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CLB Agenda 03/21/2012CLB MEETING AGENDA MARCH 21,2012 CIS, Cor County COLLIER COUNTY CONTRACTORS' LICENSING BOARD AGENDA March 21, 2012 9:00 A.M. COLLIER COUNTY GOVERNMENT CENTER ADMINISTRATIVE BUILDING BOARD OF COUNTY COMMISSIONERS CHAMBERS ANY PERSON WHO DECIDES TO APPEAL A DECISION OF THIS BOARD WILL NEED A RECORD OF THE PROCEEDINGS PERTAINING THERETO, AND THEREFORE MAY NEED TO ENSURE THAT A VERBATIM RECORD OF THE PROCEEDINGS IS MADE, WHICH RECORD INCLUDES THAT TESTIMONY AND EVIDENCE UPON WHICH THE APPEAL IS TO BE BASED. I. ROLL CALL ADDITIONS OR DELETIONS: III. APPROVAL OF AGENDA: IV. APPROVAL OF MINUTES: DATE: February 15, 2012 V. DISCUSSION: VI. NEW BUSINESS: (A) Brian Hemenway —Waiver of Examination(s) (B) Keith Sherwood — Waiver of Examination(s) (C) Joseph lafornaro - Cerdit review/ question #3 on application VII. OLD BUSINESS: (A) Orders of the Roard VIII. PUBLIC HEARINGS: (A) Case number 2012 -03 Linda Curiale- D /B /A Global Maintenance & Restoration, Inc. (B) Case number 2012 -04 Brandon M. Acosta- D /B /A Brandon Acosta, LLC. IX. REPORTS: X. NEXT MEETING DATE: WEDNESDAY APRIL 18, 2012 COLLIER COUNTY GOVERNMENT CENTER ADMINISTRATIVE BUILDING THIRD FLOOR IN COMMISSIONERS CHAMBERS 3299 E. TAMIAMI TRAIL NAPLES, FL 34112 February 16, 2012 MINUTES OF THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD MEETING February 16, 2012 Naples, Florida LET IT BE REMEMBERED that the Collier County Contractors' Licensing Board, having conducted business herein, met on this date at 9:00 AM in REGULAR SESSION in Conference Room #610, Collier County Growth Management Division/Planning & Regulation Office, 2800 North Horseshoe Drive, Naples, Florida, with the following Members present: CHAIRMAN: Lee Horn Vice Chair: Richard Joslin Michael Boyd Terry Jerulle Kyle Lantz Thomas Lykos Robert Meister Jon Walker Patrick White ALSO PRESENT: Michael Ossorio — Supervisor, Contractors' Licensing Office Michael D. Gentzle, Esq., and James F. Morey, Esq., Attorneys for the Contractors' Licensing Board Steve Williams, Esq., Assistant County Attorney Rob Ganguli, Licensing Compliance Officer Ian Jackson, Licensing Compliance Officer February 16, 2012 Any person who decides to appeal a decision of this Board will need a record of the proceedings and may need to ensure that a verbatim record of the proceedings is made, which record includes the testimony and evidence upon which the Appeal is to be based. I. ROLL CALL: Chairman Lee Horn called the meeting to order at 9:02 AM and read the procedures to be followed to appeal a decision. Roll call was taken and a quorum was established. All members were present. II. ADDITIONS OR DELETIONS: (None) III. APPROVAL OF AGENDA: Patrick White moved to approve the Agenda as submitted Second by Thomas Lykos. Carried unanimously, 9 — 0. IV. APPROVAL OF MINUTES — January 18,2012: Corrections: Page 20, the Contractors' Licensing Board meeting ended at 11:15 AM James F. Morey, Esq., Attorney for the Board, noted Mr. Boyd abstained from voting during the January meeting. He requested to include Form 8 -B, entitled "Memorandum of Voting Conflict," in the Minutes and to reference it as Exhibit "A" on Page 18. Patrick White moved to approve the Minutes of the January 18, 2012 meeting as amended. Second by Thomas Lykos. Carried unanimously, 9 — 0. V. DISCUSSION: Attorney Morey requested that Michael Boyd read the "Disclosure of Local Officer's Interest" portion of Form 8 -B, "Memorandum of Voting Conflict," into the record as follows: "The Respondent who was the subject of the Complaint in question holds the same license and provides the same services as I do. The Respondent did not attend the Public Hearing and did not provide testimony. While I am not aware of any direct special benefits I would receive by the possible disciplining of the Respondent, to avoid even the appearance of impropriety or subsequent argument by the Respondent that I may have voted in such a way to take advantage of a business opportunity and, thus, obtain a special benefit, I disclosed my concerns orally at the meeting on January 18, 2012 prior to participating in any of the discussions. Moreover, I decided that abstaining from voting on the measure was proper under the circumstances." Mr. Boyd signed the Memorandum on January 31, 2012. 2 February 16, 2012 VL NEW BUSINESS: (Note: In each of the cases heard under this Section, and Section VIII, "Public Hearings," the individuals who testified were sworn in by the Attorney for the Board.) A. Mary Ann Mulligan — Request for Waiver of Examination/License Re- instatement Michael Ossorio, Supervisor — Contractors' Licensing Office, provided background information: Ms. Mulligan's license lapsed in Collier County in 2001 She has maintained a license in Lee and Charlotte Counties and in the City of Cape Coral She requested a Waiver of the requirement to take the Business Procedures test Chairman Horn noted Ms. Mulligan's Business credit report lacked any documentation. Mary Ann Mulligan replied she paid cash for tools. She stated she installs cabinets and doesn't purchase very much equipment or materials. She deposits payments into her business account and writes checks from the account as needed. Patrick White noted Mulligan's Cabinet Installation, Inc. was incorporated on January 1, 2004. Vice Chairman Richard Joslin asked if Ms. Mulligan's personal credit report should be reviewed since there was no business report to review. Michael Ossorio explained that a Business credit report had been submitted — it simply had nothing on it. He also noted there were no complaints or liens against the company. He further stated the County recommended reinstatement of her license. Thomas Lykos asked if the Ordinance requires payment of no more than three years of back fees. Mr. Ossorio concurred. Mr. Lykos stated the only reason why Ms. Mulligan appeared before the Licensing Board was to request a waiver of the requirement for testing. Mr. Ossorio reiterated it was his job to review the application and if the criteria was met, he would issue the appropriate license. The question before the Board was whether or not to waive the requirement for testing since Ms. Mulligan's license was in "expired/cancelled" status. In order for her license to be reinstated, she submitted an application and a credit report as required. He continued since Ms. Mulligan was still in business and had been working in other counties, it would be superfluous to require her to take a test. Ms. Mulligan clarified that she took a "finished carpentry" exam, as required by Charlotte County, approximately four years ago. Kyle Lantz moved to approve the request for a Waiver of Examination. Second by Patrick White. Carried unanimously, 9 — 0. February 16, 2012 B. Robert J. Spano — Contesting Citations(s) Citations: #6740 ( "Unlicensed Tree Trimming ") Date: January 27, 2012 Fine: $300.00 Description of Violation: Engage in the business or act in the capacity of a Contractor, or advertise self or business organization as available to engage in the business of, or act in the capacity of a Contractor, without being duly registered or certified. Robert Spano: • Received a Citation on January 27th for unlicensed contracting • Was contacted by Ian Jackson and met at the Contractors' Licensing Office on January 27th • Had not realized that his license was not renewed in Collier County • Due to a clerical error, the business tax receipt was paid but the license was not renewed • Paid the fees to renew his license which is in "active" status • Requested leniency requiring the fine • Has been in business since 2009 Michael Ossorio provided a brief overview of the licensing renewal process and noted Mr. Spano's license was in "suspended" status at the time the Citation was issued. He stated Mr. Spano acted quickly to submit an application to reinstate his license and to pay the required fees. He further stated the County would not object if the Board decided to waive imposing the fine. Vice Chairman Joslin reminded the Board that exceptions have been made in the past, i.e., if a violation was abated prior to the date of the Hearing, the Board waived the Citation. Patrick White asked Mr. Spano what he would to do in September 2012 that was different from his actions in September 2011. Mr. Spano replied the renewal rested on his shoulders. He knew the County sent a renewal notice in September — his only explanation was the document was misplaced but the renewal date has been noted on his company's business calendar. He did not foresee another problem. Mr. White asked if Mr. Spano's business practice had been modified as the result of receiving the Citation. Mr. Spano concurred. Terry Jerulle asked if Mr. Spano could be found guilty of the violation but not required to pay the fine. Michael D. Gentzle, Esq., Attorney for the Board, referenced Section 487.127 of Florida Statutes. He noted the Licensing Board could find in violation and order a violator to pay a fine or it could dismiss the Citation. 4 February 16, 2012 Terry Jerulle noted if the Citation was dismissed entirely, there would be no history to reference if Mr. Spano ever appeared before the Board again for the same violation. Patrick White stated the violation would remain on the record even if the Citation was dismissed. Jon Walker asked Mr. Spano if he was contesting the violation. Robert Spano replied he was not contesting the violation — only asking for leniency concerning the fine. Chairman Horn asked Mr. Ossorio if his Office's records would still note that there had been a violation. Michael Ossorio stated if the Citation was dismissed, a Non - Compliance Order would be issued. He further stated "City View" [the County's computer program] would note that a Citation had been issued but was dismissed. Mr. White asked if a "Non - Compliance Order" was the equivalent of a minor violation and Mr. Ossorio concurred. Kyle Lantz moved to approve dismissing Citation #6740. Second by Robert Meister. Jon Walker suggested amending the motion to approve upholding the Citation while dismissing the fine. Kyle Lantz agreed to amend his Motion. Second by Robert Meister. Carried unanimously, 9 — 0. VII. OLD BUSINESS: A. Orders of the Board Thomas Lykos moved to approve authorizing the Chairman to sign the Orders of the Board. Second by Vice Chairman Joslin. Carried unanimously, 9 — 0. B. Case #2011 -11: Motion for Re-Hearing.— Duane O. Thomas, d/b /a Duane Thomas Marine Construction, LLC John F. Hooley, Esq., of Garber, Hooley & Holloway, LLP, appeared on behalf of the Respondent, Duane O. Thomas, who was present. Chairman Horn asked why a re- hearing had been requested. Attorney Hooley stated the purpose was to revisit the sanctions that were imposed and requested the Board review the Sanctions. Chairman Horn asked if there was new evidence or a reason that the Board had not been made aware of at the time of the initial Hearing. Attorney Hooley stated the Board was to impose Sanctions after reviewing the following: • Gravity of the violation, February 16, 2012 • Impact of the violation on the public's health, welfare and safety, • Actions taken by the violator to correct the violation, • Previous violations committed by the violator, and • Any other relevant evidence presented by the parties at the Hearing. Attorney Hooley stated Mr. Thomas did not represent himself very well — "he did somewhat of a bad job." Patrick White noted the standard for a re- hearing identified the grounds for the re- hearing, as follows: • A fundamental error had occurred which resulted in a failure of due process, • The decision was contrary to the evidence, or • The Hearing involved an error on a ruling of law and/or fact which was fundamental to the decision of the Contractors' Licensing Board. He asked which of the grounds was the basis of Mr. Hooley's Motion. Attorney Hooley replied a fundamental requirement of law, noted in 4.3.1 (b), was defined as a "minor violation." He stated in reviewing the ruling of the Board, the mitigating circumstances relating to the work were not addressed. He continued, Mr. Thomas admitted he was working without having received a permit which does require action. However, the Board's punishment should have been ameliorated by the factors surrounding the work. He further stated the Order failed to make "Findings," as required by Section 4.3.5.3. Patrick White asked if the ground was that a fundamental error occurred which resulted in a failure of due process. "Yes or no ?" Attorney Hooley replied it was not a fundamental error. Patrick White: "Notice and opportunity to be heard ?" Attorney Hooley: "He had a notice and opportunity to be heard." Patrick White: "I will take that as a `no'." Attorney Hooley: "Yes." Patrick White: "The second is `the decision was contrary to the evidence.' Is it your position that it is or it isn't ?" Attorney Hooley: "It is my position that the decision wasn't but that the penalty was." Patrick White: "We made a decision. The third is that the Hearing involved an error on a ruling of law and/or fact that was fundamental to the decision of the Contractors' Licensing Board. If you don't get in under the second one as to what a decision is, I don't think you can get in under the third, either." He continued, "What I'm trying to help you articulate for the record and for this Board to understand, is — what you are asking for — is it the third ground as well ?" Attorney Hooley: "Yes, because I felt the Board did make a decision but I don't believe it considered the ameliorating factors as required by the Ordinance in accordance with the set forth specifications." Patrick White: "And that there weren't written Findings ?" 6 February 16, 2012 Attorney Hooley: "Correct." Patrick White: "It seemed essential to me that we understand which grounds the Motion was based upon." Terry Jerulle: "I guess I'm still not clear." Chairman Horn requested clarification from the Board's attorneys. Attorney Morey noted Mr. White cited Section 22.204 of the Code of Laws Ordinance. He stated Mr. Hooley must claim that a fundamental error occurred in the process. He continued, noting the Order of the Board recited, "... that after due consideration of all factors required under the Collier County Code of Laws and Ordinances 22- 203(c) and based upon the evidence and testimony presented ... " He stated there was a recitation in the Order that all the factors were considered. The Order did not have specific binding "Facts" which enumerated a listing in detail exactly which factors were considered. The Order stated the Board did consider all relevant factors, which were the required factors. The Board has the ability — if it determines that the Findings were inadequate and not specific enough — to grant the Motion for a Re- Hearing and hold a Hearing on a specific issue or as requested, simply hear the penalty phase. A Public Hearing would be held, the charge to the Board would be given, deliberation would take place considering all the factors, and the Board could decide to change its initial decision, or uphold the penalty, or change the penalty. The Board must feel comfortable with and believe that there was a fundamental error in the Findings. Chairman Horn asked if the Board could reopen just the penalty phase as long as the Respondent agreed he was guilty of a violation. Attorney Morey: "That is correct." He explained that during a re- hearing, the Board could limit the issues to a specific issue, including going directly to the penalty phase. Chairman Horn asked if additional notice was required or if the Board could proceed. Attorney Morey stated since there had been proper notice and the Respondent was present, along with his attorney, the Board could proceed because the Motion for a Re- Hearing was filed within the required time frame. Vice Chairman Joslin asked if a motion to approve was necessary from the Board before a re- hearing could be held. Attorney Morey explained the Board could grant the Motion for a Re- Hearing or deny it. If the Board granted the Motion, the Public Hearing would go forward, evidence would be heard, and the penalty phase would be opened and the penalty would be discussed. He reminded the Board that the violation had been established. Patrick While noted the Board could set the Re- Hearing for the next Board meeting. Attorney Morey concurred that Mr. White's suggestion was also an option. Patrick White stated if the Re- Hearing was set for a later date, according to the Ordinance, the time period to file an appeal would also be "stayed." February 16, 2012 Attorney Morey: "That is correct." Patrick White: "There's nothing that says that a Notice of Appeal cannot be filed prior to the Re- Hearing being decided. Or, is it essentially an attempt to restate what I otherwise would expect -- the jurisdictional limits of the Board for entertaining what is a quasi-judicial matter on appeal — which I believe is very strict. I'm trying to dance on the head of this pin in a way that doesn't prejudice the County but also puts this Board in a position to understand that if we choose to hear it and move that to [one] month from now, that it puts the Respondent in a position where he has to make decisions to act or not. He further stated he was one of the two dissenting votes. "It might be quite surprising to hear me analyze and come to the conclusion that I think we fully vetted every one of those factors, whether they were ameliorating or mitigating or aggravating. I don't think they were stated that way in the Ordinance. The Ordinance states each Board member is to weigh the factors in accordance with the evidence presented and the testimony heard. I weighed the factors and came to a different conclusion that seven of my colleagues and I respect that." He continued, "The point is — as to the scope of the Re- Hearing — and the grounds upon which the decision is being challenged as to the penalty imposed, my position is that we fully considered every one of those factors in detail and there is no requirement, in my understanding of the Law, that in this type of a matter — that the factors are to be stated with specificity. There are plenty of cases in quasi-judicial matters where written orders are required, in particular Code Enforcement cases, where a similar kind of standard exists, and I think we did our jobs and I believe that the Order as a matter of precedence ought to be respected to the degree that it says, as our Board's counsel indicted, after due consideration of all factors required and that is what we did." He further stated, "I think that is the standard that a Court is likely to look at and come to the conclusion that it's a tough three- pronged test of a quasi-judicial matter and because I was one of the people on the negative side of the motion, and also looking at and trying to find help for this Board when there have been few re- hearings, and based on the two grounds that are the basis of this motion, I would not be comfortable voting in favor of granting the Motion for Re- Hearing." He concluded that "because of the lack of clarity about the timing and of having a re- hearing or not, it makes more sense to me to dispose of this today and give the Respondent an opportunity to go to Court if he thinks that this Board needs to have written, specific Findings to put into the Order. If a Court thinks that's the case, we will have a re- hearing. I would prefer to have the Court tell us to do that than to do it on our own — to start out on a greater path than is in the Ordinance. We have over the years done an ever - increasing, more precise job of working within the framework of the rules that the Board of County Commissioners established and I don't want to tread onto some new ground where I don't think the Courts have gone without a Judge telling us." Finally, he urged the Board members to ask questions before making a determination. February 16, 2012 Chairman Horn stated it did not make sense to go above the Ordinance especially since the video recording was available and could be used as evidence in a third - party hearing. He noted a Court Reporter could produce a certified transcript if required. He further stated in every case that has come before the Board, the Board's attorneys reviewed the factors to be considered and the penalties, especially when the Respondent was a State - certified Contractor since the penalties are different. "We hear it during every single case and it is repeated into the record." Attorney Hooley stated he agreed with Mr. White but he did not perceive the Motion for a Re- Hearing as precedent- setting move by the Board or that the Board would be required to do it each and every time. He did not see the need for changes to the Statutory or adjudicatory scheme. He further stated Mr. Thomas was asking the Board to reconsider the factors at least with regard to one of the prior Citations. The Board didn't note that he mobilized prior to receiving the permit. Mr. Thomas applied for the permit, was cited on one day, and the permit was issued the following day. He concurred there was a violation, "but it was just on the cusp of a violation." He obtained documents from the City of Marco Island verifying that the type of work done was allowed at the time — that it was the ultimate factor for the Board to consider. He pointed out granting a Motion for a Re- Hearing would not re -write the Ordinance and going through the factors would not be a divergence from what the Board normally does. Patrick White countered it was the statement in the Respondent's Motion requiring written, specific Findings that concerned him as a precedent- setting. He stated if that aspect of the re- hearing request was withdrawn, he would be less concerned. The process comes down to a vote — individual votes by the Board members — and after considering the factors, the penalties made sense. Thomas Lykos noted that he stated at the previous Hearing, the Respondent could have made a phone call to the Building Department before he started the job. If he had put the effort in at the beginning, the Respondent would not have been cited for a violation. He further stated "we vetted this case — we vetted the issue of whether or not past violations were documented properly." He stated he was offended that the Board was asked to invest more time in the case and that the thoroughness of the vetting process was in question. Attorney Morey suggested, if there was no further discussion, a Motion to grant or deny the Re- Hearing could be made. Jon Walker moved to deny the Motion for a Re Hearing. Second by Thomas Lykos. Discussion: February 16, 2012 Patrick White: • Questioned what constituted the nature and scope of a "Cease and Desist" Order and whether or not the two prior incidents had been considered as violations. • He stated at the initial Hearing he questioned whether the two prior incidents (screen -shot identified) involving the City of Marco Island constituted violations. • He noted the Hearing Minutes were changed during the January meeting: o On Page 12, 2 °a paragraph, 4th line — the word "refusal" was changed to "failing" • The sentence was corrected as follows: "The issue was his [the Respondent's] inability to obtain a permit before starting work and the Respondent's faili n to follow the County's regulations. " • He stated the case was heard and did not think re- hearing the case would alter the outcome or assist a Court in anyway to be able to dispose of the matter. Vice Chairman Joslin: • Stated when he made the motion during the initial Hearing, he felt the penalty was correct for the gravity of the violation. • It would have been very simple for the Respondent to contact the County prior to beginning the job if it was an emergency situation. He chose not to make the call. • We knew the violation did occur due to sworn testimony given by the County. • To hear the case again could result in a more severe penalty phase. Attorney Hooley: • Mr. Thomas appreciates the power of the Board and is concerned about blemishes on his license, being placed on probation for a year, and the financial punishment. His reputation in the marine construction field is important to him. • He is not here to "get off Scott- free." • He has requested the Board's indulgence to take another look at the case and he recognizes the fact that even more severe penalties could be imposed. • Mr. Thomas has not taken an Appeal to the Circuit Court or any other place. • Mr. Thomas is asking for reconsideration of some of the terms of the Board's Order. Thomas Lykos: • Choosing to be a General Contractor means we live under the rules and regulations of the industry. We follow the laws of the industry that we are in — as set forth for our industry. 10 February 16, 2012 Attorney Hooley explained Mr. Thomas was not calling into question the Board's ability to look at the facts — he was asking the Board to re- examine the factors. He admitted he was guilty as charged and was asking only about the penalty phase. Vice Chairman Joslin asked if there was any new evidence to be presented by the County. Michael Ossorio responded that the County's position was that it had no position. The case was presented and the Licensing Board made its decision. Chairman Horn called for a vote on the Motion made by Mr. Walker: To deny the Respondent's Request or Motion for a Re-Hearing. Patrick Walker asked if the Motion should state why the Request for a Re- Hearing was denied. He suggested adding the Request for a Re- Hearing failed to proffer facts that met either the 2nd or the 3 ground as cited in Section 22 -204. Jon Walker amended his Motion as follows: To deny the Request for a Re- Hearing based on that the fact there was no probable cause that the first case was not properly vetted. Attorney Morey suggested the following language: "To deny the Motion for a Re- Hearing based on the fact that no fundamental error occurred in the first Hearing." Mr. Walker amended his Motion and Mr. Lykos offered his second in support of the amended motion. Carried unanimously, 9 — 0. BREAK. 10: 00 AM. RECONVENED: 10:1 S AM VIII. PUBLIC HEARINGS: B. Case #2012 -02: Raymond V. Trotta, (d /b /a: Naples Tile, Marble, Carpet & Wood, Inc.) Chairman Horn noted the Respondent, Raymond V. Trotta, was not present. Terry Jerulle stated he would abstain from voting due to a possible conflict of interest because he employed Mr. Trotta's company several years. Ian Jackson, Licensing Compliance Officer, stated the Notice of Hearing had been hand- delivered to Mr. Trotta on January 23, 2012. Chairman Horn outlined the manner in which the Public Hearing will be conducted: 11 February 16, 2012 • Hearings will be conducted pursuant to the procedures contained in Collier County Ordinance 490 -105, as amended, and Florida Statutes, Title XXXII, "Regulation of Professions and Occupations, " Chapter 489. • The Hearings are quasi-judicial in nature. • Formal "Rules of Evidence" shall not apply. • Fundamental fairness and due process shall be observed and govern the proceedings. • Irrelevant, immaterial, or cumulative evidence shall be excluded. • All other evidence of the type commonly relied upon by reasonably prudent persons shall be admissible, whether or not such evidence would be admissible in a trial in the Courts of the State of Florida. • Hearsay evidence may be used for the purpose of supplementing or explaining any evidence but shall not be deemed sufficient by itself to support a Finding, unless such hearsay would be admissible over objection in a civil action in Court. • The "Rules of Privilege" shall be effective to the same extent that such Rules are now, or hereafter may be, recognized in civil actions. • Any member of the Contractors' Licensing Board may question any witness before the Board. • Each party to the proceedings shall have the right to call and examine witnesses, to introduce Exhibits, to cross - examine witnesses, to impeach any witness regardless of which party called the witness to testify, and to rebut any evidence presented against the party. • The Chairperson or, in his/her absence, the Vice Chair, shall have all powers necessary to conduct the proceedings at the Hearing in a full, fair, and impartial manner, and to preserve order and decorum. • The general process of the Hearing is for the County to present an Opening Statement to set forth the charges and, in general terms, how the County intends to prove the charges. • The Respondent will present his/her Opening Statement setting forth, in general terms, defenses to the charges. • The County will present its Case in Chief by calling witnesses and presenting evidence. • The Respondent may cross - examine the witnesses. • After the County has closed its Case in Chief, the Respondent may present his/her defense as described previously, i.e., to call and examine witnesses, to introduce Exhibits, to cross - examine witnesses, to impeach any witness regardless of which party called the witness to testify, and to rebut any evidence presented against the party. • After the Respondent has presented his/her case, the County will present a Rebuttal to the Respondent's presentation. • When the Rebuttal is concluded, each party is permitted to present a Closing Statement. • The County is allowed a second opportunity to rebut the Respondent's Closing Statement. • The Board will close the Public Hearing and begin deliberations. 12 February 16, 2012 • Prior to beginning deliberations, the Board's Attorney will give a "charge" to the Board, similar to the charge given to a jury, setting out the parameters on which the decision will be based. • During deliberations, the Board can request additional information and clarification from the parties. • The Board will decide two different issues: • Whether the Respondent was guilty of the offense as charged in the Administrative Complaint. A vote will be taken on the matter. • If the Respondent was found guilty, the Board must decide the sanctions to be imposed. • The Board's Attorney will advise the Board concerning the sanctions and the factors to be considered. • The Board will discuss the sanctions and vote. • After the matters are decided, the ChairNice Chair will read a Summary of the Order to be issued by the Board. The Summary is a basic outline of the Order and may not reflect the same language contained in the Final Order. • The Final Order will include complete details as required under State laws and procedures. Vice Chairman Joslin moved to approve entering Case No. 2012 -02, Collier County License #33805, Board of County Commissioners vs. Raymond V. Trotta, d/b /a Naples Tile, Marble, Carpet & Wood, Inc., into evidence. Second by Kyle Lantz. Carried unanimously, 9 — 0. Chairman Horn entered the information packet into evidence as County's Exhibit "A. �P, Ian Jackson, Licensing Compliance Officer, presented the County's Opening Statement: • The County will show through documented facts and sworn testimony that Raymond V. Trotta failed to secure compensation for his employees in violation of Florida Statute 440.10 (1)(a). • Mr. Trotta violated Collier County Ordinance 90 -105, Section 22 -201 (6). • The Notice of Hearing was hand- delivered to Mr. Trotta on January 23, 2012. Mr. Jackson stated he spoke with Mr. Trotta and, although he was aware of the Hearing time and location, the Respondent was unable to attend due to health reasons. Mr. Trotta provided a statement for the Board's review. (A copy of the statement was distributed to the Board.) Patrick White moved to accept the statement and admit it into evidence as Respondent's Exhibit "A." Second by Thomas Lykos. Motion carried, 8 — "Yes " 10 — "No " /1— "Abstention." Terry Jerulle abstained from voting. Mr. Jackson read the statement into the record. 13 February 16, 2012 (A copy of the statement is attached as Page 23 of the Minutes.) It was noted the date of the violation, "10/04/3011," was incorrect — the year should be 2011. Chairman Horn asked if the Respondent's license was active. Mr. Jackson responded affirmatively. Case in Chief Jack Gumph, State of Florida Workers' Compensation Investigator, appeared as the County's witness. Ian Jackson asked Mr. Gumph to verify that: • He was at a construction site located at 14403 Marsala Way on or about October 4, 2011 • He encountered three employees of Naples Tile, Marble, Carpet & Wood, to wit: Cheryl Sheldon, Sara Newman, Glenn Snyder, who were performing construction while under contract to Mr. Trotta • Mr. Trotta was operating with Workers' Compensation provided through an employee leasing program • At the time, the three employees were not listed on the leasing program • The action constituted a violation of Florida Statutes 440.10(1)(a). Jack Gumph confirmed the Statute had been violated. Mr. Jackson noted the violation of Florida Statutes 440.10(1)(a) also constituted a violation of Collier County Ordinance 90 -105, as amended, Section 22- 201(6). Vice Chairman Joslin asked if there were other employees in addition to the three mentioned and the response was "no." Patrick White asked if any of the individuals mentioned were officers of the corporation and the response was "no." Mr. Gumph explained that a PEO Leasing Company is used by Contractors to provide payroll and Worker's Compensation insurance. The employees are technically employed by a PEO Leasing Company. The name of the leasing company was Progressive. When he called to verify the roster of employees for that day, he was told that Mr. Trotta had not run payroll for two or three weeks and had no employees on the roster. It was not the first day of the job. Vice Chairman Joslin asked what duties the employees were performing at the job site. Jack Gumph noted a gentleman in the garage was cutting tile. The Job Foreman, a young lady, was laying tile in the breezeway and the other young lady was sweeping UP. Ian Jackson asked Mr. Gumph to provide his background information for the record. 14 February 16, 2012 Mr. Gumph noted he is employed by the State of Florida Department of Financial Services — Division of Workers' Compensation as a Compliance Investigator. His duties included performing inspections (construction sites and non - construction locations) to verify compliance with the Workers' Compensation Law, i.e., Chapter 440 of Florida Statutes. He has been employed in the position for approximately 2 %2 years. He stated: • He spoke to the individuals at the job site. The job foreman identified the employer as Ray Trotta. • He spoke with Mr. Trotta to ask how the employees were insured. • Mr. Trotta indicated he used a PEO Leasing Company. • He contacted the leasing company and was told Mr. Trotta's employees were not on the roster for that day. • Two of the three employees had been on leasing program • One worker was a friend who did not work for the company but was there as a "helper." (Mr. Trotta was not aware the individual was on the job site.) • The employees indicated they worked for Mr. Trotta "off and on" — while they had not been paid, he had promised to pay them. Chairman Horn asked who would have been liable if an employee had been injured on the job. Mr. Gumph stated the General Contractor, Coastal Breeze Homes, LLC, would have been responsible. He stated he verified the General Contractor was insured. Thomas Lycos asked if the home under construction had been a custom home built for a specific owner, and if the GC did not have insurance coverage, could an injured employee file suit against the homeowner and the response was "yes." Mr. Gumph noted even though Mr. Trotta used his employees on an infrequent basis, because he had not run them through the leasing company for a period of at least three weeks, it was the policy of the leasing company to consider them as (automatically) terminated. Mr. Trotta was required to contact the leasing company to reinstate the employees for them to be covered under the leasing company's Workers' Compensation policy and to be paid. He further stated when he spoke with the Respondent, Mr. Trotta acknowledged that he knew his employees were not on the leasing company's list. Patrick White noted the time line was not known, but the Respondent's acknowledgement indicated the degree of disregard on his part. Michael Boyd noted the Respondent was not State - certified or registered and asked what actions were taken by the State. Jack Gumph replied that a "Stop Work" Order was issued, and State auditors levied a penalty against him and his company for the violation. He stated the job was completed by another tile contractor hired by the General Contractor. Ian Jackson concluded the County's presentation, stating the County proved the Respondent violated Collier County Ordinance 90 -105, as amended, Section 22- 15 February 16, 2012 201(6), i.e., "Disregards or violates, in the practice of his contracting business in the County, any of the building, safety, health, insurance, or Workers' Compensation laws of the State or Ordinances of the County. " Terry Jerulle inquired about the State's fine. Jack Gumph stated the Respondent was fined $13,632.08 on October 19, 2011 and the fine had not been paid. It was a punitive fine. The company had a window of 20- business days to pay the fine or enter into a payment agreement. Chairman Horn asked if the Respondent's permit pulling privileges had been suspended by the County. Michael Ossorio noted a General Contractor pulls permits for a job site. When the State issues a "Stop Work" Order, a copy is placed in the Permit file and the GC cannot pull additional building permits. He stated the Respondent's company was active in the County's system, i.e., his Certificate remains active until September. When the State issues a "Stop Work' Order, it applies throughout the State. Jack Gumph concurred, stating the Respondent is not allowed to not work anywhere in the State until the requirement was satisfied. Thomas Lykos moved to close the Public Hearing. Second by Patrick White. Motion carried, 8 — "Yes " 10 — "No " /1— "Abstention." Terry Jerulle abstained from voting. Chairman Horn stated the Public Hearing was closed. Attorney Morey outlined the Charge to the Board: • The Board shall ascertain in its deliberations that fundamental fairness and due process were accorded to the Respondent • Pursuant to Section 22- 203(g) (5) of the Codified Ordinance, the formal Rules of Evidence set out in Florida Statutes do not apply. • The Board shall consider solely the evidence presented at the Hearing in its deliberation of this matter. • The Board shall exclude from its deliberations irrelevant, immaterial and cumulative testimony. • The Board shall admit and consider all other evidence of a type commonly relied upon by reasonably prudent persons in the conduct of their affairs, whether or not the evidence so admitted would be admissible in a Court of Law or Equity. • Hearsay evidence may be used to explain or supplement any other evidence but hearsay, in and of itself, is not be sufficient to support a Finding, unless such hearsay would be admissible over objection in a civil action in Court. • The Standard of Proof in actions where a 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. • The Burden of Proof on the Complainant is a larger burden than the "Preponderance of Evidence" Standard set in civil cases. 101 February 16, 2012 • The Standard of Evidence is to be weighed solely as to the charges set out in the Complaint. • The only charges the Board may decide upon are the ones to which the Respondent has had an opportunity to prepare a defense. • The damages awarded by the Board must be directly related to the charges. • The decision made by the Board shall be stated orally at the Hearing and is effective upon being read, unless the Board orders otherwise. • The Respondent, if found guilty, has certain appeal rights to the Contractors' Licensing Board, the Courts, and the State Construction Industry Licensing Board, pursuant to Florida Statutes and the Florida Administrative Code. • The Board shall vote upon the evidence presented in all areas and if the Respondent is found in violation, shall 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 Complaint. Patrick White moved to approve finding the Respondent "guilty" as set forth in the Administrative Complaint and in violation of the Code, Section 22- 201(6) pertaining to violation of the Workers' Compensation Law, Section 440.10(l)(a) and that fundamental due process was afforded the Respondent and, based upon all relevant evidence and testimony, to a clear and convincing degree, the Respondent did so violate as set forth in the Administrative Complaint. Second by Kyle Lantz. Motion carried, 8 — "Yes " 10 — "No " 11— "Abstention." Terry Jerulle abstained from voting. Attorney Gentzle stated since the Board found there was misconduct by the Contractor under Section 22- 203(b) (1), the Board may impose any of the following Disciplinary Sanctions individually, or in combination: (1) Revocation of the Collier County (or City) Certificate of Competency, (2) Suspension of the Collier County (or City) Certificate of Competency, (3) Denial of the issuance or renewal of the Collier County (or City) Certificate of Competency, (4) Imposition of 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 Contractor's Licensing Board, and/or participating in a duly- accredited program of continuing education directly related to the Contractor's contracting activity. Any period of probation or continuing education program ordered by the CLB may be revoked for cause by said Board at a Hearing noticed to consider said purpose. (5) Restitution; (6) A fine not to exceed ten thousand dollars ($10,000); (7) A public reprimand; (8) Re- examination requirement; (9) Denial of the issuance of Collier County (or City) Building permits or requiring the issuance of permits with specific conditions; (10) Reasonable legal and investigative costs for the prosecution of the violation. 17 February 16, 2012 Attorney Gentzle advised the Board that when imposing disciplinary sanctions on a State - certified Contractor or person who was found to have violated the Ordinance, the Contractors' Licensing Board shall consider the following: (1) The evidence presented at the Hearing; (2) The gravity of the violation; (3) The impact of the violation on public Health/Safety or Welfare; (4) Any actions taken by the violator to correct the violation; (5) Any previous violations committed by the violator, and (6) Any other evidence presented at the Hearing by the parties relevant as to the sanction which is appropriate for the case given the nature of the violation or the violator. He continued, stating in addition to any action that the Collier County Contractors' Licensing Board may take against the individual or business, and any fines that may be imposed, the Board shall issue a recommended penalty to the State of Florida Construction Industry Licensing Board. The penalty may include: a. A recommendation of "no further action "; b. A recommendation of suspension, or revocation, or restriction of the registration; c. A fine to be levied by the State of Florida Construction Industry Licensing Board. d. Any combination of the above. Chairman Horn asked the County for its recommendations. Ian Jackson introduced a three -page document and requested to enter it into evidence as County's Exhibit "B" for consideration during the penalty phase. (A copy of the report was distributed to the members and attached as Pages 24 through 26 of the Minutes.) Patrick White moved to accept the document and enter it into evidence as County's Exhibit `B." Second by Vice Chairman Joslin. Motion carried, 8 -- "Yes " 10 — "No "/I — "Abstention." Terry Jerulle abstained from voting. Michael Ossorio stated the County would not request any investigative costs. Mr. Jackson described the contents of County's Exhibit "B ": • The first page was a copy of the Comment Listing Report which outlined the past history of the Contractor. He noted the Contractor had been cited in 2005 for a similar incident — "no Workers' Comp. Insurance." • The second page was a copy of the 2005 Investigative Report, • The third page was a copy of Citation #2408, issued on January 12, 2005. Chairman Horn questioned the second entry on Page One of the Report, asking if it was an actual violation or a note in the system. Michael Ossorio confirmed the entry was not a violation. 18 February 16, 2012 Patrick White noted it was not the Respondent's first Workers' Compensation violation and there was one prior violation, i.e., January 12, 2005. Michael Ossorio concurred. Chairman Horn asked the County for its recommendation. Michael Ossorio stated the County did not have a recommendation. Kyle Lantz noted the financial punishment levied by the State was adequate. He recommended probation. Patrick White noted a tile contractor would probably not pull a Building Permit. He asked for clarification between a "revocation" and a "suspension" of the Contractor's certificate. Michael Ossorio explained a "revocation" is a finite removal of the Certificate while a "suspension" could indicate a limited period of time until the Respondent appeared before the Contractors' Licensing Board or submitted an application. If a license was revoked, the Contractor could petition the Board for a Hearing at a specified date and time. He confirmed that once a license has been revoked, it was "finished." Chairman Horn noted the State levied a fine in the amount of $13,000 which the Respondent might or might not pay. Patrick White stated of the options presented, given the prior violation, he recommended a revocation of the Respondent's license along with a public reprimand. Chairman Horn asked if the Respondent intended to stay in business. Investigator Jackson concurred with the Chairman's assessment. Thomas Lykos summarized: The Respondent. must pay the State levy of $13,000+ before he will be allowed to return to work • Mr. White recommended that the Board revoke the Respondent's license • If the Respondent wished to re- instate his license, he would be required to apply to the Board. He stated he agreed with Mr. White's recommendation. It was noted the Respondent did nothing to mitigate the situation, i.e., he did not reimburse his employees for unpaid wages or bring the Workers' Compensation policy into compliance. Jack Gumph outlined the State's repayment option: The Respondent was required to make a down payment of ten percent of the fine ($1,300) and would have sixty months — interest free — to pay off the fine. Kyle Lantz suggested that revocation was too severe and noted the Respondent will pay a hefty fine and will not be allowed to return to work until all conditions have been satisfied. He recommended suspension of the Respondent's license. Vice Chairman Joslin agreed with Mr. Lantz. Thomas Lykos and Patrick White reiterated their support for revocation. 19 February 16, 2012 Jack Gumph stated he met with the Respondent after the fine was levied and explained to Mr. Trotta that he had twenty business days to enter into a payment plan. Mr. Trotta indicated, based on his financial situation and poor health, that he could not do so. Mr. Gump noted the State of Florida does not want Contractors to shut down or completely stop working. He stated Mr. Trotta can call him at any time to set up a payment plan. He further stated the Respondent had the right to file an Appeal prior to the twenty - day deadline (after service of the penalty). The Respondent could have produced evidence to reduce the State's penalty. After the deadline expired, the State would not consider any reduction of the penalty. He continued the State could collect the penalty via placing a lien against the Respondent, enlisting the services of a collection bureau. He noted there is the ultimate possibility of instituting criminal charges against the Respondent. He stated the business owner could remedy the situation by entering into a payment agreement at any time during the process. Patrick White requested that the Respondent provide proof that his employees had been compensated before the revocation could be lifted. Chairman Horn asked if the Board could require continuing education. Attorney Morey explained that under probation, certain conditions could be imposed by the Board including a re- education component. He stated the Ordinance does not specifically state that the Board could impose a requirement to compensate other people since it is not related to the license. Mr. White noted there was no prohibition and compensation was allowed as a lesser penalty for probation and he thought it could be imposed Vice Chairman Joslin reminded the Board that the State took the position of trying to help Contractors in trouble, as evidenced by the availability of a payment plan, and stated the Board should not impose penalties that were more severe than the State. Kyle Lantz noted the Board had never revoked a Contractor's license in the past for a Workers' Compensation violation. The Respondent has been punished by a $13,000 fine. He recommended suspension. Michael Boyd moved to approve revoking the Respondent's License. Second by Patrick White. Motion carried, S— "Yes " 13— "No " /1— "Abstention." Terry Jerulle abstained from voting. Chairman Horn stated: This cause came on for public hearing before the Contractors' Licensing Board on February 16, 2012 for consideration of the Administrative Complaint in Case #2012 -02 filed against Raymond V. Trotta, d/b /a "Naples Tile, Marble, Carpet & Wood, Inc.," the holder of record of Collier County Certificate #33805. 20 February 16, 2012 • Service of the Complaint was made in accordance with Collier County Ordinance 90 -105, as amended. • The Board, at this Hearing, having heard testimony under oath, received evidence and heard arguments respective to all appropriate matters, therefore issued its Findings of Facts and Conclusions of Law as follows. Findin,-s of Fact: • Raymond V. Trotta, d/b /a "Naples Tile, Marble, & Wood, Inc.," is the holder of record of Collier County Certificate #33805. • The Board of County Commissioners, Collier County, Florida, Contractors' Licensing Board is the Petitioner (Complainant) in this matter. • The Board has jurisdiction of the person of the Respondent. • Respondent, Raymond V. Trotta, was not present at the Public Hearing held on February 16, 2012, and was not represented by Counsel at the Hearing. • All notices required by Collier County Ordinance 90 -105, as amended, have been properly issued and were personally delivered • The Respondent acted in a manner that is in violation of Collier County Ordinance and is the one who committed the act. • The allegations set forth in Administrative Complaint as Count I, under Section 22- 201(6), "Disregards or violates, in the practice of his contracting business in the County, any of the building, safety, health, insurance, or Workers' Compensation laws of the State, or Ordinance of this County, " have been found to be supported by the evidence presented at the Hearing Conclusions of Law: The Conclusions of Law alleged and set forth in the Administrative Complaint as Count I have been approved, adopted and incorporated herein, to wit: "The Respondent violated Section 22- 201(6) of Collier County Ordinance 90 -105, as amended, and Florida Statutes 440- 10(1)(a) in the performance of his contracting business in Collier County by acting in violation of the Section set out in the Administrative Complaint with particularity. Order of the Board: Based upon the foregoing Findings of Fact and Conclusions of Law, and pursuant to the authority granted in Chapter 489, Florida Statutes, and in Collier County Ordinance 90 -105, as amended, by a vote of 8 in favor, none in opposition, and one abstention, a majority vote of the Board members present, the Respondent has been found in violation as set out above. Further, it is hereby ordered by a vote of 5 in favor, 3 in opposition, and one abstention, a majority vote of the Board members present, that the following disciplinary sanction and related Order are hereby imposed upon the holder of Collier County Certificate of Competency #33805, to wit: revocation of the Respondent's license. 21 February 16, 2012 Chairman Horn noted the case was closed. IX. REPORTS: • Patrick White requested an upstate of the Budget information that was to have been supplied by Ken Kovensky. • Thomas Lykos stated he met with Mr. Kovensky and Jamie French. He agreed with the methodology presented and the allocation of expenses contained in the budget and was satisfied that the numbers were reasonable. X. MEMBER COMMENTS: (None) XI. NEXT MEETING DATE: Wednesday, March 21, 2012 Board of County Commissioners' Chambers, Administrative Building "F," 3rd Floor (Government Complex), 3301 E. Tamiami Trail, Naples, FL 34112 There being no further business for the good of the County, the meeting was adjourned by the order of the Chairman at 11:45 AM. COLLIER COUNTY CONTRACTOR LICENSING BOARD Lee Horn, Chairman The Minutes were approved by the Board/Chairman on "as submitted" [ ] OR "as amended" [_]. 22 2011, r a To whom it may concern: February 3rd 2012 My Name is Brian Hemenway and I am requesting to have my License in Collier County reinstated. At the end of 20091 let my license lapse because we moved to Texas for my wife's job and I didn't believe we would be returning to Florida. I had a company there called Cabinetry & Installations by Level Line, LLC where I worked a subcontractor doing Installations for 5 different companies. Since January of 20001 have worked exclusively as a cabinet installer starting in Massachusetts until 2004 when we moved to Florida. In Florida I had my corporation, Hemenway Finishing, Inc., where I ran a successful installation company for 5 years. Prior to 2000, my experience as a carpenter goes back to high school where I attended a trade school in Massachusetts. In total I have had 27 years experience in the field or carpentry and cabinet installation. For these reasons I believe I should have my license reinstated and I hope that you come to the same conclusion. Sincerely, Brian Hemenway Stated just , Le The tore oinr <...� `� yr g trusner?l was acknowledged before me is L , �,; «y of�p 20 by p" 2 w om is personally known or prod !Votary ;Tinat!, r 7L,AWRENCC- M. HARL?Oi Notary Public, State of 9060'a O mrr;isslo n#O OD931733 fifes � ; . 3, 2013 v I ki e__ . r C;0 1 CDES Operations & Regulatory Management Licensing Section 2800 North Horseshoe Drive Naples, FL 34104 APPLICATION FOR COLLIER. COUNTY /CITY OF NAPLES /CITY OF MARCO FIRM INSTRUCTIONS: This application must be typewritten or legibly printed. The application fee must accompany this application. The fee is not refundable after the application has been accepted and entered on the records. All checks should be made payable to the Board of Collier County Commissioners. For further information, consult Collier County Ordinance No. 90 -105, as amended. NAME OF COMPANY: / Exact Corporate /Business Name: Level , `l L ~ 1_"1 Fiction Name /DBA:" Qualifier Name: 9 Physical Address: �= (Number Mailing Address:_ T� (Number & Street) Telephone: 9 ( I L i t/ li TYPE OF LICENSE: ❑ General $230.00 ❑ Building $230.00 ❑ Residential $230.00 ❑ Mechanical $230.00 ❑ Roofing $230.00 Specialty trade: (City) (State) (Zip Code) (City) (State) (Zip Code) E- Mail:�1�.- i!�`�`9 T ❑ Electrician $230.00 ❑ Plumber $230.00 ❑ Air Cond. $230.00 ❑ wimming Pool $230.00 Specialty $205.00 CHANGE OF STATUS: ( ;4 Reinstatement ( ) From One Business to Another { ) Dormant License to Active The names, titles, home address and phone numbers of all Officers /Managing Members of the Firm. 2. 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. VVI l /.„(- A r:, 3. 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. i ) C A q-0- AFFIDAVIT 1, certify that the foregoing is true and correct to the best of my knowledge. z !�i A thorized Offr r of the Firm STATE OF FLORIDA COUNTY OF Pte' The foregoing instrument as acknowledged before me this Z311 (Date) By k)'Orl Zl r } of ice- f, r2Q (Name of officer, title! ent) (Name of Corpora on) a J 6 / L Corporation on behalf of the corporation. (State or Place of Corporation) He /She has produced ap- 'r, 0 ZAM identification and did not take an oath. (Type of identification) NOTARY'S SEAL ,iota: y Pubic: Slate of rloricia vGrannissio y 1 33 (SIGNATURE OF NOTARY) 7;�{ � QUALIFIER INFORMATION: Name: l.-�) r- i c,� \ Address: ,1 iJ 1 C L,4 %L- i-\ (Number & Street) Telephone: 70 4 -0 Ui Ti S.S. #t: 000 -00 -_ - - ( , ` it- (_ _x : e– (State) (Zip Date of Birth: / C -° b — L- E -Mail: D� z.t_3�� y:�� uc' Driver's License: ,�- — 1. Type of Certificate of Compet1ency for which application is made. � 2. The names and telephone numbers of two persons who will know your whereabouts. 3. Have you ever been convicted of a crime related to Contracting? (If yes attach extra sheet with explanation) 7. Have you or any firms you have been associated with ever filed bankruptcy? >� 8. List all debts you or any company(s) associated with you refused or failed to pay and reasons why. Cam , -V cry-A. �, 9. List your business or work experience during the past ten years. �'a�,r� �•�.�, -+ � �Lt��.�.C`�` � '� S�#-�.��tL_j f."��rr�- z( -z',� °{'Xz.�� -'�a;e c��; fc,,,,- `j}•�.� pc'�,a� / �''tc� �j 10. Statement of any formal training you have had in the area for which the application is made. A4�, AFFIDAVIT 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 falsificaflon of any information contained herein is grounds for disqualification. t-1 C11711 APPLICANT (PLEASE PRINT) , NAME OF COMPANY ; ? SIGNATUR F APP ANT STATE OF FLORIDA COUNTY OF The foregoing instrument as acknowledged before me this J. (Date) By X /V a who has produced (Name of person acknowledging) (Type of identification) as Identification and did not take an oath. NOTARY'S SEAL TURE OF NOTARY) pubiir sots )t Ro6da 1733 a4[. , '?J13 Vii' :ffii. g, ...> TURE OF NOTARY) AFFIDAVIT It is understood and acknowledged by the Collier County Contractors' Licensing Board and myself that if I fail to acquire, or maintain at all times effective Workmen's Compensation insurance it will result in the possible revocation of my Certificate of Competency. SIGNATURE OF PLIC T e � �eJ etc BUSINESS NAME DATE BEFORE ME this day personally appeared + C"A � p�: ; )C who affirms and says that he has less than one employee and does not require Workmen's Compensation and understands that at any time he employs one or more persons he must obtain said Workmen's Compensation Insurance. STATE OF FLORIDA COUNTY OF-{ The foregoing instrument was acknowledged before me this �2 { ate b Y . /1 _L(I_J_I � .' c _._ who has produced_______ (name of person acknowledging) (Type of identtflcation) as identification and wh did not ke an oath. ARNa. riAo?i NofarY Pu;s #io: ui3k: tit Flcxsda >�ajM� F07 �1�93173 NOTARY SEAL IGNATURE OF NOTARY NOTARY PUBLIC kpplicant's Name: certificate Category Requested: V ERIFICATION OF CONSTRUCTION EXPERIENCE GMD Operations & Regulatory Management Department Licensing Section 2800 N. Horseshoe Drive Naples, FL 34104 i -1 -t- 4 ; l l we r- iK- %he Applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate the Applicant must verify their experience within this trade. You are being requested to provide information that will aid the Applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker (e.g. as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience must provide the following nformation: Vame, Title and license number of the person signing below and verifying Applicants relevant ecperience: dame: title: 2r e- 5 z" License Number (if applicable): dame of Business: r 3usiness Address: _� Y_ ►1�Ct SS 1l� c,'( � t "�� - - -53 �ci 3usiness Phone: <� - ( F -0 -7 17 The Applicant's years of experience from ►'� to �4- Che applicant's scope of work (specific duties) included: -� ►'� 5 l) t to i ►'`�' '� y '509 v Uditional Comments: Talsifying any information provided herein may subject your license to signature Print Name: Y11 1-1 tf �- e C J 'tate of Florida _ounty o€-c�- L, :Z Q _ he foregoing instrum nt as ackn wledged before me on this day of )y J� ``�� )^ `� who is personally known to me or produced 1 o is identification and who did not take an oath ! Jon Walls 2�Ppv apeC'� Signature of State of Florida *4 �'� OF ��C My Commission Expires 12113!2015 Cornmiuion No, EE 152M t�;7 / KI Dalla �� EN'Fort www January 16, 2012 To whom it may concern: 91qbf,11-� s 1 1544 Slocum Street Dallas, TX 75207 1214.741.1912 Worth 13116 W 6th St Ste 101 Ft Worth, TX 76107 1817.731.4299 thekitchensource.net I info @thekitchensource.net The Kitchen Source is a dealer and design firm representing a very high -end national cabinetry company, Wood -Mode, Inc. We only employ independent remodeling contractors /installers of cabinetry who present our cabinetry and company to the highest standard. Brian Hemenway, without reservation, is a highly qualified and professional contractor who has demonstrated complete knowledge in the installation of our products whether it be in a new or remodeling atmosphere. Therefore, we have no hesitation in recommending Brian for any project requiring his expertise in the cabinetry installation or remodeling field. Cordially, The tichen/Source Dallas, TX (%old-Vock FINE CUSTOM CABINETRY F(S,�i(F,;,WCOMAL MARK A WESS" NOTARY PUBLIC STATE OF TEXAS EXP IQ 13/15 r t KI T( EN Dallas 1544 Slocum Street Dallas, TX 75207 214.741.1912 Fort Worth 13116 W 6th St Ste 101 Ft Worth, TX 76107 1817.731.4299 �_Mo&jl(ce www.thekitchensource.net I info @thekitchensource.net To whom it may concern: January 16, 2012 Brian Hemenway has been employed as a subcontarctor for us from November 10, 2009 thru January 24, 2012. He has handled every aspect of cabinet installation from remodeling to new construction. Mr. Hemenway is well versed in the reading of blueprints and job drawings. All of his installations have been professional with complete customer satisfaction. The Kitchen Source is a dealer representing a very high -end national cabinetry company, Wood -Mode Inc., and Mr Hemenway has represented us and them with the highest of standards. License # 7-'-17 U 4 gS MARK A wESSEI S T,pev awi�c N PUBLOTARY IC TESTATE Or S O 13115 MY COMM• EXp i %od-Vv(k FINE CUSTOM CABINETRY Redslonekitchens December 30, 2011 To whom it may concern, Brian Hemenway has been employed by my company from November 2009 until the present as an independent contractor /installer of cabinetry. His duties have included all phases of cabinet installation from field measurements to final installation and trim -out. As a former cabinet maker and installer myself with over forty years in the cabinet business, I can state without hesitation that Mr. Hemenway is the finest installer with whom I have worked. Redstone Kitchens is a retailer and design firm of very high -end kitchen cabinetry and my installers are the face of my business. Mr. Hemenway has always represented my company in a professional manner and performed his duties within the scheduled time frame with admirable quality and trustworthiness. If listed I can attest to the following qualities: • An understanding of job safety and OSHA requirements including keeping the jobsite clean and free from hazards. • A high level of precision in the use of stationary and portable power tools. • A complete knowledge and understanding of blueprints, job drawings and specifications. • Knowledge and understanding of appliance and mechanical specifications. • Professional business practices and invoicing procedures. I hold Mr. Hemenway in the highest regard and personally recommend him for any type of work that requires his skills. Sincerely, Rex DeWald, Owner Redstone Kitchens, Texas Registered Builder #47814 State of Texas, County of Dallas This instrument was acknowledged before me on December 30, 2011 by Rex DeWald. CHRIS 0PHER DWAYNE ARC HIE [otary Public's Signature MY COMMISSION EXPIRES May 21, 201E 11661 Preston Road Suite #301 Dallas, TX. 75230. 214 368.5151 AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER county, L1 /5"', f :X- (State) and have resided here for more than five (5) years. During the last five years I have known f S on- _&, - de- m, � t,. „- applicant). I have had -he opportunity to observe his or her business and personal dealings and find him or her to be a person of Zonesty, integrity and good character. i (Signature) t �> 7 (Name) 0 e 4 g4fI IV (Address) t t,3 7 j i c.,� '16 ' ' / mid ,1; -,e e Telephone) Z r-)-S, z STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this by �( kupzux (Date) � who has produced _ �iPtO�� (name of person acknowledging) (Type of identification) as identification and who did not take an oath. NOT NOTARY'S SEAL (PRINT NAME OF NOTARY) NOTARY PUBLIC BARBARA HEERLYN Commission DD 755205 4 Expires April 2%820o-3B&7ots Tmy 8 AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER I, f' L r � 9`-'S � , am a resident of Lee County, (State) and have resided here for more than five (5) years. During the last five years I have known �� t n rN (Applicant). I have had the opportunity to observe his or her business and personal dealings an find him or her to be a person of honesty, integrity and good character. (Signature) (Name) . m r3� Rf ej (Address) ) � Od� M k �) 6 rc r ) ''z- -? 1 `1 Telephone) 1� 3 9 ) 6 "G' � ) T STATE OF FLORIDA COUNTY OF �'Cc The foregoing instrument was acknowledged before me this _ )'Jl by who has produced (name of person acknowledging) (Type of identification) r') as identification and who did not take an oath. Jon Walls State of Florida My Commission Expires 12/13/2015 FF NOTARY"on No. EE 152980 SIGNAT,Y.fRE OF NOTARY (PRINT NAME OF NOTARY) NOTARY PUBLIC COLLIER COUNTY GOVERNMENT COM214[TNITY DEVELOPMENT AND ENVIRONMENTAL SERVICES DIVISION 2£00 N. Horseshoe Dr. • Naples. Florida 34104 e 239- 403 - 2400 ® FAX 239 -403 -2334 g DATE: November 29, 2007 TO: Applicant's FROM: Michael Ossorio, Contractor Licensing Supervisor. CC: Robert .Dunn, Collier County Building Director. AIamar Finnegan, Collier County Permitting Supervisor. Robert Zachary, County Attorneys Office. All Contractor Licensing personnel. SUBJECT: Collection of social security numbers. Pursuant to Chapter 119, Florida Statues and Collier County Contractor Licensing Ordinance 2006 -46 Sec. 2.1.1., all appl icants are required to submit their social security number (SSN) for the following purposes: a) Assess applicant's ability to satisfy creditors by reviewing their credit history. b) Verification of applicant's test scores and information. Our office will only use your SSN noted above for those reasons pursuant to Chapter 119, Florida Statues and as nlay otherwise be authorized by law. We are fully committed to safe- guarding and protecting your SSN and once collected, will be maintained as confidential and exempt under Chapter 119, Florida Statues. Prepared By: Merit Credit (239) 277 -3202 (800) 371-3348 TRANSUNYON CREDIT REPORT [FORD [SUB NAME] (I) Z NP3343169 MERIT CREDIT iuij-lb��.raar ,,w--w w.Ui cui�ybicui.uuiiu iaiuui OAI- tc 4p/4'4- [MKT SUB] [INFILE] [DATE] [TIME] 15 DF 11/88 01/10/12 09:40CT [SUBJECT] HEMENWAY, BRIAN P. [ALSO KNOWN AS] HEMENWAY, BRAIN, P [CURRENT ADDRESS] 1550 MEADOWS AV., LANTANA TIC. 76226 [FORMER ADDRESS] 200 FALCON CI., XELLER TX. 76248 2649 SW. 32ND ST., CALPx CORAL FL_ 33914 [CURRENT EMPLO'Y'ER AND ADDRESS] HEM89WAY FINISHING INC CAPE CORAL FL. FOORMER EMPLOYER AND ADDRESS] MASTER CARPENTER [SSN] [BIRTH DATE] ^9371 10/$9 [POSITION] [VERF] [RPTD] CARPENTRY 2/07 2/07 SELF 8/02 [DATE RPTD] 3/10 7/09 S P E C I A L M E S S A G E S ** *ADDRESS ALERT: CURRENT INPUT ADDRESS DOES NOT MATCH FILE ADDRESSES) * ** ------------------- ---- ---- - - - --- ------------------------------------------- M O D E L P R 0 V Y L E * * * A L E R T * ** * * *FICO CLASSIC 04 ALERT: SCORE +635 : SERIOUS DELINQUENCY, AND PUBLIC * * *R9CORD OR COLLECTION FILED; TIME SINCE DELINQUENCY IS TOO RECENT OR * * *UNIMOWN; LACK OF RECENT REVOLVING ACCC)UNT XXPORMATION; NUMBER OF ACCOUNTS ** *WITH DELINQUENCY * ** IN ADDITION TO THE FACTORS LISTED ABOVE, THE NUMBER * * *OF INQUIRIES ON THE CONSUMER'S CREDIT FILE HAS ADVERSELY AFFECTED THE ** *CREDIT SCORE. ---------------------------_-----___---------- ------------------------ - - - - -- C R E D I T S U M M A R Y * ** T O T A L F I L E H I S T O R Y PR =1 COL =O NEG -8 HSTXEG =1,-12 TRD =34 RVL =25 INST =2 MTG-6 OPN -1 INQ -9 ------ ---------------------------------------------- ------------------ - - - - -- P U B L I C R E C O R D S SOURCE DATE LIAR ECOA COURT ASSETS PAID DOCKET* TYPE PLAINTIFF /ATTORIMY Z 512324H 8/118 DSO C FE $0 11/11 1135181 CHAPTER 7 BANKRUPTCY DISCHARGED DAVID JAMES SHUSTE - ------ -- - --- -- -------------------------------------- ------ _---------- - - - - -- T R A D E S SURNAME SDBCODE OPENED HIGHCRED TERMS MAXDELQ PAYPAT 1 -12 MOP ACCOUNT# VERFIED CREDLIM PASTDU£ AMT -MOP PAYPAT 13 -24 ECOA COLLATRL /LOANTYPE CLSD /PT) BALANCE REMARKS MO 30/60/90 CHASE B 26QKOOI 8/08 $21.3K R09 9/11A $19.3K $0 T CREDIT CARD 4/11x' $0 CLOSD BY CRDT GRANTOR CITIMQRT'GAGE B 4625015 3/07 $244K 1/11A C CONVENTIONAL RP-AL 1 /i1C $0 TxID /CBNA B 26H3005 1/10 $2405 12/11A $1510 I CHARGE ACCOUNT 1 /11C $0 360M1462 4/10 555555555432 M05 $0 $5851 05 111111111111 SETTLED [ FULL BLNC 40 1/ 1/10 111111111111 R01 $0 11111111111 CLOSD BY CRDT GRANTOR 23 0/ 0/ 0 I of 5 1/10/2012 10:40 AM 90/10 30dd M3�10 lIa3W 8SZELLZGEZ 69 :OT ZTOZ /0T /T0 GECRB /WHITEH B 9992477 8/02 $761 12/11A $3000 I CHARGE ACCOUNT 2/08C $0 SEARS /CBNA D 6256443 3/08 $540 12/11A $500 I CHARGE ACCOUNT 11/100 $0 WF M B 82TE004 1/10 $275K 12/11A C FHA REAL ESTATE M 9/11C $0 SEARS /CBNA D 6256443 11 /01 $1225 12/11A $3100 I CHARGE ACCOUNT 11 /04C $0 CITI B 64DBO32 5/07 $7973 9/11A $1000 A FLEXIBLE SPENDING 9/11C $0 TARGET N.B. D 1ZX5001 5/05 $610 4/10A $1000 1 CREDIT CARD 5/07C $0 DISCOVER FIN B 9616003 1/09 $0 3/09A $8000 I CREDIT CARD 3/09C $0 CHASE B 26QK004 6/08 $112 10/08A $3500 I CREDIT CARD 7/08C $0 1111.11111111 R01 $0 111111111111 CLOSD BY CRDT GRANTOR 48 0/ 0/ 0 111111111111 R01 $0 11111117,1111 CLOSD BY CRDT GRANTOR 45 0/ 0/ 0 111111111111 M01 $0 111111 CHAPTER 7 BANKRUPTCY 18 0/ 0/ 0 11111111113.1 R01 $0 111111111111 ACCT CLSD BY CONSUMER 48 0/ 0/ 0 111111111111 R01 $ 0 13,1.1.].11.3.1111 CLOSD BY CRDT GRANTOR 48 0/ 0/ 0 111111111111 Rol $0 111111111111 CLOSED 48 0/ 0/ 0 11 Rol $0 ACCT CLSD AX CONSUMER 2 O/ 0/ 0 111 R01 $0 ACCT CLSD BY CONSUMER 3 0/ 0/ 0 CITI CTB F 72120CQ 9/04 $2197 1,1111.1111111 R01 12/07A $6500 $p 111111111111 I CHARGE ACCOUNT 10/07C $0 CLOSED 40 0/ 0/ 0 CHASE B 701N134 10/05 $12.6K 311717111111 Rol 12/07A $16.0K $0 1)1111111111 I CREDIT CARD 11/07C $0 ACCT CLSD BY CONSUMER 25 0/ 0/ 0 ABN -AMRO B 624PO04 3/07 $244'K 36OM1463 111 M01 10/07A $0 C FRD429802919 10/07C $0 TRNSFRD. OTHER LENDER 3 0/ 0/ 0 WBHE B 908N737 3/05 $55.OK 111111111111 Col 4/07A $55.0K $o 111111111111 C HOME EQUITY LOAN 3/070 $0 CLOSED 25 0/ 0/ 0 BK OF AMER B 427SO02 7/04 $22,7K, 111111111111 Col 5690 3/07A $22.7K $0 11111111111 C HOME EQUITY LOAN 3/07C $0 ACCT CLSD BY CONSUMER 31 0/ 0/ 0 BK OF AMER B 4275002 7/04 $181K 36OM1729 111111111111 M01 56786123 3/07A $0 111111111111 C CONVENTIONAL REAL 3/07C $0 ACCT CLSD BY CONSUMER 30 0/ 0/ 0 CITI B 64DB002 8/89 111111111111 Rol 8/06A $13.5K $0 111111111111 I CREDIT CARD 7/06C $0 DISPUT / CLOSD BY CNSMR 48 0/ 0/ 0 CHASE 9/05A $10.OK $0 111111111111 Rol 111111111111 2 of 1/10/2012 10:40 AN 90/ZO 39dd lIQ3d0 ID13W 89Z6LLZ6EZ 6S:OT ZIOZ /0T /T0 A CREDIT CARD 5/05C $0 ACCT CLSD BY CONSUMER 34 0/ 0/ 0 CITI B 64DB002 2/01 12/04A A CREDIT CARD 11/04C WFH)@ B 908N737 5/04 9/04A C HOME EQUITY LOAN 8 /04C WFHM B 82TE004 6/03 7080130055676 9/04A P FRD151926832 9/04C W'FHE B 90SN737 6103 6546548789657 6/04A C HOME EQUITY LOAN 5/04C FLEET CC B 517R028 11 /00 8/03A I CREDIT CARD 3/02C WFHM B 82TE004 12/01 5919878119 7/03A C 'FRD327351608 7/03C AMEX B 21WI3001 9/01 3/03A T CREDIT CARD 5/02C PWC BANK FSB B 6613012 1198 1501008009907899 10/02A P AUTOMOBILE 10/02C WF /WB B 11YD053 8/00 2050010 9/02A I AUTOMOBILE 9/02C KOHLS /CAPONR D 12EN005 3/10 12/11A I CHARGE ACCOUNT 8 /11C GECRB /RMSTGO H 9992545 5/09 12/11A I CHARGE ACCOUNT 8 /10C GECRB /SCP D 235058D 4/10 12/11A I CHARGE ACCOUNT 8/11C BK OF AMER B 1597029 10/03 8 /11A T CREDIT CARD 10 /10C U6 BANK B 9564005 3/09 6 /11A I CREDIT CARD 3/09C TXU ENERGY U 34MCOOI 5/09 100001849084 1 /10A I UTILITY COMPANY 5/090 I N Q U I R I R S 3 of 5 90/60 30Vd 1IQ32 111111111111 RO1 $9400 $0 11111111.111 $0 ACCT CLSD BY CONSUMER 33 0/ 0/ 0 $59.7K 111 C01 $60.OK $0 $0 CLOSED 3 0/ 0/ o $256K 36OM1705 11111111113.1 M01 $0 11 $0 CLOSED 14 0/ 0/ 0 $0 111111111111 CO1 $39,QX $0 1 $0 CLOSED 13 0/ 0/ 0 $12.OK 111111111111 R01 $15-OX $0 111111'1.1111 $0 ACCT CLSD BY CONSUMER 23 0/ 0/ 0 $18oK 360MI252 X11111111111 M01 $0 1111111 $0 CLOSED 19 0/ 0/ 0 $965 1 RO1 $0 $0 ACCT CLSD BY CONSUMER 1 o/ 0/ 0 $16.4K 55M 1 101 $0 $0 CLOSED 1 o/ 0/ 0 $9000 60MI87 111111111111 I01 $0 13.11111111 $0 CLOSED 26 o/ o/ o $634 RUR $400 $0 $0 CHAPTER 7 BANKRUPTCY $3843 RUR $7000 $0 $0 CHAPTER 7 BANKRUPTCY $178 RUR $700 $0 $ 0 CHAPTER 7 BANKRUPTCY $21.9K RUR $21.OK $0 $ 0 CHAPTER 7 BANKRUPTCY $0 RUR $3500 $0 $0 CHAPTER 7 BANKRUPTCY $0 OUR $0 $0 CHAPTER 7 BANKRUPTCY 1/10/2012 10:40 Ar 10 1IZ13W 85ZELLZ66Z 65 :0T ZTOZ /0T /T0 DATE SUBCODE SUBNAME DATE SUBCODE SURNAME 1/10/12 ZNP3343169(FLA) MERIT CREDIT 8/01/11 YMS6219558(WIS) PINNACLE FNC 12/07/10 FDF1217777(SCT) CFMC 8/27/10 FT)F1217777(SCT) CFMC 5/03/10 FDF1217777(SCT) CFMC 4/08/10 NNY1212672(EAS) GECRB /JCP 2/24/10 FDF1217777(SCT) CFMC 1/20/10 ZC80001208(CNM) FDC 1/12/10 ZCS0001208(CNM) FDC C R E D I T R E P O R T S E R V I C E D B Y TRANSUNION 800- 888 -4213 2 BALDWIN PLACE, P. O. BOX 1000,C1IESTER, PA. 19022 Consumer disclosures can be obtained online through TransUnion at: http: / /www.transunion.com CREDITOR CONTACT INFORMATION DALLAS BK ZP512324H (214) 753 -2000 1100 COMMERCE ,ST DALLAS TX. 75242 CHASE 8C26QK001 P.O. BOX 15298 WILMINGTON DE. 19850 CITIMORTGAGE BM462SO15 PO BOX 9438 GAITHERSBURG VM. 20898 THD /CBNA BZ26H3005 PO BOX 6497 SIOUX FALLS SD. 57117 GECRB /WHITER BC9992477 C/O PO .BOX 965036 ORLANDO FL, 32896 SEARS /CBNA DC6256443 701 EAST 60TH ST N SIOUX FALLS SD, 57117 WFHM BM92TE004 7255 BAYMEADOWS WA DES MOINES I.A. 50306 CITI BC64DB032 PO HOX 6241 SIOUX FALLS SD. 57117 TARGET N.B. DZlZX5001 PO BOX 673 MINNEAPOLIS MN. 55440 DISCOVER FIN BC9616003 POB 15316 WILMINGTON DE, 19850 CHASE BC26QK004 P.Q. BOX 15298 WILMINGTON DE. 19850 CITI CTB PZ72120CQ PO BOX 22065 TEMPE AZ. 85285 CHASE BC701N134 BANK ONE CARD SERV ELGIN IL. 60124 ABN -AMRO BM624P004 PO BOX 9438 GAITHERSBURG MD. 20898 WFHE BB908N737 P 0 BOX 31557 BILLINGS MT. 59107 BX OF AMER RM427SO02 450 AMERICAN ST SIMI VALLEY CA_ 93065 CITI EC64DB002 POB 6241 SIOUX FALLS SD. 57117 FLEET CC BC517RO28 PO BOX 17054 WILMINGTON DE. 19850 AMEX EC21WB001 P.O. BOX 981537 EL PASO TX. 79998 PNC BANK FSB B16613072 2730 LIBERTY AV PITTSBURGH PA. 15222 WF /WB BB11YTa053 POB 3117 WINSTON SALEM NC. 2'7102 KOHLS /CABONTs DC12ENOOS PO BOX 3115 MILWAUKEE WI. 53201 GECRB /RMSTGO HF9992545 C/O PO BOX 965036 ORLANDO FL. 32896 GECRB /JCP DC235059D PO BOX 965005 ORLANDO FL. 32896 4 of5 90/b0 39Vd lIQ3aO lI�13W (800) 945 -2006 (800) 283 -7918 (866) 396 -8254 (800) 288 -3212 (800) 950 -5114 (800) 669 -6607 (800) 874 -2717 (336) 747 -8325 (262) 7 03 -70 00 (866) 396 -8254 (800) 542 -0800 1/10/2012 10:40 AN 89ZELLZGEZ 69 :0T ZTOZ /0T /T0 PK OF AMER PC1597029 PO SOX 982238 RL PASO TX. 79998 US BANTC BC9564005 CR DISPUTES SAINT LOUIS MO. 63166 TXU ENERGY U934MC001 PO BOX 666565 DALLAS TX. 75266 PINNACLE FNC Y 6219558 7825 WASHINGTON AV MINNEAPOLIS MN. 55439 CFMC F 1217777 1111 NORTHPOINT DR COPPELL TX. 75019 GECRH /JCP N 1212672 PO BOX 965007 ORLANDO FL. 32896 FDC Z 0001208 5.200 HAHNS PRAK DR LOVELAND CO. $0538 https: / /www.creditsystemeom/falcc (800) 421 -22,10 (E66) 234 -4750 (800) 319 -6346 (972) 657 -1043 (800) 542 -0800 (970) 663 -5700 END OF TRANSUNION REPORT MERIT CREDIT HAS RETRIEVED THE ABOVE PERSONAL CREDIT REPORT FOR LICENSING PURPOSES AS REQUESTED BY THR BUSINESS OWNER /PROPRIETOR, PUBLIC RECORDS POR THIS REPORT HAVE SEEN CHECKED AND 'VERIFIED AT THE COUNTY, STATE AND FEDERAL LEVELS. PUBLIC RECORDS HAVE ALSO BEEN VERIFIED FOR PINELLAS COUNTY. PUBLIC RECORDS LEARNED SOURCES OF INFORMATION: CREDIT DATA SERVICES, INC /EXPERIAN IRS LIEN SECTION COUNTY COURTHOUSE RECORDS IF YOU HAVE ANY QUESTIONS REGARDING THIS REPORT, PLEASE CONTACT MERIT CREDIT AT: 1800 -371 -3348 OR (239) 277 -3202. 5 of 5 1/10/2012 10.4n AM 90/90 39Vd lIQ3dD 1IN3W BSZEI-LZ66Z 69 :OT ZTOZ /0T /TO MERIT CREDIT, INC. 12575 South Cleveland #2 Fort Myers, FL 33907 (Mailing addrms only) CONTRACTORS / BUSINESS LICIENSING NAME., LEVEL LINE OF NAPLES, INC LIAI'ERECEIVED REPORT TYPE 1 -10 -12 BUSINESS REPOSITORIES: PREPARED BV: '`" ERIAN 11 NTWL 2148 CAPE HEATHER CIRCLE CAPE CORAL, FL 33991 THE REPORTING BUREAU CERTIFIES THAT: PUBLIC RECORDS DAVE BEEN CHECKED ON ALL COUNTY, STATE AND FEDERAL LEVEL, INCLUDING PINELLAS COUNTY FOR JUDGEMENTS, FORECLOSURES, GARNISHMENTS, BANKRUPTCIES, TAX LIENS, AND OTHER LEGAL ACTIONS INVOLVING THE SUBJECT(S) WERE OBTAINED DIRECTLY THROUGH THE REPOSITORIES USED, OR BY DIRECT SEARCHES, OR A PUBLIC RECORDS SEARCH FIRM OTHER THAN THE REPOSITORY, OR BY ALL METHODS WITH THE FOLLOWING RESULTS: PUBLIC RECORDS LEARNED: --0-- PRINCIPAL(S): BRIAN HEMENWAY TITLE: PVVPT D KELLEE HEMENWA'Y' S DATE FILED: 01 -06 -2012 STATUS: ACTIVE NO INFORMATION WAS FOUND AFTER CHECKING THE FOLLOWING DATABASES: TRADE PAYMENT DATA PUBLIC RECORDS BANKING INFORMATION UCC FINANCIAL STATEMENTS COMPANY BACKGROUND CORPORATE RECORDS SOURCE OF INFORMATION: EXPERLAN BUSINESS INFORMATION SERVICES IRS LIEN SECTION COUNTY COURTHOUSE RECORDS FLORIDA DEPARTMENT OF STATE / DIVISION OF CORPORATIONS MERIT CREDIT: Telephone 239 -277 -3202 or 1- 800- 371 -3348 Toll Free FAX 239- 277 -3258 or 1- 800 - 595 -8941 Toll Free This information is fumished in response to an inquiry for the Purpose of licensing or evaluating credit risks. 'Ihe infonrunion fumisw must he held in stria confidence and complies with the provisions of Pub tic Law 91 -508, the Fair Credit Reponing qot. 90/90 39Vd 1IQ3610 1I613W 89ZCLLZ66Z 69 :OT ZTOZ /OT /TO B18 (Official Form 18) (11107) United States Bankruptcy Court Northern District of Texas Case No.11- 35181 —hdh7 Chapter 7 In re Debtor(s) (name(s) used by the debtor(s) in the last 8 years, including married, maiden, trade, and address): Kellee J. Hemenway Brian P Hemenway 1150 Meadows Ave. 1550 Meadows Ave. Lantana, TX 76226 Lantana, TX 76226 Social curl ! Individual 'Taxpayer ID No.: Employer Tax ID 1 Other nos.: DISCHARGE OF DEBTOR It appearing that the debtor is entitled to a discharge, IT IS ORDERED: The debtor is granted a discharge under section 727 of title 11, United States Code, (the Bankruptcy Code). BY THE COURT Dated: 1 1/16 /11 Harlin DeWayne Hale United States Bankruptcy Judge SEE THE BACK OF THIS GIRDER FOR IMPORTANT INFORMATION. 02/07/2012 16:04 2392773258 MERIT CREDIT PAGE 01/01 MERIT CREDIT: Telephone 239 - 277 -3202 or 1 -800- 371 -3348 Toll free FAX 239 - 277 -3258 or 1- 800 - 595 -8941 Toll Free This iufurrrw0orr is furnished in response to an inquiry for the purpose of liee»sing or evaluating credit risks. The infonetation furnished roust be held in strict cunridence aid complies with the provisions of public Law 91,508, the Fair Credit Rel>Qgins Act. 12575 South Cleveland #2 Fort Myers, EL 33907 (Mailing address only) DATE RECEIVED REPORT TYPE ff'y ;:• CONTRACTORS / BUSINESS LICENSING 1 -30 -12 BUSINESS REPOSITORIES: PREPAREA BY: EXPERIAN mwl .., r, t ii"��v.pi • tll {r ^tw "L r � _ �_I „ `'A � `r..19i$'S�'.'."P� R'I.'gtt R'°I {`;!M,`Y•1 Ni �� N„7;5 �:e� � • - I . .. nri a �'�.LI �r• ,C• d61)!sll°' •°` • "t °' f1i; +u1,6p111�hIfQ�..Ca :'t„ .°.r .I J,r..: e. "i ,a HEMENWAY FINISHING INC 2649 SW 32 STREET LS:EICAPE C ORAL, FL 33914 N�_ [OR HE REPORTING BUREAU CERTIFIES 'THAT: PUBLIC RECORDS HAVE BEEN CHECKED ON ALL COUNTY, STATE AND FEDERAL F,VEL, INCLUDING PINELLAS COUNTY FOR JUDGEMENTS, FORECLOSURES, GARNISHMENTS, (BANKRUPTCIES, TAX LIENS, ND OTI'IER LEGAL ACTIONS INVOLVING THE SUBJECT(S) WERE OBTAINED DIRECTLY THROUGH THE REPOSITORIES USED, BY DIRECT SEARCHES, OR A PUBLIC RECORDS SEARCH FIRM OTHER TI-IAN THE REPOSITORY, OR BY ALL METHODS WITH THE FOLLOWING RESULTS: PUBLIC RECORDS LEARNED: -- ` 1m�ty•,�� ',. � , 7l M1ro S r ;, ,•r S A° : P 1�, r4f °I!>�St�!`I�I�II''O,ia.`dX d� (Itl�l : i'! � F:{T 6,;: ?,. _i..i `lt ^° _...� ...? I yil rl.•aui „rwu•�d27 ° =•'; ;d,; t1ir�"1'.a�N'.. •,, S.tA.i:Udli.:C}li`tlL . r '.r. PRINCIPAL(S): BRIAN HEMENWAY TITLE PD KELLEE HEMENWAY DATE FILED: 10 -08 -2004 STATUS: INACTIVE NO INFORMATION WAS POUND AFTER CHECKING THE FOLLOWING DATABASES: TRADE PAYMENT DATA UCC FINANCIAL. STATEMENTS PUBLIC RECORDS COMPANY BACKGROUND BANKING INFORMATION CORPORATE RECORDS SOURCE OF INFORMATION: EXPERIAN BUSINESS INFORMATION SERVICES IRS LIEN SECTION COUNTY COURTHOUSE RECORDS FLORIDA. DEPARTMENT OF STATE /DIVISION OF CORPORATIONS MERIT CREDIT: Telephone 239 - 277 -3202 or 1 -800- 371 -3348 Toll free FAX 239 - 277 -3258 or 1- 800 - 595 -8941 Toll Free This iufurrrw0orr is furnished in response to an inquiry for the purpose of liee»sing or evaluating credit risks. The infonetation furnished roust be held in strict cunridence aid complies with the provisions of public Law 91,508, the Fair Credit Rel>Qgins Act. www.sunbiz.org - Department of State Home Contact Us E- Filing Services Previous on List Next on List Return To List No Events No Name History Detail by Entity Name Florida Profit Corporation LEVEL LINE OF NAPLES, INC. Filing Information Document Number P12000002029 FEI /EIN Number NONE Date Filed 01/06/2012 State FL Status ACTIVE Principal Address 2181 CAPE HEATHER CIRCLE CAPE CORAL FL 33991 Changed 01/18/2012 Mailing Address 2181 CAPE HEATHER CIRCLE CAPE CORAL FL 33991 Changed 01/18/2012 Registered Agent Name & Address SUPERBIZ REGISTERED AGENT, INC. 2761 VISTA PARKWAY, SUITE E -4 WEST PALM BEACH FL 33411 US Officer /Director Detail Name & Address Title PVPT HEMENWAY, BRIAN 2148 CAPE HEATHER CIRCLE CAPE CORAL FL 33991 Title D HEMENWAY, BRIAN 2148 CAPE HEATHER CIRCLE CAPE CORAL FL 33991 Title S HEMENWAY, KELLEE 2148 CAPE HEATHER CIRCLE CAPE CORAL FL 33991 Annual Report s Document Searches http: / /www. sunbiz.org/ scripts /cordet.exe ?action = DETFIL &inq_doc_number =P 1200000202... 2/7/2012 www.sunbiz.org - Department of State Page 2 of 2 No Annual Reports Filed Document Images 01/06/2012 -- Domestic Profit 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 Entity Name Search No Events No Name History Submit i I lone Contact us i Document Searches E -1 ilinq Services i Forms i ! lelp C:opyright�E) and Privacy Policies State of Florida. Department of State http: / /www.sunbiz.org/ scripts /cordet.exe ?action= DETFIL &inq_doc_ number =P 1200000202... 2/7/2012 CERTIFICATE LN-Dp-o :(:3 For Shares Issued to i C-f\ ;� .� ; C Dated Received Certificate No. .f �'r _ or „�u�� Shares From whom transferred ` Dated , NO.ORIGINAL NO. OFCIRIGINAL NO:OF SHARES CERTIFICATE SHARES TRANSFERRED INCORPORATHD UNDER TIIIN: LAWS OF SHARES 01 T1114.. S'I'A'PI ON' a w12IDA 2013 LEVEL V ra,^L LINE OFD N APLES, INC. 1500 COMMON SIIAI2ZES PAIZVALUM, $0.01 0tits T1'rfi irlq T11a �/JGCG �GC�7G'Cl/l�lll�CGG2f. fi -C- fleavel,1¢P%Gf, a OIGU (,.,t lil(, GO ,/0 C av, `7l %UfLfy2l�Gf�JL G'1G CGtX Ltd JLawmx 4& — �J/�GGGt.� �LCGLCG GAG ,Lfl[!il7G C -'G / CGGGGiLf•LUIGCG %1- f�f +7�7Gf/� LU�L(JG it!/l2C/JLCGC/G (Jl(i (�(iDLfCG�G �LZf�LB?d�� (i%GClfy'Gif(� s � � �GU/JGf:IL __ fL`� _L��1• CGl�y1/i fL{,GL9 "Lf�fl,%!i �lG - f�� -E/rf1 Cl�7GCL ti�i3 <� �� JGCGG � Gl: 1� L!/lG�f C ...U..GG { PI SIllN1 \TT ST R-E ARY B This Document Conleins Security F..Wres See back for Details CERTIFICATE CND:0�cj)�j-� For `3cc Shares issuedto - .-. Dated - Received Certificate No. 9;& .for_-'kc Shares on.—) -j ii clit-1 From whom transferred Date NO. ORIGINAL No.0FORIGINAL No. OF SHARES CERTIFICATE SHARES TRANSFERRED INCORPORATED UNDER THE LAWS OF ..✓�wil '--- SHARE S L THE STATE OF FLORIDA 2012 J, LEVEL LINE OF NAPLES, INC. 1500 COMMON SlLkRES I"ARNMA714 $0.01 ala ncm, wlxjc44a /c Aao c/ 0 ac' Plr,tE, 4;NT I-Z 99PAR SEC 21 181�11 I 8 This Document Contains Security Features Soe back for Details 1-11YI //,Y 6�711 lltc 14*4/24 fly kY 6 kl/CX-4 X-a"I G11' /W" 61 0/e, ck/' I& hCGLCG lecyl(Ile-CII&VII 14C44 cau"Ja 1IM4 W"*C"/&/ Cw X a"lc/ t�4 Yea x, Plr,tE, 4;NT I-Z 99PAR SEC 21 181�11 I 8 This Document Contains Security Features Soe back for Details CERTIFICATE N -0 ac`s For—.' or_ Shares Issued to Dated Cal Received Certificate No.QL)�_ For � Shares [ 4 03 { INCORPORATED UNDER THE LAWS OF 1 ,py� TIFF. STATE OF FLORIDA 2012 ,-- 1-7 kfiwl LEVEL, LINE OF NAPLES, INC 1500 COMMON SIIARES PAR VALUE $0.01 From whom transferred Dated , NO. ORIGINAL NO. OF ORIGINAL NO. OF SHARES CERTIFICATE SHARES TRANSFERRED C13#0 (grffftl T but.- S N4: cy: !mil JLf/GIL Lr1�iLGGfL /` �•LGGL'i+/ fLILGf,Y 3. ? ,� } ��: CG7G� IGL/7G'CG�SIE�Il�(�LG cJ /7.CUGf/l C� �./2E cJGflUli C�� GJ'Gfi C!/!iNitfi lGC!/77GGCG IJG�;t�/i�LC'�7G ` `� "-� '- �GCG7G�t�,Gtf•� (�7G1 /1L C�IG P //2fi {Xi(Y/7i3 C� �12G '� <Yf/%GC ✓G�LC�7•G �lG �7�•GC- l2C�tiClfiG /'L!✓lfl� t�lG fLfil�3(�JG CvG ': tJ�lG CGGGL (,GLG�f2C�IR ,GCG . v'/�t(.27GG1 L GCL7G �U2tfi7LfGE/G lip e4c )Ciayz� b& fLt! fLUUUIf fi7G( i�L �+"�� 1�L'�9 v /[� 3CGU.1: (�liG%Lf�illr�GCy9G f2CG�i CCGf.UiUX. �YGt�3 (`3G•TiLI�LCCGtG 2f.(1 f1tG 1- ��` - -: '1L<L9LGLC �i7�i �'� -7G'� CGLLZ�i7.G�G'LT�£C� CLC�' Clr7 / � • • C� fG <'GCG� cJGCGL �,f� �.Ifi 7 ?,C`YGEC!/lGLIL. _C�fizG Y :SIDN',N'P - -- - -- _— - - S1LC12h'PAIiY 8 This Document Contains Security Features See back for Details ww � Form 00 -4 Appiwation for Employer Identification Number OMB No. 1545 -0003 (Rev. January 2010) (For use by employers, corporations, partnerships, trusts, estates, churches, EIN Mariana Nascimento, A1A Incorporation Services government agencies, Indian tribal entities, certain ind and others.) ivi Designee Department of the Treasury Internal Revenue Service ► See separate instructions for each line. ► Keep a copy for your records. 45. 4199800 2761 Vista Parkway, Suite E4, West Palm Beach, FL 33411 1 Legal name of entity (or individual) for whom the EIN is being requested Under penalties of perjury, I declare that I have examined this application, and to the best of my knowledge and belief, it is true, correct, and complete. LEVEL LINE OF NAPLES, INC. Name and title (type or print clearly) ► BRIAN HEMENWAY, PRESIDENT 2 Trade name of business (if different from name on line 1) 3 Executc -, administrator, trustee, "care of name to Signature ► Date ► ( ) 0 4a Mailing address (room, apt., suite no. and street, or P.O. box) 5a S address (if different) (Do not enter a P.O. box.) 2148 CAPE HEATHER CIRCLE M4b City, state, and ZIP code (if foreign, see instructions) 5b City, state, and ZIP code (if foreign, see instructions) I- 0 CAPE CORAL, FL 33991 C. 6 County and state where principal business is located F LEE COUNTY, FL 7a Name of responsible party 7b SSN, ITIN, or EIN BRIAN HEMENWAY 8a Is this application for a limited liability company (LLC) (or 8b If 8a is "Yes," enter the number of a foreign equivalent)? , . , . . , , , . ❑ Yes 2 No LLC members . . . . ► it as Is --Yes,-- was the 1-W organized in the United States U Yes U No 9a Type of entity (check only one box). Caution. If 8a is "Yes," see the instructions for the correct box to check. ❑ Sole proprietor (SSN) ❑Estate (SSN of decedent) ❑ Partnership ❑ Plan administrator (TIN) ® Corporation (enter form number to be filed) ► 1120 -S ❑ Trust (TIN of grantor) ❑ Personal service corporation ❑ National Guard ❑ State /local government ❑ Church or church - controlled organization ❑ Farmers' cooperative ❑ Federal government/military ❑ Other nonprofit organization (specify) ► ❑ REMIC ❑ Indian tribal governments/enterprises ❑ Other (specify) ► Group Exemption Number (GEN) if any ► 9b If a corporation, name the state or foreign country State Foreign country (if applicable) where incorporated FLORIDA 10 Reason for applying (check only one box) ® Started new business (specify type) ► S- CORPORATION ❑ Hired employees (Check the box and see line 13.) ❑ Compliance with IRS withholding regulations ❑ Other (specify) ► ❑ Banking purpose (specify purpose) ► ❑ Changed type of organization (specify new type) No- Purchased going business ❑ Created a trust (specify type) ► ❑ Created a pension plan (specify type) ► 11 Date business started or acquired (month, day, year). See instructions. JANUARY 2012 13 Highest number of employees expected in the next 12 months (enter -0- if none). If no employees expected, skip line 14. Agricultural Household I Other -0- -0- -I- 12 Closing month of accounting year DECEMBER 14 If you expect your employment tax liability to be $1,000 or less in a full calendar year and want to file Form 944 annually instead of Forms 941 quarterly, check here. (Your employment tax liability generally will be $1,000 or less if you expect to pay $4,000 or less in total wages.) If you do not check this box, you must file Form 941 for every quarter. ❑ 15 First date wages or annuities were paid (month, day, year). Note. If applicant is a withholding agent, enter date income will first be paid to nonresident alien (month, day, year) . . . . . . . . . . . . . . . . ► FEBRUARY 2012 16 Check one box that best describes the principal activity of your business. ❑ Health care & social assistance ❑ Wholesale- agent/broker ❑ Construction ❑ Rental & leasing ❑ Transportation & warehousing ❑ Accommodation & food service ❑ Wholesale -other ❑ Retail ❑ Real estate ❑ Manufacturing ❑ Finance & insurance ® Other (specify) SERVICES 17 Indicate principal line of merchandise sold, specific construction work done, products produced, or services provided. CANIBET BUSINESS 18 Has the applicant entity shown on line 1 ever applied for and received an EIN? ❑ Yes ® No If "Yes," write previous EIN here Do- M. o.:- . -... -, A. --A n.,...,.. - -. , O- A..,."__ e..a Id-0— cm cn a—+ft i— fn—fiitn a tat Nn 1Rn.55N Form SS-4 (Rev_ 1 -2010) Complete this section only if you want to authorize the named individual to receive the entity's EIN and answer questions about the completion of this form. Third Designee's name Designee's telephone number (include area code) Party Mariana Nascimento, A1A Incorporation Services ( 800 ) 494 -3124 Designee Address and ZIP code Designee's fax number (include area code) 2761 Vista Parkway, Suite E4, West Palm Beach, FL 33411 ( 305 ) 675 -2811 Under penalties of perjury, I declare that I have examined this application, and to the best of my knowledge and belief, it is true, correct, and complete. Applicant's telephone number (include area code) Name and title (type or print clearly) ► BRIAN HEMENWAY, PRESIDENT ( 817 ) 471 -6998 Applicant's fax number (include area code) Signature ► Date ► ( ) M. o.:- . -... -, A. --A n.,...,.. - -. , O- A..,."__ e..a Id-0— cm cn a—+ft i— fn—fiitn a tat Nn 1Rn.55N Form SS-4 (Rev_ 1 -2010) OP ID: KC CERTIFICATE OF LIABILITY INSURANCE DATE(M/YYYY) CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 02/1177D/12 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 239 - 597 -1096 Ackerman Insurance Services 1575 Pine Ridge Rd. Ste. 17 239 - 597 -9560 Naples, FL 34109 Brett A. Ackerman CONTACT NAME: PHONE Ext : FAX , No E-MAIL ADDRESS: PRODUCER LEVEL -2 CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE INSURER A:TAPCO Underwriters, Inc. NAIC # INSURED Level Line of Naples Inc 2148 Cape Heather Cir Cape Coral, FL 33991 INSURER 8: INSURER C $ 100,00 A INSURER D: INSURER E: 02/01/12 02/01/13 INSURER F: $ 100.00 COVERAGES CERTIFICATE NtIMRFR- or%1101^L1 ►n u&ocn. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE L WVD POLICY NUMBER POLICY EFF FOLIC IYYYY) POUCY EXP IIMMIDDrrrirn LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 100,00 A X COMMERCIAL GENERAL LIABILITY GYYPE -Z 02/01/12 02/01/13 5 PREMISES Ea occurrence $ 100.00 CLAIMS -MADE 1XI OCCUR MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 1,000,00 X POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS (Per accident) $ NON -OWNED AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DEDUCTIBLE $ $ RETENTION $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY Y / N i ER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER /MEMBER EXCLUDED? ❑ NIA (Mandatory in NH) If yes, describe under E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) GEE I IMCA I E HOLDER CANCELLATION ©1988 -2009 ACORD CORPORATION. All rights reserved. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Collier County Licensing Board ACCORDANCE WITH THE POLICY PROVISIONS. 2800 North Horseshoe Dr AUTHORIZED REPRESENTATIVE Naples, FL 34104 Brett A. Ackerman ©1988 -2009 ACORD CORPORATION. All rights reserved. NOTICE OF ELECTION TO BE EXEMPT Please thoroughly read the instructions before completing this application. Print legibly in each data entry field. If this application contains incomplete or inaccurate information or if the handwriting is not legible, it may cause a delay in the issuance of your exemption. SECTION 1: Applicant Name (please print): Applicant's social security number: / / - Applicant's E -mail address (optional): 0 �-_�, jt, : -\(_>c—j c SECTION 2: I am applying for exemption as a (You must check only one box in this section): CONSTRUCTION INDUSTRY ($50 FEE REQUIRED) - The Division will accept a money order or a cashier's check made payable to the DFS WC ADMINISTRATION TRUST FUND. Officer of a Corporation (Title): ,z a . � -Q ti -0R ❑ Member of a Limited Liability Company (LLC) NON - CONSTRUCTION INDUSTRY (NO FEE REQUIRED) ❑ Officer of a Corporation (Title): An officer electing an exemption under Chapter 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 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. ? i_-�l Dr-OCZ -2 2 C,21 SECTION 4. This exemption application applies only to the ep rson signing the application, the Corporation/LLC that is listed below, and the scope of business or trade listed: _ Name of Corporation or LLC: �%� �c. ^�-+ nz . FEIN:- q l 7�rcC AS REGISTERED TMV THE FLORIDA MSION O CORPORATIONS Business Name: Phone: W APPLICABLE - I,M nCrMOUS NAME; DOING BUSUa SAS (DBA); ALSO KNOWN AS NAME )AKA) Applicant's Address of Record:1 ( � L� e_e- {` C % — e- �— INCLUDE APARTMENT OR SUITE NUMBER (' C6 State: !'t_ Zip: It County: Lee. City: � �� -� Scope of Business or Trade: 3. 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 qualifier for the corporation or LLC listed on this application of which the applicant is a corporate officer: SECTION 6. If you have submitted an electronic payment for this application, write the transaction confirmation number in the following space: SECTION 7. Are you affiliated with any corporation (including LLC) other than the corporation (including LLC) to which this application applies? ❑Yes t.No 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 ATTACHED. 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 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 2 NOTICE OF ELECTION TO BE EXEMPT — Page 2 SECTION 9. FRAUD NOTICE A. Any person who, knowingly and with intent to injure, defraud, or deceive the department or any employer or employee, insurance company or any other person, files a notice of election to be exempt containing any false or misleading information is guilty of a felony of the third degree. B. Attestation of applicant - By signing }belo ~ attest.ihs►t -have read, understand and acknowledge the foregoing notice. SIGNATURE OF APPUCANAT SECTION 10. You must identify the workers' compensation insurance carrier that covers any non - exempt employees of your business. Carrier Name: AFFIDAVIT 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. APPLICANT'S sIGNATukE DATE SIGNED NOTARY STATE OF FLORIDA, COUNTY OF Sworn to and subscribed before me this :'�jU day of t i 1 ✓�L t= i < _ zo MARISSA A. CAREY Personally Known OR Produced Identification V Type Identificatio ; Notary Public -State of Florida ProducedT `� � > 1 X c } 1 ' 4 t'> 5 f f N x =o,- My Comm. Expires Dec 19, 2014 NOTARY SIGNATURE // i r My Commissi 's 'mini �i�n # Ugh Please mail or submit your col14pleted application, appli on fee, and any required attachments to The Division of Workers' Compensation at the J 'ct office nearest your place of business. STATE USE ONLY Effectivellssue Date: 2295 V'tcloria Avenue, Suite 163 921 North Davis Street 499 Northwest 700 Ave., Suite # 116 Ft. Myers, FL 33901 Building B, Suite #250 Plantatimt FL 33317 Telephone (239) 461-6 Jacksonville, FL 32209 Telephone (954) 321 -2906 Telephone (904) 798.5806 610 E. Burgess Road TALLAHASSEE SUBMITTERS Pensacola, FL 32504 -M 400 West Robinson Stmt Telephone (850) 453 -7804 Room #512, North Tower Walk-in submissions: Orlando FL 32801 2012 Capital Circle SE 3111 S. Dixie Highway, Suite # 123 Telephone (4 07) 8354406 Suite #102, Harbin Bldg. West Palm Beach FL 33405 Tallahassee FL 32399 -2161 Telephone (561) 837 -5716 401 NW 2"d Avenue Telephone (850) 413 -1609 Suite #321, South Tower 1313 N. Tampa Street, Suite # 503 Miami FL 33128 Telephone (305) 536-0306 Ma►7 m submisskm 200 East Gaines Sftel Tampa FL 33602 Tallahassee FL 373994228 Telephone (813) 221 -6506 Telephone (850) 4134609 '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! Expiration Date: Control Number: Postmark Date: Payment Number: Received Date: -> � :* >E o z "n� mo > 6/1 _� -� o m C: Li O p c c M - 0 r. ' m 0 n O o o F��y __ X - A A Z O V O W OD N r A D ^o O O 0o A fJ N a``l7 J N CD z p 'A K' m CO) 0 (3 \� Z z m O /7mT M L Security Features included. Err Details on Back. rn rn o v 0 o c � - o N CU O OD N Security Features included. Err Details on Back. U CC �' b J� x � r c #gyp x -n rn 0 J �� i 4 m February 23, 2012 Keith Sherwood 12556 Stone Tower Loop Ft. Myers, FL 33913 239 - 777 -4307 Collier County Contractors' Licensing Board 2800 N. Horseshoe Drive Naples, FL 34104 RE: Petition to Waive Painting Contractor Exams Dear Board Members, In 1998 I attended and passed the classes required to obtain a Painting Contractor's license in Collier county. My license was granted and I was self employed as a painting contractor in Collier county as Keith Sherwood Painting, Inc. from 1998 to 2004. In 2004 I relocated to Lee county, obtained my license there and continued painting from 2004 through 2008. Business slowed down due to the economic crisis in the housing indus' . I was getting small jobs in Lee county, not enough to meet the bills. I looked into painting again in Collier but through misunderstanding my Collier county license had expired. I was fortunate to secure a position with Kurtz Homes of Naples in April 2008. (1 had been employed with Kurtz previously before I started my own company.) At that time I didn't think I would use my painting 1 =cease again so I changed it to inactive status in September of 2008. 1 worked for C-U -1 , !ro_ X308 through March 2011. 1 am still -r - -- unemployed and receiving unemployment benefits. Finances are tight. I have enough money to reopen Keith Sher ka¢ rcd Painting, Inc. There are no extra dollars for new books, testing fees, etc. I have been asked for bids on some painting contracts but without my license I can't do the jobs. I still have the knowledge and the ability to run my small painting company. I am co,, -ting n.- -o + „� apr=ove my reinstatement in Collier county as a painting contractor. I am positive that I can once again make my business profitable in Collier county. We are planning to move back to Naples in the very near future. Upon your approving my license, I will be storing my equipment and office at 2095 47d' Ave NE, Naples, FL 34120. Thank you for your time and consideration of my request. Sincerely, Keith Sherwo CDES Operations & Regulatory Management Licensing Section 2800 North Horseshoe Drive Naples, FL 34104 APPLICATION FOR COLLIER COUNTY /CITY OF NAPLES /CITY OF MARCO FIRM INSTRUCTIONS: This application must be typewritten or legibly printed. The application fee must accompany this application. The fee is not refundable after the application has been accepted and entered on the records. All checks should be made payable to the Board of Collier County Conunissioners. For further information, consult Collier County Ordinance No. 90 -105, as amended. NAME OF COMPANY: Exact Corporate/ Business Name: Physical Address:_ 75 y� (Number & Street) Mailing Address: (Number & Street) Telephone: �37 -%7,17-5y-3o TYPE OF LICENSE: ❑ General $230.00 ❑ Building $230.00 ❑ Residential $230.00 ❑ Mechanical $230.00 ❑ Roofing $230.00 Specialty trade:�.j/t►� CHANGE OF STATUS: ( ) Reinstatement ( ) From One Business to Another Paae 1 of 4 (City (State) (Zip Code) (City) / (State) (Zip Code) E -Mail: �f 1�erWOyC- — oofmlt,Nt ❑ Electrician $230.00= ❑ Plumber $230.00 ❑ Air Cond. $230.00 ❑ Swimming Pool $230.00 ttd Specialty $205.00 (i,�D&rmant License to Active 1. The names, titles, home address and phone numbers of all Officers /Managing Members of the Firm. ser re -0' 2. 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. 3. List all debts you or any company(s) associated with you refused to pay and the reasons for the refusal to pay. Attach extra pages if needed. AFFIDAVIT rtify that the foregoing is true and correct to the best of my knowledge. Authorized Officer of the Firm STATE OF FLORIDA COUNTY OF r f The foregoing instrument as acknowledged before me this �n�-11 I �...� (Date By tY )C� of (Name of officer, title /agent) (Name of Corporation) a 2a& Corporation on behalf of the corporation. (State or Place of Corporation) He /She has produceda)&Qr hC10 identification and did not take an oath. (Type of i entifO ion) NOTARY'S SEAL Page 2 of 4 JACELYN COX Notary public. State of Florida Commission# EE 74936 My COMM. expires Jan. 11, 2014 Page 2 of 4 QUALIFIER INFORMATION: Name: �� ShereA-Uo4d Address: (Number & Street) (City (State) (Zip Code) TeIephone:o13V- -27-7- -X307 Date of Birth: S.S. #: 000 -00 -, E- Mail:_ S�r�cJCXJC %a�iM Nef- Driver's License: 1. Type of Certificate of Competency for which application is made. 2. The names and telephone numbers of two persons who will know your whereabouts. le e1cvOOe,-f ,�2. 3 9 -- . 7/- 02 -6-7- �;/O 11,2O 3. Have you ever been convicted of a crime related to Contracting?—_46g��2�1� (If yes attach extra sheet with explanation) 7. Have you or any firms you have been associated with ever filed bankruptcy ?T S Ael J'ca,�c,�/,� fT 8. List all debts you or any company(s) associated with you refused or failed to pay and reasons why. 9. List your business or work experience during the past ten years. r/ .s- z /l i Y9_ -.W- 10. Statement of any formal training you have had in the area for which the application is made. Paae 3 of 4 Qualifier No First Name Middle Name Last Name Postfix 18459 KEITH I. W.. SHERVJOOD Detail I Addresses Associated Tables I Update Info t • t Certificates Examinations AFFIDAVIT 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. APPLICANT (PLEASE PRINT) ,clie "- &A ��, -,A -�' NAME OF COMPANY SIGNATURE F APPLICANT STATE OF FLORIDA COUNTY OF LZE The foregoing instrument as acknowledged before me this ' Feb*fy (Dot By �e—� k)b t VUU who has produced — 'i1 � _ (Name of person acknowledging) (Type of identification) as identification and did not take an oath. NOTARY'S SEAL JACELYN COX ` Notary Public, Stato of Florida fW(S7NT URE Commission# EE 74936 My comm. expires Jan. 11, 2014 Panes 4 of d NOTARY) AFFIDAVIT It is understood and acknowledged by the Collier County Contractors' Licensing Board and myself that if I fail to acquire, or maintain at all times effective Workmen's Compensation Insurance it will result in the possible revocation of my Certificate of Competency. SIGNATURE OF APPLICANT BUSINESS NAME a a-- D E BEFORE ME this day personally appeared 1e l f who affirms and says that he has less than one employee and does not require Workmen's Compensation and understands that at any time he employs one or more persons he must obtain said Workmen's Compensation Insurance. STATE OF FLQRIgA- COUNTY OF L,45r- The foregoing instrument was acknowledged before me this �2 �a _ ^� (Date by .5� who has produced fi (name of cif parson acknowledging) (Typo of identlflcatlon) as identification and who did not take an oath. NOTARY SEAL JacewrtcQx Notary Public, State of Florida Commission# EE 74936 My comm. expires Jan. 11, 2014 AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER I, 4-1-e `Art n am a resident of �'® /A ("- ounty, 1—A> c{ A (State) and have resided here for more than five (5) years. During the last five years I have known applicant). I have had .e opportunity to observe his or her business and personal dealings and find him or her to be a person of mesty, integrity and good character. (Signature) (Name) (Address) A4e,�Wlr, (.qa /1/0I& , Telephone) (-Z 32) z STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this 1;:, 2 7, 7,c--"12 by , �� (Date) /7r-C' who has produced e'r-- t,✓,- �f�,rtse (name of person acknowledging) ('I'ype of identification) as identification and who did not take an oath. NOTARY Pti3L C_S':' , i • OF FLORIDA • " "' AI<reida Morel U" :Commission #DD963039 Expires: FEB. 18, A14 BONDED THRII ATLANTIC BONDING CO., INC NOTARY'S SEAL SIGNATURE OF 140TARY (PRINT NAME OF NOTARY) NOTARY PUBLIC MERIT CREDIT, INC. 12575 South Cleveland #2 Fort Myers, FL 33907 (Mailing address only) rFORT VED REPORT TYPE F 12 BUSINESS 0 CONTRACTORS / BUSINESS LICENSING R S: PREPARED BY: RIAN MWL APPLICANT ADDRESS NAME: KEITH SHERWOOD PAINTING, INC NE TOWER LOOP ERS, FL 33913 SSN/FEIN: 59 2619133 PUBL IC RECORD CERTIFICATION THE REPORTING BUREAU CERTIFIES THAT: PUBLIC RECORDS HAVE BEEN CHECKED ON ALL COUNTY, STATE AND FEDERAL LEVEL, INCLUDING PINELLAS COUNTY FOR JUDGEMENTS, FORECLOSURES, GARNISHMENTS, BANKRUPTCIES, TAX LIENS, AND OTHER LEGAL ACTIONS INVOLVING THE SUBJECT(S) WERE OBTAINED DIRECTLY THROUGH THE REPOSITORIES USED, OR BY DIRECT SEARCHES, OR A PUBLIC RECORDS SEARCH FIRM OTHER THAN THE REPOSITORY, OR BY ALL METHODS WITH THE FOLLOWING RESULTS: PUBLIC RECORDS LEARNED: —0— BUSINESS HISTORY PRINCIPAL(S): KEITH C. SHERWOOD TITLE: PVST DATE FILED: 12 -23 -1985 STATUS: INACTIVE NO INFORMATION WAS FOUND AFTER CHECKING THE FOLLOWING DATABASES: TRADE PAYMENT DATA UCC FINANCIAL STATEMENTS PUBLIC RECORDS COMPANY BACKGROUND BANKING INFORMATION CORPORATE RECORDS SOURCE OF INFORMATION: EXPERIAN BUSINESS INFORMATION SERVICES IRS LIEN SECTION COUNTY COURTHOUSE RECORDS FLORIDA DEPARTMENT OF STATE / DIVISION OF CORPORATIONS MERIT CREDIT: Telephone 238.277 -3202 or 1- 800. 371 -3348 Toil Free FAX 239- 277 -3258 or 1.800 -585 4841 Toll Free This information is flourished in response to an inquiry for the purpose of licensing or evaluating credit:isirs. The information furnished must be held in strict confidence and conTlies with the provisions of Public Law 91 -508, the Fair Cr dit Reporting Act htips://www.creditsysternconi/fiticc Prepared By: Merit Credit (23 9) 277 -3202 (800) 371 -3348 TRANSUNION CREDIT REPORT [FOR] [SUB NAME] [MKT SUB] [INFILE] [DATE] [TIME] (I) Z NP3343169 MERIT CREDIT 16 NP 2/80 02/01/12 12:13CT [SUBJECT] [SSN] [BIRTH DATE] SHERWOOD, KEITH C. 4/54 [CURRENT ADDRESS] [DATE RPTD] 12556 STONE TOWER LP., FORT MYERS FL. 33913 10/05 [FORMER ADDRESS] 2289 GRANBY DR., LEHIGH ACRES FL. 33973 9/05 5192 NE. 6TH AV., #824. OAKLAND PARK FL. 33334 [CURRENT EMPLOYER AND ADDRESS] [RPTD] KEITH SHERWOOD 3/05 [FORMER EMPLOYER AND ADDRESS] PAINTER 10 /00 ---------------------------------------------------------------------------- M O D E L P R O F I L E * * * A L E R T * ** * * *FICO CLASSIC 04 ALERT: SCORE +563 : SERIOUS DELINQUENCY, AND PUBLIC ** *RECORD OR COLLECTION FILED; TIME 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 ** *DELINQUENCY * ** IN ADDITION TO THE FACTORS LISTED ABOVE, THE NUMBER OF ** *INQUIRIES ON THE CONSUMER'S CREDIT FILE HAS ADVERSELY AFFECTED THE CREDIT ** *SCORE. ---------------------------------------------------------------------------- C R E D I T S U M M A R Y * ** T O T A L F I L E H I S T O R Y PR =1 COL =O NEG =11 HSTNEG =4 -36 TRD =32 RVL =13 INST =8 MTG =11 OPN =O INQ =3 HIGH CRED CRED LIM BALANCE PAST DUE MNTHLY PAY AVAILABLE REVOLVING: $17.6K $14.5K $3359 $0 $68 77%- MORTGAGE: $686K $ $0 $0 CLOSED W /BAL: $1193 $1193 $ TOTALS: $704K $14.5K $4552 $1193 $68 ---------------------------------------------------------------------------- P U B L I C R E C O R D S SOURCE DATE LIAB ECOA COURT ASSETS DOCKET# TYPE PLAINTIFF /ATTORNEY Z 5064304 7/09R $0 C FE $0 915268 CHAPTER 13 BANKRUPTCY FILING LOUIS S ERICKSON ---------------------------------------------------------------------------- T R A D E S SUBNAME SUBCODE OPENED HIGHCRED TERMS MAXDELQ PAYPAT 1 -12 MOP ACCOUNT# VERFIED CREDLIM PASTDUE AMT -MOP PAYPAT 13 -24 ECOA COLLATRL /LOANTYPE CLSD /PD BALANCE REMARKS MO 30/60/90• 5/3 BANK CC B 21AV061 9/07 $2833 R09 5467 12 /11A $900 $1193 C CREDIT CARD 1 /09F $1193 CLOSD BY CRDT GRANTOR BK OF AMER B 1597029 11/96 $26.8K R09 0825 2/09A $26.OK $0 I CREDIT CARD 9/08F $0 PURCH BY OTHER LENDER NATL CITY B 8958032 3/05 $54.OK 180M I09 11 /08A $0 C HOME EQUITY LOAN 11 /08F $0 UNPAID BLNC CHRGD OFF GMAC MRTG F lMSZO01 8/05 $255K 7440178424 12 /11A C CONVENTIONAL REAL $0 FIFTH THIRD B 9925002 1/06 $207K 401748835 6 /10A C CONVENTIONAL REAL 6/10C $0 CHASE B 26QK001 7/98 $34.8K 10 /09A $38.8K I CREDIT CARD 1 /09C $0 DISCOVER FIN B 9616003 3/90 $12.OK 7/09A $14.4K C CREDIT CARD 1 /09C $0 SPS F 1SRM001 1/06 $207K 2770012739819 3 /11A C CONVENTIONAL REAL 3 /11C $0 FIFTH THIRD B 992SO02 3/05 $192K 400455911 10 /09A C CONVENTIONAL REAL 10 /09C $0 FIFTH THIRD B 992SO02 1/06 $207K 401750401 7/09A C CONVENTIONAL REAL 7/09C $0 FIFTH THIRD B 992SO02 3/04 $125K 204204739 3/09A C CONVENTIONAL REAL 3/09C $0 ATL POSTAL Q 277VO04 8/96 $7046 - 1/12A $8000 C CREDIT CARD $3359 CAP ONE B lDTV001 5/01 $1468 6 /10A $12.2K I BUSINESS CREDIT C 6/100 $0 BK OF AMER B 6331213 5/97 $5250 11 /09A $5000 C LINE OF CREDIT 10 /09C $0 CAP ONE B lDTV001 4/04 $0 4/09A $5000 I CREDIT CARD 3/09C $0 CHASE B 26QKOOI 10 /01 $0 12/08A $8000 I CREDIT CARD 12/08C $0 BK OF AMER B 6331059 5/97 $7617 7/08A $500 I CREDIT CARD 4/03P $0 GMAC Q 2592672 8/06 $20.7K 29909771025 5/08A C AUTOMOBILE 5/080 $0 REGIONS BANK B 3604047 7/03 $19.OK 4/08A ht4)s://www.creditsystenLcom/falco 36OM2101 M07 $0 CHAPTER 13 BANKRUPTCY 36OM2000 M07 $0 CHAPTER 13 BANKRUPTCY $0 CHAPTER 13 BANKRUPTCY $0 CHAPTER 13 BANKRUPTCY 360M2000 $0 FORECLOSU 396M1546 $0 360M1902 $0 2/11 $65.5 RE, CLT 8/08 $6393 2/08 $7737 R07 R07 5 M05 05 RL SLD 1 0/ 0/ 1 555555555555 M05 05 554321111221 48 3/ 1/15 55XXXXXXXXX5 M05 05 555554321111 28 1/ 1/ 9 372M1358 9/08 5XXXX5432111 M05 $0 $5606 05 111111111111 FORECLOSURE,CLTRL SLD 48 1/ 1/ 3 MIN68 111111111111 R01 $0 111111111111 48 0/ 0/ 0 111111111111 R01 $0 111111111111 ACCT CLSD BY CONSUMER 32 0/ 0/ 0 XXXXXXXXXXXX R01 $0 XXXXXXX11111 CLOSD BY CRDT GRANTOR 48 0/ 0/ 0 6OM407 111111111111 I01 $0 11111111 CLOSED 20 0/ 0/ 0 72M ililiililiil I01 $0 111111111111 111111111111 CO1 $0 111111111111 CHAPTER 13 BANKRUPTCY 48 0/ 0/ 0 111111111111 R01 $0 111111111111 CLOSD BY CRDT GRANTOR 48 0/ 0/ 0 111111111111 R01 $0 111111111111 CLOSED 48 0/ 0/ 0 XXXXXXXXXXXX R01 $0 XXXXXXX11111 CLOSD BY CRDT GRANTOR 48 0/ 0/ 0 6OM407 111111111111 I01 $0 11111111 CLOSED 20 0/ 0/ 0 72M ililiililiil I01 $0 111111111111 ,. I. https://www.creditsystem.com/Wcc P AUTOMOBILE 4/08C $0 AM HONDA FIN Q 3946007 11/04 $18.5K 64750364 1 /08A C AUTOMOBILE 1 /08C $0 CAPITAL 1 FA F 1W2K001 1/04 $31.3K 62062115270611001 8/06A C PFROM ONYX ACCEPT 8/06C $0 FIFTH THIRD B 992SO02 3/05 $192K 400449799 8/06A C CONVENTIONAL REAL 8/06C $0 GMAC Q 2592672 9/03 $7888 29903995252 10 /05A I AUTOMOBILE 10 /05C $0 ONYX ACCEP F 46ZLOOl 1/04 $31.3K 1056102725 10 /05A C AUTOMOBILE 10 /05C $0 WFHM B 82TE004 12/03 $163K 7080192083319 2/05A P FRD388337737 2/05C $0 1ST NATBK FL B 1Y4F001 3/04 $125K 80143415 1 /05A C CONVENTIONAL REAL FST USA BK B B 7519015 7/98 $18.OK 5/04A $39.OK I CREDIT CARD 12/03C $0 CAP ONE NA B-9202024 2/01 $29.5K 28466 1 /04A C AUTO LEASE 1 /04C $0 BK OF AMER B 427SO02 4/02 $78.4K 1277668 1 /04A C SECOND MORTGAGE 1 /04C $0 ONEWEST BANK B 478AOOI 6/01 $306K 6681001579208 12/03A P CONVENTIONAL REAL HSBC BANK B 28SQ001 1/98 $20 11 /02A $5000 A CREDIT CARD 11 /02C $0 CLOSED 48 0/ 0/ 0 6OM324 111111111111 I01 $0 111111111111 CLOSED 38 0/ 0/ 0 72M533 1111111111 I01 $0 CLOSED 10 0/ 0/ 0 372M1724 111111111111 MOl $0 111 CLOSED 15 0/ 0/ 0 60M156 111111111111 I01 $0 111111111111 CLOSED 24 0/ 0/ 0 72M534 111111111111 101 $0 111111111 TRNSFRD: OTHER LENDER 21 0/ 0/ 0 360M1284 111111111 MO1 $0 CLOSED 9 0/ 0/ 0 $0 11111111 MO1 8 0/ 0/ 0 111111111111 R01 $0 111111111111 ACCT CLSD BY CONSUMER 48 0/ 0/ 0 63M469 111111111111 I01 $0 111111111111 CLOSED 35 0/ 0/ 0 18OM807 111111111111 MO1 $0 111111 CLOSED 18 0/ 0/ 0 360M2255 111111111X11 MO1 $0 111111111111 26 0/ 0/ 0 111111111111 R01 $0 111111111111 ACCT CLSD BY CONSUMER 24 0/ 0/ 0 HSBC /RS B 235197E 1/98 $3030 111111111111 R01 1211302524 9/02A $6000 $0 111111111111 P CHARGE ACCOUNT 4/02P $0 29 0/ 0/ 0 ----------------------------------------------------------------------------- I N Q U I R I E S DATE SUBCODE SUBNAME DATE SUBCODE SUBNAME 2/01/12 ZNP3343169(FLA) MERIT CREDIT :12/08/11 NNY2120170(EAS) GECRB /LOWES 11/18/10 FUT1174241(MWB) SELECT PORTF --------------------------------------------------------------------•-------- C R E D I T R E P O R T S E R V I C E D B Y TRANSUNION 800 - 888 -4213 2 BALDWIN PLACE P.O. BOX 1000,CHESTER, PA. 19022 Consumer disclosures can be obtained online through TransUnion at: ht(ps://www.creditsystenicom/falco http: / /www.transunion.com ---------------------------------------------------------------------------- CREDITOR CONTACT INFORMATION HILLSBORO BK ZP5064304 (813) 301 -5065 801 N FLORIDA AVE TAMPA FL. 33634 5/3 BANK CC BC21AV061 (800) 972 -3030 5050 KINGSLEY DR CINCINATTI OH. 45263 BK OF AMER BC1597029 (800) 421 -2110 PO BOX 982238 EL PASO TX. 79998 NATL CITY BI8958032 (800) 622 -4097 PO BOX 94982 CLEVELAND OH. 44101 GMAC MRTG FFlMSZO01 (800) 766 -4622 PO BOX 4622 WATERLOO IA. 50704 FIFTH THIRD BM992SO02 (513) 358 -4801 5050 KINGSLEY DR CINCINATTI OH. 45263 CHASE BC26QK001 (800) 945 -2006 P.O. BOX 15298 WILMINGTON DE. 19850 DISCOVER FIN BC9616003 POB 15316 WILMINGTON DE. 19850 SPS FMlSRM001 (888) 822 -7422 10401 DEERWOOD PAR JACKSONVILLE FL. 32256 ATL POSTAL QU277VO04 (404) 792 -8560 1800 JAMES ATLANTA GA. 30318 CAP ONE BClDTV001 (800) 955 -7070 POB 30281 SALT LAKE CITY UT. 84130 BK OF AMER BB6331213 (800) 451 -6362 4161 PIEDMONT PKWY GREENSBORO NC. 27410 BK OF AMER BC6331059 (800) 421 -2100 PO BOX 982238 EL PASO TX. 79998 GMAC QZ2592672 (800) 200 -4622 P.O. BOX 380901 BLOOMINGTON MN. 55438 REGIONS BANK BI3604047 720 NORTH 39TH STR BIRMINGHAM AL. 35222 AM HONDA FIN QA3946007 (404) 475 -2121 1250 NORTHMEADOW ROSWELL GA. 30076 CAPITAL 1 FA FAlW2K001 (800) 946 -0332 ATTN- CREDIT BUREA PLANO TX. 75093 ONYX ACCEP FZ46ZL001 (800) 210 -6699 27051 TOWNE CENTRE FOOTHILL RANCH CA. 92610 WFHM BM82TE004 (800) 288 -3212 7255 BAYMEADOWS WA DES MOINES IA. 50306 1ST NATBK FL BZ1Y4F001 1150 CLEVELAND STR CLEARWATER FL. 33755 FST USA BK B BC7519015 PO BOX 8650 WILMINGTON DE. 19899 CAP ONE NA BA9202024 (877) 385 -4365 6400 MAIN STREET AMHERST NY. 14221 BK OF AMER BM427SO02 (800) 669 -6607 450 AMERICAN ST SIMI VALLEY CA. 93065 ONEWEST BANK BB478AO01 (800) 781 -7399 6900 BEATRICE FSB KALAMAZOO MI. 49009 HSBC BANK BC28SQ001 (800) 477 -6000 PO BOX 5253 CAROL STREAM IL. 60197 HSBC /RS BC235197E (800) 695 -6950 PO BOX 5253 CAROL STREAM IL. 60197 GECRB /LOWES N 2120170 (800) 444 -1408 PO BOX 965005 ORLANDO FL. 32896 SELECT PORTF F 1174241 (866) 775 -5696 3815 SW TEMPLE SALT LAKE CITY UT. 84115 https://www.creditsystemcom/falco END OF TRANSUNION REPORT MERIT CREDIT HAS RETRIEVED THE ABOVE PERSONAL CREDIT REPORT FOR LICENSING PURPOSES AS REQUESTED BY THE BUSINESS OWNER /PROPRIETOR. PUBLIC RECORDS FOR THIS REPORT HAVE BEEN CHECKED AND VERIFIED AT THE COUNTY, STATE AND FEDERAL LEVELS. PUBLIC RECORDS HAVE ALSO BEEN VERIFIED FOR PINELLAS COUNTY. PUBLIC RECORDS LEARNED 0 SOURCES OF INFORMATION: CREDIT DATA SERVICES, INC /EXPERIAN IRS LIEN SECTION COUNTY COURTHOUSE RECORDS IF YOU HAVE ANY QUESTIONS REGARDING THIS REPORT, PLEASE CONTACT MERIT CREDIT AT: 1- 800 - 371 -3348 OR (239) 277 -3202. www.sunbiz.org - Department of State Home Contact Us E- Filing Services Previous on List Next on List Return To List Events Name History Detail by Entity Name Florida Profit Corporation KEITH SHERWOOD PAINTING, INC. Filing Information Document Number H91623 FEI/EIN Number 592619133 Date Filed 12/23/1985 State FL Status INACTIVE Effective Date 12/19/1985 Last Event PENDING REINSTATEMENT Event Date Filed 02/01/2012 Event Effective Date NONE Principal Address 12556 STONE TOWER LP FORT MYERS FL 33913 Changed 04/13/2006 Mailing Address 12556 STONE TOWER LP FORT MYERS FL 33913 Changed 04/13/2005 Registered Agent Name & Address SHERWOOD, KEITH C 12556 STONE TOWER LP FORT MYERS FL 33913 Name Changed: 04/13/2006 Address Changed: 04/13/2006 Officer /Director Detail Name $ Address Title PVST SHERWOOD, KEITH 12556 STONE TOWER LP FORT MYERS FL 33913 Annual Reoorts Report Year Filed Date Document Searches Page 1 of 2 Forms Help Entity Name Search Submit X]FINITY Connect Page I of I XFINXTY Connect cote norlocomcastne + Font Size - �a , H91623 - KEITH SHERWOODILD PA1NT1-M-%YF- T.mzzf'- From: OnlineWebRe1n@closstate.fi.us Wed, Feb 01, 201212:40 PM Subject: H91623 - KEITH SHERWOOD PAINTING, INC. To: CISHERWOOD@COMCAST.NET Congratulations, the reinstatement you submitted for the bLtsirwss entity listed above has been approved for processing. No further changes can be made to the reinstatement application. To complete the reinsMemeM "cliW on the link below and follow the PrWqAS for payment of the Ming fee. Please do not "dick' on the link until you are ready to complete the payment process. Once you choose to pay either by credit card or by check, you must complete the payment process or the reinstatement will be abandoned. If you e)dt the payment process page before completing the transaction, the flkg will be abandoned. The reinstatement will post overnight if paid by credit card. If payment is made by check it must be received within 30 days. The reinstatement will post when the check is received and processed, httr)s://efile.sunbiz.org/scripts/`reinst03.exe?mc=Y&rs=MUL&tn=300220130953 i.s 31R. "no response email. If you have filing --ir -.,--.,ebsite at www.sunbiz.org w. Florida is headed in the fight direction! View Florida's Jobs Growth Chart. htti)://www.flqov.com/photoviewliobcreationchart.1t) The Department of State is leading the commemoration of Florida's Wft anniversary in 2013. For more information, please go to www.fla500.corn The Department of State is committed to excellence. Please take our Custwner Satisfaction survey: httD://survev.dos.state.fl.us/index.asr)x?email=Orllline'O!ebRei. ^G ildof,.rnvf,o,-ida.cn,rr http://szOO14.wc.mail.comcastnet/zimbra/h/printmessage?td--955520&tz--AmericaNew-- Y... 2/1/2012 www.sunbiz.org - Department of State Horne Contact Us E-Fifing Services Document Searches Forms Help Reinstatement Online Filing Doanneril: TrWWW. 30= Docufnerd NuffAw MW3 The chw9e amount for your filing kc $1358.75 Your document has been submitted to an examiner to deck the entity name for availability. If Vie name of the business entity is available, you will receive an email instructing you to complete the payment prows. If the name is not available, you will receive an email instructing you to submit a name flange amendment with the reinstatement application and mail them to us for processing. Return to home page. S;�"; Stale f Florida, 0,p,t—nt of Stare Page I of I Uil- 0-11-4;1P ovv")%;n, ^vrY/o^v4r%+o/v�-,-n0fA'1 -%r,- 1 /III /In'! 1) THE MAIN MEET AMERICA GROUP NGM=nAo r=e=*n0'ed==c9 Compervy Main c !nsum-e Company Inlarmtim System and S&Wmvwicmes Corporation Contractors Coverage Description FIA, Quotation for Contractors Policy Prepared for Keith Sherwood Painting, Inc. Presented by LUTGERT INSURANCE - NAPLES ® THE MAIN STREET AMERICA GROUP NGM kaurwice compwW • ob oomdat inswunm Compwr Mon Sreet Mtmrft Assumm err • MSA irwimme Compeer informs Systems and Services Corporation PREMIUM SUMMARY Date Prepared: 02/03/2012 Quote #: 844771 Named Insured: Keith Sherwood Painting, Inc. Agent Name: LUTGERT INSURANCE - NAPLES Policy Type: Contractors Policy level coverages: Coverage Contractors Classifications - Combined Single Limit - each occurrence /aggregate Painting - Exterior Painting - Interior Ltd Care Custody & Contl -Prop Dam & Lost Key Liab Policy Level Totals: Subtotal Policy Fee Fees and Surcharges Florida Recoupment Grand Total (Full Annual Premium) Effective Date: 03/01/2012 Limit / Exposure Deductible Premium $1,000,000/ $2,000,000 $16,700 $250 $439.00 If Any $250 Included $5,000/ $10,000 $250 $25.00 $464.00 $464.00 $100.00 $0.00 $10.67 $574.67 The quotation is based on the information provided and is subject to underwriting approval by the company and your agent's authority to bind coverage on behalf of the company. The premium quoted is valid for 30 days from the date of this proposal. POLICYHOLDER DISCLOSURE NOTICE OF TERRORISM INSURANCE COVERAGE Please note that coverage for acts of terrorism is included in your commercial insurance policy. The Terrorism Risk Insurance Program Reauthorization Act of 2007 (TRIA), extended the provisions of the Act to 2014. As defined in Section 102(1) of the Act, the term "act of terrorism" means any act that is certified by the U.S. secretary of the treasury-in concurrence with the U.S. secretary of state and U.S. attorney general -to be an act of terrorism; to be a violent act or an act that is dangerous to human life, property or infrastructure; to have resulted in damage within the U.S., or outside the U.S. in the case of certain air carvers or vessels or the premises of a U.S. mission; and to have been committed by an individual or individuals as part of an effort to coerce the civilian population of the U.S. or to influence the policy or affect the conduct of the U.S. Page 2 of 5 government by coercion. The portion of your annual premium that is attributable to coverage for acts of terrorism is $00.00, and does not include any charges for the portion of losses covered by the United States government under the Act. LIMITATION ON PAYMENT OF TERRORISM LOSSES You should know that where coverage is provided by this policy for losses resulting from certified acts of terrorism, such losses may be partially reimbursed by the U.S. government under a formula established by TRIA. However, your policy may contain other exclusions that might affect your coverage, such as for nuclear events. Under the formula, the U.S. government generally reimburses 85 percent of covered terrorism losses exceeding the statutorily established deductible paid by the insurance company providing the coverage. TRIA, as amended, contains a $100 billion cap that limits U.S. government reimbursement as well as insurers' liability for losses resulting from certified acts of terrorism when the amount of such losses exceeds $100 billion in any one calendar year. If the aggregate insured losses for all insurers exceed $100 billion, your coverage may be reduced. In such case insured losses up to that amount are subject to pro rata allocation in accordance with procedures established by the Secretary of the Treasury. Page 3 of 5 Contractors Coverage Description This is not a policy, but a summary of available coverages of our Contractors program. Consult your agent or policy for coverage details. All coverages described here are for the Contractors Policy. Coverages and availability may vary by state. Basic Coverages: These basic coverages have specified limits. General Liability: • Personal Injury • Broad Form Property Damage • Contractual Coverage • Fire Damage Liability - covers property damage to premises rented to you arising out of a fire - $500,000 per occurrence. • Medical Payments - $10,000 limit per person. Contractors Extension of Coverage Endorsement (Attached to All Contractors Policies) • Buildings at newly acquired premises - $250,000 limit • Valuable Papers and Records - $10,000 limit • Business Income Coverage - 12 months coverage • Extra Expenses Coverage - 12 months coverage • Artisan Legal Liability - Section H Limit of Liability Automatic Blanket Additional Insured Coverage for: • Engineers, Architects and Surveyors - Engaged • Managers of Lessors of Premises • Lessor of Leased Equipment • Mortgagee, Assignee or Receiver • Owners, Lessees or Contractors - Al Required in Contract • State or Political Subdivisions Permits Property - On Premises (Optional Coverage) • Covers buildings you occupy and their contents • Building Replacement Cost is provided for up to 110% of policy limit Contractors Plus Optional Endorsement: CONTRACTORS PLUS (Flat Charge per Policy) • The following Inland Marine coverages for Contractors are included: • Contractors Equipment $25,000 • Leased / Rented / Borrowed Equipment (Max 15 days) $50,000 • Contractors Tools (Max $1,000 per item) $10,000 • Installation Coverage (At any installation premises, temporary storage $10,000 and while in transit ). • Additional or extended coverage limits are also provided as follows: • Accounts Receivable $35,000 Page 4 of 5 • Arson Reward (Max $10,000) 10% of loss payment • Computer Systems Coverage (separate form added) $35,000 • Debris Removal $25,000 • Employee Dishonesty - incl ERISA (limit prints on dec) $25,000 • Fine Arts $ 5,000 • Fire Department Service Charge $10,000 • Fire Protective Equipment Recharge Expense $ 5,000 • Increased Cost of Construction $50,000 • Lock Replacement $1,000 • Money and Securities (In / Out limits print on dec) $25,000 • Newly Acquired or Constructed Buildings (Max $500,000 for 30 days) 100% of Building Limit • Off Premises Building (Max $10,000) 2% of Building Limit • Outdoor Property (limit $1,000 for attached Tenants' Signs per tree, shrub $10,000 or plant) • Outdoor Signs - Detached (limit prints on dec) $ 5,000 • Personal Effects $ 5,000 • Personal Property Of Others $10,000 • Personal Property Off Premises (N /A to Contractors I.M. coverages listed $25,000 above.) • Valuable Papers and Records $35,000 • Water Backup $25,000 Other Optional Coverages: • Accounts Receivable • Aggregate GL Limits • Care, Custody and Control • Computer System Coverage (when property is written) • Computer Fraud • Earthquake • Employee Benefits Liability • Employee Dishonesty • Hired and Non -Owned Automobile • Inland Marine - wide selection for contractors • Valuable Papers and Records Page 5 of 5 NOTICE OF ELECTION TO BE EXEMPT Piene morosghly reed the houvedoss horore mmpkftg &k appHmfies. PrW kgibty ft each daft entry ihd. Irthk application emtn1= hteoeipkte er hnc=rate iaibrmatiw or lfthe WmdwrWng is sot kg%& -, it any erase a deftly to the bstasoe efyosr evew@d o. SECTION I: Applicant Name (please print): P!� hJ Sh G r-wa a Applicant's social security number. ~/ Applicant's E-mail address (optional): e I S`i e° /- <�g o d 0 Coe CAst1 [ P- -t SECTION 2: 1 am applying for exemption as a (You most check only one box in this section): CONSTRUCTION INDUSTRY (SM FEE REQUIRED) - The Division will accept a money order or a cashier's check made payable to the JDM WC AnM d$MATION TRUST FUND. ErOfficer of a Corporation (Title): 1 ° e1— /er4,tJ1(- -OR- ❑ Member of a Limited Liability Company (LLC) NON - CONSTRUCTION INDUSTRY (NO FEE REQUIRED) ❑ Officer of a Corporation (Title): An officer electing exemption under Chapter 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 of a corporation must be listed as an officer of the Corporation with the Florida Division of Corporations. fire 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 Rgmm signing the application, the Corporation/LLC that is listed below, and the scope of business or trade listefd: j ,,,� Name of Corporation or LLC: �, 6A �//t° !'GeJUO q �,� /�tJ� /��. N FEIN: ,M &/9f33 Business Name: nrv>noN� ar�x Phone: 0^2WAVVY mereucA =- LarrncririousXAME�uoaccwsao ssesmswk ALSOm+awswsnueEwu) Applicant's Address of Record: gj5S5 -& SAoIje erL -oap nraaaiEAPARTIONr sums city: �7 f State: 4'—zip: / County: L e c Scope of Business or Trade: 1. 2. 3. 4. SECTION 5. List all certified or registered licenses issued pursuant to Chapter 489, F.S. held by the applicants or the certified or registered license numbers held by the qualifier for the corporation or LLC haW on this application ofwhfch the applicant is a corporate officer: SECTION 6. If you have submitted an electronic payment for this application, write the transaction confirmation number in the following space: SECTION 7. Are you affiliated with any corporation (including LLC) other than the corporation (including LLC) to which this application applies? ❑Yes No IF YES, PLEASE LIST T NAME(s) AND FEIN(s) OF THE AFFILIATED CORPORATION(s) OR LL C(s): NAME: FEIN: SECTION S. 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 ATTACHED. 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 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 2 OW 26% teo WE OF EI.EC M i0 BE EI EM"— REVISED 11M1; RULE 69L4.009, F.A.C. SECTION 9. NOTICE OF ELECTION TO BE EXEMPT — Page 2 FRAUD NOTICE A. Any person who, knowingly and with intent to injure, defraud, or deceive the department or any employer or employee, insurance company or any other person, files a notice of election to be exempt containing any false or misleading information is guilty of a felony of the third degree. B. Attestation of applicant - By signing below, I a7 that I have x j 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: AFFIDAVIT OF APPLICANT: I hereby certify that the information contained herein is hue and correct to the best of my knowledge and belief; that this election does not exceed exemption limits for corporate officers, ' corporations as provided in §440.02 Florida Statutes. JACELIINCOX Notary Public, State of P&MG Commission# EE 74838 d oomm. 11, 2014 srcxnTTtRi•: NOTARY STATE OF FLORIDA, COUNTY OF LgZ�- Sworn to and subscribed before me this 1 clay of 2, by _ Personal Known R Produced Identification Type of I ntification Produced NOTARY SIGNA My Commission Expo ` Please mail or submit your mpleted app 'on, application fee, and airy required its to The Dimision of Workers,- Comnensa n I the district office nearest your place of lmsmess. STATE USE ONLY 2295 Vitoria Avenue, Suite 163 Ft Myers, FL 33901 Telephone (239) 4614006 610 E Burgess Road Pensacola, FL =0"W Telephone (850) 453-7804 31113. Diode WV". Suite # 123 West Palm Beach FL 33405 Telephone (561) 837 -6716 1313 N. Tampa Street, Suite # 503 Tampa FL 33602 Telephone (813) 221 -6506 921 North Davis Street BIlft M Suite #250 JadcsonvBe, FL 37109 fdqftm (`.r04) l96 COs 400 Wed Robiam Street Room 11512, North Tower Orlando FL 32801 Telephone (407) 8354406 401 NW 21c Avow Suite #321, South Torrey MkvTd FL 33128 Telq*m (305) 536.o3os 499 Naftm st 70" Ave., Suite # 116 PknWm FL 33317 Telephone (954) 3212806 Wak4h aubmbsio m 2012 Capital Cycle SE Sub #102, Hartman Bldg. Taliahassee FL 32399 -2161 Tetep we (850) 413 -16D9 Nadia sub nbskl s: 200 East Gaines Street Talahassee FL 323994228 Telephone (890) 413 -1609 'The collection of the social security nuns on ft fonn is specifically authorized by Section 440.05(3), Florida Statutes. The social security number will be used as a unique pdert6fier in Division of Workers' Compensation database systems for mclividuals who have applied for and/or been issued a certificate of election to be exempt ft will also be used to identify irib rtation 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 traddng 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 Vwffic* required or authorized by stale or federal law.' Effective/i = Date: Expiration Date: Control Number. Postmark Date: �� 1I OWC 2SO, NOTICE OF ELECTION TO BE EXEMPT— REWISEO 11171; RULE 6846.009, FAC. t_ i 1 o \Ivl� j c am' ✓j� ��- C oV�vl�LeL�V tv1 eV'A 'Ai V A t� t/t S t u vt V ',J 30 slyl y J s�� CAL ��A&6_r C�014vmy CDES Operations & Regulatory Management Licensing Section 2800 North Horseshoe Drive Naples, FL 34104 APPLICATION FOR COLLIER COUNTYXITY OF NAPLES /CITY OF MARCO FIRM INSTRUCTIONS: This application must be typewritten or legibly printed. The application fee must accompany this application. The fee is not refundable after the application has been accepted and entered on the records. All checks should be made payable to the Board of Collier County Commissioners. For further information, consult Collier County Ordinance No. 90 -105, as amended. NAME OF COMPANY: Exact Corporate/ Business Name: t_) A1 -0 Fiction Name /DBA: Qualifier Name: f eP (') Physical Address (Number & Street) (City) (State) (Zip Code) Mailing Address: boo (Number & Street) Telephone. TYPE OF LICENSE: ❑ General $230.00 ❑ Building $230.00 (City)T— (State) (Zip. Codc) E -Mail: W vV V Yl Y P,_' U t Co V4 ❑ Electrician ❑ Plumber $230.00 $230.00 ❑ Residential $230.00 ❑ Air Cond. $230.00 ❑ Mechanical $230.00 ❑ Swimming Pool $230.00 ❑ Roofing $230.00 ❑rSpecialty $205.00 Specialty trade: CHANGE OF STATUS: ( ) Reinstatement ( ) From One Business to Another ( ) Dormant License to Active Page 1 of 4 2 3 The names, titles, home address and phone numbers of all Officers /Managing Members of the Firm. Ka 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. as � List all debts you or an company(s) associated with you refused to a and the reasons for the refusa�t a' 7'— a�'- Y Y Y PY pY Attach extra pages if needed. i.t " - r 11ri T via � Rf+- "V 1�11 AFFIDAVIT !h �T Y-y- I . V7.3 r certify that the foregoing is true and correct to the best of my knowledge. Authorized Officer of the Firm STATE OF FLORIDA COUNTY OF 00 The foregoing instrument as acknowledged before me this�U.Y'� (Date) By )-° ; x-Sn1 A ": .N,r� -, of ._j (Name of officer, title /agent) % (Name of Corporation) a ',,. ":, 4 ;� L��_�,:�s'a Corporation on behalf of the corporation. (State or Place of Corporation) He /She has produced 1__. -A _r �. ` ',A ;� t L,4t identification and did not take an oath. (Type of identification) y�dp NOTARY'S SEAL -.111. G R TODD Notary Public - State of Fbdde v� . ,My Commission Expires Apr 23, ZOOS Commission M DD 415010 Rondm By National NptaryA. Page 2 of 4 (SIGNATURE OF NOTARY) QUALIFIER INFORMATION: Name: ,10 .`1-� Address: ..> 0o east 4 e Drive r'j ao le 5 (Number & Street) (City) (State) (Zip Code) Telephone: �'� i- �' 4 Date of Birth: S.S. #: 000 -00 E -Mail: W WV I Y' <:' I d_! U e�v_ 10 1 6 COM Driver's License: Z 1. Type of Certificate of Competency for which application is made. 2. The names and telephone numbers of two persuns who will know your whereabouts. : j t�cjr U vt �o� 2 39 — 2 61 — v 8'0 fr 2 A er -f e I I i 5 12.3 q - Z 72 — 32 2- 3. Have you ever been convicted of a crime related to Contracti ng? YES le-J, e Clrlcaj moo I t C. (If yes attach extra sheet with explanation) ' 7. Have. you or any firms you have been associated with ever filed bankruptcy? /`J O 8. List all debuts you or aniy� company(s) associated with you refused or failed. to pay and reasons why. �"�, I��C' � ;`��rl�y �c�lr��ny1 ► Y1� �N35 ��b1�1�t : �12Y �r1SylYlvlC� � „+J�,j iQ�� W 9. List your business or work experience during the past ten years. �� 7r1"?PVt f 7rV . 1I avir l /Y0,1YL . �_ar�c �i .:�71V lr�i . I)r') 1 V 10. Statement of any formal training you have had in the area for which the application is made. i r ' r� a� 1 or i s , i jj � y iV DoaA10G 5 � s 3 Gt0VLS -� Y � ��1►1c�V �O V1__S 1�0 IVICIt(�k1v1 �I.�.� r0o�.s \A/ + M joOrS Page 3 of 4 r a AFFIDAVIT 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. Y APPLICANT (PLEASE PRINT) U .. 3i oy—yk?X"U NAME O COMPANY SIGNATURE OF APPLICANT STATE OF FLORIDA COUNTY OF cue _t t The foregoing instrument as acknowledged before me this - - 1 -- 7_ , i (Date) By who has produced (Name of person acknowledging)~ (Type of identification) as identification and did not take an oath. 11,,,. G. R. TOOp , ` Y Po. - Notary Public - SW* of Florida v-_�— 1– � � k� ;�`sc0fh""ExpnesAprT3,2009 (SIGNATUR OF NOTARY) "�^1 MOST I R W 4�JU10 1111111 Oflr Ann. Page 4 of 4 • uu t l_ a1C ter . L�� 2-� � --7oz a Yl 7 Y t� c31 Ice fie 2 vvb . -� , ; Y\� _ Jr AFFIDAVIT It is understood and acknowledged by the Collier County Contractors' Licensing Board and myself that if I fail to acquire, or maintain at all times effective Workmen's Compensation Insurance it will result in the possible revocation of my Certificate of Competency. V�l (� 4"', V, SIG ATURE OF APPLICANT BUSINESS NAME I )_ -_ "-� -1 — t 2 DATE BEFORE ME this day personally appeared ToRCP>A nZyAywho affirms and says that he has less than one employee and does not require Workmen's Compensation and understands that at any time he employs one or more persons he must obtain said Workmen's Compensation Insurance. STATE OF FLORIDA COUNTY OF ',,:% - i - _ The foregoing instrument was acknowledged before me this 3 1 —r? ? (Date) by -'7 >� t=it, .�,� _�: c� xs r� who has produced L.. ;_ as identification and who did not take an oath. N Y Pti* - Shb a Fbft 0"W"M Ezpkw Apr 23.2009 ODD 415010 Atln. SIGNATURE OF NOTARY NOTARY PUBLIC AFFIDAVIT 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 will act only for himself or that he is legally qualified to act on behalf of the business organization sought to be certified 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 qualifier 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 on any information contained herein is grounds for disqualification. 3-0s T af 0 r Y1 ax, APPLIC (Please Print) NAME OF COMPANY i SIGN TURF OF APPLIC! STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this 71_-, (Date) by ,.� :� ~ `" �•�, who has produced 1 1 (name of person acknowledging) (Type of identification) as identification and who did not take an oath. "'ItY P +° '• &;�4 a R. TODD ION 1 W 872784 N .�• c� pril23, 2013 r EOF FLO 8W*d Thp Budget Mary SWVQS SIGNATURE NOTARY (PRINT NAME OF NOTARY PUBLIC) N0TARYXVZt ti. It TODD * MY COMMISSION t DD 872784 s, EXPIRES: �A,,p,ril 23, 2013 �';OF FIdF'�� ° _ Th pu'Yet NoWr. 3 AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER I, l'�VD�til� To- am a resident of County, �c�Y` �[� c� (State) and have resided here for more than five (5) years. During the last five years I have known `�' �P� ` d1 Ord applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and good character. (Signature) (Name) 1 DRA) sl 1 0 (Address) (0 00 '- J .-A& 1 Y', Telephone) -Z39 — 2 tot — 0 ?1 0 F STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this " l) by (Date) 57_ P ri � 1_ � c� , tAZ&ho has produced ( ame of person acknowledging) (Type of identification) as identification and who did not take an oath. 0- Y- N a R. TODD t ; c R * MY COMMISSION 3 DO 877184 EXPIRES: April 23, 2013 NOTARY'S SEAL SIGNATURE OF NOTARY G, i 1, (PRINT NAME OF NOTARY) NOTARY PUBLIC AFFIDAVIT IT IS understood and acknowledged by the Collier County Contractors' Licensing Board and myself that if I fail to acquire, or maintain at all times effective Workmen's Compensation Insurance it will result in the possible revocation of my Certificate of Competency. SI NATURE OF LICANT BUSINESS NAME 2. - ?J4 - k 2 DATE his day personally appeared y 0 ��oy-n who affirms and says that he BEFORE ME t y p Y has less than one employee and does not require Wo kmen'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 � f-i , 2C�) ( - (Date) by c7�E PK , is *j �n �`i�.R(Jwho has produced �'L. `i (name of person acknowledging) (Type of identification) as identification and who did not take an oath. �1pRY r`% 2 G. R. TODD * MY COMMISSION 4 DO 872784 EXPIRES:AP6123,2013 '�Fa F�o��O Baded Thru Budpel Nohry Sa�+tq NOTARY'S SEAL SIGNATURE bF NOTARY (PRINT NAME OF NOTARY PUBLIC) NOTARY PUBLIC . R LICENSE C LASS E i ws .}CSEPFf ANTHONY tAFORNARO . ^ WOE LAKE DR d t., ooraoa+i of moos VERIFICATION OF CONSTRUCTION EXPERIENCE GMD Operations & Regulatory Management Department Licensing Section 2800 N. Horseshoe Drive Naples, FL 34104 zL Applicant's Name: 3 y3C-7p>? —7—��1 V Certificate Category Requested: The Applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate the Applicant must verify their experience within this trade. You are being requested to provide information that will aid the Applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker (e.g. as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience must provide the following information: Name, Title and license number of the person signing below and verifying Applicants relevant experience: Name: �6 I� A� "/ O �1 /1 SC lid Title: ?Q4. ( ef"Cp-fG A 4 geV License Number (if applicable): Name of Business: W h 5,f I -J YQ&rz; t 5c,& Business Address: �, / f'4 Jd l�j SGT t ?� Al / ydW /,:V �L Business Phone: 131 !' 3 S — / 00F The Applicant's years of experience from _ DdG 1 047 to Pre:%d-v- The applicant's scope of work (specific duties) included: C� �Y4 ' / A Z //► c Jr 6 A nTest06"CC, Additional Comments: L ,4,t- K Falsifying any information provided herein may subject your license to revocation. /4 2 / Signature // , Print Name: 90 b e4 �✓ / o /✓ tJ S �il� State of Florida �� j7► - /vt�s Ale 0%r : �� Z S -77- f • 3 Z • 1144 - D County of Collier The foregoing instrument was acknowledged before me on this )--17" day of 12- by " , _ - ,-!S. " ;,-,N-,O- who is personally known tome or produced as i e tification and who did not take an oath. .v '..'Signature %. f * h1Y Comm SSION N DO 872784 r EXPIRES: April 23, 2013 w��E OF F1.0""F DAW Thru Up Notxy Sw*" 7 (VERIFICATION OF CONSTRUCTION EXPERIENCEN GMD Operations & Regulatory Management Department Licensing Section 2800 N. Horseshoe Drive Naples, FL 34104 Applicant's Name: t � 0 Se:�-? VA M�l Certificate Category Requested: The Applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate the Applicant must verify their experience within this trade. You are being requested to provide information that will aid the Applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker (e.g. as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience must provide the following information: Name, Title and license number of the person signing below and verifying Applicants relevant experience: Name: 1:n BC 12l C 1.:, Cl.l S Title:(e_G. 0 (00 iff n � OU (Z License Number (if applicable): Name of Business: 9 P- 9) & l (?( D&r 6` / 1 -7 A Business Address: 4-130 --4($9 I -1,At app 1 l PA! &I N,aLy5�T410 3 Business Phone: -j. m - 37-7's The Applicant's years of experience from i tl zo o $ to ' 9650U 1 The applicant's scope of work (specific duties) included: (�: RA4 e*1 My 't' A! Q TI A) 4. CLC-jW j,V 6c�J�R C MA tW Mn/�GE 0 Additional Comments: F11,11i1 TD L - ,— �„ —�- EAST , at � y et+J D ej2(t AA t_e . S re-4 v M MEV'Dc: D _16 is Falsifying any information provided herein may State of Florida County of Collier your license to revocatiogy Signattfre '-:::, Print Name:�X 0FZ7- (2 5-us D. The foregoing instrument was acknowledged before me on this `i C' day of �- _ ,�C' ^� by— Q t= .1_i.., G5 who is personally known tome or.Eedeeed as id\6Qkfication and who did not take an oath. 1�,FY PCB G. R - 1. l ' • �'� ft of Notary * � * MY COMMISS T EXPIRES: April 23, 2013 �l'fE OF Fl�`OC Bdlded PYU Budget NaWY Sovi t Applicant's Name: Certificate Category VERIFICATION OF CONSTRUCTION EXPERIENCE GMD Operations & Regulatory Management Department Licensing Section 2800 N. Horseshoe Drive Naples, FL 34104 The Applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate the Applicant must verify their experience within this trade. You are being requested to provide information that will aid the Applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker (e.g. as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience must provide the following information: Name, Title and l�iceense�j ber of the person signing �below and verifying Applicants relevant experience: JName: Title: Name of Business: Business Address: License Number (if applicable): >> _- CV /IL5 - t'` AM2_ C Business Phone: �-3 q -14 1-'0 YQ rThe Applicant's years of experience from 1" 3 to The applicant's scope of work (specific dutfi�es) included: Additional Comments: ws --v-- -.k-- 0 \2 ; Qpr_?_� Falsifying any information provided herein may subject your license to revolaf Signt[ure Print+,Name: State of Florida County of Collier The foregoing instrument was acknowledged before me on this day of i- c \3 ,PL, -! 7r, 12- _ i_.-- , i� n,s aoc who is personally known tome or produced as i ntification and who did not take an oath. Si • ♦ WD0 EXPIRES: April 23, 2013 'F aorld,.H rM„ avio nosy s.m«, 6 Prepared By: Merit Credit (239) 277 -3202 (800) 371 -3348 TRANSUNION CREDIT REPORT (FOR] (SUB NAME) (Y) Z NP3343169 MERIT CREDIT (SUBJECT) IAFORNARO, JOSEPH ANTHONY (CURRENT ADDRESS] 600 E. LAKE DR., NAPLES FL. 34102 (FORMER ADDRESS] rage i of � [MKT SUB] (INFILE] (DATE) (TIME) 16 NP 10/90 02/24/12 11:32CT DATE] VMWINARPTDI 9/05 533S36 PO BOAC 533536, ORLANDO FL. 32853 804 N. THORNTON AV., ORLANDO FL. 32803 11 /00 (POSITION) (CURRENT EMPLOYER AND ADDRESS) (VERF] [RPTD] EDS LLS CONTRACTOR 6/09 6/09 (FORMER EMPLOYER AND ADDRESS) ENVtROMENTAL DESIGN STUDI MGR 3/08 3/08 M O D E L P R O F I L E ** * A L E R T * ** * * *FICO CLASSIC 04 ALERT: SCORE +544 : SERIOUS DELINQUENCY, AND PUBLIC * *'*RECORD OR COLLECTION FILED; PROPORTION OF BALANCES TO CREDIT LIMITS IS ** *TOO HIGH 014 BANK REVOLVING OR OTHER REVOLVING ACCOUNTS; TIME SINCE ** *DELINQUENCY IS TOO RECENT OR UNKNOWN; NUMBER OF ACCOUNTS WITH DELINQUENCY * * * * * * IN ADDITION TO THE FACTORS LTSTRD ABOVE, THE, Mft4 3ER OF INQUIRIES ON ** *THE CONSUMER'S CREDIT FILE HAS ADVERSELY AFFECTED THE CREDIT SCORE. ------^---------------------------------------------------------------------- C R E D I T S U M M A R Y * ** T O T A L F I L E H I S T 0 R Y PR =O COL =4 NEG =10 HSTMEG =1 -1 TRD =13 RVL =10 INST =2 MTG =1 OPN =0 INQ =3 HIGH CRED CRED LIM BALANCE PAST DUE MNTHLY PAY AVAILABLE CLOSED W /BAL: $4063 $2517 $243 TOTALS: $ $ $4063 $2517 $243 C 0 L L E C T 1 0 N'S SURNAME SUBCOOR ECOA OPENED CLOSED $PLACED CREDITOR MOP ACCOUNT# VERIFIED BALANCE REMARKS EAF LLC Y 271F001 I 4110 $2200 08 CHASE BANK USA 0913 4664139 2/12A $2374 PLACED FOR COLLECTIO PORTFOLIO RC Y 1KSE003 I 10 /10 $740 HSBC BANK NEVADA N 09B 5200940012048421 2/12A $740 PLACED FOR COLLECTIO GENESISFIN Y 22EL001 1 8/11 $478 12 CIT BANK FINGER 09B 13439514 10 /11A $478 PLACED FOR COLLECTIO ALLIANCEONE Y 181P001 I 4/11 $150 04 ORANGE COUNTY F 09B 25762802 6 /11A $150 PLACED FOR COLLECTIO T R A D E S -- - -- - -^ --------------- - - - -- SURNAME SUBCODE OPENED HIGHCRED TERMS MAXDELQ PAYPAT 1 -12 MOP ACCOUNT# VERFIED CREDLIM PASTDUE AMT -MOP PAYPAT 13 -24 ECOA COLLATRL /LOANTYPE CLSD /PD BALANCE REMARKS MO 30/60/90 METABNK /FHUT B 2CVQ001 4/08 $478 R09 627645604370 10/11A $0 https://tivww,creditsystein.com/falcon 60/10 39Vd 1I03J0 11�0W 2/24/2012 85ZEtLZ6E:Z 66 :ZT ZloZ /PZ /Z© I CHARGE ACCOUNT 4/10F $0 HARLEY DAVID F 41LD002 6109 $9623 20090614842431 9/11A I AUTOMOBILE£ 8/11F $1546 CREDITONEBNK B 54MR013 4/08 $776 444796215649 3/11A $250 I SLDTO SOLD TO ANO 1/10F $776 PST PREMIER B 41PP'045 5/08 $422 12 /10A $300 I CREDIT CARD 11 /09F $422 FST PREMIER A 41PF045 1/09 $536 12 /10A $400 I CREDIT CARD 11 /09F $536 HSBC BANK B ?991187 2/09 $739 10/10A $0 I CREDIT CARD 12/09F $0 CHASE B 260x001 11/07 $2200 4 /10A $1500 I CREDIT CARD 4/10F $0 DSNB MACYS D 2AST001 2/09 4/10A I CHARGE ACCOUNT 4/10F $783 FIRSTBKDE /CF B 2AP7001 9/07 $872 3/10A $525 I CREDIT CARD 1/10Y $0 CITFINGERHUT 9 2BZX001 4/08 $449 1110A $400 I CHARGE ACCOUNT 1/10C $0 SALUTE B 24FC01? 5/08 $431 7/11A $350 I CREDIT CARD 10/08G $0 A a5.. -.v.- PURCH BY OTHER LENDER 72M243 I09 $0 UNPAID BLUC CHRGD OPP R09 $776 UNPAID BLNC CHRGD OFF. R09 $422 UNPAID SLNC CHRGD OFF R09 $536 Ut+TPAID BLNC CHRGD OFF R09 $0 PURCH BY OTHP -R LENDER R09 $0 PURCH BY OTHER LENDER R09 $783 CLOSD BY CRDT GRANTOR R09 $0 PURCH BY OTHER LENDER 1/10 211.111111111 R03 $0 $53 03 1111 TRNSFRD OTHER OFFICE 16 1/ 0/ 0 11111111.1111 R01 $0 111111111111 CLOSD BY CRDT GRANTOR 38 0/ 0/ 0 HARLEY DAVYD F 41LD002 8/05 $7755 M361 11111 I01 20050807653053 3/06A $0 C AUTOMOBILE 3/06C $0 CLOSED 5 0/ 0/ 0 CITIMORTGAGE B 462SO15 1/90 $62.1K 360M730 X11111111111 MOl 93097170190 12/04A $0 111111111111 I FRA REAL ESTATE M 12/04C $0 CLOSED 48 0/ 0/ 0 I N Q U Z R I E S ------- --------------------------- - - - - -- DATE SUBCODE SURNAME DATE SUBCODE SUBNAME 2/24/12 ZNP3343169(FLA) MERIT CREDIT : 5118/11 YFE2513754(IND) VISION'FIN'AN 4/15/10 'YNY0175321(EAS) GLBL CR &COL C R E D I T R E P O R T - - - -- --------------------------------------------- S E R V I C E I) B Y TRANSUNION 800 -$88 -4213 2 BALDWIN PLACE P.O. BOX 1000,CHESTER, PA. 19022 Consumer disclosures can be obtained online through TransUnior_ at: http : / /www.transunion.com h ttps : /Iwww. credi tsystem. com/falcon E0 /Z0 39ad lIa360 1I83W 2/24/2012 89ZELLZ6EZ EE :ZT ZTOZ /PZ /Z0 www.sunbiz.org - Department of State Page 1 of 2 Home Contact Us E- Filing Services Document Searches Forms Help Previous on List Next on List Return To List No Events No Name History Detail by Officer /Registered Agent Name Florida Limited Liability Company JOSEPH A. IAFORNARO,LLC Filing Information Document Number L12000029769 FEI /EIN Number NONE Date Filed 03/01/2012 State FL Status ACTIVE Effective Date 03/01/2012 Principal Address 600 EAST LAKE DRIVE NAPLES FL 34102 Mailing Address 600 EAST LAKE DRIVE NAPLES FL 34102 Registered Agent Name & Address IAFORNARO, JOSEPH A 600 EAST LAKE DRIVE NAPLES FL 34102 US Manager /Member Detail Name & Address Title MGR IAFORNARO, JOSEPH A 600 EAST LAKE DRIVE NAPLES FL 34102 US Annual Reports No Annual Reports Filed Document Images 03/01 /2012 — Florida Limited Liability 09e pE- om�at Note: This is not official record. See documents if question or conflict. Officer /RA Name Search �Subr�rait; . Previous on List Next on List Return To List Officer /RA Name Search No Events No Name History http: / /Www.sunbiz.org/ scripts /cordet.exe ?action= DETFIL &inq doe number--L1200002976... 3/2/2012 (Zlf i Pler County COLLIER COUNTY GOVERNMENT DEPT. OF ZONING & LAND DEVELOPMENT REVIEW W WW.0 OLLIERGOV NET (239) 252 -2400 FAX (239) 643 -6968 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 2 ! %` APPLICANT'S NAME APPLICANTS HOME ADDRESS 0 O !� TYPE OF BUSINESS TO BE CONDUCTED BUSINESS NAME (IF ANY) ZONING CERTIFICATE # TC- A k_C) L- L_ ,I V 239 -2q 3_ ?02 0 :s 3y 102 1, the undersigned, hereby affirm that I am the legal owner of the property at the above address or that./ have the legal right to conduct the business described above at this address by virtue of my leasehold interest in this property, and that l have read, understood, and agree to abide by the provisions of LDC Section 5.02.00 "Home. Occupations' (see back of application). IAI� AP PLICANT SIGNATURE S`^^ DATE. Z " Z T — FEE: $= O= CHECKS PAYLE TO: "COLLIER COUNTY TAX COLLECTOR" To BS C0jWzETED oz COUNTY 6Td.FF 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). Tax Collector Staff: Please forward a copy of issued certificate and receipt to Collier County Zoning Department. COLLIER COUNTY BUSINESS TAX RECEIPT APPLICATION i 2800 N. Horseshoe Drive, Naples, FL 34104 `i Make Check Payable to: Collier County Tax Collector ...� Phone: 239- 252 -2477 Fax: 239 - 643 -4788 Website: www.colliertax.coin CHECKLIST Copy of Articles of Incorporation and /or Fictitious letter Yellow Fire Compliance (list of fire district phone number from the State stating that your business name is on file. enclosed) (850 - 245 -6052 or 6058) www.sunbiz.org Copy of Marco Zoning Certificate. 239- 389 -5000) Copy of State license from Department of Business and Professional (850 -487 -1395) or Department of Health. (850 -410 -3359) Copy ofCity Business Tax Receipt. (239 -213 -1800) Copy of Motor Vehicle Repair Registration Certificate from Department of Agriculture. (800 -435 -7352) Copy of Health inspection from Department of Hotels and Restaurants (850 - 487 -1395) or Department of Agriculture. (800- 435 -7352) CHECK ONE: Original Application Transfer of License # _ JF SHE SfiT w ~y �S ��0Y,�00 W�•t•Ny^ ,,: Completed Zoning application with jappropriate fee made payable to: Board of County Commissioners. Completed Business Tax Receipt application with appropriate fee made payable to: Collier County Tax Collector. (239 - 252 -2477) Other: Please contact the Property Appraiser's office at 239 - 252 -8145 regarding tangible tax. Date: Classification Code Number Renewal of License # License Amount 1) CORPORATE NAME - 1 a) DBA NAME - 1 b) BUSINESS OWNER OR 2) PHYSICAL ADDRESS - (No P.O. Box allowed) 2a) IS RESIDENCE USED AS AN OFFICE - _y Yes No 3) BUSINESS MAILING ADDRESS - ffol Street City A Zip 4) OWNER OR QUALIFIER'S RESIDENTIAL ADDRESS - 600 E . Lam r . 5) TELEPHONE - Business: 239 —2 q 9-10 Z Home: 6) LEGAL FORM OF BUSINESS: ✓ Sole Proprietorship Partnership Corporation LI.0 _ _ -LP 7) OPENING DATE OF BUSINESS OR DATE ASSUMED - 8) OFFICE WITHIN CITY LIMITS OF NAPLES - ✓Yes _ No If Yes, City License No, 9) SOCIAL SECURITY NO. or FEDERAL EMPLOYER IDENTIFICATION NO. OEM *see back of application for explanation 9a) TYPE OF BUSI i ED: C a r P��r►�-'r t f 10) NUMBER OF EMPLOYEES -Including of number of owners: 11) FILL IN THE APPROPRIATE AREAS - a) Rental units (motel/hotel /apts.) Number of units: b) Seating Capacity (rest. /cafes, etc) Number of seats: c) Number of coin - operated machines owned by business or individual: 12) STATE LICENSE OR CERTIFICATION NUMBER - ' lust have photo copy of state license if state licensed and certified UNDER PENAI-HE:S OF PERJURY, I DECLARE THAI' I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN TARE T E T THE BEST OF MY KNOWLEDGE. xxxAPPLICANT'S SIGNATURE_ _ �`� DATE: (Owner and; or representative of business) I` TLE: _ "THIS LICENSE IS NON - REFUNDABLE FOR BUSINESS STATED ABOVE * * ** STATEMENT OF OWNERSHIP This certifies that I,To',A � am a member or (APPLICANT'S NAME) Managing member of (LIMITED LIABILITY COMPANY NAME) I own % of the units issued by the Limited Liability Company listed above. Affidavit of Applicant: I certify that the information contained is a true and correct statement to the best of my knowledge. �4��pN ICI ��-OQ ►•5 f�tZ.� (PRINT NAME) (APPLICANT'S SIGNATURE) (DATE) Findings of Fact, Conclusions of Law and Decision of the Board Collier County Contractors' Licensing Board For Applications Submitted to the Board for Review Type of Application: Credit Report Review Waiver of Testing Requirements Reinstatement of License Request to Qualify Second Entity X Other (specify) Review of Contracting Related Misdemeanor THIS CAUSE came on for public hearing before the Contractors' Licensing Board (hereafter Board) on September 19, 2007 for consideration of the application submitted to the Board for review. The type of application is set out above. The Board having heard testimony under oath, received evidence, and heard arguments respective to all appropriate matters, thereupon issues its Findings of Fact, Conclusions of Law and Order of the Board as follows: FINDINGS OF FACT 1. That Joseph A. lafornaro has submitted an application to the Collier County Contractor Licensing Supervisor or his designee for review of his licensure due to his conviction for a misdemeanor related to contracting. 2. That pursuant to section 22 -184 (b) of the Collier County Contractors' Licensing ordinance (Ordinance 90 -105, as amended) applications which do not appear on their face to be sufficient requires referral to the Board for a decision regarding approval or denial of said application requires referral to the Board for a decision. regarding approval or denial of said application. 3. That the Board has jurisdiction over this matter and that Joseph A. lafornaro was present at the public hearing and was not represented by counsel at the hearing on September 19, 2007. 4. All notices required by Collier County Ordinance No. 90 -105, as amended, have been properly issued. 5. The facts in this case are found to be: a. The Applicant was convicted of a misdemeanor directly related to his contracting activities. b. Applicant's credit record indicates a lack of financial responsibility pursuant to Collier County ordinances and the Florida Administrative Code. C. Applicant admitted under oath to numerous incidents of unlicensed contracting. CONCLUSIONS OF LAW 1. Based upon the foregoing facts the Board concludes that the applicant has not met the standard set out in Ordinance 90 -105, as amended. ORDER OF THE BOARD 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 5 in favor and 0 opposed, a majority vote of the Board members present, the applicant is denied a license to contract in Collier County. ORDERED by the Contractors Licensing Board effective the 19 da f September 2007. Les Dickson, airma Contractors Licensing Board 2 I HEREBY CERTIFY that a true and correct copy of the above and foregoing Findings of Fact, Conclusions of Law, and Order of the Board has been furnished the Applicant, and Michael Ossorio, Licensing Compliance Superv. or 2800 North Horseshoe Drive, Naples, FL 34103 on this _ day of �L✓ �--� , 2007. 4q Secreta enpntractors Li ns g Board 3 BEFORE THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD BOARD OF COUNTY COMMISSIONERS, COLLIER COUNTY, FLORIDA, CONTRACTORS' LICENSING BOARD Petitioner, a Linda Curiale D /B /A— Global Maintenance & Restoration, Inc. Respondent. Case Number: 2012 -03 License Number: CGC1508927 / 27333 ADMINISTRATIVE COMPLAINT Collier County (County) files the Administrative Complaint against Linda Curiale ( Respondent), a State of Florida licensed General Contractor ( license # CGC1508927 / Collier County Certificate # 27333), and states the following facts and allegations in support of the cited violations below: I. The Respondent is currently licensed by The State of Florida as a Certified General Contractor with License number CGC1508927. 2. Under the provisions of Florida Statute 489.113(4)(b) the Collier County Contractors' Licensing Board is authorized to impose penalties against State Certified Contractors for willfully violating Building Codes. 3. Under the provisions of Collier County Ordinance 90 -105, as amended, Section 22- 201.1, the following actions by a holder of a Certified General Contractor License shall constitute misconduct and grounds for discipline pursuant to Section 22 -202. a. On April 9, 2009, Linda Curiale was issued a notice of Noncompliance, in the form of a "Cease and Desist Agreement ", for a violation of the 2007 Florida Building Code Section 105.1. b. On January 20, 2011, Linda Curiale was issued a Notice of Noncompliance, in the form of a "Cease and Desist Agreement ", for a violation of the 2007 Building Code Section 105.4.1.1. c. On January 19, 2012, Global Maintenance & Restoration, Inc., qualified by Linda Curiale, was issued a Stop Work Order for violating The 2007 Florida Building Code Section 105.12. d. Thereafter, pursuant to Collier County Ordinance 90 -105, as amended, Section 22- 202(b) and Section 22- 202(c), the case was investigated and found sufficient cause to file formal charges. 4. Collier County brings the following charge in this formal complaint against the Respondent. COUNT 5. Collier County Ordinance 90 -105, as amended, Section 22.201.1(2) state" Willfully violating the applicable building codes or laws of the state, city or Collier County ". WHEREFORE, the Petitioner asserts the above facts and charges are grounds for disciplinary action under Section 22 -201.1 of Collier County Ordinance 90 -105, as amended, and WHEREFORE, in consideration of the foregoing, the Petitioner respectfully requests the Collier County Contractors' Licensing Board to find the Respondent guilty of the violations charged. Dated: Ft J ZO Z Signed: Collier County Contractors' Licensing Supervisor or Designee CLB Case # 2012 -03 Linda Curiale- D /B /A Global Maintenance & Restoration, Inc. Summary Building permit # 2011070155, for "waterproofing plaza deck ", was applied for on July 7, 2011. An Early Work Authorization was requested by the authorized signer of Global Maintenance & Restoration, Inc., Michael Curiale, on July 19, 2011. The Early Work Authorization was approved on July 22, 2011. Correspondence between Collier Building Review and the Contractor, dated July 22, 2011, states Building Review was unable to approve the permit for deficiencies in the permit application. The permit application then expired on January 3, 2012. A site visit was made on January 12, 2012, where it was determined that the construction had exceeded what was authorized with the Early Work Authorization, violating Section 105.12 of The Florida Building Code. A Stop Work Order was issued for the unpermitted construction on January 12, 2012. CLB Case 2012 -03 Linda Curiale- D /B /A Global Maintenance & Restoration, Inc. Table of Contents E1 through E3- Formal Complaint E4 & E5- Case Detail Report E6- State Licensing Detail Report E7- County Certificate Detail Report E8 through E11- Certified mailing of Notice of Hearing and tracking results E12- Notice of Hearing, hand delivered E13- Permit E14- Request for Early Work Authorization E15- Approved early Work Authorization E16 & E17- Permit Rejection Letter E18 & E19- Statement of work performed at time of Stop Work Order. Provided by Michael Curiale E20- Statement provided by Collier County Building Official stating position as violation being willful. E21 & E22- Florida Building Code Section 105.12. E23- Collier County Ordinance 90 -105, as amended, Section 22- 201.1(2) E24 through E42- Photos Contractors' Licensing Board 2800 North Horseshoe Dr. Naples, Fl. 34104 Complaint Number- 2012 -03 Complainant: Any person who believes that a Contractor holding a State Certification or Certificate of competency has violated Collier County Ordinance 90 -105, as amended, may submit a sworn complaint to the Contractor Licensing supervisor, or his / her designee. The complaint shall be in substantially the form prescribed by the Contractor Licensing Supervisor. The 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 copies of the complaint. Date: March 7, 2012 Against: Contractor's Name: Linda Curiale Phone: 774 -3990 Business Name: Global Maintenance & Restoration, Inc. License Number if known: CGC1508927 Collier County Competency number: 27333 Contractor's Business Address: P.O. Box 534 Marco Island, FI 34146 Filed By: E1 Name: Collier County Contractor Licensing / Ian Jackson Address: 2800 N. Horseshoe Dr. 34104 Business Phone: 252 -2451 Address where work done: 8787 Bay Colony Dr. City: Naples County: Collier Date of contract: Unknown Date job started: July 21, 2011 +/- Date job completed or new home occupied: Not Applicable Were there plans and specifications? Yes Is there a written contract? Not Applicable. If yes, amount of Contract: Not Applicable Has Contractor been paid in full? Not Applicable. If not, what amount? Not Applicable Was a Building Permit obtained? Yes Building Permit number if known: 2011070155 Have you communicated by letter with the licensee? Yes Date: 2/7/12 & 2/14/12. Do you have a reply? Yes Please attach to this form all copies of the purchase agreement, building contract, home improvement contract, copies of receipts and /or cancelled checks available and any additional evidence to substantiate your allegations. List any subsections of 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): Ordinance number 90 -105, as amended Section 22- 201.1(2). Willfully violating the applicable building codes of the state, city or Collier County. E2 Please state the facts which you believe substantiate your charge of misconduct against the subject contractor. List facts separately for each subsection number above: Building permit # 2011070155, for "waterproofing plaza deck ", was applied for on July7, 2011. An Early Work Authorization was requested by the authorized signer of Global Maintenance & Restoration, Inc., Michael Curiale, on July 19, 2011. The Early Work Authorization was approved on July 22, 2011. Correspondence between Collier Building Review and the Contractor, dated July 22, 2011, states Building Review was unable to approve the permit for deficiencies in the Permit application. The permit application then expired on January 3, 2012. A site visit was made on January 12, 2012, where it was determined that the construction had exceeded what was authorized with the Early Work Authorization, Section 105.12 of The Florida Building Code.. A Stop Work Order was issued for the 10 construction on January 12, 2012. ( Complalhant's signature) State of: Florida County of: Collier Sworn to (or affirmed) and s 7 scribed before me this day of C _, 2011, l 11-\ (signature of person making statement). L of Notary Public) aos+. Print, type or stamp commissioned name of Notary Public: s�ece 44'of Personally known or produced identification E3 :mot Report Title: Code Case Details Date: 3/8/2012 10:20:05 AM Case Number: cecv20120000931 Case Number: CECV20120000931 Case Type: Code Violation Priority: Normal Inspector: IanJackson Status: Preliminary Review Date & Time Entered: 1/19/2012 2:54:16 PM Entered By: IanJackson Case Disposition: I Case Pending Jurisdiction: Contractor's Licensing Origin: Building Department Detail Description: Global Maintenance & Restoration's Permit 2011070155 under review. Early work authorization allowed Per former Building Official, Gary Harrison. Contractor worked beyond what was allowed in early work authorization. Location Comments: 18787 Bay Colony Drive / folio 77519000003 Business Management & Budget Office E 4 1 Contractor LINDA CURIALE Business Management & Budget Office E 4 1 .Code Case Details Execution Date 3/8/2012 10:20:05 AM Desc Assigned Required Completed Outcome Comments Preliminary Investigation lanJackson 1/19/2012 1/20/2012 Needs 1/19/12. Contractor, Linda Curiale / Global Investigatio Maintenance & Restoration, has permit n 2011070155 under review. Early work authorization allowed by previous Building Official, Gary Harrison (scope of early work in attached PDF). Work taking place at site exceeds what was allowed in early work authorization (photos attached). Spoke w/ Michael Curiale on 1/19/12. Issued Stop Work Order via telephone at 12:45 p.m. with instructions to make site safe and secure. 1/20/12. Photos sent to interim Building Official, Tom DeGram. Arranged meeting w/ Michael Curiale 1/23/12. Cont. Investigation lanJackson 1/23/2012 1/23/2012 Complete 1/23/12. Researching Qualifier history. Case being reviewed by Building Review. Cont. Investigation lanJackson 1/27/2012 1/27/2012 Complete 1/26/12. Received written statement from County Building Official, Thomas DeGram, stating position as this being a willful Building Code violation. Cont. Investigation lanJackson 1/27/2012 1/27/2012 Complete 1/27/11. Met w/ qualifier, Linda Curiale. Advised her of County's position as this being considered a willful Building Code violation. Explained statutory limits pertaining to County action against Certified Contractors' License ( if found in violation, revocation, suspension or issuance of permits w/ conditions). Presented Curiale with Notice of Hearing. Refused to sign. Stated she wanted to discuss with her attorney. Gave her a copy of Notice. Asked that she contact me propmtly to sign for Notice. Cont. Investigation lanJackson 2/7/2012 2/7/2012 Complete 217/12. From 1/27/12 through 2/7/12, have left multiple phone messages for Qualifier, Linda Curiale. No return call. Mailing Notice of Hearing 2/7/12, Certified Mail. Cont. Investigation lanJackson 2/14/2012 2/15/2012 Complete 2/14/12. USPS Tracking shows "Notice Left" for certified mail. Hand delivered copy of notice of hearing to place of business. Signed for by Catherine Jacobs. No return call from Linda Curiale. 2/15/12. Spoke w/ Linda Curiale. Verified that Catherine Jacobs is a family member (mother). Cont. Investigation lanJackson 2/28 /2012 2/28/2012 Complete 2/28/12. Preparing for CLB Hearing Investigation lanJackson 3/16/2012 Pending Business Management & Budget Office rr G-1� DBPR - CURIALE, LINDA MICHELE; Doing Business As: GLOBAL MAINTENANC... Page 1 of 1 3:46:06 PM 216/2012 Licensee Details Licensee Information Name: CURIALE, LINDA MICHELE (Primary Name) GLOBAL MAINTENANCE & RESTORATION INC (DBA Name) Main Address: P.O. BOX 534 MARCO ISLAND Florida 34146 -0534 County: COLLIER License Mailing: Lice nseLocation : License Information License Type: Rank: License Number: Status: Licensure Date: Expires: Certified General Contractor Cert General CGC1508927 Current,Active 04/21/2005 08/31/2012 Special Qualifications Qualification Effective Construction Business 04/21/2005 View Related License Information View License Complaint Contact Us :: 1940 North Monroe Street Tallahassee Fl 32399 :: Call.Center @dbpr.state.fl.us :: Custumer Cuntact Center; RIM 4197,119q The State of Florida is an AA /EEO employer. Copyright 2007 -2010 State of Florida. Privacy Statement Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public- records request, do not send electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions regarding DBPR's ADA web accessibility, please contact our Web Master at webmasterC�lidbpr.state.fl.us, cl� https:// www. myfloridalicense .com/LicenseDetail .asp ?SID= &id= B2FOBBFC5F4D 1074F 1 B... 2/6/2012 Certificate Detail Report CDPR2305 - Certificate Detail Report CERT NBR QUALIFIER NAME DBA STATUS 27333 LINDA CURIALE GLOBAL MAINTENANCE & RESTORATION, I ACTIVE DETAIL CLASS CODE CLASS DESC 1010 GENERAL CONTR. -- CERTIFIED ORIG ISSD DATE 5/26/2005 RENEWAL DATE EXPIRE DATE 8/31/2012 CNCL DATE REINSTATE DATE ADDRESS PO BOX 534 MARCO ISLAND COMPANY JACKSON AGENCY INC PHONE (305)824 -3464 POLICY NUMBER 3CO1724 INSURANCE LIMITS 2,000,000 COUNTY COMP CARD COUNTY EXP DATE COUNTY OL EXEMPT N COUNTY OL NBR COUNTY OL EXP DATE 043585 9/30/2012 191M.A PHONE FAX (239)774 -3990 (239)774 -0109 PHYSICAL ADDRESS 13255 TAMIAMI TRL. E. #3 FL 34146 -0534 NAPLES LIABILITY INSURANCE EXP DATE 5/19/2012 EFFECTIVE DATE 5/19/2011 CNCL DATE WORKERS COMPENSATION INSURANCE WC EXEMPT N COMPANY LION INS CO/ S.E. EMPLOYEE LEASING SERVI PHONE (727)938 -5562 POLICY Collier County Board of County Commissioners CD -Plus for Windows 95 /NT STATE NBR CGC 1508927 STATE EXP DATE 8/31/2012 0TH OL NBR 0TH OL EXP DATE FL 34114- EXP DATE 1/1/2013 EFFECTIVE DATE 1/1/2011 CNCL DATE Printed on 2/6/2012 3:45:34PM Page 1 Collier County Growth Management Division / Planning and Regulation Operations Department / Licensing Section Certified Mail Return Receipt: 7007 2560 0001 1485 5834 Linda Curiale DB /A- Global Maintenance & Restoration, Inc. P.O. Box 534 Marco Island, Fl. 34146 Date: February 7, 2012 RE: Complaint filed against you by Collier County Contractors' Licensing regarding a violation of Ordinance 90 -105, as amended, Section 22- 201.1(2) on (date of violation) January 19, 2012. Dear: Ms. Curiale 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 March 21, 2012 at 9:00 AM in the Board of County Commissioner's Room, Third Floor, Administration Building (W. Harmon TurnerBldg.), 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 rinay 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) 22- 201.1(2) of Ordinance # 90 -105, as amended, the range of disciplinary sanctions which may be imposed are from an oral reprimand to a suspension or revocation of your Collier County Certificate #27333 and/or suspension or revocation of your permit privileges against your state license # CGC 1508927 Sincerely, Ian Jackson Licensing` Compliance Officer phone# 239- 252 -2451 Collier County Growth Mlgmt Division Planning & Regulations /Operations Dept Licensing Section 2800 North Horseshoe Drive Naples FL 34104 57 VIII IIIIIIIIIIIIIIIIIIIIIIIIY�IIIIIIIII 7007 z=eo 000, 1485 5834 c. MAR 0 2 2012 BY: ....................... 016K26522601 $05.750 02(0912012 t Mailed From 34112 US POSTAGE U W R R c. MAR 0 2 2012 BY: ....................... SENDER: COMPLETE THIS SECTION ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. z Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: &53 A. Signature I X El Agent ❑ Addressee B. Received by (Printed Name) C. Date of Delivery D. Is delivery address different from item 1 ? ❑ Yes If YES, enter delivery address below: ❑ No 3. S�eni�e Type Certified Mail ❑ Express Mail U ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail - ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) C3 Yes 2. Article Number (Transfer from service label) 7007 2 5:6 0 0001 14 8 5 5834 PS Form ,3, , February,2004 Domestic Return Receipt 102595 -02 -M -1540 USPS Tracking Results nw-MR UNITED STATES 1'C 'STZ I SERVICE EMS Tracking EMS China Page 1 of 2 Services Tools Widgets We attempted to deliver your item at 10:22 am on February 10, 2012 in MARCO ISLAND, FL 34146 and a notice was left. You may arrange redelivery by visiting www.usps.com /redelivery or calling 800- ASK -USPS, or may pick up the item at the Post Office indicated on the notice. If this item is unclaimed after 15 days then it will be returned to the sender. Information, if available, is updated periodically throughout the day. Please check again later. Activity Notice Left Depart USPS Sort Facility Processed through USPS Sort Facility Date/Time February 10 2012,10:22 am February 10 2012, FORT MYERS February 10 2012, 01:33 am Location MARCO ISLAND, FL 34146 FL 33913 FORT MYERS, FL 33913 http: / /usps. ems - tracking .net /usps- tracking.php ?number= 70072560000114855834 2/14/2012 Collier County Growth Management Division / Planning and Regulation Operations Department/ Licensing Section Hand Delivery: C 1 9�=PY Date: % APIOV9 RE: Complaint filed against you by Collier County Contractors' Licensing regarding a violation of Ordinance 90 -105, as amended, Section 22- 201.1(2) on (date of violation) January 19, 2012. Dear: Ms. Curiale A complaint has been fled against you by the above referenced individual A hearing of this complaint will be held by the Contractors' Licensing Board on March 21, 2012 at 9:00 AM in the Board of County Commissioner's Room, Third Floor, Administration Building (W. Harmon Turner Bldg.), at 3301 East Tamiami Trail, Naples, Florida. Your presence before the Contractors' Licensing Board is required at this time. The packet you will receive marked composite exhibit "A" will be delivered to the members of the Contractors' Licensing Board one week prior to the hearing. If you wish to prepare a defense packet and have it delivered in conjunction with composite exhibit "A ", you must make fifteen copies and have them in our office by 8:00 AM on Wednesday, one week prior to the hearing. In your packet, you may give a summary of events. At this meeting, you may present evidence and be represented by an attorney of your choice. In the event the Contractors' Licensing Board finds you in violation of Section number(s) 22- 201.1(2) of Ordinance # 90 -105, as amended, the range of disciplinary sanctions which may he imposed are from an oral reprimand to a suspension or revocation of your Collier County Certificate #27333 and/or suspension or revocation of your permit privileges against your state license # CGC 1508927 . Si�e ely la>blJa ks�n Liced ng Compliance Officer phone# 239 - 252 -2451 /m C1Z COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS PERMIT PERMIT #: 2011070155 PERMIT TYPE: BCOT ISSUED: 01 -30 -12 BY: EVELYNTRIMINO APPLIED DATE: 07 -07 -11 MASTER #: 2011070155 COA #: JOB ADDRESS: 8787 BAY COLONY DR JOB DESCRIPTION: WATER PROOF PLAZA DECK JOB PHONE VATM) it APPROVAL DATE: (239)774 -3990 155 01 -30 -12 SUBDIVISION #: 3528 - Trieste at Bav Colonv A Condominium BLOCK: HDR LOT: BLDG FLOOD MAP: 0189 ZONE: AE -12 ELEVATION: FOLIO #: 0000077519000003 SECTION - TOWNSHIP -RANGE 32 48 25 OWNER INFORMATION: CONTRACTOR INFORMATION: WCI COMM LTD PARTNERSHIP GLOBAL MAINTENANCE & RESTORATION, INC. A CONDOMINIUM PO BOX 534 0 MARCO ISLAND,FL 34146 -0534 CERTIFICATE #: 27333 PHONE: (239)774 -3990 FCC CODE: 999 - EXPRESS /NON- RESIDENTIAL OTHER CONSTRUCTION CODE: 10 / OTHER JOB VALUE: 1,700,000.00 TOTAL SQFT: SETBACKS FRONT: REAR: LEFT: SEWER: SEPTIC WATER: CONTACT NAME: LINDA CONTACT PHONE: (239)774 -3990 RIGHT• WELL Per Collier County Ordinance No. 2002 -01, as it maybe amended, all work must comply with all applicable laws, codes, ordinances, and any additional stipulations or conditions of this permit. This permit expires if work authorized by the permit is not commenced within six (6) months from the date of issuance of the permit. Additional fees for failing to obtain permits prior to the commencement of construction may be imposed. Permittee(s) further understands that any contractor that may be employed must be a licensed contractor and that the structure must not be used or occupied until a Certificate of Occupancy is issued. NOTICE: PRIOR TO THE REMOVAL OF ASBESTOS PRODUCTS OR THE DEMOLITION OF A STRUCTURE, FEDERAL AND STATE LAWS REQUIRE THE PERMITTEE (EITHER THE OWNER OR CONTRACTOR) TO SUBMIT A NOTICE OF THE INTENDED WORK TO THE STATE DEPARTMENT OF ENVIRONMENTAL PROTECTION (DEP). FOR MORE INFORMATION, CONTACT DEP AT (239) 332 -6975. In addition to the conditions of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. C13 I •` GfT�nlainugC�l ..d.�iosng.9iie4ld90 �rt�eur„ RESIDENTIAL COMMERCIAL July 19, 2011 Gary Harrison, CBO Deputy Building Official Collier County 2800 N. Horseshoe Drive Naples, FL 34104 Tel 239 - 252 -2427 GaryHarrison(a)-colliergov.net Re: Permit No. 2011070155 Dear Mr. Harrison: l.Uo2V Lie# CGC1508927 Global Maintenance Restoration, Inc. would like to apply for a demo permit while Cronin Engineering completes corrections. Most of the hardscape of the plaza deck has to be removed to find all the existing locations of the deck drains and landscape lighting feed wires, which are all low voltage. The demo work will consist of the following: 1. Removal of soil in planter C,D,E and F as well as existing landscaping. 2. Removal of existing 6" non - structural lightweight topping slab. 3. Removal of existing Tremco TP60 waterproofing that has failed. 4. Removal of decorative precast panels at fountain. No structural members will be removed or harmed. Areas shown have to be removed for completion of revision to permit application as well as completion of forensic engineered inspection of waterproofing that has failed. All removal and demo work at this time is strictly cosmetic. If you have any questions in regard to the scope of work, please call me at 239 -280- 8321. Thank you. Michael Curiale President GMRI P.O. BOX 534 MARCO ISLAND, FL 34146 • TEL: 239.774.3990 • FAX: 239.774.0109 :OLLIER COUNTY BUILDING DEPARTMENT APPLICANT NAME: ADDRESS OFFICE OF THE FIRE CODE OFFICIAL EARLY WORK AUTHORIZATION FORM d DATE: 17—Z-0 _ J. I . Subject: Approved Early Work Authorization per'04 FBC, Sec. 105.12 Under Parent Permit-Number #. 1I D-) � f1,� In accordance with the 2004 Florida Building Code, Section 105.12, and in response -to your written request, we authorize limited work to proceed as described in your written :request and contained within the submitted permit plans and this letter prior to the issuance of the permit(s). The scope of work authorized by this letter is very limited and only includes work prior" to the required first inspection of the respective technical codes, whether it be the Florida Building Code or the Florida Fire Prevention Code, regardless of which technical code inspection occursrirst. This is NOT a permit and NO work may proceed beyond the work indicated. on your. :request. Further, all the work will be entirely at your risk and proceeding with the work will be construed as acceptance of the "at your risk" condition. The term "at your risk" means you will have no sustainable rebuttal should any work you perform be required to be removed, modified. or otherwise declared by us to be non - compliant with adopted codes. The County Inspections and Fire District personnel are being alerted to this Early Work Authorization and may be expected on site to observe work. Should a visit to the site by any County or Fire District representative reveal the work has proceeded beyond the authorized point; you will be fined a minimum of four times the permit application fee and a STOP WORK ORDER shall be posted and contractor discipline may be instigated for a willful code violation. You shall post a copy of this signed approved form, plus the receipt of the required $500 fee for Early Work Authorizations, as well as a copy of your.letter of request and a copy of the submitted plans at the job site. Also, please understand no demolition of any existing building is herein authorized since separate demolition permits would be required. Sincerely, Very truly yours, Gary H on, BO 'd war it ilding Official/ Fire Code Official Manage of Pla Review & Inspections Office: (239) 252 -3473 Office: (239)52 -2427 Revised 05/09/08 E I�� W_ July 22, 2011 1y ,i.= j-z4, 20i1 COLLAR COUNTY GOVERNMENT GROWTH MANAGEMENT DIVISION 2800 North Horseshoe Drive • Naples, Florida 34104 • 239- 252 -2400 • FAX 239 - 252 -2334 Global Maintenance & Restoration, Inc. Permit No: 2011070155 Email: gmriinc @embargmail.com 8787 Bay Colony Dr Plans submitted with the referenced permit have been reviewed. We are unable to approve your permit application for the reason(s) indicated below. Submit three (3) sets of revised sheets along with three (3) letters of response addressing each item. All corrections must be clouded. Please submit the corrections in person Structural Codes — Tom Umscheid (239) 252 -2433, Jim Fleming (239) 252 -2426, Myron Jacobs (239) 252 -1016 THIS REVIEW HAS BEEN PERFORMED USING THE 2007 FLORIDA BUILDING CODE WITH 2009 SUPPLEMENTS OR THE 2007 FLORIDA EXISTING BUILDING CODE W /SUPPLEMENTS ADOPTED BY THE STATE OF FLORIDA ONMARCH I, 2009. 1sT Review- Tom Umscheid- 7/8/11 1. Plans indicate some work to be completed by others, be aware that no other permits for any other work has been applied for at time of the review. 2. Please clarify the following items found on the "summary of work "; a. Lines 8- new drains - provide locations, cutting of existing concrete, routing of piping and supports. b. Line 9- new pavers at entry- provide details for change in elevation to conform to the FBC accessibility requirements. c. Line 12- fountain- No details of design or specifications provided, cutting of existing concrete, routing of piping etc. May require separate permit. Call Dick Noonan, (239) 252 -2439 d. Line 13- sprinkler- May require separate permit. Call Dick Noonan, (239) 252 -2439 e. Line 15- pedestal system- clarify what system to he used, line 15 states "Ilanover" but plans on sheet PL -4 has note "depending on system used ". f. Line 17- trellis- no details provided. No separate permit applied for at this time. g. Line 19- shutters- no details provided. No separate permit applied for at this time. 3. This review shall be considered incomplete pending receipt of requested and required information. Subsequent review(s) may reveal additional deficiencies. Electrical Codes —David Engelhart, (239) 252 -5723 NOTE: This plan has been reviewed per the 2008 edition of NFPA 70 publication of the National Electrical Code (NEC) and the 2007 edition of the Florida Building Code :(FBC) with 2009 supplements that became effective October 1, 2009. 1. Per FBC 106.1.1, construction documents shall be of sufficient clarity to indicate the location, nature and extent of the work proposed. There is electrical verbiage in the Section 01100 summary of work a. in note #13 to install landscape lighting per attached detail specifications and planting protocols b. Note #18 to remove and replace all valet light fixtures. Rewire planter F and C Replace all existing outlets w /GFCI. etc. ...without further complete details. Provide complete existing locations, and new details as applicable. 1 /12 /12de. 2. Pending response to comment #I above, provide a complete electrical intent as required by FBC 106. 1.1 and FBC 106.3.5, which would include, but not limited to, panel schedule(s), riser diagram(s), load calculation(s), wiring method(s), conductor size(s), grounding, overcurrent protection (OCP) size(s), and locations; as applicable. 1 / 12/ 12de. FIG 3. No response to the above comments as-to how they were addressed and incomplete details provided as requested. Only landscape lighting luminaire specifications and locations provided by a landscape architect I have modified the above comments to clarify what was originally submitted 1 /12 /12de NOTE: The review process cannot be completed without the above information. NOTE: If the above items are: A. Left as is — They are comments that need further attention. `'+r— ike — They have been completed and approved. Underlined — They have been added after further review. If you need additional information, please contact the appropriate plan reviewer. cc: file E 11 2 . �auefa: .uagG9nd.�eStozi�rg.T/reOld.�To �rlleur „ RESIDENTIAL COMMERCIAL Lic# CGC1508927 January 20, 2012 Mr. Tom Degram Interim Building Official Collier County Building Dept. Re: Trieste at Bay Colony, 8787 Bay Colony Drive Permit # 2011070155 Dear Mr. DeGram: Global Maintenance Restoration, Inc. was approved an early work authorization permit dated 7/20/2011 signed by then building official, Mr. Gary Harrison and Mr. Edward Riles CFPS, fire code official, with the understanding that Global would remove and strip all planting, soil and waterproofing from the main entry deck of the Trieste at Bay Colony Condominium to complete specified remedial detail plans for Global to obtain a permit. The understanding was that an engineer from Cronin Engineering would be present every day to inspect all work taking place and documenting all existing construction defects. Global Maintenance Restoration, Inc. started to waterproof the structural slab to protect the integrity of the main reinforcing steel in the slab and to prevent water from damaging the paint finish on cars below parked in the garage. Any and all work was inspected by an engineer. The areas waterproofed had (4) concrete columns poured that supported the existing wooden trellis system. Global was finally able to submit all revisions on correction to the Collier County Building Department about two weeks ago and is presently waiting approval. The job in question has a very heavy liquidated damages clause in it and would be detrimental to Global if we are not able to finish the job in time. The substantial completion date is February 10th to have all the pavers, stucco andrinting complete. The water feature and planter behind it have a completion date of March 9 . Due to the severity of the structural issue, I am asking to see if Global can continue to install pavers, stucco, precast and paint. The engineer will be inspecting all work as he has been doing from the start of the project. The following work listed below has been completed and inspected by Cronin Engineering: • Removal of existing landscaping and soil • Removal of existing drive pavers, concrete topping and waterproofing • Removal of all waterproofing throughout planters P.O. BOX 534 • MARCO ISLAND, FL 34146 • TEL: 239.774.3990 • FAX: 239.774.0109 � 1� • Removal of all stucco and precast throughout plaza deck • Removal of section of planter C and F walls • Constructed block walls at planter C and F • Installed expansion joint at main structure to garage structure • Waterproofed all planters and drive deck • Stuccoed all planter walls except for section of planter C • Replaced (4) main deck drains that were damaged • Removed back section of water feature walls (life safety issues) • Installed pavers on 70% of plaza deck per ADA requirement • Completed landscaping in planters A -B -F • Started landscaping in planters E -C • Sprinklers installed in planters A- B -C -E -F • Started waterproofing in Planter D. Unable to complete due to structural issue. • Poured (4) concrete 14" columns at planter F •d Poured (1) concrete 14" column at planter B to replace damaged one • Installed precast stone cladding at entry way • Installed precast stone cap on top of planter walls • Pried and painted all stucco throughout plaza deck Work to be completed as of 1/20/2012: • Completion of paver on plaza deck • Completion of pedestal pavers at main entry • Soil and landscaping of planter C • Landscaping of planter E • Structural repair of water feature at planter D • Waterproofing planter D • Soil and landscaping planter D • Precast cladding at planters C -E and D • Precast cladding of all concrete columns • Precast cladding of face of water feature grotto walls • Installation of field welded trellis system per design • Installation of low voltage landscaping lights • Painting of walls, sealing of precast, painting of trellis • Installation of sprinklers in planters C and D Thank you for your time and consideration in this matter. Michael J. Curiale President Global Maintenance Restoration Inc. Ell January 26, 2012 TO: Contractor Licensing Attn: Michael Ossorio, Supervisor FROM: Thomas L. DeGram, CBO BU1611 Interim Building Official/ Chief Structural Inspector RE: Global Maintenance Restoration, Inc. Early Work Authorization Permit No. 2011070155 On July 21, 2011 the Building Official granted Early Work Authorization (EWA) for Permit No. 2011070155 based on a letter received from Michael Curiale, President of Global Maintenance Restoration, Inc. (GMRI). In the above mentioned letter GMRI requested to perform "Demo Work" and that "No structural members will be removed or harmed ". Based on this request a EWA Permit was granted. Upon inspection of the jobsite by an Investigator from Contractor Licensing, I was advised that GMRI was possibly violating the EWA and was performing work beyond the scope of work allowed under the EWA. Upon review of the pictures provided by the Investigator it was clear that GMRI has violated the scope of work authorized by the EWA. Under Section 105.12 of the Florida Building Code upon approval of the Building Official, the scope of work may be started prior to the final approval and issuance of the permit. In this case the EWA was only granted for "DEMO WORK ONLY" and "No Structural members will be removed or harmed" as requested in said letter received from GMRI. Therefore, since the Contractor had made the request in writing he knowingly and willfully went beyond the scope of work granted by the EWA in violation with Section 105.12 of the Florida Building Code. W SECTION 105 PERMITS injunction, order or similar process. 105.4.1.4 The fee for renewal reissuance and extension of a permit shall be set forth by the administrative authority. 105.5 Reserved. 105.6 Reserved. Page 6 of 7 105.7 Placement of permit. The building permit or copy shall be kept on the site of the work until the completion of the project. 105.8 Notice of commencement. As per Section 713.135, Florida Statutes, when any person applies for a building permit, the authority issuing such permit shall print on the face of each permit card in no less than 18- point, capitalized, boldfaced type: "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." 105.9 Asbestos. The enforcing agency shall require each building permit for the demolition or renovation of an existing structure to contain an asbestos notification statement which indicates the owner's or operator's responsibility to comply with the provisions of Section 469.003, Florida Statutes, and to notify the Department of Environmental Protection of his or her intentions to remove asbestos, when applicable, in accordance with state and federal law. 105.10 Certificate of protective treatment for prevention of termites. A weather - resistant job -site posting board shall be provided to receive duplicate treatment certificates as each required protective treatment is completed, providing a copy for the person the permit is issued to and another copy for the building permit files. The treatment certificate shall provide the product used, identity of the applicator, time and date of the treatment, site location, area treated, chemical used, percent concentration and number of gallons used, to establish a verifiable record of protective treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall be completed prior to final building approval. 105.11 Notice of termite protection. A permanent sign which identifies the termite treatment provider and need for reinspection and treatment contract renewal shall be provided. The sign shall be posted near the water heater or electric panel. 105.12 Work starting before permit issuance. E Z1 ��}tr� / /Pr`n�r c i�r`cafP �rrrlir�nr� /rrai- ni�ro�r . X11/ Ti�nria�oicnr •��o�l.m /l��iia�nnn TlT /2/47F - oa...l.,♦ n /c /nnno SECTION 105 PERMITS Page 7 of 7 Upon approval of the building official, the scope of work delineated in the building permit application and plan may be started prior to the final approval and issuance of the permit, provided any work completed is entirely at risk of the permit applicant and the work does not proceed past the first required inspection. 105.13 Phased permit approval. After submittal of the appropriate construction documents, the building official is authorized to issue a permit for the construction of foundations or any other part of a building or structure before the construction documents for the whole building or structure have been submitted. The holder of such permit for the foundation or other parts of a building or structure shall proceed at the holder's own risk with the building operation and without assurance that a permit for the entire structure will be granted. Corrections may be required to meet the requirements of the technical codes. 105.14 Permit issued on basis of an affidavit. Whenever a permit is issued in reliance upon an affidavit or whenever the work to be covered by a permit involves installation under conditions which, in the opinion of the building official, are hazardous or complex, the building official shall require that the architect or engineer who signed the affidavit or prepared the drawings or computations shall supervise such work. In addition, they shall be responsible for conformity to the permit, provide copies of inspection reports as inspections are performed, and upon completion make and file with the building official written affidavit that the work has been done in conformity to the reviewed plans and with the structural provisions of the technical codes. In the event such architect or engineer is not available, the owner shall employ in his stead a competent person or agency whose qualifications are reviewed by the building official. The building official shall ensure that any person conducting plans review is qualified as a plans examiner under Part XII of Chapter 468, Florida Statutes, and that any person conducting inspections is qualified as a building inspector under Part II I of Chapter 468, Florida Statutes. E ZZ t,++...11,.,.,.a,,,.:,., --P ,...,.1:. All Ml .- 4- 0i m..aa11nnA rr i) nicinnno ARTICLE V. BUILDING TRADES* Page 30 of 36 Sec. 22 -201.1 Misconduct- -State certified contractors. The following actions by state certified contractors shall constitute misconduct and grounds for discipline pursuant to section 22 -202 of this article. (1) Failing or refusing to provide proof of public liability and property damage insurance coverage and workers compensation insurance coverage as required by Florida Statutes. (2) Willfully violating the applicable building codes or laws of the state, city or Collier County. (3) If the CLB finds through its public hearing process that the contractor was found by another county or municipality within the past 12 months, to have committed fraud or a willful building code violation and the CLB finds that such fraud or other willful violation would have been fraud or a willful violation if committed in Collier County or within the respective city. (4) Fraud. (Ord. No. 94 -34, § 4; Ord. No. 99 -45, § 4.2 -- 4.2.3, 6 -8 -99; Ord. No. 06 -46, § 1(4.1.8.2)) Sec. 22 -202. Disciplinary proceedings, including minor violations. (a) There are three categories of violations: (i) violations of subsection 489.127(1), F.S.; (ii) violations of subsection 489.132(1), F.S.; and (iii) other violations within the jurisdiction of the contractor's licensing board. (1) Subsection 489.127(1), F.S., is incorporated herein. (Lack of required license, certificate, or registration). The following are designated to enforce subsection 487.127 (1), F.S.: Collier County Building Official, all license compliance officers, the chief building inspector, chief electrical inspector, chief plumbing /mechanical inspector, and /or other inspectors authorized from time -to -time by the building official. Procedures specified in this section shall apply except to the extent, if any, that Section 489.127 or Section 489.132, may require different procedure(s). The penalties for each uncontested violation of subsection 489.127(1) and /or 489.132(1), F.S., are $300.00 for the first uncontested violation and $500.00 for each subsequent uncontested violation by the same individual or entity. Penalties for contested violations of subsection 489.127(1), F.S., are as now or hereafter specified in Section 489.127, F.S. Penalties for contested violations of subsection 489.132(1), F.S., are as now or hereafter specified in Section 489.132, F.S. The citation form attached hereto as Exhibit "A" is approved, which form may be amended from time -to -time by resolution of the board of county commissioners. (2) Minor violations: The contractor licensing supervisor or designee shall issue a "notice of noncompliance" as the county's first response to a minor violation of any provision of any regulatory law, including this section, when (i) it is reasonable for staff to assume that the violator, at the time of violation, was not aware of the provision that was violated or it can be assumed that it was not clear to the violator how to comply with the violated provision; and (ii) that violation has not then resulted in economic harm or physical harm to any person; and (iii) the violation has neither adversely affected the public health, safety, or welfare, nor created any significant threat of any such adverse affect. The notice of noncompliance should identify the specific provision that was violated, should provide information on how to comply with that provision and should specify a reasonably time for full compliance. The notice of noncompliance shall not be accompanied with any immediate threat of any monetary fine or any other disciplinary penalty, but may specify that failure of the violator to correct the violation within the time specified in the notice for compliance may result in disciplinary proceedings. Each E2n http: / /library2. municode. com /default/DoeView /10578/l/36/41 ?hilite =2006 46; 1/16/2009 _„fix , . f f I ( A r� R , r �� ` ��;' r .: r Al yM, ti0 x a e., 10 _�.z • • t, '- 4W +x, i Z. 2' a � l t g its sit AT Sao I i BEFORE THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD BOARD OF COUNTY COMMISSIONERS, COLLIER COUNTY, FLORIDA, CONTRACTORS' LICENSING BOARD Petitioner, N Brandon M. Acosta D /B /A — Brandon Acosta, LLC. Respondent. Case Number: 2012 -04 License Number: 30008 ADMINISTRATIVE COMPLAINT Collier County (County) files the Administrative Complaint against Brandon M. Acosta, D /B /A— Brandon Acosta, LLC. ( Respondent), a Collier County licensed Cabinet Installation Contractor (license # 30008), and states the following facts and allegations in support of the cited violations below: I. The Respondent is currently licensed by Collier County as a Cabinet Installation Contractor with License number 30008. 2. Under the provisions of Collier County Ordinance 90 -105, as amended, Section 22 -201, the following actions by a holder of a Collier County /City Certificate of Competency shall constitute misconduct and grounds for discipline pursuant to Section 22 -202. a. On or about 16 December, 2009, Brandon Acosta contracted with the homeowner to remove and replace two windows. He provided a written Estimate and accepted a monetary deposit in the amount of $1125.00. The described work was never commenced and the deposit was not returned to the homeowner. b. Thereafter, pursuant to Collier County Ordinance 90 -105, as amended, Section 22 -202 (b) and Section 22 -202 (c), the complaint was investigated and found sufficient cause to file formal charges. 3. Collier County brings the following charge in this formal complaint against the Respondent. COUNT 4. Collier County Ordinance 90 -105, as amended, Section 22- 201(2) states "Contracting to do any work outside of the scope of his competency as listed on his competency card and as defined in this article or as restricted by the contractors' licensing board " 5. On or about 16 December, 2009, Brandon Acosta contracted with the homeowner to remove and replace two windows. He provided a written Estimate and accepted a monetary deposit in the amount of $1125.00. The described work was never commenced and the deposit was not returned to the homeowner. WHEREFORE, the Petitioner asserts the above facts and charges are grounds for disciplinary action under Section 22 -201 of Collier County Ordinance 90 -105, as amended, and WHEREFORE, in consideration of the foregoing, the Petitioner respectfully requests the Collier County Contractors' Licensing Board to find the Respondent guilty of the violations charged. Dated: o ow Wow, Signed: Collier County Contractors' Licensing Supervisor or Designee Contractors' Licensing Board Case #2012 -04 Brandon M. Acosta — D /B /A— Brandon Acosta, LLC. Case Summary On 18 November, 2011, Reggie Smith, Collier County License Compliance Officer, received a Preliminary Complaint from George Bartusek Sr., owner of 1613 Bermuda Green Blvd, Unit B -4, against Brandon M. Acosta, regarding work to be described as "glass and glazing ". My investigation revealed that on or about, 16 December, 2009, Brandon Acosta contracted with the homeowner, George Bartusek Sr. to remove and replace two windows in multi - family housing. Further research revealed Brandon Acosta's sole "cabinet installation" license does not allow him to contract for removal and installation of windows. Mr. Acosta provided a written estimate and accepted a monetary deposit in the amount of $1125.00 to begin the work. The described work was never commenced and the deposit was not returned to the homeowner. Through email correspondence with Brandon M. Acosta, I advised the violation and correction being addressed in Contractor Licensing case CEMIS20110016545. Mr. Acosta was advised that the homeowner was only interested in receiving his full deposit funds back for work that never commenced. If not, further action may be required. Mr. Acosta agreed to the full refund; however he verbally delayed the process to meet multiple times. He finally met and issued a reimbursement check for half the original deposit amount ($562.50). Written receipts of the transaction were provided to Mr. Acosta and Mr. Bartusek. Mr. Acosta advised he can fully reimburse the remaining amount ($562.50) in a "months' time ". Afterwards, Mr. Acosta repeatedly missed scheduled appointments to meet and has not returned any correspondence requests via email and in the form of a note on my business card left at his personal residence. A Notice of Hearing was served during the 12 January, 2012 meeting, while receiving the initial reimbursement payment. Mr. Acosta stated he understood he would be required to appear at the next scheduled Contractors' icensing Board hearing if full reimbursement was not completed. Reggie Smith Collier County Contractor Licensing Officer Contractors' Licensing Board Case # 2012 -04 Brandon M. Acosta — D /B /A Brandon Acosta, LLC Table of Contents E1 through E3 — Formal Complaint E4 Certificate Detail Report E5 Division of Corporations E6 through E7 Preliminary Complaint Form E8 Contractor Estimate / Quote E9 Contractor Business Card E10 Reimbursement Receipt to Contractor E11 Reimbursement Receipt to Owner E12 Notice of Hearing, Hand Delivery E13 through E21 Email correspondence E22 Collier County Ordinance 90 -105, as amended, Section 22 -201 (2) Contractors' Licensing Board 2800 North Horseshoe Dr. Naples, FL 34104 Complaint Number- 2012 -04 Complainant: Any person who believes that a Contractor holding a State Certification or Certificate of competency has violated Collier County Ordinance 90 -105, as amended, may submit a sworn complaint to the Contractor Licensing supervisor, or his / her designee. The complaint shall be in substantially the form prescribed by the Contractor Licensing Supervisor. The 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 copies of the complaint. Date: 07 March, 2012 Against: Contractor's Name: Brandon M. Acosta Phone: 239 - 253 -9926 Business Name: Brandon Acosta, LLC. License Number if known: 30008 Collier County Competency number: 30008 Contractor's Business Address: 4937 22nd PL SW, Naples, FL 34116 Filed By: Name: Collier County Contractor' Licensing / Reggie Smith Address: 2800 N. Horseshoe Dr., Naples, FL 34104 Business Phone: 239 - 252 -2432 Address where work done: 1613 Bermuda Green Blvd, Unit B -4 City: Naples County: Collier I Date of contract: 16 December, 2009 Date job started: Never commenced Date job completed or new home occupied: Never commenced Were there plans and specifications? No Is there a written contract? Yes. If yes, amount of Contract: $1697.00 Has Contractor been paid in full? No. If not, what amount? Deposit of $1125.00 Was a Building Permit obtained? No. Was a Building Permit required? Yes. Building Permit number if known: No Permit Have you communicated by letter with the licensee? Yes, via email Date: 30 November, 2011. Do you have a reply? Yes Please attach to this form all copies of the purchase agreement, building contract, home improvement contract, copies of receipts and /or cancelled checks available and any additional evidence to substantiate your allegations. List any subsections of 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): Collier County Ordinance 90 -105, as amended, Section 22- 201(2) states "Contracting to do any work outside of the scope of his competency as listed on his competency card and as defined in this article or as restricted by the contractors' licensing board ". Please state the facts which you believe substantiate your charge of misconduct against the subject contractor. List facts separately for each subsection number above: On or about 16 December, 2009, Brandon Acosta contracted with the homeowner to remove and replace two windows. He provided a written Estimate and accepted a monetary deposit in the amount of $1125.00. The described work was never commenced and the deposit was not returned to the homeowner. Reggie Smith (Complainant's signature) State of: Florida County of: Collier Sworn to (or affirme) d subscribed before me this q7H day of en , 20:12, by A1741/Z JMi} %� (signature of person making statement). (signature of Notary Public) Print, type or stamp commissioned name of Notary Public: Personally known a or produced identification JOANNGREEN13ERG * * MY COMMISSION 1 EE 06656" s EXPIRES: April B, 2015 N. Bonded Thu Budget Notary Service:. Certificate Detail Report CDPR2305 - Certificate Detail Report CERT NBR QUALIFIER NAME DBA 30008 BRANDON M. ACOSTA BRANDON ACOSTA, LLC. DETAIL CLASS CODE CLASS DESC 4040 CABINET INSTALL CONTR. ORIG ISSD DATE 9/26/2006 RENEWAL DATE COUNTY COMP CARD COUNTY EXP DATE EXPIRE DATE 9/30/2011 COUNTY OL EXEMPT N CNCL DATE COUNTY OL NBR COUNTY OL EXP DATE 100509 9/30/2011 REINSTATE DATE 8/25/2010 WC EXEMPT N COMPANY COPY TO FILE PHONE POLICY It Collier County Board of County Commissioners rn- D7 — fr)r Windnws 95 /NT EXP DATE 9/25/2010 EFFECTIVE DATE STATUS INACTIVE STATE NBR STATE EXP DATE 0TH OL NBR 0TH OL EXP DATE FL 34116- CNCL DATE Printed on 12/30/20 9:06:54AM Page 1 , DBA PHONE FAX (239)253 -9926 (239)348 -9733 MAILING ADDRESS PHYSICAL ADDRESS 4937 22ND PL. S.W. 4937 22ND PL. S.W. NAPLES FL 34116- NAPLES LIABILITY INSURANCE COMPANY EXP DATE INFINITY AMERICAN INSURANCE AGENCY 7/14/2011 PHONE EFFECTIVE DATE (239)304 -3200 7/14/2010 POLICY NUMBER CNCL DATE 0185FL00003425 INSURANCE LIMITS 1,000,000 WORKERS COMPENSATION INSURANCE WC EXEMPT N COMPANY COPY TO FILE PHONE POLICY It Collier County Board of County Commissioners rn- D7 — fr)r Windnws 95 /NT EXP DATE 9/25/2010 EFFECTIVE DATE STATUS INACTIVE STATE NBR STATE EXP DATE 0TH OL NBR 0TH OL EXP DATE FL 34116- CNCL DATE Printed on 12/30/20 9:06:54AM Page 1 , www.sunbiz.org - Department of State Home Contact Us E- Filing Services Document Searches Previous List Next List Officer /Registered Agent Name List Page 1 of 1 Forms Help Officer /RA Name Search Officer /RA Name Entity Name Entity Number ACOSTA, BRANDON ACOSTA CUSTOM CARPENTRY, INC. P01000108867 ACOSTA, BRANDON ACOSTA CUSTOM CARPENTRY INC. P04000673311 ACOSTA, BRANDON PREMIER DIABETIC SUPPLY, INC. P99000074050 ACOSTA, BRANDON ACOSTA CUSTOM CARPENTRY, INC. P01000108867 ACOSTA, BRANDON ACOSTA CUSTOM CARPENTRY INC. P04000073311 ACOSTA BRANDON PREMIER DIABETIC SUPPLY, INC. P99000074050 ACOSTA, BRANDON J MODERN DAD ENTERPRISES, LLC L08000040728 ACOSTA, BRANDON J MODERN DAD ENTERPRISES, LLC L08000040728 ACOSTA BRANDON M BRANDON ACOSTA LLC. l 06000076085 ACOSTA BRANDON M BRANDON ACOSTA LLC L10000066571 ACOSTA, BRANDON M BRANDON ACOSTA LLC L10000066571 ACOSTA BRANDON M OWNER BRANDON ACOSTA LLC. L06000076085 ACOSTA, BRENDA IGLESIA CRISTIANA LA BARCA INC N11000003096 ACOSTA. BRENDA DREAMSCAPE CUSTOM BATHS, INC. P96000104.W ACOSTA, BRENDA S ACOSTA'S PHYSICIANS SERVICES, INC. P94000007925 ACOSTA, BRIAN DESIGNS QUALITY FLOORING INC. P08000005582 ACOSTA, BRIAN E B & A MARINE MECHANIC, INC. P03000068226 ACOSTA, BRIAN E B & XMARINE`MECHANIC, INC. P03000068226 ACOSTA: BRIAN E BAJ MARINE INC P07000119185 ACOSTA BRIAN E OWNER BAJ MARINE INC P07000119185 ACOSTA, BRYAN KINGDOM COME TRADING, LLC. L09000001608 ACOSTA, BRYAN KINGDOM COME TRADING, LLC. L09000001608 ACOSTA, BRYAN ACOSTA REMODELING, INC. P05000043256 ACOSTA,, BRYAN ACOSTA MARBLE & TILE, INC. P05000134800 Previous List Next List _...._...___..___._....__..___ .._.___ . _.._._. Officer /RA Name' Search I Home 1 Contact us I Document Searches I E- Filinq Services I Forms I Help Copyright® and Privacy Policies State of Florida, Department of State bttn://www.-,unbiz.org/scrints/coroffli.-,-exe 11 /10 /2011 09:54 Fax 16001 /001 COLLIER COUNTY BUILDING REVIEW & PERMITTING CONTRACTOR'S LICENSING 2800 N. Horseshoe Drive - Naples, Florida 34104 - (239) 252 -2432 Fax (239) 252 -2469 PRELIMINARY COMPLAINT FORM JYour Name: �/�i�re,�' SRDate: Address: l3 ,Or�U414 Gies! ja /O City: 06%,1,G�tate: zip :3S�llV Horne Phone: THIS COMPLAIN' IS AGAINST: Company Name: A4nfWT7;j License # Contractor or Person in Charge: (If Known) Address: &(%C,IS& X/ ---5� .�23Q -3 fe-Y . f73� - Phone: Date of Contmct; DIE SPECIFIC COMPLAINT IS: (Attach additional sheets as necessary) C ' 14ATL=r Cy.J LCND zvo ,attach Copies of All Appropriate Uacaments: Contracts, Checks, Liens, Permits, Elc. P ) � (23�) 252 -5706 orvisor Contractor Licensin Officers; Michael Ossoria ( P Su �on `Z Tan Jackson- (239) 252 -2451 Allen Kennette- (239) 252 -2468 Robin Ganguli- (239) 252 -2914 Karen CIements- (239) 252 -2450 Signature: o i #Pfv 1 o r o x. +. t y -T- T1fegi c,/ i 77V /f /)y, 770 Yei cC- M Y 44.0 xzx?V-N, Z 1.7�bst r-- �•E r-,v�% � w�•umS .el 77y- �! ao jo .az 0!-f-7wgsmeL•>` /,4,154-9 - ,�� Am TZ) AA 4�0f 0Gt C!S f--49r 44w- iC.lol2 T7/ o,,,, //--' �' . -70� . 7Z) -47 Won = 7'vk'�cv .rte-- �bviiJ�r2 7 rya .ice' A Ly9.f'� �/�!/ oz E ��,� •�7 /tom .Otr.:) �?-- 771--f �s' Svc r7oc AJo Br, idon Acosta Napie-s FL 239-253-9926 Bill To: i George Bartusek 11613 bermuda greens blvd PO Number Terms Dtscription remove an replace two windows with new vinyl thermastar windows remove and replace existing window in masterbedroom with a thermastar window—glass to be tinted —sun defense I price for replacement Of windows additional fee for upgrade to tinted glass in master bedroom a Customer # Estimate Number: E103 Date: Dtoembcr 1-6, 2009 Ship To: George Bartusek 1613 bermuda greens blvd Quantity/Hours 1.00 1.00 IA deposit onj 126.00 is due at time of ordering to Co jorder time is 16-25 days ver the cost Of the windows whit 112 001-01 00 A ej Service Rep. Price/Rate 1,615.00 OMI h are requited to be paid in 1 4 windows Amount 1,615.00 Total $1,6197.00 C� tp -/I-- F � �± § � ( } � Ok � �ƒU QAt\ � \ke\ t) k\ £ � �, %\ C� /ƒ -a i � �± § � ( } � Ok � �ƒU QAt\ � \ke\ t) k\ £ � �, Growth Management Division Planning & Regulation Operations Department Licensing Section Reimbursement Receipt to Contractor Date: I, Reggie Smith, Collier County Contractors' Licensing Officer have received a reimbursement payment from: Brandon M. Acosta, Qualifier of. certificate #: 30008, in the amount of $562.50 as partial payment towards the full amount of $ 1, 125.00, to be returned to Owner: George Bartusek Sr, address: 1613 Bermuda Greens Blvd, Unit B -4. Contractors' Licensing case CEMIS20110016545 concerns the specifics of reasons for the returning of funds. This receipt will be considered as partial payment by all parties. sign) (date) 11-,- �- (print) (officer sign) Reggie Smith (print) (date) D /-- lo7 -1,? Growth Management Division" Planning & Regulation "2800 North Horseshoe Drive*Naples, Florida 34104'239- 252- 2400*www.colliergov.net ,/--- 1A Co e-a- Cou-r�.ty Growth Management Division Planning & Regulation Operations Department Licensing Section Reimbursement Receipt to Owner Date: I, Reggie Smith, Collier County Contractors' Licensing Officer have received a partial reimbursement payment from: Brandon M. Acosta, Qualifier of. C.C. certificate #: 30008, in the amount of $562.50, to be returned to Owner: George Bartusek Sr, address: 1613 Bermuda Greens Blvd, Unit B -4. Contractors' Licensing case CEMIS20110016545 concerns the specifics of reasons for the returning of funds. This receipt will be considered as partial payment by all parties. 1-1-17-1162 (date) (print) (officer sign) (date) Reggie Smith (print) Growth Management Division* Planning & Regulation'2800 North Horseshoe Drive *Naples, Florida 34104 *239-252-2400*www.colliergov. net Go . ev �ou-r��ty Growth Management Division Planning & Regulation Operations Department Licensing Section Brandon M. Acosta 4937 22nd Pl. S.W. Naples FL 34116 RE: Complaint filed against you by: George Bartusek Sr. Dear, Brandon M. Acosta: 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 21 March, 2012 at 9:00 AM in the Board of County Commissioner's Room, Third Floor, Administration Building (W. Harmon Turner Bldg.), at 3301 East Tamiami Trail, Naples, Florida. Your presence before the Contractors' Licensing Board is required at this time. The packet you will receive marked composite exhibit "A" will be delivered to the members of the Contractors' Licensing Board one week prior to the hearing. if you wish to prepare a defense packet and have it delivered in conjunction with composite exhibit "A ", you must make fifteen copies and have them in our office by 8:00 AM on Wednesday, one week prior to the hearing. In your packet, you may give a summary of events. At this meeting, you may present evidence and be represented by an attorney of your choice. In the event the Contractors' Licensing Board finds you in violation of Section number(s) 4.1.2 and 4.1.8 of Ordinance # 2006 -46, the range of disciplinary sanctions which may be imposed are from an oral reprimand to a suspension or revocation of your Collier County Certificate # 30008. Sincerely, Reggie Smith Licensing Compliance Officer (239)252 -2432 Growth Management Division *Planning & Regulation *2800 North Horseshoe Drive *Naples, Florida 34104* 239 - 252 - 2400 *www.colliergov.net �= is SmithReaaie From: SmithReggie Sent: Thursday, March 01, 2012 10:55 AM To: 'Everglades City Fishing Charters' Subject: FW: Contact Collier County Contractor Licensing concerning a complaint against your license CC30008, Brandon Acosta, LLC Attachments: CEMIS20110016545 NOH and 2 Receipts.pdf Mr. Acosta, I am writing you to notify you of the scheduled Contractor Licensing Board Hearing being held on 21 March, 2012. You have already been notified by "hand delivery" during our last meeting, I have also attached a copy of the Notice of Hearing to this email. At this time it has been decided that multiple scheduled attempts to meet with you and to receive the full reimbursement payment have been exhausted. Please review the attached Notice of Hearing for detailed instructions. Please notice the 3 page attachment includes partial reimbursement receipts also for your records. Thank you. Reggie Smith From: SmithReggie Sent: Monday, February 27, 2012 9:26 AM To: 'Everglades City Fishing Charters' Subject: RE: Contact Collier County Contractor Licensing concerning a complaint against your license CC30008, Brandon Acosta, LLC Mr. Acosta, Hello, I am now back from a short leave and understand you were not able to make the scheduled appointment with Mr. Jackson in my absence. I also have listened to your phone message from 9am 17 Feb, stating you will need additional time (5 days). Let's move ahead now to meet once again and finalize this case. Let's set a meeting time and date for: Wednesday, 29 February, 2:00 Pm. Thanks. Reggie Smith From: Everglades City Fishing Charters [ mallto :hooknlinecharters@yahoo.com] Sent: Friday, February 10, 2012 5:47 PM To: SmithReggie Subject: Re: Contact Collier County Contractor Licensing concerning a complaint against your license CC30008, Brandon Acosta, LLC No problem. I will be there. Sent from my Verizon Wireless 4GLTE Phone - - - -- Original message---- - From: SmithReggie <ReggieSmith @colliergov.net> To: Brandon Acosta <hooknlinecharters @yahoo.com> Cc: Jacksonian < lanJackson @coll iergov. net> Sent: Fri, Feb 10, 2012 14:43:09 GMT +00:00 Subject: FW: Contact Collier County Contractor Licensing concerning a complaint against your license CC30008, Brandon Acosta, LLC Mr. Acosta, I'm informing you that your meeting time and date will not allow me to be present. Therefore, I have arranged for you to meet with Ian Jackson, also with Contractor Licensing, at the aforementioned time and date. Please be punctual and bring the final payment for Ian to receive. He is prepared to provide you a receipt. Thank you. Reggie Smith From: SmithReggie Sent: Friday, February 10, 2012 8:14 AM To: 'Brandon Acosta' Subject: RE: Contact Collier County Contractor Licensing concerning a complaint against your license CC30008, Brandon Acosta, LLC Mr. Acosta, I believe this request is respectful and have notified the Bartusek's of the same. We now have a new scheduled time to meet, as you stated; 9:30 Am, 17 February. Reggie Smith From: Brandon Acosta [ mailto :hooknlinecharters @yahoo.com] Sent: Thursday, February 09, 2012 9:31 PM To: SmithReggie Subject: Re: Contact Collier County Contractor Licensing concerning a complaint against your license CC30008, Brandon Acosta, LLC Good evening, I need an extra week to make final payment. Weather has played havoc on some of my fishing trips this week. We can set it for the 17th at 9:30 if that works for you. Sorry for the delay. Thanks Captain Brandon Acosta www.evergladescityfishingeharters.com From: SmithReggie <ReggieSmith @colliergov.net> To: Everglades City Fishing Charters < hooknlinecharters@yahoo.com> Sent: Wednesday, February 8, 2012 7:58 AM Subject: FW: Contact Collier County Contractor Licensing concerning a complaint against your license CC30008, Brandon Acosta, LLC Mr. Acosta, I'd like to set a meeting time for Friday, 10 February to receive the final payment for the homeowner. Let's say 9:30 Am, let me know if this works for you. Thanks. Reggie Smith From: Everglades City Fishing Charters [ mailto :hooknlinecharters @yahoo.com] Sent: Thursday, January 12, 2012 9:54 AM To: SmithReggie Subject: Re: Contact Collier County Contractor Licensing concerning a complaint against your license CC30008, Brandon Acosta, LLC See you at 12:00 Sent from my Verizon Wireless 4GLTE Phone - - - -- Original message---- - From: SmithReggie <ReggieSmith @colliergov.net> To: Everglades City Fishing Charters <hooknlinecharters @yahoo.com> Sent: Thu, Jan 12, 2012 13:44:48 GMT +00:00 Subject: FW: Contact Collier County Contractor Licensing concerning a complaint against your license CC30008, Brandon Acosta, LLC want to set a specific time; I'm in the field today. Lets meet at my office at 12:OOPm. Reggie Smith From: SmithReggie Sent: Thursday, January 12, 2012 8:18 AM To: 'Everglades City Fishing Charters' Subject: RE: Contact Collier County Contractor Licensing concerning a complaint against your license CC30008, Brandon Acosta, LLC Give me a call in a couple of minutes. From: Everglades City Fishing Charters [mailto :hooknlinecharters @yahoo.comj Sent: Thursday, January 12, 2012 8:16 AM To: SmithReggie Subject: Re: Contact Collier County Contractor Licensing concerning a complaint against your license CC30008, Brandon Acosta, LLC I ended up guiding yesterday. I am off today so i will see you around lunch time. Thanks Brandon Sent finm my Verzon Wine less 4GLTE Phone - - - -- Original message---- - From: SmithReggie < Regg ieSmith@col liergov. net> To: Everglades City Fishing Charters <hooknlinecharters @ yahoo.com> Sent: Thu, Jan 12, 2012 12:53:20 GMT +00:00 Subject: FW: Contact Collier County Contractor Licensing concerning a complaint against your license CC30008, Brandon Acosta, LLC Mr. Acosta, I was hoping to hear from you yesterday, and I am not aware that you delivered the first payment to this office, as was agreed. I need to speak with you via phone or in person sometime today before 1 Pm. Cell: 239 - 269 -9998. Please make this a priority. Thank you. Reggie Smith From: SmithReggie Sent: Tuesday, January 10, 2012 2:31 PM To: 'Everglades City Fishing Charters' Subject: RE: Contact Collier County Contractor Licensing concerning a complaint against your license CC30008, Brandon Acosta, LLC /,— /1" Mr. Acosta, I believe after speaking with Mr. Bartusek this morning, he would agree to this stipulation. He is only interested in receiving his refunded deposit. I too agree with the refund in full even if it is delayed a short while. I would like to receive this initial payment in person at my office before 4Pm on the date you mentioned, tomorrow at Contractor Licensing. If you would like to contact me before then, please call me on my cell: 239- 269 -9998. Thank you. Reggie Smith From: Everglades City Fishing Charters [ mai Ito: hooknlinecharters @yahoo.corn] Sent: Tuesday, January 10, 2012 10:03 AM To: SmithReggie Subject: Re: Contact Collier County Contractor Licensing concerning a complaint against your license CC30008, Brandon Acosta, LLC Good morning Mr. Reggie, Due to a unfortunate mechanical break down this week i am unable to issue Mr. Bartusek a full refund this week. However i would like to propose the option of making two payments towards the full refund with a seperation period of 30 days. So i am willing to make 2 payments by certified check in the amount of $562.50. If this is acceptable i will deliver the first payment of $562.50 on January 11th by 5:00 p.m. to your office. Then i will deliver the second payment of $562.50 on or before February 10, 2012. 1 would like to get this issue resolved as much as everyone else and i apologize for the delay but things happen and this is the best that i can do. Let me know if I need to contact Mr. Bartusek directly and present him with this proposal. can also call you today after 12:00 p.m. if you would like to speak regarding this matter. Awaiting your response. Thanks Brandon Acosta Sent from my Verizon Wireless 4GLTE Phono - - - -- Original message---- - From: SmithReggie <ReggieSmith @colliergov.net> To: Everglades City Fishing Charters <hooknlinecharters @yahoo.com> Sent: Thu, Jan 5, 2012 13:50:08 GMT +00:00 Subject: FW: Contact Collier County Contractor Licensing concerning a complaint against your license CC30008, Brandon Acosta, LLC Mr. Acosta, I would like to speak with you in person or via phone concerning this case. I believe you mentioned you may be available today, according to your email message on 12- 30 -11. 1 am available after 10:30 Am today and anytime tomorrow. This case can be resolved by simply reimbursing the owner, otherwise we would be required to move forward with a hearing. Let me know what your decision is. Thank you. Reggie Smith //„ From: SmithReggie Sent: Friday, December 30, 2011 3 :54 PM To: 'Everglades City Fishing Charters' Cc: OssorioMichael Subject: RE: Contact Collier County Contractor Licensing concerning a complaint against your license CC30008, Brandon Acosta, LLC Mr. Acosta, I have posted a Notice of Hearing at your legal address, sent a copy Certified Mail to your legal address, and am attaching a copy to this email. Please respond with any comments or questions. I believe if the full reimbursement is returned within 3 -5 business days, the Contractor Licensing Board hearing may be dismissed. Thank you. Reggie Smith From: Everglades City Fishing Charters [ mailto :hooknlinecharters @ yahoo.com] Sent: Friday, December 30, 2011 10:31 AM To: SmithReggie Subject: RE: Contact Collier County Contractor Licensing concerning a complaint against your license CC30008, Brandon Acosta, LLC Only reception I have is data. No phone calls for me until around 5:00. 1 am not giving up a paying charter to spend 10 min. To come inti your office to refund a guys that just one day woke up and decided he wanted a refund without calling me first. You do what you have to. All Its gonna do nothing but drag this thing out. Let me know what you decide to do. Thanks Captain Brandon Acosta www. evergladescityfishingcharters .com - - - -- Original message---- - From: SmithReggie <ReggieSmith @colliergov.net> To: Everglades City Fishing Charters < hooknlinecharters @yahoo.com> Cc: OssorioMichael <michaelossorio @colliergov.not> Sent: Fri, Dec 30, 2011 14:23:24 GMT +00:00 Subject: RE: Contact Collier County Contractor Licensing concerning a complaint against your license CC30008, Brandon Acosta, LLC Mr. Acosta, need you to call me this asap this morning at my office: 239 - 252 -2432 or cell: 239 - 269 -9998. This meeting was scheduled 2 weeks ago and I have made the circumstances very clear. You may be leaving me no choice but to schedule you for the next available Contractor Licensing Board hearing. If there is no reimbursement today, I will serve a Notice of Hearing. Reggie Smith From: Everglades City Fishing Charters [ mailto :hooknlinecharters @ yahoo.com] Sent: Friday, December 30, 20119:12 AM To: SmithReggie Subject: RE: Contact Collier County Contractor Licensing concerning a complaint against your license CC30008, Brandon Acosta, LLC /= /7 I will not be able to make. I have cashiers check but I am on a full day charter til 5:30. Im thinking maybe I should drop it in the mail because my next free day is next Thursday. Thanks Captain Brandon Acosta www.ever.qladescit)dishinqcharters.com - - - -- Original message---- - From: SmithReggie <ReggieSmith @colliergov.net> To: Everglades City Fishing Charters <hooknlinecharters @yahoo.com> Sent: Fri, Dec 30, 2011 14:03:45 GMT +00:00 Subject: RE: Contact Collier County Contractor Licensing concerning a complaint against your license CC30008, Brandon Acosta, LLC Mr. Acosta, Just confirming our appointment at 2:OOPm today. Reggie Smith From: Everglades City Fishing Charters [mailto :hooknlinecharters @yahoo.comj Sent: Monday, December 19, 2011 9:07 AM To: SmithReggie Subject: RE: Contact Collier County Contractor Licensing concerning a complaint against your license CC30008, Brandon Acosta, LLC I will see you then. Happy Holidays and Merry Christmas Thanks Captain Brandon Acosta www .evergladescityfishin.qcharters .com - - - -- Original message---- - From: SmithReggie <ReggieSmith@coiliergov.net> To: Brandon Acosta <hookniinecharters @yahoo.com> Sent: Mon, Dec 19, 2011 13:33:31 GMT +00:00 Subject: RE: Contact Collier County Contractor Licensing concerning a complaint against your license CC30008 Brandon Acosta, LLC Mr. Acosta, I understand that from your email response on December 04, you have advised you can return the owner's deposit near the end of December. I was hoping to resolve this issue much sooner than that. However, if it is a matter of raising the funds and if at that time the transaction can be made, I have no issue with the date. My first priority is to help make the homeowner whole again. I will advise the owner of the time period to expect full reimbursement from you. We are now scheduled to meet As mentioned before, we will meet at my office to receive your return deposit in full (personal check addressed to the owner, or money order in the amount of $1,125.00 for the homeowner and provide a receipt to you. This meeting will take place at Thank you. Reggie Smith (= - /X' From: Brandon Acosta [mailto :hooknlinecharters @yahoo.com] Sent: Saturday, December 17, 2011 5:30 PM To: SmithReggie Subject: Re: Contact Collier County Contractor Licensing concerning a complaint against your license CC30008, Brandon Acosta, LLC Good afternoon, I can meet with you on Friday December 30th anytime after 2:00 p.m. Let me know if this works for you. Thanks Captain Brandon Acosta www.evergladescityfishingcharters.com - -- — -- ... -_ ........ ............... --------------- -- _ From: SmithReggie <ReggieSmith @colliergov.net> To: Brandon Acosta <hooknlinecharters @yahoo.com> Sent: Wednesday, December 14, 2011 9:20 AM Subject: FW: Contact Collier County Contractor Licensing concerning a complaint against your license CC30008 Brandon Acosta, LLC Mr. Acosta, I have not seen a reply from you since 04 December. I would like to remind you of the serious matter at hand and that it can be resolved at this level through full reimbursement to the owner. I will once again attempt to schedule a meeting time and date with you to accomplish this. I will also attempt to contact you via phone today. I would like to set a definite meeting date and time for Monday, 19 December, at 9:30 Am, to receive your return deposit in full for the homeowner and provide a receipt to you. Please respond via email or phone to confirm this meeting which will take place at 2800 N. Horseshoe Dr., Contractor Licensing Conference Room. Thank you. Reggie Smith From: SmithReggie Sent: Thursday, December 08, 2011 9:18 AM To: 'Brandon Acosta' Subject: FW: Contact Collier County Contractor Licensing concerning a complaint against your license CC30008, Brandon Acosta, LLC Mr. Acosta, I would like to seta definite meeting date and time for Monday, 12 December, at 9:30 Am, to receive your return deposit in full for the homeowner and provide a receipt to you. Please respond via email or phone to confirm this meeting which will take place at 2800 N. Horseshoe Dr., Contractor Licensing Conference Room. Thank you. Reggie Smith From: SmithReggie Sent: Monday, December 05, 2011 8:32 AM To: 'Brandon Acosta' Subject: RE: Contact Collier County Contractor Licensing concerning a complaint against your license CC30008, Brandon Acosta, LLC Mr. Acosta, Thank you for your reply. I would like to meet with you as soon as possible to resolve this issue. Yes, this is the case in question. I'm glad to hear you are willing to refund the deposit to the homeowner, this /9 is the action he has requested. This must take place immediately through this office (personal check to the owner or money order in the amount of $1,125.00). 1 will act as a median between the parties and will have receipts prepared for signature. I will be issuing you a Notice of Hearing as a precautionary measure in case the reimbursement does not take place. Please let me know when we can meet at my office at 2800 N Horseshoe Dr. Thanks again. Reggie Smith From: Brandon Acosta [ mailto :hookniinecharters @yahoo.com] Sent: Sunday, December 04, 2011 10:00 PM To: SmithReggie Subject: Re: Contact Collier County Contractor Licensing concerning a complaint against your license CC30008, Brandon Acosta, LLC Mr. Reggie, For some reason i just found this email. I have Dr. appointment in the morning. However i know the customer you are referring to. I think this will be easily resolved. My side of story, I agreed to do some work for Mr. Bartusek in early 2010. I took a deposit for materials and told him i would contact them as soon as they came in. Well i tried to contact him when materials came in but could never make contact with him. I tried several times and waited a while. Heck i would have drove to his house but Imperial is quite restricted. Anyway i made contact with a neighbor to inquire if they knew anything. They informed me that Mrs. Bartusek had gotten sick suddenly. I asked them that if they spoke with the Bartuseks to let them know i was looking for them. I did not hear from them until Spring of 2011. By this time i had already returned or used the materials. I dont remember for sure. When Mr. Bartusek called in spring of 2011, I informed him that i was in peak season for my fishing charters and that i would reorder materials and try to install them later in the year when he returned. We agreed he would call me then we would schedule for the work. I still have not heard from him. I assume by him calling you that he assumes i was trying to screw him. Totally not the case. At this point I just feel better to return the materials and give him his deposit back. I have not renewed my license or insurance anyway so i can not do the job either way. I am kind of in limbo with the future of my carpentry business so its kind of a wash either way expense wise for me. License/ insurance vs. refiuid his money. Let me know how you want me to handle this. I will agree to give him a refund by the end of the month. Should I issue the refund thru you or you want to give me his address and i will send it to him. I don't have his mailing address anymore. I believe this to be a complete misunderstanding and lack of communication. Hope this clears things up a little. Thanks Captain Brandon Acosta www. evergladescityfishingcharters .com From: SmithReggie <Regg ieSmith@colliergov. net> To: Brandon Acosta <hooknlinecharters @yahoo.com> Sent: Thursday, December 1, 2011 9:06 AM Subject: RE: Contact Collier County Contractor Licensing concerning a complaint against your license CC30008 Brandon Acosta, LLC Mr. Acosta, Thank you for your response. I can tell you the complaint involves work left uncompleted and/or a deposit not returned. We can cover the specifics when we meet. I want to hear both sides of the story. I am available on December 5th at 9:30 Am. Please let me know if this works for you. Reggie Smith From: Brandon Acosta [ mailto :hooknlinecharters @yahoo.com] Sent: Wednesday, November 30, 2011 11:40 PM To: SmithReggie Subject: Re: Contact Collier County Contractor Licensing concerning a complaint against your license CC30008, Brandon Acosta, LLC Good evening Mr. Reggie, I have been out of town on chartesr for the last few days and will be thru Sunday. I can meet with you first of next week. Not exactly sure what the subject matter is. I have not been doing much with that business for the last year or so. What is the complaint about? Thanks Captain Brandon Acosta www.cvcr ladescityfishingclharters.cotri From: SmithReggie <ReggieSmith @colliergov.net> To: "HookNLineCharters @yahoo.com" <HookNLineCharters @yahoo.com> Cc: OssorioMichael <michaelossorio @colliergov.net> Sent: Wednesday, November 30, 2011 9:59 AM Subject: Contact Collier County Contractor Licensing concerning a complaint against your license CC30008, Brandon Acosta, LLC Mr. Acosta, My name is Reggie Smith, I am an officer with Collier County Contractor Licensing. I have recently left phone messages for you requesting a return call, concerning a. complaint received. At this time, I am once again requesting contact from you to schedule a meeting to discuss the complaint. Licensing case CEUL20110016545 address' this complaint. If there is no response received, the complainant may request this case be brought to a hearing with the Contractor Licensing Board. If found in violation, the Board may place an order to suspend, revoke, or place fines, against your license. I look forward to a call or email from you to schedule a meeting. Thank you. Reggie Smith Contractor Licensing Officer Collier County 239 - 252 -2432 Under Florida Law. e-mail addresses are public records, if you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by telephone or in writing. 1) / Collier County Ordinance 90 -105, as amended Division 3. Standards of Conduct and Discipline Section 22 -201. Misconduct — Collier County /city certificate of competency. (2) Contracting to do any work outside of the scope of his competency as listed on his competency card and as defined in this article or as restricted by the contractors' licensing board. /�7! ,,2 f Lb BEFORE THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD `t1 BOARD OF COUNTY COMMISSIONERS, COLLIER COUNTY, FLORIDA, CONTRACTORS' LICENSING BOARD Petitioner Case Number: 2012-03 v. License Number: LINDA CURIALE CGC1508927/27333 D/B/A Global Maintenance & Restoration, Inc. Respondent STIPULATED SETTLEMENT AGREEMENT AND AGREED ORDER LINDA CURIALE and BOARD OF COUNTY COMMISSIONERS, COLLIER COUNTY, FLORIDA, CONTRACTORS' LICENSING BOARD (hereafter BOARD) hereby stipulate and agree: 1. Respondent admits the allegations in Administrative Complaint for the purposes of this stipulation and settlement of this matter. 2. Respondent and the BOARD hereby agree that she will be subject to probation for a period of twelve (12) months whereby the Respondent will perform her contracting activities under the supervision of the Board. 3. Respondent and the BOARD further agree that Respondent will personally apply for all permits and be present, either in person or telephonically for any reviews or questions as to the contracting operations of the company which she qualifies during the probationary period. This includes permits issued by the Cities of Marco Island or Naples and for fire code reviews. Of ‘1(9101-t/TAr-41' 4. In the event the Respondent violates paragraph 3 of this stipulation agreement while on probation, her license/certificate will be immediately suspended for any new permits and a hearing on the suspension and violation shall be held at the next scheduled Board hearing. 5. This stipulation and order shall be forwarded to the State Construction Industry Licensing Board with a recommendation of no further action. Executed this day of March, 2012. Le i Linea uriale 6/ .- S ssorio Respondent Contractors' Licensing Supervisor ORDER ADOPTING STIPULATED SETTLEMENT AGREEMENT THE BOARD BEING FULLY ADVISED on the Stipulated Settlement Agreement, it is hereby: ADJUDGED that the foregoing Stipulated Settlement Agreement is adopted in its entirety, and the parties are ordered to comply therewith. DONE AND ORDERED at the rewilarly set Contr tors' censing Board hearing at Naples, Collier County, Florida on this / day of gaeti , 2012. Lee Horn Chairman Contractors' Licensing Board ce-vi 46, tY0A‘21,1)/ u,<0../ FORM 8B MEMORANDUM OF VOTING CONFLICT FOR COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS LAST NAME—FIRST NAME—MIDDLE NAME NAME OF BOARD,COUNCIL,COMMISSION,AUTHORITY,OR COMMITTEE White,Patrick Collier County Contractor's Licensing Board MAILING ADDRESS THE BOARD,COUNCIL,COMMISSION,AUTHORITY OR COMMITTEE ON 4732 West Blvd WHICH I SERVE IS A UNIT OF: ['CITY 17 COUNTY OTHER LOCAL AGENCY CITY COUNTY Naples,Florida 34103 Collier NAME OF POLITICAL SUBDIVISION: Collier County DATE ON WHICH VOTE OCCURRED , MY POSITION IS March 21,2012 ❑ ELECTIVE Q APPOINTIVE WHO MUST FILE FORM 8B This form is for use by any person serving at the county,city,or other local level of government on an appointed or elected board,council, commission, authority, or committee. It applies equally to members of advisory and non-advisory bodies who are presented with a voting conflict of interest under Section 112.3143, Florida Statutes. Your responsibilities under the law when faced with voting on a measure in which you have a conflict of interest will vary greatly depending on whether you hold an elective or appointive position. For this reason, please pay close attention to the instructions on this form before completing the reverse side and filing the form, INSTRUCTIONS FOR COMPLIANCE WITH SECTION 112.3143, FLORIDA STATUTES A person holding elective or appointive county, municipal, or other local public office MUST ABSTAIN from voting on a measure which inures to his or her special private gain or loss. Each elected or appointed local officer also is prohibited from knowingly voting on a mea- sure which inures to the special gain or loss of a principal(other than a government agency)by whom he or she is retained (including the parent organization or subsidiary of a corporate principal by which he or she is retained);to the special private gain or loss of a relative;or to the special private gain or loss of a business associate. Commissioners of community redevelopment agencies under Sec. 163.356 or 163.357, F.S., and officers of independent special tax districts elected on a one-acre, one-vote basis are not prohibited from voting in that capacity. • For purposes of this law, a"relative"includes only the officer's father, mother, son, daughter, husband,wife,brother, sister, father-in-law, mother-in-law, son-in-law, and daughter-in-law.A"business associate" means any person or entity engaged in or carrying on a business enterprise with the officer as a partner,joint venturer, coowner of property, or corporate shareholder(where the shares of the corporation are not listed on any national or regional stock exchange). t t t It t t t e t t t t t t { { ELECTED OFFICERS: In addition to abstaining from voting in the situations described above,you must disclose the conflict: PRIOR TO THE VOTE BEING TAKEN by publicly stating to the assembly the nature of your interest in the measure on which you are abstaining from voting;and WITHIN 15 DAYS AFTER THE VOTE OCCURS by completing and filing this form with the person responsible for recording the min- utes of the meeting,who should incorporate the form in the minutes. 4 / { { t { t t t t t t t k t { APPOINTED OFFICERS: Although you must abstain from voting in the situations described above, you otherwise may participate in these matters. However, you must disclose the nature of the conflict before making any attempt to influence the decision,whether orally or in writing and whether made • by you or at your direction. IF YOU INTEND TO MAKE ANY ATTEMPT TO INFLUENCE THE DECISION PRIOR TO THE MEETING AT WHICH THE VOTE WILL BE TAKEN: • You must complete and file this form(before making any attempt to influence the decision)with the person responsible for recording the minutes of the meeting,who will incorporate the form in the minutes. (Continued on other side) Ctibt 3I APPOINTED OFFICERS (continued) • A copy of the form must be provided immediately to the other members of the agency. • The form must be read publicly at the next meeting after the form is filed. IF YOU MAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING: • You must disclose orally the nature of your conflict in the measure before participating. • You must complete the form and file it within 15 days after the vote occurs with the person responsible for recording the minutes of the meeting,who must incorporate the form in the minutes.A copy of the form must be provided immediately to the other members of the agency,and the form must be read publicly at the next meeting after the form is filed. DISCLOSURE OF LOCAL OFFICER'S INTEREST Patrick White hereby disclose that on March 21 20 12 (a)A measure came or will come before my agency which(check one) 0 inured to my special private gain or loss; inured to the special gain or loss of my business associate, • inured to the special gain or loss of my relative, Xinured to the special gain or loss of a client of mine ,by whom I am retained;or inured to the special gain or loss of ,which is the parent organization or subsidiary of a principal which has retained me. (b)The measure before my agency and the nature of my conflicting interest in the measure is as follows: Linda Curiale d/bla Global Maintenance & Restoration, Inc. ("Respondent") came before the Board for public hearing. The Respondent made a request for a continuance by written Motion submitted prior to the public hearing. The Respondent is the general contractor on a project owned by a client of mine for whom I am retained. Any possible discipline to the Respondent could result in a special gain or loss to my client. Therefore, prior to any participation in the discussion regarding the continuance and/or the public hearing I thought it appropriate to make this disclosure. Fite / 104 •— Date Signature NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES §112.317, A FAILURE TO MAKE ANY REQUIRED DISCLOSURE CONSTITUTES GROUNDS FOR AND MAY BE PUNISHED BY ONE OR MORE OF THE FOLLOWING: IMPEACHMENT, REMOVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION, REDUCTION IN SALARY, REPRIMAND, OR A • CIVIL PENALTY NOT TO EXCEED$10,000. CE FORM 8B-EFF.1/2000 PAGE 2 dLL b\iiii, ,4 kNNX • FORM 8B MEMORANDUM OF VOTING CONFLICT FOR ' COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS LAST NAME—FIRST NAME—MIDDLE NAME NAME.OF BOARD,COUNCIL..,COMMISSION,AUTHORITY,OR COMMITTEE Jerulle Terrance P Collier County Contractors Licensing Board MAILING ADDRESS THE BOARD,COUNCIL,COMMISSION,AUTHORITY OR COMMITTER ON 119 Tony Pines Point wNtCH I SERVE IS A UNIT OF CITY COUNTY ©CITY ©COUNTY EITHER LOCAL AGENCY Naples 34113 Collier NAME OF POLmCAL SUBDIVISION: . Coal*Canty DATE ON WHICH VOTE OCCURRED MY POSn1pN IS: February 1E,2012 in ELECTIVE Q APPOINTIVE WHO MUST FILE FORM 8B This form is for use by any person serving at the county,city,or other local level of government on an appointed or elected board,council, commission, authority,or committee. It applies equally to members of advisory and non-advisory bodies who are presented with a voting conflict of interest under Section 112.3143, Florida Statutes. Your responsibilities under the law when faced with voting on a measure in which you have a conflict of interest wit vary greatly depending on whether you hold an elective or appointive position. For this reason, please pay close attention to the instructions on this form before completing the reverse side and filing the form. INSTRUCTIONS FOR COMPLIANCE WITH SECTION 112.3143, FLORIDA STATUTES A person holding elective or appointive county, municipal, or other local public cffice MUST ABSTAIN from voting on a measure which inures to his or her special private gain or loss. Each elected or appointed local officer also is prohibited from knowingly voting on a mea- sure which inures to the special gain or loss of a principal(other than a government agency)by whom he or she is retained(including the parent organization or subsidiary of a corporate principal by which he or she Is retained);to the special private gain or loss of a relative;or to the special private gain or loss of a business associate. Commissioners of community redevelopment agencies under Sec. 163.356 or 163.357, F.S., and officers of independent special tax districts elected on a one-acre,one-vote basis are not prohibited from voting in that capacity. For purposes of this law, a"relative" includes only the officer's father, mother; son,daughter, husband,wife, brother, sister, father-in-law, mother-in-law,son-in-law, and daughter-in-law.A°business associate"means any person or entity engaged in or carrying on a business • enterprise with the officer as a partner,joint venturer,coowner of property, or corporate shareholder(where the shares of the corporation are not listed on any national or regional stock exchange). ELECTED OFFICERS: 1 • In addition to abstaining from voting in the situations described above,you must disclose the conflict: PRIOR TO THE VOTE BEING TAKEN by publicly slating to the assembly the nature of your Interest in the measure on which you are abstaining from voting;and WITHIN 15 DAYS AFTER THE VOTE OCCURS by completing and filing this foml with the person responsible for recording the min- utes of the meeting,who should incorporate the form in the minutes. . . I APPOINTED OFFICERS: I • Although you must abstain from voting in the situations described above, you otherwise may participate in these matters. However, you i must disclose the nature of the conflict before making any attempt to influence the decision.whether orally or in writing and whether made by you or at your direction. IF YOU INTEND TO MAKE ANY ATTEMPT TO INFLUENCE THE DECISION PRIOR TO THE MEETING AT WHICH THE VOTE WILL BE TAKEN • You must complete and file this form(before making any attempt to influence the decision)with the person responsible for recording the minutes of the meeting,who will incorporate the form in the minutes. (Continued on other side) 41\-\71 APPOINTED OFFICERS (continued) • A copy of the form must be provided immediately to the other members of the agency, • The form must be read publicly at the next meeting after the form is filed, IF YOU MAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING: • You must disclose orally the nature of your conflict in the measure before participating. • You must complete the form and file it within 15 days after the vote occurs with the person responsible for recording the minutes of the meeting,who must incorporate the form in the minutes.A copy of the form must be provided immediately to the other members of the agency,and the form must be read publicly at the next meeting after the form is filed DISCLOSURE OF LOCAL OFFICER'S INTEREST Terrance P.Jerulle hreb February 16 12 ey disclose that on 20 : (a)A measure came or will come before my agency which(check one) n inured to my special private gain or loss; inured to the special gain or loss of my business associate, inured to the special gain or loss of my relative, inured to the special gain or loss of ,by whom I am retained;or inured to the special gain or loss of ,which is the parent organization or subsidiary of a principal which has retained me. (b)The measure before my agency and the nature of my conflicting interest in the measure is as follows: The measure which came before the Board involved possible discipline and revocation of a contractor's license. The subject contractor had In the past provided services to my company as a sub contractor. While there are no current pending jobs which the contractor is providing services to my company, given the past relationship I thought it was prudent to abstain from voting on the matter. t9s-V2 //21,/ —Asir Date Filed Sig iature NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES §112,317, A FAILURE TO MAKE ANY REQUIRED DISCLOSURE CONSTITUTES GROUNDS FOR AND MAY BE PUNISHED BY ONE OR MORE OF THE FOLLOWING: IMPEACHMENT, REMOVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT,DEMOTION,REDUCTION IN SALARY,REPRIMAND,OR A CIVIL PENALTY NOT TO EXCEED$10,000. CE FORM 88-EFF,1/2000 PAGE 2 oid) \`1:\k,�� BEFORE THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD r BOARD OF COUNTY COMMISSIONERS, COLLIER COUNTY, FLORIDA, CONTRACTORS' LICENSING BOARD Petitioner v. Case Number: 2012-03 LINDA CURIALE License Number: CGC1508927/27333 D/B/A Global Maintenance & Restoration, Inc. Respondent REQUEST FOR CONTINUANCE COMES NOW, the Respondent, LINDA CURIALE, and requests that the Board grant a continuance of the hearing on the above captioned case scheduled for March 21, 2012 and as grounds, therefore states as follows: 1. Undersigned counsel was retained to represent the Respondent on March 12, 2012. 2. The case as put forth by the Petitioner is complex and fact intensive in nature and will require significant time to permit the Respondent to prepare a defense. 3. Quasi-judicial hearings such as those held by this Board are to be held in such a manner that"(5) Formal rules of evidence shall not apply, but fundamental fairness and due process shall be observed and shall govern the proceedings." Collier County Contractors'Licensing Ordinance 90-105, as amended, §22-202(g)(5). 4. In determining the right to due process in administrative proceedings in Florida , "no single unchanging test which may be applied to determine whether the requirements of procedural due process have been met. Courts instead consider the facts of the particular case to V11)\ \11**t‘ determine whether the parties have been accorded that which the state and federal constitutions demand. Hadley, 411 So.2d at 187; see also, Cleveland Bd. of Educ. v. Loudermill, 470 U.S. 532, 105 S.Ct. 1487, 84 L.Ed.2d 494 (1985)(citing Boddie v. Connecticut, 401 U.S. 371, 91 S.Ct. 780, 28 L.Ed.2d 113 (1971) ("[t]he formality and procedural requisites for the hearing can vary, depending upon the importance of the interests involved and the nature of the subsequent proceedings." 5. Fundamental fairness and due process in quasi-judicial hearings effecting one's employment requires that a party be able to properly prepare its case so that it can truly exercise its constitutionally protected due process rights. This right was recognized in employment cases by the US Supreme Court in Greene v. McElroy, 360 U.S. 474, 79 S.Ct. 1400, 3 L.Ed.2d 1377 (1959) and followed by Florida courts in numerous decisions. 6. Due process requires at minimum the accused be informed with reasonable certainty of the nature and cause of the accusation against him, has reasonable opportunity to defend against attempted proof of such charges, including the ability to confront and cross examine witnesses, and the proceedings are conducted in a fair and impartial manner, free from any just suspicion of prejudice, unfairness, fraud, or oppression. One week's formal notice of the charges in a case such as this does not afford the accused any reasonable chance to prepare to defend against charges that may cause her to lose her right to practice her trade/professions. 7. This Request for Continuance is brought out of necessity and not brought for the purposes of delay and no prejudice can result to either party by a reasonable continuance. WHEREFORE, the Respondent, Linda Curiale, requests that this Board continue the hearing on this case scheduled for March 21, 2012. Submitted this day of March, 2012. 911AP ( °Y Js/Patrick H. Neale Patrick H. Neale Florida Bar Number: 258253 Patrick Neale &Associates Physical Address 5470 Bryson Court Naples, Florida 34109 Mailing Address P.O. Box 9440 Naples, Florida 34101 Phone: (239) 642-1485 Fax: (239) 642-1487 Email: pneale(crpatrickneale.corn CERTIFICATE OF SERVICE I certify that a copy of this Request for Continuance has been furnished by US mail and email to Michael Ossorio, Contractor Licensing Supervisor, Stephen Williams,Assistant County Attorney and James F. Morey, Esq., Bond Schoeneck and King, Attorney for the Board. Dated: March_15_, 2012. _Is/Patrick H. Neale Patrick H. Neale Florida Bar Number: 258253 Patrick Neale &Associates Physical Address 5470 Bryson Court Naples, Florida 34109 Mailing Address P.O. Box 9440 Naples, Florida 34101 Phone: (239) 642-1485 Fax: (239) 642-1487 Email: pneale(&patrickneale.com