPLICANT (PLEASE PRINT) ('~M M/PdfkL t ~/~(J' NAME OF COMPANY ~~~- ~ SIGNATURE OF APPLICANT '-=- STATE OF FLORID~_ rr. _ ^ COUNTY OF ~ The foregoing instrument as acknowledged before me this / -- t6..- tCJ 9' (Date) ,- bY~~ 't'J1p.~ who has produced rJ)rtt.le~{(,,19~e. (Name of person acknowledging) (Type of identification)~A' ;I'.J7lI"/'tl d3 tJdD- CJ as identification and did not take an oath. ,~~ SIGNATURE NOTARY NOTARY'S SEAL Eal/Zd/~ jR:/v/-l NOTARY PUS(IC (PRINT NAME OF NOTARY) ESTIlEUA LEYVA MY COMMISSION' DO 465646 EXPIRES: August 25, 2009 Bonded TIvu NolIry PtbIIc Underwlbra Page 4 of 5 * * ** * ** * ** * ** * ** * * * * * * * * STAFF USE ONLY: C a. y Lt) S' -1, J/t,Q 1"a h-. Name of Applicant Trade:f1,;; ~ - ~....utA,<>--L Score: ?? t1 Given in })t/L,..dl-LS , sponsored by , , Business & Law Score: ? (;,. t1 ~ Given in }=f. PI ~ &..r<' ~Take on /...2 -;J-(l-~CJtlr , ~LL,.~ 6. , sponsored by Taken on //-11?.. ,;;l(Jd? , dLL,',u- C. Page 5 of 5 AFFIDA vir 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. ~6. SIGNATURE OF APP~ (t~ '(\J\ ~Q1-f A l '- fk;; ~ BUSINESS NAME U . I - h -- z,cO r DAtE BEFORE ME this day personally appeared ~~ n1e ~whO affirms and says that he has less than one employee and does not require Workmen's Compensation and understands that at any time he employs one or more persons he must obtain said Workmen's Compensation Insurance. STATE OF FLORIDA COUNTY OF CC)t ~\~~~ The foregoing instrument was acknowledged before me this / - 6 - tJ 9' (Date) / bst~~fv\f:>~) who has produced ~^rr(~~j'r~e. (name of person acknowledging) I (Type of identification~ //p6'30aro as identification and who did not take an oath. NOTARY SEAL ~~ SIGNATURE OF N T ARY NOTARY PUBLIC ESTREllA LEYVA MY COMMISSION' DO 465646 EXPIRES: August 25, 2009 IlondId Thnl NolIry PWIIc UnderwIIIerw i: . -r--' -fj-t-v jJ~Pj &"k_/z?0. ,pTS-t--H -Z::. c7-/J- 5~ v ~.. /l//C'~ jJ I, fJ1Ay 3o~, . ~.o",~ ...t.-- I / t9,;-., /V -pI> ~ eJ, 3Y/&1<, C)/JRh. [vl4/_ PWA-I /- (~/' /f/~4'6-/. /...<..2 9,{, C~if /Vbl~r cr. 7 d7Y. - J C:h4~;;'> 01- 50 ;:/ .:r::. 0~!o>. 0, d-y //<,>,JMt< ",f- d,<t~ /J.~.';J ddmd.->, ,/J c> .-1',...,..-,-6 )" c <",/.1, ry. Th-f':/- J /lle,/,4;v-, )r;.) . 3 Y'~~"" ->. IJ / ~c'r~/1 N'-'''-', ~ Ilyh~/r- /l7e, ~r- A-C//~7 #e A4-> \ u>>/..I~j (.v, ~A ,4 f /~"'.J f- .3 t" mtP/l-f4> .- ~\\\\\\mll"""I, STATE OF FlffilQl\ ~"~f>.?\EKARr:lll~ ~ ~ ........ ~ CXl.NlY OF <DLL I ER ~ ~..e,~\O\'l EXPI.9;'" ~ g~/~'l.~,?008 is' ....If. ~ '::~.cr- ~ . ~~ Sworn to and subscr i ~~igeio,e~me hf.ii 30th d f appeared GAALES C. ~LIR ,.~~~~i:t:!~ ay 0 identification ~.If.'" .~~~~~d a Fiori . ~ 1-o".:"N.o~rypu'Olf;.';~<V~ ~ 'Jl/r> ...... CO'''- ~ ;fI,l, '71' PUBLIC, ~,~ :1/""",,,,,\\,\\" BARBARA G. PIEKART . i . . " . Qualifi~r: Ce~lifi;c;'~!_ ~p~~:.,ll1,~~I7~a.tiQn CDPR2307 - Qualifier ci$i7:ificatlop' Information . Collier County Board olr';ounty iCo, issioners ' Printed on 10/26/20 CD- Plus for Windows ,f. , ' 'f I, l t ii i CERT NBR: 27398 i 12296 CHARLES C. WILLEY I 1:42:04PM STATE EXP LIAB lXP 5/11 fl008 1 F' B '5 W PAVI J;JCONTRAi:;TO S OF S. ;~ j . f . . ".'.1 " 215 SOUTH~JRPORT RIo. . . C/O WAYNE t.1YANT, Jlp.'Tct> ;-"f .., NAPLES 'ii >1 (2f9) 649-2~rj7 . ':t COUNTYCOMP CARD: CLASS CODE: 4280 STATE NBR: DBA: ORIG ISSD 6/16/2005 WC EXEMPT: y RENEWAL EXPIRES 9/30/2008 OL EXEMPT: N ADDRESS: EXEMPT EXP DATE: 1/6/2008 CITY: FL 34:'G4- PHONE : (239)S96-B~B6 ,'!Jil. '~_~..'. ' -""'~7""""""~""""'>'-7'n,,",.^~. "'''l=.,'',..t.j;~'..'..' "iiffr ~~ .' . ~. ~,.."-: . "_/' - ;' .."'W, -'- :""":";,f:'_{':,.:r~''''::,~,,;:<,:{~~: " ... .. J 1 ( ,. ;', .~ ''!:' '<-~~r;":~~r~."s~~,,,,,..,~~~~..;,~~:.~,~.r,"~,:, ~....- I,', I r ( /' i' j" lOTE: It is the :qualifif, IS responsi f1ity to keep all business, licensing and requirements :urrent and to . provide f. to date co ies>for Collier County files . This includes all insurance :ertificates and any cht ~e ofaddr#.8informatio~. -...,---__.. .... .........'......,......-'---.......... Official Receipt - Collier County Board of County Commissioners CDPR1103 - Official Receipt Trans Number Date . ----".- ------ 813119 1/4/20088:51:27 AM - ~--_.__._--_. ------_. .------.-----. ~/~~1~oa~e -~--~=j :i~~~~~~p N~~~~ Payor: OWNER Fee Information - '--tr]'-- -----.---. -------'--R..-.---~ '-. ------. ! Fee Code DescriJ;ltion GL Account Amount! Waived ~g~9.~RF--' 90N-TR~9j.9R'S REPOFITS _~ 113138900321-23100000 , _, ,,- ",$0',,9, O. ._'~~-- Total ____ , _ . _ ~Qc~Q... Payments ,~~rBr~~ CO_Q~_~~=l~CC::~Che-Ck ~umber ----.-----.--.-----E---------- Amount' ---'--- .---------< _.u.__~<?:~Q_: Total Cash Total Non-Cash ~-~$(f.-~o ; C_~_. _~:QQ, L_____ _ _$-.9~~: Total Paid Memo: 1/4/08 Payment in the amount of .90 for a Paving Report Cashier/location: MURPHYLlNDA / 1 User: COLLEENDAVIDSON Collier County Board of County Commissioners CD-Plus for Windows 95/NT Printed: 1 14/2008 8:51 :45 AM f.._______.............~).'.u......,. _. Official Receipt - Collier County Board of County Commissioners CDPR1103 - Official Receipt Trans Number .. n...______ 800775 Date 10/26/2007 1 :41 :32 PM Post Date 10/26/2007 Nbr CHARLES C. WILLEY B & W PAVING CONTRACTORS OF S,W, FL, INC, 215 SOUTH AIRPORT RD, C/O WAYNE BRYANT, ATTORNEY NAPLES, FL 34104- 4280 PAVING CONTR. Payor: B & W PAVING Fee Information . Fee COde'TOescrip 06CLRL i CONTRA . .. - . ~-. -.1- 06G~bf__j CONTRA nu - --_._- tion _. ---.--- GL Account Amount Waived ~-----._-_._- CTOR'S RENEWAL L1C, 11313890032121100000 $72.00 CTOR'S LATE FEE 11313890032121300000 $7,20 Total $79,20 Payments . ~~:J~t_Co<1~u_u~J~~~~unUCheck Number Amount I $79,20 . $0,00 \ $79.20 $79,20 I Total Cash Total Non-Cash Total Paid Memo: Cashier/location: MCCAULEYKA TY / 1 User: GREENBERG_J Collier County Board of County Commissioners CD-Plus for Windows 95/NT Printed:10/26/2007 1 :41 :58 PM VERIFICATION OF CONSTRUCTION EXPERIENCE Collier County Contractor Licensing c/o Community Development & Environmental Services Division 2800 N. Horseshoe Drive Naples, FL 34104 Telephone: (23 403-2431, (239) 403-2432 or (239) 213-2909 Applicant's Name: Certificate Category Requested: The Applicant is seeking a Collier County Certificate of Comp ncy in the trade indicated above. As part of the application for this certificate the Applicant must verify their 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 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 mayor may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience must provife ~~~:g inf~on: Name, Title and license number~h~on Signi~\r-~fuying~I~~~ttfelevant experience: Name: ~ '\e ~ (he.,A- License Number (if applicable): Title: Name of Business: Business Address: Business Phone: The Applicant's years of experience from y -2tJoy to S - 31)- 20[Jg'" The applicant's scope of work (specific duties) included: C/U Additional Comments: Falsifying any information provided herein may subject your license to revocation. Signature ." Printed Name: State of Florida County of Collier The foregoing instrument was acknowledged before me on this _ day of by who is personally known to me or produced identification and who did not take an oath. Signature of Notary 7 VERIFICATION OF CONSTRUCTION EXPERIENCE Collier County Contractor Licensing c/o Community Development & Environmental Services Division 2800 N. Horseshoe Drive Naples, FL 34104 Telephone: (239) 403-2431, (239) 403-2432 or (239) 213-2909 Applicant's Name: t~~ ~. "N\.~ ~ Certificate Category Requested: P A V /V i () ~ I ' 'c>1/' fed ~ 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 their 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 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 mayor may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience must provide the following information: Name, Title and license number of the person signing below and verifying Applicants releyant experience: Name: ~D...rC. /J1 IU OrA / A..s 1'1-111. l r ,0 A l/ ,-,./ i Owtole tL License Number (if applicable): {!Oltp. , (?~Il+. JJhr. 32223 Title: Name of Business: A-sfhA L r PAV/hi? 31 AV Nt C:=L 34'20 C Daf . N A- P lli-5. Business Phone: 230 -'3'>2.. - 71 h.:S The Applicant's years of experience from ~-l5"O (to 1 0 :30-0 g' The applicant's scope of work (specific duties) included: lfv I. ( A /V c/ CIJ 1""7 oil' f l. r Business Address: 23Qo W/7# HeAVl/ . I I~dl(-}./t. Additional Comments: State of Florida County of Collier The foregoing instrument was acknowledged before me on this ~ day of )./lnv If~ by Jo5G M fAO t tl who is personally known to me or produced .c V L- as identification and w 'd not tak . oath. /J..t1 I / ~ ~~ ESTRELULEYVA ~. ~ ,..W~ : :~ MY COMMISSION It DO 465646 +signature of Notary II '. " EXPIRES: Augusl25, 2009 i ~.Rf"~" Bonded Thru NoIary Nllic UndtIwrlIen Signature _ Printed Name: -J O-JJ; /\11. IVI oyjj . , MOoo-43 3- ~3 -o~L.I-O ~ Falsifying any information provided herein may subject your license to revocatio door 1; VERIFICATION OF CONSTRUCTION EXPERIENCE Collier County Contractor Licensing c/o Community Development & Environmental Services Division 2800 N. Horseshoe Drive Naples, FL 34104 Telephone: (239) 403-2431, (239) 403-2432 or (239) 213-2909 Applicant's Name: Certificate Category Requested: The Applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate the Applicant must verify their 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 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 mayor may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience must provide the following information: Name, Title and license number of the person signing below and verifying Applicants relevant experience: Name: Title: License Number (if applicable): Name of Business: Business Address: Business Phone: The Applicant's years of experience from to The applicant's scope of work (specific duties) included: Additional Comments: Falsifying any information provided herein may subject your license to revocation. Signature Printed Name: State of Florida County of Collier The foregoing instrument was acknowledged before me on this _ day of by who is personally known to me or produced as identification and who did not take an oath. Signature of Notary 9 AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER I, JY12niCiA. ~tQ,-'0 , am a resident of ~ . ~ County, (lblLv.\ ) (State) and have resided here for more than five (5) years. During the last five years I have known fun \G\ ~ (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, by who has produced - - - ( ype of identification) ~p- JSIGNA i OTARY - ~ CD RAYMOND J, CERNY JR " Notery Public . State of Florida I .j My Comm. Expires Noy 12. 2012 1 Commillion t1 DO 837131 ...... TIlratIItt IaUonaI Notary Alan. - - - - - - TARY) NOTARY'S SEAL 10 AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER I, -SOVd6 1. (-6YL~A , am a resident ofJlt?fl." dA County, e.O ( \ ~ i ~. (State) and have resided here for more than five (5) years. During the last five years I have known C?Ar to( %.; EAI/\ (Applicant), I have had the opportunity to observe his or her business and personal dealings and find him or her. honesty, integrity and good character. (Signature) (Name) ror<fb L LEYV4 (Address) ~ t 1 \ L( ~ ~t, lVCt/ /ifAbtEs Pl, 34 I ao , ~ (Telephone) J-3 q - ~J 7 - q S! () STATE OF FLORIDA COUNTY OF (){{o~{oa The foregoing instrument was acknowledged before me this I by -r-A\ 1- .- L / ,- Cl i (Date) , 1 ... -.UUJ ~c . ~ Y C/ A- who has produced -r l 0 i-.~ 4A \\ h \/i3tL I at...S6 (name f person acknowledging) (Type of identification) as identification and who did not take an oath. _~d#~ SIGNATURE OF NOTARY &-U It:/J. (PRINT NAM OF NOTARY) NOTARY PUBLIC NOTARY'S SEAL l~" . ESTRELlA LEYVA ~: :"'i MY COMMISSION' DO 465646 ~.... EXPIRES: August 25, 2009 'If. Bonded T1vu NllCIry Pti1lic UncIerwrhr8 ,. X300011106 Orion Bank Pine Ridge Office CORPORATE AUTHORIZATION RESOLUTION By: B & W Paving Contractors of SW Fllnc 1404 Forrest Lakes Blvd Naples FL 34105 1905 Pine Ridge Road Naples, FL 34109 Referred to in this document as "Financial Institution" Referred to in this document as "Corporation" I, ' certify that I am Secretary (clerk) of the above named corporation organized under the laws of Florida , Federal Employer I.D. Number i>1-148]!J.L__, engaged in business under the trade name of _B & W Paving Contractors of SW FI , and that the resolutions on this document are a correct copy of the resolutions adopted at a meeting of the Board of Directors of the Corporation duly and properly called and held on 02/14/2007 (date). These resolutions appear in the minutes of this meeting and have not been rescinded or modified. AGENTS Any agent listed below, subject to any written limitations, is authorized to exercise the powers granted as indicated below: A. Charles Willey x Facsimile Signature (if used) Name and Title or Position B. Carlos Meran c.Marcia C Tinberg President Authorized Signer Authorized Signer x D. x E. x x F. x x POWERS GRANTED (Attach one or more Agents to each power by placing the letter corresponding to their name in the area before each power, Following each power indicate the number of Agent signatures required to exercise the power,) (1) Exercise all of the powers listed in this resolution. Indicate number of signatures required N/A Indicate A, B, C, D, E, and/or F N/A Description of Power ABC (2) Open any deposit or share account(s) in the name of the Corporation. ABC (3) Endorse checks and orders for the payment of money or otherwise withdraw or transfer funds on deposit with this Financial Institution. (4) Borrow money on behalf and in the name of the Corporation, sign, execute and deliver promissory notes or other evidences of indebtedness. N/A N/A N/A (5) Endorse, assign, transfer, mortgage or pledge bills receivable, warehouse receipts, bills of lading, stocks, bonds, real estate or other property now owned or hereafter owned or acquired by the Corporation as security for sums borrowed, and to discount the same, unconditionally guarantee payment of all bills received, negotiated or discounted and to waive demand, presentment, protest, notice of protest and notice of non-payment. 16\ EntPr into a written lease for the purpose of renting, maintaining, "c.c.essiflg emu lenfliflating a Sate Deposit Box in this Financial Institution. N/A N/A N/A N/A (7) Other N/A LIMITATIONS ON POWERS The following are the Corporation's express limitations on the powers granted under this resolution. EFFECT ON PREVIOUS RESOLUTIONS This resolution supersedes resolution dated ~2/~4/3~.9l__ . If not complet" .. .Iullons remain In effect. CERTIFICATION OF AUTHORITY ~. I further certify that the Board of Directors of the Corporation has, and at the time of adoption of this resol \ " , . '~r and lawful authority to adopt the resolutions on page 2 and to confer the powers granted above to the persons named who h.. ,nu lawful authority to exercise the same. IApply seal below where appropriate.) [J If checked, the Corporation is a non-profit corporation. In Witness Whereof, I have subscnb of the Corporation on . _____________. Attest by--One-Other--6ITicer---------. (OJ 1985, 1997 Bankers Systems, Inc., S1. Cluud, MN Form CA.' 6/12/2002 (page I of 2) 1- 6.- z~e)(:; cr To whom this may concern, I, Carlos Meran went into a partnership with Charles Willey, the owner ofB&W paving contractor of southwest Florida, when I worked with him. We bought an investment property at 5205/07 24th street SW, Lehigh Acres, Florida 33973. Charles Willey added his sister to the deed because he was going through a divorce, but neither of them signed the mortgage. Charles never paid any money towards the mortgage; one of the tenants hadn't paid for five months and the other tenant hadn't paid for 3 months before being evicted. I contacted Charles to help me out with the mortgage, but he refused to do so. I didn't have any extra money to pay for the mortgage, causing me to be late on the mortgage payment. Since then I refinanced the mortgage and got a lower payment. I've alsobeen trying to get Marcia Tinberg, Charles' sister, removed from the deed; but I haven't been successful. I Just hope that this isn't a great problem for me to obtain the paving license; I've gotten all of the qualifications the county requires. I am attaching a 'Notice of Unpaid Real Property Taxes' with Marcia Tinberg's name on it as proof. Thank You, 0\ CarIO\\ Moran. ~-~~ ~"^'--- Notice of Unpaid Real Property Taxes Lee County, Florida May 2. 2008 Assessed Owner Account Number ME RAN CARLOS + TINBERG MARCIA C TIC Site Address I 5205/07 24TH ST SW LEHIGH ACRES 33971 LEHIGH ESTATES UNIT 2 BLK 5 PB 15 PG 82 LOT 2 31-44-26-02-00005.0020 Item Id Tax Year payment instructions and information, If payment is received in: May 2008 June 2008 See reverse side of this notice for 07-007198 31-44-26-02-00005.0020 2006 2007 $882,38 $1,092.58 $882.38 $1,146.90 TOTAL AMOUNT DUE: $1,974.96 must a or money bank. Thc amount duc for dclinqucnt taxes is detcrmincd by thc date received by the Tax Collector, not the date postmarked. See reverse side for additional payment options. ** Personal and business checks are not ** Notice of Unpaid Real Property Taxes Lee County, Florida May 2.2008 Pay only one alllonnt L"m._""=E~~unt ~umber ---1--.. May 2008 "i _____.Jun.e 20~__~ 3] -44-26-02-00005.0020 I $1,974.96 ! $2.029.28 I _._...____"_._~_______L_.______"____...__.__.__j Remit cashier's check. certified check LEE COUNTY TAX COLLECTOR or money order in L.S. funds drawlI on P.O. BOX 630 a L.S. bani, payable to: FORT MYERS FL 33902-0630 Indicate which item(s) you are paying. ../ .111 ~~~E21~~.11I1 MERAN CARLOS + TINBERG MARCIA C TIC 2569 SIL VER SHADOW DR LAS VEGAS NV 89108 Personal or business checks arc 110\ acccph'd. PLEASE RETlIRN THIS PORTION WITH PA "\IE'iT COLLIER COUNTY GOVERNMENT COMMUNITY DEVELOPMENT AND ENVIRONMENTAL SERVICES DIVISION 2800 N. Horseshoe Dr.. Naples. Florida 34104 . 239-403-2400. FAX 239-403-2334 MEMORANDUM DATE: November 29,2007 TO: ApplicanCs FROM: Michael Ossorio, Contractor Licensing Supervisor. CC: Robert Dunn, Collier County Building Director. Alamar Finnegan, Collier County Permitting Supen'isor. Robert Zachary, County Attorneys Office. All Contractor Licensing personnel. SUBJECT: Collection of social security numbers. Pursuant to Chapter 119, Florida Statues and Collier COWlty Contractor Licensing Ordinance 2006-46 Sec. 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 infol111ation. Our oftice \\rill only use your SSN noted above for those reasons pursuant to Chapter 119, Florida Statues 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 119, Florida Statues. 13 FLORIDA DEPARTMENT OF STATE Division of Corporations May 21, 2008 eM ASPHATL PAVING 165 JUNG BLVD WEST NAPLES, FL 34120 . Subject: C M ASPHATL PAVING REGISTRATION NUMBER: G08142900111 This will acknowledge the filing of the above fictitious name registration which was registered on May 20,2008. This registration gives no rights to ownership of the name. Each fictitious name registration must be renewed every five years between January 1 and December 31 of the expiration year to maintain registration. Three months prior to the expiration date a statement of renewal will be mailed. IT IS THE RESPONSIBILITY OF THE BUSINESS TO NOTIFY THIS OFFICE IN WRITING IF THEIR MAILING ADDRESS CHANGES. Whenever corresponding please provide assigned Registration Number. . Should you have any questions regarding this matter you may contact our office at (850) 245-6058. Fictitious Name Section Division of CorporationG Letter No. 108A00032303 ""',...... T'\r"\."C7 ,...o.n"" m_ll_l..~__~^ l:i'ln....;~." Q')~lL1. certificate of Status I certify from the records of this office that C&M ASPHALT PAVING CORP, is a corporation organized Wlder the laws of the State of Florida, filed electronically on May 22, 2008, effective May 22, 2008. The document number of this corporation is P08000051 022. I further certify that said corporation has paid all fees due this office through December 3 1, 2008, and its status is active. I further certify that said corporation bas not filed Articles of Dissolution. I further certify that this is an electronically transmitted certificate authorized by section 15.16, Florida Statutes, and authenticated by the code noted below. Authentication Code: 080522090837-600130013956#1 Given Wlder my hand and the Great Seal of the State of Florida at Tallahassee, the Capital, this the Twenty Second day of May, 2008 I'll.' 9. Pl.-owning ~crrrtarl.' of $ltatc '\. ~ State of Florida Department of State I certify from the records of this office that C&M ASPHALT PAVING CORP, is a corporation organized under the laws of the State of Florida, filed on May 22, 2008, effective May 22, 2008. The document number of this corporation is P08000051 022. I further certify that said corporation has paid all fees due this office through December 31, 2008, and its status is active. I further certify that said corporation has not filed Articles of Dissolution. GiveIIllIUler my IttuUllllUl tile GreIII St!IIl Df F1oriIItI, lit TtlllI1"~, tile c.pillll, tIds tile T~ Bini dIq DfMtq, 2., -@ai-..-O Secretary of State Aulhentication ID: S80t38t68735-OS238B- P88IOOO518U To authenUca1e tlris (;eftifiwte, visit the lo11owing site. enter this ill. an-J then fullow the instructions displayed. https:llefile.snnbiz.orglcertauthver.html ..0 .g 4) ...c: ..... ..... E ('lS "'c::J "t:S ~ 4) .,... ~ T- o .- (1) ..... 0 d 4) ~ 0 ..0 ..... ~ U 1;$ B 0 l-o <l) 0 <I) " fr ~ 0 ~ 0 ~ Z 0 .- ~ .s 1:: CI') ~ <l) <I) ~ u i3 ..0 (1) .- "'c::J ...c: ~ ...... <l) "'c::J 0 ~ ~ = ~ (1) <l) (1) (1) CI') ~ = <:) ..... ~ 'I ~ ;. 0 ~ 000 aJ ~ 0 me::> 0 .- ~ tI) ...... ~e::> (1) ..c:~ (1) .- t.+-l $:;:Q ~ ro 0 .., o . ~ ~ m '.0 ~ 0 <l) $-4 fIl l-o ~ ~ ~ ~ ro <I) 0 ...c fr~ ""0 ~ ..... m S ;.... Q) -- =~ ro Ot.+-l U~ -0 u 0 "'C ...... "'c::J~ ~ ~ <l) ._ ro Q) ~ 0 ...c ~"'c::J ...... N t.+-l <l) 1-1 .- ~ .s 0 ..eN a tI) ...... rn U tI) ~ ~ ~:.a e!> Q) ta 0..... . <l) l-o tH~ d l-o <l) 0 0 <l) 0 ._ tI) m ~~ 13 o(~ <l) 0 $:;: uc;....c OJ m""Cj "'0 m <l) ~ 0 .- <l) N .~ fr :> $:;:,- <l) ...... ;... .- 0 ..d ~ 0 m ~-B .- ~.su ...0 c: ~ E- ...... d ~Jt.---- .~_ ._"_.",,.,_ '~7!(t_:~,~.~_,~~~_-:;;,;c~4.~,f~~.~~~";~~__ ;.;;.::;;..,:;.:.;,; certificate of Status I certify from the records of this office that C&M ASPHALT PA VlNG CORP, is a corporation organized under the laws of the State of Florida, filed electronically on May 22, 2008, effective May 22, 2008.- The document number of this corporation is P08000051 022. I further certify that said corporation has pajd all fees due this office through December 31,2008, and its status is active. I further certify that said corporation has not filed Articles of Dissolution. I further certify that this is an electronically transmitted certificate authorized by section 15.16, Florida Statutes, and authenticated by the code noted below. Authentication Code: 080522090837-600130013956#1 Given under my hand and the Great Seal of the State of Florida at Tallahassee, the Capital, this the Twenty Second day of May, 2008 l,ur S. jllrOUJlllUn 9cnrtiU")! of &tatr I certify that I am familiar with and accept the responsibilities of registered agent. Registered Agent Signature: CARLOS J. MERAN Article VI The name and address of the incorporator is: CARLOS J. MERAN 165 JUNG BLVD WEST NAPLES FL. 34120 Incorporator Signature: CARLOS J. MERAN Article VII The initial officer(s) and/or director(s) of the corporation is/are: Title: P, VP CARLOS J MER AN 165 ruNG BLVD WEST NAPLES, FL. 34120 Article VIII The effective date for this corporation shall be: OS/22/2008 P08000051 022 FILED May ~~ 2008 Sec. UT State cgolden Electronic Articles of Incorporation For P08000051 022 FILED May ~ 2008 Sec. VI State cgolden C&M ASPHALT PAVING CORP, The nndersigned incorporator, for the purpose of forming a Florida profit corporation, hereby adopts the following Articles of Incorporation: Article I The name of the corporation is: C&M ASPHALT PAVING CORP, Article II The principal place of business address: 165 ruNG BLVD WEST NAPLES, FL. 34120 The mailing address of the corporation is: 165 ruNG BLVD WEST NAPLES, FL. 34120 Article III The purpose for which this corporation is organized is: ANY AND ALL LAWFUL BUSINESS. Article IV The nwnber of shares the corporation is authorized to issue is: 100 Article V The name and Florida street address of the registered agent is: CARLOS J MERAN 165 ruNG BLVD WEST NAPLES, FL. 34120 x ~ IRS DEPARTMENT OF THE TREASURY ~~ INTERNAL REVENUE SERVICE OGDEN UT 84201-0023 002760.453475.0009.001 2 HB 0.494 1020 111111111.111.11.11111111111111..11111.11111.11111..1.1.1111.1 Date of this notice: 06-04-2008 Employer Identification Number: 80-0190271 Form: SS-4 Number of this notice: CP 575 A ~ ..! C&M ASPHALT PAVING CORP ~ CARLOS J MERAN 165 JUNG BLVD W NAPLES FL 34120 For assistance you may call us at: 1-800-829-4933 760 IF YOU WRITE. ATTACH THE STUB OF THIS NOTICE. . \rfE ASSIGNED YOU AN EMPL.OYER IDENTIFICATIoN NUMBeR .- Thank you ~or applying ~or an Employer lden~i~ica~ion Humber (EIH). We assigned you EIN 80-0190271. This EIN will identi~y you, your business accounts. tax returns, and documents. even i~ you have no employees. Please keep ~his notice in your permanent records. When ~iling 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 ~o us. Based on the in~orlnation received ~rom you or your representative. you must file the ~ollowing ~orm(s) by the da~e(s) shown. Form 1120 Form 944 Form 940 03/15/2009 01/31/2009 01/31/2009 l~ you have questions about the formes) or the due dates(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 o~ your tax classi~ication. you may request a priva~e le~ter ruling ~rom the IRS under ~he guidelines in Revenue Procedure 2004-1. 2004-1 I.R.B. I (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 -H:s -instl"ucticms f.:..~ .adcli.tional.;inTer-maUon ,..-..- --_...-- ...-----. -_._-~ H. '0000960 -; PI DEPARTMENT OF REVENUE Florida Department of Revenue Unemployment Tax Liability Notice UCSFL23R N. 07/07 07/0112008 C&M ASPHALT PAVING CORP 165 JUNG BLVD W NAPLES FL 34120-3346 UT Account # : 2839357 Busine5S Partner # : 2673449 Contract Object # : 14850756 FEIN : 800190271 Tax Rate : 0.0270 Mailed on or Before : 07/09/2008 Dear C&M ASPHALT PAVING CORP: You have met the liability requirements for unemployment tax per section 443.1215 A, Florida Statutes, effective 07/01/2008. Your account number and tax rate are shown above. Please use the account number on all correspondence with the Department. If you did not submit an Application to Collect and/or Report Tax in Florida (DR-1), one is enclosed. Please complete and return it to the Department. Quarterly reports are due for each calendar quarter beginning with the effective date of liability. However, if you paid any wages in any quarter in the same year, but prior to your effective date, it is your responsibility to report and file wages paid. Reports must be filed timely, whether or not wages are paid. Any quarterly reports not previously mailed to you will be mailed at this time, under separate cover, unless you are enrolled to file reports electronically. Future quarterly reports will be mailed during the last month of each calendar quarter for employers not enrolled to file electronically. To avoid penalties for late filing, employer's quarterly- reports must be completed and returned postmarked on or before the "penalty after" date shown on the tax report. A. ~naIty of $25.00 will accrue for each 30 days, or fraction thereof. that a report is delinquent. Interest charged on unpaia indebtedness accrues at one percent (1%) per full month, to be prorated daily. You may enroll to file reports and pay taxes electronically on the Departmenfs Internet site at www.myflorida.comldor/eservices or by submitting the enclosed Enrollment and Authorization for e-Services Program . (DR-600). This letter is your official notice and becomes conclusive and binding within 20 calendar days of the -Mailed on or Before- date shown above. If you disagree and wish to protest, you must do so in writing explaining your reason for disagreement. If you have questions, please contact the Department at 800-482-8293 or 850-487-8099, Monday through Friday 8 a.m. to 7 iMJ'l;, ET. Hearing or speeeh impairod peisons ;r.ay call thaTDDline at 800-367-8331-o~922-~..:J.+5. ' Please send written correspondence to: Account Management Florida Department of Revenue P.O. Box 6510 Tallahassee, FL 32314-6510 Enclosures: DR-600 Page 1 of5 r-epared By: ::!rit Credit 239) 277-3202 BOO) 371-3348 RANSUNION CREDIT REPORT [FOR] [SUB NAME] (I) Z NP3343169 MERIT CREDIT [MKT SUB] [INFILE] 16 NP 6/84 [DATE] 01/05/09 [TIME] 14:36CT [SUBJECT] MERAN, CARLOS J. [ALSO KNOWN AS] ERAN,CARLOS [CURRENT ADDRESS] 165 W. JUNG BV., NAPLES FL. 34120 [FORMER ADDRESS] 1404 FOREST LAKES BV., NAPLES FL. 34105 4053 E. GOLDEN GATE BV., NAPLES FL. 34120 [CURRENT EMPLOYER AND ADDRESS] B&W PAVING [SSN] [BIRTH DATE] 068-62-1194 1/63 [DATE RPTD] 12/05 1/07 [VERF] [RPTD] 2/07 1/07 [FORMER EMPLOYER AND ADDRESS] ADVANTAGE TRANSPORT 1/07 12/06 ---------------------------------------------------------------------------- MOD E L PRO F I L E * * * ALE R T * * * ***FICO CLASSIC 04 ALERT: SCORE +598 : SERIOUS DELINQUENCY, AND PUBLIC ***RECORD OR COLLECTION FILED; TIME SINCE DELINQUENCY IS TOO RECENT OR ***UNKNOWN; LENGTH OF TIME SINCE DEROGATORY PUBLIC RECORD OR COLLECTION IS ***TOO SHORT; PROPORTION OF BALANCES TO CREDIT LIMITS IS TOO HIGH ON BANK ***REVOLVING OR OTHER REVOLVING ACCOUNTS *** IN ADDITION TO THE FACTORS ***LISTED ABOVE, THE NUMBER OF INQUIRIES ON THE CONSUMER'S CREDIT FILE HAS ***ADVERSELY AFFECTED THE CREDIT SCORE. ---------------------------------------------------------------------------- REVOLVING: INSTALLMENT: OPEN: MORTGAGE: TOTALS: SUMMARY *** TOTAL NEG=l HSTNEG=1-3 TRD=26 RVL=10 INST=8 HIGH CRED CRED LIM BALANCE PAST DUE $18.4K $30.6K $13.2K $0 $56.3K $ $9111 $0 $12.1K $ $1828 $0 $174K $ $172K $3854 $261K $30.6K $196K $3854 F I L E MTG=7 MNTHLY $ $1325 $ $1223 $2548 HIS TOR Y OPN=1 INQ=6 PAY AVAILABLE 57% C RED I T PR=2 COL=3 85% ---------------------------------------------------------------------------- PUB L I C R E COR D S SOURCE DATE LIAB ECOA COURT ASSETS PAID DOCKET# TYPE PLAINTIFF/ATTORNEY Z 4765080 4/05R $1104 I CT 8/05 X0518541 RELEASE OF TAX LIEN NYS TAX AND FINANCE CS Z 4765080 6/04R $1104 I CT 2/05 X0421935 PAID TAX LIEN CSE ---------------------------------------------------------------------------- C 0 L L E C T ION S SUBNAME SUBCODE ECOA OPENED CLOSED $ PLACED CREDITOR MOP ACCOUNT# VERIFIED BALANCE REMARKS GULF CST COL Y 1X5L001 I 12/07 5/08F $431 MEDICAL 09P 2873592 5/08A $0 PAID COLLECTION GULF CST COL Y 1X5L001 I 3/07 5/08F $367 MEDICAL 09P 2537629 5/08A $0 PAID COLLECTION MID SOUTH CB Y 2457002 I 11/07 5/08F $191 MEDICAL 09P 3270660005535971 5/08A $0 PAID COLLECTION IttpS:/ /www.creditsystem.comlfalcon 1/5/2009 Page 2 of5 ---------------------------------------------------------------------------- r R A DES SUBNAME SUBCODE OPENED HIGHCRED TERMS MAXDELQ PAY PAT 1-12 MOP A..CCOUNT# VERFIED CREDLIM PASTDUE AMT-MOP PAY PAT 13-24 ECOA COLLATRL/LOANTYPE CLSD/PD BALANCE REMARKS MO 30/60/90 RIVERSD GULF B 1YKT001 2/06 $174K 360M1223 12/08 321111111111 M04 608160438 12/08A $3854 $3854 04 121111111111 I REAL ESTATE $l72K 32 2/ 1/ 0 M1EX B 21WB001 11/88 $3792 111111111111 R01 12/08A $2100 $0 11111111111 I CREDIT CARD $589 23 0/ 0/ 0 M1EX B 21WB001 7/88 $12.1K 111111111111 001 12/08A $0 111111111111 I CREDIT CARD $1828 27 0/ 0/ 0 DSNB MACYS D 2A5T001 12/07 $62 111111111111 R01 12/08A $1500 $0 I CHARGE ACCOUNT 1/08P $0 12 0/ 0/ 0 FNBOMAHA CL B 1765014 12/06 $713 111111111111 R01 12/08A $13.0K $0 11111111111 I CREDIT CARD 12/08P $0 23 0/ 0/ 0 SUNCST FCU Q 298Q007 2/05 $13.0K 111111111111 R01 12/08A $14.0K $0 111111111111 I CREDIT CARD $12.6K 47 0/ 0/ 0 TOYOTA MTR Q 4176318 6/05 $56.3K 48M1325 111111111111 I01 70403660519440001 11 / 0 8A $0 111111111111 I AUTOMOBILE $9111 41 0/ 0/ 0 CITI B 64DB001 5/95 111111111111 R01 11 / 08A $10.0K $0 111111111111 A CREDIT CARD 10/08C $0 ACCT CLSD BY CONSUMER 48 0/ 0/ 0 HSBC MORTUSA B 1607001 11/06 $343K 360M1862 111111111111 MOl 5478232661 7/08A $0 1111111 I CONVENTIONAL REAL 7/08C $0 CLOSED 19 0/ 0/ 0 CAPITAL 1 FA F 1W2K001 11/06 $27.5K 24M1236 11111111111 I01 62062163230121001 10/07A $0 I AUTOMOBILE 10/07C $0 CLOSED 11 0/ 0/ 0 FIFTH THIRD B 992S002 12/06 $452K 360M2547 1111 MOl 403142961 5/07A $0 I CONVENTIONAL REAL 5/07C $0 CLOSED 4 0/ 0/ 0 WLSFGR HMMTG B 82TE004 4/06 $437K 360M4120 111111111111 MOl 7080151288628 5/07A $0 I CONVENTIONAL REAL 5/07C $0 CLOSED 12 0/ 0/ 0 COUNTRYWIDE Q 427S002 11/05 $431K 360M1891 11111111 MOl 120528444 11 / 0 6A $0 I CONVENTIONAL REAL 11/06C $0 ACCT CLSD BY CONSUMER 10 0/ 0/ 0 78A001 12/05 $354K 360M2186 1111111 MOl 6681006767261 8/06A $0 I FRD327662964 8/06C $0 CLOSED 7 .0/ 0/ 0 CI M 1/05 $150K 111111111111 C01 625 6/06A $150K $0 11111 P HOME EQUITY LOAN 5/06C $0 CLOSED 17 0/ 0/ 0 l w.creditsystem.comlfalcon 1/5/2009 VW CREDIT F 2943003 837296537 I AUTOMOBILE TOYOTA MTR Q 4176318 70403660323050001 M AUTOMOBILE AMEX B 21WB001 A CREDIT CARD 2/05 $27.3K 4/06A 4/06C $0 1/04 $35.0K 6/05A 6/05C $0 6/88 4/04A 11/02P $776 $0 BK OF AMER B 6331205 10/00 $10.9K 63000000170067 1/04A S AUTOMOBILE 1/04C $0 WLSFGR HMMTG B 82TE004 4723434000 P CONVENTIONAL REAL FST USA BK B B 7519044 A CREDIT CARD AMEX B 21WB001 T CREDIT CARD 3/96 $236K 1/04A 1/04C $0 1198 2/02A 9/01C 6/88 121 0 1A 7/99C $14.5K $15.0K $0 $0 $0 BK OF AMER 90900524358 C LEASE B 6331067 10/98 $5470 10/00A 10/00C $0 FRD MOTOR CR F 3796761 TLJ8224090 I AUTOMOBILE FRD MOTOR CR F 3796761 TLJ822Y817 I AUTOMOBILE 9/99 10/00A 10/00C $12.3K $0 6/99 $20.0K 7/99A 7/99C $0 GE CARD CO A CREDIT CARD B 7695086 11/95 8/99A 7/99C $10.0K $10.0K $0 48M570 $0 48M808 $0 CLOSED $0 60M221 $0 CLOSED 240M2402 $0 CLOSED Page 3 of5 111111111111 101 . 12 0/ 0/ 0 111111111111 101 111111 18 0/ 0/ 0 11111X1 R01 7 0/ 0/ 0 111111111111 101 111111111111 39 0/ 0/ 0 X11111111111 MOl 111111111111 45 0/ 0/ 0 11111 R01 $0 ACCT CLSD BY CONSUMER 22 DATE :12/22/08 : 4/08/08 : 7/13/07 ZP4765080 NY. 12207 0/ 0/ 0 1 R01 $0 ACCT CLSD BY CONSUMER 24M227 $0 CLOSED 12M1026 $0 CLOSED 30M669 $0 CLOSED 1 0/ 0/ 0 XX1111 101 6 0/ 0/ 0 11 101 2 0/ 0/ 0 101 $0 ACCT CLSD BY CONSUMER RUR ---------------------------------------------------------------------------- I N QUI R I E S DATE SUBCODE 1/05/09 ZNP3343169 (FLA) 8/08/08 BWL0007272(WIL) 3/20/08 BKP6191463 (NTL) SUBNAME MERIT CREDIT BRCLYSBANKDE BK OF AMER SUBCODE ZC06119554 (CAL) BKP6191463 (NTL) ZRL6390081 (FLA) SUBNAME FAC BK OF AMER CBA ---------------------------------------------------------------------------- C RED I T R E P 0 R T S E R V ICE D BY: TRANSUNION 800-888-4213 2 BALDWIN PLACE P.O. BOX 1000 , CHESTER, PA. 19022 Consumer disclosures can be obtained online through TransUnion at: http://www.transunion.com ---------------------------------------------------------------------------- CREDITOR CONTACT INFORMATION 16 EAGLE STREET ALBANY GULF CST COL ATTN ROY DILLARD MID SOUTH CB YC1X5L001 SARASOTA FL. 34232 YC2457002 IttpS:/ /www.creditsystem.comlfa1con (518) 487-5118 (866) 753-7467 (731) 644-9551 1/5/2009 POB 15'67 PARIS Page 4 of5 TN. 38242 (561) 466-1200 nVERSD GULF 2810 S FEDERAL ~EX P.O. BOX 981537 )SNB MACYS 3039 CORNWALLIS RD DURHAM :<'NBOMAHA CL P.O. BOX 3412 3UNCST FCU 6801 HILLS AVE rOYOTA MTR 12735 MORRIS :::ITI POB 6241 'iSBC MORTUSA POB 4604 :APITAL 1 FA ATTN- CREDIT BUREA PLANO nFTH THIRD 38 FOUNTAIN SQUARE iVLSJ:o'GR HMMTG 7255 BAYMEADOWS :OUNTRYWIDE 450 AMERICAN ST INDYMAC-HLS ONE NATIONAL CITY KALAMAZOP :ITIBANKNA 1000 TECHNOLOGY DR 0 FALLON VW CREDIT 2333 WAUKEGAN RD BK OF AMER FL9-600-02-15 FST USA BK B PO BOX 8650 BK OF AMER 275 VALENCIA FRD MOTOR CR POB 542000 GE CARD CO PO BOX 105981 BZ1YKT001 HWY FORT PIERCE FL. 34982 BC21WB001 TX. 79998 DC2A5T001 NC. 27709 BC1765014 NE. 68197 QC298Q007 FL. 33680 QZ4176318 ROAD ALPHARETTA GA. 30004 BC64DB001 SIOUX FALLS SD. 57117 BM1607001 NY. 14240 FA1W2K001 TX. 75093 BM992S002 CINCINNATI OH. 45263 BM82TE004 WA JACKSONVILLE FL. 32256 QZ427S002 SIMI VALLEY CA. 93065 BZ478A001 MI. 49009 BB956612M MO . 63368 FZ2943003 IL. 60015 BI6331205 JACKSONVILLE FL. 32256 BB7519044 WILMINGTON DE. 19899 BA6331067 CA. 92823 FA3796761 NE. 68154 BC7695086 GA. 30353 EL PASO OMAHA TAMPA BUFFALO DEERFIELD BREA OMAHA ATLANTA (800) 874-2717 (813) 621-7511 (800) 882-5611 (800) 950-5118 (800) 874-2100 (469) 241-7000 (513) 358-4801 (904) 485-5998 (800) 669-6607 (800) 781-7399 (800) 685-0935 (847) 948-1934 (800) 215-6195 (877) 546-8205 (800) 544-5232 (800) 637-2422 FAC 12395 FIRST AMERIC POWAY BRCLYSBANKDE 1007 ORANGE ST. BK OF AMER P.O. BOX 31590 CBA 4 EXECUTIVE CAMPUS Z 6119554 CA. 92064 0007272 DE. 19801 6191463 FL. 33631 Z 6390081 CHERRY HILL NJ. 08002 B WILMINGTON B TAMPA (727) 892-6500 (800) 698-2514 END OF TRANSUNION REPORT ERIT CREDIT HAS RETRIEVED THE ABOVE PERSONAL CREDIT REPORT FOR ICENSING PURPOSES AS REQUESTED BY THE BUSINESS 'WNER/PROPRIETOR. PUBLIC RECORDS FOR THIS REPORT HAVE BEEN HECKED AND VERIFIED AT THE COUNTY, STATE AND FEDERAL LEVELS. UBLIC RECORDS HAVE ALSO BEEN VERIFIED FOR PINELLAS COUNTY. 'DBLIC RECORDS LEARNED -d..- OURCES OF INFORMATION: CREDIT DATA SERVICES, INC/EXPERIAN lttpS:/ /www.creditsystem.com/fa1con 1/5/2009 Page 5 of5 IRS LIEN SECTION COUNTY COURTHOUSE RECORDS F YOU HAVE ANY QUESTIONS REGARDING THIS REPORT, PLEASE ONTACT MERIT CREDIT AT: 1-800-371-3348 OR (239) 277-3202. https://www.creditsystem.comlfa1con 1/5/2009 AC~'" CERTIFICATE OF LIABILITY INSURANCE I DATE (MMfDDfYY) ~.. 01/05/09 PRODUCER Insurance Solutions THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 2650 Airport Rd. South Suite D HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Naples, FL 34112 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Phone (239)732-1813 Fax (239)732-1936 INSURERS AFFORDING COVERAGE NAIC# INSURER A: Seminole INSURED C & M Asphalt Paving Corp INSURER B: 165 Jung Blvd W INSURER C: Naples, FL 34120- INSURER D: 1(239) 825-3231 INSURER E: COVERAGES INSURER F: THE POLICIES OF INSURANCE LISTED 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AOO'L TYPE OF INSURANCE POLICY NUMBER POLI~11 EFFECTIVE ~~~iMe,::::~~ON LIMITS LTR INSRO OATE MM/OOIYYI GENERAL LIABILITY EACH OCCURRENCE 500,000 ~ COMMERCIAL GENERAL LIABILITY SCL0003012610 OS/28/08 OS/28/09 DAMAGt: ,_~ 100,000 PREMISES (Ea occurence) DO CLAIMS MADE ~ OCCUR MED EXP (Anyone person) 5000 A 0 0 PERSONAL & ADV INJURY 500,000 0 GENERAL AGGREGATE 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COM~OPAGG 1,000,000 o POLICY 0 PROJECT 0 LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 0 ANY AUTO (Ea accident) 0 ALL OWNED AUTOS BODILY INJURY 0 0 SCHEDULED AUTOS (Per person) 0 HIRED AUTOS BODILY INJURY 0 NON OWNED AUTOS (Per accident) R PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT 0 0 ANY AUTO OTHER THAN EA ACC 0 AUTO ONLY: AGG EXCESs/UMBRELLA LIABILITY EACH OCCURRENCE o OCCUR o CLAIMS MADE AGGREGATE 0 0 DEDUCTIBLE 0 RETENTION $ WORKERS COMPENSATION AND o T'1l(gJ~~W~ o ~~H- EMPLOYERS' LIABILITY ANY PROPRIETOR f PARTNER f EXECUTIVE E.L. EACH ACCIDENT OFFICER I MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT OTHER DESCRIPTION OF OPERATIONS f LOCATIONS f VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT f SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION Collier County Contractor Licensing Board 2800 North Horseshoe Drive Naples, FL 34104 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES, AUTHO REP SENT V. @ACORD CORPORATION 1988 ACORD 25 (2001/08) QF INSTRUCTIONS FOR COMPLETING NOTICE OF ELECTION TO BE EXEMPT IMPORTANT INFORMATION: Only corporate officers or members of a limited liability company (LLC) engaged in the construction industry are eligible for an exemption, Non- construction LLC members are NOT ELIGIBLE for an exemption, The Division has 30 days to review your application to determine if it meets the eligibility requirements for the issuance of an exemption, The Division will either issue a Certificate of Election to be Exempt or notify you by mail that your application is incomplete and what information or documents are needed to complete the application, The Division reviews and processes exemption applications in the order they are received, Applicants that are applying to renew a current exemption should submit the application to the Division at least 45 days prior to the expiration date of their current exemption, You can visit the Division's website at http://www.f1dfs.com/WC/ and click on the Proof of Coverage icon on the right hand side of the page, Your exemption information will be reflected on the Proof of Coverage database the day following the issuance of the exemption, The Certificate of Election to be Exempt will be mailed to the address shown on the application no later than the second business day after issuance, Allow 7-10 days mailing time, If your corporation is dissolved or inactive, your Notice of Election to be Exempt will be DENIED. If the Notice of Election to be Exempt is denied, the applicant must submit a new Notice of Election to be Exempt and, if the applicant is engaged in the construction industry, another $50,00 fee is required, An exemption is subject to revocation if the person named on the certificate no longer meets any of the requirements to be eligible for an exemption, If you have any questions in regards to completing this application, please call the Division's Customer Service Center at (850) 413-1609 and press option #2, SECTION 1, Print your name and social security number or individual taxpayer identification number, Please list your e-mail address, In addition to mailing a future renewal application to you at the address listed in Section 4, the Division will also e-mail the renewal application to you. "The collection of the social security number on this form is specifically authorized by Section 440,05(3), Florida Statutes, The social security number will be used as a unique identifier in Division of Workers' Compensation database systems for individuals who have applied for and/or been issued a Certificate of Election To Be Exempt. It will also be used to identify information and documents in those database systems regarding individuals who have applied for and/or been issued a Certificate of Election To Be Exempt for intemal agency tracking purposes and for purposes of responding to both public records requests and subpoenas that require production of specified documents, The social security number may also be used for any other purpose specifically required or authorized by state or federal law." SECTION 2, If you are applying for an exemption as an officer of a corporation or member of a limited liability company engaged in the construction industry, you must check one of the boxes beneath the heading "CONSTRUCTION INDUSTRY" ($50 FEE REQUIRED), The Division will accept a money order, a cashier's check or an electronic payment made payable to the DFS WC Administration Trust Fund, If you are applying as an officer of a corporation, you must list your corporate title (no abbreviations please), If you are applying for exemption as an officer of a corporation not engaged in the construction industry, you must check the box next to .Officer of a Corporation" beneath the heading NON-CONSTRUCTION INDUSTRY (NO FEE REQUIRED), and list your corporate title (no abbreviations please), SECTION 3, The registration number is the document number that was assigned to your corporation or limited liability company by the Florida Division of Corporations when your corporation or limited liability company was established, This number can be found on your annual report that you have filed with the Florida Division of Corporations, Your document number can also be found at the Florida Division of Corporation's website, http://www.sunbiz.orQ/. Your corporation or limited liability company must be registered with the Florida Division of Corporations, For applicants applying as an officer of a corporation, you must be listed as an officer of the Corporation with the Florida Division of Corporations, SECTION 4, This section should be completed with information that is specific to your corporation, or to the limited liability company in which you are a member, Please include your complete corporate name, including Inc, or Corp" or the complete name of the limited liability company, The name of the corporation or limited liability company listed on the application must match the name of the corporation or limited liability company registered with the Florida Division of Corporations, If applicable, include your fictitious name, doing business as (DBA) name, or also known as name (AKA) in the 'Business Name' field, In the applicanfs address of record area, list only one complete address, including suite or apartment number, The certificate of exemption. future renewal applications, and any official correspondence will be mailed to the address listed in this section, A federal employer identification number (FEIN) is required unless the application is for a single member limited liability company in which case the member's social security number will suffice for the limited liability company's FEIN, For information regarding FEIN, you may call the IRS at (800) 829-4933, The certificate applies only to the corporation or limited liability company listed in this section, A new certificate must be obtained for each new or additional corporation or limited liability company employing the applicant. Scope of Trade or Business of Applicant refers to the trade or business activity that best describes your business, The issued certificate of exemption will apply only within the scope of the business or trade listed, You may list up to four trades or scopes of business activity, SECTION 5, Certified or Registered licenses refer to any licenses that are issued by the Department of Business and Professional Regulations (DBPR) as required by Chapter 489 F,S, Contractors are required to obtain a certified or registered license from DBPR. If you need additional information about DBPR licensing requirements, please contact OBPR at (850) 487-1395 or visit their website at hltp:llwww.state.fl.us/dbpr/. If the applicant is required to obtain a license as required by Chapter 489 F.S" the business name listed on the license must match the name of the corporation or limited liability company listed on the Notice of Election to be Exempt. SECTION 6, number, SECTION 7, This section only applies to those applicants engaged in the construction industry, If the corporation (including any limited liability company) of which you are an officer is affiliated with other corporations, (including limited liability companies), please list the name and FEIN of each such affiliated corporation (including limited liability companies), If there is more than one affiliated corporation (including limited liability companies), please attach a separate sheet identifying the affiliated corporations (including limited liability companies), If the corporation (including any limited liability company) of which you are an officer is not affiliated with any other corporation, (including limited liability companies), based upon the definition of "Affiliated Corporation" below, please indicate "Not Applicable." For purposes of determining whether there are affiliated corporations of the corporation for which you are an officer, pursuant to Section 440,02 (15)(b )2" F ,S" the following statutory definition applies: Affiliated corporations means and includes one or more corporations or entities, anyone - of 'WI licll-is a corporation engaged in the construction industry, under the same or substantially the same control of a group of business entities which are connected or associated so that one entity controls or has the power to control each of the other business entities, The term "affiliated" includes, but is not limited to, the officers, directors, executives, shareholders active in management, employees, and agents of the affiliated corporation. The ownership by one entity or a pooling of equipment or income among business entities shall be prima facie evidence that one business is affiliated with the other, No more than three (3) officers of a corporation (including limited liability companies) or of any group of affiliated corporations (including limited liability companies) may elect to be exempt. SECTION 8, This section only applies to construction industry exemption applicants, Non-construction industry applicants do not need to complete this section, If the applicant has submitted an electronic payment for the application, the applicant must list the transaction confirmation A. CORPORATION - The applicant for a construction industry exemption must attach copies of the stock certificate(s) evidencing at least 10% ownership in the corporation, There is no requirement for a corporate seal or for the certificate to be notarized, At a minimum, each stock certificate must include: . The name of the issuing corporation, . The state under which the corporation is organized, . The name of the person to whom the certificate is issued, . An officer of the corporation must sign the certificate B. LIMITED LIABILITY COMPANY - The applicant for a construction industry exemption must produce documentation reflecting that the applicant owns at least 10% of the limited liability company, or submit a statement attesting that the applicant owns at least 10% of the limited liability company, SECTION 9, Each applicant must read the fraud notice and provide his or her signature in the appropriate area, The signature is an attestation that the fraud notice was read, understood and acknowledged, SECTION 10, List the name of the workers' compensation insurance carrier that covers your non-exempt employees, If you do not have non-exempt employees please indicate "not applicable." If you are in the construction industry, workers' compensation coverage must be secured once you employ one or more employees, If you are in the non-construction industry, workers' compensation coverage must be secured once you employ four or more employees, NOTE: Corporate officers are counted as employees unless they have been issued a certificate of election to be exempt from the Division of Workers' Compensation, Failure to secure workers' compensation coverage as defined in S, 440,107(2), F,S., shall result in the issuance of a stop-work order and an order of penalty assessment. AFFIDAVIT OF APPLICANT: An affidavit is a sworn statement in writing made under oath or on affirmation before an authorized officer, This section should be completed after careful review of the statement being attested to. The application should not be signed or dated until you are in the presence of a notary public, NOTARY PUBLIC: The application must be notarized prior to submission, Any licensed notary public may notarize the application, They should not be related to you, Most banks have a notary public available to notarize documents, There may be a charge for this service, Please be advised that workers' compensation office personnel do not notarize applications for Notice of Election to be Exempt . The percent of ownership that the issued shares represent (a stock register can be provided in lieu of this requirement), . The number of shares issued by the corporation, NOTICE OF ELECTION TO BE EXEMPT Please thoroughly read the instructions before completing this application, Print legibly in each data entry field, If this application contains incomplete or inaccurate information or if the handwriting is not legible, it may cause a delay in the issuance of your exemption, SECTION 1: e: \ " Applicant Name (please print): ~,~ ./ D~ -\. \'V\ 'F, ~ ) Applkant's social ",,",ity number ;;;:/; Yf (i;2 ~ . / Applicant's E-mail addreSS(Optional):~\..V\e6.rI/o/J1A./! # ro /'1 SECTION 2: I am applying for exemption as a (You must check only one box in this section): CONSTRUCTION INDUSTRY ($50 ~ REQlJlRED) f Officer of a Corporation (Title): rrr>..s /..1)('>,(,/' . ~ -OR- 0 Member of a Limited Liability Company (LLC) NON-CONSTRUCTION INDUSTRY (NO FEE REQUIRED) o Officer of a Corporation (Title): ) The Division will accept a money order, a cashier's check, or an electronic payment made payable to the DFS we Administration Trust Fund, An officer electin an exem tion under Cha ter 440 Florida Statutes is not entitled to benefits under this cha ter. SECTION 3. The corporation of which you are an officer or the limited liability company of which you are a member must be registered and in an active status with the Florida Division of Corporations,-Applicants applying as an officer of a corporation must be listed as an officer of the Corporation with the Florida Division of Corporations, List the document number (document number shown on your Annual Report) on file with the Florida Division of Corporations, SECTION 4. This exemption application applies only to the person signing the application, the Corporation/LLC that is listed below, and the scope of business or trade listed: Name of Corporation or LLC: Business Name: FEINi{)() I Cf() c,rl Phone: &39 ) ~ Z5 '3231 Applicant's Address of Record: City: fr~1( Scope of Business or Trade: 1, SECTION 5. List all certified or regi d licenses issued pursuant to Chapter 489, F,S. held by the applicant, or the certified or registered license numbers held by the qualifier for the corporation or LLC listed on this application of which the applicant is a corporate officer: SECTION 6. If you have submitted an electronic payment for this application, write the transaction confirmation number in the following space: SECTION 7. Are you affiliated with any corporation (including LLC) other than the corporation (including LLC) to which this application applies? DYes}(fNo IF YES, PLEASE LIST THENAME(s) AND FEIN(s) OF THE AFFILIATED CORPORA TlON(s) OR LLC(s): NAME: FEIN: SECTION 8. If your corporation or LLC is engaged in the construction industry, you must provide the required proof of ownership in the corporation or LLC, A. To be eligible for a construction industry exemption as an officer of a corporation, the applicant must be a shareholder, owning at least 10% of the stock of the corporation, A COPY OF A STOCK CERTIFICATE EVIDENCING THE REQUIRED OWNERSHIP MUST BE A TT ACHED. B. To be eligible for a construction industry exemption as a member ofa limited liability company, the applicant must confirm ownership of at least 10% of the company, THE REQUIRED OWNERSHIP MAY BE ESTABLISHED BY PRODUCTION OF DOCUMENT A TlON REFLECTING THE REQUIRED OWNERSHIP, OR BY SUBMITTING A STATEMENT ATTESTING TO THE REQUIRED OWNERSHIP. THIS APPLICATION IS CONTINUED ON PAGE 2 DWC 250, NOTICE OF ELECTION TO BE EXEMPT - REVISED 01/2008 NOTICE OF ELECTION TO BE EXEMPT - Page 2 SECTION 9. FRAUD NOTICE A, Any person who, knowingly and with intent to injure, defraud, or deceive the department or any employer or employee, insurance company or any other person, files a notice of election to be exempt containing any false or misleading information is guil of a felony of the third degree. B. Attestation of applicant - By s' :ng b w, I attest that I have read, understand and acknowledge the foregoing notice. SECTION 10. You must identify the workers' compensation insurance carrier that covers any non-exempt employees of your business, Carrier Name: AFFIDA VIT OF APPLICANT: I hereby certify that the infonnation contained herein is true and correct to the best of my knowledge and belief; that this election does not exceed exemption limits for corporate officers, including any affiliated c rati s as provided in S44Q,Q2 Flurida Statutes. ~ / - 1)6"- ;aJ09 DATE SIGNED ' Please mail or submit your completed application, application fee, and any required attachments to the district office nearest your place of business, 4415 Metro Parkway, Suite 300 921 North Davis Street Ft. Myers Fl 33916 Building B, Suite #250 Telephone (239) 938-1840 Jacksonville, Fl32209 Telephone (904) 798-5806 610 E. Burgess Road Pensacola, Fl32504-6320 Telephone (850) 453-7804 NOTARY STATE OF FLORIDA, COUNTY OF . ,.,- Sworn to and subs~ribed before me this--0.6- day of.. I~(J~ ' ~ ~ Personally Known )( OR Produced Identification_Type ofIdentification Produced . NOTARY SIGNATURE,~L .L..,~ My Commission Expires 401 NW 2nd Avenue Suite #321, South Tower Miami Fl33128 Telephone (305) 536-0306 '~~~~SfA'jj:jJSE'ffoNf,Y;~~);;:{ Effective/Issue Date: Expiration Date: 3111 S, Dixie Highway, Suite # 123 West Palm Beach Fl33405 Telephone (561) 837-5716 live Oak Business Center 5969 Cattlemen lane Sarasota Fl34232 Telephone (941) 329-1120 1313 N. Tampa Street, Sutte # 503 Tampa Fl 33602 Telephone (813) 221-6506 400 West Robinson Street Room #512, North Tower Or1ando Fl 32801 Telephone (407) 835-4406 or (407) 245-0896 TALLAHASSEE SUBMITTERS 499 Northwest 70lh Ave" Suite # 116 Plantation Fl 33317 Telephone (954) 321.2906 1111 NE 25lh Ave., Sutte # 403 Ocala Fl 34470 Telephone (352) 401-5350 Walk.in submissions. 2012 Capital Circle SE Suite #1 02, Hartman Bldg. Tallahassee Fl32399-2161 Telephone (850) 413-1609 Mail in submissions. 200 East Gaines Street Tallahassee Fl32399-4228 Telephone (850) 413-1609 Control Number: Postmark Date: Payment Number: Received Date: "The collection of the social security number on this form is specifically authorized by Section 440,05(3), Florida Statutes, The social security number will be used as a unique identifier in Division of Workers' Compensation database systems for individuals who have applied for and/or been issued a Certificate of Election To Be Exempt. It will also be used to identify information and documents in those database systems regarding individuals who have applied for and/or been issued a Certificate of Election To Be Exempt for internal agency tracking purposes and for purposes of responding to both public records requests and subpoenas that require production of specified documents, The social security number may also be used for any other purpose specifically required or authorized by state or federal law." DWC 250, NOTICE OF ELECTION TO BE EXEMPT - REVISED 01/2008 COLLIER COUNTY BUSINESS TAX RECEIPT APPLICATION ~~\-lES~ f /;~~:-~-~"'$~~\ f:;j 1= :r:I~,\ =} \~ \_ ..f:....~.t~ / ~ 5 '. '....-."iJitl F \~~~,~~:;:;~~~~:l 2800 N. Horseshoe Drive, Naples, FL 34104 Make Check Payable to: Collier County Tax Collector Phone: 239-252-2477 Fax: 239-643-4788 Website: www.colliertax.com CHECKLIST _ Copy of Articles of Incorporation and/or Fictitious letter from the State stating that your business name is on file. (850-245-6052 or 6058) www.sunbiz.org _ Yellow Fire Compliance (list of fire district phone number enclosed) _ Copy of Marco Zoning Certificate. (239-389-5000) _ Copy of State license from Department of Business and Professional (850-487-1395) or Department of Health. _ Completed Zoning application with appropriate fee made payable (850-410-3359) to: Board of County Commissioners. _ Copy of City Business Tax Receipt. (239-213-1800) _ Completed Business Tax Receipt application with appropriate fee made payable to: Collier County Tax Col]ector. (239-252-2477) _ Copy of Motor Vehicle Repair Registration Certificate from Department of Agriculture. (800-435-7352) Other: _ Copy of Health inspection from Department of Hotels and _ Please contact the Property Appraiser's office at 239-252-8] 45 Restaurants (850-487-]395) or Department of Agriculture. regarding tangible tax. (800-435-7352) C~ ON~: _ Original Application Transfer of License # Renewal of License # 1) CORPORATE NAME - 1 a) DBA NAME - Ib) BUSINESSO\TltERORQ~LIFIER'SNA~~- S1~~'~~ - ... 2) PHYSICAL ADDRESS - /6S J ~ __ _ e_ _~ V:{.-JYI2t (No P,O, Box allowed) 2a) is RESIDENCE USED AS AN OFFICE - Yes J( No , 3) BUSINESS MAILING ADDRESS - / b~)" ",-T lJ NO ~ I u1> {JJc4;v~k F/.. r YI20 Street (/ City Zip 8lf4THEK DR QUALIFIER'S RESIDENTIAL ADDRESS - / ~ JiW g I t.1j) () ~ TELEPHONE - Business: 2.3 9- ~cS - 3c3/ Home: LEGAL FORM OF BUSINESS: -XSo]e ~roprietorshiP Partnership _ Corporation _ LLC _ LLP OPENING DATE OF BUSINESS OR DATE ASSUMED - 1- /7" c,CJo 9 OFFICE WITHIN CITY LIMITS OF NAPLES - _ Yes _ No If Yes, City License No. SOCIAL SECURITY NO. or FEDERAL EMPLOYER IDENTIFICATION NO. 01,( -b~ -//yy -01702r/ 9a) TYPE OF BUSINESS CONDUCTED: ~U j n... 10) NUMBER OF EMPLOYEES - Including of number of owners: 11) FILL IN THE APPROPRIATE AREAS - a) Rental units (motel/hotel/apts,) Number of units: b) Seating Capacity (rest/cafes, etc.) Number of seats: c) Number of coin-operated machines owned by business or individual: 4) 5) 6) 7) 8) 9) *see back ot~ application for explanation I ~ ....- 12) STATE LICENSE OR CERTIFICATION NUMBER - Must have photo copy of state license if state licensed and certified f UNDER PENALTIES OF PERJU ~. I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN I', pE TO THE BEST OF MY KNOWLEDGE. \ -. xxxAPPLICANT'S SIGNATURE: DATE: / - 6,- 2(Jo~ (Owner and/or representative of business) TITLE: / ****THIS LICENSE IS NON-REFUNDABLE FOR BUSINESS STATED ABOVE**** COLLIER COUNTY GOVERNMENT ZONING & LAND DEVELOPMENT REVIEW WWW.COLLlERGOV.NET/ZON1NG '" . ~ 2800 NORTH HORSESHOE DRIVE NAPLES, FLORIDA 34104 PHONE: (239) 403-2400 EXT, 5603 FAX (239) 530-6286 .. Please take the time to fill out this form as completely as possible. Remember that only someone actually living at the address given below may engage in the home occupation described. Customers, or employees not living at this address are prohibited from traveling to and from the residence if visits are related to this home occupation. The applicant is the person in whose name the occupational license will be issued, and the applicant's signature must appear on this form. Verification as property owner or lessee in the form of a Valid Florida's Driver License or Florida Identification Card and/or copy of valid lease agreement is required. APPLICANT'S NAME I ZONING CERTIFICATE # .'" I APPLICATION DATE APPLICANT'S PHONE BUSINESS NAME (IF ANY) I, the undersigned, hereby affirm that I am the legal owner of the property at e above address or that I have the legal right to conduct the business described above at this address by virtue of my leasehold interest in this property, and that I have read, understood, and agree to abide by the provisions of LOG Section 5.02.00 "Home Occupations" (see back of ~p~aoo~. ~~. ~ ~ APPLICANT SIGNATURE ~~ 'fv'-,.OA-^--^^ DATE /- 6- BtJeJ7 '--"""" FEE: $50.00 CHECKS PAYABLE TO: "BOARD OF COUNTY COMMISSIONERS" TO BE COMPLETED BY COUNTY STAFF ZONING: PROPERTY ID # DATE REVIEWED BY APPROVED HOLD DENIED COMMENTS/RESTRICTIONS: Must comply with Section 5.02.00 of the LDC (see back of application).