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CLB Agenda 02/18/2009CONTRACTORS’ LICENSING BOARD AGENDA February 18, 2009 c..~ ' AGENDA COLLIER COUNTY CONTRACTORS' LICENSING BOARD DATE: WEDNESDAY - FEBRUARY 18, 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 PROREEDINGS PERTAINING THERETO, AND THEREFORE MAY NEED TO ENSURE THAT A VERBATIM RgCPB~PfTHE PROCEEDINGS IS MADE, WHICH RECORD INCLUDES THAT TESTIMONY AND EVlo'EN~E~UPON WHICH THE APPEAL IS TO BE BASED. I. ROLL CALL II. ADDITIONS OR DELETIONS: III. APPROVAL OF AGENDA: IV. APPROVAL OF MINUTES: DATE: JANUARY 21,2009 V. DISCUSSION: End of the Month Report - January 2009 Annual Ethics Coverage VI. NEW BUSINESS: Damarys Silva - Review of Credit Report Michelle Ughi - Contesting Citation James F. Case - Request to Qualify 2nd Entity Wayne W. Womack - Reinstatement of License W/O Retesting Robert Hammond - Contesting Citations Order to Pay Civil Penalty VII. OLD BUSINESS: Calvert N. Courtney II - End of Year Profit Loss Statement VIII. PUBLIC HEARINGS: Case #2009-04 Raymond Berube D/B/A: Berube Brothers, Inc. IX. REPORTS: X. NEXT MEETING DATE: WEDNESDAY MARCH 18,2009 W. HARMON TURNER BUILDING, 3RD FLOOR (COMMISSIONERS MEETING ROOM) 3301 E. TAMIAMI TRAIL NAPLES, FL. 34112 (COURTHOUSE COMPLEX) ! '..... January 21,2009 TRANSCRIPT OF THE MEETING OF THE CONTRACTORS' LICENSING BOARD OF COLLIER COUNTY Naples, Florida January 21, 2009 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 9:00 a.m. in REGULAR SESSION in Building "F" of the Government Complex, East Naples, Florida, with the following members present: CHAIRMAN: Les Dickson Richard Joslin Eric Guite' Lee Horn (Absent) Terry J erulle Thomas Lykos (Absent) Michael Boyd Glenn Herriman (Absent) ALSO PRESENT: Patrick Neale, Attorney for the Board Robert Zachary, Assistant County Attorney Michael Ossorio, Contractor Licensing Supervisor Page 1 January 21,2009 CHAIRMAN JOSLIN: I'd like to call to order the Contractor -- Collier County Contractor Licensing Board meeting on January 21st, 2009. Any persons 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 this proceedings is made, which record includes that testimony and evidence upon which the appeal is to be based. I'd like to open the meeting by starting with roll call starting to my right. MR. JERULLE: Terry Jerulle. MR. DICKSON: Les Dickson. CHAIRMAN JOSLIN: Richard Joslin. MR. BOYD: Mike Boyd. MR. GUITE': Eric Guite'. CHAIRMAN JOSLIN: Staffhave any additions or deletions to the agenda? MR. JACKSON: Good morning. For the record, Ian Jackson, License Compliance Officer for Collier County. Under discussion, there will be a deletion of Tom Warren from -- regarding the Prometric agreement. And under new business, an addition of Carlos Meran for a review of experience affidavits, of which I've passed out the application to you. If the board is so inclined to make the change. And that's all staffhas. CHAIRMAN JOSLIN: What was Prometric for? For what agreement? MR. JACKSON: They're the testing company. And the name -- I believe they were to be here because the name of the company had changed. CHAIRMAN JOSLIN: I see. Okay. MR. OSSORIO: Mr. Chairman, for the record, Mike Ossorio, Page 2 January 21,2009 Contractor Licensing Supervisor. Years ago it used to be Experior Testing, Block and Associate, and then it became Thompson Prometric. And then Thompson, they split. Now it's called Prometric. And I got to talking to the managing individual down there -- up there in Baltimore. And he wanted to address the board and tell where licensing is and how it's working and sign an agreement to extend-- keep doing the Prometric testing. Because they have actually sold. But I'll keep you informed with that. CHAIRMAN JOSLIN: Okay. Could you do one other item for me and find out what type of languages that he gives his testing in? MR. OSSORIO: Prometric is a nationwide company. It's only in English. CHAIRMAN JOSLIN: Only in English. MR. OSSORIO: Only in English. There is a company called Gainesville Independent, which we use. CHAIRMAN JOSLIN: Right. MR. OSSORIO: It's a State of Florida company. And they are-- they have multiple ones: English, Spanish, German. They have a variety of different ones. CHAIRMAN JOSLIN: Okay. With that said, I need approval for the changes to the agenda. MR. DICKSON: Dickson, so moved. MR. GUITE': Guite', second. CHAIRMAN JOSLIN: Moved and seconded. All in favor? MR. BOYD: Aye. MR. GUITE': Aye. MR. JERULLE: Aye. CHAIRMAN JOSLIN: Aye. MR. DICKSON: Aye. Page 3 January 21, 2009 CHAIRMAN JOSLIN: Okay, I need an approval of the minutes for the December 17th, '08 meeting of last year. Just one change that I see before we make an approval here is that on the front page, cover page, it's got Michael Ossorio listed as the zoning and land development review, which I think that might be a good place to put him to, but we'll keep him in licensing for a while. MR. DICKSON: Dickson, I'll move to approve them as amended. MR. JERULLE: Jerulle, second. MR. BOYD: Second, Boyd. CHAIRMAN JOSLIN: Moved and seconded. All in favor, signify by saying aye. MR. BOYD: Aye. MR. GUITE': Aye. MR. JERULLE: Aye. CHAIRMAN JOSLIN: Aye. MR. DICKSON: Aye. CHAIRMAN JOSLIN: So moved. Okay, first order of business. Is there a Charles R. McDermott here? (No response.) CHAIRMAN JOSLIN: No. MR. DICKSON: That was easy. CHAIRMAN JOSLIN: Okay, we'll put him on the bottom of the page for the moment, see if he comes in late. Maybe the parking -- by the way, one quick little comment here. This morning -- we've always -- the board members have always had a place to park basically in the advisory committee sections. This morning when I got here there was cones in front of all of the parking places, which I didn't want to park in somewhere I wasn't supposed to, so I didn't move the cones. According to security, that's what they're doing now. The Page 4 January 21, 2009 advisory members are allowed to move those cones and park into a spot and put the cone back when you're done. Because they are finding people are parking in the wrong places and wrong cars are parking there, and then consequently they don't have enough parking for everyone. Just so that we're aware. Okay, is there a Shelli A. Mehri available? Would you please come to the podium, please, and be sworn in. MS. MEHRI: Good morning. (Speaker was duly sworn.) CHAIRMAN JOSLIN: Is that how you say your name, Mehri? MS. MEHRI: Uh-huh. Thank you. CHAIRMAN JOSLIN: Ms. Mehri, it appears that you've applied for a license here? MS. MEHRI: I've had my license from earlier and I was wanting to reinstate my license. Due to the horrific credit report I have, I'm requesting that I am permitted some time to -- I'm working with Trinity Credit to bring that into a better light. CHAIRMAN JOSLIN: You say you've been in business here before? MS. MEHRI: Yes. MR. OSSORIO: Mr. Chairman, just to give you a quick background. Under of the renewal process, you have -- we renew everyone's license September. From September, October, November, December you're considered delinquent. January through January of the next year you are suspended. Come January 1 st the following year you're null and void. Unfortunately her case is that she did not renew when she was delinquent. She went suspended. And when you get suspended, the code explicitly says you have to fill out the application again. And you're going to have to take some testing if you require testing. And also if -- you need a credit report. January 21, 2009 And unfortunately within her past year, this lady's had some issues with some credit, and I forwarded it to the licensing board. I have no obj ection of her getting her license back, and with some monitoring, if that's the desire of the licensing board. CHAIRMAN JOSLIN: Could you just maybe expand a little bit what happened? MS. MEHRI: I wrote you this nice little letter. It's rather embarrassing. I had left -- not left. I'm a faux finisher is pretty much -- I need my painting contractor's license for my base coats only. I do want to do that the legal way. I don't want to sneak behind anybody's back. During the past two last years my husband got in some trouble. We have six children. He was taken from me for several months. My mother died and I ran the family. I made choices. We had several people that almost died. My children were very ill. And my credit reflects choices -- it doesn't show what I paid. And I'm sorry, my girlfriend's having surgery right now and I need to get to the hospital. But the thing is that it's just my clients never had an issue with me. I'm very good at what I do. I'm an artist. But I do want to be legal. I want to be legal. And so over the next six months I'm sure that I can pay these phone bills. And I did lose my house and I did get my house back. I did turn my car in and got something cheaper. But it's just life. CHAIRMAN JOSLIN: Okay, that's enough. MS. MEHRI: Thank you. MR. OSSORIO: The sad thing about it is, Mr. Joslin, if she did renew in the suspension period -- I mean in the delinquent period, we wouldn't have had to pull her credit and there wouldn't have been an issue. So -- and that's what happened. CHAIRMAN JOSLIN: Yeah. Pleasure of the board? MR. OSSORIO: We have no complaints on her in the past history. Page 6 January 21, 2009 MR. DICKSON: What type of painting is she doing? MR. NEALE: Faux finishing. MR. OSSORIO: Well, she has a painting license. But when you're a faux finisher, typically you have a business tax license and it's no construction required or no certificate. But to be a faux finisher, sometimes they go in and they contract for the whole job, to do the base coat, to use a roller. And if you're going to use a roller, if you're going to be doing a base coat, then you have to be a licensed painter. Some faux finishers don't even want to deal with that. Some faux finishers like to do the base coat. This lady likes to do the base coat, so she needs to be a painter. CHAIRMAN JOSLIN: I wouldn't probably have a problem with allowing this lady to have a license back. I think probably it would be -- and since you've done it before, maybe to put her on six months probation, or six months review of the credit just to make sure that she is trying to pay these off. MS. MEHRI: Definitely. CHAIRMAN JOSLIN: Would there be a question about that? I understand that you're going through some hardships, so -- MS. MEHRI: Just today's a rough day, so today I really need to CHAIRMAN JOSLIN: Sounds like it's been quite a rough year. MS. MEHRI: Yeah. But I appreciate the fact that I got to come first so I can make it to the hospital. So thank you. CHAIRMAN JOSLIN: I'll put that into the form of a motion, that we approve the ability for her to have a license. And she is to report to staff in a six -month period with her credit report, showing that she's paying off some of these debts that she has now. MR. DICKSON: Dickson, I'll second. CHAIRMAN JOSLIN: We got a motion and a second. All in favor, signify by saying aye. Page 7 January 21, 2009 MR. BOYD: Aye. MR. GUITE': Aye. MR. JERULLE: Aye. CHAIRMAN JOSLIN: Aye. MR. DICKSON: Aye. CHAIRMAN JOSLIN: All. MS. MEHRI: Thank you. May I leave? CHAIRMAN JOSLIN: You can go, yes. Next we have a Mr. John Tangorra. Are you present, please? MR. T ANGORRA: Yes. CHAIRMAN JOSLIN: Would you come to the podium, be sworn in, please. (Speaker was duly sworn.) CHAIRMAN JOSLIN: Mr. Tangorra, you are here today to qualify a second entity. MR. TANGORRA: Yes. CHAIRMAN JOSLIN: Would you mind reflecting on that and tell us what you're trying to qualify? MR. TANGORRA: The person that I'm qualifying is recently divorced, and his wife was a qualifier for his company. And he's also an installer for my company. And while being very good at what he does, he doesn't seem to think he can -- he's going to be able to pass the test on his own. He's an Italian immigrant. Been in this country a long time, but he just needs a little help. He's very responsible. Insurances and everything he needs is always current. He also does work for Home Depot Expo. And as far as the settlement, he has to qualify his own company. He has a period of time in order to get that done, and so I offered to do it for him. Very good man, good friend. CHAIRMAN JOSLIN: This is a license for wood flooring, is that the case? Page 8 January 21,2009 MR. TANGORRA: Yes. CHAIRMAN JOSLIN: He installs wood flooring in homes and MR. TANGORRA: Uh-huh. MR. DICKSON: You mentioned as part of a settlement. What settlement? MR. T ANGORRA: Or not a settlement. Their divorce agreement. She -- his ex-wife is the qualifier of his company. MR. DICKSON: Of the divorce, okay, I'm with you. CHAIRMAN JOSLIN: In your packet you've also listed here that this gentleman that you -- Claudio is his name, I guess? MR. T ANGORRA: Claudio, yes. CHAIRMAN JOSLIN: He's an Italian immigrant, I guess doesn't speak a lot of English. MR. TANGORRA: He speaks pretty good. Spanglish. CHAIRMAN JOSLIN: Then what is the reason why he can't take the test himself? MR. TANGORRA: He has a problem processing English to Italian if he's trying to read something and figure it out. CHAIRMAN JOSLIN: How long have you been in business? MR. TANGORRA: About 10,11 years. CHAIRMAN JOSLIN: Any other comments from the board? MR. DICKSON: Everything's in order. I move to approve. MR. JERULLE: Jerulle, second. CHAIRMAN JOSLIN: Motion and second to approve. All in favor, say aye. MR. GUITE': Aye. MR. BOYD: Aye. MR. JERULLE: Aye. CHAIRMAN JOSLIN: Aye. MR. DICKSON: Aye. Page 9 January 21,2009 CHAIRMAN JOSLIN: It's approved. MR. TANGORRA: Thank you. CHAIRMAN JOSLIN: You're welcome. MR. NEALE: Mr. Joslin? CHAIRMAN JOSLIN: Yes, sir. MR. NEALE: When you call the question, if you could, even though it is a unanimous vote, say all in favor, and then also any opposed or -- I think just so we get it both on the record. CHAIRMAN JOSLIN: I'm sorry. Okay. Moving right along. This is a good one. Olga Kolesnikova. MR. DICKSON: That was pretty good. CHAIRMAN JOSLIN: Is that close? (Speaker was duly sworn.) CHAIRMAN JOSLIN: Did I kill your name too bad, Ms. Olga? MS. KOLESNIKOV A: Well, you just -- it's all right. So short story -- THE COURT REPORTER: Excuse me, I need you on the microphone. MS. KOLESNIKOV A: So short story -- CHAIRMAN JOSLIN: Ms. Olga, we're going to have to take this and put it into evidence I think -- MS. KOLESNIKOV A: Okay. CHAIRMAN JOSLIN: -- before it's submitted. MS. KOLESNIKOV A: Short story. I'm Russian. A long time our company was working without any advertising -- CHAIRMAN JOSLIN: One second. If you could get just a little closer to the microphone so we can understand you, and speak a little slower. MS. KOLESNIKOV A: Okay. Long time I used to work without paying advertising, referrals only. And we ran out of work quick a year ago. So it was time to get license. The same situation like previous person. I didn't go to school to Page 10 January 21,2009 study English. So basically most difficult part for me, to pass the exam. When I finally pass exam for painting, I thought that's it, no more. Contractors come for me. So when I apply for license, there is still lines, what did you do last 10 years. I didn't throw (sic) what I did all those 10 years. So I got the license with -- start advertising. Nothing happened. No business. Nobody calls. Calls just from unemployed painters mostly, or something small like 300. Baseboard painting, something. You know, we have to make a living. So next idea was to get to -- to get on Home Depot, least for tile setting. Okay, so I got to get back to books, take another exam. And when I apply for tiling license, Michael just check painting application and tiling application. And on painting I didn't just explain what did I do, just 10 years. CHAIRMAN JOSLIN: Okay, so what license are you really trying to get? MS. KOLESNIKOV A: Now I want floor covering and tile/marble. CHAIRMAN JOSLIN: Okay. MR. OSSORIO: What license does she already have? You have a painting, am I correct? MS. KOLESNIKOV A: Painting. CHAIRMAN JOSLIN: She has a painting license now? MR. OSSORIO: She has a painting license. CHAIRMAN JOSLIN: Active? MR. OSSORIO: Yes. MR. JERULLE: Can you explain why she's here? MR. OSSORIO: Unfortunately we're seeing a lot of people that already have a license in painting, tile and marble. Now they're coming in for more licensing. And one of the things, when you already have a license, we Page 11 January 21, 2009 consider you a painter, we're assuming that you're painting. She's come in for a tile -- she's taken the tile and marble exam and she applied for a tile and marble exam. Unfortunately when I checked her references, I checked one. The gentleman said basically that no, she didn't do tile work for her (sic) and that's why we're here today. CHAIRMAN JOSLIN: So she doesn't have the credentials or the affidavits to -- MS. KOLESNIKOV A: I can explain the situation. All this time I was self-employed. All this time. You can't spell my name, nobody can. Trust me. I was self-employed. I did work for other contractors and was paid from company to company. I now was employed to anyone. CHAIRMAN JOSLIN: So you've been a self-employed person for quite some time. MS. KOLESNIKOV A: Well, since '92. CHAIRMAN JOSLIN: Well, do you realize that here in Collier County that for every trade that you do that does require a license, that you have to have a license to qualify you to do that trade? And the problem that you have here that I see is that you're asking us to give you a license in which you have no real affidavits of experience to do because you're telling us here under oath that you have been doing this with -- not working for a company but working for yourself. And apparently unlicensed. MS. KOLESNIKOV A: But I did work for contractors. I did work for contractors. First three years it was like we got here without any money, without English, without anything. We start working like crazy. You know, we used to work 70, 80 hours per week. Just day off we have -- like we get here in January. First day off we had like in June. We start working Sundays in 2002. We had our first vacation 2004. CHAIRMAN JOSLIN: Have you ever worked for a company Page 12 January 21, 2009 per se, like for another flooring company or somewhere where you want to do the trade in? MS. KOLESNIKOV A: You can do work or you can't do work. If you can do work, people know you can do work, people call you, you do the work. CHAIRMAN JOSLIN: Gentlemen? MR. OSSORIO: You've never taken the tile and marble exam, have you, just the floor covering? MS. KOLESNIKOV A: I pass tile and marble. MR. OSSORIO: You have to make sure we clarify. Every single certificate has to take the business procedure test. And some trades require you to take the trades exam. Unfortunately there are some multiple licenses that just require the business procedure test. And we weigh heavily on the applicant's experience. And she's going for not tile and marble, but she's going for floor covering, which is carpet and vinyl. MS. KOLESNIKOV A: Well, actually, I want both. MR. OSSORIO: Have you taken the tile exam? THE COURT REPORTER: Please get on the microphone. MS. KOLESNIKOV A: Yes, I did. I got 82. MR. OSSORIO: Okay, so you've taken the tile and marble exam. MS. KOLESNIKOVA: Yes. MR. OSSORIO: I recommend that we -- she'll go back and try to get more affidavits of companies who she worked for, and then we'll see if she can reapply again to show experience. And we can work on that. MS. KOLESNIKOV A: Okay. MR. NEALE: I would -- what I would recommend the board do is just table it for a period and let her come back, rather than deny it. CHAIRMAN JOSLIN: Table it till next month? MR. DICKSON: Dickson, so moved. Page 13 January 21,2009 CHAIRMAN JOSLIN: Joslin, second. I have a motion and a second. All in favor, signify by saying aye. MR. BOYD: Aye. MR. GUITE': Aye. MR. JERULLE: Aye. CHAIRMAN JOSLIN: Aye. MR. DICKSON: Aye. CHAIRMAN JOSLIN: Any opposed? (No response.) CHAIRMAN JOSLIN: Motion carries. What we're going to do is we're going to put you on a -- basically a hold for a little while, maybe 30 days or till the next meeting -- MS. KOLESNIKOV A: Okay. CHAIRMAN JOSLIN: -- and see if you can come up with more affidavits of experience that you can get from your people that you work for, and then possibly get them to Mr. Ossorio or to staff. And if those are in line and probably in good order, then you probably wouldn't even have to come back before the board. He can make the decision on his own if you have the experience. If not, then yes, you will be back here again. MS. KOLESNIKOV A: Okay. CHAIRMAN JOSLIN: Okay? MS. KOLESNIKOV A: Okay. MR. OSSORIO: Mr. Chairman, one of the things that we're seeing, an influx of someone being a licensed painter or someone being floor covering, now they're trying to get back into licensing and getting more licensing. And we're assuming since you're a tile and marble company and you're your own business, we're assuming you're doing tile and marble. Now you're coming in with a painting -- nothing particular of Page 14 January 21, 2009 this lady, but now we're seeing people come in and say well, I want to be a painter. And we're assuming that you're tile and marble, where do you get the experience in painting. CHAIRMAN JOSLIN: Exactly. MR. OSSORIO: So that's the things we're -- going across my desk. CHAIRMAN JOSLIN: I understand what you're saying for sure. This is a prime case for it. MS. KOLESNIKOV A: Can I say something? Back in Russia we used to do -- it calls -- profession calls finisher. You come to somebody's home and do everything, from ceiling to floor. Doesn't matter. Painting, tile, wood. We can -- we could replace windows, doors, put baseboards, crown moldings, it's finisher. You don't have -- CHAIRMAN JOSLIN: I can understand what you're saying as far as being in Russia. But as of now, you are in the United States, and you do live in Collier County, and we have a few other rules -- MS. KOLESNIKOV A: And I can do -- CHAIRMAN JOSLIN: -- that you must follow. MS. KOLESNIKOV A: -- anything. CHAIRMAN JOSLIN: Okay. Maybe the general contractors test is maybe what you need to take. MS. KOLESNIKOV A: Well, actually, I was trying. I got all the books. I have original application from 2003. I just couldn't pass the exam. I didn't have enough English. CHAIRMAN JOSLIN: Okay. Well, keep trying. MS. KOLESNIKOV A: Okay. CHAIRMAN JOSLIN: All right. Well, we've got a new one here that was presented. A Carlos Meran, is it? Are you present? MR. OSSORIO: Mr. Chairman, while we're waiting on Mr. Meran, I reviewed his application, and one of his experience letters -- CHAIRMAN JOSLIN: You want to give this to the County Attorney (sic), please, and then he can -- or to the court reporter. She Page 15 January 21, 2009 can enter it in. MR. NEALE: She gets one. (Speaker was duly sworn.) CHAIRMAN JOSLIN: Mr. Meran, I'm not really sure why you're here. Would you explain the reason why you're in front of us. MR. MERAN: I was an employee ofB&W Paving Contractors, Southwest Florida. I worked for the guy for over three years. I run the company, the estimate, the paving, the trucking, all the equipment was parked at my house. On April 19th of '08, he decide not to be with me anymore. On that day I say fine, no problem. You go your way, I go my way. I was trying to get into a different field. I didn't want any conflict with the guy. I was exporting equipment to the Dominican Republic, that's where I'm from. And things slow down a little bit. I contact Jose Moya, Asphalt Paving. He's right here. And we went into business together. Thing got slow, like, you know, the economy is really bad. So I decide -- we decide to break up. No problem, no anything like that. And then I decide to get my license, because I have all the equipment. When I was working for B& W Paving, I was half owner, half, owning all piece of equipment that was there. Everything was under my name. Everything was at my house. And he was paying me with checks, that I got proof of. I had a house under my name that was his. He was living at the house. He was paying for the house. I had nothing to do with the house. The house was not mine. I could have kept the house if I wanted to. What I don't own, I don't want it. So I gave the house back to him. CHAIRMAN JOSLIN: Okay, I don't want to interrupt you, but let's get to the point of why you're here. Page 16 January 21,2009 MR. MERAN: One condition was I need a letter from you saying that I work for you for the time that I work. He refused to give me that letter. And I say, so if you don't give me that letter, you're not going to get the house. I spoke to Mike about it. He called to verify my credential on my application. I guess Michael told me that Charles Willey told him that I didn't work for him. So that's what I'm here for. And I got plenty of proof that I worked for the guy. And Equipment Source, the only owner ofB&W that they knew until the time that we broke up, it was Carlos Meran. Jose Moya, the only guy that they knew in Golden Gate Estates running B& W Paving was Carlos Meran. So I don't know what's the problem here. Maybe he doesn't want no competition, he doesn't want no other people licensed out in the Estates. Competition is good for the people. CHAIRMAN JOSLIN: How did B&W pay you? MR. MERAN: They pay me by check. CHAIRMAN JOSLIN: By check? MR. MERAN: Self-employed. Never pay no taxes. I was out on the W-2. Never gave me a 1099, here's what you make last year. CHAIRMAN JOSLIN: Mr. Ossorio, any input from you as far as what's going on here? I'm not liking what I hear, for sure. MR. OSSORIO: One of the things that the licensing office, we do, is check references and check experience and check affidavits. Mr. Moya (sic) has two affidavits: One for three months and one from B&W Paving. Unfortunately B&W Paving has sent me a letter rescinding his affidavits and basically saying that the only thing Mr. Meran ever did for me was drive the vehicle. Much as I'd like to go ahead and issue him a license, unfortunately I'm bound by the code. If he withdraws his application and Mr. Meran doesn't show me more experience or another letter of affidavit, I have to forward it to the licensing board. Page 1 7 January 21, 2009 He did prove -- he did present evidence to you today with some information that's intriguing, and I'll leave it at that. And Robert Zachary can talk to you a little bit more about it, if he needs to. MR. MERAN: You guys haven't seen the proof that I got that I work for the guy. That's in the other package. Not as a truck driver, running the company, running estimate, paving, sealing. CHAIRMAN JOSLIN: I understand what you're saying. But the problem is is that Mr. Willey is not willing to fill out an affidavit that says you did this. And unfortunately we have to go by what's in front of us. We can't go by testimony or -- unless you had some other type of proof that you could give to us. MR. MERAN: I got plenty of proof that I work-- MR. NEALE: If I may just refer the board to Section 22-184(B) and (C) of the code. And particularly section C. It's when an applicant is referred -- application is referred to the contractors licensing board, the board shall take testimony from the applicant and shall consider other relevant evidence regarding whether the application meets the requirements of this division, meaning that section of the code. Upon the evidence presented by the applicant and the contractor licensing supervisor, the board shall determine whether the applicant is qualified or unqualified for the trade in which the application has been made. So the board can consider all relevant evidence outside of the affidavits. The affidavits are one form of proof, but they certainly are not the only form, nor are they necessarily conclusive. CHAIRMAN JOSLIN: Well, in the package that I have, I am not finding anything else that's conclusive, unless I'm missing something here. MR. MERAN: I got one more letter. MR. NEALE: What I would -- if I may, Mr. Meran. MR. MERAN: Sure. MR. NEALE: What I would suggest to the board is that you ask Page 18 January 21,2009 Mr. Meran -- because he brought along a fairly substantial packet of information, it appears -- if possibly the board would have him walk through that with you. It might be more revealing than simple testimony. CHAIRMAN JOSLIN: All right. MR. NEALE: I think he's got it. Did the board -- it should be entered as evidence, yeah. You've got a copy of it? THE COURT REPORTER: Yes. MR. NEALE: He's going to hand out to the board copies of a packet that he's brought. MR. ZACHARY: If you give a copy to the court reporter, we could -- MR. NEALE: The court reporter has one. MR. MERAN: She got one. MR. ZACHARY: We could have that marked as an exhibit. MR. NEALE: And if the board could move this into evidence as an exhibit for this hearing. MR. DICKSON: Dickson, so moved. CHAIRMAN JOSLIN: I need a second. MR. GUITE': Guite', second. CHAIRMAN JOSLIN: I have a motion and a second on the table. All in favor of bringing this into evidence, signify by saying aye. MR. GUITE': Aye. MR. JERULLE: Aye. CHAIRMAN JOSLIN: Aye. MR. DICKSON: Aye. MR. BOYD: Aye. CHAIRMAN JOSLIN: Any opposed? (No response.) CHAIRMAN JOSLIN: So moved. Page 19 January 21,2009 MR. ZACHARY: And Mr. Meran, if you could go through this packet with the board and explain to them what it is. If you could explain to the board what this is. MR. MERAN: Page number one, this is a letter from Dark Peak LLC, dated January 3rd, 2005, 7:00 a.m. Presented by Marcia Tinberg and Charles Willey. On that day, they was talking about going to a partnership with me. Marcia Tinberg, Carlos J. Meran, to buy property. The second page -- the third page dated March 15th, 2005. The bottom paragraph, Marcia Tinberg and Carlos Meran informed Fred L. Baietto, partner in B& W Paving and Asphalt, on March 15th, 2005 that Carlos Meran and Marcia Tinberg will be doing paving in Collier County under Charles Willey license. February 20, 2005, Marcia -- fourth page. On February 20, 2005, Marcia Tinberg agreed to buy equipment with Carlos 1. Meran for paving business, Southwest Florida, as well as equipment for clothing business in Florida. This are -- the fourth page. This is check proving -- dated March 13, '08, made out to Carlos Meran that was onjob that was done. Four (sic) page, also checks prove that it was paid for paving. And if you go down the list, those are the proof that I have that I work for the guy paving. Not only driving, but paving. MR. GUITE': And this man says that you were only a truck driver for him? MR. MERAN: Yeah. MR. GUITE': And you got checks for $11 ,OOO? For a truck driver, he makes pretty good money. MR. MERAN: I got a check-- CHAIRMAN JOSLIN: I need to get ajob like that. MR. MERAN: ,..- on the very last page of those Colonial Bank letterhead dated March 28, '08, made out to Carlos Meran for $38,770. That was the final payment. If you read on the bottom, it say Page 20 January 21, 2009 equipment. That was the day that he paid me for the half of the ownership that I have with him. That was the last check made out to me. And then on the following page, I got plenty of checks made out to Charles Willey. 2,525, 2,200, $2,000. Keep down the line, I got checks from Carlos 1. Meran made out to B& W Paving Contractors, Southwest Florida. 1,490, 12,500 made out to Charles Willey. 6,160,4,500. B&W Paving Contractor paying Carlos Meran, 1,560, 1,560. And if you keep on flipping the pages, you will see that I was not a truck driver, like he say. I got the experience when I got together with Jose Moya. He could tell you more about my knowledge of pavIng. I got one more proof that I was not only driving for him, but we bought a LeeBoy 7000 Paver. We pay $70,225 for that paver. Half of that, it was my money. All the equipment insurance was under my name, Carlos J. Meran, B&W Paving Contractor. My address was there. CHAIRMAN JOSLIN: Okay, that's enough for the moment. MR. JERULLE: I have a question about your letter of April3rd, 2008 in here. MR. MERAN: April 3rd? MR. JERULLE: B&W Paving Contractors. From the law offices of Glantz and Glantz. MR. MERAN: What was that? MR. JERULLE: From the law offices of Glantz and Glantz. MR. MERAN: Okay. That letter went to my house, made out to B& W Paving Contractor, attention Charles Willey. A problem with a driveway. Proof that he used my address. That's what I'm trying to show here. MR. JERULLE: Okay, but there was a problem with this lady's driveway. Page 21 January 21, 2009 MR. MERAN: Yeah. I don't know if they solved the problem, because he never -- we never talked to each other after we broke up. I didn't do anything to the -- MR. JERULLE: But you were half owner in the company. MR. MERAN: Yes. MR. JERULLE: And you don't know if you resolved this lady's problem. MR. MERAN: At this time on April3rd, we received the letter like two weeks after we broke up. We broke up on March 19th. MR. JERULLE: January of2009 and you don't know if this lady's driveway has been repaired? MR. MERAN: Oh, no, I don't know. Because I was not -- we were together up to April 19th, 2008. And-- MR. JERULLE: But the date -- MR. MERAN: -- this was after the fact. MR. JERULLE: -- of the letter is April3rd. MR. MERAN: Yeah. And this-- MR. JERULLE: Prior to you breaking up, you received the letter. MR. MERAN: No, no, no, that was after. The last date that we worked together was March 19th. This letter is dated -- MR. JERULLE: You said April, I'm sorry. MR. MERAN: -- April, 2008. I don't know if this was resolved. And the proof of the checks, the last check for $38,000 -- MR. JERULLE: When you said you broke up, how did you break up? MR. MERAN: He just told me one day we don't want to be in business together, something that we -- MR. JERULLE: Did you own shares in that corporation? MR. MERAN: I was not on any way, shape or form on any piece of paper ofB&W Paving Company, even though that I own half of the equipment. Page 22 January 21, 2009 MR. JERULLE: So you owned half of the equipment, not half of the company. MR. ME RAN : Right. MR. JERULLE: And you don't know if this lady's driveway has been repaired to date. MR. MERAN: Not to my knowledge. CHAIRMAN JOSLIN: I've got one other question. On the next page, it doesn't have a page number, but there is another promissory note that was made out to you? MR. MERAN: Yeah. CHAIRMAN JOSLIN: It appears it must have been from B&W that owes you or -- did they sign a promissory note to you for $75,000; is that correct? MR. MERAN: I never lent any money to Charles Willey. This was made up. Why? Through the divorce. MR. DICKSON: Mr. Neale, let me speak to you for a minute. Where I sit right now is yeah, he pretty well showed that he's got experience. But when these things come to light, everything gets opened up. And I see possibility, strong possibility of workers' compo fraud, I see strong possibility of tax evasion. I see all sorts of issues that are now more pressing than an issue of whether he has expenence. So I'm looking legally from you. He came in here to verify experience, but I got other issues now. MR. NEALE: Well, the section that I read to the board clearly sets out that the board is reviewing the application for his competency under this section of the code, whether he is qualified to be a contractor. Therefore, the board can look at the other aspects. I think as far as the tax issues and such, the tax issue is probably one that is not within the purview of the board. But certainly workers' comp issues are directly related to the board's review of an application. Page 23 January 21,2009 What I would suggest to the board is if they do have concerns in those areas, since he only had the opportunity to prepare for an experience affidavit, is that you could -- if the board so decides, have him come back with a response to the other issues the board sees, or the board is certainly within its power and ability to approve or deny this application, based on the evidence presented today. Because the board really is only considering the evidence as presented today and in the packet. CHAIRMAN JOSLIN: Would that be a better way to do it at this moment, just deny the motion at the moment and then let him come back with more information and maybe come before us again with affidavits that he can get? I understand where you're going. MR. DICKSON: At the same time, he's not a member of the corporation. MR. NEALE: No. And that -- you know, even though he asserts under oath that he was a partner, but not on the documents, officially and legally he was not a partner, so therefore, unless he was the qualifier, which he was obviously not-- MR. MERAN: No. MR. NEALE: -- Mr. Willey was the qualifier, he doesn't have responsibility under the code for workers' compo issues, for tax issues or anything like that, because it's the qualifier that this board would look to if there were any such violations. What the board is looking to in this instance is solely his qualifications to obtain this license, not what may have happened with another qualifier in a prior business. CHAIRMAN JOSLIN: Just like Mr. Jerulle said regarding the affidavit -- or the information that he had no knowledge of taking care of this woman's problem with the driveway. He would have no knowledge of doing that. MR. NEALE: Well, whether he had knowledge or not -- CHAIRMAN JOSLIN: Not knowledge, but -- Page 24 January 21, 2009 MR. NEALE: -- it was not his responsibility, because he wasn't the qualifier. CHAIRMAN JOSLIN: Right, exactly. So it doesn't matter to him if it was taken care of or not in reality. MR. MERAN: That letter was not directed to me. Did I open the letter? Yes, it went to my address and I opened the -- MR. DICKSON: Mr. Meran, we're not even talking about that, so don't interj ect, okay? CHAIRMAN JOSLIN: Yeah, this is not something-- MR. DICKSON: What I'm talking about, and I'm madder than hell about, is contractors that operate like this. When all five of us are contractors up here and we try to play by the rules and play by the book and do our taxes and do our insurance, but we've got people out here operating like this that undercut us every day and put us out of business because of dishonesty. That makes me mad. MR. MERAN: I have knowledge of that. I didn't have a phone number for me to call. I call a few people. He was the only guy getting the job, getting the job, doing all the paperwork. My involvement with the company, B&W Paving, it was to go out there and do the job. Call me every morning, where we going? Go do this, do that. MR. DICKSON: That's what I was resolving with him. My anger is not directed at you right now. MR. MERAN: Okay. MR. DICKSON: But I do have quite a bit of anger when I see checks like this. MR. MERAN: There's plenty more. CHAIRMAN JOSLIN: And a sizeable amount of money. MR. JERULLE: Mr. Ossorio, has he passed a business-- MR. OSSORIO: Yes, he's met all the requirements to pass the trades exam and the business procedure test. MR. DICKSON: Is there a license -- is there a -- oh, he did his Page 25 January 21, 2009 trade also? MR. OSSORIO: He did his trade. He's filed for worker's compo exemption, he has liability insurance and has a corporation. CHAIRMAN JOSLIN: A workers' compo exemption. And he's going to go do an asphalt driveway. By himself? MR. OSSORIO: Well, you can have either workers' compo exemption or you can have staff leasing or you're going to have employees through a payroll service. MR. MERAN: I got my certificate of liability for Workmen's Compo Which that letter was faxed to the board, and it was never put in my application. CHAIRMAN JOSLIN: So you have insurance and Workmen's Compo now? MR. MERAN: Yes. CHAIRMAN JOSLIN: Okay, that's enough. MR. DICKSON: I move that we approve his experience. Grant the license. MR. GUITE': I'll second, Guite'. CHAIRMAN JOSLIN: We've got a motion and a second. All those in favor? MR. GUITE': Aye. CHAIRMAN JOSLIN: Aye. MR. DICKSON: Aye. MR. BOYD: Aye. CHAIRMAN JOSLIN: Any opposed? MR. JERULLE: Nay. CHAIRMAN JOSLIN: Motion carries 4-1. MR. DICKSON: Do we have the right, Mr. Ossorio, to forward these documents to workers' compo division and the state for any action they feel -- deem necessary? MR. NEALE: Yeah, I think the -- frankly since they are now public record, since they've been placed on the public record here, that Page 26 January 21, 2009 becomes sort of almost irrelevant. Since they are public record, they can be forwarded anywhere, because anybody can access them. CHAIRMAN JOSLIN: Do we need a motion to do this, or can this be done -- MR. NEALE: I would suggest leaving that in Mr. Ossorio's purvIew. CHAIRMAN JOSLIN: Okay. MR. MERAN: I got one more thing to say. CHAIRMAN JOSLIN: No. MR. NEALE: Please don't. MR. OSSORIO: Mr. Chairman, one of the things that we do in our office is that under the contractor licensing, if Mr. Meran wishes to fill out a formal complaint, we would do the investigation ourself on a misconduct. So if Mr. Meran wishes to do so, he could do so. But he would have to testify to the board of the extent of his businesses with B&W Paving. CHAIRMAN JOSLIN: Let's just say he chose not to. Would it make a difference? MR. OSSORIO: Well, then it would be hearsay, and it wouldn't be -- we need direct testimony for that particular charge. CHAIRMAN JOSLIN: Is this packet not now into public records and information, or no? MR. OSSORIO: I think this hearing is closed. But the -- to open up an administrative complaint, we would need more. MR. NEALE: Yeah, the hearing is -- yeah, all of the information in the packet is public record. CHAIRMAN JOSLIN: Public record, correct? Right, so that could be used in Michael's continuance of what's going on. MR. NEALE: The county can -- you know, I mean, within the purview of the code, the county can initiate an investigation on its own. CHAIRMAN JOSLIN: Okay. That would be my Page 27 January 21, 2009 recommendation to Mr. Ossorio then. You're done. MR. MERAN: One more thing to say. The owner ofB&W Paving is here today. CHAIRMAN JOSLIN: We really don't want to hear that right now . You're done and your license has been okayed. MR. MERAN: Thank you. CHAIRMAN JOSLIN: Good luck to you and make sure you keep your nose clean. MR. MERAN: I will. CHAIRMAN JOSLIN: Okay, we'll reverse one time. I'm still looking for a Charles R. McDermott. Are you present? MR. McDERMOTT: Yes. CHAIRMAN JOSLIN: Mr. McDermott, would you please be sworn In. (Speaker was duly sworn.) CHAIRMAN JOSLIN: Before me it looks to me like I have a request for a hearing on citations you received. Two citations, apparently. MR. McDERMOTT: Just one, sir. CHAIRMAN JOSLIN: One citation. I'm showing two. MR. OSSORIO: Mr. Chairman, just to clarify, the one he's contesting, the 4281, the 2149 was 2005. I don't think Mr. McDermott is contesting that. Obviously you can't, it's over 10 days. CHAIRMAN JOSLIN: I got you, okay. This is a citation for power washing a roof. Do you want to explain what happened? MR. McDERMOTT: Yeah, I contracted with the homeowner to do a power wash of the pool area and driveway, and I was approached by a painter. And he said, if you want that roof done, I can do it for you, I've got a painting license, blah, blah, blah. Handed me a card. Told the homeowner. Homeowner said, yeah, might as well get Page 28 January 21,2009 it done, too. So the kid was on the roof and he was doing the work. And I was approached by the -- a code enforcement guy, and I was ticketed for it. He originally wanted to ticket the fellow who was on the roof, but the fellow said he didn't have a license, he wouldn't give his license. And he said, well, I've got to see a license from somebody real fast or else they're going to call the police and-- CHAIRMAN JOSLIN: So the ticket was issued to you then. MR. McDERMOTT: Right. CHAIRMAN JOSLIN: Did the man work for you? MR. McDERMOTT: No. CHAIRMAN JOSLIN: Not at all. MR. McDERMOTT: I met him just about a day before that, and he gave me a card. MR. JERULLE: Who paid him? MR. McDERMOTT: Well, I gave him the portion of the money from the homeowner. CHAIRMAN JOSLIN: So in reality you did pay him. You did have him work for you. MR. McDERMOTT: Well, you know what I mean? I wasn't going to get two different checks from the homeowner. I just -- CHAIRMAN JOSLIN: Okay. MR. McDERMOTT: The fellow was -- you know, he took off and, you know, it was over. MR. JERULLE: The homeowner paid you -- MR. McDERMOTT: Well, yeah, I mean, I had to finish my portion. MR. JERULLE: Excuse me, I'm asking a question. The homeowner paid you to power wash the pool area and the roof -- MR. McDERMOTT: And driveway. MR. JERULLE: And the driveway. And the roof -- Page 29 January 21,2009 MR. McDERMOTT: And his money for the roof. MR. JERULLE: And you hired this other gentleman to do the roof. MR. McDERMOTT: Okay. CHAIRMAN JOSLIN: Okay. MR. JERULLE: No, I'm asking the question. MR. McDERMOTT: Well, you know what I mean? It was there and he came up to me and he presented a card. I thought he was a legitimate painter. Seemed to have all the look and the credentials and the -- said, you know, we can get this done for you and we can take care of your homeowner and -- MR. JERULLE: Is that a yes? MR. McDERMOTT: I guess it's a yes. MR. DICKSON: He's not even a legitimate employee or a legitimate subcontractor. MR. McDERMOTT: I guess not. MR. JOSLIN: He might have got the card down at Circle K off the bulletin board. MR. McDERMOTT: No, I didn't get this. CHAIRMAN JOSLIN: No, not you. I'm saying your friend that you met, however you met him. MR. McDERMOTT: Well, yeah, he approached me. CHAIRMAN JOSLIN: Well, I guess that will be a lesson to you then. You better watch who you have come and do work for you when you've already contracted to do the job, if you're getting paid. Because once you pay that person -- now, if the homeowner would have paid him, it would have been a different story, see, it wouldn't have been on you. It may not have been correct or the right way to do a process, but nevertheless you wouldn't be here today facing this fine. MR. DICKSON: I move that the citations stand. CHAIRMAN JOSLIN: I second the motion. Motion and a second. All those in favor? Page 30 January 21,2009 MR. JERULLE: Aye. CHAIRMAN JOSLIN: Aye. MR. DICKSON: Aye. MR. BOYD: Aye. MR. GUITE': Aye. CHAIRMAN JOSLIN: Any opposed? (No response.) CHAIRMAN JOSLIN: Motion carries. You have to pay the fine, sir. Sorry. MR. McDERMOTT: All right. Okay, that ends all the new business items. We've got one item on old business. Mr. Calvin Courtney, are you present? I don't see him. MR. OSSORIO: Mr. Chairman, Calvin Courtney left me a message yesterday basically saying that he had some sort of emergency. And I would like to go ahead and postpone this till the next meeting. CHAIRMAN JOSLIN: Okay. So moved, we'll do it. All right, we've got a bit of a -- cases with public hearings. People need a break at all? No? You good? Okay. All right, let me give you a quick insight of what goes on here. This is public hearings. First of all, is James Schuck from Marco Marine Construction here? MR. SCHUCK: (Indicating.) CHAIRMAN JOSLIN: You are here. Would you please come to the podium on this side. What's going to happen here, we're going to have some basic opening statements from both parties. Then after each party gives those opening statements, we'll have each side present their case to us. We'll hear testimony from those two parties, in which case you'll be able to ask questions of the witnesses, if there are any witnesses Page 31 January 21, 2009 available or any witnesses going to testify. In which case then we're going to have a quick closing short statement, closing statements. And then we'll close the public hearing and then the board will deliberate here on the conclusions of law and the final penalty phases, if there is any. MR. OSSORIO: Mr. Chairman, just before we get started with this particular public item, I believe what the county wishes to do, and maybe Robert Zachary can help us out, is that this gentleman will stipulate to the charges, of all charges that were cited under the Administrative Code, under the misconduct. I would like to have Ian have an opening statement, walk you through what happened, and Mr. Schuck will go ahead and contest (sic) to what he did. And on the back of your exhibit, you'll see a stipulation charge, and that will be something you can deliberate on after. So we'll try to expediate (sic) this, ifhe wishes to plead this case. That's something Pat Neale will talk to you about. MR. NEALE: Yeah. And this -- it's not unprecedented for this board to obtain and receive a stipulation, an agreed -- where essentially this is a simpler way to resolve the case, if the board so agrees to the terms of the stipulation. For lack of a better term, it's similar to a plea bargain in a criminal court, whereby the party agrees to plead to a certain charge, based upon an agreed upon set of penalties. And so what the board can do is obviously the board has the power to approve or deny the stipulation, but it can certainly expedite this hearing in that if the board hears the opening statement, then hears the stipulation to the charges, reviews the penalties and feels that that's appropriate, then the board can just adopt the stipulation and agreement as being the findings of this board, and that can be converted into a normal order. And the penalties and everything would go forth as if a regular hearing had been held and an order was issued. CHAIRMAN JOSLIN: One question. How does the stipulation Page 32 January 21, 2009 evolve? How did this come up? Or who put together the items of penalty phase that he agreed to? How did this come about? MR. OSSORIO: Mr. Chairman, one of the things we looked at this year is -- one of the things that I looked at was we've noticed that there's maybe more cases this year than we had in the previous years in the past. And to come to better resolution and to expediate (sic) the licensing board and the hearings, we try to follow suit with code enforcement, the board does. Their staff usually comes with a recommendation or stipulation. And either the board agrees to it or they don't agree to it, whatever you prefer. But that's something that we would like to get forward into. I mean, with the board's pleasure, of course. MR. DICKSON: May I discuss something? CHAIRMAN JOSLIN: Yes, you sure may. MR. DICKSON: Before we get into this, this goes back before your time, Michael. I think Michael-- or Mr. Joslin and Mr. Neale and I, I think were the only three that know it. But this nasty word longshoreman insurance. This county has been through this years and years and years ago. One contractor could afford it, none of the others could. We fought it. We had cases. We reversed cases. We changed it. And the county finally came down with a rule that it's a federal act, it's not a county act or a state act. We finally came down with a rule that longshoreman insurance would not apply in Collier County because these canals were not considered navigable waterways. Do you remember this, Mr. Neale? MR. NEALE: Yep. MR. DICKSON: So is longshoreman insurance an issue in this case? MR. NEALE: I don't know. Is longshoreman's on this or just regular insurance? CHAIRMAN JOSLIN: Longshoreman. And I think Workmen's Page 33 January 21,2009 Compo was also listed on here, no? MR. DICKSON: It's listed in the summary. MR. NEALE: Yeah, what did finally resolve, though, is that -- and my understanding, and of course as you correctly point out, it's been a number of years ago. But my understanding is that at the end of the day it came out that yes, longshoreman insurance was going to be required and there was nothing we could do about it. MR. OSSORIO: Mr. Dickson, just to -- maybe I can clarify. I was here when we had all those meetings. And if that was what we talked about to strike it from the code, we would surely have done so. Clearly it's in the code. We do have a building block that clearly states that you need longshoreman insurance. And longshoreman insurance has changed over the years, referencing payment and different class codes. The federal government's finally realized that, you know, they're not building this bridge or this barge or this whatever, this widget they're doing on these huge bays. And it has been more affordable. I've been to many marine associations, and the marine industry has really got involved in Tallahassee and really pushed for a new class code. And maybe Marco Marine can talk to you about that. But there's more that meets the eye here. And we understand longshoreman insurance is expensive, but it is in the code, and we do have a building block and we do have a letter from the state and also from the federal government that it is mandated, that longshoreman is needed on navigable waterways. So I was in those meetings many years ago. MR. DICKSON: But does it apply to all the contractors that work on these docks? MR. OSSORIO: Oh, yes. MR. NEALE: Yeah, electrical contractors and everything. MR. DICKSON: See, that applies to me. I was told by the county when all this was going on and they made this final rule Page 34 January 21,2009 because some of these docks have roofs on them. MR. OSSORIO: There's no doubt about it. There is a policy. Like I said, there is a building block. And we take -- and we look at if you're working -- if you're working from the shoreline and it's incidental to what you're there for, electrical or if you're doing some plumbing work or something out there to the dock, longshoreman is not needed. But if you're building this huge levy or this dock or this something with a big barge, it's called a floating device. So if you're on a floating device or near a floating device, you would need to have longshoreman insurance. And we take that into consideration. MR. DICKSON: You're not talking a dock in the backyard? MR. OSSORIO: Well, we're talking a dock. We're talking if they -- if a barge pulls up and it's on a floating device, unfortunately we have to abide by the code and the building block and what the code tells us. If you're on a floating device and you are incorporated, you need to have longshoreman insurance. CHAIRMAN JOSLIN: But that's not the question. Mr. Dickson is asking about a -- a lot of these docks have basically maybe undercover docks where a boat can drive in -- MR. OSSORIO: If you are a navigable-- CHAIRMAN JOSLIN: -- that needs a roof. Now, ifhe has a roof on it -- MR. OSSORIO: If you're working-- CHAIRMAN JOSLIN: -- that's not floating. But would he need longshoreman insurance? MR. OSSORIO: No, he would not. Like -- I'll go ahead and specify it again for you. If you're using a floating device. If you're on a barge, a boat. If your feet are not on the property or on land, you need longshoreman insurance. So in other words, if I'm a roofing company and I'm replacing a little piece of shingle on a dock, no, we're not going to make you get longshoreman insurance. But if you were Page 35 January 21,2009 telling me that you're a marine contractor and you come into the City of Marco Island or City of Naples or Collier County requires to do this $50,000 dock extension with this barge, you're going to need longshoreman insurance. If you don't have it, you're not going to get a building permit. MR. DICKSON: Okay. I thought it was resolved another way. CHAIRMAN JOSLIN: Okay. So then you don't need the insurance is what we're saying. MR. DICKSON: As long as Mike's there. MR. NEALE: As long as you're not operating off a barge. CHAIRMAN JOSLIN: Or off a barge. Okay. All right, let's begin, I guess with all that said. Maybe we'll get some answers from these two gentlemen here. Ian, you want to begin with the opening statements -- or be sworn in, I'm sorry. And also, before we start that, we'll need to have a motion to place this packet into evidence. MR. DICKSON: So moved, Dickson. CHAIRMAN JOSLIN: Second? MR. BOYD: Second, Boyd. CHAIRMAN JOSLIN: All in favor? MR. BOYD: Aye. MR. GUITE': Aye. MR. JERULLE: Aye. CHAIRMAN JOSLIN: Aye. MR. DICKSON: Aye. CHAIRMAN JOSLIN: Any opposed? (No response.) CHAIRMAN JOSLIN: Motion carries. MR. OSSORIO: Mr. Chairman, just to clarify, can we combine Case No. 2009-2 and 2009-1, or is that possible? MR. NEALE: I would suggest to the board to do that. CHAIRMAN JOSLIN: I think we could do that. Page 36 January 21,2009 MR. NEALE: There's precedent to do that where we combine -- CHAIRMAN JOSLIN: Okay. Then we need to have Mr. Ricci come up and be sworn in also. (All speakers were duly sworn.) CHAIRMAN JOSLIN: And also, would you make the motion amended to bring in Case No. 2009-1 and 2009-2. MR. DICKSON: I'll so amend my motion. MR. GUITE': I'll second it. CHAIRMAN JOSLIN: Motion and second. All in favor? MR. BOYD: Aye. MR. GUITE': Aye. MR. JERULLE: Aye. CHAIRMAN JOSLIN: Aye. MR. DICKSON: Aye. CHAIRMAN JOSLIN: Any opposed? (No response.) CHAIRMAN JOSLIN: Motion carries. Mr. Ian, go ahead. MR. JACKSON: Thank you. These cases obviously involve insurances. Not only is the longshoreman's one facet of the issue here, but the Workers' Camp. is another facet. There was a lapse of coverage in which the company was knowingly performing work for a substantial period of time. I've heard dates from the insurance company up to 10 months. And I have documentation from these gentlemen that show it might not have been 10 months. But the bottom line is that there was a lapse of coverage, and the qualifiers that are here before you acknowledge the lapse of coverage and acknowledge the fact that they were working without the coverage, Workers' Compo and longshoreman's. That sums up Count I. Page 37 January 21,2009 And Count II, there was one case that I know of them performing work without an issued building permit by Collier County. Due to the fact they couldn't have the building permit issued because of the lack of coverage and the status of their license. And I know as we've touched on, we have the stipulated agreement. If it would please the board, I'll read that so it's entered into the record. CHAIRMAN JOSLIN: At this moment, maybe we don't have to do that right now. Let's wait for just a moment and let's hear the statements of their side. And then we'll get down, maybe we can skip a lot of these episodes and go right to that -- MR. JACKSON: Certainly. CHAIRMAN JOSLIN: -- particular section. MR. OSSORIO: Just want to make sure, Michael Ossorio, Contractor Licensing Supervisor. This was a call-in complaint with the cooperation with the City of Marco Island and the City of Marco Island building official. I guess what transpired between the longshoreman and the Workers' Compo issues -- and every contractor knows that once you have a policy, you need to pay your premium. If you don't pay your premium, they cancel you. And unfortunately knowingly, not these qualifiers, but the owner of Marco Marine Construction knew about there was no coverage and they continued to work. But we did get an investigation and we did get a complaint referencing them working in Marco Island or close to Marco Island without any building permit. And that the reason why, like Ian Jackson said, was they could not get a building permit because their certificate was inactive because of the insurance. But they had been working for many months with the insurance company to come into compliance. And that's the issue. The issue is that they knowingly did not pull a building permit Page 38 January 21, 2009 on this exhibit. You can look at the exhibits, if you'd like, the photographs. Clearly depicts that you need Workers' Compo and you also need the building permit to do this work without it (sic). So this is a willful code violation on their part. CHAIRMAN JOSLIN: One quick question. Does workmen's compensation and longshoreman's insurance, are they insured by the same company? I mean, is it workmen's compo and longshore combined together when they get insurance of this nature for a marine contractor, or is it two different companies? MR. JERULLE: It could be both. MR. OSSORIO: It could be both. CHAIRMAN JOSLIN: Either way? MR. JERULLE: Yeah. CHAIRMAN JOSLIN: Okay. MR. OSSORIO: On this particular case, I think Marco Marine was dealing with one insurance carrier, and they had longshoreman insurance and they had Workers' Compo coverage. CHAIRMAN JOSLIN: So they could have had workmen's compo through one company and longshoreman's through another company, if they chose to. MR. OSSORIO: Yes. And that does happen. And we get -- we are the certificate holder and we put that in the database. CHAIRMAN JOSLIN: Okay. Okay, let's hear the opening statement from -- which one's going to speak first? MR. NEALE: What I would suggest to the board is based upon the way this case has been presented is that you have the two respondents testify that they agree to and accept the terms of the stipulation agreements as set out. That can be a basis. If the board then subsequent to that decides that they want to go further and pursue the case in full, then they could go from there. But I think for purposes of this, I would suggest that you have them testify that they accept the terms of the stipulation agreement as set out. Page 39 January 21, 2009 CHAIRMAN JOSLIN: I just wanted to hear the reasons why, but that's okay. Okay? Then Mr. Ricci and Mr. Schuck, you are present, right? MR. RICCI: That's correct. MR. SCHUCK: That's correct. CHAIRMAN JOSLIN: Have you read the stipulation and agree to the stipulation that was given to you regarding this case? MR. RICCI: Yes, we have. MR. SCHUCK: Yes, I have. CHAIRMAN JOSLIN: And do you agree to the penalty phases that were given to you or promoted (sic) to you at the moment? MR. RICCI: Yes, we have. MR. SCHUCK: Yes, I have. MR. NEALE: And what I would just suggest is that you also get them to testify on the record that they are agreeing to the stipulation agreement based upon their own free will and that they are not being coerced in any way, shape or form to sign this stipulation agreement. CHAIRMAN JOSLIN: During the stipulation agreement you were in no way coerced into signing it, you did it on your own free will ? MR. SCHUCK: That's correct. MR. RICCI: Yes, we did. CHAIRMAN JOSLIN: And this is all for the record, okay? MR. RICCI: Yes. CHAIRMAN JOSLIN: I would still like to hear just one quick scenario, just one quick synopsis from you of the reason of why you didn't have insurance. Was what the reasons of why you let this insurance lapse so long. Maybe a week or two or 10 days or 20 days, okay, but for 10 months? MR. SCHUCK: We're a family owned and operated business and we had a family member that was handling this. And apparently she did not pay, I think that Ian says from December of 2007. But we Page 40 January 21, 2009 got a certificate of completion from a Collier County job dated May 22nd. So we don't know when it was abandoned. CHAIRMAN JOSLIN: When it lapsed. MR. SCHUCK: Not paid or what. We found out August 27th when we tried to apply for a seawall permit that we had no insurance. At that time we had a change of ownership. The lady that was handling this is no longer with us. And at that time we tried to get the insurance. Well, because it had lapsed, we had an audit. They wanted $34,000 up front. So to come up with $34,000 -- we're a ma and pa organization. We don't have backers, so we had to continue on. And we had to get contracts. And most of the people we've had contracts with, we told them our predicament. We didn't try to dupe anybody. All our employees knew about it. It was because of one person's negligence that we're in this situation. And it took us until January 2nd, I think, to come up with the insurance. Because they asked for $34,000. We gave them $34,000, and then they asked -- they came back and asked for another $20,000. And so in the meantime, you know, we thought we had it. And then they said we sit on you for 30 to 45 days before we issue your Insurance. So it took a long time to get the insurance. Yes, we worked without it. We take full responsibility of it. And as far as working without the permit, I mean, we had deadlines to keep, these people knew it. I mean, if we would have stopped work, I mean, we had open permits, you would have had a bigger mess than what you have now. CHAIRMAN JOSLIN: You would have had a bigger mess if someone would have got hurt on that job. MR. SCHUCK: We would have took care of them. MR. JERULLE: Are we allowed to ask questions? CHAIRMAN JOSLIN: Sure. Page 41 January 21,2009 MR. JERULLE: Who writes checks for your corporation? MR. SCHUCK: At that time Patti Price. And now it's D.l. Ricci, Jr. and myself. MR. JERULLE: So Patti Price wrote the checks? MR. SCHUCK: She was the one that up until September was handling the affairs. MR. JERULLE: Was she the owner? MR. SCHUCK: That's correct. She was the president. MR. JERULLE: She was the president and she wrote checks. Did you review the checks? MR. SCHUCK: Sometimes, yeah. Not all of them. Believe me, we were -- asked these questions of her, and she said she had it all in her head. Didn't want any of our help. MR. JERULLE: But you're the owners of the company. MR. SCHUCK: Qualifiers, yes. CHAIRMAN JOSLIN: Is there a different owner of the company versus the qualifier? MR. SCHUCK: She's still the owner. It's in to get taken out. It's in the lawyers hands. So she's removed from it. CHAIRMAN JOSLIN: So technically she is the owner. MR. SCHUCK: Yeah, she's the president -- CHAIRMAN JOSLIN : You're just qualified, so you're taking -- MR. SCHUCK: No, no, she's not the qualifier-- CHAIRMAN JOSLIN: No. You both are the qualifier. MR. SCHUCK: -- Mr. Ricci is. Yes, that's correct. CHAIRMAN JOSLIN: Is there any other qualifiers in Marco Marine besides yourselves? MR. SCHUCK: Donald P. Ricci, Jr. He has a state license. MR. RICCI: If I may add, Don Ricci, Sr., we've been in business since 1980. Been a long time. Probably the longest longevity of any marine contractor in Collier County . We've got a good reputation. Page 42 January 21, 2009 Probably 15,000 customer base. We made a decision as a family . We had 15 employees that we would have put out of work in making this decision. We were told every day that tomorrow, tomorrow, tomorrow we'd get it. They put it into an audit situation. They said they could take up to nine months to do this, you know, which was ridiculous. We spoke to some legal counsel on it. They said, you know, you're at their mercy. And so we applied for that permit in Goodland. It was ready. They called and told us to come and pick it up. So we knew that with the work that we had proposed to do was in approval of Collier County. And Mr. Schuck and I and my son, we made a decision that just bad times, that we would, you know, try to get this job completed so we could afford to pay the workmen's compo And as we all know, to come up with, you know, 60 some thousand dollars overnight is a tough deal. We even went to the banks to try to get loans and bridge loans, and we were turned down in every case. We never had this problem at all in the company. MR. JERULLE: The audit is based upon work performed in the past. CHAIRMAN JOSLIN: Right. MR. RICCI: That's correct. MR. JERULLE: So you didn't pay the insurance in the past. MR. RICCI: No, actually, we had -- MR. JERULLE: This is for -- when you're doing an audit, you're doing an audit on the last year's income, and you're audited on the value of the work and then you're paying the insurance on the value of the work. So you've already been paid this money. MR. RICCI: Yes. In some respects, yeah. MR. JERULLE: Mr. Ossorio, does he have any past fines? MR. OSSORIO: Not that I know of. Not Mr. Schuck or Sr. Junior there might be some issues that we handled internally, but Page 43 January 21, 2009 nothing out of the ordinary, no. MR. NEALE: And I would note to the board that we probably should have the terms of the -- I'm sure the board's reviewed the stipulation agreement, but I would suggest that the terms of that agreement be read into the record, just so that the board can have them in front of them to hear them. Because I think once the board sees those, that will allay some of your concerns about where we're going here. So maybe you could have county staff to read the stipulation. CHAIRMAN JOSLIN: Well, okay, if there's no further-- MR. RICCI: On those items, if it's possible to grant us some more leniency in time. Because the business atmosphere obviously is not any better than it was, you know, six months ago. CHAIRMAN JOSLIN: Thank you, we'll take that into consideration. MR. RICCI: Appreciate it. CHAIRMAN JOSLIN: At this time then we'll close the public hearing, if there are no further comments from either side. We've heard the case, we've heard testimony, and the respondents have pretty much admitted the guilt, so we can go right into reading the stipulation and going into the final phases. MR. NEALE: I would suggest that prior to closing the public hearing, that the board have the stipulation read into the record and then subsequently after that close the public hearing -- CHAIRMAN JOSLIN: Okay. MR. NEALE: -- just so that it's on the record as part of the hearing. CHAIRMAN JOSLIN: Okay. Mr. Ossorio, would you like to read the stipulation that you have entered into with these people? MR. OSSORIO: I'll let Ian Jackson do it, since he's the narrater of it. CHAIRMAN JOSLIN: Mr. Jackson? Page 44 January 21,2009 MR. JACKSON: This is Case 2009-1, Board of County Commissioners, Petitioner, versus James G. Schuck, d/b/a Marco Marine Construction, Incorporated, Respondent. 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 and reference, Case No. 2009-1, dated for the 21 st of January, 2009. In consideration of the disposition and resolution of the matters outlined in said Case No. 2009-1, for which a hearing is currently scheduled for January 21st, 2009, to promote efficiency in the administrative complaint process, the parties hereto agree as follows: One: 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 respondents shall : One: Pay operational costs in the amount of$500 incurred in the prosecution of this case within 60 days of this hearing. Two: Pay civil penalty in the amount of $5,000 within 60 days for 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. Three: Pay civil penalty in the amount of $1,500, within 60 days for 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. Four: 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. Page 45 January 21,2009 Five: Successfully complete an approved business and law test within the 12-month probationary period. MR. OSSORIO: Mr. Chairman, just for clarity purposes, it's going to be suspension of Collier County Certificate 13520 as well. And Donald P. Ricci, Sr. is before you today in Case No. 2009-2 and 2009-1, since we combined them both. CHAIRMAN JOSLIN: Okay. Isn't there two licenses involved, though? MR. OSSORIO: They are. And I thought there'd be the two certificates. CHAIRMAN JOSLIN: Okay. MR. OSSORIO: Unless you want to read both stipulations in the record. MR. NEALE: No, just read the one. And since the terms are identical just have them apply to both. CHAIRMAN JOSLIN: Okay. So the terms and conditions of the stipulation will apply to License No. 13520 and also 26439. MR. JACKSON: Correct. MR. DICKSON: You said suspended. I thought it was probation. MR. NEALE: Yeah, it's probation, not suspension. CHAIRMAN JOSLIN: Probation, right. MR. DICKSON: Correction. Okay. MR. OSSORIO: Well, under section four, immediate suspension of Collier County Certificate if he violates within the next scheduled Contractor Licensing Board. So there is a suspension if he violates anything under 2006-21, as amended, within a 12-month period. MR. DICKSON: Okay. CHAIRMAN JOSLIN: Okay, one other item. In the meantime, by the stipulation of the 60-day period is to pay the amounts of -- the fines that are due. What about applying for new permits or gaining new permits or getting inspections on jobs that may be undergoing right now. Is this going to be something that we're going to allow to Page 46 January 21, 2009 keep going? MR. OSSORIO: Well, one of the things under the -- obviously every single contractor has to get a building permit, and that's expected. So if he violates something that's grievous or something we feel he violated at the code under to -- then we will bring it forward to the licensing board for further action. But every single contractor knows that before they start work, especially the Florida Building Code says you have to apply for a building permit and be issued one by the building official, so -- and get all inspections and pass all inspections. So that's a given. CHAIRMAN JOSLIN: Okay, one question for Mr. Ricci and Mr. Schuck. Have you obtained workmen's compo insurance and the longshoreman's insurance you need now? MR. SCHUCK: Yes, we have. CHAIRMAN JOSLIN: You have gotten it? MR. SCHUCK: That's correct. CHAIRMAN JOSLIN: Okay. And that's on file with staff? MR. SCHUCK: Yes, sir. CHAIRMAN JOSLIN: Okay, great. Okay, this stipulation being read into the record. Then as of now, we can close the public hearing. And you both gentlemen can have just a seat right in the front just for a moment. Right now we're going to go into deliberation with the board members to review the stipulation, if any changes or additions need to be done or added. What's your thoughts, gentlemen? MR. DICKSON: I move that we follow the county's recommendation. They know more about it than we do. CHAIRMAN JOSLIN: We've got a motion to accept the county's stipulation agreement. MR. BOYD: Second, Boyd. Page 47 January 21, 2009 CHAIRMAN JOSLIN: And I have a second. Is there any discussion? (No response.) CHAIRMAN JOSLIN: No discussion, I'll call for the vote. All those in favor, signify by saying aye. MR. BOYD: Aye. MR. GUITE': Aye. MR. JERULLE: Aye. CHAIRMAN JOSLIN: Aye. MR. DICKSON: Aye. CHAIRMAN JOSLIN: Any opposed? (No response.) CHAIRMAN JOSLIN: Motion carries 5-0. MR. DICKSON: Now you need your short form. CHAIRMAN JOSLIN: Yeah, where is it? MR. NEALE: Because this was a stipulation, I think that in this particular case just the reading of the stipulation and the fact that the board voted on it is adequate and I don't think the board has to go through the full reading and findings of fact, conclusions of law. Because the board has accepted a stipulated agreement. CHAIRMAN JOSLIN: We can just enter this-- MR. NEALE: So we'll enter the stipulated agreement. And I'll draft an order showing that the board has adopted the stipulated agreement as entered into between the county and the respondents. CHAIRMAN JOSLIN: Great, okay. Good luck to you. MR. DICKSON: I remember those two gentlemen. They've been around a long time. They're good people. And they were part of that longshoreman thing when we had all those marine contractors in here. Yeah, they're just -- there's not many marine contractors left in this county. We're -- I think you can count them on one hand. MR. OSSORIO: Well, if you remember, Mr. Dickson, that Page 48 January 21,2009 Marco Marine Construction was very focal point about amending our Collier County ordinance too as well. They wanted it. So it wasn't like they didn't want it. MR. DICKSON: Yeah. Well, they're -- I remember those two. They are good people. CHAIRMAN JOSLIN: And they do good work. They've been around a long time. MR. DICKSON: Yeah. CHAIRMAN JOSLIN: All right, we have another case before us. It's Case No. 2009-03. Todd Grup, d/b/a T.A.G. Professional Carpentry, LLC. Are you present? MR. GRUP: Yes. CHAIRMAN JOSLIN: Would you come to the podium and be sworn In. (Speakers were duly sworn.) CHAIRMAN JOSLIN: Also, I will need a motion to enter the Case No. 2009-3 into evidence. MR. DICKSON: Okay, Dickson, so moved. CHAIRMAN JOSLIN: Second? MR. GUITE': Guite', second. CHAIRMAN JOSLIN: Motion and a second. All in favor? MR. BOYD: Aye. MR. GUITE': Aye. MR. JERULLE: Aye. CHAIRMAN JOSLIN: Aye. MR. DICKSON: Aye. CHAIRMAN JOSLIN: Any opposed? (No response.) CHAIRMAN JOSLIN: Motion carries. Once again, we're going to go through the routine with the Page 49 January 21, 2009 opening statements. The county can present its side first and then we'll go to your side, Mr. Grup. MR. GRUP: Okay. MR. GANGULI: Good morning. Investigator Rob Ganguli. G-A-N-G-U-L-I. Collier County Contractor Licensing. The summary of this case is as follows: On December 19th, 2008, I, Rob Ganguli, Collier County License Compliance Officer, made a field observation at a job site at 6080 Dogwood Way in Golden Gate of carpentry work consisting of installation of roof trusses on an addition to a single-family home being built under ownerlbuilder 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 on-site research revealed a delinquent Certificate No. 26457 issued for cabinet installation contractor. Further research revealed that Mr. Grup had scheduled the examinations for roof 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 regulations contracting to do any work outside the scope of his or her competency. CHAIRMAN JOSLIN: Mr. Tug (sic), would you like to comment or give your opening statements as to what happened? MR. GRUP: Yes, I would. CHAIRMAN JOSLIN: Just a short synopsis now. We're not going to get into the case just yet. Just a short overall picture of what went on. MR. GRUP: Well, I was -- on the day in question I was contacted by Mr. Ganguli. He called my cell phone and had asked me if I was working at 6090 Dogwood Way. And I had explained to Ron that -- or to Rob that I had supplied Page 50 January 21,2009 the guys for the owner, but they don't work for me. And I wasn't acting as the contractor on that job by any means. The next door neighbor's a friend of mine, Tim Hayes. So the way I ended up over there finding out about the project was I was over there speaking with Tim Hayes. The owner next door was doing the addition. He came out. We met. He was a veteran, I'm a veteran. He was looking for some carpenters to do the job. I said sure, I'll help a battle buddy out, and I'll find you some carpenters. But they don't work for me. I didn't pay them. And I explained this to Rob. But I couldn't -- there was no communication. There was a big communication gap between he and I. So that's why we're here today. CHAIRMAN JOSLIN: Okay, we'll go back to Mr. Jackson (sic). Any evidence or any other witnesses or any other testimony you want to give that's going to correlate what you're saying? MR. GANGULI: Mr. Joslin, Mr. Ganguli. CHAIRMAN JOSLIN: Mr. Ganguli, I'm sorry. MR. GANGULI: I'd like to present my case, if I may. CHAIRMAN JOSLIN: You may. MR. GANGULI: Okay, Board of County Commissioners, Collier County, versus Todd A. Grup, Case No. 2009-3. Mr. Grup's charged with contracting to do any work outside the scope of his or her competency as listed on his or her competency card as defined in this ordinance or as restricted by the Contractors Licensing Board. On Friday, December 19th, 2008, I made a field observation at the previously mentioned address of three workers, Federico Cruz, Ishmael Mendoza and Jorges Mendoza installing trusses on an addition to the rear of a dwelling under owner/builder permit 2008062042, issued to a Craig A. Layton, who was not working on the job site at the time of my visit. When I asked the workers about their employer, they stated they Page 51 January 21, 2009 worked for T.A.G. Professional Carpentry, and Mr. Cruz provided a business card for Todd A. Grup. My investigation revealed a delinquent Certificate No. 26457 for cabinet installation contractor issued to Mr. Grup. My continuing research resulted in no licensing information being discovered for carpentry. A phone call was made to Mr. Grup, at which time I stated my concerns about framework being out of the scope of his license. During our conversation, Mr. Grup repeatedly inquired about what I was doing on his job site, insinuating I had no authority to be conducting an inspection there. Mr. Grup then responded that he was a business partner of the Certified Building Contractor Jack D. McNair of McNair Construction LLC, CBC-059162, and that the three workers performing the carpentry there were employed by McNair Construction. In a phone call to verify this, Mr. McNair stated that he was a corporate officer of Mr. Grup's company but was unaware of this particular job, was not in contract with the homeowner, and had not provided any employees to do any work at this location. A notarized affidavit, included in your evidence packets, was later obtained from Mr. McNair attesting to the same. In a phone call to the homeowner, Mr. Layton, he stated that although no written contract existed, a verbal agreement had been made with Mr. Grup to perform work on his project for, quote, a few thousand dollars. Mr. Layton further stated that he had never been in contract with McNair Construction, LLC. A notarized affidavit obtained from Mr. Layton attesting to the same is also included in your evidence packets. Prior to the end of the business day on December 19th, 2008, Mr. Grup appeared at the contractor licensing office and reactivated his delinquent cabinet installation certificate. Page 52 January 21, 2009 After doing so, Mr. Grup requested a meeting, which was also attended by Investigator Ian Jackson. In this meeting Mr. Grup insisted that his business arrangement with Mr. Jack McNair allowed him to operate in this manner, but he would change any contracts over to McNair Construction, if it would satisfy the concerns of this office. On Tuesday, December 23rd, 2008, Mr. Grup again attended a meeting at the contractor licensing office and was personally served with a notice of this hearing, which he refused to accept. Service of this notice was also sent to him via certified mail, which he also refused. Mr. Ossorio, if I recall correctly, refusing a certified notice of hearing is a violation in and of itself. Mr. Grup isn't being charged with that, I just want it to be on file. Gentlemen, a similar stipulation as Mr. Jackson presented in the first case was offered to Mr. Grup prior to this hearing being initiated. Some of the terms of it, other than the usual operational costs and fines that are normally imposed, were a six-month suspension of the certificate and a probationary period after its reinstation. And Mr. Grup was not interested in any of these terms. CHAIRMAN JOSLIN: This was a stipulation you tried to make before he got here? MR. GANGULI: Yes, sir. CHAIRMAN JOSLIN: What was that offer again? MR. GANGULI: The specifics involving his certificate were a six-month suspension and after reinstatement of the certificate a probationary period of 12 months. MR. GUITE': Was there any fines involved? MR. GANGULI: Yes, sir, the standard fines, $5,000 and $500 in operational costs were also included in the stipulation. CHAIRMAN JOSLIN: Okay. Mr. Grup, let's turn it over to you for a moment, and let's hear the presenting of your case. MR. GRUP: Well, I would just like to say again that I didn't Page 53 January 21, 2009 contract to do this work. I found him some carpenters. These people don't work for me. We didn't make a contract. When the owner was approached, Craig Layton, he was approached by Michael Ossorio in the tone of, well, if you sign the affidavit and say that you hired these people, then I'm going to revoke your license -- or I'm going to revoke your building permit. So of course he's not going to say that he hired these people. He paid them. I mean, we have no contract. He's got an $11,000 impact fee on his permit. So he threw me under the bus. MR. NEALE: If I may note that what Mr. Grup has just offered is purely at best secondary hearsay. He's testifying to something that he was told that Mr. Ossorio told to someone else. MR. GRUP: Well, Mr. Oss -- excuse me, but Mr. Ossorio said that that's the way he was going to explain it to Mr. Layton. He goes, well, if Craig comes into this office and signs this affidavit, I'm going to tell him that we're going to revoke his building permit. MR. NEALE: Nonetheless, that is hearsay. CHAIRMAN JOSLIN: Hearsay. Did you indeed -- Mr. Grup, did you indeed send these people over to this house to do the work? MR. GRUP: I found him the carpenters, and they arranged to do the work. CHAIRMAN JOSLIN: Did you physically know the person that they were going to do the work for? MR. GRUP: No. No, I don't. CHAIRMAN JOSLIN: So it could be taken -- if that was the case, it could have been taken, correct me if I'm wrong, but that gentleman could have been in a sense misled thinking that you were a contractor that could contract this, and you sent him three or four people to go and do the work for him. MR. GRUP: No, I don't believe so. He could not have been misled. Page 54 January 21,2009 You know, I explained to him, I said sure, it'd probably cost you a couple thousand dollars in labor. And this is a 1,500 square foot addition, so -- CHAIRMAN JOSLIN: So what's to tell this gentleman that these are my guys, they work for me every day -- MR. GRUP: I didn't say that. CHAIRMAN JOSLIN: -- and I'll send them over there on a Saturday and Sunday and do the work, and it may cost you a couple thousand dollars but that's okay. MR. GRUP: Sir, I wasn't even on the job. I didn't -- they don't work for me, I merely was helping a battle buddy out. He's a veteran, I'm a veteran. I thought I would try to help him out. That's the only reason the occurrence happened. MR. JERULLE: Rob, the cards that you show in the packet here, where did you get those cards? MR. GANGULI: Mr. Jerulle, this particular card was -- or the photocopy of this card is was what was handed to me when I inquired of the workers of who they were employed by. MR. JERULLE: So those workers knew you and probably worked for you in the past hanging cabinets? MR. GRUP: No. No, they did not. Those cards were on the job site on a little ledge in the owner's backyard, and that's where Rob found them. These guys don't know me; these guys don't work for me. MR. JERULLE: Why were your cards on the job site? MR. GRUP: Because I put them there. They were in my pocket, so I put them on the job site in the owner's backyard. CHAIRMAN JOSLIN: But just a moment ago you testified that you sent these men there -- MR. GRUP: I did. CHAIRMAN JOSLIN: -- but they don't know you? So you just picked up two strangers off the street -- Page 55 January 21, 2009 MR. GRUP: Listen -- CHAIRMAN JOSLIN: -- and sent them to the job? MR. GRUP: -- I said they don't work for me. And these guys were found at Able Body, okay? They're carpenters. People stand outside of Able Body every day looking for work. All I did was find these guys for him, give them the address. I didn't transport them, I didn't pay them. The owner paid them. I did not pay them. The owner paid them. Actually, the owner had the neighbor pay them. I have nothing to do with this other than finding him carpenters that can do the job. And that's the honest to God's truth. MR. OSSORIO: Mr. Grup, you did testify that you never visited that site, and then you just said that you were there on the site dropping off business cards. MR. GRUP: I was there on the site -- well, I did testify that I was there. I was there at the neighbor's house, Tim Hayes, speaking to Tim Hayes. That's how I was approached by Craig Layton. And that's how I had discovered that there was an addition being built in the backyard. The yards are connecting. I mean, they live on big lots that are connecting. MR. JERULLE: And Tim Hayes paid Able Body? Is that what you said? MR. GRUP: Tim Hayes paid the carpenters for Craig Layton. MR. DICKSON: This is the identical story, the one you told us before. You remember the last time you were here? MR. GRUP: I remember the last time I was here for the roofing work that I did in '04. MR. DICKSON: Following Hurricane Wilma. MR. GRUP: It's not the exact story. How is it the exact story? MR. DICKSON: Well, you didn't know the guys that did the repair that you repaired on Neapolitan Way, that little old lady who came in with her granddaughter, until the little old lady testified that you're the one that did the proposal and you were the one that was Page 56 January 21,2009 strongarming her to -- MR. GRUP: That's absolutely inaccurate. And you can go back into the records and look, but you're absolutely inaccurate, Mr. Dickson. MR. DICKSON: I know, everything you do is absolutely perfect and you have an excuse for it. And quite honestly, I'm -- MR. GRUP: I don't feel comfortable being ridiculed by you, sir. I don't think that it's respectful, and I'd like respect here. CHAIRMAN JOSLIN: Okay, let's stop that comment right now. MR. DICKSON: I'm not trying to be respectful. CHAIRMAN JOSLIN: I'm just telling you the facts. You have been before us, correct? MR. GRUP: I have one time, yes. CHAIRMAN JOSLIN: Thank you, that's enough. Let's talk about this case now. How about a closing statement, Mr. Jackson -- Mr. Ganguli, I'm sorry . MR. GANGULI: No worries. MR. NEALE: By the way, they still get the opportunity to cross-examine each other. CHAIRMAN JOSLIN: Oh, I'm sorry. Yes, you are right. Is there any questions that you have to ask of Mr. -- MR. GANGULI: No, sir. CHAIRMAN JOSLIN: Any questions you'd like to ask the county, Mr. Ganguli? MR. GRUP: I have no questions. CHAIRMAN JOSLIN: No more questions? MR. GRUP: No. CHAIRMAN JOSLIN: Once again then, we'll go to closing statements. MR. GANGULI: Mr. Joslin, my closing is as follows: This is the second time that Mr. Grup has appeared before the Contractor Page 57 January 21,2009 Licensing Board for a similar violation. On May 29th, 2008, Mr. Grup also received a $500 citation from Field Supervisor Allen Kennette after he was again discovered contracting outside the scope of his license. In the event that the board concludes that a violation exists, it will construe the third time that this type of activity has come to the attention of our office. I'd like to add to the record that when tested for a certificate of competency, Mr. Grup received a passing grade of 84.5 on the business and law examination. This should be considered reflective of a clear understanding of the privileges and restrictions of the licensing that he currently holds. If it is decided that a third violation exists, it presents a complicated set of circumstances for the county to consider in order to make a recommendation, and I will abstain from doing so. MR. NEALE: I would also like to just make a point to the board at this point in that Mr. Grup, as part of the -- actually, let me wait until later when the board's considering this matter. Please go ahead. CHAIRMAN JOSLIN: All right. Closing statement from you, Mr. Grup? Just to wrap up what's going on. MR. GRUP: I would just like to again say that I did not contract the work. There's no contract. I didn't get paid. The owner paid the men that were working on the job. And this is completely unfair, in my opinion. And that's about all I can say. So I'm at your mercy. But that's it. CHAIRMAN JOSLIN: That's it? Okay. Nothing else, board members? No other questions? (No response.) CHAIRMAN JOSLIN: Okay, at this time then I will go ahead and close the public hearing. I need a motion to do so. MR. GUITE': I'll make a motion. MR. DICKSON: So moved. Page 58 January 21, 2009 CHAIRMAN JOSLIN: So moved and seconded. All those in favor? MR. JERULLE: Second. Did somebody second? CHAIRMAN JOSLIN: Yes. MR. JERULLE: All right, sorry. CHAIRMAN JOSLIN: We got a motion and a second. All those in favor? MR. BOYD: Aye. MR. GUITE': Aye. MR. JERULLE: Aye. CHAIRMAN JOSLIN: Aye. MR. DICKSON: Aye. CHAIRMAN JOSLIN: Any opposed? (No response.) CHAIRMAN JOSLIN: Motion carries. Public hearing is closed. You can have a seat, if you'd like. Mr. Ganguli, you can have a seat. Just so you know, this is a section where the board now will deliberate on what's going on in the testimony we've heard. MR. NEALE: If I may, I'll do my-- CHAIRMAN JOSLIN: Yes, Mr. Neale. MR. NEALE: -- whole thing with the board here. In these cases, as is the norm, I try and give the board a little bit of guidance on how to review the case and the method -- the applicable way -- methodology to cover the case. And in this case, 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 the Collier County ordinance, the formal Rules of Evidence as set out in Florida Statutes shall not apply. The board shall consider solely evidence presented at this hearing in the consideration of this matter. It shall exclude from its Page 59 January 21,2009 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 in equity. As noted, the hearsay may be used to explain or supplement any other evidence in this type of case, but by itself it is 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 privileges to practice his profession is that the evidence presented by the complainant must prove the complainant's case in a clear and convincing manner. This is a burden of proof on the complainant that's a larger burden than the preponderance of evidence case that would be in a civil case or would be in a matter where he does not risk losing his ability to practice his profession. The standard in evidence are to be weighed solely as to the charges set out in the complaint as Ordinance 90-105, Section 4.1.2, which is contracting to do any work outside the scope of his or her competency, as listed on his or her competency card and as defined in this ordinance or as restricted by the Contractors Licensing Board. In order to show a -- support a finding that the respondent is actually in violation of the ordinance, the board must find facts that show the 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 the ordinance as amended. These charges are the only ones that the board may decide upon, as those are the only ones to which the respondent has had the opportunity to prepare a defense. Any damages awarded, should the respondent be found in Page 60 January 21,2009 violation, must also be directly related to the charges. They may not be for matters unrelated. The decision made by this board today shall be stated orally at this hearing and is 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 Board, as set out in the Collier County ordinance and the Florida Statutes and Rules. If the board is unable to issue a decision immediately upon the conclusion of this hearing, because of questions of law or other matters of such a nature that the decision may not be made at this hearing, the board may withhold a 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. And now the board should go to deliberation, please. CHAIRMAN JOSLIN: Okay. What is the pleasure of the board? Any comments, discussions? MR. JERULLE: Well, in light of what Mr. Neale just said, I think the county put together a very good case interviewing the owner, and we have testimony in here from the owner that he's hired Mr. Grup. I see no evidence from Mr. Grup that he wasn't the contractor. His friend could have come in and testified. Did not. Or provided evidence as to who paid Able Body, if in fact Able Body was the contractor or the workers, and I see no evidence of that. So I think it's a pretty clear case. CHAIRMAN JOSLIN: Just so the board members know that now we are deciding on the Count I of the charge that he be either guilty or not guilty of the charge first. Page 61 January 21,2009 Any other discussion? (No response.) CHAIRMAN JOSLIN: You don't have to be so silent. I agree with Mr. Jerulle 100 percent. There's no doubt. This is the second time this man's been before us. And I'm sure that this probably did go on. I'm pretty much to the assumption now where I believe that the man is lying to us, telling us he had no knowledge of what went on on this job. So my standing is that I agree with Mr. Jerulle 100 percent, that it's pretty much cut and dried. No other discussion, I'll call for a motion. MR. GUITE': I'll make a motion that we find Mr. Todd (sic) guilty on Count I, Case No. 2009-3. MR. BOYD: Second, Boyd. CHAIRMAN JOSLIN: Motion and a second on the floor. All those in favor of the motion, signify by saying aye. MR. BOYD: Aye. MR. GUITE': Aye. MR. JERULLE: Aye. CHAIRMAN JOSLIN: Aye. MR. DICKSON: Aye. CHAIRMAN JOSLIN: Any opposed? (No response.) CHAIRMAN JOSLIN: No opposed. Motion carries 5-0. All right. Now that he's been found guilty, the penalties. The county itselfhas -- I'm sorry, Mr. Neale, go ahead. MR. NEALE: As the respondent was found in violation of the ordinance, the board shall consider and order sanctions under the following parameters as set out in Collier County Ordinance and in Florida Statutes, Chapter 489. The sanctions which may be imposed are: The suspension of the Collier County or city Certificate of Competency. Suspension of a -- Page 62 January 21, 2009 revocation of a Collier County or city Certificate of Competency. Denial of the issuance or renewal of the Certificate of Competency. A period of probation of reasonable length, not to exceed two years, during which the contractor's contracting activities shall be under the supervision of the Contractors Licensing Board and/or participation in a duly accredited program of continuing education directly related to the contractor's contracting activities. Any period of probation or continuing education program ordered by the Contractors Licensing Board may be revoked for cause by said board at a hearing noticed to consider said purpose. The contents of said notice shall be substantially as provided for in the Collier County ordinance, and the service of said notice shall be as provided in the Collier County Ordinance. Evidence that either of these methods of service had been utilized shall be sufficient to show that the notice of hearing requirements of the section have been met. Restitution may be ordered; a fine not to exceed $10,000 per violation; a public reprimand; a reexamination requirement; denial of the issuance of Collier County or city building permits or requiring issuance of permits with specific conditions; and reasonable investigative and legal costs for the prosecution. In imposing these sanctions upon someone who's found to have violated the Contractors Licensing Board shall consider all the evidence presented at the hearing, as well as, number one, the gravity of the violation; number two, the impact of the violation on the public health, welfare or safety; number three, any actions taken by the violator to correct the action; number four, any previous violations committed by the violator; and number five, any other evidence at the hearing by the parties relevant as to the sanction which is appropriate for the case, given the nature of the violation and the violator. CHAIRMAN JOSLIN: With that said-- MR. NEALE: I have one further thing. Page 63 January 21, 2009 The board shall also issue a recommended penalty for the State Construction Industry Licensing Board. And that includes a recommendation for no further action, suspension, revocation or restriction of the registration, or a fine to be levied by the state. CHAIRMAN JOSLIN: Again, with that said, what's the pleasure of the board? Any ideas, suggestions or discussions on this -- on a motion? Bear in mind that the gentleman has been found guilty of Count I. MR. JERULLE: I have a question to some of the members of the board that have been here longer than I have. He was offered something by the county and refused. What has the board done in the past? MR. DICKSON: We haven't had these offers in the past. CHAIRMAN JOSLIN: No. This is probably one of the first ones I think we've ever had where the county's -- MR. GUITE': This is the first I remember. CHAIRMAN JOSLIN: -- made an offer. MR. DICKSON: I like it and they're doing it because they're so busy. MR. NEALE: There's a couple of points on that. Number one, I think the board should treat any offer of settlement as being something to not be considered in this. It wouldn't be considered in a normal legal case, and so it shouldn't be considered here. The fact that someone accepted or rejected an offer of settlement has nothing to do with the outcome of this case. Because anyone is free to reject any offer of settlement in any kind of case in order to exercise their due process rights for a hearing. CHAIRMAN JOSLIN: I understand. I think the penalties should be something that is going to be an eye opener, there's no doubt. Only because this is the second time. MR. JERULLE: Can we ask Mr. Ossorio what his Page 64 January 21, 2009 recommendation is? CHAIRMAN JOSLIN: You sure can. Mr. Ossorio, do you have any comments or any recommendations? I believe there were some that were given by Mr. Ganguli. MR. OSSORIO: Well, there's the first recommendation not to proceed with the state, due to the fact that Mr. Grup is a locally licensed cabinet installer that the state doesn't regulate, so there would be nothing forwarded to the State of Florida. Our recommendation is that he serves a six-month suspension, a $5,000 fine, paid within two months. $500 investigation cost. CHAIRMAN JOSLIN: Okay. There's some ideas, gentlemen. Still open for discussion. MR. JERULLE: I agree with Mr. Ossorio. I would add a probationary period, though, to what he just suggested. CHAIRMAN JOSLIN: At least a year. MR. NEALE: As the board can consider past violations and past penalties, Mr. Grup, in his previous case, which was Case 2006-04, which was decided on February 15th of 2006, the board at that point imposed a two-year period of probation upon him. CHAIRMAN JOSLIN: And when was this again, 200 -- MR. NEALE: This was his 2006 case. CHAIRMAN JOSLIN: So he's just barely off probation from the last case. MR. GRUP: Can I make a comment about that 2006 -- CHAIRMAN JOSLIN: No, I don't need to hear from you anymore, thank you. MR. GRUP: You're welcome. CHAIRMAN JOSLIN: Mr. Dickson, you're awful quiet. MR. DICKSON: You don't want to hear what I want to say. CHAIRMAN JOSLIN: Sure I do. MR. JERULLE: This was filed in 2008. So this happened during Page 65 January 21, 2009 his probationary period. MR. NEALE: No, the probationary period expired February 15th, 2008. MR. JERULLE: Oh, February. Excuse me. I stand corrected. MR. DICKSON: County's being very lenient. CHAIRMAN JOSLIN: Uh-huh. That's why I wanted to hear your comments. MR. BOYD: Well, the troubling part is that after we fined him in 2006, if you read the back of his business card, it says complete renovation specialist, commercial, residential, new construction, remodeling, additions, which doesn't fall under his license. MR. GUITE': I'm surprised it doesn't say highrises on there. CHAIRMAN JOSLIN: The other thing that really upsets me is that -- MR. JERULLE: That's a very good point. CHAIRMAN JOSLIN: -- if you really stopped and looked at the pictures inside of this pamphlet -- inside of our packet, there's some pretty serious trusses going on here. MR. GUITE': Yeah, it's not just a couple trusses-- CHAIRMAN JOSLIN: I mean, we're not talking about a couple pieces of lumber being put up. We're talking about two guys he picked up off the street that went and did this? I don't think so. I mean, Mr. Dickson, you do this all the time, you know? It probably takes you a lot longer to train somebody just to hammer nails rather than do all this. MR. JERULLE: There's not a lot of bracing on those trusses either, from what I can tell. MR. DICKSON: Did you pull the permit? Just curious. MR. OSSORIO: On this particular job? MR. DICKSON: Yeah. MR. OSSORIO: There was a building permit for an addition by an owner/builder, yes. Page 66 January 21, 2009 MR. DICKSON: Did you pull it? I mean, did you-- MR. OSSORIO: Oh, no, we did not pull the building -- no, we did not. I believe -- MR. GUITE': Has it been inspected? MR. OSSORIO: I believe the homeowner came in -- I'm speculating, but I believe Rob Ganguli had the conversation with the homeowner that they hired, he actually hired a carpentry company to go in there and do the work. But I'm not sure. But I think that's exactly what happened. He eventually hired a licensed company to complete the work. MR. DICKSON: Okay. CHAIRMAN JOSLIN: Completion of the work. But was that-- were these pictures derivative of the pictures that were taken after the work that -- MR. OSSORIO: No, the pictures were taken on the day of the investigation by Rob Ganguli. CHAIRMAN JOSLIN: Okay. Any other thoughts? I'm still waiting. Just say it out. Let's hear it. MR. DICKSON: I'm not chairman. CHAIRMAN JOSLIN: I understand that. MR. DICKSON: This is my day to be quiet. CHAIRMAN JOSLIN: I know, but I'm not supposed to make motions, you are. MR. DICKSON: Well, you've got three other-- CHAIRMAN JOSLIN: Anyone else here -- MR. DICKSON: -- people that can make motions. CHAIRMAN JOSLIN: -- thinking the same way? This penalty we're talking about now with the recommendations from the county, is this something that is it -- is it going to be enough? MR. GUITE': No. CHAIRMAN JOSLIN: No? What can be added to it, gentlemen? Page 67 January 21, 2009 MR. GUITE': I would almost say double it and I'd be happy. I mean, it's just again and again and again, it's the same people coming back up here doing the same thing. And this one's -- we had the shutter company that was doing the work and they weren't pulling the permits. Well, at least they were doing the work that was in their scope of business. This guy's doing work that's not even in his scope. And it's just not right. CHAIRMAN JOSLIN: And he's advertising it. MR. GUITE': Exactly. CHAIRMAN JOSLIN: Majorly. MR. GUITE': And he's inactive, with no workmen's compo MR. GRUP: If I might interject, I'm partners with a state certified building contractor. T.A.G. Professional Construction, Jack McNair and I are partners. And Jack is a state certified building contractor. I don't know if you guys are aware of that. MR. JERULLE: It doesn't say that on this card, though. MR. GRUP: Doesn't say what, sir? THE COURT REPORTER: I can't hear this conversation-- MR. NEALE: Yeah, ifhe's going to give testimony, which he is doing, he has to be on the mic. and has to be on the record. CHAIRMAN JOSLIN: Exactly. And we don't need to hear this, do we? MR. GUITE': The testimony's closed. CHAIRMAN JOSLIN: The business card pretty much speaks for itself. And the Todd A. Orup is your name, I'm sure, so that's enough for me. You want to make a motion to that? MR. GUITE': Yeah, I'll make a motion. MR. GRUP: The business is qualified by-- CHAIRMAN JOSLIN: Excuse me, sir-- MR. GRUP: -- a state certified building contractor. CHAIRMAN JOSLIN: -- we've heard enough. Thank you. Page 68 ... January 21, 2009 MR. GUITE': I'll make a motion that we fine Mr. Grup $10,000, with a $500 fee for the county for the investigative purposes. And I'm going to say just revoke the license. Because he's just coming off probation less than a year ago. CHAIRMAN JOSLIN: Got a motion on the floor for a $10,000 fine, $500 in operational costs, and his license is revoked. Do I hear a second? MR. JERULLE: What does that mean? May I ask a question of the motion? CHAIRMAN JOSLIN: That means that his license as of today is revoked. MR. JERULLE: Does that mean, Mr. Ossorio, he can never be licensed in anything, or just his cabinet license is revoked? MR. OSSORIO: Well, when you revoke his certificate, that means his cabinet license is going to be null and void. Mr. Grup can apply for a license -- a different license, carpentry or reapply for a cabinet, but he would have to go in front of the licensing board for approval. We have -- we've had in the past revoked somebody's license and within a year they've come back to the licensing board and we have granted them the certificate. CHAIRMAN JOSLIN: In the same trade? MR. OSSORIO: Yes, I believe so. MR. NEALE: Yeah. CHAIRMAN JOSLIN: So that means his license would be revoked, he pays a $10,000 fine. We'll give it a time period, probably, within a certain period of time. And a $500 operational cost to hear this case and do what we have to do. MR. JERULLE: Could we -- are we saying that we're going to amend the motion that he cannot come back and apply for a new license within -- MR. GUITE': No, he can come back and apply. Page 69 January 21, 2009 MR. JERULLE: -- within a certain time period. MR. NEALE: Yeah, you can't -- CHAIRMAN JOSLIN: Right, we can't restrict, I don't believe. MR. JERULLE: You cannot do that. MR. NEALE: You can't say that he cannot come back and apply. He essentially automatically has leave to apply. But as Mr. Ossorio correctly points out, any future applications, because of the revocation, would certainly be referred to this board. MR. JERULLE: To this board. MR. DICKSON: I like your motion, because he's tried numerous times to get a roofing license, he's tried numerous times to get a carpentry license. He just doesn't pass the test. The cabinet license he has he doesn't use, because he's doing this other stuff. So by revoking the cabinet license, you're basically doing him a favor, because you're going to put him into a study mode, and he can take that test at Gainesville any time he wants to and get one of those other licenses. And then at least we've got him legal. So I second. CHAIRMAN JOSLIN: Got a motion on the floor and a second. Any discussion further? MR. GUITE': Do we need to put a time on the 10,000? CHAIRMAN JOSLIN: Want to put a time on it? It's your motion. MR. GUITE': Well, I'll be lenient there and give him six months. And not -- I'd like to see some within -- like every 30 days some paid on it. CHAIRMAN JOSLIN: Okay, so we could break the 10,000 down into a six-month period is what you're saying? MR. GUITE': Right. Six equal monthly payments. MR. JERULLE: Do we have a second, or do I need to -- MR. DICKSON: I seconded it. CHAIRMAN JOSLIN: Yeah, it's already been seconded. Page 70 ., January 21, 2009 I'm just trying to figure out equal increments. Maybe Pat Neale can determine what the equal payments will be. Of equal payments for six-month period-- MR. GUITE': Just six equal monthly payments. CHAIRMAN JOSLIN: -- to equal $10,000. MR. GUITE' : Yes, that will do it. CHAIRMAN JOSLIN: I've got a motion and a second. All those -- I'll call for the vote, if there's any (sic) more further discussion. All those in favor, signify by saying aye. MR. BOYD: Aye. MR. GUITE': Aye. MR. JERULLE: Aye. CHAIRMAN JOSLIN: Aye. MR. DICKSON: Aye. CHAIRMAN JOSLIN: Any opposed? (No response.) CHAIRMAN JOSLIN: None opposed. Motion carries five to nothing. Okay. Now, Mr. Neale, I'm going to need the -- I suppose the final order of the board. Did you print it out for me yet? MR. NEALE: I'll e-mail it to you again. We'll get this printed up. CHAIRMAN JOSLIN: In the case of Board of Commissioners versus Todd A. Grup, d/b/a T.A.G. Professional Carpentry, LLC, Case No. 2009-3, License No. 26457. This cause came on or before public hearing before the Contractors Licensing Board on January 21 st, 2009 for consideration of the administrative complaint filed against Todd A. Grup, d/b/a T.A.G. Professional Carpentry, LLC. And the service of complaint was made in accordance with Collier County Ordinance 90-105 as amended. The board, having heard this hearing under testimony, under Page 71 January 21, 2009 oath, received evidence and heard arguments respective to all appropriate matters. Thereupon issues its finding of fact and conclusions of law and order of the board as follows: That Todd A. Grup, d/b/a T.A.G. Professional Carpentry, LLC is the holder of record of License No. 26457, and that the Board of County Commissioners of Collier County, Florida is the complainant in this matter. That the board has jurisdiction of the person of the respondent and that Todd A. Grup was present at the public hearing and was not represented by counsel at the hearing on today's date. All notices required by Collier County Ordinance No. 90-105, as amended, have been properly issued and were personally delivered. Respondent acted in a manner that is in violation of Collier County ordinances and is the one who committed the act. That the allegations of fact as set forth in the Administrative Complaint as to Count I, 4.1.2, contracting to do any work outside the scope of his or her competency as listed on his or her competency card, as defined in this ordinance or as restricted by the Contractors Licensing Board, are found to be supported by the evidence presented at the hearing. The conclusions of law alleged and set forth in the Administrative Complaint as to the Count I are approved and adopted and incorporation (sic) herewith: To wit, the respondent violated Section 4.1.2 of Collier County Ordinance 90-105, as amended, in the performance of his contracting business in Collier County by acting in violation of the sections set out in the administrative complaint with particularity . Order of the board: Based on the -- excuse me. Based upon the foregoing findings of fact and conclusions of law and pursuant to the authority granted in Chapter 489, Florida Statutes, and Collier County Ordinance No. 90-105, as amended, by a vote of five in favor and zero opposed, a majority vote of the board members presents, respondent has been found in violation and ( sic) set out above. Further, it is ordered by a vote of five in favor and zero opposed, Page 72 . January 21,2009 a majority vote of the board members present, that the following disciplinary sanction and related order are hereby imposed upon the holder of contractor's certificate of competency License No. 26457. And that is -- as of to day's date, Todd A. Grup ofT.A.G. Professional Carpentry, LLC is ordered to pay a $10,000 restitution fine -- MR. NEALE: Not restitution, it's a fine. CHAIRMAN JOSLIN: I'm sorry, $10,000 fine to be paid in a period of six months in equal increments for the next six months until -- every 30 days until the entire balance is paid off. Along with $500 in operational costs, which will be paid within the next 30 days. And that also that License No. 26457, belonging to Todd A. Grup, d/b/a T.A.G. Professional Carpentry, LLC, that license is hereby revoked. And that's the order of the board. And that ends Case No. 2009-003. Okay, anything else going on, gentlemen? Any reports or anything? Anybody has anything to say? I only have one small item just to mention, okay? Through my diligent efforts of I guess trying to find out things that go on in Collier County and through conversation I've heard in the field, I know that there was some conversation here a while back about the county closing down certain portions of the county. That -- and closing down to a 32-hour workweek. Which I believe that in some cases I think it's -- in some ways it's good, in some ways it's not. I think in the case of licensing, I think the licensing department really needs to be out in the field now 10/7 -- 24/7. And thank the commissioners for allowing one of the new investigators to be on board now, which gives us just a little more power while we're out there in the field. I did hear this past week, though, that that thought, that terminology as far as going to that 32-hour work week has been tabled for the moment. I just want to make it a record that it is out there in the open, and if anyone has any discussions or thoughts on it, I'd like to Page 73 c: January 21, 2009 hear about them. And the next meeting date I guess will be February 18th, right here in the same building, 2009. And I just need one more motion to adjourn. MR. GUITE': Make a motion to adjourn. MR. BOYD: Second. CHAIRMAN JOSLIN: All in favor? MR. BOYD: Aye. MR. GUITE': Aye. MR. JERULLE: Aye. CHAIRMAN JOSLIN: Aye. MR. DICKSON: Aye. ***** There being no further business for the good of the County, the meeting was adjourned by order of the Chair at 11: 10 a.m. COLLIER COUNTY CONTRACTOR LICENSING BOARD RICHARD JOSLIN, Chairman These minutes approved by the board on as presented or as corrected Transcript prepared on behalf of Gregory Reporting Service, Inc., by Cherie' R. Nottingham. Page 74 ::r' co .ff c (fl ~ S. 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CD sn 0- (l) (J) CD Cl. o ::J 11 CD CD '"0 (l) c: o OJ !D 0 )~ (l) ro- I\) ~ i\3 ft i\3 0 0 co co .... N c;, W )> s: ;0 CD "'0 0 ::4- -I l'""i- CD () 0 :J l'""i- -, Q) (") l'""i- 0 -, C/)- r (") CD :J C/) :J CO ~ 0 :J l'""i- :::T ~ ;U CD "'0 0 ~ G) a c 'C 0- '< 11 CD CD () o Cl. ~ 11 -, o :3 .... o - .... i\3 o o OIl -t o .... - w .... i\3 o o co ~ (t "d C ::l ~ e; .... Po: (JC (t .... ::!' ::J D- ;;: ro ~ ! w~ [~ II rt I I m x D o ;:+ ! ~l Gl1 I ! I . I Licensing Board Meeting Appeal for License Approval DAMARYS SILVA UNIQUE MARBLE AND GRANITE CORP. - ~ BUILDING REVIEW AND PERMI7T1NG CONTRAC1VR UCENSINGSEC110N ,COLLIER COUNTY/ CITY OF NAPLES! CITY OF MARCO APPPLICATION FIRM - PART I Contractors' Licensing Board Community Development & Environmental Services Division 2800 N. Horseshoe Drive Naples, FL 34101 Telephone: (239) 403-2431 Fax: (239) 403-2469 Instructions: This application must be typewritten or legible printed. The y this application. The fee is !l2t.. 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 ~l:::::::i/!;t:;~6-46r;;h1-. ~ Y$();/t /g I? . D/B/A (if applicab e) 2. $lob l~ M ~ l}?)/rL5; 1Wtffi 6rf//::; Business Address (Number & Street) City State Zip Code 3. Business Mailing Address City State Zip Code 4. BusinessPhone#:;J.-el1f/i;q2~~ MobilePhone#:J!/1-~1Z- 4llZ 5. Fax #:-- ~ - Federal Emp. ID# ~r, - </053 ~g 6. 7. Legal form of Business: Corporation. V LLC Name of the Firm's Qualifying Agent mma ,yo (License Holiler) 6l1Ut1 8. INDICATE NATURE OF REQUEST - (A) To Qualifv as a: ( ) General $ 87.00 ( ) Electrician $ 87.00 ( ) Building $ 87.00 ( ) Plumber $ 87.00 ( ) Residential $ 87.00 ( ) Air Condo $ 87.00 ( ) Mechanical $ 87.00 ( ) Sheet Metal $ 72.00 ( ) Roofing $ 87.00 ( ) Marine $ 72.00 ( ) Swimming Pool $ 87.00 90 Specialty $ 72.00 C~;Yld- ~LL 1./ &.1,. / ill) Chanlte of Status: $10.00 ( ) Active License to Inactive ( ) Inactive li~ense to Active ( ) Address Change ( ) Reinstatement &-tf" ~03'l 0 ( ) From Individual to Qualifying Bus. ' ( ) From Qualifying Bus. to Individual ( ) To Qualify Additional Entity ( ) From One Business to Another " ~ k:nnJ.f3fb4.itI9.J,f);Zl ~>~~~~ / ...W9 10. List all businesses, fi1'Ills, . entities or contracting businesses you have been associated (ex: Held a license for or been a partner) with during thelastten years. (Attachextrapage if needed). "11. List.alldebtsyol1or.any company(s).associatedwithyou.refused to pay and the reasons l\lrtheret)1sa1~pay. ...MJt.~.. ....x.tra pag. e..iI"ee(led.). < .. . . J/j .... ..... ..... . STATE OF FLORIDA COUNTY OF y knowledge. j,ba/fl1t'tp 6fIvQ The foregoing instrument was acknowledged before me this -.i..:J b 2-00.,\ by '\')04" Or \IS ~\\ II '^ of \J " ;~U.. ~bld> C., (~~.W. (' "'[I>' (name of officer,'title/agent (nam of Corporation) ~ ll)r;dc.. corporation, on behalf of the corporation. HelShe (state or Place of Corp.) has produced ~ l ~\'i. Ltt.'tl\<: \ as identification and did not take an oath. NOTARY PtJBLIe.sTATE OF FLORIl)A .lW~~. Giselle Dominguez \~JCo~slonIDD835086 ...........J' Exp1l'eS: OCT. 29, 2012 BONDEDTHRt1AnANTlC B01.'l>ING co.. me. NOTARY'S SEAL NATURE OF NOTARY G, 1'0 \ \0 ro(\ty\'~ t 2 (PRINT NAME OF NOT .Y) NOTARY PUBLIC APPLICATION COUNTY OF COLLIERICITYOFNAPLESICITY OF MARCO FIRM PART II (to be cOInpleted by Qualifying Agent) ........ Contractors' Licensing Board Community Development & Environmental Services Division 2800 N. Horseshoe Drive' Naples, Florida 34104 Telephone: (239) 403-2431 Fax: (239) 403-2469 6~14 ,-&~eys ~) Date of Birth ItJJl/J/;113 S.8.# / ' Driver's License # () (Last 4 numbers only) 2. . !Io,;,e Address oftheQ"aIifying AgendZat:J~~,J5~/iJJJlflS . ft lflll~ /f;~.i, '. i' .i ( Home Ph~ne # 3. Nm=oftheFirm thr'JAob/~ Mo/)rk, &J9' 4. Type Certific<>te; of Com e",,~~Whioh application is made. , U' ~ .~ If fZl/). - :a; If~, )/ 1. Name of the Qualifying Agent 5, The names and telephone numbers of twopersonswho will always know your whereabouts. (fI:~~i- f:dD' '=r~~~~~ 6. Have you ever been convicted ofa crime related to Contracting? --nO (If yes attach 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. ~illJi lIM!h!iJ AFFIDAVIT The undersigned hereby tnakes. application for Certificate of Cotnpetency under the provisions of Collier County Ordinance 2006-46, as amended, and vouches for the truth and accuracy of all statements and answers hereincoutained. The undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to be licensed in aU 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 quaIifiedlicense holder understands that in all contracting matter8,hewill be held strictly accountable for any and all activities involving his license. Any willful falsification of any information contained herein is gro ~ STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this \ - \. ~- ? 00" T"\ (D~te) bY\Jo.f'f\~f\J<; S~\\t~ . who has produced \)r-I'\I"~ h.ICO~ylI (name of person acknowledging). (Type of identification) as identification and who did not take an oath. NOTARY SEAL ~(2 SIG URE OF NOTARY G,l;~ll; ~~~~ (PRINT NAME OF NOT Y) NOTARY PUBLIC --- NCTARYMIJC-STATE OF FLORIDA ~'''''''''''1. . Giselle Dominguez .t.sCommission #D1)835086 ~............;'Expires: OCT. 29, 2012 BONDED TURD ATLANTIC BONDING CO"INC. * * * * * * * * * * * * * * * * * * * * * * * STAFF USE ONLY: t>4Y'4- a ....iJ..5 Name of app ant S:'L VeL. Trade: fl/It Score: Taken on given in , sponsored by Business & Law: Score: '7(" t1 ~Taken on given in . .k2I. Po..L Y14-$~ponso~d by AFFIDAVIT It is understood and acknowledged by the Collier County Contractors' Licensing Board and myself that if I fail to acquire, or maintain at all times effective Workmen's Coml'ensation Ins result in the possible revocation of my Certificate of Competency. BUSINESS NAME DATE BEFORE ME this day personally appeared who affirms and says that he has less than one employee and does not require Workmen's Compensation understands that at any time he employees one or more persons he must obtain said Workmen's Compensation Insurance. STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this 1. 10 - 2 OOq by (Date) 'DoI!YI o.r~ S <;;,' 'lJCt who has produced 1)l'ltmLS LV(1l r,:,,f (name of per on acknowledging) (Type ofidentmcation) as identification and who did not take an oath. NOTARY MUC.s'l'ATEOJi' FLORIDA ...C'~ GiseUe Dontinguez ~ ~iCorm.nissionl DD83S086 ...",........ Expl1'ell:. OCT. 29,2012 BONDED THIUJATLANTICBONDlNG CO., me." NOTARY SEAL SIG TURE OF NOTARY GI)~llf ~~~)fZ (PRINT NAME OF NOT. Y) NOTARY PUBLIC VERIFICATION OF. CONSTRlJCTIONEXPEItIENCE ColIier CotttJ.tY Contraetol' Licensing c/o Community Development & EnvironmentalServices Division 2800N.Horseshoe Drive N~ples, FL 34104 Telephone: (239) 403-2431, (239)403-2432 or (239) 213-2909 ::::'::::ryR:~~~ ~~ ~_ The Applic~nt is seeking a Collier County Certificate of CQmpetency 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. YQU should verify. time of active experience as an apprentice ora skilled worker (e.g. as a worker conunandingthe wage of mechanic or better in the. trl:\de). Time served. solely in a. supervisory or administrative role should be described, but mayor may not be considered sufficienttQdemonstrate required trade experience. The person verifying trade experience must provide thefoUowinginformation: Name, Title and license number of the person signing below and verifying Applicants relevant experience: Name of Business: G,l: ;;!&)/I Hamp c..., i: F I4c7#~e Deve..lof'Y"ffl)--I-, II?C. License Number (if applicable): C. Q C. \ 3;23333 t)e ale I of'me.rd I .r /IJ l. Name:Iv'\Ct nve, \ C-t 0071:.4 le z. Title: 0(.0 11'1 ~ Y" A.}up{e.s i l=L 311' D- tJ \1 ....."" The Appliean,', years of experience from~-<IM. O~i p,...",,, t The applicant's scope of work (specific duties) included: Business Address: Lv; Isnf\ G \ vcr AJ Business Phone:~3q- ~-;:nI3,=, Additional Comments: Falsifying any information provided herein maysubjedyour license to revocation. Signature . .~..-L Printed Name:~1 /1 State of Florida County of Collier The foregoing ~n' was acknowledged befo:e me on thi, ~ day of ~Jn.-'k _ ' ~ ~'1_ by W-(AA111 Gnf'\~ ,.In. who IS personally known to me or pro uced :::k II~K t.:2^/l 0 identifiealio. and who did nol take an oath. r;;j;~ Q_ Signatur f Notary NOTARY PUBIJC.sTATEOF FLORIDA .:..........~ Giselle DOmingUez ~.lCommission II DD835086 ~............: Expires: . OCT. 29, 2012 BONDED TlUW ATl..\NTIC BONDING CO., INC. VERIFICATlpNO~, CONS'~~ltJT9<j'~()~ EXPERIENCE Collier Cotiztty CoJ1tract()1' Licensing C/O Community Development & EnvironmentatSerYicesDivision 2800 N. Horseshoe Drive Naples, FL 34104 Telephone: (239) 403-2431, (239) 403-2432. or (239)213-2909 Ap~;c~'. Na= lYJ~ 6jl~tJJ Certificate Category Reqoested: i' - i~;I ~~ 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 ~ust 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 tiIne of active experience as an apprentice ora skilled worker (e.g. as a worker commanding the wage of mechanic or better in the trade). . Time served solely in a supervisory or administrative role should be described,but may or may not be considered sufticienttodemonstraterequired 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;~fJ..vi-(';"'t 1'1>. ~ Title:~ < Name of Business: Kk License Number (if applicable): t'l/- Jj 5 00 s-o '-/ 1) E S l ~ Jj ::z:J.1c... ,.Jw . ( ., (, 'f1't S-r- fi t i""\S= # 2... Business Address: 0'12-. j Business Phone: .3Or e J '1 7 r., '1 The Applicant's years of experience from ~ 0 () I to Pt".e-s ~~ The applicant's scope of work (specific duties) included: -.h, "J Ib-l f) /Aft& 7'IJ1J v:Vn oJ ,..lA.4IJ'~-VIU:It4N ~ CJ ~r" n= Signature . r _ Printed Name: I-'ftl,,-utV( --p~ Additional Comments: Falsifying any information provided herein may subject your license to revocati, _' State of Florida County of Collier The f9ri&0A.n~ in_s9\Um~t was acknowledged befo~e me on this J~ day 0 by ~.!~ ~<<t t~~ So who IS personally known to me as identification and who did not take an oath. I .....!fJ..A.........~.......I..'O......<...!'l......O..............F...................p.............~......~...........!l.....:r.............Jt......p........p...;.CT..............1,....p...................N..................................E.... XP.:........2l<....;...~............jl<......."... .N.:....c...;....~....8."...... I -... ...... ...... . ... ........... .......... ........ ....<A<... .... .... . ..... . ..... . <. Col1ier..CountyContract6:r:I.,i~eIlsing C/O Community Devel.oPment &Environmental$ervicesDivision 2800 N. Horseshoe Drive Naples,. FL .34104 Teleph.Qne:(2391 403-2431, (239) 403-2432 o:r: (239)213-2909 APPlicant"Name, ~(J)fiWSc-41,P/t;t? 7L7: Certilkate CaIe/lOJYR"'luo$..d, . ~/:i~~#w~ The Applicant iss~eking.a Collier County Certificate of Competency mthe tra<ie in<iicate<iabove. As part of the application for this certificate the Applicant must verify their experience within thistra<ie. You are beingrequeste<ito provi<ieillformation that will aid the A.llplicantin Dleeting this requiI'eDlent. You should verify time of active experience as an apprentice or a skilled worker (e.g. ias/a worker cOD1tl1an.dingthe wage of mechanic or better in the trade). TiIneservedsc>lelyil1 asupervisofYora.dministrativel'oleshould be described, but may ol'JD.aynot be consideredsuffj,cienttademonstrate required trade experience. The pel'son verifying trade experience must provide the following information: Name, Title and license number. of the person signing below and verifying Applicants relevant experience: tIo~/f~> Name: Aflf/S j) "J fre-5)1)6JF HoWLS ~7.Sb. License Number (if applicable): c...e, C!.- IS'DC} tf 9 f ;y!N,tJfiJe j'JIJ~ $' Cod'S7~c7~ G.ILf/E7.~ ':1-,. C-o/II..A..I5 ~"C /I(lT....r;4 HI/MJI /3~. Title: Name of Business: Business Address: Business Phone: The Applicant's years of experience from ..~ to ~'F Cvf~-??'9 The applicant's scope of work (specific dutiesJincluded: JUt M pf!.~~ Atl) {/r DT'i-. c.;::;" fYJ,4J A-J.....e .YYl ~ r-- ~F Additional Comments: ~~~~~r~ame: ~'lV$Th/ #~~EJ~ Falsifying any information provided herein may subject your license t.o revocatio State of Florida County of Collier JOO~ 5i ...... ARIANNE . SANTOS-RIBE : Comm# 000632702 i ExpIreS 1/2412011 E . florida Notaty Assn..lnc 5 r-.IlJ.....................iI..........-........... AFFIDAVIT OF \ INTEGRITY AND GOOD C~CTER r,J-/gjrt, ~ LaoLl. .. ,amaresidentof Mel-ft County, ~R)da (State) and have resided here for more than five (5) years. During the last five years I have .known (Applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to bea person of honesty, integrity and good character. (Signature) STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this I'" 6 '*' 0<1 by \..-.\O.fL)jCl WQ ~C)() who has prOducedDl'~\~::e) l. \;J)f\~~ (name of person acknowledging) (Type of identification) as identification and who did not take an oath. NOTMY pmUJC-lITATE OF~lU'DA ..'''''''''" Giselle Donunguez i W.lCOmInlssion' DD835086 ~'$." Expires: OCT.29~2012 BONDED 'Il1RU ATLANTIC BONDINOco..lNC. {l,tlJ ~~t - ~ SrG ATURE OF NOTARY C11"tl'~m'.~ "'t. (PRINT NAME .OF NO ARY) NOTARY PUBLIC NOTARY'S SEAL AFFIDAVIT OF .1 IN':!'E(}RITY AND GOOD C~CTER I, (}tmris 1. ~p~~. , am a resident of . b;da .-.-- ......; I ?~~tta (Signaturel ~~-. . (Name)!i;l)lIfIS L_ IIJjJl:C (Address)2/ftO~. 9rd!ltJt lH!1/itl/J. pt3elJ)6 (TelePhone{JJbjtfR- -eKoa-o STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this - '. - 0"\ by ~ l::iIIL (DateL ~ \ el('\ ') l . ~~1. who has produced ..... .... !;;ro - /~d - lJ-ltiz3-0 (name of person acknowledging) (Type of identification) as identification and who did not take an oath, NO't'.t.K'l pUBLlC-STATBO,~RIDA ......,',~ Giselle Donun.8\lez tW,\eommissiottIDP83S086 "'~i ExpiteS~OCT.29.20~2 B6NDED!MO ATLANTIC BONDIJlG co.. ;;NC. '7 SIGN liRE OF NOTARY GI~p l~ ~..~~~ (PRINT NAME OF NOT Y) NOTARY PUBLIC NOTARY'S SEAL U.14lJlz..f,JUJ .......-...I\J .",JUw\JwU""...;oJ""f HL.L;.. J.1"~~H''lf\J1;;. rMOt:. fJ~/t.lO c-.JietlCop:, I certify the attached is a ttueandco~copy pfthe Articles of Incorporation of UNlQUEMARBLE&.GRANrrE, COltP.,aFloridacoqJOration, fdedelectronica1ly on January 13, 2009 effective lanuary 08, 2009, as shO'\\'Dby the records of this office. 1 fi1rthereertify thatt:b.is is an eleetroni<:ally transmitted ce,rtificateautborized by section tS.16,Florida Stat1lteS,andauthenticatedby the code notl=d below. nedocutnelrt number .of this corporation is P09000003744. Authe.oticationCode:090115081020M200140096492#1 Given under my hand and the Oreat Seal of the Stale of Florida at Tallahassee, the Capital, this the Fif\e.."11th day of January, 2009 "",4S1l~..~.' f." :c:~:.c'-,-t Tri-<~ :-,"~~-;-~"- "~.., .iN ~1\:,~Z7""~\ , , f:~7; .--= ~ ,,~~ _ ;' ,...,;~-,-':::fd '," ~_:;'1' . "I -~~o:r~ ~..'" .,,:;; '';:1' 4., I . ,- ~~, .W'~_UJ ...ww wWw~wY~ww~ Mt-1- JoI"~WI,H1-'\J~ rMOc;. t.o,+,tlO ,. c-Jie4te ofS't4tUS I certify from the records ofthisoft'icetbat UNIQUE MARBLE & GRANITE, CORP. is a corporation organized underthelaW$ oftbe State ofFJ,orlda, filedelectroDica1ly o.n January 13, 2009, effective Januat'Y 08, 2009. The document numberofthiseorporation is P09oo0003744. IfUrtherce.rtifytbatsaid corpOration has paid aU fees due: this office through December 31,2009., and its .$tatus is dye. I further certify that said C(dp...dtion bas not tiled Articles of Dissolution. I ti1rther certifY that this is anelectroJUca.1ly tranSmitted certificate authonzedby section 15.16, Florida ~ and authenticated. by theeae n()~-ed below. AuthenticaticmCode: 090115081020-200140096492#1 Givcn under my haDdand the Grent Sea10fthe State. ofF1orida at Tlulabassee, the Capital, this the Fifteenth day of January, 2009 - ~~~::-,. ~;i \+J~, ;; i -", ~},., t~.~ .,.' ~ ~ I,~~: ~_ ~~ I ~';I ;7..., _. ~~., ~ ~~~~~'i'~::..'~~ ~ ~~;"~A ~~ ~..;;. YJ...1 .lJ-1 ",UU J ..&. ....1\.1 """u,J..J..JO....,,;)\J~ Hl..L.. .l.1'IOUr;HI"....t:. Electronic ArticlesiofIncorpor'ation For UNIQUE MARBLE & oRANITE, CORP. r'~\::It:. l:1:J/t:Jo ~R7.03744 J8. ft.. .uar.Y1.~..~009 Sec. QfSta\e jshivers The undersigned incOJ:POrator~ for the purpose of forming a Florida profit .coxporation, hereby adopts the following Articles of Incorporation: Article I The name of the corporation is: UNIQUE MARBLE ", GRANlTE, CORP. Article II The prineipalplaeeofbusiness address: 3420 36 AVE.. SE NAPLES. FL. 34117 The mailing address of 1he corpora.tioo is: 342036 A VB. SE NAPLES, FL. . 34117 Article III The purpose for which this corporation is organized is: ANY AND ALL LAWFUL BUSINESS. Article IV The number of shares the corporation is authorized to i~:ue is: 100 Article V The name and Florida street address of the registered agent is: lOSE A DE LEON 342036 AVE. SE NAPLES, FL. 3411.7 ra 1..101 tt:Jt:J'::I 11: 58 3055564;j54 ALL INSURANCE ". I certifY that I am familiar witb.and acteptthe responsibiHtiesof registtttedagent. Registered Agent Signature: JOSE ADE LEON Article" VI The name and address of the incorporator is: JOS.E A DELEON 342036 AVESE NAPLES. FL 34117 Ineorporator Signature: JOSE A DE LEON Article VII The initialomcer(s)andJor ditectot(s) of the corporation is/are: Tifle: P lOSE A DE LEON 342036 AVE. SE NAPLES, FL. 34117 Title: VP JAV'lSR. J DE I..EON 342036 AVE. SE NAPLES, FL. 34117 Tide: CEO DAMARYS SIt VA 3420 36 AVE. SE NAPLES. FL. 34117 Article VIII Theeft"ective date for this corporation shall be: 01108/2009 PAGE E:l6/86 ~ft.003744 J.an..U8ry13~..~9 Sec. Of Stale JshiVers U,j"I.J.Q' ,G,UU:J .&.....~o ;.:J't1~\J;';O~.,J~'" HL.L. LN:lUt"';AI'I'-'E:. iA\.:Jt:. t:1.Llt::Ib "IRS~.01' THI ~y .. .. ... ..a.~~ RBVENUB 9RVICB C!Ne~~X OR 45999-0023 Date of thie uotice: 01-16-2009 Employex' IClentificaUcm Nlfter: 26-40537:38 FCrm:SS-6 N'ulnber of this 1'lOt~ce I CJ? S1S A UNIQUE MARBLS AND GRANITE 342036'1'a Aft SB ~,n.. 34117 Fox a8t~.tanC& ~ may call ue at: 1-800-829~4933 IF YOO' WII'l'B.A'1"l'ACR"l11E S'l'OBA'1 'mJ!SND ar THIS NOTICE. WE ASSlaHED YOU AN ~ Im:NTIP'I~Tlaq mJMBBlil 1'heDk. ..yoU..f<>r app.lying form Employe1" XdeAtiftcation 1IUmber (J:IN). We. a..:t.~ed you BXN25-'OS3738. 'l'h:J.8 EIN wi111cieDtifyY'=lU., yt'llU'.bJsinees. accounts. taX t'etuma, end documI!nte, .even.. :l.fyauh8:ve 00 eqlloyeee. P:lea"keepthia hotiCElin yourpeX1flllMftt. J:'8cord.l9. When filing. tax doCUl\lents, payments, ami related.clOtteepaodAJnC8, it ~8 very ift1)ortant tbat you use your !:tN. .nd CCIlpleee. name. anaa~. exaCltly as. .shown. a1:Iove.. Any var!atiOl'l may cause a delay 1.npro~$ing, nault.in :l.ncorrect hlformation in yot,lradOOW1t,or .l!Mm cue. you to be assigned mo=e tUn one Bt>>'. Ifthe:l.nfoJ:lllJ.tiCll1 i8 not cor.t'e.ct as shown 8bage, please tnake the.correet.ioD.u8:U:l.g tbeattads$d. tear offlltub .lWd. ret.'W:'n it. to U8, Saeed on the intOtlOat:l.on reo$ived frexn you oryow: representative, youmuat. file the following fom{S) by thedate.(s l shOW. FO:rlIl 1120 0"/15/2010 If . you have questt01'1G. about the form(s) or the <htttdate (e)sbQwn. you can call 1.18 at the~e 1"1UtfIber ot' write to WI at tbe address ehOWI1at:thetopof th1s notice. t~ you M&d.help in~l:~iuing your annual.aC:CO\.U'lt~pe:dod (tax year), &ee :PUl>lication 538, AccoWt~Lng .PerIods SlJd Jtfetlxx1S. We IU1signecl you a tax clasai.fica.tion ba;sed. Oft infCIJ:ftlationo))ta.;i.nedf.%'QI'lI you or your reprEitsentat:i"'e.:tt i$.not a . legal d.ee~nat:l.on of )'O\lttax c:lassif:l.cat:ion, and is not btncU.ng on the IRS.. . If ycu.wane._ 1llgllldetermi.Dationofyow: tM classificati.on, you may re~est a priwte letter. X1,1J.ing .from the. 1M. unc:ler the gUidelines in aevenue Procedure 2004-1, 2004-1 I.R.B. 1. (OX'SUPUSl2Cl:l.n9 Revenue PrQcadure for the year at issue). Not.el certaintaxclassific:ationelectiODlilcfJtlbe ;t."equested. by ~il.:l.ng Form 8832, Ent.ity clasdticCilt.iOl1 81;$(:(:1on.8ee Form 8832 .amt 11:8 ~.tru(rt;ions fcxt~tiOQa:l. information. DIPOII'rAltt'.~ftCII ,. 1I .aoRPORAft(II BL&:'tIOlf: tf you intend to elect to file yourr:etumae liBlllllll wuinessc:oxpora1;ioD, an electiont.o filaa. Fom 1120-8 must be 1I1acle within oert;ain t;imeframes ami the cozporationmust meetc:erta:l.l1 te'tt! . All of this info~:mation i.s included in the in8truct.iona for PO%1I\ 2553, SlectiQn by 4 8llIa,U S\ul1heps Coxporat::Lon. 01/1G/2eeg 14:21 2392773258 MERIT CREDll Prepared By: Merit Credit (239) 277-3202 (BOO) 371-3348 TRANSONIOlf CREOt'r aEPORT [FOR] [SUB QME) (I) Z NP3343169 m:RIT CREDIT (SUBJECT) SILVA, OAMARYS (ALSO KNOWN AS] SILVA, DAMARIS D.AMARYS,SILVA {CURRENT ADDRESS} 4110 22ND AVE SE AV., is. NAPLES FL. 34117 C FON1ER ADDImSS) 4508 CORAL PALMS LN., U. NAPLES FL. 34116 3420 SE. 36TH AV., NAPLES rL. 34111 [MKT SUB] [INFILt) 16 NP 2/01 [DATE) 01/16/09 [TIME] 12: 17CT [SSNJ (BIRTH DATel 644-56-9425 10183 (DATE RP'l'D 1 9/08 8/06 (POSITION) [CURRENT EHPLOY2I\AND ADOl\ESS) [VERrJ (RPTD) GREENLAND FAST CORP SECRETMY 12/07 12107 ---------------~--._---------_.---- --------_.--------------------~---_.-- MODEL PROFILE ALERT.-. .......F1CO CLASSIC 04 ALER'l':SCORE 6 1 : SERIOUS DELINQUENCY, lUOD PUBLIC ***REcoaD OR COLLECTION FILED; OF ACCOUNTS Nt'H DELINQOENCYt L!NGTH "'''orT1ME SINCE DEROGATORY PU ~COROOR COLLECTIO~ IS TOO SHoaT; TINS -"SINCE DELINQUENCY IS TOO RECENT OR UN~OWN H_ IN ADDITION TO THE FACTORS *.*L1STED ABOVE, THE NUMS~R OFINQUXRIES O~ TUt CONSUMER'S CREDIT FILE HAS ~-.ADVERSELY AFFtCTED TaE CREDIT SCORE. --~---~--------~----~-------------~------------------------~---------------- C R E PIT S OM MAR Y * * * TOT A ~ FILE HIS TOR Y PR.-O COL-3 NEG-4 HSTNEG-O TR.o-ll RVL-9 INS'1'...2MTG-O O~"'O tNQ=13 HIGH CRED CRED LIN BALANCE PAST DUE MNTRLY PAY lWAILABLE $7021 $9000 ~o $0 100% $8791 $8508 ~20 $8791 $8506 $20 REVOLVING: CLOS~ WlBAL: TO'l'AL$: $1021 $9000 -~--~-------~~---~--------------------------------------------------------- C OL L E C T I ON S SUBNAME SOBCODE ACCOUNT. ASSET ACCEPT Y IFJ3001 I 37214942 MOP ECOA OPENED CLOstD $E?I.ACEO CREDITOR VERIFIED BALANCE REMAEU<S 5/06 $906 VICTORIAS SECRET W 098 1/09A $945PUCEO FOR COLLECTlo ASSETAccan Y lFJ3001 I 31032142 12106 1/09A 121 05 12/08A $773 $8U $449 $500 GE CAPITAL JCPENNE 098 ACC'1' INFO OSP BY CSM ASSET ACCSPT Y l.FJ3001 I 26032214 TARGET NATIONAL SA 09B AceT INFO OSP BY CSM ---....---------------------,-.-.----.-----.------.------------- - --.-.--------------.---- 'J,'RAOES StmNAME SUBCODE O~ENEO HIGHCREO TERMS MAKDELQ Accootnf VERFIED CR.EDLIM PAnDUE ANT-MOP eCOA COI...LATRL/LOANTYPE CLSO/PO BR.L.ANCE REMARKS NMAC0607T078 4/03 S8967 '*g0102480370370001 7/04V $8508 P AUTOMOBILE 4/04F $8508 P AND L WRlTEOFF PAYPAT 1-12 MOP PAYPAT 13-24 MO 30/60/90 109 :tps.IIWWW.~ystcm..comlfaleon , ......... Page 1 of. 1I16flOO9 t:Jlflb(2~~'3 14:21 23~2773258 NACYSI Il'DSB D 6350001 476919961 I CHARGE ACCOUNT 4103 $250 1I04V 1/04F $0 NISSAN MOTOR 0 507T013 4/03 $9066 102480370370001 12103A S AUTOMOBILE 12/03F $0 WFNNB/VCTRtA C 160S001 1~/02 $653 6/08" $500 I CHAl\GE ACCOUNT 7/04".$0 CARECftD/ 1/09A $~OOO C CHARGt ACCOUNT ~O DSNB fCA,CYS CHAAGE ACCOUNT D 2ASTOOl 6/03 $56 12/08A $300 10/03C $0 CRgDI'1'ONEBNt( B ~4MR013 11/07 $343 12108A $350 I CREOI'l' CARD 7/08e $283 SEARS/CDSt) 0 6256453 7/03 $1249 ~ CHARGE ACCOON'I' 6104C SO StARs/caBD B 6256462 6103 $896 4/05v $500 I CkEDIl' CARD 4/04C $0 SEARs/caSD I CHARGE: ACCOUNT o 6256444 2/02 $475 4l05V $300 (/04C $0 CHASE NA a 4020030 9100 $7021 7/03A $7000 A CQDI'I' CARD MERIT CREDIT $0 R09 73M354 $0 p AND L MRITEOFr 109 $0 PURCH sr OtHER LEWDER R9P $0 111111111 ROI 9 01 01 0 111J.11111111 aOl $0 111111111111 CLOSD BY CROT GRANTOR. 48 01 010 MINao 111111111111 ROl $0 1 ACCT CLSD BY CONSUMER 13 01 01 0 ROI $0 ACCT THreDsp BY CSMR 48 01 01 0 ROl $0 ACCcr IN~ osp BY CSMR 47 01 01 0 ROl $0 ACCT INFO DSP BY CSMR 48 01 01 0 $0 111111111111 ROl 111111111111 34 0/ 01 0 -------_..._--------------~-----------~--------------------------------------- I N 0 U I R I E $ DATE SOBCODE 1116/09 ZtllP3343169U'LA) lO/3010S NNY1212732C!A8) 6/19/08 8PC2699824CNTL) 12/U/07 FCEO'0902:4(CHI) 8/~5107 YP!3160961 (lNo) 8/23107 ANX1742S39fl:AS} 1/24/07 YPE:614.l,825 CIND) SUBNAME DATE SUBCOOE MERIT CI\EOIT : 11/l.2108NNY2120170(EAS) GEMB/WALMAR.T : 7/03/08 ZNJ?334J169 CFLA) CAp ONE : 3/06108 BPC2699824 (NTL) DISCOVER. FIN :11/16/07 ZNP3343169fFLA) FRS : 8/24107 YPE17D6321 fINO) HEDQOARTRTOY : 7/03/07 BNC2076657 (!"LA) TROELOGtc !'I SOBNAM~ GEMBltQWEs MERIT CREDIT CAP ONE M2RIT CREDIT FRS "A.CHOV/FTU ------------------------------------------------------------ ~ T A Ep 0 R T S E R VI C E Day; fRANSONION 800-888-4213 2 B E P.O. BOX 1000,CIlESl'ER, PA. 19022 ConSURle.t' d can be obtained online through TranaUnion at: hctp:./ Iwww.tr:ansunion.com ------------------ -------------------..-----..----..-----...--------- CREDI'l'Oa COlttACT INFORMATION YSE'l'ACCEPT YCIFJ3001 . ro BOX 2036 WARREN MI. 48090 ltps:llwww.creditsystem.comlfalcon (SOO) 614-4730 PAGE 82lEl4 Page 2 of, 1/1612009 81/16/2889 14:21 23'3.2773258 fERIT CREDIT NMAC QZ507T018 P.O. BOX 660366 DALLAS TK. 75266 MAC'ts/rbSB OC6350001 91.11 CUKE SLVD HASON OJ{. 4 &040 NISSAN MOTOR Qt507T073 POB660366 OAL,LAS TX. "75266 WFNNB1VCTaIA CZ16uSnOl POBOK 182128 COLUMBUS Oll. 43218 CARECRO/GEMBrZg992952 PO BOX 981439 BI. I?ASO TX. 79998 DSNB MACYa OC2ASTOOl 3039 CORNNALt.IS RP DURHAM NO. 27709 CR2DITONtBNIC 8C541$013 PO BOX 98872 LAS VBGAS NV. 89193 SEARS/CBSO OC6256453 1 01 EAST 60TH ST N SIOUX FALLS SO. 5711 7 SEARS/CaSe B06256462 6725 if SAlfAAA AVE TflE t,AI<ES NV.89163 stARs/esse DC625~444 8725 W SAHARA AVE THE L.AKES NV. 89163 CHASE NA 9C4020030 800 B!\OOI(SEJ)GE. J3LV lfESTEltVILLE OM. 43081 GEMS/LOWES N 2120170 POBOX 981400 U. PASO TK. 79998 GEMB/W~T N 1212732 P 0 BOX981400EL PASO TX. 79998 CAP ONE B 2699824 PO BOX 30281 SALT LAJ<E CITY U'1'. 84130 DI$COV!:R FIN F 0609024 248 CHAPMAN RAOD NEWARK DE. 19703 FRS Y 3160961 PO BOX 385908 MINNEAPOLIS MN.SS43B FRs Y 1706321 POBOX .385908 MINNEPiPOLrS MN. 55438 HEDQtmR'2:P.-rOY A 1742539 5895 NIt 167TR S'I'R2 MlAMI fl.. 33015 WACHOV/rTU J3 2076657 lS2SwtS,", W.'1'.lIAR CHAALOTT~ WC. 28288 TaOELOGIC rI Y 61418,25 7100 E. 8E~EVIEW ENGLEWOOD co. eOlll ENO OF TRANSUNION REPORT ~RITCREDITHA5RETRIEVED THEABOVt PERSONAL CREDIT REPORT fOR .ICENSING Pf11U'QSE-B AS. REQOESTtDBY THE BUSINESS lWN.~IPROPRIE'l'OR.PtJBLIC RECORDS FOR '!'HI SREPOR'l' . HAVE. . Bf,iSN :8C1<ED. AND VERIFIED AT THE COUN'!'!, STATE ANe .FEDERALLE'VELS. 'USLICRECORDS HAVE ALSO BEEN VERIFIED FOR PINELLAS COUNTY. 'USI.IC RECORDS LEARNED ",..0 OURCSS OF INFORMA'l'IOlh CUPIT DATA SERVICES, INC/EXPERIAN IRS LIEN$EC'1'lON COON'l'Y COOR'l'HoOSE R2COrws F YOU HAVE. ANY QUESTIONS REGARDING THIS REPORT ,PLEASE ONTACTHERI'l' CREDIT AT: 1-800~371-3348 O:R .(239) 277...3202. ttps:/lwww.creditsystem.comIfalcon PAGE 83/84 Page 3 of4 (800) 284-'7049 (800) 777-6116 (.866) 396-8254 (8771 825-3242 (800) 945-2006 (9001 444-1408 (817) 294-1086 (800) 955-7070 (305) 423-4616 (000) 000-0000 (720) 488-4299 1/1612009 NOTICE. OF. ELECTION TOiBE EXEMPT Please thoroughly read the . instructions before tompletlngthls appllcatioll.PrinftqibWloellcltdlltll entryfleld.lfthiSappUc.ationcontains incomllleteor inaccur-ate information or if the handwriting Is not 'egible, it may cause a delay intheimJance of yo or exemption. SECTION 1: Applicant's E-mail address (optional): i/zey;n SECTION 2: lam applying for exemption asa<(youmustcheckonlyone box in this section): CONSTRUCTION INDUSTRY (SSOYEEREQU. IRED) P( Officer of a Corporation (Title): . 6eO NON-CONSTRUCTION INDUSTRY (NO FEE REQUIRED) o Officer of a Corporation (Title): -OR- 0 Member ofa LirnitedLiabilityCompany (LLC) ) The Division will accept a money order, a cashier's check, or an electronic payment .made payable to the DFS we Administration TrustF'und. An officer electinanexem tion. under Cha ter 440 Florida Statutes is not entitled to benefits und.erthis cha fer. SECTlON< 3. The corporation of which. you are an officer or the limited liapiHtycompanyof which you area 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 a.pplication, the CorporationlLLC that is listed below, and the scope of business or tr e.listed: Name of Corporation or LLC: ~A ?' AS. ClSTEREO W FEIN:d4-q1)S..5=t Phone: ~a-9/22 Business Name: IF APPLICABLE - LlST.PICTITIOUS NAME; DOING BUSINESS~; ALSO KNOWN AS NAME (AKA) APplicant'sAddressofRecord:~{) .~ ~ ~ I~ 11 L INCLUDE APARTM~OR SUITE NUMBER City: ~;tY(/ S' State: /'C- Zip: alii? Scope of Business or Trade: 1. 2. 3. County: Mllr 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 numbers held by the u lifter .for the corporation or LLC listed on this application of which the applicant is a corporate officer: SECTION 6. If you have submitted an electr.onicpaymentforthisapplication, write the transaction confirmation number in the following space: SE. CTION 7. Are you affil~t~ with any corporation (including LLC) other than the co.rporation (including LLC) to which this application applies? DYes ~No . IF YES, PLEASE LIST THE NAME(s) AND FEIN(s) OF THE AFFILIATED CORPORATION(s) OR LLC(s): NAME: FEIN: SECTIONS. 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 ofa 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 ATTACHED. B. To be eligible fora construction industry exemption asa rnember ofa limited liability company, the applicantrnust confirm ownership of at least 10% ofthe company. THE REQUIRED OWNERSHIP MAYBE ESTABLISHED BY PRODUCTION OF DOCUMENTATION REFLECTING THE REQUIRED OWNERSHIP,OR BY SUBMITTING A ST A !EMENT ATTESTING TO THE REQUIRED OWNERSHIP. THIS APPLICATION IS CONTINUED ON PAGE 2 OWC 250. NOTICE OF ELECTION TO BE EXEMPT - REVISED 01/2008 .... t NOTICE OF ELECTION TO BE EXEMPT - Pal' 2 SECTION 10. You must identifY the workers' compensation insurance carrier that covers any non-exempt employees of your business. Carrier Name: AFFIDAVIT knowledge corporatio as certify at the infonnation contained herein is true and correct to the best of my s not ceed exemption limits for corporate officers, including any affiliated 1 ridS ~//fJ~ /07 / 6ATUIGNt:D eo L..,-\ ~ Sworn to and subscribed before me this~ day of j f4 .j , 1.(.) c) ~ Personally Knjl.WD OR Produced ion~ Type of Identification Produccd \"" "- '9\,.. NOTARY SIGNATURE My Commission Expi Please mail or submit your completed a)Jplication, application fcc, and any rcquifed attachmcnts to the district office nearest your place of business. 4415 MeIro PIIkway, SUite 300 " 921 Norih 0evIs StrIet Fl Myers Fl 33918 Building B, SuIte #1250 Telephone (239) 938-1840 JacksonvIe, FL 32209 610 E. BuIgess RoIld Telephone (904) 798-5806 Pensacola, FL 32504-8320 400 Wesl RobInson SlrHI Telephone (850) 453-7804 Room #512. Nor1h Tower Orlando Fl32801 3111 S. Dbde HIghway, SuIte # 123 Telephone (4On 835-4408 or west Palm Beach Fl33405 (4On 245-0898 Telephone (561) 837-5716 Live Olk Business ~ 499 N~ 70a Ave., SuIIe # 118 5969 CaIIIemen Lane P1anla11on 33311 Sarasota FL 34232 Telephone (954) 321.2906 Telephone (941) 329-1120 1111 NE 25loAve., SIiIe#403 . 0c8Ia FL 34470 1313 N. TIIIlp8 Sb'eeI, SUite # 503 Telephone (352) 401-5350 Tampa FL 33802 Telephone (813) 221-8506 401 NW 211II Averw SuIl8 1321, South Tower t.tlIllI Fl33128 TIIephone (305) 538-03OlI TALLAHASSEE SUBMITTERS WaIk-bl submissions. 2012 CIpIIII Cln:Ie SE SUIII#102, HIrtman 1IIcIg. Tallahassee FL 32399-2181 Telephone (850) 413-1609 Mal In suIJmIssIons: 200 East GaInes Street Tallahassee Fl323lJ9.4228 Telephone (850) 413-1609 > ,,,\lA JCltM VALENtI MY OOlIIBBION, DO_105 EXPlfIES:""'25, m ......'IIllu....., .....lhInItIIII ;..:(sfATt'US:E Om,V ". EffectivelIssue Date: Expiration Date: 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," OWC 2so, NOTICE OF ELECllON TO BE exEMPT - REVISED 0112001 / Please thoroughly read the lattl'utflonsbetottcompletingthlsapplicatJon. Print legibly In eatbdiltaentryflefd. ffthls llpplicatlon contains incomplete or inaccurate informatioll orifthe handwriting is not legible. It may cause a delay in tbeissullneeofyoar exemption. NOTICE OF ELECTION TO.BEEXEMPT SECTION 1: ~e J, \ Applicant's E-nuIH address (optional): SECTION 2: I am applying forexernptionasa (You mustcheck only one bOI in tbis section): bo~s:.~~l:~';':'~~cri~.~~~m~~oI. -GR- 0 Member of. Limited Liability Company (LLC) NON-CONSTRUCTION JNDUS1:'~.'Y(NO FEEREQUIREll) o Officer ofa Corporation (Title): ) The Division will accept a money order, a cashier's check, or an electronic payment made payable to !he DFS we Administration Trust Fund. An officer electin an exemtionunderCba ter 440 Florida Statutes is not entitled to benefits undertbis cba ter. SECTION 3. The corporation of which you are an officer or the limitecl liability company of which you are a member must be registered and in an active status\Vith the Florida Division of Corporations. Applicants applying as an officer of a corporation must be listed as an officer of the Corporation with the FJorida Division of Corporations. List the document number (dOCument number shown on your Annual Report)on file with the Florida Division of Corporations. FEIN: 8tP-%3=J:3j> Phone: ~)C/ft>S"- g7D9 2. 3. County: 4. (lJ/!;lr 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 numbers held by the qualifier for the corporation or LtC 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 7. Are you affili~.~.d_ with any corporation (including LLC) other than the corpomtion (including LLC) to which this application applies? DYes ~o IF YES, PLEASE LIST THE NAME(s) AND FEIN(s) OF THE AFFILIATED CORPORATION(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. k---~To~be:.eligi ofeTor-aconstTUCiion :inatiiti,Y'-exemption -as- Eii1-:-ofticer:Qt acorporlitioni the.applicant:ml.l5fhe:a-shareholder~:'--~- .~=---=: owning at least 10% of the stock of the corporation. A COpy OF A STOCK CERTIFICATE EVIDENCING THE REQUIRED OWNERSHIP MUST BE ATTACHED. 8. To be eligible for a construction industry exemption as a member of a limited liability company, the applicant must confinn ownership of at least 10% of the company. THE REQUIRED OWNERSHIP MAYBE EST ABUSHED BY PRODUCTION OF DOCUMENTATION REFLECTING THE REQUIRED OWNERSHIP, OR BY SUBMITTING A STATEMENT ATTESTING TO THE REQUIRED OWNERSHIP. THIS APPLICATION IS CONTINUED ON PAGE 2 owe 260. NonCE OF EleCnoN TO BE EXEMPT - REVISED 01/2008 SECTION 9. NOTICE OF ELECTION TO BE EXEMPT-Pagel FRAUD NOTICE A. Any person who..kn()Winglyandwitb intent to injure, defraud, ordeceive.thedepartfuentoranyemployer or empl()yee.insurance company or anyotber person, files a notice of election to be exempt containing any false or misleading in form ation is guilty ofafelony oft tbird dgree. B. Attestation of applicant - By signIng below, I st the ead. understand and acknowledge tbe foregoing notice. SECTION 10.Youl11ustidentity the workers' cornpensationinsurance carrier that covers any non-exemptemployees of your business. Carrier Name: AFFIDAVIT OF APPLICANT: 1 hereby eertify that the information contained herein is true and cotiect to the best of my knowJedgeand beIief~ t tthiseleqtion does not exceed exemption limits for corporate officers, including any affiliated corporations as provi ing44 orida Statutes. &/)07 /00 / DA TEjiGNED NOTARYSTA F FLORIDA, COUNTY OF CO~ f ev-- -" , Sworn to and subscribed before me this . ')..1 day of ~ ~,j , "2.0 O'i , by, Personally Known OR Prod ced Identification V Type ofIdentitication Produced L- Please mail or submit your completed pplication, application fee, and any required attachments to the district office nearest your place of business. ' 4415 Metro Parkway, Suite 300 921 North Davis Street 401 NW2nd Avenue Ft Myers FL 33916 Building B, Suite #250 Suite #321, South Tower Telephone (239)938-184.0 Jacksonvme, FL 32209 Miaml Fl33128 Telephone (904) 798-5806 Telephone (3G5) 536-0306 610 E.Burgess Road Pensacola,FL 32504-6320 400 west Robinson Street Telephone (850) 453-7804 Room #512. North Tower Orlando FL 32801 Telephone (4.07) 835-4406 or (407) 245-0896 499 Northwest 70" Ave., Suite # 116 PlaIltallon FL 33317 Telephone (954) 321-2906 1111 NE 2511 Ave., Suite #403 Ocala FL 34470 Telephone (352) 401.535.0 NOTARY SIGNATURE 3111 S. DIxie Higllway, Suite # 123 West Palm Beach FL 33405 Telephone (561) 837-5716 Live Oak Business Center 5969 Cattlemen Lane Sarasota FL 34232 Telephone (941) 329-112.0 1313 N. Tampa Street, Suite # 503 Tampa FL 33602 Telephone (813) 221-65.06 My Commission Exp A\l .~-v\.. :;(..~ JQHNVALEN11 MYCOMt,iISSION'DD48a105 EXPIRES: Nomber25,2OC$ IlondIdThniNollly PubllcUlldllnlriltra 'STATEUSEONLY, Effective/Issue Date: Expiration Date: Control Number: Postmark Date: Payment Number: Received Date: - .. - -....-..---'..,---..--,...- .. .~._-- - -'-'-.-. .. '.- ~ ----_..__._...__.~-- .. .cJ'Tne-collectiOn'O.bfths'sdCial security numoeFoirthis'form'jifspecifi callrautn6nze(fbrSection'--=-~ 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.ofElection To Be Exempt. It will alsobe.used to identify information and documents in those database systems. regarding indiViduals who have applied forand/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 fOf any other purpose. specifically required or authorized by state or federal law. · TALLAHASSEE SUBMITTERS Walk-in submissions. 2012 Capital Circle SE Suite #102, Hartman Bldg. Tallahassee FL 32399-2161 Telephone (850) 413-1609 Mailin submiSSions. 200 East Gaines Street Tallahassee FL 32399-4228 Telephone (850) 413-1609 owe 250, NOTICE OF ELECTION TO BE EXEMPT - REVISED 01/2008 ~OT~~E O~CTION TO BE EXEl\fPT Pleue thoroulbly read the fDstruetlo.. before complet... thlllppUado.. PrIat lealbly Ia eacII data eatrJ fteId. ., tbllappllcadoll coatal.. IDCOlllplete or Inaecunte lalormatloll or Iftbe bl.dwrltllllll not leaible. It IDlY alUM I deIlIy I. th.....ace .Iyoar aempdoL r SECTION 1: L- _ /J ^ J Applicant Name (please print): ~ -/7. cLJ~ LIZ () LJ Applicant'ssoc:lalsecurltynumber: Applicant's E-mail address (optional): 17l7.1lf"&ltl.Qa){) !itli... t{)17J SECTION Z: I am applying for exemption as a (You must check only ODe bollD this section): CONSTRUCTION INDUSTRY ($5UEE RJQUIREQJ !Sf Officer of a Corporation- (Title): ')//1!.9 a/ P /J r -OR- 0 Member ofa 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 off'.eer eleetlnil an exemption under Chanter 440. florida Statutes Is not entitled to benefits under this chapter. . 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 ofa 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 t() the Rm9!l signing the application, the CorporationlLLC-that is listed below, and the scope ofbUSines~or e listed:~ L NameofCorporationorLLC: ~i.. W/{.,4 (~~~ IZJej). FEIN:~-9'df~ &GISTER&D TIlE nORlDA IIMSION ~110l'l11 7 Business Name: Phone: ~ ) Y/) /..u~ IF APPUCA8LE - LIST nCTlTlous PlAMJ:1 DOING 8USINIIS AS (HA)I ALSO KNOWN AS NAME (AKA) Applicant's Address of Record: INCLUDE APARTMIEIfT 011 sum NUMID City: State: Scope of Business 0; Trade: l.Gr{;/)/A:.- II1.1;// 2. Zip: 3. County: 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 numbers held by the qualitier 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 a~ffir t d with any corporation (including LLC) other than the corporation (iQl;luding LLC) to which this application applies? DYes No IF YES, PLEASE LIST E NAME(s) AND FEIN(s) OF THE AFFILIATED CORPORA TION(s) OR LLC(s): NAME: FEIN: SECTION 8. If your corporation or LLC is engaged in the constnlction industry, you must provide the required proof of ownership in the corporation or LLC. .A.~--.~ To' bC~eligiI:iIe--fOi-a~coiistrUction:-indus~exeinpiion.--&IUi.:of.tiCei:Of'acOrpOiiifonillie.-applliant:mUSt be a-stiarehofder,:~"=' -~ owning at least 10% of the stock ofthe corporation. A COPY OF A STOCK CERTIFICATE EVIDENCING THE REQUIRED OWNERSHIP MUST BE ATTACHED. B. To be eligible for a construction industry exemption as a member of a limited liability company, the applicant must continn ownership of at least 10% of the company. THE REQUIRED OWNERSHIP MAYBE ESTABLISHED BY PRODUCTION OF DOCUMENTATION REFLECTING THE REQUIRED OWNERSHIP, OR BY SUBMITTING A STATEMENT ATTESTING TO THE REQUIRED OWNERSHIP. THIS APPLICATION IS CONTINUED ON PAGE 1 owe 280, NOTICE OF ELEC110N TO BE EXEMPT - REVISED 0112008 , .. NOTICE OF E.LECTION TO BE EXEMPT - Page 2 SECTION 9. FRAUD NOTICE A. Any person who, knowingly and with intent to injure, defraud, or deceive tbe department or any employer or employee, insurance company or any other person, files anoticeot election to be exemptcon.taining any false or misleading information isguUty of a felony of .the third degre~. B. Attestation of applicant -By signing below, I attes at I baveread, 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: AFFlDA VlT 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 corporations as provided in~440.02 Florida Statutes. ~AT..e tJ I /a7 JOe, I DATe'SIGNtD NOTARY STATE OF FLORIDA;COtJNTY OF CO L,L-J ~ Sworn to and subscribe~J\efore me this '-1 day of ...\ A .J , 1..001-, by Personally Known ~ 'OR Produce Identi lcationZType of Identification Produced ~ D '- NOTARY SIGNATURE My Commission Expires Please mail or submit your complete application, application fee, and any required attachments to the district office nearest your place of business. 4415 Metro Parmy, Suite 300 - 921 North Davis Street Ft Myer.s FL 33916 Building B. Suite #250 Telephone (239) 938-1840 JacksonvlUe, FL 32209 6 0 E 6 R Telephone (904) 798-5806 1 . urgess oad Pensacola. FL 32504-6320 400 WestRobinson Street Telephone (850)453-7804 Room #512, North Tower . Orlando FL 32801 3111 S. Dixie HIghway, SUite # 123 Telephone (>lO7) 635-4406 or West Palm Beach FL 33405 (>lO7) 245-0896 Telephone (561) 837-5716 499 Northwest701ll Ave., Suite # 116 Live Oak Business Center Plantation FL 33317 5969 CatUemen Lane Telephone (954) 321-2906 Sarasota Fl 34232 Telephone (941) 329-1120 1111 NE 25" Ave., Suite #403 Ocal8 FL 34470 Telephone (352) 401-5350 1313 N. Tampa Street. Suite # 503 Tampa Fl33602 Telephone (813) 221-6506 401NW 2M Avenue Suite #321, South Tower MamiFL 33128 Telephone (305)53&-0306 TALLAHASSEE SUBMITTERS WaIk.in submissions: 2012 Capital Circle SE Suite #1 02, Hartman Bldg. Tallahassee FL 32399-2161 Telephone (850) 413-1609 Mailinsubmissions: 200 East GalnesSlreel Tallahassee FL 32399-4228 Telephone (850) 413-1609 .. n~TATEUSEONLY Effective/Issue Date: Expiration Date: Control Number: Postmark Date: Payment Number: Received Date: '--..~.-~._.....- .---.---. .. -,-," -- .._. ,'_..,_.. ..,._._.... ...." U...._. _ . _ --------_.~--,_.._,----,------ _...._-~. --..-.--..--,. ....-...--.-.-..........,.... - "-' ,.-....,.".-.... - --..---.--.....- -_._--_._-_._----_.--~.._. ..-- ----.--- --.- - .. '--__...0 "The- collectiortbf'the's6cialsecilrity .nurftbef:bnthis-form. is:specifically~utnOrize(fl:ftSection---:--'" 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 intemalagency 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 usedJor any other purpose specifically required or authorized by state or federal law. · OWC 250, NOTICE OF ELECTION TO BE EXEMPT - REVISED 01/2008 01/27/2009 12:53 31'3555154354 ALL INSURANCE PAGE 01/1'31 ACDBD.. CERTIFICAtE OF LIABILITY INSURANce I PATt!(UMIDOIYYYYl 1 ...... ............. ~ nftSCIifl1'IFICATI!J$I$IVEt1..AMAtTEROP'INF()RIIATlON ~ xarJlWICE aav.:tCBS, C01tP _LV AND .toMF!. ..NQ RI(MoITSUPON.'THE C1IEltI1FlCAtE . H()LDIat nusCERT1FICAJlo~NOTAMaaD. .l!XftND OR 1548 w . 37'.1'l1 street ALTERlHE COVlftAG&',' RDiDSY .THE POLIC1E8 .,_OYI. Bia1eah,. :n.. 33012 .J.lOJU-8_~~-.&4'72 INSURI!Jit8 AFFORDING COVERAGE NAIC# INeURm UlftEQttIC IWUW! '= GlldZlJ.'B, COD IHSURI!R A~ has'r. CoHllDC:r:.u. UI~ It.lSURER'S: 3420 36 AVB SB INSl.M!!1'l c: D.Px,zS r "' 34,117 INSlJRIiR n I INSlJR!!R e: cav THE POUCIe OF lNSuRANOE 1.ISTED BElOW HA\leBeNISSUItl TQ tHE lNstJftEONAUED ABOVIFOR THEF'Ol.ICY PERIODINDlCATED. NOTWITHSTANDING ANYREQUIREMEHt. T1iAMQRCONDrnoNOF .I4HY' OONTAACTOROTHeRl:locUMENT wmt ~ to WHICH THISClRTFICATi MAY. ISSUED OR MAY Pl!'.R'l'AIN, THEJNSURANC& AFFOROED8V THE POLICIESO&$CI'tIBEDHERiIN IS SUBJECT 1'0 AI..&. THE TERMS. EXCLUSIONS /\NO CONornONS OF SUCH POI.JCIIS.AGGAEGATE LIMITSSHOWNMAYHAVE,8E1fo,1 REDUCEDI!lYPAlDCLAIMS. PQUCY ~ A GL-30657-0 01/26/09 01/26/1.0 LO,C COMBINeD $ING).E LIMIt (i.'~ s 800lLVINJURY (Per peIllOI1) s BODl1.YINJURY (Pel'IlOI;!<IIIl\t) $ pROPERTY DAMAGe (PSracddentl IS EXC!ss.\.IMBRIiUJ\ Lll\BILITY OCCUR 0 CLAMMMJE , EACH or;cuJllRl!Ncs. AGGR~'I'E ^UTO ONLY - &MCCItll!NT EAAOO Q'T1ofliRTHAI'l AUTOONlV: IIGG GARAGE LIfl91LITY AtolY'^1,JTO OI!OUCTlllLE RET1:NTION S WORKeRlOCQUP6NSI'.tIONANl) IlIoolP1..ll'fE1l UABJI.ITY Nf'i 1'I'lOPtllI1'I'~ Ol'FlCI!MiEMDI!R 1!llCI.UllIlD7 " T(,; ...... iACH AOOlDENT E.I.. OI$&ME - eA EMPl.O I!.L OISW\SE -POlIOYLlUIT OEScRIPI"IONOF OI'I!RATIONS / LOCATIONSlveHlCU$/ EiXCl-tISIONSAOl)l!D 9Y I;NDOMEfot!NT I SP!OIAL PflOVISIONll Cl!RTlPICATI! HOLDER COLLJ:BR .COUJII':r'X 2800 1f()R.D HORSJ.:B.IIOZ :DRIVE ImPLBSr FL 34101 a39-2S2-24S' CANCEl.. ON SHOULD ANY OF 1"10& ABOVe DeSCRlBEiD PQUCI1!8 BE c,ANCELJ-lm .t!EFOAE THEI'!XPlRATlON 0A11!. THefUiDF. 'THE lSl!lUING INSURER W1U. I5NQ1iAVO'" TO t.W1lL DAYS WArr'mI NOTIC! 1'0 'I11i CIi 1CAT! ,HOL.06R Nl\MeO TO THE1.EFT. BUT FAIIJ.lFIE TO DO so SHALL . IMPOSE NO 09 OR LIABIUTY Of ANV1(JND tII'ON THeINSUPIePI. ITS AGeNTS OR RFRl!SeNT~ Al1THO~ C)ACORDCORPORAnON.1988 ACORD 25(2001108) .... PROM.ETRICTM EXAMINA TIONRESUL TS NOTIFICATION November 7, 2007 Damary Silva 4110 22ndAve SE Naples ,FL 34117 Dear Candidate: 644-56..;9425 Weare pleased to inform you that you achieved a passing score on your recent Collier County exarrination. Your scorers) are as follow s: 11/03/2007 West Palm Beac:h, FL Business and Law 76 Pass CoRler County requires a passing percentage of 75%. Please note that passage of the exam is no guarantee a certificate of qualification w ill be issued by the Licensing Board. To help you gain the recognition you deserve, Thomson Prornetric has prepared a Certificate of Achievement, beautifully designed and very suitable for framing (8-1/2 x 11) for only $25.00 per category. Please fill out the order form below, cut along the dotted line, then send the completed form to Thomson A'ometric. Payment options: check, money order, Visa or MasterCard. Credit card orders may be faxed to (800)813-6670. All others send to Thomson A-ometric, 1260 Energy Lane, St.Paul MN 55108. Allow 2-3 weeks for delivery. VERO'S INVESTIGATION CORP. 15861 NW 79TH AVE SUITE #5 Miami, Florida 33017 PH#786-306-8116 Fax#305-688-3171 License# A2200206 To whom it may concern, Our offices have been retained by Miss Damarys Silva to investigate her credit files. Our Office is investigating the credit files of Equ;fax, Experlan and Transun;on for possible identity theft; we are investigating the following items in question. 1. Asset accept Act#37214942 2. Asset accept Act#31032142 3. Asset accept Act#26032214 We are willing to provide a signed affidavit, testify in court and or testify in a hearing on Miss Damarys Silva behalf. If you should have any questions contact our office at 786-306-8116. Sincerely, x i!.. ared By: __t Credit (239) 277-3202 (800) 371-3348 11/16/2007 12:49 PM FROM: 239-277-3202 MERIT CREDIT TO; S967805 PAGE; 001 OF 004 TRANSUNION CREDIT REPORT [FOR] [SUB NAME] (I) Z NP3343169 MERIT CREDIT [MKT SUB] [INFILE] 16 NP 2/01 [TIME] 11: 49CT [DATE] 11/16/07 [SUBJECT] SILVA, DAMARYS [ALSO KNOWN AS] SILVA, DAMARIS DAMARYS,SILVA [CURRENT ADDRESS] 4508 CORAL PALMS LN., NAPLES FL. 34116 [FORMER ADDRES S] 9202 PO BOX 9202, DALLAS TX. 75209 4110 SE. 22ND AV., #5. NAPLES FL. 34117 [SSN] [BIRTH DATE] 644-56-9425 10/83 [TELEPHONE] 352-5998 [DATE RPTDj 10/06 10/06 MODEL PROFILE G{.f.""ALERT+** ***FICO CLASSIC 04 ALERT: SCORE 481 : SERIOUS DELINQUENCY, AND PUBLIC "HRECORD OR COLLECTION FILED; TI . SINCE DELINQUENCY IS TOO RECENT OR """UNKNOWN; PROPORTION OF BALANCES TO CREDIT LIMITS IS TOO HIGH ON BANK ***REVOLVING OR OTHER REVOLVING ACCOUNTS; NUMBER OF ACCOUNTS WITH H+DELINQUENCY H" IN ADDITION TO THE FACTORS LISTED ABOVE, THE NUMBER OF +"+INQUIRIES ON THE CONSUMER'S CREDIT FILE HAS ADVERSELY AFFECTED THE CREDIT +""SCORE. -------------------------------------------------_._---------~--------------- C RED I T PR=O COL=3 SUM MAR Y .. + + TOT A L F I L E NEG=12 HSTNEG=1-5 TRD=18 RVL=11 INST=3 MTG=O HIGH CRED CRED LIM BALANCE PAST DUE MNTHLY $7242 $7500 $ $0 $2579 $ $3073 $3073 $ $9161 $8508 $ $9821 $7500 $12.2K $11.5K $ HIS TOR Y OPN=4 INQ=l1 PAY AVAILABLE 100% 0% REVOLVING: OPEN: CLOSED W/BAL: TOTALS: ----------------------------------------------------------------------------- C 0 L L E C T I 0 N S SUBNAME SUBCODE ECOA OPENED CLOSED $PLACED CREDITOR MOP ACCOUNT# VERIFIED BALANCE REMARKS ASSET ACCEPT Y lFJ3001 I 12/06 $773 GE CAPITAL JCPENNE 09B 31032142 11/07A $802 PLACED FOR COLLECTIO MIDLAND CRED Y 36ET002 I 3/06 $440 VERIZON 09B V 8515987249 10/07A $440 PLACED FOR COLLECTIO ASSET ACCEPT Y IF,J3001 I 12/05 $449 TARGET NATIONAL BA 09B 26032214 10/07 A $480 PLACED FOR CpLLECTIO V --------------------------------------------------------------~~------------ T R A D E S SUBNAME SUBCODE OPENED HIGHCRED TERMS 'MAXDELQ P~PAT 1-12 MOP ACCOUNT# VERFIED CREDLIM PASTDUE AMT-MOP PAY PAT 13-24 ECOA COLLATRL/LOANTYPE CLSD/PD BALANCE REMARKS MO 30/60/90 WFNNB/VCTRIA C 16US001 12/02 $653 R09 11/07 A $500 $0 I CHARGE ACCOUNT 9/04F $653 P AND L WRITEOFF M&I BANK B 6319063 5/02 $1752 R09 3/07A $1300 $0 I SECURED 7/03F $0 PURCH BY OTHER LENDER SEARS/CBSD D 6256444 2/02 $475 R09 6/06A $300 $0 I CHARGE ACCOUNT 4/04F $0 PURCH BY OTHER LENDER https://www.creditsystem.comlfalcon Page 1 of 4 cr- y cf ~ to ":J"' (') ... ~ ~ ~ 1111612007 '^. eJ ~. ',. .&.~ ') t::C{xvc?,-.n4 2/ .2 00 7' LL/,~ ~ I ~j 4.ffn : /1. " H "d'i{r.. c. ( 0 ~ S 0 ( ;0 Ee'. Cd,:t~<()(l 444-8 I dc..kJ '/23 ) D'7. {){iJ.J{_ alI010.../hd ~{kl to JiVlv'-G Lkl ;11'1 forY/'L.::ll ((pvt.lf 10 {C(ifr J.f- .1-fJ.P_ ('I 1 ?1(1CI1 :::: q ~''-I k . 1((((,(1.((1 /Y. Dbl}L::e fY.1 ~IO/1/v~? ;:.fr;//' /;alZK ,,1.'1.d ",(ct11 tJec,;!t;;~ (f t.,./'~..J J;Jf2P--r. de) dA/t-f~k /lltJ( r+ jP..}(11.eJ /rf/ia,-!r1j/:;/, / (.e 17~vl--.p.l()'li t:OII~i'/~ ,6v],~ hb,~:'U~~r .~:~/~r /fY',.e.,f ,(771 Jb/i::-0;'1/L. / do'1f k.~ve... -r;; r . I / . I I' / ,; . ,/ - I ~i1-C:s I~C!vtJ~ rf ,t1L.L tJ1Cc2/'? -!:;::f yUJ o/tcre /7 /:>~4.. ,Iv-lf b-L/rJ.".-L , rf- ('iVV1.ci../lL{ ?'.I?vI>O~11 / ff. ,< vvC-:f ~L 1.:-c.I-k-/r~"'-' ::~. ~ /'. .-fA', //l.'"V/)':r>,] ~ //V...#- /"n<-f iur'.v~ W~,f "iV'f,~ .-J!(}')fU-It .:i.J-.-..--L'1 ~-,~ t . v1u ~?~ 10 C;<!_CeI ~ Jnc.-/ ,/ ~ C~ d' i;v?i.,/ (/1i! tZ:-yo,Y, /li-!f1..L jCiI"'--L d7fY'-t I / tlc1 tKJ'tcl#LL {~;.f?JO'"Yl--; !}Jff:4. tf/u ,-(a~ .:L~ I I 9/./#Jt.ri_A 1l'..I..-L-#....e.. fJCF~L ~ /le~~ /1/1/11,#././~ , f~./ I-!?O ~ (;ur- ;:''I-/.fIuL ('nid C-'/U ::1:"" f/OC1.0/ 1i<--/~ 1"2 ~ (e..v2J h ~S, / I~)b,jl d h t:1-...r'- tfe 1"..t..-l.,AJ"-,,{ #...R... ~(.,f.,2/I/'./'"./~ ~/\.L./Il.L- 1/7~1..- 0l,.Kl It (t. II'.I-f..-J!. ,{)O /1{ ~jv~ ltv':vO v"e ~....cl;~ "';/u. ,.r~ (Y'-[. dv'Uj JIo'J ah~o", ~-;.., .-' /.... /f /'_ q ~ ,v;.f1' a. 'f"~--> "..'~) t........l-C.4.. ( /j / 1 . / '/;./. l, I. / /E"~/';:-C<,":l a r"'--t rl/~I 1- Y"lfl./ k'!ffi~J O-A'/ '-:0 .t:~ ,b-/.-~ {il..w7~ (C{f'l'~c~--k .j-{V2^'-. /(I~/l!r A:~i(-cr:::/:::?/ iev( ,....-i./~..r/ I rr,:.;v-n~-(h..rzr:/ A~. .. .d ,I. /" /.If, / . /1 I J m /'~/Y:' 10--' 1"-./ .YI\..R, ,0,1'".c-: /..-,.,......... ')f' ~ 2 A? (4 VJ 't:/'1IL j ,j-"... /.J1>0./f .. Gn ," f"/~ -./' .<.-,,, I- ffl de I!~ ilj/1Z' , 12"'" ~ ;')/,.... .-~.. ", ....,./ v/~ ,,) ;:... .:....: ';'J d7r7 if 'f- It" /~ -::; -;/,:J c-rl, --7 ____......., ~ (/-' 7 - :) 7 ~ - / '-J"I.:5<) . {]~L/ Il {r' t-/ / rZ c-, rd) i "1) \ d:"/l r, ~ 9-~~U/ COLLIER COUNTY 444 a \,f ,1 BUILDING REVIEW & PERMITTING CITATION Pursuant to section 489.127. (3)(a), Flurida Statues, the undersigned hereby certilies that upon personal investigation, he/she has reasonable and probable grounds 10 bdieve thallhe person whose name appears below, as Issued To, did viohllc Subsection 489 127(1), Flurida Statutes. and Collier cOllnty Conlruclor's Licensing Ordinance No. 97-68 (as Illay be amended from time to time) by commilling the violation stated below. Month 23 /PM /1.;11 i,1 ok' /1 i> I'~' / ' / Issued To: I' IICt, '- It" . n I \i Address d d r;:,~] ('(1 {t, 1,<<$ + (e--rP'( rU( /2 v ' d . 1 ' City Na (,lIfe, Stat; F/fJr}'r!IlZiP,~i 17 j f Telephone No. 1.0, ~( - 7 73 Vehicle akefType (if applicable' !'ire e:>'/,/'. // ') ',1' c;cn ,', j. Location or Vi~lation s-;::-) 'I /., 1/ " 5 c;u:--1 cz.., w." i........ t' OPTIONS I have been informed of the violation of which I hie been charged and elect the following option (~>j(one) I) ITYT choose to pay the penalties of $ '"3 C>(!I 110 () on the Citation. 2) 0 I choose not to pay the penalty and will request in writing by certified mail or hand ddivery an Administrative Hearing before the Contractor's l,.icensin Board. .. ., fn,s> u.n:, r.Ua:5 71 ~.. V . DeSCriptIOn of VIOlation I v: J'el ), . /Jate VIOlatIOn Observed . /l;(J .: , /I C t:./l? e. n// I/JS,f)?:tt:t..'C. a) 0 Falsely hold self or business organizatIOn ou1 as a license, certilicate 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 of a member thereof; e) 0 Use or attempt to use a certificate or registration which has been suspended or revoke 'ngage in the business or act in the capacily of a contractor or advertise self or business organization as available to engage in the business or act in a capacity of a contractor without being duly registered Of certified: g) 0 Operate a business organization engaged in contracting after (60) days following the termination of its only qualifying agent without designating another primary qualifying agent, except as provided in ss 489.119 and 489.1 195, Florida Statues; 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 Wil1l'uIly or deliberately disregard or violate nny Collier County ordinance relnting to uneertified 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. Height If f) a ' I (<:-.t.A_,~,6 C/l': r~ r ,~' * SIGNArURE (RECIPIENT) '10 ~ J7 ?' ,,/ . / " ,~,,' (b.~~Y / ,'''' ~ . ,,- , F ,/'.' .. I"V~.'{.. ...::/-SlGNATURE (INVESTIGATOR) .f.?r '// " r I \) -' Ll/1 I PRINT (RECIPIENT'S NAME) '/ (~l - ))({rr!/l. {,:7 /11~t.5 PRINT (INVESTIGATOR'S NAME) Pursuant lu 489,127, Florida Statues, willful rcfusallo sign and accept thi.\-'i.:ilatiun constitutes a misdernsnnor of the second degree, punishable as provided in sectiol) 775.0X2 or 77S.0X3 Floriqa s,r,llutes, / V (SEE REVERSE FOR [NSTRUCTIO~( Jan 3 L 2009 To the Collier County Licensing Board, My name is James F Case. I am the owner of Case and Sons, fnc (landscape/la\\<TI maintenance) and have been doing this kind of work since 1972. My license is active and I have a few account now. f am presently employed by another company at this time. My plans were to retire and do my own lawn maintenance to supplement my income. Due to the economic times, now that is on hold. My son, Gilbert Case was let go from his job recently. He has searched for a job and found nothing that would meet his present needs. He worked with me through high school plus years afterward. Deciding to try something different, he took ajob at Clark's Nursery where he ran the nursery operation and bought and sold material for them. He was employed there for 6 years. Gilbert then moved on to Sunset Landscape where he was the manager for operations and nursery grower until Jan 2, 2009 when he was let go. He is knowledgeable in lawn maintenance and landscaping; also certified through the city's NEW program "Project Greenscape"; took a course for FL Certified Horticulturist Professional with Bob Cook. As you all know, job are few and far between, this is why I want to help my son get his business up and running. Thank you for your consideration in this matter. fully submitte~ ~ / ~~~ ames F. Case, Sr Case and Sons, Inc. BUILDING REVIEW AND PERMITTING CONTRACTOR LICENSING SECTION COLLIER COUNTY / CITY OF NAPLES / CITY OF \ " :t t ,: '1 ,-.J (\'l1tra-:tors Licensing Board COll1l1lunity fkn:lopll1cnt & Envirol1lllcntal Savi-:es Division 2S00 :\orth l'lors~sho~ Drivc \iapks. r10rida 3-l10-l T\:kphon\:: (941) I Q~ 2",*"J+- ;).{.J, .2"1 JJ Fa-:simik: (9-l1) 403-2345 APPLICATION TO QUALIFY SECOND ENTITY THIS FORM MUST BE COMPLETED IF YOU \-VISH TIO INITIATE OR CHANGE THE STATUS OF AN EXISTING LICENSE. READ ALL INSTRUCTIONS AND MAKE SURE YOU HAVE SIGNED \-VHERE INDICA TED. 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. ifP FEE$ ,70, / 1. Applicant's Name (Licensee) -.JCi'M'C.. &: ~~ .s-V" jJ~~ LICENSE # !lfJ1-z- 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 OBLIGATIONS. SOCIAL SECURITY NUMBERS MUST ALSO BE RECORDED ON ALL PROFESSIONAL AND OCCUPATIONAL LICENSE APPLICATIONS AND WILL BE USED FOR LICENSE IDENTIFICATION PURSLANT TO THE PERSONAL RESPONSIBILITY AND WORK OPPORTUNITY RECONCILIATION ACT OF 1996 (WELFARE REFORM ACT). 104 PUB.L. 193, SEe. 317. 3-'~ lSO/ 1.dJ)1 I D' /03/ tJ7 I~ Place ofBirlh: (City) rho )'ole!) 'r) Date of Birth : (Stale) --11L- (Nation), L( sA S"c\;1I Security ~\Jlllbcr SIX: 'h. "-laic 'l_lclllalc: RACE: b..( I) Whik _: (2) African-American; _ (3) Ilispanie _; (4) Asian ,_ (5) Indian: (6) Othcr_ , I 2. Name of Business To Be Qualified: Lo..'n~~ ~ m+ b~ G CQ<;;e..... Mailing Add,"css: II 3/ I ~ St-re.V- ..3w N~ es i=L Street or P.O. Box Ci y State -Set h1 € Street J-L~ 3"/'~ Zip Street Address: BII~iness Phone Number: Q3'1 877'?~/J City State Zip FederallD Numbcr: q 1/- :3 '-141 / ~ DO APPLICATION TO QUALIFY SECOND ENTITY J. Applicant's (Licensee) Name: CQ,Se. Ja. roe.S I=- Last First 'Iiddle . \pplicant's (Licensec) Official Mailing Address of Rccord: 74'1 'f)?> r~ .A V e Y\l.\e. ).j Slrel"t City N~'~ CIIler COllnty ~.t Statl" 34/~8 lip Strl'd Address (if Post Oftice Box is listed above): ~ Slrl"l"! City COllllt) Slale lip llmnc Phone ~3') 897- 5DSI Office Phone ) &N1~ 4. VERIFICATION OF GENERAL LIABILITY INSURANCE and \VORKERS' COMPENSATION (or exemption from Workers Law) INSURANCE (ATTACH 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 Burenu 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 docu mentation 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..m~ ~ CQSc:.. PRINT OR TYPE NAME 1-3/-- (!)~ DATE MINIMUM AMOUNTS REQUIRED FOR GENERAL LIABILITY INSURANCE $100,000 bodily injury, $25,000 property damage COMBINED SINGLE LIMiT POLICIES MUST BE IN THE MINIMUM AMOUNTS REQUIRED TO FILE A NOTICE OF ELECTION TO BE EXEMPT from the provisions o1'thc FLORIDA WORKERS' COi\lPENSATION LAW. contact your nearest Florida Department of Labor and Employment Security. Bureau or V/orkcrs' Compensation Compliance office to obtain form # BCM-250-T. 3 . , APPLICATION TO QUALIFY SECOND ENTITY 5. Ql'ESTIONNAIRE - QL\UFYING A SECOND ENTITY TillS FOR~I MUST BE COMPLETED BY THE APPLICANT REQUESTING TO QUALIFY A SECO~D F~TITY OR REQUESTING A CHANGE TO AN EXISTING SECOND ENTITY QUALIFICATION. THE APPLICANT AND PRESIDENTS (OR PARTNERS/OWNERS) OF ALL COMPANIES INVOLVED :\WST SIGN WHERE INDICATED. PLEASE USE THIS SHEET. ONLY USE ADDITIONAL SHEETS IF ~ECESSARY. ..\. Explain why you wish to maintain your present licensees) while qualifying this additional business. ~ h~ Ip ~~ SO'C\ Q.lhc:( ~ r Co"ntih(je~ i hc..or'V'e.. ~l' "'rr\~e/~ B. Has the proposed entity been previously qualified? If so, explain \vhy the previous qualitier is no longer willing to continue to qualify this entity. }(o 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. Ai/A O. 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. . C'"' ~-th'C. N~~C4.V'-ehc. - 'f'nC).\'"iet\~W\cc... (~"') 3JW ~Q4/'C~J.1'\ NO(J/~ $:(... 3t/1't. : ~Q. t, ,~t...,~._ ~ P4.~Oh SM.....~ 'J.A.eq? 'ri\~~ G'~\) B-\ ~L ~lj13S Nt: "" I :l. 7"" I Ibis 41.'04-" Ct- R. S. }:' L 31./ 13 'I E. Do the businesses) you presently qualify and/or wish to qualify have any outstanding liens against them or against the property of consumers as a result of construction work or a contract they had \vith your firm? YES NO"...- If yes, identify business and provide explanation. F. List principal suppliers for the past six months for the business you presently qualify. N! A (i. I.ist principal supplicrs for thc past six months for the business you arc applying to qualify. !viA 4 \PP'I{ \ H~~ r() CH \ l f J [ ;~1' ;J~.~'r'~\)ll') tltl1:\'jl'i/t.~d 1\ IllT{_~l\II.\' Jlll.l jl1 ,)'11.\ -)'1~<11) ,'l'[\ <~, ~"r.+- ~ ~ '.J -- : Ii! \ " ,11\,' " , "II 'I'" !nid h\ l-jIj>,li)t'<',~(~;) \'!~j l")!'i'\";{..'I~t[:\. {jl':ili['\" (. 1 L.lJ", , ' 1) \ I u\-"'-w S~ ~ F ( i ( ., N I) ,\ r I 1 i 1 i i)l~!':'ll!;.") \ It \1 r i C ! .\ .'.1 III i;) I_'~';: I, ! liI\V 'viII \")1] he !::lid h ,Ill: h!i'iil;i.'~:" ')11 ,Ii'" lp!)h;fl'~ In 'j'ull1\" 'J?, .h 'C d e 1 e 'c- m', Y"Hecf ,\l1:1t 'llLlgC nC 1,}'.\'!)l,:r,')l1lp!\l (ill "\..'j\,'L?nUl!::I.{' I,if i)".\!ll.:T:;(Jlp \i-'ill .) \~U ha\'f,' ;11 iJ ill\' Pl'C':;CIIl )1!:,J/il.'>>1 S) ''',i l!\: j"lsilll'S'-; V!ll! "I!"L' 11[1'1\1 n:~ II ',111:1/:,' C<lS.e~ot~ GC~~ ~D% ~S~ pO'&peS<ecj - , III .\',)I! (.lllpllC1!'t: h:1VC i:h,:ck \vriii1lg :ul1.hm,il\ ,';)1' ! i' \('~;. ;11'<1\'1. k :1 1,:lkr 1'10111 :IJ" (1:wk, 7 ~~r. t 1'r-c> p&-S. . cP '1 '(,~ Y\o 1!l.dpr(i 1.")( -; ;l.'~- i !1 1 J t\ \ I ',)>1 unlet,'r:; (tH' partl1tT-;, t)\Vll'_'!'Sj I ,'hIlSilll:SS \011 ;Ire ,lpp]y;"g ,(, qu:lii!'\ i'1-.! , ) \'(,) ! 'j; !,,\ )"1 ) i' . Gjl b-er+ . CQ,S1:.-- tnh~r/Dlo1\-el- ~ce._ tna.n ne~_ Gct. ~it:i..= "Q.Wh C r- __ i ; 1 ,}j"!11.>.,l-,<; i \C j)~lrlncr.{; C:\Vrh:1 ';) !)!' h({~'in(~:~;::-; ni! '::"illi) :u:ili 0Q:m ~ I:' C4S~ J1...k~l C~C: J <l "rn e.S G;/bc:~t .sr 1) ;\ I 11i.' hl,j :lrJ". , ~ ) )ll j "'t': Cll!! \! 1(.1 : I\ . ; : i (\. ~ 'q 1~: ;! r; ;: ~e C~~ J", lit I ') ',( ill; il iI." I! ~ II '. \,,11 t" \ 'II i: 11 i r : 1: i iTI!1 , i \ i, i i,-~ r 1(,. .: i' I j' \ \~:'..i;;:l J;(.~... 'to. \.; (\ 1~)1l' !; '1/ r' qi: "',! i l ':' 'Ii 1 ~ q- ;.d 1:"1 i.!il)'j! d i \\ 'i! {:.; " " ,,1 11 I ',~ '( 1 i;; , I I ~ j d . \ j ~ . H. . 1 ),' ,I ,i ,I I' :i: ! '. i : ! !1 ii' ) . i i' I q \ , ! <) v ,----. ..0 -P APPLICATION TO QUALIFY SECOND ENTITY 6. FINANCIAL RESPONSIBILITY. :\11 :lpplil'ants licensees IllUSt answer the questions below. If Yl)U answer "yes" to any of the questions. a written explanation is required. Additional doculllentation is also required. as indicated. If\ou are apphinl! to llualif\ a corpnration. partner'ihip (1r tHher kl!al bU'iiness emit\'. :\1.1. OFFICERS OF THAT ENTITY MUST ALSO FXPL:\IN IF ANY OF TilE BrIO\\,' ',\\ H 'I. [) I'E RT.' IN TO I'll E\1. This Ilould inc lude the president. vice president. secretary. and/or partners or 0\\ ner of the pr(1prietorsh i p. I L\ VE 'YOU, the business organization. or any o1'tl1e above mentioned individuals in any capacity ever: YES NO v A. Undertaken construction contracts or work that a third party, such as a bonding or surety company. completed or made financial settlements? V B. Had claims or lawsuits filed or unpaid or past due accounts bv your creditors as a result of construction operations? v C. Undertak\.:n construction contracts or \vork which resulted in liens, suits or judgments being filed? L..---"' D. Had a licn filed against you by the U. S. Intemal Revenue Service or Florida Corporate Tax Division? If "yes", you must attach a copy of the Notice of Lien, and any payment agreement. satisfaction, Release of Lien or other proof of payment. L..--- E. Made an assignment of assets in settlement of construction obligations for less than the debts outstanding? L--- 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 "subject to" 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 orjudgment. ~ 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 Confirming Plan, or if a Corporate Chapter 7 case, a copy of the Notice of Commencement. L::---H. Becn convicted or found guilty of, or entered a plea of nolo contendere to, regardless of adjudication, a crime in any jurisdiction within the past 10 years? NOTE: IF YOU, THE APPLICANT/LICENSEE, HAVE HAD A FELONY CONVICTION, PROOF THAT YOUR CIVIL RIGHTS HAVE BEEN RESTORED WILL BE REQUIRED PRIOR TO LICENSURE. ,;() IE: Ill.: Board requires any aprlicanLliccnsee 1~llo anSIH:rs "ycs" to any question contained in the Financial Responsihility Section of Ihe i\pplication to supply a complete explanation of the response. and include a statement detailing the steps taken by the licensee to prevent a r.:currenc.: of the circul1lstances leading tn the conviction, discipline. judgment. bankruptcy, or othcr event leading to the respons<.:. You l1lust include any proof of paymcnt. satisfaction of liens. judgments and bankruptcy discharge papers in your submittal. if applicable. Aprlicants may he rc'(juired to appear before the Application Review Committee to answer questions regarding such rcsponses. 7. CREDIT REPORT (Reports that do not include the following information will not be acceptable) Reports for the present and proposed entitics must bc submitted (not more than six months old) from a nationally recllgnized credit- rcporting agency and must be submitted before an additional license can be issued. If you an: aprlying to qualify as an individual. the erl'dil report l1lust be on you. If you arc arr1ying to qualit~. a busincss mganization, the crcdit report must be on thc business organization. If your busincss is ne\lly established. you will ALSO need to submit credit rcports on the Illllowing: the n<.:\Vly IlJrlned businc'iS and thc nnjority ottncrs holding 25'~'" or more interest PU;S lelters lhllll threc construction rclatcd suppliers indicating that an account cilher cxists m has hel'l1 opened for the: entity you :II'C apply ing to qualify. 1\ credit n:port is aho rel.juireJ tor thc entity that you an: presently' qualil~ing. ~~ 6 APPLICATION TO QUALIFY SECOND ENTITY \ fa!.:l' surl' ~ PU gil l' IHitll'n ,luthl1ri/alipll III thl' l'rCllil ~lgl'nl'Y SO thcy l'all al'l'uratl'l~ l'hl'l'k Yllur l'rl'dit rckrcnl'l's. r...dl'r~li. Slall'. l'punly I inl'ludillg all cl1llntics II ithin thc Stalc 111' Flnrida) public rccnrds pcrtaining to judgml'llts. bankruptl'ic's. ~lI1d !:P,: lic'lb must be sl'archl'd and rc'Sltlts Ihltl'd 1111 the crl'Jit repllr!. I'lll' crl'Jit repllrt l1lust includl' a public recL1rds check Ill' thl' hL1llll' cpuntics alld all Ilth.:r cl1111lties II hl'rc' 25"" Ilr Illnrl' uf the cUlltractor's 1111rk has hl'l'n Jnne Iller thc last three ~l'ars. (If public ('ecords relkct ullsatisfied '1hligatiplls. atlach II ritll'll c\plal1atilll1 alld kgal dIKUl1lel1tatipn.) Thl' crl'dit rq10rt l11ust rl'ncct ofliccrs. part Il l'rs. alld prnpril'IOrS and FLl~ and SI1cial Security nUlllhl'rs. .\tt:Kh a crl'dit repnf'l(s) Ihlll1 a nalil1nally rec\1gni/l'J crcJil-rl'[1Ortillg agellcy to this applicalil11l. If ~ou .lr.: unabk to rl'c.:ill' thl' cr.:dit rc'pL111. ~ I1U may hal': a .:rcdit agency s'-'Ild thl' ,-,rcdit r.:port dir.:ctly to: Florida Construction Industry Liccnsing Board. 7lJ6ll o\rl ington b.:prcssllay, Suit.: 300. .I JCKS\111\ ilk, FI.,rida 322II-7-t67, and cnmpkte this statement: ... '" D,lle {PROPOS I:!) U\ rI 1 Y A1'<D PRFSE~ I E\J II ry) .~ 91c~ (cf 8. CORPORATIONS - A TT ACH A COpy of the current Annual Report Form filed vvith 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. I ha\ c rcqucsIl'd a l'rcdil r.:port( s) on to b.: sent dirl'l'tl~ from (X\i\IE OF CREDIT REPORTING AGE\JCY) ~ FICTITIOUS NAME - A TT ACH 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. ORGANIZA TIONAL RELA TIONSHIP~- Do you qualify any business other than the business you are applying to qualify? YES _ NO ~ (If "yes", what percentage of the business do you own (if any)? %). Contact Board office for guidelines to qualify more than one business. Company Name: Company Address: Your License Number: ~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, t:qual 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 a..roes ~ C~e. Sr ccrtj fy that the forcgoing is true and correct to the best of my knO\vkdge. STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this by ~~F~~ (NAME OF OFFICER, TITLE/AGENT) of ~::z~ ~ (DA TE) ~ --4- -;::;.c--~ (NAME OF CORPORA nON) a (STATE OR PLACE OF CORPORATION) ~ corporation, on behalf of the corporation. He/She has produced "FC- ~ (TYPE OF IDENTIFlCA nON) as identification and did not take an oath. e~-~ ~- ~ ~~ r2 0_ ____ SIGNATURE OF NOTARY 4 ,\o"~~~If~~~,, RANDI C ADELMAN l l~m".. /1'\ Notary Public. Slate of FloriN i' . ~ My CommllSion Expir. JIft 23. 2012 · <-.f;, ~i Commiasion " DO 750931 L "''',9ft f,~\"" Betided Through N.., NotIry Alan ' - -- e>-6-1~ C- ~~ (PRINT NAM E OF NOT AR Y) NOTARY PUBLIC 8 AFFIDA nT The undersigned hereby makes application for Certiticate of Competency llIHkr the pmvisions of Collier County Ordinanct: 90-105. as amended. and \ouches f~)r the truth and accuracy of all stat\.?l11t:nts and answers h\.?rein contained. The unlkrsigned hereby certifies that he/she is legally qualifit:d to act on bdlalf of the business ~)rganization sought to be licensed in all matters connected \\'ith its contracting business and that he/she has full authority to supervise construction undertaken by himselti'herself or such business or organization and that he/she will continue during this registration to be able to so bind said business organization. The qualitied license holder understands that in all contracting matters. he \vill be held strictly accountable for any and all activities involving his license. Any willful falsitication of any intormation contained herein is grounds tor disqualification. JQrne.s ~ C<<.Se. S't- APPLICANT (PLEASE PRINT) /? // p' Sf i 8T A TE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this ~-e .z.t..\\>~ by (DA TE) -~,==~~ (NAME OF PERSON ACKNOWLEDGING) \vho has produced r=-t- ~ (TYPE OF IDENTIFICATION) as identi tication and who did not take an oath. .~ ""~::~"/.<:"" RANDI C ADE:LMAN I ....0'" ", ' !~m:c:-~ Notary PU, bIte. Stat. of Florida i' · . = My Commission Expires Jan 23.2012 .~ ,,- "';::f.oFff(..'~ CommIssion II 00 150938 .,."...., Bonded Tllroug/l National Notary ASSf1 ~ ~-'- C ~ cee...O SIGNATURE OF NOTARY C"" -- ~~ C ~'-\ (PRINT NAME OF NOTARY) NOTARY PLJBLlC 9 RESOLUTION OF AUTHORrZA TrON \VIIEREAS. C q.s e ClInci.S'<9'oS 1 n c.... proposes to engage in 1'\,\\11-: OF IH'SI\iFSS ENTIT'r') l.:ol1tracting as J..a.rd~ca..hfla 'frn1\~1:\"Q~t\t bj G C~~ in Collier County, Florida. according to (IYI'!': OF l.I:G:\1:10(rrl\: . JRP.. PART\iR:-;IlIP. I: I C.) eulliL'r County Ordinance 99-45: and WHEREAS. ~\'\clsc:a.pc. ~.~+ k, r; C(f.s~ ('\:\\IE OF I ;SINESS EN I rv) proposes to qualify for a Certificate of Competency with Gji be'r/- ~~ (N:\\lE OF INDIVIDL:AL) NOW. THEREFORE, BE IT HEREBY RESOLVED THAT: We the undersigned '- la.Wle.s 1= C~ eo S"~ of 04S'e. rvrJ -S.'r\-S I h ~ (OFFICERS,O\VNERS, PARTNERS) (NAME OF BUSINESS ENTITY) hereby resolve and represent to the Collier County Contractors' Licensing Board that the qualifying agent, ~a..rn e. s G~ 'E:.. , is active in all matters connected with the contracting business of J (NAME OF INDIVIDUAL) G('""'l-- "'tJ..vd.sr-.".. ~~.~t b'a ~ "l , and (NAME OF BU, NI',SS EN III Y) We further resolve and represent that.-sJ Qrn e.S C Q~ ~ is legally empowered (NAME OF INDIVIDUAL) to act for ~,~.... hR."'~.M~ ~~ C;; C(f~ ~ in all matters connected with its contracting business, ( AME OF B ,'INESS EI ITY) and has the authority to supervise construction undertaken by LQ.nJ~~...tht"'fth\...t j,~ G ~ ~ . (NAI\ OF BUSI SS ENTIT)"" o;2']~Ca'h) ~~:A~ (WITNESS) (\\ITNESS) (WIT'iESS) Corporate Seal (if applicable) or Notary Public Certificate Sworn to and subscribed before me this .;z..""b day of ~ .20O'tby ~ ~ ~t;:..{ c" ~ )\0/";\1\ Y PUBLIC NAME PRINTED CO\L\lISSION NUMBER ~ ~~ \lY C:O:V1MISSIO~ EXPIRES:~ ~ :z()2- ~~< ~~,; ~'j/~~/;", /<.;"'.~~~,;\ Notary Public. Stall of Florid. \"'~ : ;j My CommlSlIon Expires Jan 23, 2012 "':;l" OF fCijf-~.-- CommIssion # DO 750936 ,.,,,,,,,.., Bonded Through National Notary ASSfl. 'C~ PUBLIC SIGNATl~RE 10 I JAMES F. CASE. SR. owner of Case and Sons. Ine am requesting to qualify LANDSCAPE MANAGEMENT by G CASE; STATE OF FLORIDA COUNTY OF Sworn to and subscribed before me this -z.--=- day of ~ ,2009, By~F~~ ~~~ NOT ARY PUBLIC NAME PRINTED COMMISSION NUMBER t>C> '7~~ ~_~.R..; C ~ MY COMMISSIN EXPIRES~~=!. ~OT ARYPUBLIC SIGNATURE "\;,~~~j~,,, l"~. v...;:.~ RAN =. · . "l Nota 01 C AOEL ;~, . = "1 PUblic A4AN \:... ~i 1,fy C~ . SI'I, of FIOf/"- J" Oi- H. ....... ExtHr.'" "II",," 8 CommiSSion tI .. J1tI23. 2012 IJnded T"h'OUgh N ,OD 750936 IJIionet ~ AaIn, Ww\v.sunbiz.org - Department of State Page 1 of 1 ~FLORIDA DEPARTMENT OF STATE ~ : ~'~T411111 ~DIVISION OF CORPORATIONS ~' ~~ ~ ~ Previous Oil List Next Oil List Return To List No Events No Name History Entity Name Search Detail by Entity Name ~'-9 ~~~ a !-: i_~Lt~~Lh~,!~i!~!Y~_~f!1Ra n1' LANDSCAPE MANAGEMENT BY G. CASE, LLC Filing Information Document Number L09000002322 FEI Number NONE Date Filed 01/08/2009 State FL Status ACTIVE Principal Address 1131 13TH ST SW NAPLES FL 34117 Mailing Address 113113THSTSW NAPLES FL 34117 Registered Agent Name & Address CASE, GILBERT W 113113THSTSW NAPLES FL 34117 US Manager/Member Detail Name & Address Title MGRM CASE, GILBERT W 1131 13TH ST SW NAPLES FL 34117 Annual Reports No Annual Reports Filed Document Images I F:. I;'~ l il~(>I~ L View image in PDF format Note: This is not official record. See documents if question or conflict. Previous on List Next on List Return To List No Events No Name History Entity Name Search http://www .sunbiz.org/scri pts/cordct.cxc?action- D ETFI L&inq_ doc _ numbcr= L0900000232... 2/2/2009 , Jan 08 09 04: 19p Shaklee Off t. I 1) .~,," JO'''' .~ lc~tll ~::Jb-U;:J.J' r'- ARTICLES OF ORGANIZATION FOR A FLORIDA LIMITED UABIUTY COMPANY In compliance with Chapter 608 and/or 621,F.S. ARTICLE I NAME The name of the Limited liability Company is: LANDSCAPE MANAGEMENT BY G. CASE, LLC ARTICLE II ADDRESS The mailing address' and street address of the principal office of the Limited liability Company is: 113113TH. ST. SW NAPLES, FLORIDA 34117 ~RTZCLE III REGISTERED AGENT, REGISTERED OFFICE ,. REGISTERED AGENT SIGNATURE The name and the Florida street address of the registered agent are: . GILBERT W. CASE 113113TH. ST. SW NAPLES, FLORIDA 34117 Having been named as registered agent to accept service of process for the above stated limited liability company at the place designated In this certificate, I hereby accept the appointment as registered agent and agree to act in this capacity. I further agree to comply with the provisions of all statutes relating to the proper and complete performance of my duties, and I am familiar with' and accept the obligations of my position as registered agent as provided for In Chapter 608, F.S. x /2.J.AY tv.~ GILBERT W. CASE I Registered Agent's signature Jan 08 09 04:19p Shaklee Off (239) 596-0957 p. 1 PAGE 2 LANDSCAPE MANAGEMENT BY G. CASE, LLC ARTICLE IV MANAGEMENT The Limited Liability Company is to be managed by one or more members and is, therefore, a Member Managed Company. ARTICLE V MEMBERS (oDtlona/) MANAGING MEMBER GILBERT W. CASE . 1131 13TH. ST. SW NAPLES, FLORIDA 34117 ......................................................................... x ~ A,.~ Signature of a member or an authorized representative of a member (In accordance with section 608.408(3), Florida Statutes, the execution of this document constitutes an affirmation under the penalties of perjury that the facts stated herein are true. GILBERT W. CASE 2008 FOR PROFIT CORPORATION ANNUA~.)3..~.P2RT DOCUMENT# H95075 FILED Jan 25, 2008 3ecretary of State Entity Name: I '/\.'3[,\[\IO))(\)S ll\!C ";urrent Principal P~ace of Business: New Principal Place of Business: '\9 - \03RC IWE, 1'1 i/\PLES, FL 34108 US Current Mailing Address: New Mailing Address: /49 - 103RD AVE, N NAPLES, FL 34108 US FEI Number Applied For ( FEI Number Not Applicable ( ) Cortificate of Status Desired ( FEI Number: 59-2625379 Name and Address of New Registered .o.gent: Name and Address of Current Registered Agent: '=:ASE, BARBARA L 749 103RD AVE N !\JAPLES, FL 34108 US The above named entity submits this statement for the purpose of changing Its registered office or ,'eqlstered agent, or both in the State of Florida. SIGf\IA TLJRE ,Jatf?c r~lectronic Signature of Registered ,t..gent Election Campaign Financing Trust Fund Contribution ( ). ADDITIONS/CHANGES TO OFFICERS AND DIRECTORS: OFFICERS AND DiRECTORS: fitle: Name: /\/:tdress: :ity-St-Zip: ntle Name: .'Iddress: City-St-Zip: Tit!e Name: Address' City-'3t-Zip: rille ~Iame /\ddre'Js: City-St-Zip ( ) Change ( ) i"jC1ltiOn DP ( ) Delete CASE, JAMES F, SR., 749 103RD AVE., N, NAPLES. FL nile: "lame: /\ddress '(~itYMSt-Zjp: D ( ',Delete CASE, BARBARA L, 749103RDAVE.. N NAPLES, FL fille: Name: i\ddress' ;;ity-St-Zip: ( ) Change ! \ Aedltion o ( ) Delete CASE, JAMES F, JR., 2021 ROCK RD ~lAPLES. FL 34120 fi tie , Name: i\ddress' i:ity-St-Zip. ( ;, Change ( ) A"nition D ( ) Dp.lete CASE, GILBERT. 1131 13m ST SW NAPLES. FL Title: I' lame: ;\d<.lr~ss: (;ity-St-Zlp ( ) Chan~.je ( ,l /l,ddition I hereby certify that the information supplied with this fillflg does flot qualify for the .~XeJllptlofl :,tated In l~n;1ilI(,,1 1 ; 9 Flollda 3tatutes. I further certify that the Information Indicated iJf1 this repoli or supplernentalreport IS tn 18 and dCCUI ate .JWll:'ar iI1\ >Iectronic c;lgn<lture shall have the same I(~al effect as If made !ll1der u8th, that i dlT1 dll officer' or (jlr"?c!Ci' ,~,f the ,;OrDUrallOn the receiver or trustee empowered to execute this /i"pOlt as requi.ed by Chilpter '107 [Clorlda ::;t21tIJI",,,. ,111<1 rhClt my 1'211f'8 "DiJ,"dIS 'lbove, iX on an ;Jttachment 'Nlth an address, With '111 other like (~mpower("d 1(';!\lI\ fURl': J/\MES F C/V:3E, 3R )F' ,)1, I]ectronlc '3lfJnature ,'Jfc;iCjJ1IrVJ IAfi'>,r lr Ulrpcior , -J t~~ . /iJi..", {\-.. 1 '1 ~I ~ '\'1 \',1 H \\1' ~i. ' ," ); , . , " "n ...3\ _1l..Al~ .. CASE & SONS INe POB 367449 BONITA SPRINGS FL 34136-7449 Account Summary Pilge 1 013 Business Advantage Checking ACCOUNT NUMBER . - STATEMENT PERIOD January 1, 2001. January 31, 2009 ^ ~ Colonial Bank appreciates your business, Thank you for being our customer. $ 1,283.13 Previous Balance Total Credit(s) Total Deblt(s) Service Charge Ending Balance Account Details $ 903.73 Average Collected Balance + 2,010.00 . 898.83 . 0.00 $ 2,014.90 Deposits and Other Credits DATE 1/5 1/22 1/27 1127 DESCRIPTION DEPOSIT DEPOSIT DEPOSIT DEPOSIT AMOUNT 850.00 260.00 700.00 200.00 Checks Paid 1 indIcates check miSSing in sequence CHECK 3095 30971 DATE 1/5 1/12 AMOUNT 104.25 500.00 CHECK 3098 DATE 1127 AMOUNT 106.50 Other Debits DATE 1/30 DESCRIPTION ACH DEBIT LIBERTY MUTUAL PAYMENT AUTO DEBIT 1/30 AMOUNT 168.08 2000 COLONIAL BANK MEMBER rOle www.co/onia/bank ,,;om {f you have questions about your account, please cllli Colonial Connnction, (877) 502.2265 Pege 2 of 3 ;_ (:(jtf)~tU.J Itl~l{ Business Advantage Checking ,~...... ACCOUNT NUMBER ~ STATEMENT PERIOD January 1, 2009 - January 31,2009 Daily Balance Summary DATE 12/31 1/5 BALANCE 903.73 1,649.48 DATE 1/12 1/22 BALANCE 1,149.48 1,409.48 DATE 1/27 1/30 BALANCE 2,202.98 2,014.90 Overdraft Protection Account Summary Previous Balance Advances/Debits Payments/Credits (2 ) FINANCE CHARGE Ending Balance $ 882.31 + 0.00 - 520.00 + 8.61 $ 370.92 Year-To-Date Finance Charges Payoff Amount Credit limit Available Credit $ 8.61 $ 371.47 $ 1,000.00 $ 629.08 Rate Information AVERAGE DAilY BALANCE $ 582.31 DAilY PERIODIC RATE .049315% ANNUAL PERCENTAGE RATE 18.000000% DAYS IN BilLING CYCLE 30 Payment Information Your Overdraft Protection payment is $10.00 per month plus interest or 3% of the balance, whichever is greater. It is automatically paid from your checking account on the last day of your statement period. Account Details Payments and Credits DATE 1/12 1/30 DESCRIPTION PAYMENT AUTO PAYMENT AMOUNT 500.00 20.00 Advances and Debits DATE 1/30 DESCRIPTION FINANCE CHARGE AMOUNT 8.61 COLONIAL BANK MEMBER FDIC II!.' t. ( '( '~,,' H.( f\t\L n,\\I\ ;X~~Y\~J;':'~'u. i ._..~o;:r.._ .... =-~=:::.."'-= ~::1 :rmm.m.;,,,, i il ~~~o~~:. - ;. c',"-:, ',', " ".' ...___IIIIC.. : ".:, ." ==-u_ .): . .;. '. .' ...~~l; ,... ('...u.... u....~~. ~.ik ~"\.u.l..__ ~ a _Y.~~, .'";-;'..~, ,,';' _~J. .~.~:'~ ,...'~ ___ . ____~_~ I W>t. is . .__..-.__.~...&!C /:--c::::.. .. -~ 0"00000 .o&. ~ 5.~ Ck# 3095 Date 01/05/2009 $104.25 .,......................__....-, ...'i...;.'...,....,-,...;.,','.'....... ---"'_......~.-... cAuflllC' g ~ 3098 :;:./ . "". , J. t,' DO IlI{fLl<1ff';..Jr!,''l'" '4 . /':1~(J{tU ~rc~_ _ - H_ --"K(,,,~ I i '>Ol,-tIl)'< ----- a-- I COI.Ol\w.~.... . - - ..I"h'-- ___.OOl~'".;?= . '";)o~o:=..,,:,:,,-,~ , 9..- / e:;' ! "'" r-..e<~Iif5.(L.t{l!Cfll!l2. It: I _____________.__.".. _~.': /.r______.!.ll.o.E!l~~ll.~~91 Ck# 3098 Date 01/27/2009 $106,50 COtONIAL dANK MEMBER FDIC PRgO 3 of 3 Business Advantage Checking ACCOUNTNUMBER _ STATEMENT PERIOD January 1, 2009. January 31,2009 3097 CAlI. IOtlI,INC. '0""" ..,.. SI"MI& 1'\ 'UII ""~~, ~~ ""~ '~e.co . ~~"1tdPt~ &~:R.#d. '3(j-Y<~/t: I .lIt.u.1(~h;' dt{Pa '4.1 .nJ/<T; ,-- .. ~:ot.o.'Q,\1. a~'\1 , "';1 ~~~~ a eM I '-f C_ ! "'" /U.r-t<f ~1. 1itV.. 'I.!.... ..... t-. ! . ~ , 100000500001 ~...----,,_.... .....-..-..... ~._---..-,"_..._,._,._._._~..- .........-."..... OOl..l"Aii ~ ~ Ck# 3097 Date 01/12/2009 $500 00 ,I..' ';" C( H.~ r\ t\t B.\\ 1\ Page 1 of 3 Business Advantage Checking -,.."", :I T ~~ ACCOUNT NUMBER ~vv~ STATEMENT PERIOD December 1. 2008. December 31, 2008 ^ .., Colonial BanI< appreciates your business. Thank you for being OUf customer. CASE & SONS INe POB 367449 BONITA SPRINGS FL 34136.7449 Account Summary Previous Balance Total Credit(s) Total Debit(s) Service Charge Ending Balance $ 1.404.11 Average Collected Balance + 863.50 - 1.363,88 - 0.00 S 903.73 $ 1.293.68 (' Reap the benefits of our competitive money market rates. The Business Advantage Money Market account is perfect for those who want a safe place to earn a competitive interest rate and still have complete access to their funds. It combines the security and check-writing privileges of a checking account, but with a higher interest rate than a standard savings account. To learn more about safeguarding your funds through a money market account at Colonial Bank, please visit your local branch office. or call us at (877) 502-2265. Monday through Friday, from 7 a.m. until 7 p.m. C.T. Account Details Deposits and Other Credits DATE 12/4 12/4 12/19 12/19 12/31 DESCRIPTION DEPOSIT DEPOSIT DEPOSIT DEPOSIT DEPOSIT AMOUNT 289.00 59.50 185.00 55.00 275.00 Checks Paid Indicates check missing in sequence CHECK 3094 DATE 12/1 AMOUNT 285.72 CHECK 30961 DATE 12/31 AMOUNT 700.00 COLONIAl BANK \fEMBEI~ FDIC www_colon/a/bankcom If you have '..(lJesflons about your account. ploase cull Cu/on/aJ ConnectIon: (871) 502-2265 /il' ';~ "I) I if" "~I \1 11 JI \'\.~lJ. r . ~r;. .,' 'lP _ ~ ~ 1 ~.,... .. it... A ~ 1\ Page 2 of 3 Business Advantage Checking ...--., ACCOUNT NUMBER _ - STATEMENT PERIOD December 1, 2001. December 31, 2008 Other Debits 12/31 DESCRIPTION ACH DEBIT LIBERTY MUTUAL PAYMENT ACH DEBIT LIBERTY MUTUAL PAYMENT AUTO DEBIT AMOUNT 168.08 DATE 12/2 168.08 12/31 42.00 Daily Balance Summary DATE 11/30 12/1 BALANCE 1,404.11 1,118.39 DATE 12/2 12/4 BALANCE 950.31 1,298.81 DATE 12/19 12/31 BALANCE 1,538.81 903.73 Overdraft Protection Account Summary Previous Balance Advances/Debits Payments/Credits FINANCE CHARGE Ending Balance $ 909.55 + 0.00 - 42.00 + 14.76 S 882.31 Year-To-Date Finance Charges Payoff Amount Credit Limit Available Credit $ 163.78 $883.18 $ 1,000.00 $ 117.69 Rate Information AVERAGE DAILY BALANCE $ 909.55 DAILY PERIODIC RATE .049180% ANNUAl PERCENTAGE RATE 18.000000% DAYS IN BILLING CYCLE 33 Payment Information Your Overdraft Protection payment is $10.00 per month plus interest or 3% of the balance, whichever is greater. It is automatically paid from your checking account on the last day of your statement period. Account Details Payments and Credits DATE 12/31 DESCRIPTION AUTO PAYMENT AMOUNT 42.00 Advances and Debits DATE 12/31 DESCRIPTION FINANCE CHARGE AMOUNT 14.76 COLONIAL BANK MEMBER FDIC I~~ ,& "'~" "\1""\' .\. I l' \' 1" >s l '1 ,(,' '.. I, . . ,4 t, . . .~\ .J)UWOXllll OJU';~t'I\'it\J'~ Q .......t............U'. _..- .... ,................_tft_ ~...._........ ~ ~I : ~I ~ :: ..........t ,.. . g 21 '~~.J~i~!1~;~Cau?o ~ ~ . ww ow, " .. Ck# 3094 COLONIAL FlANK MEMBER HJIG ~':i"'...'':'I-..;,.,'t.';'.''..','.J''.,,,~'F,.' ~. b....-.U~. .....'. /........~... :........;j...~...~.... ......~.................pt..... ................ .t~-..~......-...?...:.......... ',"'_"t"J ~ .~_Jo..-~"..;~"'" ....s:::~...; .....@... ~.,,' ...... .. ., ' . ',"",' . . .'. . ". . . ~"'r..; ,,\........ . I '''\'' . ;ro\~'Hl..'V. -s~ ,,'oou:.::o ,8 ~ '( U Date 12/01/2008 $285.72 Pilge3of3 Business Advantage Checking ACCOUNT NUMBER - STATEMENT PERIOD December 1, 2001. December 31, 2001 a~'~1~~"~'~1\ra1~ -:;'.:~=:':'::' :..---........... i ~ll! ~~ ~~ ,..<<..."l ,., . Q g JUH";:f;lfi.::. ,'tuu ~ Q u/].,.. ~ n , . ~-'~7":t'':'~. ':.'.::._. ~~":""'"'''''''';:''' ~ ~. .'. ~:j.:lOl:)''''i''':'' !t.o. '0' .' '. .'."..'-. .... '. '. ,~ft . ,". __ '- '.' _~~.~_+....7...~~~.. ""~~.. ....a.2.~c__ ~..... . ... o~ UP ,.,u. 'U . Ck# 3096 h. .fUUQau "110UOaol' Date 12/31/2008 $700 00 ;1', \ I "," ", '\ I 'I' \ \ (I . , L() J ), ~. . u.. ~ i\ Page t of 3 . ~.. Business Advantage Checking ACCOUNT NUMBER _own.J- '. STATEMENT PERIOD November 1, 2008. November 30, 2008 o Colonial Bank appreciates your business. Thank you for being our customer. CASE & SONS INC POB 367449 BONITA SPRINGS FL 34136.7449 Account Summary Previous Balance Total Credit(s) Total Debit(s) Service Charge Ending Balance $ 1.210.11 Average Collected Balance + 1,235.00 - 1,041.00 - 0.00 $ 1,404.11 $ 957.51 C' Colonial Bank Is pleased to provide the greatest available level of financial security to our customers including: I Unlimited FDIC coverage on all personal and business checking deposit accounts that do not earn Interest" I Increased FDIC coverage from $100,000 to $250,000 per depositor for deposits other than non.lnterest bearing accounts" I FDIC coverage up to $250,000 on all retirement deposit accounts "in effect until 12/31/09 Account Details Deposits and Other Credits DATE 11/20 11/21 11/25 DESCRIPTION DEPOSIT DEPOSIT DEPOSIT AMOUNT 185.00 200.00 850.00 Checks Paid inrlicate.' ChRCk m;,o:;smg in sequfJnr;e CHECK OATE AMOUNT CHECK DATE AMOUNT COLONIAL, BANK \,fEMBER HJIC Nww,co/on/albfJl1k com If ynu fJdVe qUf}c.;tWf1fl about Y'Jur .lccount, please <:all Colonl,,1 ConnactlOn: (877) ';02-2265 Paga 1 of 3 ..,~ ("(.,,,.( ')':1 \1 fi) \'\.TI." ',~~. ..' ) .( 4 ~ .. ' ~ hi 4" i\ ..., . -- ..",,' Business Advantage Checking __~._.-flr - ACCOUNT NUMBER STATEMENT PERIOD November 1, 2008. November 30, 2008 o Colonial Bank appreciates your business. Thank you for being our customer. CASE & SONS INC POB 36744i BONITA SPRINGS FL 34136.7449 Account Summary Previous Balance Total Credit(s) Total Debit(s) Service Charge Ending B.lanc. S 1,210.11 Average Collected Balance + 1,235.00 - 1,041.00 . 0.00 $ 1,404.11 $ 957.51 C' Colonial B.nk Is pl.ased to provld. the greatest avallabl. I.val of financial security to our customers Including: I Unllmlt.d FDIC cov.rag. on all personal and buslne.. checking deposit .ccounts th.t do not earn Int.r.st. I Incr....d FDIC coverage from $100,000 to $250,000 per depositor for d.po.lts oth.r than non-Inter.st b.arlng accounts. I FDIC cov.rag. up to $250,000 on .11 r.tlr.ment d.poslt .ccounts .in effect until 12/31/09 Account Details Deposits and Other Credits DATE 11120 11/21 11/25 DESCRIPTION DEPOSIT DEPOSIT DEPOSIT AMOUNT 185.00 200.00 850.00 Checks Paid 1 indicates check missing in sequence CHECK DATE AMOUNT CHECK DATE AMOUNT COLONIAL BANK MEMBER FDIC www.colon/a/benk.com If you have questions about your account, please call Colonial Connection: (877) 502-2265 ~ ~_ f:()IJ :,\1 \1. n,\.\t{ , . ;:.i.i., '.' ..,,' ..,..,,, c:.-. -. Me. '0_"- .......... R..... . :;;J."N /J//1.Y ~(J<,ra:H I ~. 71~~_L- dU ,.. OOUM\I. ...... ~a:=..,..__ "'" Ck# 3093 Dale 11/17/2008 COLONIAl flANK MEMBEF~ FDIC 3083 DIaW -'1:::: !..2:::<?'ir ......, -- s ! ~t1"r? ~ ~...~s Ii e:!; $1,000.00 PageJolJ Business Advantage Checking - ACCOUNT NUMBER - _ .. STATEMENT PERIOD November 1, 2008. November 30. 2008 it In Balance .~ Building Your BtlSi1t€ss a Better Bottom Line Recognized Credit Reporting Agency 12268 Tamiami Trail E' Suite 301' Naples, FL 34113 . 239-774-5100 The infonuation. you requested is provided below. Tbe information plO\'ided was gathered by third party sources not affiliated "itb .In Balance, Inc. The information pro~,'i.ded w not been feviewedl,,-erified by In ~, In<:., and tberefo:re responsibility for its ac.cw:acy, completeness. and the IIIaDDC[ in whkh it was ga1hered rests ultimaldy Willllhc thini party somt:eS notwitbsl3ndi.ng In Balance, Inc. 's exercise of mlSODable care .in ~.ler.ring said tbint party sources. Personal Credit Report Summary AI/ infonnation contained below is accurate and true as of the indicated search date Name of Individual: James F. Case Social Security Number: '-4301 Credit Score: 704 Search Date: February 3, 2009 Searches Requested: Liens, Judgments and Bankruptcies A search oflocaI, state, and federal databases on the above individual generated the following results: LOCATION DATE AMOUNT ALL SEARCHES FOR LIENS, JUDGMENTS AND BANKRUPTCIES PROVED NEGA liVE ..0- In Balance ..0- 12268 Ta.o:tiami Trail E. Suite 301. Naples. FL 34113 . 239-774-5100 PAr:;E 1 rATE 2-03-2009 TIME l4:45:35 'V2Cl TFLT JAMES F ~::AS E 749 103RD AVE l~ NAPLES ~ 341083222 RPTD: 10-89 1'0 55: -4301 DOB: 06/03/47 E: EL~O~ J. GARDNER 21941 BONITA GRANDE RD BONITA SPRINGS FL 34135 RPTD~ 4-05 I 12-08 U 2lX LAST SUB: 1230206 *1301 PAGELS ROAD E: CASE GARDNER PI'TD: 4 99 I NAPLES FL 33963 RPTD: 6-90 U *.1AMES FREDERICK CASE-SR SR, F JAMES, JIM CASE ------------------------------ CREDIT REPORT SUMMAP.Y ------------------------------- CNT 01/00/00/00 SATIS ACCTS--24 NOW DEL/DRG---I) WAS DEL/DRG---i OLD TRADE~-7-86 PUBLIC RECORDS-------O IN::;'i'/OTf1 I5AL---~20, 343 RESTATE BAL--$514,238 TOT REV aAL----$55,135 PAST DUE AMT--------$O SCR/EST PAy-----91,985 R EST~E PAY.---$l,964 TOT REV AVAIL------35% INQUIRIES---S INQS/6 MO--'-l TRADELINE--25 PAID ACCT--16 ------------------------------- SCORE SUMMARY -------------------------------- EXP!FAIR ISAAC RISK SCORE 2 704 SCORE FACTORS: 1J. 01, 02, 12 -.--------------------------------- TRADES ----------------------------------- SUBSCRIBER OPEN AMT-TYPl AM'!'-TYP2 ACCTCOND PYMT STATUS SUB# KOB TYP T"RM ECOA BALDATE BALANCE PYMT LEVEL MOS REV PYM'l' HISTORY ACCOUNT # LAST PD MONTH PAY PAST DUE MAXIMUM BY MONTH *J>.MTRU5T BANK 11-02 ~166, 500-0 2810575 FS R/e 3QY 2 11-30-03 REFINANC CURR ACCT 11-03 (10) BCCCCCCCCC 4022946 MIN: 100162500040229487 ** ACCOUNT CLOSED DUE To REFINANCE ** "'BANK OF A"lERICA 9-03 $17,400-L $17,20Q-H CReDLosT CURR ACC:::' 1230206 BC eRe REV 3 12-22-0B 12-08 (64) BCCCCCCCCCCCc 8358 12-06 CCCCCCCCCCcc: ** CREDIT CARD LOST OR STOLEN *"*" "*"CITIIslIELL 7-89 ~325-L $82-H PAID CUR WAS 30 1232920 Be eRe REV 1 7-01-06 7-06 (56) BOOOOOOOOOOOO 135005 11-04 10-0211 oooooooccooo *W~SHINGTON MUTUAL IDUiK 3170598 BB HIE LOC 2 lOOA00000000070486 7-05 $200,OOO-~ $200,OOO-H 10-31-07 10-07 9-07 **~CCOUNT CLOSED AT CONSUMER'S REQUEST ** PAlD CURR ACCT (28) B-CCCCCCCCCCC CCCCCCCCCCCC BCLG DTS 1019899 +++++ t~~RE CASE, ,JAMES 312.504301; CA-749 103RD AVENUE N/34l08; Y-0603194 7: iJ- In Balance ~ 12268 Tamiami Trail E. Suite 301 . Naples, FL 34113.239-774-5100 PAGE 2 DATE 2-<)3-2009 :IME '1.4: 45: 35 V21~1 :'Fl.T SUBSCRIBER OP~N SUB# KOB TYP TRM ECOA BALDATE ACCOUNT # LAST PD WASHINGTON Ml)TU~.L FA 3180830 BB R/C 30Y 2 1560062242272 CHASE 1101969 BB AUT 60 10310111292000 FORD eRED 1631440 FA AU: 66 26157642 COLONIAL BANK 1181561 BB SEe 24 8037551424 ,A..'fI'-TYPl BA.U\NCE MONTH PAY A~-T:p2 ACCTCOND Fnrr LEVEL MOS REV PAST DUE MAXIMUM PYMT STATU3 PYMT HISTORY BY MONTH 11-03 $230,000-0" 8-31-07 8-07 4-01 2 1-31-06 1-06 1-01 2 11-21-05 :1-05 9-03 1 10-04-05 9-05 BANK OF FLORIDA 5-01 3172920 BB HIE LOC-Y 2 11-30-03 103 fife 2511074 FP RIO 360 20095406 8-07 $15,405-0 1-06 $35,574-:J 11-05 $6,071-0 10-05 $.34,9-47-1 $34,947-H 11-03 6-99 $136,926-0 2 1-10-03 FORT Fll~~CIAL CREDIT 6-9B 2750172 FC AUT 60 2 12-,27-02 10145001 FORT FINANCIAL CREDIT 4--00 2750172 FC AUT 48 2 12-27-02 10145007 FORT FINANCIAL CRE::JIT :-98 2750172 FC AUT 60 2 5-30-02 10145003 FORT FINANCIAL CREDIT 9-98 2750172 FC AUT 24 1 4-25-00 10145004 1-03 ~20f790-0 12-02 $9,000-0 12-02 $29,OOC-O 5-02 $4,191-0 4-00 PAID CURR ACCT (46) BCCCCCCCC8CCC eecccceccccc PAl D CURR ACCT (34) BCCCCCCCCCCCC CCCCCCCCCCCC PAID CURR ACCT 59; BCCCCCCCCCCCC CCCCCCCCCCCC PAID CURR ACCT (25) BCCCCcccccccc CCCCCCCCCCCC PAID CURR ACCT (32) BCCCCCCCCC-CC ccC-CCCCc-c- PAID CURR ACCT (43) BCCCCCCCCCCCC CCCCCCCCCCCC PAID CURR ACCT (56) B---C-CC----- PAID CURR ACCT (33) B---C-CC----- PAID cu~~ ACCT (53) B------------ -----GCCCCCC PAID CURR ACCT (16) BCCCccccccccc ccccc BCLG DT5 1019899 +......++ MQRE CASE, JAMES ,3125043)1;CA-749 103RD AVE:tJUE N/34108;Y-06031947; tl In Balance tl 12268 Tamiami Trail E. Suite 301. Naples, FL 34113 . 239-774-5100 'E'J\GE 3 DATE 2-03-2009 TIME 14:45:35 V201 TFLT SUBSCRIBER OPEN SUB# ROB TYP 7RM ECOA BALr^TE ACCOUNT :# LAST PD AMT-TYPl BALANCE ~'10NTB PAY AMT-TYP2 ACCTCOND PYMT L~.~L MOS ~EV ?AST DUE }~IMUM *HFC 7-97 $113,9S9-L ~13,327-H 2511074 FP c/c LOC 2 9-07-99 9-99 0019103011 PYMT STATUS ~YMT HI3TORY BY MONTH PA.ID CURR ACC! (26) BCCCCC-CCCCCC cccccccccccc *~ ACCOUNT CLOSED AT CREDIT GRANTOR'S REQUEST ** HFe 2~11074 FP RIO 288 20091023 THE FAIRMOUNT STATE BA 3170120 BB R/c 5Y-Y 2 476540170905 WACHOVU\. MORTGAGE, FSB 3822014 FS R/C 30Y 2 5120046095600 WACHOVIA BAHK NA!FTU 1202270 BB c/c LOC 2 436106501143 FORD CRED 1631440 FA AUT 60 39817665 BANK OF AMERICA 1230206 BC eRC REV 5061 crTr 1240000 BC CRC REV 542418103857 CHASE 3182310 Be eRC REV 441712285110 GEMB/CARE CREDIT 1251250 BC CHG REV 60191B038768 7-97 $113,999-0 2 6-30-99 9-05 1-.29-09 1-08 $63,200-0 $62,470 $472 6-07 $431,600-0 1-26-09 $451,768 1-09 $1..4.92 '7-66 1-19~09 12-08 10-05 2 1-18-09 12-08 $1, 7 o '')-L $0 $22,244-0 $9,788 $456 6-99 1-09 1-09 $l,577-H 1-09 1-09 9-03 $17,400-L $17,200-H 3 1-16-09 $16,681 1-09 1-09 $279 2-99 3 1-16-09 1-09 1-95 1 :;'-13-09 1-1)9 1-07 I 1-12-09 11-08 $30,OOO-L $26,016 $593 $31,20C-L $12,438 $262 $5,500-L $0 $15 1-09 $30,151-1"1 1-09 $1,416-H 1-09 PA1D CURR ACC~ (22) BCCC-CCCCCCCC ccccccccc OPEN CURR ACCT (27) ccccccccccccc ccecc-cc-CCC OPEN CUM AceT (17) CCCCCCCCCCCCc CCCC CPEN CVRR ACCT (99) 0000000000000 000000000000 OPEN CURR ACCT (40) ccccccccccccc cccccccccccc OPEN CURR ACCT '14) CCCCCCCCCCCCC c OPEN CURR ACCT (99) ccccccccccccc cccceccccccc OPEN (,'URR ACCT (99) ecccccccccccc cccccccccccc OPEN CURR ACCT (24) occccccccccce cccccccccco BCL~ VTS i019~9~ +++++ MeRE CASE,:'AMES 312504301; CA-749 :..1)3RD AVENUE N/34108; Y-0603194 7; ..0- In Balance tl 12268 Tamiami Trail E - Suite 301- Naples, FL 34113 . 239-774-5100 ?AGE 4 DATE 2-03-2009 T::HE 14:45:35 V20l TFLT SUBSCRTR~R OPEN SUB# KOB TYP TRM ECQA BALDATE: ACCOUNT # LAST PD FORT FINANCIAL CREDIT 7-05 2750172 FC ~EC 72 1 12-01-06 1014.5003 11-:;6 LANDAMERICA CREDIT SVC WACHOVIA MORTGAGE. FSB ~DSAFECREDIT WACHOVIA MORTGAGE. FSB LANDAME~ICA ~REDIT SVC ~ll.M1' - TY:P 1 BA.LANCE MONTH PAY AMT-TY?2 ACCTCCND PYMT .LEVEL MOS REV PAST DUE MAXIMUM PYMT STATUS PYMT IUSTQRY BY MONTH $21,000-0 $10,555 $378 12-08 OPEN C~RR ACCT 141) CCCCCCCCCCCC- ccccc:cc-cccc INQUIRIES -~-------------------------------- 12-04-08 2!H0302 FR UNK R/E 8-17-07 2190310 FB UNK R/c 7-0g-01 3970658 FR ~~TK RIE 5-04-07 2190370 FB UlrK R/c 4-21-07 2970302 FR UNK R/E CONSUMER ASSISTANCE CONTACT: EXFERIAN 701 EXPERIAN PARKWAY, 1';'0 BOX 2002, ALLEN, nc: 75013 888.397.3742 END -- EXPERIAN ~ In Balance ~ Building Your Business a Better Bottom Line Recognized Credit R~rtinv Agency 12268 Tamiami Trail E. Suite 301 . Naples, FL 34113' 239-774-5100 The information you requested is provided below. The information pra...ided was ga1beIed by third party sources not affiliated with In BabJx:e, loc. The information provided has not been Te\--iewedl\'Vi6ed byln Balance, Inc., and thadore re5pQll5ibility for its accuracy, completeness. aod the maDIlIl:r in whid1 it was ga1bcred rests ultimal.ely wil.h l.be thintpaty sources nOlwilh!d:hldn~g In Balance, Inc.' s eXelcise of reasonable can: in seIediog said tbiJd party sources.. Business Credit Report Summary All itiformation contair1ed below is accurate and true as of the indicated search date Name of Company: Case and Son~ Inc. FEI Number: 59-2625379 Reference (ifnecessmy): James Case Search Date: February 3, 2009 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 DATE AMOUNT ALL SEARCHES FOR LIENS, JUDGEMENTS AND BANKRUPTCIES PROVED NEGATIVE ~ In Balance ~ 12268 Tamiami Trail E - Suite J01 . Naples. FL 34113 . 239-774-5100 Bueinass Credit Report . CASE AND SONS INC Subcode: 515210 Transaction number: C037141712 Search inquiry: case and Sons, Inc. / Naples / FL / 592625379 Ordered: 02/03/2009 14:39:21 CST t' *f: . :C: Experiarr . . . " ..-ld c<f Moltgtl! Company Information CASE AND SONS INe 749 103llJ} AVE N NAPLES, Fl3410S-l222 (239) 597-5051 a_mea IdentificMjan Number: 740472348 I EJlperIan File established: 09/1986 J SJC aade; !.AWN 5 GARDEN SEIWlct:S . 0782 I Tax m: 59-2525379 ! , Executive Summary Resparch rips AdditionQl information may be avallabll! 00 this business. legal Filings and CoIleatlolls Banknlt:Jtqo flings: Tax ffen Iilngs: Judgment filings: T otaf oolfections: Sum of legal filings: UCC filngs: CautioNlry UCC fili/'lg5 present? o o o o SO o No Other recommended searches: Order Business Owner Profi~ Order Publio Record Trade Infonnation Monthly average OaT: Highest DBT previous 8 months: Highest OBT previous 5 quarters: Total continuotJs trades: Current oontirJuous trade balance: Tr~ b81~e d all trades (1): Average balance previous 5 quarters: Highest creclit amount e.xlend9d: d<<.ira 6 month bahince range: o o o 1 $1,000 $1,000 SO $1,000 $0 -$0 Trade Payment Infonnation TOP. Tr:'ldc Payment EXperlef1CeS A(:COllnt Status (Trade Lines \Nlth an (') "ftN date .1re newly reported) Days Beyond Terms BU$inas Da" LMt ~ment Categoty Reoort8d Sale ~ Btoo MATRL .1212008 11/2008 CREOFT ~nt HIgIa IJaJltnce C.... 1-30 31-40 61.-90 .1+ C_....,.ts c..... $l,aoo $1,000.100% Trade Payment Totals -U- In Balance -U- 12268 Tamiami Trail E. Suite 301' Naples, FL 34113 . 239-774-5100 Acrount St3ttlC; Tr<.u,_ p,p/"",,"l F <lJ<OfI\:!f1Le5 D B d T ays eyen lrnlS 1 o ...... High Credit $1,000 ....nce Cur 1-30 31-60 61-90 n+ Comments Type Continuously R..portM Newly Report'ld Lrn. 1Iepe~ $1,.000 1~ DBT:O OBT: TnKle Unes Totals t $1,000 $1,000 1~ OBT:O Company Background Information Corpor<ltc ncglstrat.on ! THE FOLLOWING INFORMATION WN> PROVIDED BY TIE STATE OF FLORIDA I j Sbne of Originl FL . I ClUreQl sa.t_: A.cti'v. I BU8hMllle Type; IIl$t1tu~ons- Profit , Charier N,umber: ~507S : f'edeAI Tall( ID: 59-26l!ii379 TOil. Key Personnel Princi....(s): JAMES f. CASE I Operating Information I ...i...... Typel Institutions PrinRlIY S%C Code: lAWN a. GARDEN SeRVIceS - 0782 y.... i.. 8....; 23 1 N........ fIf EmpIoyeM! l : sales: $100,000 [ j ExpeIjtJn Pf'It>>8 ,.,/1 on lire depth and tICt:UI'8Cy of the data maIntBIned on out' dataJutws. R~ your cuafMW's peyment behawfoT fb ExpotfM MIl furlhet' ~ and enhance the pawwof the itJIotmdon aYltiWJle 1W meIdtrtg SOfInd c:ndf dtiIcisiIoJ. GIYe credlt..,.,. ct8diIls due. Call1-l1OO-S2f1.1221, option ... toT maN Jntonn.Iion. End of report 1 of 1 report LJ-..)JJ..UV~ 1J...oJV rflll :;,enoers rax IU: Lj>l-LtiL-t>360 Page 2 of 3 ACORQ~ CERTIFICATE OF LIABILITY INSURANCE DATE 1!oW/DD/VYYY) ~ ~ i. _ .. ~,r,' ',\;"' 7'1 '~ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, PRODUCER L, 1',<. .c:'., -l~ ~'i : '_l> !J ::1, f' ~ INSURED L, 1"'-' ,'~ iF":".. :. i,-f'?":'; ,~, I"'" 11 INSURERS AFFORDING COVERAGE NSURfR l~ . _'. ,'-- L ,',.. ,,-,.~',~ NSURlR B NAIC# ::, lr). : 'L :..1," NSURlR C N:;URlRD NSURER E ;.~l-..j ',' . ::. . f_ - ,.... ~,- ;.. ' . _T:' -:::C . ;.~_>~E:- ,:,[.. ~ ~~r.,,~ :::::__""E:. .. ,,~ t' i\i ",).;'<1 .",')' 1-. 'j ;~ :1 :.'r;r- -:-- -::: '.1..'; -- ~ 1 ~:: ~': :..' ~, ~ .'-- ',-,", .-,... .---. - . ..' .. c' ,_ ':'.-;--: r' _.. -:.-:::r..>1.::.', ',--', ~ ;-', .:.... .': - . '" .:.;~,; "L.~'~' ;,,",,',"_. ~:E:~~) ~.t"- :-::, I< " ,,:ryI'E_QF!'!.~U1!AJ!C!L_, '_ GE NERAL LIABILITY .-i--.--- POLICY NlNBER ,"OUCY EFFECTIVE . pciuev'EXiilRAnON-n ., D.AT.~J~~I\:lDcaL __D~T~ LM'Ml!1i.m.. LIMITS ~~:;~~,.. CLi,MS MACE !:'l CCCUR .. ..:: :: '" :: ... :;,: ~o "o~~~~E~~~~~~-'" ..$~S:j PR[M;S[~~~.;rerc~~~~-~",::~ M~[)fXPIAn'Of'opvl1iOnl. . $ '.',: ~ ,,j._.~,; CCMMl RC Al C~N~RAl LAl!l LV :.----t--, Pf RSONAI & I\CV . NJURY CENERALACCRECATE ~..~l..-,': ':'_=L~~'_'~;_C)_ _~~~~~~. L;~_) ~__I CEN'LAGCREGATE l M T APPL.ES PER PCl CY i- - ~Nii L OC AUTOMOBLE L1ABLITY ANY AU 10 .ALlCWNEDAUTCS SCHfCUI.ED AUTOS HrREC ,IUTOS f---j !__~ NCN,CWNEDAUTOS i'-l _PflOCU<:;T_~~~~:c::~i\~,~::--,_:" .'~ J. CCMBN~D S NOLt LiM T ![aacclcsntj BCD L Y N"URv IPerpersorj r~CD'LV 'N.;URv (POI' acdoort) PROPERTY CAMACE (Peraccieer!) :. ~~GE L1ABLITY r--~ ANYAUTC ! r EXCESS/UMBRELlA L1ABLITY :l II U OCCUR i--.J CLArMSMADE AUTOCNlY,EAACCDENT $ --'~----~""'--~--'-- OTHER THAN i,UTO ONLY ~A ACC $ - -- -----,------.-.- --~-~.__. AGG rACH CCCURRENCE ACCREGI\TE I o CfCUCT:BLE ; I RETENTION : WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANV PROf-RIE IOIWARINEHiEXECL T,vE OFF ,CER.1-'EWBER EXCLlJDED7 ! ~f,/e9. desr.rlbn ur.dAr : SPE:CiAlPRO\!:SICNS teb,^, OTHER WCSTATU, ,CTH. ,_ I TOR~.M!TS i 'f R r L ~ACH ACC:CENT ~ L DISEASE . ~A ~MPLCYEE f I. DiSrASE POI CVI MiT DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION ~. -:.::.: ,~ f ..::-L'h_~ .':''!.:'i :I!:. .-.l-"_ "~"':-'(";::, F ~~-' F. r-:~~ -::, - 7";: l,r-' --, N '_ ,.~. ,J...1:,.. _t. 10 .. .~;.-?, -"':::~:-F "":':F ~': .T~-r;'''; ..;_._ ~_ f::; ':i, ':i: "ir. .:+.-:1-. .'~.....- - ,..- t ~. .~, , :' '.'/ ~,'-1.' -,.;- -. F--: : ;.q: --" ,. i __. .. .,r; .: ~~ .-' ~.'~ . AUTHORIZED REPRESENTATiVE"...... <: ' '-, , , ACORD 25 (2001/08) .~ - Date; 2/3/2009 To; Collier County Contractors Review Board I am trying to get my Collier County competency card reinstated. I have not used my Electrical Contractor license since 2003. I have keep my state registered electrical contracting license, contenting ed. credits and liberty insurances active and current. I have been working for other electrical contractors for the past six years as a Forman and project superintendent. I did not renew my competency card because I was not pulling permits and had no intention of going in busies for myself. Now that I am no longer employed with a electrical contactor I'm in apposition where I need to work for myself again. It was my intent to put my Collier County competency dormant but I was busy working and forgot that I never put it on the dormant status. I appreciate your time and consideration for reinstating my competency card. I hope you as a board find it applicable to reinstate my competency card. Thank You, Wayne Womack .. Co~"Y Cou.nty ..... ~...-... - - 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 PII Services Division 2800 N. Horseshoe Drive Naples, FL 34104 pt- Telephone: (239) 252-2431 , Fax: (239) 252-2169 A Cl Instructions: This apt::ation must e typewritten or legible printed. The ap application. The fee is NOT refundable after the application has been acce~ checks should be made payable to the "Board of County Commissionen Collier County Ordinance No. 2006-46, as amended. 1. Name of Firm tJAYJJE tJO/H#c.;( JJr- .PH I FSS, s All Jlt D/B/A (if applicable) 2. ~~~! Ad~~{'~fZ S\~~t) 3. ISf~ ...5f",fc71/J)" Business Mailing Address City 4. Business Phone Number:~51- ~~ / - //2 / 5. Fax Number:~J?-':;.5~- /~S5 1l#t(~ , ity 7J/I/L'rs Il State rL State Zip Code Mobile Phone Number..! 3'1- ~ ~ / -//,1 / 3~//() Zip Code :5~//{) Federal Emp. ID#: 8. INDICATE NATURE OF REQUEST - A To Quali ( ) General $150.00 ( ) Building $150.00 ( ) Residential $150.00 ( ) Mechanical $150.00 ( ) Swimming Pool $150.00 6. Legal form of Business: Corporation: LLC: L-- 7. Name of the Firm's Qualifying Agent (!Jy.,IJ r:.:..) V t1 /J1 #C.< (License Holder) as a: Electrician Plumber Air Conditioning Roofing Specialty $150.00 $150.00 $150.00 $150.00 $135.00 (Specialty trade type) (B) ChanQe of Status: $10.00 ( ) Active License to Dormant ( ) Dormant License to Active ( ) Address Change ~ Reinstatement ( ) From Individual to Qualifying a Business ( ) From Qualifying a Business to Individual ( ~ To Qualify Additional Entity (vf From One Business to Another Page 1 of 5 9. The names, titles, home address and phone numbers of all Officers/Managing Members of the Firm. ('111)( tJ, tJo/JJ/fc/f o~;e /.5fJ Sfbo/~ ?/~;P/rs .139- 64/ -//t/ /l ~//O 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. 11~ I.(r 1/6.#//AJ6 #- ,j)ES/tr-VJ TUc. 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. J.l 0 T\\e....- AFFIDAVIT I, (/,y,z,{' tJ /J/);J?II{l' certify that the foregoing is true and correct to the best of my knowledge. (' -t ir,Vl",V ~?I orized Officer of the Firm STATE OF FLOijlDA\ l f D V" COUNTY OF ~O_ , ~. The foregoing instrument as acknowledged before me this ~@I oct By ~de 't.Jo.'{ n€. 'No rYY)LKof ~'1 ne- ~~~l LLC a (Name of officer, title/agent) (Name of Corporation) F lor i ('J 0 Corporation, on behalf of the corporation. He/She (State or Place of Corporation) has produced ~<<5GO II Q "'0 I' \ CJ . PRtSCtLA N GAlGA . . Nltlry PuIINc . State of flOfifl My COlMt. Explr.. Jun 5 2011 Comllllt.ton " DO 6112083 SIGNATURE OF NO Pri5Li to ~ NOTARY PUBLIC (PRINT NAME OF NOTARY) Page 2 of 5 APPLICATION COLLIER COUNTY/CITY OF NAPLES/CITY OF MARCO FIRM - PART" lto 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 !J 1. Name of Qualifying Agent 1J0IJ!~ OYIJ[ (Last) (First) Date of Birth 3- 3/-/9(P'L- S.S.# 000-00- rO~tJ (Last 4 numbers only) Driver's License # VSJO-/J'J-f4o-I//-tJ 2. Home Address of the Qualifying Agent 15/j~- S(~{tOJ1J! (}tf' J /lltf'.../~S 8- 39#1J Home Phone # ..231-..tS'~- /656 3. Name of the Firm tJAY'?7f'" DM1~/ ~.!C.. ~ , (Middle) 4. Type of Certificate of Competency for which application is made. 1r,". 1'/ /'rrR/t' /Ii. (11J7J17i'~~ 5. The names and telephone numbers of two persons who will know your whereabouts. iJ! 7J?/ J"),~ l?/, 7: V()/J/~C ~ 1,.) IJ~AC~ 6. Have you ever been convicted of a crime related to Contracting? ,//0 (If yes attach extra sheet with explanation) 7. Have you or any firms you have been associated with ever filed bankruptcy? '7J () 8. List all debts you or any company(s) associated with you refused or failed to pay and reasons why. ~~l)e ~ 9. List your business or work experience during the past ten years. ~lJr,( IJ€S/6~J .Jqt T1fc ?/lST ~/.J Srlf 1'~c7Et), fl1b1m ~/Z t4'rfflC 10. Statement of any formal training you have had in the area for which the application is made. :f III/V! /f(~ 7lI)' l srll/I' 1/~ (71~E /lAM (ld7dr7jT/bf ['D- ('"rell rs tAf, VAile [vo/J";JJIj (,(}.JI)(~ /HJo1I1Et< ('oo/,4/J/ ~lCf71St:... 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. ~(1)( 0. 06//1/1(1: AP L1CANT (PLEASE PRINT) tJ4f;:!: /JO$/K~ lJ{'~ NAME OF COMPANY f t.~ t.Jt??Y?v.-.i SIGNATU OF APPLICANT STATE OF FLORBA \ 'D r COUNTY OF ()\ h_ by CJ" d.e.. ~'f ne. WOv"OGiko has produced (Name of person acknowledging) O,;;} IOd.-/dOOC1 (Date) W~O "Q bO (Type of identification) 1\ I ,0 The foregoing instrument as acknowledged before me this as identification and did not take an oath. ~F~ PY-ISCi 16 E1C419CA NOTARY PUBLIC (PRINT NAME OF NOTARY) . MICILA N GAllA . . -, NIle . Statt .. ...... ., c_. bp!rK JUII .. It" C6lMllllIOn II DO ...... NOTARY'S SEAL Page 4 of 5 r< . . .. . .* * *. * ** * .. *' *' . * *' * . * STAFF USE ONLY: Trade: Name of Applicant Score: Take on Given in , sponsored by Business & Law Score: Taken on Given in , sponsored by 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. ) !Ju ~ Iv! SIGNA E OF APPLICANT 1Jj}f?l~ tJ/J/J1/Jd i/L, BUSINESS AME f. ~~ 100Q DATE r . BEFORE ME this day personally appeared Lbtde... Wo...V)\~ W~cJ(- 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~QA, <Dr COUNTY OF Wh\~ ()1.'~lOq (Date) The foregoing instrument was acknowledged before me this by ~de ~u..'4 f\€.. 'J\J~ has produced 'NS3Q llq ton W-D (name of person acknowledging) (Type of identification) as identification and who did not take an oath. - -- NOTARY SEAL , .' PfUlCILA N WGA l. . IiIIIIry hIlIIc . Stat. of FIorIclI Mr COlIlIn. &,If" Jun 5. 2011 ~ COIIllM'1on II DO 612013 . NOTARY PUBLIC - .... COLLIER COUNTY GOVERNMENT COMMUNITY DEVELOPMENT AND ENVIRONMENTAL SER VICES DIVISION ~c, -. 2800 N. Hor~cshoc Dr.. Napks. l'Iorida 341 U4 . 239-403-2400. FAX 239-403-2334 MEMORANDUM DATE: November 29, 2007 TO: Applicant's FROM: Michael Ossorio, Contractor Licensing Supen'isor. CC: Robert Dunn, Collier County Building Director. Alamar Finnegan, Collier County Permitting Supervisor. Robert Zachary, County Attorneys Office. All Contractor Licensing personnel. SlJBJECT: Collection of social security numbers. Pursuant to Chapter 119, Florida Statues and Collier County 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 information. Our oHice will only LIse 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 sale-guarding and protecting your SSN and once collected, "viiI be maintained as confidential and exempt under Chapter) 19, Florida Statues. www.sunbiz.org - Department of State Home Contact Us E-Filing Services Document Searches Forms No Events No Name History Page 1 of2 Help [ Document # Search Detail by Document Number Florida Limited Liability Company WAYNE WOMACK "LLC," Filing Information Document Number L09000008812 FEINumber NONE Date Filed 01/28/2009 State FL Status ACTIVE Effective Date 01/28/2009 Principal Address 1592 SERENITY CIR. NAPLES FL 34110 Mailing Address 1592 SERENITY CIR. NAPLES FL 34110 Registered Agent Name & Address WOMACK, CLYDE W 1592 SERENITY CIR. NAPLES FL 34110 US Manager/Member Detail Name & Address Title MGR WOMACK, CLYDE W 1592 SERENITY CIR, NAPLES FL 34110 Annual Reports No Annual Reports Filed Document Images U1i.Jd/2009 -, r'lorida I.imlted Liability r ] View image in PDF format Note: This is not official record. See documents if question or conflict. No Events No Name History http://www .sunbiz.org/scripts/cordet.exe 2/3/2009 www.sunbiz.org - Department of State Page 2 of2 [ Document # Search ] ! 10:111'" CI)11tar.t t;~ U(1(I;ll1ent ~)(',H(i [! i1lr1(~ S('r'Jlo~<", r orlnS I ~C'ID ('I)\Jyr ilJI,! ,n"I'! ;)rlv(;Ji:V PnliUPo..;. i,"JPVllql'lt IOU! ~tdte of I iUf'liid, L-)I:~PiHI!lIPllt of SLlte. http://www .sunbiz.org/scripts/cordet.exe 2/3/2009 Certified Copy I certify the attached is a true and correct copy of the Articles of Organization of WAYNE WOMACK "LLC.", a limited liability company organized under the laws of the state of Florida, filed electronically on January 28, 2009 effective January 28, 2009, as shown by the records of this office I further certify that this is an electronically transmitted certificate authorized by section 15.16, Florida Statutes, and authenticated by the code noted below. The document number of this limited liability company is L09000008812. Authentication Code: 090128093454-600142218446# 1 Given under my hand and the Great Seal of the State of Florida at Tallahassee, the Capital, this the Twenty Eighth day of January, 2009 1, II 1" .. III r owm It g .rcrrtinv of ~tatr I . ~ In Balance % Building Y OUT Bustness a Better Bottom Line ~ Credit Re.porti11B A,gency 12268 Tamiami TnUl E . Suite 301 . Naples. FL 34113 . 239-774-5100 The infurmation YQU xeqoested is provided below. The infunnalion provided was gathered by third party S()W'CeS not affiliated with In &lance. Inc. The information provided bas not been rcMewed/verified by In Balance, Inc., and therdCre ~ns.ibiti.ty for its accmacy, comp1ctcoesS. and me ID3IIIl<< in which it was ~ rests ultj~ with tbe tbinl party somt:e5 JJOtwiJbsIaodiD In BaJaoc;:e, IDe.' s exe~ of ft8500able care in sclcctiog .wI third p8ttY llll1IDO/S- Personal Credit Report Summary All information contained below is accurate and true as of the indicated search date Name of Individual: Clyde W. Womack Social Security Number: ~020 Credit Score: 676 Search Date: February 2,2009 Searches Requested: Liens, Judgments and Bankruptcies A search of local, state, aJld federal databases on the above individual generated the foRowing results: LOCA1'ON DATE AMOUJfi ALL SEARCHES FOR LIENS, JUDGMENTS AND BANKRUPTCIES PROVED NEGA liVE 1J- In Balance ~ 12268 Tamiami Trail E . Suite 301 . Naples, FL 34113 . 239-774-5100 PAGE 1 D~TE 2-02-2009 TTME 10:34:21 V501 T~LT CLYDE W WOMACil: 1592 SERENITY erR ss: - 4020 DOB: 03/31/60 NAPLES FL 341104128 E: UNQ LT ELEC CABL RPTD: 6-01 I RPTD: 6-04 TO 6-05 U 2X l~T SUB: 1230206 E; UNIQUE LIGHTING DESIGN RPTD: 7-00 TO 10-00 I *1680 W CROWN POINTE BLvD NAPLES FL 341123608 RPTDt 3-04 TO 4-04 U *2069 IMPERIAL e!R NAPLES FL 341101036 RPTD: 4-99 TO 1-04 U 5X *WAYNE WOMACK, WOMA.CK C WAYNE _______~_____----------------- C~DLT REPORT SUMHAaY ------------------------- em' 06/00/00/94 SATIS ACCTS--IO NOW DEL/DRG---7 WAS DEL/DRG---5 OLD TPADlZ-1l-84 PUBLIC RECORDS-------Q INST/OTH BAL---$16,312 R ESTA~E BAL--------$O TOT REV BAL-----$7,616 pAST DUE AMT---$16,312 SCH/EST PAY-------$227+ ~ ESTATE PAY--------$O TOT REV AVAIL------96% INQUIRIES---1 INQS/6 M()---Q TRADELINF.--22 PAID ACCT--10 ____________________----------- SCORE SUMMARy -------------------------------- EXP/FAIR ISAAC RISK SCORE 2 : 676 SCORE FACTORS: 40, 20, 18, 13 SUBSCRla~R OPEN SUB# !tOB TYP TRM ECOA BALDATE ACCOUNT ~ LAST PO TR1\DES ------------------------------.. ...--- AMT-TYPl AM'!'-TYP2 ACCTCOND PYMT STATUS BALANCE PYMI' LEVEL MOS REV PYM'l' HISTORY MON',I.'1:t PAY PMT DUE MroCIMUM BY MONTI{ ----------------------------------- * CONSERVE 1981249 YC COL 2049343 2-07 $S25-0 1 1 1-05-09 $763 5-07 $763 ORIGINAL cMDITOR: MEDICAL PAYMENT DATA COLLACCT (21) GGGGGGGGGGGGG GGGGGGGG *GULF COAST COLLECTION 2961005 ye eOL 1 1 2349574 1-07 $160 ORIGINAL CREDITOR: MEDICAL PAYMENT DATA 10-06 1-02-09 $160-0 $160 COLLACCT (25) GGGGGGGGGGGGG GGGGGGG--GGG *:KANSAS COUNSELORS 9981000 YA COL 1 1373134074180 4-06 $112-0 1 12-31-08 $112 7-06 $112 ORIGINAL CREDITOR: MEDICAL PAYMENT COLIACCT (30) GGGG---GGGGGG lO-06/G --G---GG-GGG DATA BCLG D~S 1019699 ++ H-+ MORE WO~CK.CLYDE 40e064020;CA-159~ SERENITY CIRCLES/34110; ..0- In Balance ..e 12268 Tamiami Trail E' Suite 301' Naples, FL 34113' 239-774-5100 PAGE 2 D~TE 2-02-2009 TIME 10:34:21 V501 TFLT SUBSCRIBER OPEN SUB# KOB TYl' TRM ECOA BALDATE ACCOUNT # LAST PD AMl'-TYPl BALANcE MONTH PAY ~-TYP2 ACCTCOND PYMT LEVEL MOS REV PAST DUE MAXIMUM PYMT STATUS PYM'I' HISTORY BY MONTH *PROFESSIONAL ADJMNT CO 1982445 YC eOL 1 1 630671 8-06 $261 ORIGINAL CRED~TOR: ~~DICAL PAYMENT DATA 5-06 8-21-08 $261-0 $261 COLLACCT (25) G---G-G------ G-GGG-GGGGGG *PROFESSIONAL ADJMNT CO 3-08 $102-0 1962445 YC co~ 1 1 8-21-06 $102 629035 6-09 COLLACCT ( 3} G-G $102 ORIGINAL CREDITOR: MEDICAL PAYMENT DATA *Neo FIN/22 1986216 YC FCO 8074138 9-05 ~6, 139-0 cOLLA.CCT 1 1 4-05-08 ~12r935 9-05 (32) GGGGGGGGGGGGG $12~935 9-05/G ------------ ORIGINAL CREDITOR: NCOP-l?URCHASER FROM CITlBANK *MSCB INC 4-07 $1,979-0 1972205 ZB COL 1 1 10-23-07 $1,979 11140560005031452 ORIGINAL CREI>J:TOR: MEDICAL E'A~T DA1:A COLLAce'!' 10-07 ( 1) G $1,979 '" AMEX 1229200 Be CRC 0111 7626501938 11-84 ~12-H CLOSED CURR ACCT 1 1 10-19-03 $12 10-03 (99} BCCCCCCCCCCCC UNK CCCcCCCCCCCC ** ACCOUNT CLOSED AT CREDIT GRANTOR'S REQUEST ** *CITI 1240000 He CRe REV 542418017290 9-96 3 4-30-02 12-01 t<* ACCOUNT CLOSl!:D .A.T $O-L $0 12-01 CLOSED CURR ACCT (44) BOOOccccccccC ccoccccccccc CONSUMERrS REQ~ST 44 7-05 PAID CUR WAS 30-2 (4S) BCCCCCCCCCCCC ~-02/1 CCCCCCCCCCCC *NATIONAL CITY BANK 2104133 BB REC 60 8912294 7-01 2 7-31-05 7-05 $11,355-0 *GEMB/LUNDSTROM 1175660 BB CHG REV 504662020036 11-97 $1,400-L $1,110-H PAID ct1R WAS 30 2 10-17-08 10-08 (99) 6000000000000 10-05 4-02/1 000000000000 ** ACCOUNT CLOSED AT CREDIT GRANTOR'S REQUEST ** BCLG DTS 1019899 +++++ MORE WOMACK, CLYDE 408064020;CA-1592 SERENITY CIRCLES/34110; ~ In Balance .0- 12268 Tamiami Trail E . Suite 301 . Naples, FL 34113 . 239- 774-5100 PAGE 3 DATE 2-02-2009 TIME 10:34:21 V501 TFLT SUBSCRIBER OPEN sun# KOB Tn' Tt'.M ECOA BJ\LDATJI: ACCOUNT # LAST PD *HOMEBJ\NC MORTGAGE 3906120 FM R/c 25Y 22329114. GEMB/LOWES 1607340 LZ CHG REV 798222210193 A)fl'-TYPl BJUANCE MONTH PAY 7-04 $211,350-0 2 1-31-07 1-01 11-00 1 10-08-08 4-04 RADIO/CBSD 8-01 1398281 ZR CHG REV 1 5-13-04 173850005453 $O-L $2,40Q-L WACHOVIA!SOUTHTRUST MT 5-96 $164,000-0 1996380 FM R/c 29Y 2 12-31-01 4147400 *BP/cBSD 5-97 1232890 BC C~c REV 3 11-08~Ol $300-L AMT-TYP2 ACCTCOND P"YMT LEVEL MOS REV PAST DUE MAXIMUM PYMT STAl'US PYMT HISTORY BY MONTH 1-07 $1,182-H 10-0B $4SS-R 5-04 12-01 11-01 P~D CU~ WAS 30 (29) BCCCccccccccc CICCCCCCCCCc PAl D CURR AceT (99) BOOOOOOOOOOOO 000000000000 PAID CURR ACCT (35) BOOCCCCCCCCCC cccccccccccc PAID CURR AceT (25) BCCCCCCCCCCCC CCCCCCCCCCCC PAID CURR AceT (13) BOOOOOOOOOOOO 586203 ** ACCOUNT CLOSED AT CREDIT GRANTOR'S REQUEST ** CHRYSLER FINANCIAL 1630062 FA LEA UNK 9200060 *CITI 1248740 BC CRC REV 525650030003 9-98 2 9-30-01 8-01 1 ].-21-09 1-08 $11,413-0 $3,000-L $0 $15 9-01 $3,085-H 6-07 $1,542-H 5-07 PAID CURR ACCT (37) Boecccccceecc cccccceceece OPEN CUR WAS 30 (91) ooooooooooooc CCOCCCCICCCC -EXXMBLCITI 1402260 oc eRe REV 7302B5041008 6-02 $2,050-L 1 1-21-09 $260 1-09 $50 ** FCBA DISPUTE RESOLVED - CONSUMER DISAGREES ~* OPEN CUR WAS 30 (22) cccceeccccccc CCCCCCCCl BANK OF .AMERICA 1230206 Be eRC REV 4005 BCLG DTS 1019899 8-01 3 1-24-09 1-09 $27.700-L $1,733 $30 $8.063-5 1-09 OPEN CURR ACeT (55) ceccccccCCCCC cccccccccccc +++++ MORE WOMACK, CLYDE 408064020;CA-1592 SERENITY CIRCLES/34110; -0- In Balance ~ 12268 Tamiami TrailE' Sune301' Naples, FL 34113' 239-774-5100 PAGE 4 DATE 2-02-2009 TIME lO~34:21 VSOl TFLT SUBSCRIBER OPEN SUB# KOB T'tE> TRM ECOA BALDATE ACCOUNT ., LAST I?D FIM'r-TYPl BALANCE MONTH PAY AMT-TYP2 ACC~cOND PYMT LEVEL MOS REV PAST DUE MAXIMUM PYMT STATUS PYM'I' HISTORY BY MONTH eRAS!!: 5-99 $l9,lOO-L $7, 263-H opEN CURR ACCT 3182310 BC CRC REV 3 1-16-09 .$5,611 1-09 (95) CCCCCCCCCCCCC 441712249556 1-09 $132 CCCCCCCCCCCC HsBC BANK 6-00 $6,600-L $4, 571-H INACTIVE CURR AceT 2218290 BC CRC REV 1 10-15-01 $0 10-01 (17i OCCCCCCCCCCCC 545800451027 10-01 CCCC ____________________------------- INQUIRIES ---------------------------------- FAC 1-08-07 19'/5630 FR R/E CONSUMER ASSISTPaNCE CONTACT: EXPERIAN 701 EXPERIAN P~Y, PO BOX 2002, ALLEN, TX 75013 666.391.3742 END -- EXPERIAN ~ In Balance ~ Buildtng Yow Business a Better Bottom Line .Recogoized Credit Retx>rting Agency 12268 Tamiami Trail E' Suite 301' Naples, FL 34113. 239-774-5100 The information you ~ is provided below. The infonnation providrd was gathc:ted by t1ri:rd party SOtltceS not affiliated with In 'RAl!\ftM, Inc. The illfomlation proYidcd has not been. ~ by In BaJauce, ~, and tbcmforc. ~ty for its 8CCUDCY. ~ and tile DJaIJIIa' in wbich it was gaIbeftd restS uttim8lely with the tbird party sourc;es DOlWit~wg In Balance, Tnc.'s exetcise ofreaso~ calle in ~ said tbird party SlOII:tteL Business Credit Report Summary All ttiformation contained below is accurate and tI1le as oj the indicated search date Name of Company: Unique Lighting it Design, Inc. FBI Number: 59..3690513 Reference (if necessmy): Clyde Womack Search Date: February 3, 2009 Searches Requested: Credit, Liens, Judgments and Bankruptcies A search of local, state, federal, md _tionll databases on tile above MDtpa.y ge.erated the folowing results: LQCA 1JQ.N DATE AMOUNT ALL SEARCHES FOR LIENS, JUDGEMENTS AND BANKRUPTCIES PROVED NEGATIVE ~ In Balance ~ 12268 Tamiami Trail E . Suite 301 . Naples, FL 34113 . 239-774-5100 ....n... Cndt Raport - UNIQUE. UGKt1NG & DESIGN. we. Subcode: 515210 Ordered: 0210312009 14:24:08 CST . '11 . :u: Experiarr . . . !t. ~'" of kwiight Transaction number: C037141019 search Inquiry: Unique Lighting & Design, Inc. / NClpJes I FL I Sg369051.3 Company Information II uruque UCMfTING . D.uGW INC. 2060 1MPERIAL ClR. NAPU!S, f\. 34110-1036 1 (239) 593-.4570 I ........ld.ntHka.... ~ b..-.... FIe ~ ~ 11I11 r....... SIC CJad.: I 73735.80751 06/2000 ElECllUCAL WORK - 1731 I . Matching Name and Address !11tis bwines5 iSlIrtbd ~ 1M OM dispWpJd 8bt;wr!t, 1bf! ~ 9ftOIS UI& bMt l'IIeW of rile ~ I UlUQU! Lm"TD16 ... ~_ 1"(; J 1S8O W CROWN pOlNTE avo I MAlUS. Fl. 34112-3608 Executive Summary P(,><;"':lrf" 11[ ,~, Order Bl.lsineH OWner Profile Order Puplic Record Legal Filings and Collections Banf<ruptcy 1IIngs; Till( lien filings: Judgment filings: Totat collections.: SI.m of t.g8J flings: UCC flings: Cautlonaly UCC .... present? o o o o SO o No Additional infotmatlon ~ ~ .....hIe on this business. other reconvnended seerches: Trade Information Mont~ werage DBT: Highest OBT prwtous 6 rnonth8:" Highest 08T praYious 5 quartens: Total continuous trades: Current continuous trade balanee: Trade balanOQ of all trades (4): Average balance previous 5 quarters: Highest credit amount eo<tended: 6 month b81anoe range: o o o 1 SO $5.000 SO SO $0-$0 T(l4I . Trade Payment Information --e In Balance -0- 12268 Tamiami Trail E . Suite 301 . Naples. FL 34113 . 239-774-5100 ....noe c.... 1-30 31-60 61-90 91+ ComlMftts . .12:/2004 . CREDIT $II ACCTCLOSED -.we .:.::.. 1~'RII__ .'.1" It . .. . Ne-ftIy R.epoMd .. 0 . . . ." TIiIlIlkI..inllST"'. 1 '::,' .' Additional Payment Experiences ......... Qrr 1-10 31... 11-90 t1+ CoInments '$0 · DIJT:D DeT: I ~, ':'.,' '- -=0 BaIIIftICIl Cur 1-30 31-60 U.... 91+ Co......... CItED ("AIU) 12/2008 12f2OO4' POOL EQUIP 08/2006 I Wttt.$E "fRAD 01 f1OO$ . CRBXT . 2/1ON30 IIII!'f . $5.* . $0 ....$C)..' . l00"'OIAR.aa:OFF . COST 6 YR Company Background Infonnatlon Key Personnel P\I 1....1(.). WAYNE TAUSIS, OWNeR I Operating Information Pr"'-Y SIC code: fLf.CTtUCAL WORJ( - 1731 I' ,.....1" ...1....; l3 Num..... at f!mp~: 5 I -....: $750,000 ~ pridrIs ibJaIf on tile depfIJ and ~ 01 the de", maIrrfMned on OU7da~ Reporting your castamer'e,.ym<<Jt beltevial" to &perIen .. tIJttheT...".. MId en/JMCII the poww at the infonrtatJon awllable fOI' IIJIIIdIIg ~d cndt decIeIone. Give awJitvthele C/IfI1tIlt,. ... Cd 1-80Q..520..122f, opfIon Hfrw mot8 lnIiomJellon. End of report 1 of 1 report 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.coID j.,r~\~t~','~..~... {2~~!"-"'.<~~;~\ ~~; ~...~.,~' ~~ F~~ ;;~ :~) ~~' ". ~ ".- . ._~. . i ", ,-'-" ."'.. ,/.} . ' ~ " " ~ ....,:.~::.'i(' ^W.I.';~~~'/' COLLIER COUNTY BUSINESS TAX RECEIPT APPLICATION CHECKLIST _.___ Copy of Articles of Incorporation and/or Fictitious letter from thc State stating that your husiness name is on file. tK50-245-o052 or o05K) www.sunhi/.org Yellow Fire Compliance (list of fire distnct phone numher enclosed) _.._~ Copy of MarCIl Zoning Certificate. t2.,9-3H9-5(00) __ Copy of State license from Department of Business and Professional (H50-4K7 -1395) or Department of Health. (K50-4]O-3359) _~__. Completed Zoning application with appropriate fee made payable to: Board of County Commissioners. __ Copy of City Business Tax Receipt. (239-213-1 HOO) ____ Completed Business Tax Receipt application with appropriate fee made payahle to: Collier County Tax Collector. (239-252-2477) __ Copy of Motor Vehicle Repair Registration Certificate from Department of Agriculture. (WO-435- 7 352) Other: _ Copy of Health inspection from Department of Hotels and Restaurants (850-487-1395) or Department of Agriculture. tHOO-435-7352) _ Please contact the Property Appraiser's office at 239-252-H 145 regarding tangihle tax. Date: Classification Code Number License Amount CHEC){ ONE: ~ginal Application Transfer of License # Renewal of License # I) CORPORATE NAME - I a) DBA NAME - I b) 2) BUSINESS O\WfERrOR QUALIFIER'S NAME - {! 1 WE f)4m~ t..,JIJ/I//!<I< PHYSICALADDRESS- J~ SEKrAJ/7 (!/,f I ?l~'ES/ rL j~//O (No P.O. Box allowed) IS RESIDENCE USED AS AN OFFICE - V- Yes No BUSINESS MAILING ADDRESS - 159t SrA'f"IJ/1J' 6,f.) >>.lIIE~ 8.. .:?~//lS Street City Zip 4) .JJl\'rll!]ll 6R QUALIFIER'S RESIDENTIAL ADDRESS -/S~ -=Z(' 'j /;;~S;Ii- ~'II/ j 5) TELEPHONE - Business: f.- ~9- 6 f /- / d I Home: - - - - -~ - .--- --- 6) LEGAL FORM OF BUSINESS: _Sole Prnprietorship____Partnership_ Corporation _~,C __ LLP 7) OPENING DATE OF BUSINESS OR DATE ASSUMED - 3 - / - /009 8) OFFICE WITHIN CITY LIMITS OF NAPLES - _ Yes ~o If Yes. City License No. Y) SOCIAL SECURITY NO. or FEDERAL EMPLOYER IDENTIFICATION NO. ,/0 g ()~ - I/()~O TYPE OF BUSINESS CONDUCTED: 2a) 3) 9a) 10) 1 1 ) NUMBER OF EMPLOYEES - Including of number of owners: FILL IN THE APPROPRIATE AREAS- 'see hack or application for explanation 1l1tJ-.s~ El..~ ~<i> f2. j / a) Rental units (motel/hotel/apts.) Number of units: b) Seating Capacity (rest./cafes. de.) Number of seats: c) Number of coin-operated machines owned by business or individual: ...... 12) STATE LICENSE OR CERTIFICATION NUI\I8ER - Must han photo copy of state license if-StateIiCensed~certified---------~---- U:\iDER PENALTIES OF PER,fl'RY, I DECL\RE THAT I HAVE READ THE FOREGOING DOCl':\1ENT AND feTII'" TilE "AC,r~ ~'I~;\n..:~>.IN,1T ARE..TRl.i.f..:.n. > THf.: R..ES'I....(.>f.'.'..1\' K.'.N..'().W. U.:DGE. ",\I'!'I.IUN r S SlC,NAI URE, c.-i.L~ ---D~ I>ATE,_L-D_-fl:()'l i< hI I\CJ' ,lIlli/"J' Il'pJ'l"t"l1tatilc "t hll,iness) TITLE: '!"~"21CJf- u_ . _ ___ ___ _.___ . "'***THlS LICENSE IS N01'l-REFUNIHBLE FOR HliSINESS STATED ABOVE**** COLLIER COUNTY GOVERNMENT ZONING & LAND DEVELOPMENT REVIEW WWW.COLLlERGOV.NET/ZONING 2800 NORTH HORSESHOE DRIVE NAPLES, FLORIDA 34104 PHONE: (239) 403-2400 EXT. 5603 FAX (239) 530-6286 LAND USE AND ZONING CERTIFICATE HOME OCCUPATION 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. APPLICATION DATE ZONING CERTIFICATE # APPLICANT'S PHONE 139- .15'1- 10~5 tJl? APPLICANT'S NAME (!J)?)t: f)IlY/lE tJom/lce APPLlCANT'SHOMEADDRESS /5fj~ SERE71/1"/ (1/,R- ) 7J#I'LE5,) TYPE OF BUSINESS TO BE CONDUCTED f'/Ecr~/C/l J (l1J7J~,t}c/OR tJIJY?J[ tJ04//!a L)('. ~39- 6~/- /1.1/ , 8. :?W/t' BUSINESS NAME (IF ANY) I, the undersigned, hereby affirm that I am the legal owner of the property at the 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 LDC Section 5.02.00 "Home Occupations" (see back of application). APPLICANT SIGNATURE ('.;(~ t)~ FEE: $50.00 CHECKS PAYABLE TO: "BOARD OF COUNTY COMMISSIONERS" DATE /-~5-~()()9' 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). , INSTRUCTIONS FOR COMPLETING NOTICE OF ELECTION TO BE EXEMPT IMPORTANT INFORMATION: Onlv 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 httpl/www.fldfs.comIWC/ 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." SEeTION 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,sunbizorQ/. 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. SEeTION 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 applicant's 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 (OBPR) as required by Chapter 489 F.S. Contractors are required to obtain a certified or registered license from OBPR. If you need additional infonnation about OBPR licensing requirements, please contact OBPR at (850) 487-1395 or visit their website at htlo:/lwwwstate.fi.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. SEeTION 6. number. SEeTION 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 which 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 tenn "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 aoplicants. Non-construction industry aoplicants do not need to complete this section. 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: If the applicant has submitted an electronic payment for the application, the applicant must list the transaction confirmation . 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 swom 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 PUBUe: 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. , Please thoroughly read the instructions before completing this application. Print legihly 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. NOTICE OF ELECTION TO BE EXEMPT SECTION 1: Applicant Name (please print): Applicant's E-mail address (optional): CI. !lJ)[ tJ / tJO/Jl# '1()~ / /)~ '1()~O tJtJOmlfC K ~ I ~ a..oL... - CtJnt Applicant's social security number: SECTION 2: I am applying for exemption as a (You must check only one box in this section): CONSTRUCTION INDUSTRY ($50 FEE REQUIRED) o Officer of a Corporation (Title): 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. -OR- ri'mber of a Limited Liability Company (LLC) ) 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: FEIN: Phone: ( Business Name: IF APPLICABLE _ LIST FICTITIOUS NAME; DOING BUSINESS AS (DBA), ALSO KNOWN AS NAME (AKA) Applicant's Address of Record: /S r.f Sf i'C/J/rV (1 J.(. INCLUO'i;.lPARTMENT OR SUITE NUMBER 3. County: eo/!//R 4. City: '71PJf~ Scope of Business or Trade: I.Rr" rlE~~ ttJJ]:; State: FL. Zip: .3~// () . 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 numb;fs held by the qualifier for the corporation or LLC listed on this application of which the applicant is a corporate officer: C; 00/5 l' ~9 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 ~ IF YES, PLEASE LIST THE NAME(s) AND FEIN(s) OF THE AFFILIATED CORPORATION(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 of a limited liability company, the applicant must confirm ownership of at least 10% of the company. THE REQUIRED OWNERSHIP MA Y BE ESTABLISHED BY PRODUCTION OF DOCUMENTATION 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 - - - - . ~.- ~ ..., NIIIC . ..... of RorIfI NOTICE OF ELECTION TO BE EXEMPT- · '.., C..... bplm Juft S. 2011 COlIIIlIHIII . DO 112011 FRAUD NOTICE - -- - - -- SECTION 9. 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 guilty of a felony of the third degree. S. Attestation of applicant - By signing below, I attest that I have read, understand and acknowledge the foregoing notice. C.()~ '- ) (/>Yl~ SIGNATURE OF APPLICANT . SECTION 10. You must identify the workers' compensation insurance carrier that covers any non-exempt employees of your business. Carrier Name: AFFlDA VIT OF APPLICANT: I hereby certify that the information 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 corporations as provided in ~440.02 Florida Statutes. (), iJu/l/Z tJ/~d ./ APPLICANT'S SIGNATURE 610 E. Burgess Road Pensacola, FL 32504-6320 Telephone (850) 453-7804 3111 S. Dixie Highway, Suite # 123 West Palm Beach FL 33405 Telephone (561) 837-5716 Live Oak Business Center 5969 Cattlemen Lane Sarasota FL 34232 Telephone (941) 329-1120 1313 N . Tampa Street, Suite # 503 Tampa FL 33602 Telephone (813) 221-6506 400 West Robinson Street Room #512, North Tower Orlando FL 32801 Telephone (407) 835-4406 or (407) 245-0896 499 Northwest70~ Ave, Suite # 116 Plantation FL 33317 Telephone (954) 321.2906 1111 NE 25~ Ave., Suite # 403 Ocala FL 34470 Telephone (352) 401-5350 1-:f- 2dci1 , DATE SIGNED 401 NW 2nd Avenue Suite #321, South Tower Miami FL 33128 Telephone (305) 536-0306 TALLAHASSEE SUBMITTERS Walk-in submissions. 2012 Capital Circle SE Suite #102, Hartman Bldg. Tallahassee FL 32399-2161 Telephone (850) 413-1609 Mail in submissions. 200 East Gaines Street Tallahassee FL 32399-4228 Telephone (850) 413-1609 "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." NOTARY STATE OF FLORIDA, COUNTY OF Col \1 er Sworn to and subscribed before me this~ day of~, dCOY. , by Cl'l de '/Va" nQ.. \N ~().L ~ Personally Known OR Produced ldentification~ Type ofIdentification Produced V\J5C}.O \ ~.t1. NOTARY SIGNATURE ~~ My Commission Expires 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, FL 32209 Telephone (904) 798-5806 OWC 250, NOTICE OF ELECTION TO BE EXEMPT - REVISED 01/2008 tc Isl ~O" STATE USE ONLY Effective/Issue Date: Expiration Date: Control Number: Postmark Date: Payment Number: Received Date: .. -} 239 59B 2142 The Hartford Fax 0...0 Page BB4 Feb B2 2BB9 14:57:B1 ACORD,.. CERTIFICATE OF LIABILITY INSURANCE MPV DATE PIDC 02 - 02 -2009 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION NORTHEAST AGENCIES INC/PHS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR 210619 P: (866) 467-8730 F: (800) 308-5459 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 301 WOODS PARK DRIVE INSURERS AFFORDING COVERAGE CLINTON NY 13323 INSURED INSURER A: Hartford Casualty Ins CO INSURER B: WAYNE WOMACK LLC INSURER c: 1592 SERENITY CIR INSURER D: NAPLES FL 34110 INSURER E: COVERAGES THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POUCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAlO CLAIMS. 'm: TYPE OF INSURANCE POLICY NUK!l8I '::ftiY EFFECTTVfi POLICY EXl'lRATION UMlTS ~IIERAL UABlUTY EACH DCCURRENCE .1.000.000 A - OMERCIAL GENERAL LIABILITY 01 SBM NK7822 06/25/08 06/25/09 FIRE DAMAGE (Anyone rife) .300,000 - CLAIMS MADE 00 OCCUR MED EXP IAny one person) .10.000 X General Liab PERSONAL & ADV INJURY .1 000 000 GENERAL AGGREGATE .2 000 000 n'L AGGRE~ LIMIT An PER: PRODUCTS - COMPIOP AGG .2 000.000 POLICY X ':1l!?1' LOC ~TOMO/lILE UABlLJTY COMBINED SINGLE LIMIT . ANY AUTO tEa accident) f-- f-- ALL OWNED AUTOS BODILY INJURY . f-- SCHEDULED AUTOS (Per person) - HIRED AUTOS BODILY INJURY . NON-OWNED AUTOS IPer accident) - - PROPERTY DAMAGE . (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT . r:i' ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG . ~~SS LIABILITY EACH OCCURRENCE $ I OCCUR L CLAIMS MADE AGGREGATE . . r=:1 DEDUCTIBLE . RETENTION . . WORKERS COMPENSATION Ar.D I T"X~.;r ~,V;, I lo~- EMPLOYERS'LlAB/LITY E.L. EACH ACCIDENT . E.L. D'S EASE - EA EMPLOYEE $ -- E.L. DISEASE - POLICY LIMIT . OTHER DESCRIPTION OF OPERA TIONSII.OCA TTONSNEHlCLESIEXCLUSIONS ADDED BY ENDORSEMENTISPEC/AL PROVISIONS Those usual to the Insured's operations. CERTIFICATE HOLDER _._~ ADDITIONAL INSURED; INSURER /.ETTER: CANCELLATION 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 (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR L1ABIUTY OF ANY KINO UPON THE INSURER. ITS AGENTS OR REPRESENTATIVES. Collier County Licensing Dept 2800 HORSESHOE DR N NAPLES, FL 34104 AU1110 SEfiT A TIVfi ' (.1..'Z- /1/"7 (l....1-l /~~ ACORD 25-S (7/97) ~ ACORD CORPORATION 1988 C~OLLIER COUNTY BUILDING REVIEW & PERMITTING CONTRACTOR'S LICENSING 2800 N. Horseshoe Drive · Napl~s, Florida 34104 · (239) 403-2432 · Fax (239) 403-2469 February 4, 2009 Hand Delivered Robeli Hammond 270 Grassy Key Naples, FL. 34114 RE: Contesting Citations Dear Mr. Hammond: You have been added to the agenda for the Contractors' Licensing Board meeting on Wednesday, February 18, 2009. The meeting is held at 9:00 a.m. at the W. Hannon Turner Building (Bldg. F, Admin. Bldg.), 3301 E. Tamiami Trail, Naples, FL in the Commissioner's Meeting Room on the 3rd floor. Ifthere are any questions, please call (239) 252-2909. r;e:. ,___'Om. S'erely, , ,/}, J /' #' / / , //,1 if iO /'; h nr> .y y /<--A..../L.L~ '-..../K 'AU / ;c. c U'/'\ Jennifer Blanco lIstomer Service Specialist Contractors' Licensing c o l ~~ e . ... c:; - o .. .... 1: .v ... " ". "" , f, le<< COLLIER COUNTY \l:J BUILDING REVIEW & PERMITTING CITATION Pursuant lU section -I811.127. (3)(a). Florida StalU~s, the umkrsigned hereby certifies that upon personal investigation. helshe has reasonabk and probable grounds to belieye thatlhe person \'.'!1USC name appears bdow. as Issued Tn. did violah.' Subsedion 489 127( 1). Florida Statutes, and Cullier count". Contractor's Liccns.in~ Ortlinan...:c No. 97-6~ (as maY be amended from time to time) by comn;illing the violation stat~d below. ' Month- _~DaY ~~me,_ \AMfPlvl Issllcd To: Address City _ . T~Ic~:e No. J,m. Vchicle tvlakerrype (if applicabk) State Zip -Location of Violation Height OPTIONS I have been inforll1~d of the violation of which [ have been charged and ekctthe following option (Check one) 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 cerlificd mail or hand delivery an Administrative Hearing before the Contractor's Licensing Board. r\,,,,,'r;n!;nn "rVinlat;nn' ; . IIi., Dale Violation Observed i! Ziti ':<, b) reg'st~ant; , ,....--- ",,,~"''-U1JCm oul as a license, certifica'e holder or o Falscty IInl"'rsonate a cerlitic h eJ 0 Present as his own Ihe' t.t' ate older or registrant; d) 0 K' cer I leale or registrat' I' ,nowlng[)' give false or for cd evid ,'.. Ion 0 another: e) 0 l,sc or allempl to use a certi7iC'lt ' encc to the [3oard of a member thereof' r) revoked; . ' c or reglstralJon which has been suspended' or 0,. Engage III thL" hllSiIlcss or act in the C' ,,' bUSiness organization as av.1ihbl- t ap,~clly of a contractor or advcrtise 5"11' 0 contr t . I ' . t; 0 cng,agc Hl the h . . -. l:: r ac or wit lout heinrr duly"' . '- l uSJOcss or aCt in "I C'lF\ ,"( f g) 0 Of'''I'''' I " " rcglsh:red or certifi,~d' ' ." el Y 0 a " l' -- .'~- d ,C.I 1USIIlCSS organization en l' ., 'd' .' . 1(1:10\\ Illu tnL' (1't"min'lti ," gdgl: In l..:onlractlng after (00' l' ' ,,"I' " - ,on 0 Its only qu-lIifyi ' ~, ) ,.tys 11.l ti"')'ln:; "~C~l>l, except as provided in ~s 48~~ ~~~ntd\~t!lOut designating another primary , . ',ol11ll1cncc, or perfonn work f(Jr whic.. . an 89,! 195, f'londa S'atucs; O,'dOl)tc,d slate mll1imum buildill': code \ ,'t~ ,I bUII~lI1g permit ,s required pursuant to un ;1 \\dlJullyordeliberatclvdl:r".'1 ',' outsuehpcrmltbeingineffeC' or uncertifi ! ' .., cg,Ut or vlllhlc 'my C II' C .. - , '." ,el. (~r unregislcred contractors, ". 0 ,er ounty ordinance relating to .\ j-.H":l<:;\.m (J!" b!.l;~lllC:';S "n- ".. . . ... . _ . .. OIc<lfllltlt!Ofl opcntllltT . -' 'Cb~:~tr.!I10n, or ofk'raling bl..'vonu the ""C': _ c on an Illac!tvc or suspemkd cenific'lk or :~~~:.:'~~~..::~y eerti'iet! or rc~i;:~~;~ work or geographie.'lI se:lpc of the' ."~~-- SJCi:",,\671~'!,: IREClI'fLi':T) SIGNArUliE IfN\TSTIG;\TOR) !'1-u~n IR[('fPILNT"S N,\,\IE) , PRINT (INVESTfGATOR'S N,\I\[Ei I ll! ~U;lllt 10 4~l}.127. Florida Slatues w' . .'. . a 11l1....(k'mC~lIh)r (r I ' '" _ .. dllul JL'l(l~al III sign and a" q I'" " . . 1'1 "d' r , ) 11c sCLOnd degree. l'unisl,.,I1" " . " I ,ccqH I d" Ut.ilUlIl consl;lutes 011 .I,")ldlllles. . c .IS j110\llCU 111 St...'ctltH) 775.0S2 nr 775.lJX3 (SEE REVERSE FOR INSTRUCTIONS) R::C1PIENT COpy r\tr.\ COLLIER COUNTY 'i\::: BUILDING REVIEW & PERMITTING CITATION Pursuant to seclion 489, [27, (3 )(a). f'luriu;\ StatueS, the unllcrsigned hereby eertilies Ihat upor personal investigation, he/she has reasonable and pmbable grounds to believe Ihat lhe perslH whose name appears below. as Issued To, did violate Subsection 4Xll 127( [), Florida Sta,utes and Collier county C<lIltraclor's Licensing Ordinance No.Il7-6g (as may be amended from lim to time) by committing the violation stated below. Month Dav I AMIPM Time Isstted To: Address City State Zip Height Telephone No. Location of Violation ~:'J OPTIONS I have been informed of the violation of which I have been charged and elect the following option (Check one) I) 0 [choose to pay the penalties of $ on the Citation. 2) 0 I choose nolto pay the penally and will request in writing by certilied mail or hand delivery an Adminislr.ltive Hearing before Ihe Contractor's Licensing [3oard. DescriptionofViolntionVl ri t-.ltNy\".L Dale VIolation Observed I j (Z lei'; a) D. Falsely hold self or bl,lsill~ss organization oul u., a Iiecnsc ccrtilic"le hold 'r 0 regIstrant;" . " c r b) 0 Falsely imp~rsollate a cerlilleate holder or registrant; c) 0 Present as hIS OW? the certificate or registration of ,,"olher; ~~ 0 ~n~w,"gl: gtve false or forged evidence to the Board of a memb~r thereof; go~e~; or ,lllcmpt to use" cerlllicatc or registration which bas been sU'ip~ndcd '" f) D.. ~l:~a~~,iil. tlh:. busincs:-;?r act in the capacily of a cUlllr~Il..:lor or advertise self buslI1css olg.\Il1zatloll as avaIlable to ~l1gagc in the. busirL'ss "j" 'lel i ~ " for contractor without being duly registered or cenifieu" I.. u, n a capacity n a g) 0 O~)~ra!c a busi.ncss organization engaged in con'lracting after (60) (1'1 's [oi!owltlglhc.h:rmlnalio!lpfil' I' .rr.' . ~. . .,). qualifying agcnL'x . ~ I" :-, ~)dn ~I 9U~11 Yll1g .tgcnt \\'Ithoul (,k~slgnatlllg anolher prin , ,c. ecp as provl Cu '" S5 489.119 and 4S11119S ['I 'I, S' .... h) [2] Commence or perform work f 'I 'h b'ld' ., -, om.1 , talUes. 'ltl\lpled stale minimum bu'ld' Odr ," ll~h a III IIlg permit is rcquir,~d pursuanl to ar i) tl \ ,. , . . 1 lIl,g co c, '\II out such perllnt b,,,ng m effect, or unc>r\t.lf~lfdUll} or deliberately disregard or vio[ate any Collier ('ountv ordinance p'latin' C I Ie or unregistered contractors. ~ -. ;~i;~~;~l';\)~ ~~~~~;~t~I~~,~~zat~~n ~~erali~g on"'~ inactino or suspended wtilicatc or ,. 't..'. g cy~". I ~ scnpe of \\01 L or gengraplllcul scope nr thl' reglS ratIon, IS not duly cerllhed or registere~l. ' S[GNATURE (RECIPIENT) SIGNAll}RE IIN\'ISlIC'i\lORI PRINT (RECIPIENT'S Ni\"'IE) PRINT (IN\TSTKi/\TC)R 'S ;-':,\1\1 ~:~~;~~~~:nl~'.\~~~'11~7, ~Iorida SlaWcs, \\'il[rul rcfu"d tn sign and acccJlt Ihis citation C,,'1St! 'I'I 'd S' l thl: second (kgr~C". pUIll~hahk as pr()\"id~d in :-.cc!ion 77S OS' 77" . on il. latulcs. -' . - \)r ..' (SEE REVERSE FOR INSTRUCTIONS) RECIPIENT COpy CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA BOARD OF COUNTY COMMISSIONERS COLLIER COUNTY, FLORIDA, Contractors' Licensing Board ) ) ) ) ) ~ / ) CASE NO. 2009-04 ) ) LICENSE NBR: CPC1456893 Petitioner, Board of County Commissioners vs. Raymond Berube 0/81 A Berube Brothers Inc. Respondent (s) ) ) ) ) ) ADMINISTRATIVE COMPLAINT The Contractors' Licensing Board of Collier County, Florida, (hereinafter Board), files this Administrative Complaint against, Ravmond Berube, d/b/a Berube Brothers Inc. (;hereinafter Respondent), License Number CPC1456893, and says: COUNT I 4.2.2. Willfully violating the applicable building codes or laws of the state, City or Collier County. COUNT" COUNT III COUNT IV COttMf of It is determined that the above stated charges are grounds for disciplinary action under Ordinance 2006-46 of Collier County, Florida, as amended. Dated: February 3,2009 ;JJL lLd , Director or his/her Designee Collier County Bldg. Review & Permitting . . --CASE SUMMARY 2009-04 ____~____~__Qualifier:_R.aymond.Bembe D/B/A Berube Brothers Inc. This complaint was filed by John & Janet Vanroden, address of 7009 Rue De Vanroden, on Jan. 12,2009. It is filed against Berube Brothers Inc., State Certified pool contractor who had a contract to install a swimming pool. The qualifier and owner Mr. Raymond Berube was in charge of the installation. You will here testimony from the complaint Mr. & Mrs. Vanroden, as to the pool was never completed by the contractor, even after several calls were made to there office. The pool has still not been completed. It has two failed inspections on record on permit number, 2008050994. (Exhibit E-12 / E-13) Our office has made several attempts to contact the Qualifier Raymond Berube, with no response. Two Certified letters were sent out on January 14, 2009 to his place of business on record, and to his home address of record. Table of Contents -------~--_._-_.~---_._..- CLB Case # 2009-04 E-l/ E-2 Formal Complaint filed by Contractor Licensing Supervisor E-3/ E-5 Certified details of the Qualifier Raymond Berube, DBA Berube Brothers Inc. (CC # 27696) (CPC # 1456893) E-6 Photo of record for Raymond Berube, Qualifier # 13544 E- 7 / E-11 Copies of contract with Berube Brothers Inc. E-12 / E-13 Copies of Collier County Permit and Permit History E-14 / E-15 Copies of Certified Letters sent to both addresses E-16 Copies of Certified Receipts, with returned receipt request CONTRAeTORS' LIeENSING BOARD 2800 N. HORSESHOE DRIVE NAPLES, FLORIDA 33942 - - - eOMPLAINTNUMBER tio()f ()l/z~- COMPLAINANT: ANY PERSON WHO BELIEVES THAT A CONTRACTOR HOLDING A STATE CERTIFICATION OR CERTIFICATE OF COMPETENCY HAS VIOLATED CO~LIER COUNTY ORDINANCE NUMBER 90-105, AS AMENDED, MAY SUBMIT A ~WORN COMPLAINT TO THE CONTRACTOR LICENSING SUPERVISOR, OR HIS/HSR DESIGNEE. THE COMPLAINT SHALL BE IN SUBSTANTIALLY THE FORM PRESCRIBED BY THE eONTRACTOR LICENSING SUPERVISOR. THE COMPLAINANT SHALL PAY A FEE OF $50.00, TO DEFRAY 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 OR TYPE AND RETURN SIGNED eOPIES OF THE COMPLAINT. DATE feA. .~ DJ(J(}9 AGAINST: CONTRACTOR'S NAME: RIl tildA//) I3EI2I1A ~ BUSINESS NAME: B~A.V& ~1t411')/lll.J $NC. LICENSE NUMBER IF KNO~: CPC /1/,{"' f93 COLLIER CO. COMPETENCY #: :; 7 ~ ? t . CONTRACTOR'S BUSINESS ADDRESS: 'Jf93 HJ1.A/A//X 1Ji./I/L #..03 MJIc,es ~t.. ~ t!11'l-f'Y-/7 PHONE: Jt~- J~rCL FILED BY: NAME: fJtUAJ Id~AlUL/1X HOME PHONE: J.JrJ"'!) fl6? ADDRESS: /) ?()() jf/. //t)ULsllN. 11'.'/1/,( BUS. PHONE: (}.f~ - ;J t/, r' ADDRESS WHERE WORK DONE: ')tJ() fj /JUt! IJ~ #Ii/lt;.vis CITY :-'lA/JL/ I' COUNTY CtJ(..t./bll. DATE OF CONTRACT 3 -I ?-() S7 'DATE JOB STARTED ,- J ~ -0 f DATE JOB COMPLETED OR NEW HOME OCCUPIED IJIIAJ 161.J.1ir WER~ THERE PLANS AND SPE~ICATIONS? Y4r IS THERE A WRITTEN CONTRACTrY~S IF YES, AMOUNT OF CONTRACT ~~J'2)O HAS CONTRACTOR BEEN PAID IN FULL?..N!L- IF NOT, WHAT AMOUNT? WAS A BUILDING PERMIT OBTAINED?~~~ WHO OBTAINED BUILDING! PERMIT? tlJAJrflAc.-n1l PERMIT # IF KNOWN,2()() ?/J~.fi'llf HAVE YOU COMMUNICATED BY LETTER WITH THE LICENSEE? !;hAIr rlll{) atll17 1~7T'I6IJ..S DATE l-/~-o9 DO YOU HAVE HIS REPLY?~" 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 SUBSTAf.fTIATE yot.ffi.-ALLEGATW-NS.---r;IsT f>.Ny- 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) 1./. ~. do . UI/ " ~()a If 1//0 L.,j)'//J/~ rIK 11/ PL/t:-A4tL /1tJ/u1:U/J (;Q f),{.f dfL tIJw! {)f TilL t?17J-1#. c/rt/ Ill'- ./ c/)Ut~/l (8t1UJ'I. PLEASE STATE THE FACTS WHleHYOU BELIEVE SUBSTANTIATE YOUR CHARGE OF MISCONDUCT AGAINST THE SUBJECT CONTRACTOR: (LIST FACTS SEPARATELY FOR EACH SUBSECTION NUMBER ABOVE) if. J.:J. I/-AS )//)1' f/A//d'kIJ fJ()4l J C4/J~ t//iJUI1r/&IlIr.) ./ . IJvlJ ui/J( A/or l2~f/JfL"f/ Cl'Ja.S 7l) ~,< 4~ .. .... kY~p J )I~I{/ fJd4l. ClJII/JrI4IVI)/L,:Tb ~/tAY,6 (IF ADDITIONAL SPACE IS~ U~~SHEET) (COMPLAINANT'S SIGNATURE) ~b~~y O~F Jg1ft,/1ft Sworn to (or affirmed) and subscribed before me this J? day of ~~8nIJAIJ. t( ,~, by (JLlelf/ /.leuAJerre- . (name of person making statement) ~J' .'4~Z ~or~' Notary Public Slale of Florida Jennifer E Blanco My Commission 00514564 Expires 0210512010 PRINT, TYPE OR STAMP COMMISSIONED NAME OF NOTARY PUBLIC) Personally known~r Produced identification Type of identification produced COMMUNITY DEVELOPMENT AND ENVIRONMENTAL SERVICES DIVISION Contractor Licensing Department 2800 North Horseshoe Drive . Naples, Florida 34] 04. 239-252-2431 . FAX 239-252-2469 AFFIDA VIT Collier County Contractor Licensing Case No.: ;)O()f- 0 ~. Date of Statement: J... /).-0 ? Victim's Name: JOIIAl f- :J:)J,U~7 Y/JA)/(OJ}6AJ I, Iff( I-HiJ'. I/)}AlIJ O()~~ do hereby voluntarily make the following statement without threat, offer of benefit or favor by any persons whomsoever. /-1 COLLIER COUNTY BUILDING REVIEW & PERMITTING CONTRACTOR'S LICENSING _~______ -_._--~--- ----~--_._-- -~-~ -- - -O-N; Horseshoe Grive. Ndlllc:;, FlmiJa 34104. (239) 252-2432 · Fax (239) 252-2469 PRELIMINARY COMPLAINT FORM Your Name: yogA! f JlJur J//.JJ//l{)/XtV Date: /- /,1. -~ I( . Address: 7009 ~/JE tJf J7MQlIl(City: A/A!Uf State: r{,. Zip: .1'1/0 r:; Home Phone: (,/()- ~~I(-fJ.r ~ r(,~- 13.11 THIS COMPLAINT IS AGAINST: Business Phone: Company Name: B~tJ~~ /d/l.d!'. fA/C. License # e/c. JlI.r~r'l3 cc. -#- ~?'" Contractor or Person in Charge: (If Known) I<A'/ }fdA/I) &12 V/},e Address: .l';4111IJW,Jt /J/L ,}--'71, Phone: ~3Q-!}';J~ a f'1 Date of Contract: 3-/?-~? THE SPECIFIC COMPLAINT IS: (Attach additional sheets as necessary) P;/J Ubf ~/i//J'tJ /JI)D L CtliVrlVlJ-W- PM"/ tA/f.}/1tL rb UC4r1C all Pllr/IWC. dlt. /~Jc/ ;Je/U'ht./ Attach Copies of All Appropriate Documents: Contracts, Checks, Liens, Permits, Etc. Contractor Licensing Officers: Michael Ossorio (Supervisor) - (239) 252-5706 Ian Jackson- (239) 252-2451 Allen Kennette- (239) 252-2468 ~ --RobiriGahguli::-(239) 252-2914 Karen Clements- (239) 252-2450 Signature: c o l~~ IE-- ~ - ere o M H. 't Y Certificate Detail Report CDPR2305 - Certificate Detail Report CERT NBR QUALIFIER NAME 27696 RAYMOND BERUBE DBA BERUBE BROS. INC. DETAIL. STATUS HOLD =="==cCLASS"=COBE<~I:J1\SS4'}ESC 1640 SWIMMING POOL RESIDENTIAL-CERTIFIED STATE-r:Jm~:~"~"~=<""~~<"= . CPC 1456893 ORIG ISSD DATE 8/23/2005 STATE EXP DATE 8/31/2010 RENEWAL DATE COUNTY COMP CARD COUNTY EXP DATE EXPIRE DATE 8/31/2010 OTH OL NBR eOUNTY OL EXEMPT N CNCL DATE COUNTY OL NBR 882484 COUNTY OL EXP DATE 9/30/2009 OTH OL EXP DATE REINSTATE DATE PHONE (239)262-3967 DBA f1OtS' '(.,e....- J-J"3-tt'tl " GJ9f" ~,; ~1 FAX (239)262-4657 MAILING ADDRESS 3893 MANNIX DR., #513 PHYSICAL ADDRESS 3893 MANNIX DR., #513 NAPLES FL 34114-5417 NAPLES FL 34114-5417 LIABILITY INSURANCE COMPANY INSURANCE BY KEN BROWN INe. EXP DATE 3/12/2009 PHONE (321)397-3870 EFFECTIVE DATE 3/12/2008 POLICY NUMBER GL 20435821 CNCL DATE INSURANCE LIMITS 2,000,000 WORKERS COMPENSATION INSURANCE WC EXEMPT N COMPANY ALLIANCE INSURANCE SOLUTION EXP DATE 6/15/2009 PHONE (727) 497-1247 EFFECTIVE DATE 6/15/2008 POLICY CNCL DATE Collier County Board of County Commissioners Printed on 12/19/20 3:31:06PM CD-Plus for Windows 95/NT E.-3 Page 1 Qualifier Detail Report CDPR2306 - Qualifier Detail Report QUALIFIER NBR NAME 13544 RAYMOND BERUBE PHO~E FAX (239) 353-0016, A '..n/ .p ~'~12 uts:r r '/t:I1/Z$ # -"I' ,AI 0 T 11,.$ r'/JUIV'f,. r~ MAILING ADDRESS 3561 - 17TH AVE. S.W. NAPLES FL 3411 7 Collier County Board of County Commissioners CD-Plus for Windows 95/NT E-fj. SSN 000-00-5267 LOCAL ADDRESS 3561 - 17TH AVE. S.W. NAPLES FL 34117 Printed on 1/13/200 Page 1 8:21:35AM Utll-'K - tlbKUJ:H:'~, KA YMOND ROBERT; Doing Business As: BERUBE BROS INC, C... Page 1 of2 ,:JlfW4'1f!I~Uii!;4!,~~~WMII!fijif' Public Services Search for a Licensee Apply for a License View Application Status Apply to Retake Exam Find Exam Information File a Complaint AB&T Delinquent Invoice & Activity List Search User Services Renew a License Change License Status Maintain Account Change My Address View Messages Change My PIN View Continuing Ed I Term Glossary Online Help (FAQs) Home I Help I Site Map 8:20:24 AM 1/1312009 Licensee Details Licensee Information Name: BERUBE, RAYMOND ROBERT (Primary Name) BERUBE BROS INC (DBA Name) Main Address: 3893 MANNIX DR. SUITE #513 NAPLES Florida 34114-5400 County: COLLIER License Mailing: LicenseLocation: 1404 PINE RIDGE ROAD NAPLES Fl 34108 County: COLLIER License Information License Type: Certified Pool/Spa Contractor Rank: Cert Pool License Number: Status: Current,Active Licensure Date: 10/18/2004 Expires: 08/31/2010 CPC1456893 Special Qualification Effective Qualifications Bldg Code Core Course Credit . Qualified Business License Required Residential Pool/Spa Contractor 10/18/2004 10/18/2004 I ~ I I I I~ , I ~-.r https:/ /www.myfloridalicense.com/LicenseDetai1.asp?SID=&id=A3BF7D80902A8DFDI6...1/13/2009 {-(, Tuesday, Jan 13, 2009 08:20 AM BERUBE BROTHERS INC. ftQUALlTY AND CRAFTSMANSHIP ALONG WITH UNLIMITED FUN AND A LIFE TIME OF MEMORIESft tm i- J~(, ~ - 'ifi.:J J J 3893 MANNIX DRIVE UNIT 513 NAPLES, FL. 34114 239-262-3967 I 239-262-4657 FAX Purchaser: JOHN & JANET VANRODEN e=Mallln9-address~36,.cObE8ROOKtANC. BRYN MAWR;-PA Job address 7009 RUE DE MARQUIS Phone 610-639-5258 MziJJ~~~--~'-1901U-"--' ,___,,-,e,,-, ',,- J zip 34108 POOL SPECIFICATIONS: Contrnctor agrees to construct a swimming pool and appurtonances there to as hare in after provided by the plans, specifications and terms of the agreement: SPA SPECIFICATIONS: 1. POOL SIZE: 2. DEPTH: 3. DIRT REMOVAL STAND' EQUIP': 4. DIRT REMOVAL SMALL EQUIP': 6. BACK FILL POOL AREA: 6. 2" SAFETY MAIN DRAIN 7.2" SURFACE SKIMMER 8.2" CIRCULATION LINES 9. 2"EFFICIENT DEEP HEAT UNE 10. STA RITE PUMP: ".BTA RITE CARTRIDGE FILTER: 12. IN UNf CHLORINATOR: 13. PURIFICATION SYSTEM 14. RAIN WATER OVER FLOW: 16. 3. STEPS WITH EDGE TILE: 15.a HAND RAIL: 16. SWIM OUT WITH EDGE TILE: 17. SUN SHELF 18.1112" DE-WATERING LINE: ELECTRICAL: 19. 1-12V-100W LIGHT: 20. TIME CLOCK: 21. TRANSFORMER: 22.JUNCTlON BOX: 23. ELECTRIC HOOK UP: PER PLAN 3'--4' DEEP HAND HAND YES YES YES YES YES YES YES YES NO YES YES 177717 NO YES YES YES YES YES YES YES ROCK WATERFALLS: SIZE NO PUMP NO DECORATIVE FINISHES I DECKING 24. BRICK EDGE: 26. CANTILEVER EDGE: 26. COPING EDGE: 27. WATERLINE TILE: 28. INTERIOR FINISH: 29. PAVER DECKING: 30. PAVER LANAI: 31. 4ft CONCRETE DECK 31.a STEEL REINFORCED: 31.b VAPOR BARRIER: 31.c 12"X12" FOOTER: 31.d SPRAYCRETE TOP: 32. EXISTING LANAI: 32.8 SPRAYCRETE TOP: 34. DECK DRAIN: 34. EQUIPMENT PAD: MISCELLANEOUS: 36. 30 DAY POOL CARE 36. REVISED SURVEY 37. FULL CLEAN UP SCREEN: WALL HEIGHT; 2 DOORS GUTTER & D'N SPOUTS MSD ROOF FOUNTAIN: YES OWNER TO SUPPLY WALL SCOUNCE TILED SURFACE BRICK EDGEL _ ~ ).- Pv~f c:..w I~ YES(CHOICE OF 10) NO NO YES(CHOICE OF 10) YES(CHOICE OF 8) YES(CHOICE OF 8) NO NO NO NO YES NO NO NO YES YES YES YES YES NO NO NO NO NO 1. SPA SIZE NO 2. RAISED 12ft NO 3. RAISED 20ft NO 3. 2" SAFETY DRAIN NO 4.2"CIRCULATlON LINE NO 6. 6. THERAPY JETS NO 6.AIR BLOWER 1 112 HP NO 7. BRICK EDGE NO 8. CANTILEVER EOGE NO 9. COPING EDGE NO 10. TILED EXTERIOR NO ". STO SPILLOVER NO 12. DUAL SPILLOVER NO 13.TEIRED SPILLOVER NO 14. MANUAL VALVES NO 16. 1-12V-100W LIGHT NO AUTOMATED PooLl SPA CONTROLLER 1. AQUALlNK RS4 NO 2. ADDmONAL RELAY NO HEAT SYSTEM: ,. SOLAR 2. GAS 400,000 btu 3. HEAT PUMP 113,000 4. HEAT PUMP 139,000 SPECiAl TV LIGHT SAFETY ALARMS BARRIER AlARMS: CHILD PROOF FENCE: NO NO YES NO EXISTING YES YES/BATTERY POWERD NO YARD LANDSCAPING SPRINKLERS: EXISTING AS NEEDED NO NO rumovo replace ADDITIONAL PROVISiONS: HAND DIG SWIMMING POOL, PLACE FILL ON DRIVEWAY HAUL AWAY IN A SINGLE LOADS. DOES NOT INCLUDE SOD OR NEW GATE. DEPOSIT OF $200.00 IS REFUNDABLE IF UNABLE TO OBTAIN BUILDING PERMIT OR HOME OWNER ASSOCIATION APPROVAL. Unless specially agreed and set forth horin,Purchasor horeundor agrees to mako progress payments on tho total price sot forth In thIs contract, to tho contractor as follows: nlls BID DOES NOT INCLUDE THE EXCAVATION OR HAUL AWAY OF ROCK SHOULD TliE CONDmON EXIST. TOTAL INVESTMENT $ 27,500.00 10 % Initial investment $200.00 FOR PERMITING BALANCE(2,300.()0) START OF PROJECT. SO % when concrete baslll is III place $13,750.00 35 % upon Installation of Ule,britk,plumblng,deck. $9,000.00 5 % when pool Is filled with water I completed. $2,000.00 Screen enclosure billed upon completion of screen not billed during pool progress paY!Tl8nts. . . _ _ _ NJ A_ DATE SUBMITTED BY: 3/11/2008 ROBERT BERUBE DATE "Owning A Berube Brothers Pool Is The Fun Convenient Way To Relax With Family & Friends.Make Everyday ACCEPTED BY J - I), 0 Y /l1/-5 --- E-7 ration!lI OWNER BERUBE BROS. INCORPORATED STANDARD RESIDENTIAL SWIMMING POOL CONTRACT 2408 LiDwood Ave. # 78 . Naples, FL 34112 Tel: (Z39) 262-3967 . Fax (239) 262-4657 This contract made as of the date of writlen acceptance by the builder listed above hereinafter termed" Contractor" and the party named be/ow, hereinafter termed" Purchaser. " "S") ",... if 'S'"--", i- fl...,." RH'/"'.) PH. HOME: 4' t;' . C. oLe 6'7 co! U1-J r ZIP PH. BUS.: 71>6 OJ j)e,f [);- /rYrf''lf,i (" ZIP I Contractor agrees to construct a swimming pool and appurtenances thereto as hereinafter provided by the plans. specifications and tenns of the contract at: PURCHASER MAILING ADDRESS JOB ADDRESS \. Pool Specifications: 2. PooISize_x_x_ 3. Dep'P.- To_ 4. Dirt Removal 5. Backfill 6. Main Drain 7. Returns 8". Pool Sweep 9. Hydrostatic Relief Line 10. Skimmer II. Overflow 12. Pump 13. Filter 14. Deep Heat Line 15. Steps_Cap11le_ 16. Screen Enclosure: Color {/(;.. (,J 'j.SlS"J' 17. Chlorinator 18. 11le 19. Coping 20. Ladder 21. Handrail 22. Light 23. TImer 24. J.Box 25. Transfonner 26. Elec. Hook-Up 27. Pool Deck 28. Lanai 29. Interior Finish 30. Cleaning Equipment 3 \. Pool Service Roof Gutters \. Spa Specifications: 2. Size_x_ 3. Therapy Jets 4. Returns 5. Main Drain 6. Light 7. Pump 8. Blower 9. Heater 10. Handrail 11. Spillover 12. 4-Function Air Switch 13. Spa Beam Sq.Ft. Sq.Ft. Doors Size_x_x_ (J VI S ~<. 5 Lu:f- Additional Provisions: TERMS CONTRACT PRICE $ Unless specially agreed and set forth herein. Purchaser hereunder agrees to make progress payments based on the total price set forth in this contract, to the Contractor, as follows: 10% Down Payment 50% When rough shell is in place 35% Upon installation of rough deck or tile 5% When pool is completed. ready for interior finish Screen Enclosure J 7/.50(." CA.' $ NOTICE TO PURCHASER DO NOT SIGN THIS CONTRACT BEFORE YOU READ IT OR IF PERTINENT INFORMATION IS MISSING FROM BLANK SPACES. This is a home solicitation sale. If you do not want the goods or services contracted for, you may cancel this agreement by mailing a notice to the seller. This notice must indicate that you do not want the goods and services and must be postmarked by midnight lhe third day after you signed the agreement. This contract shall be deemed an offer to the Contractor and shall be null and void unless accepted by a duly authorized officer of the Contractor within fifteen days of the date and year noted above lhe Purchaser's signatures. The salesman has no authority to bind the Contractor. All agreements and under. standings are contained in this contract and the Purchaser warrants that there are no agreements or understandings other than are set forth in this document. Acceptance 9f the tenns of this contract by contraclor is to be communicated to the Purchaser by transmitting a copy of t.!lis-contract to them showing acceptance by the sellers by the execution of a dulY authorized officer of the Contractor or by commencing constnJcq~-) DATE -3. /I'c $ PURCHASER /t-c.~~: SUBMIITED BY /r',-/-0 PURCHASEiC-, '/,_-~, ACCEPTED BY ;?l /7 /J DATE", . ! ) . ~ J: OWNER - ;!- ~~ ~/ ,/ -"- If purchasers are husband and wife, BOTH must sign. If owner is different from purchaser, own~f-MUSi sign. PURCHASER(S), BY SIGNING ABOVE ACKNOWLEDGES AND AGREES TO ALL THE TERMS AND CONDITIONS ON ALL PAGES OF THIS AGREEMENT EVEN THOUGH SPACE LIMITATIONS REQUIRE THAT SOME ARE PRINTED IN SMALLER TYPE. Upon Completion $ E-~ LIMITED WARRANTY The COrrrRACTOR wamm15 115 wmk to be m.. &om delecla In material '!D'I workmanship and to perform oallsfactorily for a period of one ycor after complellon date or the pool I. In u.. and If any such defect. .hould appear wlthln .uch time shall =nedy same without coot to the PURCHASER provided oald purch...... ha. complied In fun with the tenn. of payment and other Condll1ona of the contract. PURCHASERS failure to make run paymen15 to COrrrRACTOR according to the contract and woll< onIcruliall vokJ.thl. warranty. Purchioscd or assembled accessories and equipment tnsLa11ed under !hIs contra.ct carty manufacturer's ~ and COrrrRACTORncltherwarranla or guarantee. such cqulp;';';;ibcyond OI-In ""Cessor ..w,utacturci'~ lwTranty and servictngor rcplaccment of.uch Ilcms shallbechargedfm;lf~cxcccd thellmt15ofSl!ld manufactu",q warranty. o.fcc15 or failure. caused by obvious mistreatment or neglect shan be repaired or .emce. at PURCHASER'S expen... Th.concrete .ln1cturc (shell} carrlc. a - 25 - ycarWlltrlUlty that II sbaD perform sallsfactorily durtng that time. ThIs warranty become. null and void when original purchaser..u. or lease. described property. ANYlMA.lEDWARRANIY ARISING BY OPERATION OF srATEUWISUMrmDTOTI-lEDURATION OFnlE ONE YEAR WARRAHI'IES HEREIN CONTAINED. A .eparate in.ln.unenl wammung the work performed under this conlnlct may be provided to the Pun:ha..r. and It shall be con.idered a part of the contracl docwnenta. DEPlNlTIONS The poolstructurc.haH be considered to "PERFORM SATISFACTORILY" or be "5TRUClURAU.Y SOUND" so long as it is capable of coniaining waler and Is rrcc from lcak.(cxclusive of evaporation of I/S" to 3/16" per day). POOL SHEll. or pOOL STRUClURE is the concrete work which encases the .t..1 reinforcing bars. Interior finish.. are nol part or thc shell. Pool equipmenl which performs the function for which It was de.ilV'cd sbaD be conoldered tD "PERFORM SATISFACTORILY." "DECK AND PATIO WORK" shall be deemed to mean al1 concrete. tUe and masonry work done in connection wuh the pool dcrk!:l :;uch M footings. rctDining W'd.lls. .teps. ptla.ters. curbs. e\C. Marr:iLe or marblelite when used as the WHITE INTERJOR FINISH shall be a m1xtu~ of.hile cement and ground marble with appropriate cement addjlives and shaD be smooth and dense. Aggregate shaD be ~tllJ\ of the quany- with . proportionate amount of off-white particles. and the subsequent "white" finish will be subject ~o surface discoloration depending upon the amount 0,( color in the aggregate used. LIMITATIONS -+-.i) .~=_ ).~ j ~..~~ No warranty extends to an)' part of the pool equipment or appurtenances when fallure or defect Is caused by any on the following conditions or events: . Abuse, lack of reasonable care. lack of necessary maintenance. improper operation. vandalism. acts of God. normal wear and tear. . Freezing of water l.fl uncln:ulated In plumbing line., mters. pwnps.lIxturea or other equipment. . SubsUtutton. replacement or addition of equipment not Dr1g1nally installed nor expressly Authortzed by the ContractOTwhtch might affect the operation or use of-the pool. , . Repatr or service of the pool or equtpment by unauthorized parties which results in, damages to or failure of the equJpment. . Water from extemnJ sources or flooding which might damage the pump or motor. . Cracking. check1n~. pttl1ng. separaUon. eroston. pilling. dlscoloraUon and staining of !.he deck finish caused by use of Improper chemkal9 in !.he cleaning of the deck. . Subtenunean or surface eroAton caused by exr.:esst\'e water from aels of nature". outsld~ sources under or Bround the pool deck stnJctures, . Heaving oC deck or pool as a result ofilie grcwlh oruce rools or olher outside fon:es i?en,~th the_s~ct~,!.C.",- . DIlllntng of the pool for repal' or mainlenance wlthoul proper safeguards agBlnst hydro-slaticpresaurel.. \. . Power surges to electrical equipment from transmission lines or lightning ..... \, .-..., CONDI110NS Any repairs that art madt: to the swimming pool are warranted for the remainder of the one year warranty period or 90 days whichever Is greater. The pool amI equipment shall be used in a normal and reasonable manner and operated in accordance with lhe instructions provtded by the: Contractor and the Contractor and the equipment manufacturer. . EXCLUSIONS Items of equipment which require normal n:placement from time to time such as light bulbs. lensed. gaskets. pump seal9. whip hoses. etc.. arc not to construed as replacement under warranty. . Stress cracking in the decks and pallos whether from diurnal heatlng. shrinkage or other caused unless such cracktng or of(. sclUng exceeds lhe acceptablc limits set forth In "Minimum Restdcnliall'ool St.andanls' as publish.d by the National Spa and PoullnsUlule. Cracking. peeling. separation. staining. c:ltscolornllon. streaking. moltllng or shading of the mardte ftnish which occurs after the pool Is fiUed wi ili water and chcmic~ll treatment begun. shall not be construed as defective workmanship or materials nn the part of the Conlractor. CLAIM PROCEDURE NonnaJ warranty complaints should be sattsfied by the Contractor after verbal notlficaUon by the Purchaser, however. to tnsure performanc(' of the Contractor, warranty complainls should be ml:lde In wriUng and mailed or delivered to the Contractor's principle place of business shown at the top of r-c.lgc I of this contra.Cl. . .) COMPLETION ). " Completion date shall be: designated as the date that work set oul in this conlJact haa been done and the inlerior finish has been applied. and the pool is n:ady La 611 with water or use of tl1e pool which shall BeNe as final completion and acceptance by the Purchaser. The Contractor shaJl substantially come.1c:te the"pool (ready for marclteJ within _ working days from completed excavauon'date.. Days IO.!Jt due Lo fire. rain. windstorm. nood. inspect1on8rmatet1irshortages. acts of God. holidays. work changes, Purchaser's agent. third party work on the Job or faiJure of PuTchs!C;er lo make progres. payments as agreed shan be added to the construction Urne. Unless spedflcally stated elsewhere tn the agreement. there shall be no penalty or award clauses in the contract. E-f ;"_~=-~~~=_=:o.;,.:;::=-_=:7"'----;C=C:C==.:o==-_=::::..o='_=~--,,=- _ - - "PAnmlTS '-... .. ...." ...... ,'. ._._ _ ," ., Ptu~~JllI~tlue ~ dan" ~Ing date. !.ate ~arge:s or 11/2% permanth ah: the Uiipald balabct-wlU bCl.d.:kd on all accounlJinot paid ,in accordance' :,~ t~. ~ ~e..~unl~'to I,~ ~ annum. .~~h-~~ 'cb~ shaD ~\:~ih~'6, ~'~1tten ~ order. atgned~~~ ~ 1<< the co.n~tor. at a m\Jt~11y ~d P~cc. -~~argcs for suc~' j ttems shaU be due and payablebefiftapplicaUanollntenodbdah. : '".. ._."- , " ... DELAYS T11e Conlrarlor ~1I 10 begln ron~lion, ,In a reasonable_ dme aftet ac:ceplance of ibis CO~lract and after obtaining all nec:e.ssary JJCrrnU,' .fJ"om government : nuth:r1tk'!J". fF~. charged (or' plan nrJ.imlasion to zoning or ,..iiance: boards. architectural commlUees. homeowner associations and such win be oome by lhe ~hl\Stt ~ Th.,. Pun::h~liCr and (~h'acIDr' both agree to exerdse diligence tn obtaining aD. such pennlts and appr;ovals. ' . 1n Ulcn-.:nl \lIOrkon the pool cannot be 1.-orRrN!nud ",;Lbtn 45 days olthe eon"lnlctdale orifconatrue(jon delays oecurbetween phaseswhieh are ~yond thc'con(rol U# Lhf" C~tJll{"orfeJIcludlnl: nN hn~e conalroctlonJ, t.hf! Purchaser agrees thallhe c:ontract price of the \.I~p1eted Will be ~ at the ralC of J, pe:r:.c:cnl for ~~~~d~ ,_. . ... .1.. .., . . BlTEWORK UIII~ a;1It'U1e1ed elaewhe-re b1 the conlnCl,docuftlenls. the Purclt..ser shall be responsible lOr the f'eIlloyal or prolection o( trees. landscaping. \'cgetarian. ~ll"idt'rgrocnd utdlUts. Irrtglltion pipes. or aWJng Impnrvemenla which might be in lhe .c:e to be used (or the eonslrueUon work or access. and agrees to pay the {;otl~" addttionld coata tnc:Urred as a result at the Purdaase:r'a failure 10 .puvkIe. ACCESS 1~luer .111 plo"Vide adequate acc:t8s throUgh hie awn property or through acUacenl poperty fOr aD men. mater1aJ and equipment as ~uired to pcrfonn lhi!l ,,'uhfrftCt Including wt nol limUed la excavaUor\. hauling. concrel.e mixing and punpln8 and deltvery vehtcles or rqulpmrnl. PurcJ:aascr shall ohlaln written f)Ctmtsam of adjacent pru~ bwnrr Jor tngreq and egrt!U of'Contnlc:lor and nultertal and equipment during the construction. If nlXl!ssary: ..nd agn'cs 10 be n:sponsib1e and hold.lhl! ConlraclOr hannleu and IndemnifY hhn fur any lou.injury or damage resultln8lo adjacent property owner fOl" any ""&wn. The Purchaser shan be n:spmslilc fol'" damage 10 htwn". .shrubs. Rowen. tr1!e5 or landscape mau:rlaJ RSUlllng (rom the lXInslf1JcUon work under ~I!i r;onlr!l<:!. unless olherwisc ol!Igtm:t 10 by Contractor dscwhcn: In litis ContracL . . . ' . , _ PElfCES . ,. . UnStSli uthcrwlK' Aipulatcd in theconh'aCt.'the Purchaser shall be responafbJe for the cost of removalllnd ne-erccUon offenccs. gales. ornamental walk!'! and sllc..h nCCl".s&I~' fur &CCOOI or. equlpmmlto the pooIalie.' . Cump1ialU.e ",ith liX:nJ (cnce laws s.haIJ ~ the reep;msiUillly ofthe'Pu~chascr. EXISTING DOORS Due tD the angle ofpUch on lilt: d~. mSllngdoors may comcln eontacl With lhe- dee-.k and not open fu1ly. . Unless otherwtse noted In lhls t.'onlnK"l. I:Onr.Cl!on of lhJs JlroWcrn ",111 !Je !.he tcsponsibllny ollhe Purchaser. DRIVEWAYS AND WALKS' Wbm ~e ~ at.US!! rot nny t."OnIlLn.tI:~t1on equlpm~nt such a5 excavators. dump lnJCkI. concrete truc:ks. pumpers. dcltvery vehicles and olher ero"es curbs. drh'u o!",'UlJa. ac:1\1ng the l~lrdIlISCr's proper1~'. n~'}1I1;1.I;rlT,p1aa:men' ofsueh llllprovemcntamusl be agreed upon prior 10 t:onstruetton. and L11e (:\Jsl or such ~"urk tnclud~d In Ihr. cunlractlflhe CunlfW'lflr I. 10 ~l'&h &oucl1 impravemenla. If ihe eoal DI' auc:h nepelrwork la nol1ndl.lded snd so aUpula(cd. Olt~ I'un::haser shall be responslbJe J'ordamagc ......hk;h might (k.'(:ur dunr., '~.I.I.trucUl'l", and hold the Contractor harmless ror any claims for such n:patn, 'LAYOUT AND EJ[CAVATlOIW The In,.",m_", po-' ..11I::1 ~I..u.ed iml"ro';ement.s and l.~uipnu:nt shall be coJ'lslructed upon Ihe land IlTld in a locatiun upon such land as ShO~T1 In the contract doeuml~nl5 am.! agreed Ie. by the I~~iolt-Ct. Ellen tJlC1l.l.Jjh me: ConlJ'actor RUily asslsl in loc:atJng Ole pool and n:lall!d work. the Purchaser warrants that he 15 familiar ".,jlh Illl: kx-al1ori rJills proln:.l,:~.ltne: t-c.srmrnll srlhacks and deed rcslrtcUons. and thallhcpoot work agreed upon is wn.hin !-UC'h boundaries and docs not \'io!OI.lc selbi:cks l>r clt:arance fll')m puhlic uUlllkS req'.Jtred by local, State or NalionaJ Codes. The Purchaser agrees to Indemnlry and Sa\'C hstnnless'lhc eonlmc-tor rmm any suit!!'. acUC'ns. chima cf Pur::h.'lSl:T or third f'AM:" for the location of said pool'work by the Contractor In the plact: approved by the Purchaser. l)oU"lo tJ'le ir.abiliryol' either Pr:rr:haSCr(lrConlrar:tot to anUdpJ.lc WTuSUal subsurface condtUons. Ills mutually agreed that in the e...r.nllJu: Conlr.lI:tor in eXC3\'atlng Un: p"",.,15h.all c:ncvun!er pipes. cnnduillil. ___n. gTCIIK Iraps. c1stcmlS.lanks. maas concrete, tree l/itumps. hardpnn orolher obslrucUl.1na nol appnrr.nl from the s..lrface which mlghl ~uln bluUng. jae1h.ammrr1ng or r1ppertoolh I}-pe equipment or other than nonnal9cavaUng c:qulpmenl (or <<:mo\'al, Ule I ~rchascJ" sh;lll Indemnify th.: CunlIactor for tncrea.scd coslS tncut'TCd b)' him plw: 15 percent O\crhead and 10% proRl. . RekJCauon oi ~en and utllllles !Shall be allhe Purehuer's upense:. The excanlfon cosl. is ~sed on a lnu(ua1assumptJon !.hat low density soli or muck which should be removed and replaced With new fill and brought to' compaction doc::r.nnlu:t.tln lheareao{the poolexcavauon. The Pun:hasershalllndemnlfytheConlnclorrorexlraexpense 10 ~moveand replacesueh malenal plus 15 percenl overhead and to% proAL Thl: ('.cn(n.doragreeslO pl'"OJ\1de dc\'l:alertngdeVkea as ~qulred to keep the poolexc:avaUon dry dur:lngeonslrucUon: hO\lo"e\'t:t. when cXlremegmund waler l"ondiUons oirt: e:ncounlererl which n=:qufrc dewa(ering In acesa o(3000gaDons puhou.r. ~t (or additional work and de\1."aler1ng ~ulpmenl. along Wllll 15 perccnl for O\-.cThead and proAl. shall be ~~ to the Contra~ ~ Ih.c Purchaser. , ; , "'. .," ;, .. . "-'hen unullUaI underground coridltiOns are.el1eounlered.lhe Contractorshall noUlY the PurchaSer and pruvtde hbn with app~alt cost estlmalcs rOt extra work. Within ~daysohh~notfficatton.lM PurchasershaD aulhor1u: the cxtraWork orlnstruct Ihe Conlractornot to proceed with constnlcllon: Irthe l'urchasct stops .____~.;r;~~~:::~;~~~=:.~~~~~~~~r15-~~~~~~~~~~:~~~7~=~::~~5_~~d~~t~:~5'~~.~l~:~~=~-= UnleN o~ .Upuhlted in Ihecontract. the Contraclor~ DO~i;y ~.~~~t ~(~Is.~~~en.lhc Pu.rclulSer agrees -10.. save~ Crmtractorhannlesarromclahna~t~fmrorsubaeqUent}'~I~~of~.~.~~!T'.~r~~~;~l~cr~~. , .' '. DlIIZN8JON ~a All dlmena1au prwIded in lhe plana and ~tbn8 are approxirnalr ."d'..yvuy toa 'oIeranei: of 5 pen:e:nL Wheu measured surface area or the pool is less than stilled In the eonlract. the Purchaser shaD be enuded to. credn in the amG\Dl1 or .10.00 per aquare lOot (rom the Contractor as eompensaUon for damages. The pool and deck shaJI be constructed to. ~.ce 0(5 pen:ento'(the e~l:ton ahown on the drawings. Variations in elevaUons or gtealer lhan s. pcr~ni. shalt be submlued jobttJy by .the Pun:h~ser and the. Contrac.tDr Jar Binding Arbtlratkm .. preea1bed elsewhere In this eontract_ .: No ~ 6haD ac:czue to the Purchuer If the. JXN.ot ta larger or' deeper than shown on the draw-inis. 1lTILmEll' The Purchueragrus 10 supply the Conln.etorwUh. sultab1ewater fororlplll c::onaIrUdion. warranty work. cleanup' and for. mUng as required. anti win further supply J IOwll decb1caI outJet(qrthe COntraclor'suae adequate to opetate:~~tul:lll:zed Inconstructiob. t10.unps~.};and make such out!ct avat~blc ' IothcContractorb-hts~whmon_lhejob. -'.' . .. 6,-10 All excessexc:avatcdmat.erial shaD be ntnO'V'ed from theJobsiteby the Cantnlctorunless spedfted 11'1 thec:ontract docummts beforr stan of excavation. The Pun::ha$C!' ~ 10 assume 8ft raponsibll1ty lOr exress excavaled material left on the sile at hie request. No grading exl:q)t in the ~nnr~edJate ~I and d~k area Is Included \m)caa spelled out spectllcalljt.iri the contnil!t doCuments:. .... '~.' ;....:' - "'...... - -;. -_. - , " ,.- When drainage or the PurcI1aser's property requires 811tng. cutting or csta611Shmenl at ~ grades beyUnd the construction work built by the t:onlrnc:tor. this sh~n be constdcrcd the Purdlaser's ruponstbituyand the CoJ:1tr.actor held harmless by him brc~s of d~t,~r ~n5c~nUal d~rry8Fs from run. ~{f slanding \\.'3tcr OI'Ooodingo(lhePurcha~s~~tiguous'Praperlies, ~' . '-"', .:'<;""'.. ~ . - criNTRAcr DOclJHENTS . . .., . ~ Plans. drawinJ(s. spet:iflca(~S'; Warranty Olft"dpropu-t.. wn~i1 sUbmitted bY Conl.iil!:~ot iOgcth&''''~th'~sr.o,ntracI. shal! rC?lma PMt:o( Uifs:&nl~ct along ""'!IJI anr ch.'1ngc: onler.. CXN:Uled a!>~Jcsdibcd,~_~~.:t:~n ta5e:,orLoonlct'bc:otwe~.~~e l.enn!l"'and-~.rm~o~~'~~~ eontracr:doi:um~n.t~'anctt~ls con~r.lcl. the Ir-rrn:'i of this conlrMCI ",ill prevaU. .' . . ORAL AGREEM-EPITS All agn:emcnls between lhe.. Purchaser and the Conlractor musl be in wrlung and spd by both parties. This contrac't along;u1ti.,- addILionard~ment!!. dr:!Kr1bcd BWvt: consUL utes the enUre agreement lx:lVN:n the partlcs and nelLher: party !Ihallbe bound by any slatemenls. ~p'rucntat1ons. or oral expresston! by "ny agrnl or person purporting to represent or act on behalf or either party, CiEH::RAL TERMS This conlrad shall be btncJjnlt uPon'ana in'uri! to the -bcneftt oC the decitlor.i. ai:lm1iifs(raI~: ~Sl8nis' an~ ,~gaI,s~~~~,rs ~(thr :partli::s hcrr:ta. Should any purt or this coriuacf'bc-de(:1afed" !nv.lkHor..anYn!3&OB. aT.CF:dedslonsJia&.noioeffecti:the validtly.-oi>aiiy..remairilng:PoitiCrR5 ano...hall ",mAin In full fon-e and elTect, although the-Invalkf portion haf been eliminated, In the evcnt that an)' ohl1l' flun:hascr'$> ~pn:~nlaIlOnS herein as 10 real property prow.: I~ be untRJe. and ~ a re~u1t orrelytng Lhen~ol1, thc CurllraC:lor ts PUllQ unusual expense, th... l"urrhasr.r ~~ lD pay lhe ConlTllctnr lhe full amounl or any ~IUonal ~se. 1n addlt10n to aU other paymcnl~ c~lIed for. al lht' lime oHinal paymenL ....' ..". ":.. .. The Contraclor expressly denies any rcsiJOllsibiUly or'llablllly ror incidental or ~nsecpimtlal damages ar:Islng our ~f or. as. a re~~ll ohhc use or uw:ncrship of Ihi~ S\\1mmbl8 pool, " CONTRACTO~rS RE5POlIsmILInES TIle Conlraclor .gft:es lo. ~..upply the malenals and labor nccessal)' 10 perform lh~ work described tnthe contract document!. In a 'Q."Orkma1\like mRn~er. The eonlnlctor agrTes to work ~;~ IlII oltler tllldc~ un lhtsjob rcgardlcu or their union or'non-union afftUatto~, The COI1tractor aS$unu:.s no r.t'fiponslbilil)' ror thc n:fusal.oC C?t!lt'r trades to "-'Or\!:. "1.th his mel;"I\.'\n~'s arid.crriplO3o'eC:S, ContrdC'lorshall have in (orccdunng lh,,'cnllrc penod orl'onslruetlon liabl1ily tns~fancr: to the limits ofall~st SIOO,OOOper person and S300.000 pr-r oc:r.llfTI~nr~: Contr.Jelorv.'ill C'.rT)'wurkmlln'fil comfX~ns~llon In!lurnnc:c' (or the protection o.r ConlraC.IOr'& employees dulingthc progress of work, C"nlrac:lor shnll nnllJ(' rl"~pClr'!<;;111.. (or injury 10 Purchaser. his t:mpklyces urfnrpc:rsons under the Purchaser's 'dlreellon or olhetpe:rsons at thejob sHeal the-Purchasers o.preSA or hnplk'd In\;U1llor., TIll: Conll'3etor 5h;.h ~Iarl)' rcmo"'t trash aud constlllctJon'dep.rta from the Purchaser's prrmlses_ uPon completion. ~ sUe shall ~ free from conslrur:ltorl material. decks and patios shaD IJe broom dean. !.he pool shan be vaCuumed, Ule and equlpmenl wiped clean and all.cqu~menl placed in operation: nuts I~'fl by t"quipn;t"nl u.111 be nllaJ and raked level. No sod replacem~nl~ reseeding or Tcplacr:ment o( shrubs and -landscaprng malenal shall be protidc:d b)' In( Contr'.1rtoT Unlt'Sll !Ipcelllcnlly !Ipl,nect oulln !.hIs contract The Conlr3clfJrWlII nOI sulJslltutc.anr i1n:rssmiC's ort'qulplncnl Spc(;llil:d in Ihe I:onlracl documcnl~ unless thal cquipmclll or accesSm)'IS of equalqwLllycr l>c'llrr, Imd has iJlI' >>ame functionablllly. usability and utillly. The Contr;u:lor wilrrnnls 't.hal hi!!. w(irk \\.111 meel or exceed applicable building Codes'. The ('unlr.Jctor acTl'c!'O lo pH)' Ih~ <:osl 0(;111 labor. !l13lCnaL", suppfit's and an}' subcon(ra~~ work uSed to con5~et th~ work described In thc ec>nlrilcl"dol:umc:nf!!. ;Iud shall hold t.hc Purchascrharmlessag,alnsllicns or olherelalms from wOTkr:rsand supphers. unless Purchaser Cails 10 make fun parment o( l:onlTacl and <:hangf' orUcr amount!>. J t,' . ELECTRICAL When dedrit:al ""ring of pool c'qulpmcnlls lnduded in l1w contracl lhe Contractor shaD fnslall such \\"Ork according to local electric corles and Chapter 690 of tIn' L."\J~nl Nalional Elc,:tric Cooe ilems such as rcmnlc 5wuching. area IIghUng. convenience outlets, relocation o( ov~rhead underground ",ires Bnd cnndw:l nr Int'ruslng the sll.C oftlu: p",jfehuscr'sclrrlrlc: SCT\1Cr: or rnaln panel "...111 be COllsiden.'(\ as exlrawork and sha1ibc allhe Purcha!l~r's cxpcnsl" Ground faull lntrmlptcrs will he Instalk:t.l only I( necessary by eoch', - BEATER INSTALIA.nON Ilcatcr{sf suppll~ b)' the Conlraclorshall!='e Installed and plumbed In plac!l by him, When-included In !.he cOntract eleeLric healers shall 1.le \1,;rl"d 10 pou..cr suppl~'. -::. ~"::" .;:..~.:__~~~_~~~!l~7~~~~~S~!~~~~~~:.~.ds _~~r:.~_~~~:~~~~;~:~~~~~.~~~;~~=.;.:~..::.:~:=;~:,~-:-"~~~~_:'='.:.~.:;.":-~:.:=~=';~ =:~~:~:~~.~-=_~:_',:::.',:.~ .:;,-----rucrsupply&ndhook-u~rl~ii~acktng and ~nlingo( gas or oll n~~rdlng I;-;ppil~bie codes ';"d la~~~;n~ U)(~'-;~;;;;slbili;;'-~f the Pun:haser, ~. . "- THEFT, VANilALtSM Aim'DAMACE TO WORK '" ,... The Conlnlctorshal1notbe 11~ lOrrepairsordamages toany partorthe poolwork orequipmenltesulting f"rom naturalcaw.cs or an act or God such AS C'ar1hl'luak('!ll~ hurricanes. vandaUsm. ground motion or naluralsetllcmenl. The Contractor shal1not be Babic rorrepatra to 'WOrk nor replacement of equtpm~1 ~'da~~e5 caused by neglecl. willful acts, third parties or damage result!.n" from othcrconslf'UCtlon In ~ pool area or theft of-equlpmen~. components ormater1a~ln8ta~~ed ~;~Iorm on ~J~ suci:by 111m., .', . , . "- ATTORNEY FEES AND COl.l.EC11NG COSTS . ';~'I ' ';.'~ ... :-.- _~l~-~; '-. " Should services of an .ttomey be required by lhe Conlraelor (0 collect sums due by virtue or lh1s contracl or rOT "lI1C enfo~enl' o( any 170\;511011 or lhl:lt_ronlrnr.l. ::::=~.~~~I:=~:::~~~:r=~:~=~=~~:~=l ;~I:;;:te~:ff~~~~~~=~~~~~:,,~~t~~~~'nli~~~;I: the Purchaser agrees to pay reasonable altorney's fees and all other cost of derense thereof incurred by the Conlractor. 1-/1 COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS INSPECTION HISTORY PRINT STATUS: INSPECT PERMIT NBR: 2008050994 JOB DESC:s/F POOL/sPA/pAVERS/DECK ELEC FROM SUB JOB LOCATION: 7009 _~UE;_~E J1AHQYIS__ -:-:.:....~:_::-_:=_::::...:_~._.~:_~_::.:._.:.:_-::.-:...~~_.;:.:-=-=-=.:=--..=.c...=:;~.:=_=~--:.:.;;::_',=.:::.:.c=_-==="';="'~'=---=---'===--=====<==.'= SUBDIVISION MASTER NBR: WATER: 1380 I Pelican Bav Unit 5 TRS: UNIT: COA: SEWER: OWNER NAME: VAN RODEN, JOHN C=& JANET 0 CERT NBR: 27696 DBA: BERUBE BROS. INC. CONTACT NAME:RAY SETBACKS FRONT: 16.00 REAR: LEFT: SPECIAL: COURTYARD POOLI SIDES= MIN 15' SEP IMPORTANT DATES: APPLICATION 5/15/2008 DIRECTIONS: ADDTL INFO: APPROVAL 5/30/2008 ISSUED 6/12/2008 CO ELECT FROM SUB MP05-2291 EXTERIOR BARRIER= HP= 1 1/29/07-CLARIFICATION BLOCK: TRACT: NONE LOT: 42 TAZ: 53/63 FLOOD ZONE: X JOB PHONE: (239)262-3967 JOB VALUE: CONTACT PHONE: (239)262-3967 $27,500.00 RIGHT: EXPIRATION 12/9/2008 CANeEL EXTENDED EXPIRATION TO COMPLY WITH THE 2004 FBC & 2006 SUPPLEMENTS-AMT SUBCONTRACTORS CERT NBR SUB STATUS START DATE END DATE STATUS 25558 ACTIVE 5/15/2008 ACTIVE SUBPERMITS PERMIT NBR STATUS TYPE CERT NBR DBA FEES FEE CODE STATUS DESCRIPTION 08BPNP POSTED BLDG PERMITS - NAPLES 08MFSG POSTED MICROFILM SURCHARGE 08BACR POSTED BLDG. PERMIT APP. FEE CREDIT 08BAPM POSTED BLDG. PERMIT ADDIT . APP. FEE SUB CLASS DBA EL WRIGHT ELECTRICAL SERVICES IN JOB DESC WAIVE AMOUNT DUE ENTER DATE N 100.00 5/30/2008 N 3.00 5/30/2008 N -50.00 N 50.00 5/15/2008 RESULT CODE RES DATE INSPECTOR 90 6/12/2008 BARBGARBROUGH o 6/12/2008 PRI REQ DATE REQ 099 CLASS DESCRIPTION/REMARKS ST NOTICE OF COMMENCEMENT 6/12/08 OR 4369 PG 0396 /BJG 10 DAY SPOT SURVEY o 6/27/2008 92 8/4/2008 laterneau 122 200 PLUMBING ROUGH d/v ok PLUMBING ROUGH o 8/4/2008 90 11/3/2008 laterneau PB 200 PB 6/27/2008 laterneau 204 FINAL PLBG/VERIFY METER# WITH UNIT# not ready FINAL PLBG/VERIFY METER# WITH UNIT# 11/3/2008 81 PB 204 PB 502 EL FINAL ELECTRICAL 11/3/2008 81 11/3/2008 klutsarits 680.26[e], 680.26[b] [4]pool pump&pool heater not bonded to pool bonding system,lb cover not screwed down to lb,no access to check main panel 9:50am Collier County Board of County Commissioners CD-Plus for Windows 95/NT ~ -/9- CDPR2036 Printed on: 1/14/2009 8:30:57AM Page 1 of 2 502 EL FINAL ELECTRICAL 700 PL POOL BONDING 6/27/2008 92 Shell,wetnitch & ladder cups only 700 PL POOL BONDING 8/4/2008 91 ~_bonding_-9rid_and~ the_llandrailcupsT- -- - --~----~--------- 701 rINAL_POOL_d ___ __ ___ _~ ~__~ ~u~ ~:,~._~_:_~~_~_.~__:=~::~=~::..--=-=--=-===:.:;:.=~=-=~.::_:.::..:::=_:::_~:~_==:~==--=_-==.::-..::::::~...:::=..=:::=_='-c=::=.-._~._..._--=,~--"--_.. __==-==--=-~ 6/27/2008 davidson 8/4/2008 davidson 702 PL POOL DECK 10/24/2008 91 Pavers around pool only (existing paver deck) 703 EL WET NITCHE 10/24/2008 90 704 PL POOL SHELL REINFORCEMENT 6/27/2008 90 801 LS SITE DRAINAGE 0 11/3/2008 90 814 EROSION/SILT 10/24/2008 degram 10/24/2008 klutsarits 6/27/2008 degram 11/3/2008 BIANCHI JOE E-/3 Collier County Board of County Commissioners CD-Plus for Windows 95/NT CDPR2036 Printed on: 1/14/2009 8:30:57AM Page 2 of 2 COLLIER COUNTY BUILDING REVIEW & PERMITTING ---CONTRACTOR'SuLICENS-ING-- - - -- -- 2800t-CHorseshoeDrive~NapIes, Florida 34104 ~~(239)~403~2432 _.~ Fa.'\ (239') 403-246"9------ CERTIFIED MAIL # 7bO? ()?/O 0003 J(Pft:j Jay?, RETURN RECEIPT REQUESTED Date: January 12.2009 Mr. Raymond Berube 356117th Ave. S. W. Naples, Fl. 34117 DBA: Berube Brothers Inc. RE: Complaint filed against you by BOCC. Dear Mr. Raymond Berube. 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 February 18,2009 at 9:00 AM in the Board of County Commissioner's Room, Third Floor, and 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) 4.2.2. of Ordinance # 2006-46 (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 # 27696, and/or suspension or revocation of your permit privileges against your state license # CPC 1456893. Your immediate response is requested, as I am unable to contact you by phone. Sincerely, Allen Kennette Licensing Compliance Officer Phone# 1-239-403-2468 Fax # 1-239-403-2469 c If -1'1 {~ e r c o U 'J'I t: Y o COLLIER COUNTY BUILDING REVIEW & PERMITTING -CONTRACTOR'SLICENSING -2800 N. Horsesl1oe-j)-rive-. Naples, Florida 34104 · (239) 403-2432 · Fa-x (239) 403-2469 CERTIFIED MAIL # ?()()1 O?/O 4003 2 t;fy d3J"J RETURN RECEIPT REQUESTED Date: Januarv 12. 2009 Mr. Raymond Berube 3893 Mannix Drive, Unit #513 Naples, FI. 34114-5417 DBA: Berube Brothers Inc. RE: Complaint filed against you by BOCC. Dear Mr. Raymond Berube. 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 February 18,2009 at 9:00 AM in the Board of County Commissioner's Room, Third Floor, and 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) 4.2.2. of Ordinance # 2006-46 (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 # 27696, and/or suspension or revocation of your permit privileges against your state license # CPC 1456893. Your immediate response is requested, as I am unable to contact you by phone. Sincerely, Allen Kennette Licensing Compliance Officer Phone# 1-239-403-2468 Fax # 1-239-403-2469 ~-Ir c o [~~ e r c o .. .. 10 y -- --- ~-- - ----~-~--~ --- U.S. Postal Servicem CERTIFIED MAIL" RECEIPT (Domestic Mail Only; No Insurance Coverage Provided) cO .:r ITI ru cO c- ..J] ITI OFFICIAL Postage $ CerUfled Fee ITI CI Return Receipt Fee CI (EndOlBemenl RequlnKI) CI Res1rlcIed Delivery Fee CI (Endorsement ReqUired) r-'l I"'- Total Postage & Fees CI I"'- CI CI I"'- U.S. Postal Service" CERTIFIED MAIL RECEIPT (Domestic Mail Only; No Insurance Coverage Provided) U'l U'l ITI ru cO c- ..J] ITI OFFICIAL Postage $ CerUfled Fee ITI g Return Receipt Fee CI (Endonlement Required) Restricled Delivery Fee CI (Endomemenl Required) r-'l ~ Total Postage & Fees I"'- CI CI I"'- f-I' Roblin Insurance Agency 144 Gould Street Needham, MA 02494 Date (mmlddlyy) 1/20/2009 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Producer For inquiries, please fax to 727-772-7412 INSURER Lexington Insurance Company NAIC #19437 INSURER Illinois National Insurance Company NAIC #23817 INSURER National Union Fire Ins of PA NAIC #19445 Insured Able Body Labor 3040 Gulf to Bay Boulevard Clearwater FL 33759 INSURER THE PQLlCIES o.F INSURANCE LISTED BELo.W HAVE BEEN ISSUED TO. THE INSURED NAMED ABOVE FOR THE Po.LlCY PERlo.D INDICATED. No.TWITHSTANDING ANY REQUIREMENT. TERM o.R Co.NDITlo.N o.F ANY Co.NTRACT o.R OTHER Do.CUMENT WITH RESPECT TO. WHICH THIS CERTIFICATE MAY BE ISSUED o.R MAY PERTAIN. THE INSURANCE AFFo.RDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO. ALL THE TERMS EXCLUSlo.NS AND Co.NDITlo.NS OF SUCH Po.LlCIES. AGGREGATE LIMITS SHo.WN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY POLICY INSR EFFECTIVE EXPIRATION TYPE OF INSURANCE POLICY NUMBER DATE DATE LIMITS LTR GENERAL LIABILITY 12/1/2008 12/1/2009 A COMMERCIAL GENERAL L1AB 6763341 CLAIMS MADE 00CCUR LOC COMBINED SINGLE LIMIT $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) OTHER THAN AUTO ONLY: EACH OCCURRENCE AGGREGATE DEDUCTIBLE RETENTION $ B WORKERS' COMPENSATIQN & 12/1/2008 12/1/2009 STATUTORY LIMIT EMPLOYERS' LIABILITY WC5736440 - FL EL EACH ACCIDENT C WC5736439 - AOS 12/1/2008 12/1/2009 EL DISEASE - EA EMPLOYEE B WC6506510 - TX 12/1/2008 12/1/2009 EL DISEASE. POLICY LIMIT Only those employees rented from Able Body Labor per work order or written contract. Job Site: Copper Leaf / Bonita Bay opper Lea Bonita Bay Southern Exteriors Enhancement 1916 Princess Court Naples FL 34110 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 . DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRE- SENTATIVES. '10 Day. for Non.Payment of Premium. AUTHORIZED REPRESENTATIVE Peter Roblin ~~ :ERT NO.: 4364032 CLIENT CODS: ABLEB-1 Brandy Schweiger 1/20/2009 5:21:29 AM Page 1 of 2 BALANCE SHEET FOR SOUTHERN EXTERIOR ENHANCEMENTS~ INC. AS OF FEBRUARY 15, 2009 ASSETS; CURRENT ASSETS: Cash Accounts Receivable Inventory FIXED ASSETS: Hand and office equipmnt Rolling Equipment TOTAL ASSETS LIABALITIES AND NET WORTH: CURRENT LIABILITIES: Accounts payable FIXED LIABILITIES: Notes Payable TOTAL LIABALITIES NET WORTH $13,700.00 9,800.00 6,660.00 $11,800.00 38,000.00 $79.960.00 $3,200.00 $18,500.00 $21.700.00 $58,,260.00 COLLIER COUNTY, FLORIDA CONTRACTORS' LICENSING BOARD ORDER TO PAY CIVIL PENALTY AUTHORIZED TO HAVE CHAIRMAN ORDER CITATION # NAME #4022 #4192 #4100 #4099 #4098 #4097 #4087 #4196 #3738 #3845 #3719 #4081 #4082 #3789 #4194 #3841 #3796 #3973 #3727 #4059 #4060 #4107 #4106 #3516 #3768 #4335 #3856 #3785 #3720 #3821 #3822 #3806 #4217 Edgar Cavid Acung Enrique Alvarez II Michael J. Antos Michael J. Antos Michael J. Antos Michael J. Antos Luis Miguel Arenillas Marian Birsa Chad W. Bowman Grimaldo Federrico Bravo Bret Bricker Robert Joe Brogdon Robert Joe Brogdon Paul Randall Bums Wilmer Damiel Cruz Cabrera Sergio Luz Cardoso Timothy Cargile Timothy D. Chamberlain Samuel B. Chambers Gerard J. Couture Gerard J. Couture Gladys Craig Gladys Craig John Croughin Gilberto Da Cruz Jerrod W. Dally Larry Allen Day Jr. Alejandro Cesar Del Zotto Mark Downend Mark Downend Mark Downend Emir Maldenado Enriquez Mark Edlund (!..l--8 e2'-I&-O~ #4038 #4036 #4037 #3927 #3925 #4053 #3810 #3961 #3854 #3959 #3960 #3718 #3790 #4104 #3861 #2477 #3837 #4299 #3862 #4031 #4032 #4033 #2052 #3915 #3990 #4281 #4260 #4321 #4028 #4200 #4191 #3765 #4199 #4175 #4176 #3818 #3918 #3759 #3758 #3931 #3932 #3748 #3749 #3750 #4238 #4239 Ralph E. Forrester Shaun Wayne F oerman Shaun Wayne F oerman Gerald E. Green Gerald E. Green Jesus Garza Christopher Luke Harrell Jamie Hudson Daniel E. Torres Jimenez Robert Lee Johns Robert Lee Johns Stuart Jones Rick Johnson Bern Michael Kahle Jamie Lee Kemper Edward Kersey Edward Kersey Edward Kersey Robert Davis Knowlton Randy Dean Kuder Randy Dean Kuder Randy Dean Kuder Silverio Lozano Silverio Lozano William Matthews Charles R. McDermott Brian Michael McMullin Brian Michael McMullin Rebecca Molina Edwin James Moore Dan Earl Moreau Thomas William Morris Ana M. Munoz Jeffrey Eugene Murphy Jeffrey Eugene Murphy Benson Clark McCreary Michael Marzulli Vitico Mieses Vitico Mieses Matthew Nelson Matthew Nelson Matthew Nelson Matthew Nelson Matthew Nelson Michael O'Neal Michael O'Neal #4240 #4241 #4193 #4261 #4178 #4179 #4180 #4019 #4020 #4142 #3972 #3954 #4102 #4103 #4285 #413 6 #4083 #4078 #3793 #3663 #3664 #4222 #4221 #4160 #4159 #3991 #4215 #3847 #4402 #4403 #3667 #4182 #3928 #3939 #3260 #4110 #4269 #4270 #3944 #4068 #4067 #3717 #4157 #4150 #3819 #3943 Michael O'Neal Michael O'Neal Dheobert Oliva Steven Lee Pate Steven Lee Pate Steven Lee Pate Steven Lee Pate James F. Pauley James F. Pauley Ricardo Perez Eric Jonathan Poole Jesus Amamdo Perez-Martinez Domingo Perez Jesus Perez Adam Clark Raleigh Sean Michael Reilly Clifford B. Reiselt Daniel Eugene Rhoades Luis Rodriguez Sam Rogers Sam Rogers Domingo Rosa Domingo Rosa Domingo Rosa Domingo Rosa Salvador Santillan Eligio Lee Santos Jr. Bonnie J. Santos Todd A. Schurdell Todd A. Schurdell Alex H. Sempf Lesme J. Severyn Ersin Sevindik Mark Stephen Shores Mark S. Shores Robert John Sifontes James Lamar Skinner Jr. James Lamar Skinner Jr. Maria Solis Maria Solis Maria Solis Steven Spaugh Alfred Byron Strand Salvador Salas Peter Thomas Omar Torres #4009 #3908 #4044 #4198 #3983 #3824 #3979 #3875 #4247 Dennis Thompson Rommel Uzcategui Manuel Valdes Alexander Zorrilla Vaillant Erineo Wallace Cara Helen West-Steele David A. West Ronni Sue Waddups Andres Zapata