CLB Agenda 05/16/2012CONTRACTOR'S
LICENSING
BOARD
MEETING
AGENDA
MAY 16,2012
Cotliyer County
COLLIER COUNTY CONTRACTORS' LICENSING BOARD
AGENDA
MAY 16, 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.
ROLL CALL
ADDITIONS OR DELETIONS:
III. APPROVAL OF AGENDA:
IV. APPROVAL OF MINUTES:
DATE: April 18, 2012
V. DISCUSSION:
VI. NEW BUSINESS:
(A) Chester A. Hayes — Contesting Citation(s) 6981, 6982 and 6983
(B) Valerie T. Quattlebaum — Qualify 2nd Entity
VII. OLD BUSINESS:
(A) Orders of the Board
VIII. PUBLIC HEARINGS:
(A) Case #2012 -07
Robert E. Elwell — d /b /a Service Star Cooling & Heating, Inc
IX. REPORTS:
X. NEXT MEETING DATE: WEDNESDAY JUNE 20, 2012
COLLIER COUNTY GOVERNMENT CENTER
ADMINISTRATIVE BUILDING
THIRD FLOOR IN COMMISSIONERS CHAMBERS
3299 E. TAMIAMI TRAIL
NAPLES, FL 34112
April 18, 2012
MINUTES OF THE
COLLIER COUNTY CONTRACTORS' LICENSING BOARD
MEETING
April 18, 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 in Administrative Building "F," 3rd flour, Collier County
Government Complex, Naples, Florida, with the following Members present:
CHAIRMAN:
Vice Chair:
Excused:
ALSO PRESENT:
Lee Horn
Richard Joslin
Terry Jerulle
Kyle Lantz
Thomas Lykos
Michael Boyd
Robert Meister
Jon Walker
Patrick White
Michael Ossorio — Supervisor, Contractors' Licensing Office
James F. Morey, Esq., Attorney for the Contractors' Licensing Board
Steve Williams, Esq., Assistant County Attorney
Ian Jackson, Licensing Compliance Officer
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April 18, 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 9:05 AM and read the procedures
to be followed to appeal a decision.
Roll call was taken and a quorum was established. Five members were present.
II. ADDITIONS OR DELETIONS:
Changes:
• Under Item VII- (A), "Public Hearings" — Case #2012 -05, "Christopher
McHugh," has been continued to May 16, 2012.
III. APPROVAL OF AGENDA:
Thomas Lykos moved to approve the Agenda as amended Second by Kyle Lantz.
Carried unanimously, S — 0.
IV. APPROVAL OF MINUTES — March 21,2012:
Corrections:
• Page 7, "Motion" —
o Vice Chairman Joslin stated he did not oppose the motion — he merely
coughed/cleared his throat when Chairman Horn called the vote — the
Hearing Reporter misinterpreted his response.
The language was revised as follows:
"Kyle Lantz moved to approve accepting the Stipulation. Second by
Vice Chairman Joslin.
Motion carried, 7— "Yes " /1— "Abstention." Patrick White abstained
from voting. "
Kyle Lantz moved to approve the Minutes of the March 21, 2012 meeting as amended.
Second by Vice Chairman Joslin. Carried unanimously, S — 0.
V. DISCUSSION:
None.
VI. NEW BUSINESS:
None.
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April 18, 2012
VII. OLD BUSINESS:
A. Orders of the Board
Vice Chairman Joslin moved to approve authorizing the Chairman to sign the
Orders of the Board. Second by Kyle Lantz. Carried unanimously, S — 0.
(Note: In the following case and the case heard under Section VIII, "Public Hearings,"
the individuals who testified were sworn in by the Attorney for the Board.)
B. Bob's Air Conditioning and Refrigeration, Inc.
It was noted that Bobby James Phillips, II, was present and was not represented
by Counsel.
Bobby James Phillips stated he applied to request restoration of his permit
pulling privileges.
Michael Ossorio provided the following information:
• On May 20, 2009, the Contractors' Licensing Board continued
Case No: 2009 -06 (Code violation) to the June meeting, allowing
Mr. Phillips an opportunity to correct the violation and make
restitution to the consumer.
• Mr. Phillips left the area in June, 2009.
• In June, the Board permanently revoked Mr. Phillips' permit pulling
privileges
• Mr. Phillips is a State - certified Contractor, and the Florida Construction
Industry Licensing Board was notified on May 21, 2009 of the Board's
decision. The recommendation was that "no action" should be taken.
• Mr. Phillips has requested a modification of his suspension.
Chairman Horn noted the homeowner had been reimbursed by Mr. Phillips on
March 7, 2012.
Mr. Phillips stated he did not agree with the Board's decision. He stated he had
been doing "service work" for the past two years.
Mr. Ossorio contacted the homeowner who stated he was pleased that he had been
reimbursed, and had no objections to Mr. Phillips' request to be reinstated.
Chairman Horn asked Mr. Ossorio if there had been any other complaints made
against Bobby Phillips and the response was, "no."
Mr. Ossorio noted the Board has to option to uphold the suspension, or revoke it,
or to modify it.
He suggested if the Board choses to modify the suspension that Mr. Phillips remain
under the jurisdiction of the Licensing Board and to restrict his permit pulling
privileges, i.e., only Mr. Phillips can sign for a permit, in person. If the Board's
Order is violated within a two -year period, the suspension will be reinstated.
April 18, 2012
It was noted the new Florida Building Code went into effect on March 15th and
the provisions affect Air - Conditioning Contractors.
Michael Ossorio stated Mr. Phillips is a State - certified Contractor and will renew
his license with the State in September, 2012. "CityView" [County's computer
system] tracks Workers' Comp insurance and Mr. Phillips can only pull permits
if his certification is active and current in the system.
Thomas Lykos moved to approve reinstating the permit pulling privileges of Bobby
James Phillips with the following stipulations:
• Mr. Phillips will be required to personally pull all permits for his work;
• Mr. Phillips will be placed on probation for a period of two years;
• During the probationary period, any violation will result in an immediate
revocation of his permit pulling privileges and would require him to appear
before the Contractors Licensing Board.
Second by Vice Chairman Joslin.
Discussion:
Vice Chairman Joslin remembered the case and was pleased Mr. Phillips was able
to make restitution to the homeowner. He advised Mr. Phillips to be conscientious
in the future because any appearance before the Board would result in his license
being revoked.
Kyle Lantz objected to the use of the word, "probation." He stated the Board was
overstepping because Mr. Phillips was State - certified.
Thomas Lykos explained the reason for imposing a probationary period was if
Mr. Phillips were to accept a project and not pull a permit, without probation,
the only recourse would be to cite him for not having a permit. He would not
necessarily be required to appear before the Board.
Vice Chairman Joslin agreed with Mr. Lykos, stating the probation was a deterrent.
Michael Ossorio clarified Bobby Phillips, as a State license holder, is not on
probation, but his Certificate of Competency with Collier County is on probation.
Attorney James Morey stated when imposing any sanction on a State - certified
contractor, the Board has the ability to impose specific conditions in terms of the
permit- pulling privileges.
Mr. Lantz countered there were two different issues: being required to pull
permits in person, and being on probation.
Thomas Lykos amended his motion as follows: To approve reinstating the permit
pulling privileges of Bobby James Phillips with two stipulations:
1. He must personally pull all permits for all future work, and
2. For a period of two years, if he is found to be guilty of any violation,
his permit pulling privileges will automatically be revoked
Second by Vice Chairman Joslin.
Mr. Phillips stated he did not have a problem with the conditions.
April 18, 2012
Chairman Horn called for a vote. Motion carried unanimously, S — 0.
VIIL PUBLIC HEARINGS:
A. Case #2012 -05: Christopher McHugh,
d/b /a PMC Enterprises Division, Inc.
has been continued to May 16, 2012 (per amended Agenda).
B. Case 92012 -06: Walter Paesano,
d/b /a Paesano's Painting, LLC
Chairman Horn outlined the general process of the Public Hearing:
• The County will present an Opening Statement to set forth the charges and,
in general terms, how it 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, i.e., to call and examine witnesses, introduce Exhibits,
cross - examine witnesses, impeach any witness regardless of which party
called the witness to testify, and 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.
• 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(s) charged in the
Administrative Complaint, and 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.
April 18, 2012
Ian Jackson, Licensing Compliance Officer, presented the County's Opening
Statement:
The County will show through sworn testimony and documented facts
that Walter Paesano, the Respondent, violated Florida Statutes 440.10(1)(a)
by failing to provide and maintain Workers' Compensation coverage for his
two employees.
Said violation of Florida Statutes constitutes a violation of Collier County
Ordinance 90 -105, as amended, Section 22- 201(6).
Vice Chairman Joslin moved to approve entering Case No. 2012 -06, Board
of County Commissioners vs. Walter Paesano, d/b /a Paesano's Painting, LLC,
Collier County License #27889, into evidence. Second by Kyle Lantz.
Carried unanimously, S — 0.
• Chairman Horn entered the information packet into evidence,
marked as County's Exhibit "A. "
Chairman Horn asked Mr. Paesano if he wished to present an Opening Statement
and the response was, "no." He also stated he was "ashamed."
Concerns were raised about the Respondent's ability to understand the charges.
• Thomas Lykos asked Mr. Paesano if he required the services of a translator.
While the Respondent again replied, "no," Mr. Lykos stated he was not
comfortable with the Respondent's fluency in English as a second language.
• Vice Chairman Joslin agreed.
• Attorney Morey noted Mr. Joslin's concern about whether or not the
Respondent understood the gravity of the situation, and also noted the issue
of due process. He suggested taking a brief recess to explore options.
RECESS: 9:28 AM
RECONVENED: 9:38 AM
Chairman Horn reconvened the Public Hearing at 9:38 AM.
Attorney Morey stated Martha Vergara, who is employed in the Minutes and
Records Department of the Collier County's Office of the Clerk of Courts, was
present to assist the Respondent by serving as a translator (English to Spanish).
Mr. Morey was noted Ms. Vergara would not give testimony but will translate
fairly, honestly, and accurately from English to Spanish (for the Respondent) and
from Spanish to English (Respondent's responses to the Board's questions).
He thanked Ms. Vergara for graciously volunteering to help Mr. Paesano.
[There was a brief pause in the proceedings: Martha Vergara read the
Administrative Complaint and Case Summary, and then translated the document
for the Respondent.]
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April 18, 2012
Vice Chairman Joslin requested the translator advise Mr. Paesano he has the
right to be represented by a Spanish - speaking attorney.
Walter Paesano declined to be represented by Counsel.
Chairman Horn asked the Respondent if he wished to present an Opening
Statement which was his overview of the case.
Walter Paesano stated the case was opened because he did not have Workers'
Compensation coverage for his two workers.
Terry Jerulle asked the Respondent if he had read and understood the Complaint
and Mr. Paesano replied, "yes."
Ian Jackson presented the County's Case in Chief.
• On March 1, 2012, the Contractors' Licensing Office received a complaint
concerning possible unpermitted remodel work at 1204 Hernando Street.
• He performed a site inspection and met with the Respondent who was in
the process of either painting a small portion of the exterior of the home or
cleaning some materials.
• Mr. Paesano escorted Mr. Jackson through the home where he observed
two individuals painting the interior.
• Mr. Paesano explained he had been subcontracted by Elaine Higgins,
B.K. Services of Naples, LLC, for the painting work.
• Mr. Jackson asked the Respondent if he provided Workers' Compensation
coverage for the two employees, his response was "yes."
• Mr. Jackson researched the County's data base and found that Mr. Paesano
had a Workers' Compensation exemption for himself.
• The Respondent acknowledged he did not provide the required coverage.
• Mr. Jackson instructed Mr. Paesano to stop his employees (Omar Osorio
and Jose Mercario) from continuing to work.
• Mr. Paesano was advised that only he could complete the painting because
he was an exempt officer of the corporation, Paesano's Painting, LLC.
• The Notice of Hearing was issued to Mr. Paesano, via hand delivery, on
March 8, 2012.
Chairman Horn inquired about a previous violation.
Mr. Jackson replied the Respondent had been cited on November 17, 2009 for a
similar violation. At that there, only one employee was not covered by Workers'
Compensation insurance and the fine was $300. He noted, for the record, the fine
had been paid.
Thomas Lykos asked if other work was being done at the house in addition to the
painting and Mr. Jackson responded "no."
Mr. Lykos stated the complaint referenced possible unpermitted work and asked
Mr. Jackson if he noted any violations, and the reply was "no."
Ian Jackson stated a "Stop Work" Order was not issued because there were no
permitting issues.
April 18, 2012
Mr. Jackson noted the Respondent stated he had been hired as a painting sub-
contractor by Elaine Higgins, the qualifier of B.K. Services of Naples, LLC.
Chairman Horn asked the Respondent to identify who had hired him, i.e., the
homeowner or another Contractor.
Walter Paesano explained:
Elaine Higgins called him and asked him to paint the laundry area, a closet
area, and two doors.
He was not hired to paint the entire house.
Ms. Higgins was painting the interior of the house — he had been
subcontracted to paint the areas that were difficult for her.
o Ms. Higgins was also present at the proceedings.
Vice Chairman Joslin asked the Respondent why he hired helpers when the job
would have taken only 3 or 4 hours to complete.
The Respondent replied to make sure the job was done in one afternoon.
Kyle Lantz asked if the two gentlemen worked for the Respondent on a regular
basis and Mr. Paesano responded when he had jobs, he always worked by himself.
He stated the two men were at his house when he received Ms. Higgins' call and
he asked them to come along with him.
Mr. Lantz asked if Omar Osorio and Jose Mercario were his friends; Mr. Paesano
said, "yes."
Terry Jerulle directed his question to the Respondent, "When you were first asked
by Mr. Jackson if you had Workers' Compensation for the two employees, you said
`yes. 7 9
Mr. Paesano stated he thought the Workers' Compensation "papers" said he had
coverage for one to four employees — he remembered that — but he checked again
and found it was different.
Chairman Horn asked the Respondent when friends helped him on a job, how
did he pay them, i.e., were they paid in cash, or by check, or did he use a payroll
service — how did he compensate his employees.
The Respondent stated Ms. Higgins would pay him, but because this job was not
finished, he was not paid.
Chairman Horn asked Elaine B. Higgins to come forward and be sworn in.
Chairman Horn asked Ms. Higgins if she was a General Contractor.
Elaine B. Higgins stated she was a Painting Contractor.
Chairman Horn asked if she "subbed" the job out to Mr. Paesano.
She responded she was behind on the job and asked the Respondent if he could
help her with one of the rooms in the back. She stated she has worked with
Walter for ten years.
Vice Chairman Joslin asked Ms. Higgins if she was aware she was to obtain a
April 18, 2012
copy of Mr. Paesano's Workers' Compensation Insurance as her subcontractor.
Ms. Higgins responded she had his license, Workers' Compensation exemption,
and his insurance. She stated she was not present at the job site during the time of
Mr. Jackson's inspection. When she had seen Mr. Paesano, he was alone.
Chairman Horn called for a brief recess.
RECESS: 9: 53 AM
RECONVENED: 9:56 AM
Chairman Horn reconvened the Public Hearing at 9:56 AM.
Vice Chairman Joslin asked if there was a written contract between the Respondent
and B. K. Services of Naples, LLC, or if it was verbal.
The Respondent stated there was no written contract.
Chairman Horn asked if everything was verbal — on the phone or in person.
Mr. Paesano replied Ms. Higgins had called him.
Kyle Lantz asked the Respondent if he brought in friends in the future to help
him paint, how would he pay them and ensure they had Workers' Compensation
coverage.
Walter Paseano stated he has very few jobs and does not need people to help
him. He further stated if he found a large job, he would call the "Small Business"
people to help him with the right papers. At the moment, he doesn't have any jobs.
Chairman Horn stated it is a good policy to ask for help when you are not sure
and Mr. Paesano replied, "yes."
He asked Mr. Paesano if he understood the reason why Workers' Compensation
insurance is required — to protect him, the homeowner, and employees.
Mr. Paesano stated he understood.
Thomas Lykos asked the Respondent if he understood Workers' Compensation
coverage is required by law when other people are working for him on a job site.
Martha Vergara explained Mr. Paesano understood he needed his paperwork
and now understands that the paperwork is to be completed in advance if anyone
will be on a jobsite helping him.
Mr. Lykos again asked the Respondent if he understood he was required to obtain
Workers' Compensation coverage.
Mr. Paesano replied, "yes."
Mr. Lykos noted the Respondent admitted, on the record, that he did not obtain
Workers' Compensation coverage for his workers.
[There was a brief pause while Ms. Vergara translated for the Respondent.]
Mr. Paesano replied, "yes."
Terry Jerulle questioned Ian Jackson concerning the 2009 Workers' Compensation
violation.
Mr. Jackson explained a Citation had been issued and a fine of $300 had been
April 18, 2012
imposed. He stated he had paperwork to distribute to the Board for consideration
in the event Walter Paesano was found in violation. The documents were applicable
to the penalty phase of the proceedings.
Terry Jerulle questioned Elaine Higgins.
She replied she is a licensed to work in Collier County and reiterate the name of
her company, `B. K. Services of Naples, LLC."
Chairman Horn asked Ian Jackson to present the County's Closing Statement
Ian Jackson noted since Respondent acknowledged the violation, the County
had nothing further to present.
Chairman Horn asked Mr. Paesano if he wished to present a Closing Statement
but the Respondent declined.
Vice Chairman Jerulle moved to approve closing the Public Hearing. Second by
Terry Jerulle. Carried unanimously, S — 0.
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.
• 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.
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April 18, 2012
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.
Chairman Horn reiteration there had been an admission of guilty.
Thomas Lykos moved to approve finding the Respondent was "guilty" of the
charges submitted by the County. Second by Vice Chairman Joslin.
Carried unanimously, S — 0.
Attorney Morey stated since the Board found there was misconduct by the
Contractor under Section 22- 203(b) (1), the Board may, but is not required to,
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 Contractors' Licensing
Board may be revoked for cause by said Board at a Hearing noticed to
consider said purpose.
(5) Restitution;
(6) A fine not to exceed five thousand dollars ($5,000);
(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.
Attorney Morey advised the Board that when imposing disciplinary sanctions on
a Contractor holding a Certificate of Competency or a State - certified Contractor
who has been 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;
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April 18, 2012
(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.
Ian Jackson requested to distribute documentation to the Board.
Michael Ossorio stated it was marked as Exhibit `B."
Vice Chairman Joslin moved to approve entering the documentation provided
by Ian Jackson into evidence as County's Exhibit `B. " Second by Kyle Lantz.
Carried unanimously, S — 0.
Ian Jackson stated the evidence was from 2009 case that was referenced during
the Public Hearing which consisted of a copy of Citation No. 5098 which was
issued for not providing Workers' Compensation coverage (one employee). The
jobsite was located at 1130 San Marco Drive. There was a "Detail Report" from
the County's data. base crnifinning the $300 fine had been paid.
Vice Chairman Joslin noted the Respondent had been previously cited for violating
the requirement to provide Workers' Compensation coverage. He asked Ian Jackson
about the severity of the 2009 violation.
Ian Jackson stated he did not recall any details about the case.
Chairman Horn asked for a recommendation from the County.
Michael Ossorio stated the County recommended:
• The Respondent is to pay $350.00 for investigative costs;
• Imposition of a fine of $1,000.00 to be paid within 60 days;
• Placing the Respondent on probation for a period of two years during
which time he is to report all jobs to the Contractors' Licensing Office
on a weekly basis;
• The Respondent will be required to take and pass the Business Procedures
test within one year.
It was noted the Business Procedures Test is given in Spanish on a daily basis in
Gainesville and Ocala. The test is given on a monthly basis in English in Bonita
Springs.
Thomas Lykos stated the Respondent apparently did not learn the gravity of the
violation since it occurred a second time.
Vice Chairman Joslin stated he agreed with the imposition of a $1,000 fine as a
deterrent but stated he did not want to drive the man out of business.
Terry Jerulle stated the Business Procedures Test should be taken as soon as
possible and suggested a deadline of three months.
Michael Ossorio outlined the costs involved: $130.00 — sponsors; $ 80.00 for the
exam plus the cost of one book. A preparatory class is also available for an
additional fee.
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April 18, 2012
Kyle Lantz suggested extending the time for the Respondent to pay the fine to
120 days while requiring him to take the exam sooner than one year.
Discussion ensued concerning the amount of the fine; the risk of injury to the
Public, i.e., homeowners, business owners, employees; the responsibility of the
Contractor.
Thomas Lykos recommended increasing the fine to $2,500 because it was a second
offense.
Vice Chairman Joslin moved to approve imposing the following sanctions on
Walter Paesano, d/b /a Paesano's Painting, LLC, as a result of being found guilty:
• Payment of investigative costs in the amount of $350 within seven (7)
days;
• Placing his Certificate of Competency on probation for a period of two (2)
years;
• During the probationary period, Mr. Paesano is to report all jobs to the
Contructors' Licensing Office on a weekly basis;
• Imposition of a fine in the amount of $1,500 to be paid within 120 days;
• Mr. Paesano is to take/pass the Business Procedures test within 90 days;
• Any violation will result in the immediate suspension of his Certificate and
he would be required to appear before the Board.
Second by Terry Jerulle.
Discussion ensued concerning the amount of the fine and a case previously heard
by the Board.
It was noted the Business Procedures Test contained a Workers' Compensation
component.
Chairman Horn called for a vote. Motion carried, 4 — "Yes " 71— "No." Thomas
Lykos was opposed.
Chairman Horn stated:
This cause came on for public hearing before the Contractors' Licensing
Board on April 18, 2012 for consideration of the Administrative Complaint
in Case #2012 -06 filed against Walter Paesano, d/b /a " Paesano's Painting,
LLC," the holder of record of Collier County Certificate #27889.
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.
Findings of Fact:
• Walter Paesano, d/b /a " Paesano's Painting, LLC," is the holder of record
of Collier County Certificate #27889.
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April 18, 2012
• 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, Walter Paesano, was present at the Public Hearing held on
April 18, 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 Cmiclusimis of Law alleged and set firth 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 Statute 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 4 in favor, and
none in opposition, 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 4 in favor, 1 in opposition, a majority
vote of the Board members present, that the following disciplinary sanctions
and related Order are hereby imposed upon the holder of Collier County
Certificate of Competency #278895, to wit:
• Payment of investigative costs in the amount of $350 within
seven (7) days;
• Placing his Certificate of Competency on probation for a
• period of two (2) years;
• During the probationary period, Mr. Paesano is to report
all jobs to the Contractors' Licensing Office on a weekly basis;
• Imposition of a fine in the amount of $1,500 to be paid within
120 days;
• Mr. Paesano is to take /pass the Business Procedures test within 90
days;
• Any violation will result in the immediate suspension of his
Certificate and he would be required to appear before the Board.
14
April 18, 2012
Chairman Horn noted the case was closed.
Martha Vergara stated she translated the Order of the Board for the Respondent
and Mr. Paesano understood the Board's decision.
IX. REPORTS:
(None)
X. MEMBER COMMENTS:
(None)
XI. NEXT MEETING DATE: Wednesday, May 16, 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 10:32 AM.
COLLIER COUNTY CONTRACTORS
LICENSING BOARD
Lee Horn, Chairman
The Minutes were approved by the Board/Chairman on , 2012,
"as submitted" [ I OR "as amended" [_].
15
Chester A. Hayes
Contested Citations #6981, #6982, #6983
Table of Contents
E1— Summary
E2 — Letter Requesting Administrative Hearing
E3 /E5 — Copies of Issued Citations
E6 — Copy of Contractor's Business Card Depicting Mr. Hayes's Information
E7/E27 — Copies of Invoices Discovered by Contractor in Mr. Hayes's Work Vehicle
0
SUMMARY
On Friday March 301h, 2012, 1 was forwarded a complaint from Marco
Island Plumbing Inspector Gary Konicek received from the owner of the
company Crystal Horizon Inc. CBC1254142/CFC1427980, involving a
former payroll employee independently contracting for side jobs.
After termination of the employee Chester Hayes, a logbook of invoices
made payable to him was discovered in his work vehicle depicting
services requiring plumbing and electrical contractor's licenses as well
as permits. After speaking to business owner Jim Mann, I learned that
previous employment with the companies Prout's Plumbing Inc. and
Marco Home Services Plumbing Inc. was also terminated for
contracting side jobs as well. Contact was made with the qualifiers of
both companies who informed me of this same scenario.
A meeting was scheduled with Mr. Hayes who was advised of his
violations. At no time did Mr. Hayes deny having committed these
violations, and he willingly signed three citations for unlicensed
plumbing and electrical contracting as well as performing work
requiring a permit.
At the time of issuance of these three citations, Mr. Hayes produced an
official Crystal Horizon Inc. business card with his own name and
personal cell phone number on it and immediately informed me of his
intentions to contest them in front of the Contractor's Licensing Board.
t�z---1
VRL -X
In
COLLIER COUNTY N26 9 81.
BUU=DING REVIEW & PERMITTING
CITATION
Pursuant to section 489.127. (3)(a), Florida Statues, the undersigned hereby certifies that upon
personal investigation, he/she has reasonable,and probable grounds to believe that the person
whose name appears below, as Issued To, did violate Subsection 489 127(1), Florida Statutes,
and Collier county Contractor's Licensing Ordinance No. 97 -68 (as may be amended from time
to time) by //committing the violation stated below.
Month /°iV-tL ID.y r d
Issued To: SSE d j�lf ES
Address
City Jhr 1I C �S State L 1 Zip
bPTIONS`` 3 tt
I have been informed of,the ,violation of which 1 have been charged and elect the following
option (Check one)
1) ❑ I choose to pay, the penalties of $� on the Citation.
2) ❑ 1 choose not to pay, the penalty and will request.in writing by certified mai l or:hand
delivery an Administrative Hearing before the Contractor's Licensing Board:
Description ,o_flro��la��ti ate Violation Observed tt,,
a) ❑ FaTely hoTd'sel or sinesdgani:Z t' n ou ric�en ce ca►e'Fri51 r or" ..t
registrant-
b) ❑ Falsely impersonate a certificate holder or registrant;
c) ❑ Present'as his own the certificate or registration $f another;
d) ❑ Knowingly "give false or forged evidente to the Board of a member thereof.
e) ❑ Use'or attempt to use a certificate or registration which has been suspended 6r
revoked;
t) 0 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 or act in a capacity of a
contractor without being duly registered orce Gfied;'
g) ❑ Operate a business organization engaged in contracting after (60) days
following the termination of its only qualifying agent without designating another primary {
qualifying agent, except as provided in ss 489.119 and 489.1 195, Florida Statues;
h) ❑Commence orperform work for which abuildift permit iS`requtred pursuanrto an
adopted state nirmthum building code, without such permit being in effect or
i) 0 Willfully or deliberately disregard or 'violate any Collier County ordinance relating to
uncertifiedvr unregistered contractors.
A person or business organization operating on an inactive or suspended certificate or
registration, or operating beyond the scope of work or geographical scope of the
registration, is not duly certified or registered.
MGNAT - (INVESTIGATOR)
PRINT (RECIPIENT'S NAME) P NT (INVES' IGATOR'S NAME) '
Pursuant to 489.127, Florida Statues, willful refusal to sign and accept this citation constitutes
a misdemeanor of the second degree, punishable as provided in section 775.082 or 775.083
Florida Statutes.
(SEE REVERSE FOR INSTRUCTIONS)
COLLIER COUNTY CONTRACTORS LICENSE DEPARTMENT
f—:f --?i
v ; 2 - b ra b c m 51 IL4 6982
COLLIER COUNTY
BUILDING REVIEW & PERMITTING
CITATION
Pursuant to section 489.127. (3)(a), Florida Statues, the undersigned hereby certifies that upon
personal investigation, he/she has reasonable and;probable grounds to believe that the person
whose name appears below, as Issued To, did violate Subsection 489 127(1), Florida Statutes,
and Collicr county Contractor's Licensing Ordinance No. 97 -68 (as may be amended from time
to time) by committing'the violation stated below.
Month �Q(LtL— I Day Yel�, Tit�reA4 M
Issued To: CS C Fes- A.
Address
City State C.. zip '3
Telephone No. I. Da o Race ex I�pig�ht
%p_ d � -i�f +�
vemcte m K peT".uppncaulc)
Locatioln of Vi lation
OPTIONS
I have been: nformed',of the violation of which 1 hive. been charged and elect the following;
option.(Cck
he'one)
1) ❑ 1 choose;to pay the penalties of $ on the Citation:
2) ❑ 1 cboose,not fo pay the penalty and,will request in writing by certified mail or hand,
delivery, an Administrative Hearing before the Contractor's Licensing Board.
Description of Violati c. Date Violation Observed
a) ❑ Falsely hold sed fbt business orgrlization out as it license, eertificute holder or
registrant
b) ❑ Falsely impersonate a certificate holder or registrant;
C) Present as bis own the certificate or registration of,another,
d) g Knowingly give false orforged evidence Co tflte Board of a member thereof;
e) ❑ Use or attempt to use a certificaie'or- registration which' has been suspended or
revoked:
f) ❑ 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 or act in a capacity of a
contractor without being duly registered or certified;
g) ❑ Operate a business organization engaged in contracting after (60) days
following the termination of its only qualifying agent without designating another primary
qualifying agent, except as provided in ss 489.119 and 489.1195 Florida Statues;
h) 0" Mo Tice br perform work fot which a buililmg ktrivi is req' l 1pdrsuant to an
adopted state minimum building cood ;'without such petmitrbetng Iheffebt; or
i) ❑ Willfully or tleliberatelydisregard oe vio'late'any CoiIieLbbuttty brdmaii& rtelaCtng'to
uncertified or unregistered "contractors.` '
A'person or business organization operating on an mactive'or suspended certificate or "
registration, or operating beyond the scope of work or geographical scope of the
registration, is not duly certified or registered.
SI A U E (RECII lE 1') GNATUR - (INVESTIGATOR)
PRINT (RECIPIENT'S AME) PRINT (INVESTIGATOR'S NAME)
Pursuant to 489.127, Florida Statues, willful refusal to sign and accept this citation constitutes
a misdemeanor of the second degree, punishable as provided in section 775.082 or 775.083
Florida Statutes.
(SEE REVERSE FOR INSTRUCTIONS)
COLLIER COUNTY CONTRACTORS LICENSE DEPARTMENT
COLLIER COUNT ®S 9 8 3
BUILDING REVIEW & PERMITTING
CITATION
Pursuant to section 489,127. (3)(a), Florida Statues, the undersigned hereby certifies that upon
personal investigation, he/she has reasonable and probable grounds to believe that the person
whose name appears below, as Issued To, did viotate Subsection 489 127(1), Florida Statutes,
and Collier county Contractor's Licensing Ordinance No. 97 -68 (as may be amended from time
to time) by committing the violation stated below.
Month f-A L . JDay 4.2— TZ? 0 Alkl(YNI
Issued To: —kit 5 (�-i2 n �'C �-I A -41 S
Address
City �t-� -S State `t L Zip
Telephone No. AID. Mi o Birth ace ex Height /,e
t_ yas�- a
Vehicle�Makefrype (cable az „ tor' " Tag'No. ,.
L"at!ron of vioiat
t hI .O 1 C�-
OPTIONS
I Dave been informed of the violation of.which Ihave been charged and elect the following ;
option.(Checkone) -� -
1) 0 I choose.to pay the penalties of on the Citation. -
2) ❑ 1 choose not io<pay the penalty and will request in.writing by certified mail o[ hand.
deliveryan Administrdtive Hearing before the Contractor s.Licens)ng Board
Descriptiongqf V lation ate Violation Ob, rued r I•�
1 -7 w S i -i:C� ' ' ` T`]�• e+CCiLi X9 NCC rw
- -
a) ❑ Falsely of self or business organi tion out as a license; c rtificae older'or
registrant;
b) ❑ Falsely impersonate a certificate holder or registrant;
c) ❑ Present as his own the certificate or registration of another;
d) ❑ Knowingly give false or forged evidence O'the Board of 9 member thereof,
C) ❑ 'Ose'oi attempt to use a certificate'or °rc stration -which has been "suspended'or
revoked;
f) 0.. 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 or act in a capacity of a
6 n- tiicto without being dulyregistered or certified; '
g) ❑ Operate a business organization engaged in contracting after (60) days
following the termination of its only qualifying agent without designating another primary
qualifying agent, except as provided in ss 489.119 and 489.1195, Florida Statues;
h) ❑Commence orperform work for which a 6uflding perdiit is regoir'ed'p»rsuaitt td an
adopted state mifiirM building i`.od Avltheiut's— h'perthiUbeing igeffect or
i) ❑ ; Willfully or deliberately thtregard or violate any'CollierCountyordihance relating to
uncertified orvnregistere d contraLrtbrs
A person or` liuslnessorgaiiizationropetaGng 'on an inactive or suspended ceiUficate or '
registration, or operating beyond the scope of work or geographical scope of the "
registration, is not duly certified or registered.
SIGNATURE (REUPIVNT GNATOTT-- ESTIGATOR)
yv
PRINT (RECIPIENT'S NMM R1NT (INVESTIGATOR'S NAME)
Pursuant to 489.127, Florida Statues, willful refusal to sign and accept this citation constitutes
a misdemeanor of the second degree, punishable as provided in section 775.082 or 775.083
Florida Statutes.
(SEE REVERSE FOR INSTRUCTIONS)
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Valerie Tiffany Quattlebaum
32115 Clay Gully Road
Myakka City, FL 34251
April 25, 2012
Collier County Licensing Board
2800 Horseshoe Drive North
Naples, FL 34104
Re: Statement of Need to qualify a second entity
Dear Licensing Board Members:
COPY
I have been the qualifier for Tile It Industries, Inc. in Collier County since 2008. 1 am
requesting to qualify Manasota Flooring, Inc. headquartered in Sarasota, FL, as a second entity.
I have been employed by Manasota Flooring since 1986, and I have been the the and flooring
qualifier for them since 1992 in the other counties along the west coast that require qualifiers.
I am requesting to qualify Manasota in Collier County as well because Manasota is currently the
the and flooring vendor for a builder that is expanding their business down the west coast into
Collier County. I respectfully request approval for the second entity so Manasota can expand
their business with this builder into Collier County.
Thank you very much for you time and consideration of this request. I look forward to
meeting you and answering any questions you may have at your meeting scheduled for May 16,
2012.
V
BUILDING REVIEW AND PERMITTING
CONTRACTf — - -- - -
COLLIER COUNTY / CITY OF NAPLES / CITY OF M
Contractors Licensing Board
Community Development & Environmental Services Division
2800 North Horseshoe Drive
Naples, Florida 34104
Telephone: (94I) 403-2431
Facsimile: (941) 403 -2345
APPLICATION TO QUALIFY SECOND ENTITY
THIS FORM MUST BE COMPLETED IF YOU WISH TIO INITIATE OR CHANGE THE STATUS OF
AN EXISTING LICENSE. READ ALL INSTRUCTIONS AND MAKE SURE YOU HAVE SIGNED
WHERE INDICATED. TYPE OR PRINT IN INK. MAKE CHECKS PAYABLE TO THE COLLIER
COUNTY BOARD OF COUNTY COMMISSIONERS. ALL CHECKS MUST CLEARLY STATE
APPLICANT'S NAME AND ADRE SS. PLEASE ALLOW 2 - 3 WEEKS FOR PROCESSING.
FEE ► L5. U--)
l "war C�Vt°n���
1. Applicant's Name (Licensee) �% �r1� �Q��' -�� ��j�{1 LICENSE # —35LOq
0Y, P q • 30.201 Z.
UNDER THE FEDERAL PRIVACY ACT, DISCLOSURE OF SOCIAL SECURITY NUMBERS IS VOLUNTARY UNLESS
SPECIFICALLY REQUIRED BY FEDERAL STATUTE, IN THIS INSTANCE, SOCIAL SECURITY NUMBERS ARE
MANDATORY PURSUANT TO TITLE 42 UNITED STATES CODE, SECTIONS 653 AND 654; AND SECTIONS 455.203(9),
409.2577, AND 409.2598, FLORIDA STATUTES. SOCIAL SECURITY NUMBERS ARE USED TO ALLOW EFFICIENT
SCREENING OF APPLICANTS AND LICENSEES BY A TITLR N -1) CHILD SUPPORT AGENCY TO ASSURE COMPLIANCE
WIT14 CHILD SUPPORT OBLIGATIONS. SOCIAL SECURITY NUMBERS MUST ALSO BE RECORDED ON ALL
PROFESSIONAL AND OCCUPATIONAL LICENSE APPLICATIONS AND WILL BE USED FOR LICENSE IDENTIFICATION
PURSUANT TO THE PERSONAL RESPONSIBILITY AND WORK OPPORTUNITY RECONCILIATION ACT OF 1996 (WELFARE
REFORM ACT), 104 PUB.L. 193, SEC. 317.
r
Place -- Birth: (City)_ mcLg4c \ (5tatc) FL (Nation) US 4
ocral Security Number ; Date of Bi
i
SEX: ^Male ✓I`emale , RACE: �) While _; (2) African- Arnerican ; ____ (3) Hispanic_; (4) Asian _ (5) Indian; (6) Other
2. Name of Business To Be Qualified: �'Vk` Hasa Ci F l oor:i n a , In
Mailing Address: 4S51 I Aoy+h w S
Street or P.O. Boa
Street Address: 1455) K� gy-�Y) I1�1 CI S
Business Phone Number: C 14N 'J H ,5r t Cl u
l31 Vci, SQrr
city
hin o 4-on &v-d
City
State Zip
rCi EL-kl FL 214L,A
State Zip
Iaederal ID Number: U ` 1 D) r -oa `t
APPLICATION TO QUALIFY SECOND ENTITY
3. AppIicant's (Licensee) Name:
Last — , ._.� , ,
First Middle
Applicant's (Licensee) Official Mailing Address of Record :_
5
?,ea n �� �rC� i� N1 .� no ( -� Street Cit} coon L C� --L �Il-7
County state Zip
Street Address (if Post Office Box is listed above):
Street City Count
Y State Zip
Horne Phone AIAJ) 3,-�0 - 83C) 7
Office Phone C W) Q j 5 . Jcf-1
4. VERIFICATION OF GENERAL LIABILITY INSURANCE and WORKERS' COMPENSATION
(or exemption from Workers Law) INSURANCE (ATTACH A CERTIFICATE OF INSURANCE
OR EXEMPTION. SEE 411A CV1EAD Ct--LTI pC- I ES ek� f �1,cU V
C�
1 HEREBY AFFIRM THAT I HAVE OBTAINED GENERAL LIABILITY AND PROPERTY DAMAGE INSURANCE
IN THE AMOUNTS SET FORTH BELOW and workers' compensation insurance (unless exemption has been filed with
and approved by the Bureau of Workers' Compensation compliance), for the safety and welfare of the public. I further
affirm that I have met all continuing education requirements. 1 understand that it is my responsibility to maintain all
documentation supporting this affirmation of eligibility. I affirm that these statements are true and correct and I recognize
that providing false information may result in a FINE, SUSPENSION or REVOCATION of my contractor's license.
AI PLIC;ANT S SIGNATURE
—ALA Lm- L4bohdla
PRINT OR TYKE NAME DATE
TO FILE A NOTICE OF ELECTION TO BE EXEMPT from the provisions of the FLORIDA WORKERS'
COMPENSATION LAW, contact your nearest Florida Department of Labor and Employment Security, Bureau
of Workers' Compensation Compliance office to obtain form # BCM- 250 -T.
3
AUUHU,. CERTIFICATE OF LIABILITY INSURANCE
DATE(MWDD/YYYY)
04/19/2012
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.
TYPE OF INSURANCE
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(iss) 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).
SWVD
PRODUCER
Purmort & Martin Insurance Agency, LLC
2301 Ringling Boulevard
Sarasota, FL 34237
Roxanne Sima
NAME: ONTAC Patti Jackson
A N EM; 941.366.7070 aC "o ;941.953.4901
ADDRESS: Pattifnnrmort.cam
AUTHORIZED REPRESENTATIVE
PRODUCER
INSURERS AFFORDING COVERAGE
Naples, FL 34104
NAIC #
INSURED
Manasota Flooring, Inc.
4551 N Washington Blvd.
Sarasota, Florida 34234
INSURERA: Southern Owners
EACH OCCURRENCE
10190
INSURERS: Owners
X COMMERCIAL GENERAL LIABILITY
COMMERCIAL
32700
INSURERC:
INSURER D:
AMAGE
PREM SES TO
$ 300, 00
INSURER E :
$ 10,00
INSURER F:
rnvFRer1=S CERTIFICATE NUMBER: 2011 -12 Master Liab REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ILTR
TYPE OF INSURANCE
ANSR
SWVD
POUCY NUMBER
POLICY EFF
MOLIC
POLICY EXP
MOLICY XP
LIMITS
AUTHORIZED REPRESENTATIVE
GENERAL LIABILITY
Naples, FL 34104
1023122073335411
08/01/2011
08/01/2012
EACH OCCURRENCE
$ 1,000,000
X COMMERCIAL GENERAL LIABILITY
COMMERCIAL
AMAGE
PREM SES TO
$ 300, 00
MED EXP (Any one person)
$ 10,00
CLAIMS -MADE a OCCUR
PERSONAL & ADV INJURY
$ 1,000,000
A
X
GENERAL AGGREGATE
$ 21000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP /OP AGG
$ 2,000,000
$
X POLICY JECT LOC
AUTOMOBILE
LIABILITY
485074970
08101/2011
08/0112012
COMBINED SINGLE LIMIT
(Ea accident)
$ 1,000,000
X
ANY AUTO
BODILY INJURY (Per person)
$
ALL OWNED AUTOS
BODILY INJURY (Per accident)
$
B
SCHEDULED AUTOS
HIRED AUTOS
PROPERTY DAMAGE
(Per accident)
$
$
NON -0 WNED AUTOS
X
UMBRELLA LIAB
X
OCCUR
485074970108/01/2011
08/01 /2012
EACH OCCURRENCE
$ 3,000,000
AGGREGATE
$ 39000,000
A
EXCESS LIAB
CLAIMS -MADE
DEDUCTIBLE
$
$
X
RETENTION $
WORKERS COMPENSATION
AND EMPLOYERS UABIUTY YIN
ANY PROPRIEOR/PARTNER/EXECU nVE F-�
41
*(
TORY LIMrr OER
E.L. EACH ACCIDENT
$
E.L. DISEASE -EA EMPLOYE
$
OFFICERIMEMBER EXCLUDED?
(Mandatory in NH)
NIA
E.L. DISEASE •POLICY LIMB
$
tf yes, describe under
DESCRIPTION OF OPERATIONS below
I
F
.
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
Valerie Tiffany - Quattlebaum
r'FRTIFI 'A E HOLDER CANCELLATION
FAX: 239.252.2469
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Collier County Contractor Licensing Board
AUTHORIZED REPRESENTATIVE
2800 N. Horseshoe Drive
Naples, FL 34104
James Purmort II /TRACEY
V 7`JtftS-LUV`J AI VKU t+UKrVKAi IVN. rut rlgrtCS Ft:b10rVVU-
ACORD 25 J#009109) The ACORD name and logo are registered marks of ACORD
PDF created with pdfFactory Pro trial version www.r)dffactory.com
2012— Apr -19 03:11 PM Lion Insurance Co. 7279372138
113
CERTIFICATE OF LIABILITY
INSURANCE
4/19/ oats 2412
Producer. Lion Insurance Company
2739 U_ S. Highway 19 N.
This Certificate is issued as a mamer of Information only and confers no rights
upon the Certiflanbe Holder. This Certificate dons not amend, extend or altar
Holiday, FL 34691
We Coverage afforded by the polities below.
Insurers Affording Coverage
NAIL #
(727) 938 -5562
Insured: South East Personnel Leasing, Inc. & Subsidiaries
fnaurerA Lion ir uranceCompany
11075
2739 U.S. Highway 19 N_
Holiday, FL 34691
Insurer B:
Insurer C:
Insurer D:
Insurer E:
Coverages
I he pollclee of ineutancc listed owheve been leeued fo fhc inswe named above fur lho pngty t+vnod ndlealed. Nolwilfistandng any regWrement, lerm or car --mom any contract or other doamcrd wf
u,iv ct:Hiffota may be Issued a, may periam, ft hrmalce afforded by Qle poffocs described herein Is subject to ag Cho trims, excUalons, and condition., of such Isellolea. Aggrelple limits shovin may have I
paid claims.
INSR
LTR
AnPL
INSRD
Type of Insurance
Policy Number
Policy Effective
Date
Policy Expiration Date
Limits
(MM /DDNY)
(MMIDD/YY)
ENERAL. LIABILITY
Commercial General Liability
Claims Made 0 Occur
Earl, t)cwrcnce
narnage to rented promisee (EA
aactararce)
Med EV
eneraI aggregate limit applies per.
Personal Adv irvury
4
Generel Aggregate
Policy E] ProjerA r'jj LdC
Producis - Comp/Op Agg
AUTOMOBILE LIABILITY
Combinc;d Sirmle LIM
Any Aulo
(EA Acddenl)
Oadily kl coy
Al Owned Macs
Scheduled Autoe
(Per Pereon)
I Bodily inJiV
I fired Autos
Non -Owned Autos
(Per Accident)
If
Property Damage
.
(Per Aacrcionl)
EXCESS /UMBRELLA LIABILITY
Fmh 0ocunence
occi r ® Claims Made
Asr3rcgate
Iadudlbfe
A
Workers Compensation and
Employers' Liability
WC 71949
01/01/2012
01/01/2013
X WC State- OTH-
_Jary Urndt ER
Any proprietodpartnedexecutIve ofgoer /member
11.1- EadhAccident
Kwo,ouo
excluded? Na
If Yea, describe under apecial provisions belw.
¢
E L. Disease. La Emnployee
1111,0=00
E. L. Disease - Policy Limits
61,000,uou
Other I Lion Insumnit a Company i5 A.M. Best Company rayed A- (Excellent'). AM13 # 12616
Descriptions of Operations /LocationslVohlele$/EXclusions added by Endorsement/Spocial Provisions: Client ID: 82- 59.006
Coverage only applies to active employees) of South East Employee Leasing Services, Inc. that arc leased M the following 'Client Company":
Manasot a Flooring, Inc.
Coverage only applies to injuries incurred by South East Personnel Leasing, Inc. & Subsidiaries active employee(s), while wolidng in Florida.
Coverage does not apply to statutory empioyoe(s) or Independent contractors) of the Client Company or any other entity.
A list of the active employeo(s) leased to the Client Company can be obtained by faxing a request to (727) 937 -2138 or by calling (727) 938 -5562.
Project Flame,
FAX:941- 845 -1 953 1 ISSUE 44.19 -12 (SS)
0 fn pate:8/1012a11
cERTINcNrF HOLDER CANCL•LLATION
COLLIER COUNTY Shedd any of the above deco* patictes be cancelled bciore tfla expiration data thereof, the isaring inaun
CONTRACTOR LICENSING BOARD emleavor to mss 3a days written notks to the willilicAe haidor named l0 ft tart, lxA failwo to do so shall Im
Obligation or ffebilhy at any kind Upon ifim irsuror, its agents or represenfativcs,
2800 N. HORSH(?E DRIVC
NAPLES, 1%L 34104.
U
,t.
Date: 0411912012
Attn: COLLIER COUNTY
Per your request, attached please find the current list of active employee(s) of
South East personnel Leasing, Inc. (SPLI) (eased to the following "Client
Company ":
MANASOTA FLOORING, INC
Please note, all payments due from the client company to SPLI for these leased
employee(s) must be current in order for workers' compensation coverage to be
extended.
If the client company has sent any new employee applications to SPLI, the
applicant's name will not appear on the active employee list until the applicant
has been accepted as an employee and paid by SPLI.
Should any questions arise, or if an updated employee list is needed, please feel
free to call (727) 938 -5582.
Thank you.
South East Personnel Leasing, Inc.
2739 U.S. Highway 19 N.,11o)liday, FL 34691
Telephone (727) 938 -55621 Fax (727) 937 -2138
.............. .......... ... . ........ . .......... .............
I'm Grand Totals 43
U
11 01'
--- - ------- --------- ------- Rage -----------
---------- ---- -- --------
------------------ - --------- - -- ------ -- ---------
one c2--a=Z
TTTLE: CLIENT/zmpLoYvr, REGISTER. (mm)
04113112 thru 04113/12 EE :)et,-!
LOMPANY; 82_SoUtbL Z&zt Employee Leasing Services
(2012) sort: EE N3_-e
DATE: 04/19/12 2t49 pm
MENU. AC,4,1 PRGi PRP-05 VER-. 7.9.2
------------------ -------------- ----------------------------------------------
-------------------------------------- -------------
------------------------- ------------ I ---
Client . M&aagota Flooring, Inc.
---------------------------------------------------------------------------------
State ID
Address, 4551 N. WashingtoTi Blvd.
Fqderal ID: 05-0591872
Sarasota, FL 24z34
-----------------------
------------------- -----------------------------
AQQSTO, CARLOS J.
Aux=SR, T1140TELY
AR=o.mV, SHANh L
ASCIMRMAN, IAURA
BENDER, 8TEV8
BENSON, DONALD i
CASTILLO, ANDREW
CHESTRRI JAMIE
COLXZZO, JOHN A
CM, ROBERT C
CROUSE, DEBORAH J
DE LA RUA, ROMAN
FISHCO, JAMES
.DEHNER. ALVIN
FRISCH, LISA.
ratmaRBURKE, ROBERT 1
Pja-t, WILLIAM
HART, EDWARD
hIMERSON, ERIC
.KLEIN. SCOTT
M&MVIC, THOHNS J
MCDANIEL• MARTIN
MCMILLIAN, HERBERT IL
miCHMS, RAYMOND V
MOSHER, DEBORAH
NICE, GERALD W
o=Wj, RONALD
PAINE JR. ROBERT
PAM-RAYMOND. CMETCHEN
PATTERSON, DERNM 11
PAuLEaN, TzEwELLYK
PER0_111ORREB, BRIONES
QUATTLEBAUM, CHRISTIDPHF
QTJATMEBAUM, VALER111
REYES, CRESCWCI0
SHM, RONA
SHERRARD, JEPFRNY
SHONVEL, JAMES 2
TIFFANY, BARBARA
TIFFANY, ROBERT
WAYMIRE, FREEDOM
WRIGHT, IMRINCE
NFTGKT, MY 2 2Y ..........
-------------
All EV10yees 12
.............. .......... ... . ........ . .......... .............
I'm Grand Totals 43
U
APPLICATION TO QUALIFY SECOND
3. Applicant's (Licensee) Name: () M+—H-e ta u Yn
Last
Applicant's (Licensee) Official Mailing Address of Record:
ENTITY
riCdim
First Middle
q-15 1 -�Y�r� 16�y-j i r e N] I- i7�ti'1�'I �CcCh � L �IIy
Strc et City ' County state i l
Zip
Street Address (if Post Office Box is listed above):
Street City County State
lip
Horne Phone A4 I) n
Office Phone i' W) Q) 5, jcn
4. VERIFICATION OF GENERAL LIABILITY INSURANCE and WORKERS' COMPENSATION
(or exemption from Workers Law) INSURANCE (AT'T'ACH A CERTIFICATE OF INSURANCE
OR EXEMPTION. SEE 4-11ACAAE -0 CtZ t 1RC- 1ES (ov f�tS(�1�t�1CL
I HEREBY AFFIRM THAT I HAVE OBTAINED GENERAL LIABILITY AND PROPERTY DAMAGE INSURANCE
IN THE AMOUNTS SET FORTH BELOW and workers' compensation insurance (unless exemption has been flied with
and approved by the Bureau of Workers' Compensation compliance), for the safety and welfare of the public. I further
affirm that I have met all continuing education requirements. I understand that it is my responsibility to maintain all
documentation supporting this affirmation of eligibility. I affirm that these statements are true and correct and I recognize
that providing false information may result in a FINE, SUSPENSION or REVOCATION of my contractor's license.
Al 1'LIC:AN'1" S SIGNATURE
VA PRINT OR TYPE jAME DATE
TO FILE A NOTICE OF ELECTION TO BE EXEMPT from the provisions of the FLORIDA WORKF,RS'
COMPENSATION LAW, contact your nearest Florida Department of Labor and Employment Security, Bureau
of Workers' Compensation Compliance office to obtain form 4 BCM- 250 -T.
3
APPLICA'T'ION TO QUALIFY SECOND ENTITY
5. QUESTIONNAIRE — QUALIFYING A SECOND ENTITY
THIS FORM MUST BE COMPLETED BY THE APPLICANT REQUESTING TO QUALIFY A SECOND
ENTITY OR REQUESTING A CHANGE TO AN EXISTING SECOND ENTITY QUALIFICATION. THE
APPLICANT AND PRESIDENTS (OR PARTNERS /OWNERS) OF ALL COMPANIES INVOLVED MUST
SIGN WHERE INDICATED. PLEASE USE THIS SHEET. ONLY USE ADDITIONAL SHEETS IF
NECESSARY.
A. Explain why you wish to maintain your present license(s) while qualifying this additional business.
B. Has the proposed entity been previously qualified? If so, explain why the previous qualifier is no
longer willing to continue to qualify this entity, hag ne4,
1\11a ndsc4o 471 C)CO 09 , e S +�)e o--o PCs -,!-d
been gt1a M --eC1 btl anC4 hC p -YSon 1 r) Col (t-cr 60
C. If the proposed entity has been qualified within the last 12 months, list the last three jobs completed by
the proposed entity. Include dates of completion, address, description of work, name of previous
qualifier and name of owner.
Mb nsc4o I-1 co i c , as ti')e P i oPc1fd e r-4 \-/ ,has 11c4-
moans . j 'J f
D. List the last three jobs completed by you under your existing license. Include date of completion,
address, description of work, name of previous qualifier and name of owner.
D.
E. Do the business(s) you presently qualify and /or wish to qualify have any outstanding liens against them
or against the property of consumers as a result of construction work or a contract they had with your
firm? YES NO \Z If yes, identify business and provide explanation.
P. List principal suppliers for the past six months for the business you presently qualify.
p1- aw S -ce CHCW -ham , Mcirlked pre.Sen�
G. List principal suppliers for the past six months for the business you are applying to qualify.
Valerie Tiffany Quattlebaum
Statement of Need — Qualifying a Second Entity
I currently qualify Tile -It Industries, Inc. headquartered in Daytona Beach, FL. I have qualified
Tile It Industries in Collier County since 2008. 1 am requesting to qualify Manasota Flooring, Inc.
headquartered in Sarasota, FL, as a second entity. I have been employed by Manasota Flooring
since 1986, and I have been the tile and flooring qualifier for them since 1992 in the other
counties along the west coast that require qualifiers. I am requesting to qualify Manasota in
Collier County as well because Manasota is currently the tile and flooring vendor for a builder
that is expanding their business down the west coast into Collier County. I need the request to
be approved so Manasota can expand their business with this builder into Collier County.
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MANASOTA FLOORING, INC. (a UE 5����
QUALIFYING APPLICATION - LIST OF PRINCIPAL SUPPLIERS ►���
Alpha Tile
1808 Whitfield Ave
Sarasota, FL 34243
Beaulieu Residential
P.O. Box 741332
Atlanta, GA 30384 -1332
Boone Distributors
6721 Whitfield Industrial Ave
Sarasota, FL 34343
Cain & Bultman
2145 Dennis Street
Jacksonville, FL 32204
Dal -Tile
8121 25h Court East
Sarasota, FL 34243
International Tile and Stone
475 Fentress Blvd, Suite M
Daytona Beach, FL 32114
Johnson Wholesale
P.O. Box 116396
Atlanta GA, 30368 -6396
Mohawk Industries
P. O. Box 800
Chatsworth, GA 30705
Suncrest Supply
P.O. 11477
Riviera Beach, FL 33419
Wheeler, Inc.
4127 Seaboard Rd
Orlando, FL 32808
APPLICATION TO QUALIFY SECOND ENTITY
H. List persons authorized (currently and in the past 6 weeks) to pull permits on your license(s).
—Mc, , 4 I n'DLLSDIES nor Mane 3c4o Rmtin� CSC noJ
Yl -CI 4-D P LI I berm i �S a' # l e t bus i n��s
1. How are you being paid by the business(s) you presently qualify (examples: salary, % of profits, etc.)?
s (a m b e p(ai C a pereer� cage D--C pl -cg�S �Cr m�-j
v A i 1 e -I
l,�G � a r I ncl u-Ab --l-e�
How will you be paid by the business you are applying to qualify?
1: Cam be�� Paid n. s Cwa, . nod
9 y
K. What percentage of ownership do you have in the present business(s) you are qualifying and what
percentage of ownership will you have in the business you are attempting to qualify?
-T- ac) nc�4 hcw-e in
L. Do you (applicant) have check writing authority for the present and proposed entity? YES ✓ NO
If yes, provide a letter from the bank.
S ha \ e C �-wC jz u-� ri 4 n rb r-I - le .� a-D pofe 1 e-n-h �---/ , bL-C4
nc) � - cK ii--e r�Sef� -1 n� --
M. List officers (or partners, owners) of business you are applying to qualify and give title /position held.
See cOrODra-A -e )f4�fr �i -oaces -ed er�A � Li t'j� �►
T
N. List officers (or partners, owners) of business you presently qualify and give title /position held.
�*own
O. Do the business(s) you presently qualify and wish to qualify have any other licenses presently qualifying
those businesses? YES NOS. If yes, list licensee's name, license number and address.
P. Submit notarized statements signed by an authorized agent of the entity(s) you presently qualify and
from an authorized agent of the proposed entity attesting to the fact that each is aware of what entity you
presently qualify, and what entity you are requesting to qualify.
sce A -0CcCI'1 5
400MMUM
_� Sj
o C
April 19, 2012
To Whom It May Concern:
In connection with our desire to become a qualified installer of tile and carpet in Collier
County, FL the following statements are hereby made and are known to me to be correct:
- The qualifying individual for Manasota Flooring, Inc. is Valerie Tiffany -
Quattlebaum. We are aware that Valerie also holds the qualification for Tile -It
Industries.
- There are no outstanding liens or judgments against Manasota Flooring, Inc.
- Corporate officers are as follows: Robert Tiffany (CEO), Barbara Tiffany
(President) and Scott Klein (CFO).
- Valerie Tiffany - Quattlebaum has check signing authority.
Sincerely,
Scott M. Klein
Chief Financial Officer
State of. Florida County of. Sarasota
Appeared before me Scott M. Klein, personally known to me,
This 19t` day of April, 20. .
DEBORAH L. MOSHER
MY COMM1SS10N # DD789886
jam` EXPIRES: May 14. 7
OFa°' Fl. Ndsry Diseount Assoc Co.
t.w().3.WTARY
Notary P lie
❑ ! .. 'Pr as ^in,jtor 31VJ. ❑ 25 1 'IF if s, Sr ,« , aSi
❑ S 137 i 'trr Ss +.; -31 ❑ 2 47 S. Tar„iami Trail
1 ;1231 cr.aUenn -n, rL 3 »� � BraU ,. r, F! 34207 mice, rl3429.
,arts• .a, F;. _ . _ .. _ IDA 1 % 7r,S_Ai13 (941) 493 -7441
I
"�T �i�� ►►���� Lorpor
475 Fentress Blvd Suite M
TILE -IT INDUSTRIES, INC
dba International Tile & Stone
Daytona Bead, FL 32114
csmithCits- florida.com "� y
Business: (386) 253 -1 112
Fax: (386) 253 -9646
Toll Free: (866)884 -5347
huger' certify that I am the president of Tile -It Industries, Inc. and I am the only
of er of the company.
Ronald Maugeri; President
0
/W, 2
D
Swo e andssr*�d before me by y,�l�� �frGl Lfu who is
personall known tom r produced as identification and who
1 e an oath this day of , 2012.
0
a.
r
NOTARY PUBLIC
Commission Expires:
s KC t C1iERYL SMM1
W C0WISSION # DD 999550
Qr EXPIRES: September 18, 20M
Elmded Thru Notary Public Undemiters
• • . . . . . . . . . . . . . . . . . . . . . . . .
U'ULS 1►oo I ? ,
April 19, 2012
To Whom It May Concern:
In connection with our desire to become a qualified installer of tile and carpet in Collier
County, FL the following statements are hereby made and are known to me to be correct:
- The qualifying individual for Manasota Flooring, Inc. is Valerie Tiffany -
Quattlebaum. We are aware that Valerie also holds the qualification for Tile -It
Industries.
- There are no outstanding liens or judgments against Manasota Flooring, Inc.
- Corporate officers are as follows: Robert Tiffany (CEO), Barbara Tiffany
(President) and Scott Klein (CFO).
- Valerie Tiffany - Quattlebaum has check signing authority.
Sincerely,
Scott M. Klein
Chief Financial Officer
State of: Florida County of: Sarasota
Appeared before me Scott M. Klein, personally known to me,
This 19`h day of April, 2012.
DEBORAH L. MOSHER
4�! MY COMM1SS1014 tt Dn288886
Ig : May 14, 2012
"ROFW'' FI. Notary D'scp°nt Ass= Ca.
i- 1M10.3•NOTARY
Notary P lic
❑ 37 i Si.. hq ;
❑ 22 -7• ; r:r-.i �r-d
>
1243
.en.ica•;L
,.,.I, oee 0111
(941) 493 -7441
r
rp n
(but ii C)
475 Fentress Blvd Suite M
TILE -IT INDUSTWES, INC
Daytona Beach, FL 32114
csmith@aits- florida.com
•
dba International Tile & Stone
Business: (386) 253 -1112
Fax: (386) 253 -9646
Toll Free: (866)884 -5347
is tpclertify that Valerie Tiffany- Quattlebaum is our current qualifier and that she is
aflg to qualify Manasota Flooring as a second entity.
President
f -
f
/1'
_ 21" u/z
Date
a^ =persnallyynoVNM .- subsenheed before me by 11m �Y /i'llky lek who is
tom produced as identification and who
di a e an oath this ZG" day of r. , 2012.
NOTARY PUBLIC
Commission Expires:
�..t.
:i4il7
MY W
;rM• Bp11pt;,j iN •��_WEWM.
APPLICATION TO QUALIFY SECOND ENTITY
6. FINANCIAL RESPONSIBILITY.
All applicants /licensees must answer the questions below. If you answer "yes" to any of the questions, a written explanation
is required. Additional documentation is also required, as indicated. If you are applvin :? to aualify a corporation partnership
or other legal business entity ALL OFFICERS OF THAT ENTITY MUST ALSO EXPLAIN IF ANY OF THE BFLOW
WOULD PERTAIN TO THEM This would include the president, vice president, secretary, and /or partners or owner of the
proprietorship.
HAVE YOU, the business organization, or any of the above mentioned individuals in any capacity ever:
YES NO
A. Undertaken construction contracts or work that a third party, such as a bonding or surety company,
completed or made financial settlements?
?'B. Had claims or lawsuits filed or unpaid or past due accounts by your creditors as a result of
construction operations?
Undertaken construction contracts or work which resulted in liens, suits or judgments being filed?
D. Had a lien fled against you by the U. S. Internal Revenue Service or Florida Corporate Tax Division?
If "yes ", you must attach a copy of the Notice of Lien, and any payment agreement, satisfaction,
Release of Lien or other proof of payment.
E. Made an assignment of assets in settlement of construction obligations for less than the debts
outstanding?
T ✓ F. Been charged with or convicted of acting as a contractor without a license, or if licensed as a
contractor in this or any other state, been "subject to" any disciplinary action by a state, county, or
municipality? If "yes ", you must attach a copy of any state, county, municipal or out -of -state
/ disciplinary order or judgment.
____ ✓ G. Filed for or been discharged in bankruptcy within the past five years? If "yes ", you must attach a
copy of the Discharge Order, Order Confirming Plan, or if a Corporate Chapter 7 case, a copy of the
Notice of Commencement.
✓ H. Been convicted or found guilty of, or entered a plea of polo contendere to, regardless of adjudication,
a crime in any jurisdiction within the past 10 years? NOTE: IF YOU, THE
APPLICANT/LICENSEE, HAVE HAD A FELONY CONVICTION, PROOF THAT YOUR
CIVIL RIGHTS HAVE BEEN RESTORED WILL BE REQUIRED PRIOR TO
LICENSURE.
NOTE: The Board requires any applicant/licensce who answers "yes" to any question contained in the Financial Responsibility Section of the
Application to supply n complete explanation of the response, and include a statement detailing the steps taken by the licensee to prevent a
recurrence of the circumstances leading to tl,e conviction, discipline, judgment, bankruptcy, or other aveut leading to the response. You must
include any proof of payment, satisfaction of liens, judgments and bankruptcy discharge papers in your submival, if applicable. Applicants may
be required to appear before the Application Review Committee to answer questions regarding such responses.
�.
CRE DIT R1JPO12.'1' (Reports that do not include the following information will not be acceptable)
Reports for the present and proposed entities must be submitted (not more than six months old) from a nationally recognized credit -
reporting agency and must be submitted before an additional license can be issued. If you are applying to qualify as an individual, the
credit report must be on you. Iryou are applying to qualify a business organization, the credit report must be on the business organization.
If your business is newly established, you will ALSO need to submit credit reports on the following: the newly formed business and the
majority owners holding 25% or more interest PLUS letters from three construction related suppliers indicating that an account either exists
or has been opened for the entity you are applying to qualify. A credit report is also required for the entity that you are presently
qualifying.
2
ti I
April 19, 2012
To Whom It May Concern:
In connection with our desire to become a qualified installer of tile and carpet in Collier
County, FL the following statements are hereby made and are known to me to be correct:
The qualifying individual for Manasota Flooring, Inc. is Valerie Tiffany -
Quattlebaum. We are aware that Valerie also holds the qualification for Tile -It
Industries.
There are no outstanding liens or judgments against Manasota Flooring, Inc.
Corporate officers are as follows: Robert Tiffany (CEO), Barbara Tiffany
(President) and Scott Klein (CFO).
Valerie Tiffany - Quattlebaum has check signing authority.
Sincerely,
Scott M. Klein
Chief Financial Officer
State of: Florida County of: Sarasota
Appeared before me Scott M. K.1ein, personally known to me,
This 19'h day of April, 2012.
R DEBORAH L. MOSHER
MY COMM,SSI,OI y 1 D2012886 EXPIRES: Fl. Nan' Discount Am= Cc. Y
Notary P lic
❑ 551 'iasrirv3ton SPvd
�- �.,, ,
❑ �l� First Stre . +: s'
❑ 51 37 11tr1 St• Pest
❑ 22.17 S. T•amiami trail
b =rice. FL 3 »293
..
Sarasota, F! ' =�'•»
?raienton, FL 3d2C3
BraUeniGn, FL 34207
(941)493 -7441
_._ .._
10AI%7RA -AAVA
TILE -IT INDUSTRIES, INC
dba International Tile & Stone
(_.V\ eGI! LV S� l ► t-M) +r
475 Fentress Blvd Suite M
Daytona Beach, FL 32114
csmith@its-florida.com
Business: (386) 253 -1112
Fax: (386) 253 -9646
Toll Free: (866)884 -5347
mortify that Valerie Tiffany - Quattlebaum is our current qualifier and that she is
to qualify Manasota Flooring as a second entity.
Ronald Mau2eri, President
0
4—a 2'�'l 2"61z-
Date
Sworn and subscribed before me by lfilluq,ek who is
personally nown to me or produced kJl as identification and who
di ace an oath this ZU day of i. , 2012.
NOTARY PUBLIC
Commission Expires:
s��°,�tt VYnQGli t�h.. .l'6j lit0. �. :aU1 :YI`Ittl(b
C}A tC�LuS 7 1 ►`+�
�2
CREDIT BUREAU SERVICES, INC
X ro I(?,S
April 26, 2012
Collier County Contractor Licensing Board FA X
239 - 252 -2469
On April 251', I faxed two reports, one on Tile -It Industries Inc
and one on M anasota Flooring Inc_
These are, "basic" reports that include a status with the Florida
Division of Corporations and a public record certification to
determine if there are any judgments, tax liens and etc.
Scott Klein of M anasota and Tile -It asked that I obtain an
ADDITIONAL credit report from Expe ian Business Credit that
includes additional information.
I am attached those reports as requested.
Please note that the name on the Tile -It ,report states:
INTERNATIONAL TILE & STONE INCORPORATED, W hilt
the name is not accurately reflected, the Federal Identification
number matches, the officer name m ate es and the corporate data
on Page 5 matches. Therefore, we know that this is the same
company. There must have been some typographical error with
Experian_ Getting them to correct this will take a long time.
In additional, the report also has the nai
each page. This was a typographical er
way alters the integrity of the inform
page. I am unable to change my in]
encrypted for security measures.
If you have any questions, please do not
Sincerely,
Steven P. Naimoli
ie TIKE -IT at the top of
or on MY part and in no
ttion contained on each
ut as all of the data its
hesitate to contact me.
3505 N_ DIXIE HWY • OAKLA,NP PARK, FL • 33334
954 -561 -1400 • FAX: 954-567-1441
STEVEN Qa CREDIT14�O.COM
WWW.CREDIT1400 COM
Business Credit Report #125
Page 1 of 6
BUSINESS CREDIT REPORT
REPORT #: 125 REPORT DATE_ 4/2612012
PROVIDED FOR: CREDIT 13UREAU SERVICES ING - REFERENCE:
8004521
BUSINESS NAME: MANASOTA FLOORING [NO
BUSINESS ADDRESS: 4551 N WASHINGTON BLVD, SARASOTA, FL 34234
TELEPHONE: TAX ID' 651017624
BUSINESS KEY FACTS
NAME: MANASOTA FLOORING INC AKA / DIVISION: /
BUSINESS TYPE: INCORPORATED STATUS: ACTIVE
STREET 4561 N WASHINGTON BLVD # OF EMPLOYEES: 35
ADDRESS:
CITY, STATE, ZIP: SARASOTA, FL 34234 -2130 INCORPORATED: 6192000 STATE: FL
TELEPHONE: 941- 355 -8437 SALES: $-
sic CODE: 5713 KEY PERSONNEL: CRAIG CRANSTON -- OWNER
DESCRIPTION: FLOOR COVERING STORES
EXECUTIVE SUMMARY
CURRENT DAYS BEYOND TERMS (DBT) PREDICTED DST FOR 6/2 012 01 2 PAYMENT TREND INDICATOR
3 - GOOD RISK ®R 19 - POTENTIAL RISK INCREASING LATE
Lowest 6 Month Balance: $36,100 Industry DBT: 20
Highest 6 Month Balance: $130.500 Payment Tradelines: 24
Current Total Balance; $37,200 Business Inquiries: 2
Highest Credit Amount Extended: $118,200 Banking/Insurance/Leasing: 1
Median Credit Amount Extended: $3,400 UCC Filings: 0
Common Terms: NET 30; REVOLVE; CREDIT
COLLECTION FILINGS
DATE AGENCY TELEPHONE AMOUNT PAID DATE SED STATUS
CLO
2110 RECEIVABLE MANAGEMENT (484)242 -4000 $1,445 $1,314 $/10 PARTIALLY PAID
SERVICES
1/09 CMAC COLLECTION ACCOUNTS (818)972 -5300 $133 $133 1109 PAID
11/09 TRANSWORL.D SYSTEMS INC. (888)207 -3081 $7,239 $- OPEN
12/10 VENGROFF, WILLIAMS & (941)363 -5200 $139 $139 12/10 PAID
ASSOC.
12110 VENGROFF, WILLIAMS & (941)363 -5200 $299 $139 PAY PLAN
The Information herein is turnlshed in confidence for your exclusive use for legitimate business purposes and shall not be reproduced. Neither l:xpetian
Information Solutions, Inc., nor their r4urces or distributors warrant such information nor shall they be liable for your use or reliance upon i1
(c) Experian 2092. All rights reserved. Experian ono the Experian marks herein are service marks or registered trademarks of Fxperion.
https:ll credit. adveredit. c,ornlshared/ BusinessCredit IViewReport- aspx ?orderid =125 4/26/2012
Business Credit Report #125 gage 2 of 6
REPORT #: 125 REPORT DATE' 4/26/2012
PROV1pED FOR: CREDIT BUREAU SERVICES INC - REFERENCE:
8004521
BUSINESS NAME: MANASOTA FLOORING INC
BUSINESS ADDRESS: 4551 N WASHINGTON BLVD, SARASOTA, FL 34234
TELEPHONE: TAX ID' 651017624
ASSOC.
TRADE PAYMENTS
SUPPLIER
REPORTED
ACTMTY
TERMS
HIGH
CREDIT
BALANCE CURR
1-30
DsT
60
90 80+ I
DBT
CATEGORY
DATE
DATE
DST
DBT
ACCT SVCS
2112
5108
VARIED
$4,000
$1,000
1000/0
AIR TRANS
+4112
OTHER
$100
<$100
100%
CASNT MANF
2112
1/12
OTHER
$
DISTRIBUTR
4112
4112
VARIED
$118,200
$28,000
100%
FINCL SVCS
4/12
3112
NET 30
$17,300
x$100
100%
FINCL SVCS
4112
12109
NET 30
$1,600
$-
FINCL SVCS
4/12
REVOLVE
$10,900
$10,900
100%
OFFC SUPPL
3/12
1105
CREDIT
$300
$300
100%
COMMENT: CHARGE OFF
RENTALS
3/12
NET 10
$-
TRANSPORTN
3112
NET 30
COMMENT: PROMPT
ADVERTISNG 9109
COMMENT: CHARGE OFF
AIR TRANS 7/09
COMMENT: CUST 2 YR
AUTO RENTL 3112
BANK 7110
COMMENT: CUST 4 YR
BLDG MATRL 5111
NON - CURRENT TRADES
NET 30 $3,400
NET 30 $-
E:
NET 30 $800 $-
8107 CONTRCT +$100,000 +$100,000 100%
5101 CREDIT $^ $-
The information hcrmin is furnished in confidence for your exclusive use for legitimate Wsiness purposes and shall not be reproduced. Neither Experian
Information Solutions, Inc., nor their sources or distributors w*rrant such information nor shall they be liable for your use or reliance upon It.
tc) Expen9n 2012. Alt rights reserved. Expender and the Experian marks herein are service rnarks or registerep trademarks of Expertan.
k$Vk3or,l000dit.ctd 'irnrorl;t r• nmisharPrl/ Rlicinr%%(' Tl'.ditNig,,WR01?4Tt.WVX ?grderid =125 4/26/2012
Business Credit Report #125
REPORT* 125 REPORT DATE: 4/26/2012
CREDIT BURFAU SERVICES INC - REFERENCE:
PROVIDED FOR. 8004521
BUSINESS NAME: MANASOTA FLOORING INC
BUSINESS ADDRESS: 4551 N WASHINGTON BLVD, SARASOTA, FL 34234
TELEPHONE:
TAX ID:
CHEMICALS 1/11
NET 30
$400
$100
CHEMICALS 5/11
NET 30
$100
$-
COMPUTERS 10/09
CREDIT
$-
COMMENT: ACCTCLOSED
CRED CARD 3112 0100
REVOLVE
$6,100
$6,100
COMMENT: BANKRUPTCY
FACTOR 2111
VARIED
$-
$-
FINCL SVCS 8/11 8111
NET 30
$22,600
$-
COMMENT: ACCTCLOSED
GENL MERCH 7/09 4104
CREDIT
$-
$
COMMENT: ACCTCLOSED
LEASING 3112
NET 10
$-
$-
PLUMBING 2110 1/10
NET 10
$3,000
$100
PAYMENT TOTALS
100%
80%
60%
40%
20%
0%
current 1.30 31- 6061 -a0 n90
•Oonttnuous distributlon with DBT
Number of Accounts' 10
Present Balance: $40,400
Highest Balance: $152,400
COUNT DBT
N EW:
CONT: 10 3
100%
$0%
60%
40%
20%
b%
Current 1.30 31- 6061 -90 }90
651017624
100%
Page 3 of 6
100%
34% 66%
100%
80%
60%
40%
20%
0%
Current 1 -30 31.6061 -90 590
'Newly ftponed distribution with DBT.
Number of Accounts:
Present Balance: Sr
Highest Balance. $
HIGH BAL BALANCE % CURR % 1-30
$152,400 $40,400 97
'Combined distribution with DBT.
Number of Accounts: 10
Present Balance: $40,400
Highest Balance: $152,400
%31-60 % 61-90 % >90
The information herein is furnished in Confidence for your exClusive use for legitimate business purposes and shall not be reproduced, Neither Expedan
Information solutions, Inc., nor their s0urCe5 or distflpurors warrant such information nor shall they be liable for your use of reliance upon It
(Q) Expeden 2012_ All elphts resarvod. Exparlan and the Expefian marks hmin are service marks or registered traaernarlcs or Experian.
3
https:llcredit.advclredit.coml shared/ BusinessCreditIViewReport .aspx?Orderid =125 4/26/2012
Business Credit Report #125 Page 4 of 6
REPORT #: 125 REPORT DATE: 4/26/2012
PROVIDED FOR: CREDIT BUREAU SERVICES INC - REFERENCE:
8004521
BUSINESS NAME: MANASOTA FLOORING INC
BUSINESS ADDRESS: 4551 N WASHINGTON BLVD, SARASOTA, FL 34234
TELEPHONE: TAX ID: 651017624
COMB: 10 3 $152,400 $40,400 97 3
PAYMENT TRENDS
100%
80%
60%
40%
20%
0%
11111 12/11 1112 2J12 3112 4112
100%
80%
60%
40%
20%
0%
11H1 12111 1112 2112 3/12 4112
100%
80%
60°10
40%
20%
0%
3111 6111 sm 1 12/11 3112
- Percentage of on -time payments by month. 'Percentage of on -lane payments by month. `Percentage of on -time payments by quarter.
https_ /I credit. advcredit. coxrdsharedlB usinessCredit /ViewP— eport.aspx ?orderid =125 4/26/2012
MONTHLY TRENDS
MONTH
DST
BALANCE % CURR %1-30
%31-60 %61-90
% ?90
04/2012
26
$37,200 31
29 34
6
0312012
26
$36,500 30
29 35
6
0212012
26
$36,200 30
29 35
6
0112012
12
$42,100 49
46
5
1212011
2
$129,600 98
1
1
1112011
2
$130,500 98
1
1
INDUSTRY TRENDS
MONTH
DBT
BALANCE
% CURR
04/2012
20
$16,868
74
03/2012
20
$17,070
74
02/2012
19
$17261
74
0112012
19
$17,495
75
1212011
19
$17,772
76
1112011
20
$17,596
75
QUARTEMY TRENDS
QUARTER
YEAR
DBT BALANCE % CURR
%1-30 %31-60 %61-90
% 790
1
2012
26 $36,600 30
29 35
6
4
2011
3 $100,700 91
6 1
2
3
2011
3 $32,100 93
4 1
2
2
2011
3 $35,100 88
11
1
1
2011
4 $23,000 81
15 2
1
Tne Information herein is furnished in ovnrio*nce for your oxclusive use for legitimate business purposes and shall not ne reproduced. Neidier Experlan
warrant suoh inrommativn nor Shan they bo liable for your ute or reliance up0h It
Information Solutions,
Inc., nor their
awurm or olstributors
(c) Experlan 2012.
All rights reserved. Experian and the Experian marks herein are service rants or registered traaernaft of Experlan_
https_ /I credit. advcredit. coxrdsharedlB usinessCredit /ViewP— eport.aspx ?orderid =125 4/26/2012
Business Credit Report # 125
125 REPORT DATE: 4/26/2012
REPORT #:
CREDIT BUREAU SERVICES INC - REFERENCE:
PROVIDED FOR:
8004521
BUSINESS NAME:
MANASOTA FLOORING INC
BUSINESS ADDRESS:
4551 N WASHINGTON BLVD, SARASOTA, FL 34234
Terms: 63
121 YR
TAX ID: 651017624
TELEPHONE:
START DATE
i /1 /2012
711/2011
1/1/2011
7/1/2010
1/1/2010
1/1/2010
Page 5 of 6
UGC SUMMARY COUNTS
FILINGS RELEASES CONTINUATIONS AMENDER DEROG COLLATERAL
6
2 2
Total : 10
The Information herein is fumishcd in Confidence far your exclusive use for legitimate business Purposes and shall not be reproduced. Noither Experian
Infarntsdon SolUtiOns, Inc., nor their swrms Of f119trIDUtors Warrant Stich Information ner shall they he liable foryour use or reliance upon it
(e) Experlan 2012, All rights reserved. Dcpeflan and the Experian marks herein are service mam or registered trademarks of Experian.
https:// eredit_ adveredit- eomishared/ BusinessCreditlViewReport _aspx ?orderid =125 4/26/2012
LEASES
1) Name: LEASING SERVICES
Phone: (319)365 -8000
Location: CEDAR RAPIDS, 52406-0609
312011 Prod Type: OFFICE EQUP
Orig Amt $21,546
Start Date:
Close Date:
Lease Type: OPERATING
Terms: 63
121 YR
Ext pate: 4/6/2012
Comment:
Pay Int:
Pay Type: FIXED
Due Date:
Amt Due: $342
$
# Overdue:
Overdue:
�-
Rem Bal: $17,442
Bal Due:_
Cur Cnt
Late Cnt:
30+ Cnt: 6
60+ Cnt:
$-
90+ Cnt:
Late Amt:
$-
>90 Cnt
30+ Amt: S
Cur Amt
60+ Amt $-
90+ Amt:
$-
>90 Amt: $-
CORPORATi" DATA
State; FL
Ong Filed;
Rec Filed: Incorp: 6/8/2000
Type: INCORPORATED
Status:
Chart Num:
ACTIVE $tat Dese:
POOO000557 Term: Term Date:
P /NP: PROFIT
DEMOGRAPHIC DATA
Prim SIC: 5713 SIC Desc:
FLOOR COVERING STORES
Sales: $21,301,000
Sec SIC: 1752 SIC Dese:
FLOORS - CONTRACTORS & BUILDERS
$-
Other SIC: 1743 Founded:
1973
In Bldg Date:
Net orth:
W
NetW
Other SIC: 5714 Yrs In Bus:
39
Bldg Size:
ent:
# Emp: 35 Location:
Own Type:
Fisc Yr Starts:
# Gust; Bus Type:
Corporation
KEY PERSONNEL
Name/Title: CRAIG CRANSTON
-- OWNER
INQUIRIES
Business Category 412012 312012
212012 112012 1212011
1112011 1012011 912011 812011
0 0 1
PLBG EQUIP
0 0
0 0 0
0 0 0
0
0 0 0 1
TOTALS
0 0
BANKRUPTCIES
*— NONE...
TAX LIENS
`" NONE'""
The Information herein is fumishcd in Confidence far your exclusive use for legitimate business Purposes and shall not be reproduced. Noither Experian
Infarntsdon SolUtiOns, Inc., nor their swrms Of f119trIDUtors Warrant Stich Information ner shall they he liable foryour use or reliance upon it
(e) Experlan 2012, All rights reserved. Dcpeflan and the Experian marks herein are service mam or registered trademarks of Experian.
https:// eredit_ adveredit- eomishared/ BusinessCreditlViewReport _aspx ?orderid =125 4/26/2012
page 6 of 6
Business Credit Report #125
JUDGEMENTS
`**NONE"
—END OF REPORT 41261201210:11:16 AM —
me Information herein Is furnished in confidence for your exclusive use for legitimate business purposes and 0311 not be reproduced, Neither Experian
Information Solutions, Inc., nor their sources or dlstributors warrant such information nor shall they be liable for your use or reliance upon It.
(0) Expeman 2012 All rights reserved. 5xperian amp the Experian marks herein are service marks or registered trademarks of Experien.
https:Ileredit.advcredit.coml sharedIB usinessCredi (t /ViewReport.aspx ?orderid -125 4/26/2012
125 REPORT DATE: 4/26/2012
REPORT #'
CREDIT BUREAU SERVICES INC • REFERENCE:
PROVIDED FOR:
8004521
BUSINESS NAME:
MANASOTA FLOORING INC
BUSINESS ADDRESS:
4551 N WASHINGTON BLVD, SARASOTA, FL 34234
TAX ID: 651017624
TELEPHONE:
JUDGEMENTS
`**NONE"
—END OF REPORT 41261201210:11:16 AM —
me Information herein Is furnished in confidence for your exclusive use for legitimate business purposes and 0311 not be reproduced, Neither Experian
Information Solutions, Inc., nor their sources or dlstributors warrant such information nor shall they be liable for your use or reliance upon It.
(0) Expeman 2012 All rights reserved. 5xperian amp the Experian marks herein are service marks or registered trademarks of Experien.
https:Ileredit.advcredit.coml sharedIB usinessCredi (t /ViewReport.aspx ?orderid -125 4/26/2012
Business Credit Report 9126
Page 1 of 5
BUSINESS CREDIT REPORT
REPORT #: 126 REPORT DATE: 4/25/2012
PROVIDED FOR. CREDIT BUREAU SERVICES INC - REFERENCE:
8004521
BUSINESS NAME: TIKE -IT INDUSTRIES INC
BUSINESS ADDRESS: 475 FENTRESS BLVD STE M, DAYTONA BEACH, FL 32114
TELEPHONE: TAX ID: 593012315
EXECUTIVE SUMMARY
CURRENT DAYS BEYOND TERMS (Ub 1) 1'Kt1J11..1 tU 011T FOR 8 /28 /2p I PAYMCHT TRGND INDICATOn.
-GOOD RISK 0 1 - GOOD RISK STABLE
Lowest 6 Month Balance:
Highest 6 Month Balance:
Current Total Balance:
Highest Credit Amount Extended:
Median Credit Amount Extended:
Common Terms:
$19,400 Industry DBT: 16
$48,000 Payment Tradelines; 31
$46,300 Business Inquiries: 0
$27,400 Bankingllnsurance/Leasing: 0
$3,200 UCC Filings: 0
NET 30; CREDIT; REVOLVE
COLLECTION FILINGS
DATE AGENCY TELEPHONE AMOUNT I PAID LATE I STATUS
CLOSED
9/06 RECEIVABLE MANAGEMENT $335 $• OPEN
SERVICES
TRAIIG PAVMFNTR
SUPPLIER
BUSINESS
ACTNITY
Kt VAU t 7
NAME:
INTERNATIONAL TILE & STONE
AKA I DIVISION:
/
BUSINESS TYPE:
INCORPORATED
STATUS:
ACTIVE
STREET
475 FENTRESS BLVD STE M
# OF EMPLOYEES:
2$
ADDRESS:
DBT
DBT
DBT
CITY, STATE, ZIP:
DAYTONA BEACH, FL 32114 -1236
INCORPORATED:
5/10/1990 STATE: FL
TELEPHONE:
386-253 -1112
SALES:
$_
SIC CODE:
1743
KEY PERSONNEL:
RON MAUGERI — PRESIDENT
DESCRIPTION:
TERRAZZO, TILE, MARBLE & MOSAIC
RON MAGUERI -- PRESIDENT
WO
EXECUTIVE SUMMARY
CURRENT DAYS BEYOND TERMS (Ub 1) 1'Kt1J11..1 tU 011T FOR 8 /28 /2p I PAYMCHT TRGND INDICATOn.
-GOOD RISK 0 1 - GOOD RISK STABLE
Lowest 6 Month Balance:
Highest 6 Month Balance:
Current Total Balance:
Highest Credit Amount Extended:
Median Credit Amount Extended:
Common Terms:
$19,400 Industry DBT: 16
$48,000 Payment Tradelines; 31
$46,300 Business Inquiries: 0
$27,400 Bankingllnsurance/Leasing: 0
$3,200 UCC Filings: 0
NET 30; CREDIT; REVOLVE
COLLECTION FILINGS
DATE AGENCY TELEPHONE AMOUNT I PAID LATE I STATUS
CLOSED
9/06 RECEIVABLE MANAGEMENT $335 $• OPEN
SERVICES
TRAIIG PAVMFNTR
SUPPLIER
REPORTED
ACTNITY
TERMS HIGH
BALANCE
CURB
1 -30
31-
60
61-
g0
90t
INDUSTRY
COMP.
CATEGORY
DATE
DATE
CREDIT
DBT
DBT
DBT
DBT
RATING
COMMON SVC 3/12 NET 30 $4,500 $3,200 100%
COMMENT; GUST 11 YR
DISTRIBUTR 4/12
COMMENT: CUST 8 YR
COD $- $-
The information herein Is furnished in confidence for your exclusive use for legitimate businoss purposes and stall not be reproduced. Neither Experian
Information Solutions, Inc., nor their sourtes or distnbutora warrant Such Information nor shall they be Ilable for your use or rellance upon it
(c) Fxperian 2012. Al rights reserved. Experian and the Experian marks herein are service marks or registered trademarks of Experian.
https: // credit. aclvcredit. comishared lBwinessCreditIViewReport .aspx ?orderid =1.26 4/26/2012
Business Credit Report #126
Page 2 of 5
REPORT #: 126
REPORT DATE: 4/26/2012
CREDIT BUREAU SERVICES INC -
REFERENCE-
PROVIDED FOR:
$004521
BUSINESS NAME: TIKE -IT INDUSTRIES
INC
BUSINESS ADDRESS: 475 FENTRESS BLVD STE
M, DAYTONA BEACH,
FL 32114
TELEPHONE:
TAX 10:
583012315
DISTRIBUTR 1/12 12111
VARIED
$17,500
<$100
100%
FACTOR 2112
NET 30
$-
$-
FINCL SVCS 4/12 3112
NET 30
$$,800
$1,200
100%
FINCL SVCS 4/12 4112
NET 30
$19,700
$12,500
100%
COMMENT: SATSFTRY
FINCL SVCS 4112
NET 30
$-
$
FINCL SVCS 4/12
REVOLVE
$27,400
$16.500
100%
FINCL SVCS 4112
NET
$-
$
COMMENT ; ACCTCLOSED
LUMBRBWOOD 4112 4/12
NET 10
$700
$500
100%
OFFC SUPPL 3/12 6107
CREDIT
$-
$-
COMMENT: ACCTCLOSED
OFFC SUPPL 3112 3/12
CREDIT
$1,200
$1,100
100%
COMMENT: ACCTCLOSED
OFFC EQUIP 4112 2112
REVOLVE
$300
$100
100%
PACKAGING 4112
NET 30
$100
$100
100%
COMMENT: CUST 10 YR
RENTALS 3112
NET 10
$-
$�
SAFTY PROD 4/12
NET30
$-
TRANSPORTN 4112
NET 15
$-
TRANSPORTN 3112
NET 30
$800
$-
COMMENT; PROMPT
WAREHOUSE 4/12 8109
CREDIT
$-
$°
COMMENT: ACCTCLOSED
WAREHOUSE 3112 3112
CREDIT
$700
$200
100%
NON - CURRENT
TRADES
SUPPLIER REPORTED ACTIVITY HIGH 1 -30'I 31- V 61- 90+ �INDUSTRY�
The Information herein is furnished In confidence for your exclusive use for legltlmate business purposes and shall not be reproduced. Neither Experian
Inforntati0n $01utlona. Inc., nor their sources or distributors warrant such information nor shall they be liable for your use or reliance upon It.
(c) Experian 2012. All rights reserved. Experian and the Experlan harks herein are service marks or registered trademarks of Experlan.
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Business Credit Report ## 126 Page 3 of 5
REPORT #• 126 REPORT DATE: 4/26/2012
PROVIDED FOR' CREDIT BUREAU SERVICES INC - REFERENCE:
8004521
BUSINESS NAME: TIKE -IT INDUSTRIES INC
BUSINESS ADDRESS: 475 FENTRESS BLVD STE M, DAYTONA BEACH, FL 32114
TELEPHONE: TAX ID: 593012315
II CATEGORY 1i DATE R DATE II TERMS �I CREDIT JI13ALANCElICURRN DBT 8 DIRT II DSTJDRTJ RATTINCOMP.
ADVERTISNG 7/09
NE 16U
q-
COMMENT: CUST 5 YR
AIR TRANS 7109
NET 30
COMMENT: CUST 3 YR
AUTO RENTL 8111
NET 30
AUTO LEASE 8110
LOC
$6,600
$
COMMUN SVC 5109
NET30
$3,200
$3,200 100%
COMMENT: CUST 8 YR
CRED CARD 9/09 8 /09
REVOLVE
$9,700
$-
COMMENT: ACCTCLOSED
FACTOR 2/11
VARIED
$-
$-
FINCL SVCS 7/10 4/10
VARIED
$22,800
$�
COMMENT; ACCTCLOSED
LEASING 3/12
CONTRCT
$700
$600 100%
LEASING 3/12
NET 10
$11,700
$-
LEASING 2112
CONTRCT
$4,500
$4,300 400%
PAYMENT TOTALS
100%
80% _
60%
40%
20%
0%
Current 7-30 31-80 61 -90 >90
100%
80%
60%
40%
20%
0%
Current 1 -30 31.60 61.90 9-90
100%
80%
60%
40%
20%
0%
Current 1 -30 31.606190 }90
-Confnuous distribution with DST. *Newly Reported distribution with DBT. *Combined distribution with DBT.
The information herein is furnished In confidence for your exclusive use for legitimate business purposes and shall not be reproduoed. Neither Experian
Information Solutions, Inc., nor their - ources or distributors warrant such information nor shalt they be liable for your use or reliane9 upon IL
(c) Exfrerian 2012. All rights reserved. Experian and the Experian marks herein are service marks or registered trademarks of Experian.
kttps:ll credit. advcreditcamisharcd tBusinessCredit /ViewReport.aspx ?orderid =126 4/26/2412
Business Credit Report 4126
Page 4 of 5
REPORT #: 126 REPoFZT DATE: 4/26/2012
PRnvinrn FOR: CREDIT BUREAU SERVICES INC - REFERENCE:
a00452i
BUSINESS NAME: TIKE -IT INDUSTRIES INC
BUSINESS ADDRESS: 475 FENTRESS BLVD STE M, DAYTONA BEACH, FL 32114
TELEPHONE: TAX ID* 593012315
Number of Accounts: 20 Number of Accounts: Number of Accounts: 20
Present Balance: $35,500 Present Balance: $- Present Balance: $35,500
Highest Balance: $81,700 Highest Balance: $- Highest Balance: $81,700
COUNT DBT HIGH BAL BALANCE % CURR % 1-30 % 31 -60 % 61 -90 % >90
NEW: $- $-
CENT: 20 $81,700 $35,500 100
COMB: 20 $81,700 $35,500 100
PAYMENT TRENDS
100%
80a /a --
60%
40%- -
20%
0%
11111 12/11 1112 2/12 3/12 4112
100%
80%
60%
40%
20%
0%
11/11 12H1 1/12 2/12 3112 4112
100%
80%
60%
40%
20% �-
0
3111 6/11 9111 12111 3112
'Percentage of on -time payments by month. 'Percentage of on -time payments by month. *Percentage of on -time payment$ by quarter.
MONTHLY TRENDS
MONTH
DBT BALANCE % CURR %1-30 %31-60 %61-90
% >90
04/2012
$48,000 100
03/2012
$19,500 100
02/2012
$34,100 100
0112012
$33,600 100
12/2011
$37,100 97 3
1112011
$37,700 97 3
INDUSTRY TRENDS
MONTH
DST BALANCE
% CURR
04/2012
16 $18,696
77
0312012
16 $18,776
77
02/2012
16 $18,864
77
0112012
15 $19,240
78
1212011
15 $19,323
78
11/2011
14 $19,890
78
QUARTERLY TRENDS
QUARTER
YEAR DST BALANCE % CURR %1-30 %31-60 %51-00
% >90
The Information herein
is furnished in cOnfldenee for your exclusive use for Iegitimato business purpose$ and Shalt not be reproduced. Neither Fxperlan
Information Solutions, inc., nor their sources or distributors warwt such information nor shall they be liable for your use or reliance upon it.
(c) Expcdan 2012.
All rights reserved. Experian and the Experian marks hcrein are service marks or registered trademarks of Fxperian.
https:// credit. adycredit. Com/ sharedBusinessCrcdit (ViewRepomaspx ?orderid =126 4/26/2012
Business Credit Report #126
REPORT R' 126 REPORT DATE: 4/26/2012
PROVIDED FOR: CREDIT BUREAU SERVICES INC - REFERENCE:
8004521
BUSINESS NAME_ TIKE -IT INDUSTRIES INC
BUSINESS ADDRESS: 475 FENTRESS BLVD STE M, DAYTONA BEACH, FL 32114
TELEPHONE: TAX ID: 593012315
1 2012
$33,700
100
4 2011
$36,000
98 2
3 2011
$54,300
98 1
2 2011
$46,000
100
1 2011
$35,400
99 1
START DATE
1/1/2012
7/1/2011
1/1/2011
7/1/2010
1/1/2010
1/1/2010
UCC SUMMARY COUNTS
FILINGS RELEASES CONTINUATIONS AMENDED
3
3
Total
KEY PERSONNEL
Name/Title: RON MAUGERI — PRESIDENT
NameMtle: RON MAGUERI — PRESIDENT
2
8
Page 5 of 5
DEROG COLLATERAL
Incorp: 5/10/1990
Term Date:
Sales: $4,200,000
Profit: $
Net Worth: $
Own/Rent:
Own Type:
rise Yr Starts:
BANKRUPTCIES
"NONE "*
TAX LIENS
`NONE"
JUDGEMENTS
"*NONE*'*
END OF REPORT 41261201210:13:03 AM `
The infomiation herein is tuMished in confidence for your exclusive use for legltlmete business purposes and sheii not be reproduced. Ncithef Experian
information Sautions, im, nor their sources or distributors warrant such information nor shalt they be liable for your use or reliance upon it.
(c) Experlan 2012. Ali rights reserved. Experian and tho Experian marks herein are service marks or registered trademarks of Experian.
https: /leredit.adveredit- cam / shared/ SusinessCreditrViewReporLaspx ?orderid =126 4/26/2012
CORPORATE DATA
State: FL
Orig Filed: Rec Filed:
Type: INCORPORATED
Status: ACTIVE Stat Desc:
P /NP: PROFIT
Chart Num: 1-71874 Term:
DEMOGRAPHIC DATA
Prim SIC:
1743 SIC Desc:
TERRAZZO, TILE, MARBLE & MOSAIC WO
Sec SIC:
5032 SIC Desc:
TILE - CERAMIC - DISTRIBUTORS (WHLS)
Other SIC:
8748 Founded:
1995 In Bldg Date:
Other SIC:
5211 Yrs In Bus:
17 Bldg Size:
# Emp:
25 Location:
#t Cost
Bus Type:
Corporation
KEY PERSONNEL
Name/Title: RON MAUGERI — PRESIDENT
NameMtle: RON MAGUERI — PRESIDENT
2
8
Page 5 of 5
DEROG COLLATERAL
Incorp: 5/10/1990
Term Date:
Sales: $4,200,000
Profit: $
Net Worth: $
Own/Rent:
Own Type:
rise Yr Starts:
BANKRUPTCIES
"NONE "*
TAX LIENS
`NONE"
JUDGEMENTS
"*NONE*'*
END OF REPORT 41261201210:13:03 AM `
The infomiation herein is tuMished in confidence for your exclusive use for legltlmete business purposes and sheii not be reproduced. Ncithef Experian
information Sautions, im, nor their sources or distributors warrant such information nor shalt they be liable for your use or reliance upon it.
(c) Experlan 2012. Ali rights reserved. Experian and tho Experian marks herein are service marks or registered trademarks of Experian.
https: /leredit.adveredit- cam / shared/ SusinessCreditrViewReporLaspx ?orderid =126 4/26/2012
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coecy -IsS-T lTE�-o 4 LP
April 19, 2012
To Whom It May Concern:
In connection with our desire to become a qualified installer of tile and carpet in Collier
County, FL the following statements are hereby made and are known to me to be correct:
- The qualifying individual for Manasota Flooring, Inc. is Valerie Tiffany -
Quattlebaum. We are aware that Valerie also holds the qualification for Tile -It
Industries.
There are no outstanding liens or judgments against Manasota Flooring, Inc.
Corporate officers are as follows: Robert Tiffany (CEO), Barbara Tiffany
(President) and Scott Klein (CFO).
Valerie Tiffany - Quattlebaum has check signing authority.
Sincerely,
Scott M. Klein
Chief Financial Officer
State of Florida County of: Sarasota
Appeared before me Scott M. Klein, personally known to me,
This 19t" day of April, 2012.
�'"'�, DEBORAH L. MOSHER
MY COMMISSI N'D D712886
�` EXPIRES: aY
�'2'OF FI. Notacy Discount Assoc. Co.
i-A�3- NOTARY
Notary P lic
❑ 51 37 1 4th St, '`NeSt ❑ 2247 S. Tamiami Trail
❑ 4551 N. Washington Blvd. ❑ 2510 Fitt Scree! 4208 Bradenton, F! 34207 Venice, FL 34293
Sarasota, FL 34234 Bradenton, FL 34203 ,,,,.. �ee_nS,� (941)493-7441
This is
TILE -IT INDUSTRIES, INC
- dba International Tile & Stone
C1A6DkUSi LP
475 Fentress Blvd Suite M
Daytona Beach, FL 32114
csmith@its-florida.com
Business: (386) 253 -1112
Fax: (386) 253 -9646
Toll Free: (866)884 -5347
that there are no outstanding liens or judgments against Tile -It Industries,
—� I, L
, Z d Za, Z
President D to
G/u
Sworn to �d before me by
onally kn o me or produced
di take an oath this day of
4
2Gj who is
as identification and who
_'2012.
NOTARY PUBLIC
Commission Expires:
;�'• CHERYLSMITH
;.; 4 MY COMMISSION # DD 999550
a: EXPIRES: September 18,201-4
Bonded Thru Notary Public Underwriters
• • • • • . . . . . . . . . . . . . . . . . . . . . . .
Commercial Checking
Account number: *,jandary4i 2012<,_Januart3t ;-20t2' ■ Pagel of 5
Image count: 244
TILE IT INDUSTRIES INC
DBA INTERNATIONAL TILE 8, STONE
475 FENTRESS BLVD STE M
DAYTONA BEACH FL 32114-1236
Account summary
Commercial Checking
Questions?
Available by phone 24 hours a day, 7 days a week:
1- 800 - CALL -WELLS (1- 800 - 225 -5935)
Online: wellsfargo.com
Write: Wells Fargo Bank, N.A. (287)
Daytona Business Bkg
P.O. Box 6995
Portland, OR 97228 -6995
Account number Beginning balance Total credits Total debits Ending balance
$238,954.05 $922,986.87 - $963,949.98 $197,990.94
Credits
Deposits
Effective Posted
date date
Amount
Transaction detail
01/04
19,543.33
Deposit
01/06
26,689.05
Deposit
01/09
36,758.95
Deposit
01/12
13,489.03
Deposit
01113
20,348.89
Deposit
01/17
16,742.04
Deposit
01/18
28,110.19
Deposit
01/19
22,216.15
Deposit
01/23
57,550.01
Deposit
01125
7,626.99
Deposit
01/27
5,407.18
Deposit
01/30
93,075.47
Deposit
$357,557.28
Total deposits
Electronic deposits /bank credits
Effective Posted
date date
Amount
Transaction detail
01/03
200,000.00
Loan Advance Customer#
0263580192 Obligation# 0000000026
01/03
218.93
Elavon Mer Svcs Merch
Dep 111230 8016229661 Internationa0000000000
01/04
1,196.82
Elavon Mer Svcs Merch
Dep 120104 8016229661 Internationa0000000000
01/04
85.18
Elavon Mer Svcs Merch
Dep 120103 8016229661 Internationa0000000000
01105
1,530.65
Elavon Mer Svcs Merch
Dep 120105 8016229661 Internationa0000000000
01/05
50.00
Elavon Mer Svcs Merch
Dep 120105 8016229661 Internationa0000000000
01/06
105,916.04
Pulte Home Corpo AP Payment 1075-751 Till 02 Tile -It Industries, IN
Img = 244
(287)
Sheet Seq = 0003223
Sheet W1 of 00018
4
. . % ■ January 1, 2012 - January 31, 2012 ■ Page 2 of 5
Electronic deposits /bank credits (continued)
Effective Posted
Amount
Transaction detail
01/03
1,101.42
Elavon Mar Svcs March Fee 111231 8016229661 Internationa0000000000
date date
Amount
Transaction detail
01/06
18,449.84
Pulte Home Corpo AP Payment 1045- 45lTill50 Tile -It Industries Inc
01/06
137.77
Elavon
Mar Svcs March
Dep 120106
8016229661 Internationa0000000000
01/06
8.94
Elavon
Mar Svcs March
Dep 120105
8016229661 Internationa0000000000
01/09
143.16
Elavon
Mar Svcs March
Dep 120106
8016229661 Internationa0000000000
01/10
476.12
Elavon
Mar Svcs March
Dep 120110
8016229661 Internationa0000000000
01/10
463.46
Elavon
Mar Svcs March
Dep 120109
8016229661 Internationa0000000000
01/11
1,029.87
Elavon
Mar Svcs March
Dep 120111
8016229661 Internationa0000000000
01/12
1,339.89
Elavon
Mar Svcs March
Dep 120112
8016229661 Internationa0000000000
01/12
20.67
Elavon
Mar Svcs March
Dep 120112
8016229661 Internationa0000000000
01/13
2,763.39
Elavon
Mar Svcs MerckDep 120113
8016229661 Internationa0000000000
01/13
1,031.11
Elavon
Mar Svcs March
Dep 120113
8016229661 Internationa0000000000
01/17
2,920.07
Elavon
Mar Svcs March
Dep 120117
80162296161 Internationa0000000000
01/17
923.73
Elavon
Mar Svcs March
Dep 126113
801 6229661 Internationa0000000000
01117
604.05
Elavon
Mar Svcs March
Dep 120113
8016229661 Internationa0000000000
01/17
510.67
Elavon
Mar Svcs March
Dep 120117
8016229661 Internationa0000000060
01/18
1,840.59
Elavon
Mar Svcs March
Dep 120118
8016229661 Internationa0000000000
01/18
833.20
Elavon
Mar Svcs March
Dep 120118
8016229661 Internationa0000000000
01/19
1,998.48
Elavon
Mar Svcs March
Dep 120118
8016229661 Internationa0000000000
01/20
169,042.67
Pulte Home
Corpo AP Payment 1075- 751 Till 02 Tile -It Industries, IN
01/20
39,208.32
Pulte Home
Corpo.AP Payment 1045-451
Till 50 Tile -It Industries Inc
01/20
2,972.13
Elavon
Mar Svcs March
Dep 120120
8016229661 Internationa0000000000
01123
153.87
Elavon
Mar Svcs March
Dep 120121
8016229661 Internationa0000000000
01125
582.58
Elavon
Mar Svcs March
Dep 120125
8016229661 Internationa0000000000
01/25
394.03
Elavon
Mar Svcs March
Dep 120124
8016229661 Internationa0000000000
01/26
449.45
Elavon
Mar Svcs March
Dep 120125
8016229661 Internationa0000000000
01/26
27.97
Elavon
Mar Svcs March
Dep 120126
8016229661 Internationa0000000000
01/27
944.41
Elavon
Mar Svcs March
Dep 120126
8016229661 Internationa0000000000
01/30
3,644.70
Elavon
Mar Svcs March
Dep 120128
8016229661 Internationa0000000000
01/30
933.29
Elavon
Mar Svcs March
Dep 120128
8016229661 Internationa0000000000
01/31
1,844.32
Elavon
Mar Svcs March
Dep 120131
8016229661 Internationa0000000000
01/31
739.22
Elavon
Mar Svcs March
Dep 120130
8016229661 Internationa0000000000
$565,429.59
Total electronic deposits /bank credits
$922,986.87
Total credits
Debits
Electronic debits /bank debits
Effective Posted
date date
Amount
Transaction detail
01/03
1,101.42
Elavon Mar Svcs March Fee 111231 8016229661 Internationa0000000000
01/04
35,535.82
WT Fed #06542 Bank of America, N /Drw /Bnf= Pdmepay of Florida, Inc Srf#
2012010400152053 Tm #120104044266 Rfb#
01/04
46,070.56
WT Fed #05501 Credito Emiliano S /Ftr /Bnf = Fincibec Spa Srf#
IN11122207501480 Trn #120104041430 Rfb# 000000015
01/05
20,771.22
WT Fed #03001 Credito Emiliano S /Ftr /Bnf = Fincibec Spa Srf#
IN 12010308055416 Trn #120105013717 Rfb# 000000016
Sheet Seq = 0003224
Sheet 00002 of 00018
. ■ January 1, 2012 -January 31, 2012 ■ Page 3 of 5
Electronic debitslbank debits (continued)
Effective Posted
date date
Amount
Transaction detail
01/11
223.67
Client Analysis Srvc Chrg 120110 Svc Chge 1211 002000028696740
01/11
36,285.28
WT Fed #02682 Bank of America, N /Drw /Bnf= Primepay of Florida, Inc Srf#
2012011100148429 Trn #120111041671 Rfb#
01/18
609.45
WT 120118- 014469 Banca Popolare Dell /Bnf =Elios Ceramica Spa Srf#
Number
Amount
IN 12011704133001 Trn #120118014469 Rfb# 000000017
01/18
35,549.67
WT Fed #04629 Bank of America, N /Drw /Bnf = Primepay of Florida, Inc Srf#
Number
Amount
2012011800161235 Trn #120118038720 Rfb#
01/19
200.00
WT Seq #14391 Philena Hamilton /Bnf = Philena Hamilton Srf#
11645
733.25
IN12011904200157 Trn #120119014391 Rfb# 000000018
01/19
55.49
Elavon Mer Svcs Mer(A Dep 120118 8016229661 Internationa0000000000
01/20
13,991.30
Fla Dept Revenue C01 120119 000000015127663 Tile -It Industr
01/20
16.65
Elavon Mer Svcs Merch Dep 120120 8016229061 Internationa0000000000
01/24
8,031.30
WT Fed #02562 Credito Emiliand S /Ftr /Bnf = Fincibec Spa Srf#
11550'
3,100.70
IN12012306445370 Trn #120124010305 Rfb# 000000019
01/24
7.34
Elavon Mer Svcs Merch Dep 120123 8016229661 Internationa0000000000
01/25
35,840.82
WT Fed #05422 Bank of America, N /Drw /Bnf = Primepay of Florida, Inc Srf#
11558'
1,574.40
2012012500136546 Trn #120125043684 Rfb#
01/27
2,072.00
Ffva Mutual Insu Insprempmt 120126 Tile -It Industries, IN
01/27
107.36
Elavon Mer Svcs Merch Dep 120127 8016229661 Internationa0000000000
01/30
21,179.94
WT Fed #04417 Credito Emiliano S /Ftr /Bnf= Fincibec Spa Srf#
11650
780.47
IN12013004415685 Trn #120130081480 Rfb# 000000020
Sheet Seq = 0003225
Sheet 00003 of 00018
$257,649.29
Total electronic debits /bank debits
Checks paid
Number
Amount
Date
Number
Amount
Date
Number
Amount
Date
1,081.70
01/18
11645
733.25
61/06
11673
427.50
01/04
11528
811.09
01106
11646
166.65
01/10
11674
15,976.07
01/03
11550'
3,100.70
01/06
11648
2,638.33
01/03
11675
174.44
01109
11558'
1,574.40
01/03
11649
5,534.20
01/03
11676
311.25
01/09
11569'
3,740.00
01/05
11650
780.47
01/05
11677
2,264.55
01/09
11601'
5,226.00
01/03
11651
4,116.00
01/04
11678
339.69
01/10
11625'
5,610.00
01/06
11653'
1,246.00
01/03
11679
129.00
01/09
11627'
129.80
01/04
11654
193.43
01/04
11680
1,780.36
01/09
11628
84.70
01/03
11656'
1,504.80
01/04
11681
7,198.40
01/09
11629
17,916.14
01/04
11657
2,125.00
01/04
11682
1,238.80
01/05
11630
60.00
01/04
11658
79.67
01/03
11683
918.84
01/06
11633'
412.93
01/04
11659
11.56
01/03
11684
165.00
01/10
11634
1,368.15
01/04
11660
4,015.50
01/05
11685
605.03
01/09
11635
35.37
01/09
11661
110.40
01/05
11686
70.00
01/09
11636
1,744.80
01/05
11662
1,710.35
01/03
11687
7,202.90
01/09
11637
280.00
01/03
11663
3,059.11
01/04
11688
3,452.55
01/09
11638
352.70
01/04
11666'
283.06
01/05
11689
1,956.30
01/10
11639
2,000.00
01/03
11667
348.36
01/03
11690
10,559.00
01/09
11640
124.25
01/06
11668
3,002.15
01/04
11691
200.00
01/09
11641
851.20
01/03
11669
2,453.82
01/03
11692
241.90
01/10
11642
120.75
01/23
11670
22.52
01/04
11693
4,609.65
01/10
11643
1,368.15
01/04
11671
935.00
01/09
11694
3,301.22
01/09
11644
1,174.40
01/05
11672
5,254.20
01/05
11695
202.10
01109
Sheet Seq = 0003225
Sheet 00003 of 00018
n
-:--:-, ■ January 1, 2012 -January 31, 2012 ■ Page 4 of 5
Checks paid (continued)
Number
Amount
Date
Number
Amount
Date
Number
Amount
Date
11696
488.25
01/11
11749
2,249.74
01/13
11801
4,829.30
01/24
11697
1,978.65
01/17
11750
1,498.60
01/17
11802
992.68
01/19
11698
28.76
01/10
11751
4,918.00
01117
11803
2,566.99
01/23
11699
125.98
01/10
11752
2,476.50
01/13
11804
1,058.02
01123
11700
456.05
01/09
11753
1,683.81
01118
11805
633.50
01/23
11701
9,311.41
01/09
11754
3,230.00
01/20
11806
209.00
01/24
11702
2,817.32
01/09
11755
2,281.46
01/17
11807
3,309.15
01/27
11703
2,010.60
01/09
11756
2,459.55
01/18
11808
637.49
01/20
11704
12,789.70
01/06
11757
776.24
01/17
11809
4,510.56
01/26
11705
150.00
01/06
11758
6,442.30
01/19
11810
6,401.68
01/26
11706
2,086.67
01/09
11759
1,057.25
01/17
11811
2,096.85
01/24
11707
1,410.53
01/09
11760
140.00
01/18
11812
2,312.50
01123
11708
8,454.97
01/10
11761
50.00
01/17
11813
5,715.15
01/20
11709
180.00
01/09
11762
115.50
01117
11814
250.00
01/19
11710
85.87
01/10
11765'
1,530.00
01/24
11815
325.98
01/23
11711
12,585.26
01/11
11766
2,810.97
01/17
11816
455.00
01123
11712
231,05
01/10
- 11767
75.00
01/18
11817
4,160.70
01/25
11713
440.00
01112
11768
38,006.83
01/17
11818
9,778.65
01/23
11714
695.50
01/09
11769
48,802.37
01/18
11820
1,076.04
01/25
11715
12,062.69
01/09
11770
2,968.97
01/17
11821
42.23
01/23
11716
10,625.94
01/09
11771
52.71
01/13
11822
5,088.59
01/24
11717
1,203.85
01/05
11772
1,570.00
01/17
11823
1,025.05
01/23
11718
1,343.71
01/09
11773
53.79
01/18
11824
31.14
01/23
11719
58.25
01106
11774
1,870.00
01118
11825
6,690.04
01/23
11720
1,265.80
01/09
11775
401.97
01/17
11826
12,961.89
01/24
11721
2,805.00
01/10
11776
276.67
01/19
11827
16,826.26
01/23
11722
159.05
01/17
11777
185.19
01/19
11828
8,030.29
01/23
11724'
3,180.70
01/09
11778
1,629.31
01/23
11829
2,148.96
01/23
11725
2,990.65
01/13
11779
1,468.96
01118
11830
3,740.00
01/24
11726
836.20
01/17
11780
875.00
01/25
11831
56.59
01/23
11727
7,037.70
01/17
11781
1,651.80
01/20
11832
338.66
01/23
11728
597.46
01118
11782
1,704.50
01/23
11833
960.00
01/24
11729
129.00
01/20
11783
264.37
01/25
11834
2,590.16
01/25
11730
2,741.00
01/30
11784
1,154.80
01/24
11835
134.24
01/27
11731
5,718.25
01/18
11785
3,274.45
01/23
11836
966.60
01/27
11732
303.58
01/20
11786
3,248.00
01/30
11837
108.79
01/31
11734'
465.60
01/18
11787
7,918.04'
01/24
11838
399.71
01/30
11735
4,352.35
01/17
11788
552.20
01/23
11839
1,475.40
01/31
11736
100.00
01/23
11789
644.38
01/20
11840
248.95
01/30
11737
241.15
01/18
11790
363.00
01120
11841
2,120.00
01/31
11738
1,562.85
01/20
11791
12,747.03
01/25
11842
120.07
01/30
11739
2,900.10
01/18
11792
252.00
01/23
11843
2,500.00
01/27
11740
2,762.18
01/17
11793
1,448.23
01/23
11844
2,648.45
01/27
11741
2,217.20
01/13
11794
4,328.55
01/23
11845
306.25
01/30
11742
3,334.03
01/17
11795
2,056.10
01/23
11846
453.16
01130
11743
2,068.30
01/17
11796
2,763.10
01/23
11847
10,064.96
01/30
11744
631.75
01/18
11797
8,571.95
01/23
11848
100.00
01/27
11745
500.00
01/18
11798
100.00
01/27
11849
667.50
01/30
11747'
32.32
01/17
11799
208.25
01/23
11851'
2,574.40
01/30
11748
523.95
01/17
11800
24,309.86
01/25
11852
4,183.80
01/30
Sheet Seq =0003226
Sheet 00004 of 00018
W
.. _ _ —._- ■ January 1, 2012 - January 31, 2012 ■ Page 5 of 5
Checks paid (continued)
Number
Amount
Date
Number
Amount
Date
Number
Amount
Date
11853
771.93
01/30
11862
2,322.15
01/30
11871
17.00
01/30
11854
112.00
01/30
11863
65.64
01/31
11872
1,077.17
01/30
11855
453.92
01/27
11864
247.97
01/30
11873
125.29
01127
11856
283.07
01/31
11866'
50.00
01/27
11874
25.77
01127
11857
651.36
01/27
11867
6,067.50
01/31
11875
17,075.11
01/31
11858
288.24
01/30
11868
1,783.12
01/30
11878'
267.95
01/27
11859
10,039.70
01/30
11869
19,154.44
01/30
11879
1,000.00
01/27
11860
977.67
01/30
11870
7,602.22
01/30
11880
150.00
01/31
11861
1,350.00
01/30
$706,300.69
Total checks paid
Gap in check sequence.
4
$963,949.98
Total debits
Daily ledger balance summary
Date Balance
12/31
238,954.05
01/03
398, 056.90
01/04
301,217.47
01/05
262,481.42
01/06
389,386.98
01/09
340,421.00
01/10
322,149.76
Average daily ledger balance
Date
Balance
Date
Balance
01/11
273,597.17
01/23
357,413.61
01112
288,006.76
01/24
308,886.50
01/13
302,163.35
01/25
235,626.12
01/17
244,313.39
01/26
225,191.30
01/18
170,248.76
01/27
217,030.80
01/19
186,061.06
01/30
222,752.91
01/20
369, 038.98
01/31
197, 990.94
$288,624.09
D IMPORTANT ACCOUNT INFORMATION
Effective April 16, 2012, the daily maximum number of Overdraft Item (OD) and /or Returned Items (Non - Sufficient
Funds /NSF) fees that can be charged on any business day will increase from 4 to 8 per day. OD and NSF fee pricing
remains unchanged.
If you have questions, please contact your local banker or call the phone number listed at the top of your statement.
NOTICE: Wells Fargo Bank, N.A. may furnish information about accounts belonging to individuals, including sole
proprietorships, to consumer reporting agencies. If this applies to you, you have the right to dispute the accuracy of
information that we have reported by writing to us at: Overdraft Collections and Recovery PO Box 5058 Portland, OR.
97208 -5058. You must describe the specific information that is inaccurate or in dispute and the basis for any dispute with
supporting documentation. In the case of information that relates to an identity theft, you will need to provide us with an
identity theft report.
02010 wells Fargo Bank, N.A.
All rights reserved. Member FDIC.
Sheet Seq = 0003227
Sheet 00005 of 00018
E I`l 117v( CN tCl( -1 l S j �f
SYNOVUS'
®, BANK
PO Box 30707 Tampa FL 33630 -3707
MANASOTA FLOORING INC
4551 N WASHINGTON BLVD
SARASOTA FL 34234
Statement of Account
Last statement: December 31, 2011
This statement: January 31, 2012
Total days in statement period: 31
031 388
Page 1 of 19
Direct inquiries to:
888 317 -0085
o�3
Summary of Account Balance
?$' > ?; ` ><E >£ ?' ? ? ?' '' % <'`''E' '' '' E` `'' iiii %•.`• ii ?$''` $ass...... > if #` ?`' '
fiber .:..:.n�i... BCa.....::
:...�..e . ed....�rs.. ess. �.. e� ..........:.......... :.:...... � . �.:....:......:.::.:.:::: ....::::::::.:.::.:.........��5
Beginning balance
Deposits /Credits
Withdrawals /Debits
Ending balance
174,273.22
1,359,670.94 Low balance
1,280,340.36 Average balance
253,603.80 Average collected balance
Checks
Number Date Amount
307432
01 -04
100.16
307458 *
01 -03
272.00
307459
01 -04
1,1 10.15
307460
01 -03
680.37
307461
01 -04
780.00
307462
01 -09
3,522.58
307463
01-11
1,123.80
307464
01 -03
2,422.46
307465
01 -03
2,364.45
307466
01 -03
2,667.99
144,899.67
246,679.65
204,753.00
Number
Date
Amount
307491
01 -06
4,056.31
307494 *
01 -03
150.00
307495
01 -03
1,502.41
307497 *
01 -09
510.97
307500 *
01 -05
3,000.00.
307501
01 -03
52.92
307502
01 -03
272.53
307503
01 -05
2,983.00
307504
01 -03
82.82
307505
01 -04
442.00
307467
01 -03
3,366.00
307506
01 -03
5,812.33
307468
01 -04
182.85
307508 *
01 -10
6,980.00
307469
01 -04
25.00
307509
01 -03
2,699.04
307470
01 -03
112.87
307510
01 -03
467.81
307471
01 -04
105.00
307512 *
01 -24
30.00
307475 *
01 -05
300.00
307513
01 -03
26.41
307476
01 -10
4.50
307477
01 -03
5,575.18 !
307478
01 -03
76.31
307479
01 -03
81.10
307481 *
01 -03
128.60 _
307483 *
01 -04
46.27
307484
01 -04
12, 501.48
307487 *
01 -04
1,035.32
307488
01 -03
910.79
307490 *
01 -03
2,230.58
307515 *
01 -04
551.20
307517 *
01 -04
483.10
307518
01 -04
11,062.77
307519
01 -04
20,005.73
307520
01 -09
76.36
307521
01 -09
222.18
307522
01 -09
22,163.72
307523
01 -10
5,837.36
307525
01 -11
437.62
307526
01 -10
45.00
SYNOWS
BANK
PO Box 30707 Tampa FL 33630 -3707
Checks
Number
Date
Amount
307527
01 -09
5,982.99`
307528
01 -10
117.30
307595
307529
01 -06
17,542.90
01 -09
307530
01 -10
5,893.66
1,550.90
307531
01-11
2,108.36
307599
307532
01 -12
403.69
01 -23
307533
01 -06
39,000.00
6,649.00
307535 *
01 -10
3.29
307615
307536
01 -09
440.96
01 -17
307539 *
01 -09
12,717.56
775.14
307540
01 -09
1,719.69
307652
307590 * 01 -13 48.13
307591
01 -17
10,531.00
307592
01-11
1,679.74
307593
01 -09
1,328.75
307595
01 -10
19,942.05
307596
01 -09
9,602.45
307597
01 -11
1,550.90
307598
01 -13
4,245.14
307599
01 -13
7, 887.00.
307600
01 -23
1,500.00
307602 *
01 -18
6,649.00
307603
01 -20
226.32
307604
01 -13
124.05
307605
01 -18
150.00
307606
01 -17
800.00.
307607
01 -13
109.65
307608
01 -17
4,100.67
307609
01 -12
1,874.00,
307610
01 -19
511.47
307611
01 -12
37.45
307612
01 -17
303.12
307613
01 -17
356.00
307614
01 -12
311.29,
307615
01 -12
5,392.28
307616
01 -17
117.09'
307617
01 -17
775.14
307618
01 -18
693.00
307619
01 -17
134.37
307620
01 -12
900.00
307621
01 -12
9,700.92
307622
01 -17
51.27
307623
01-11
189.11
307624
01 -17
879.22
307625
01 -17
1,813.53
307626
01 -18
46.38
307627
01 -13
3.00
307628
01 -12
370.15
307629
01 -17
46.52
307630
01 -17
3,704.00
307631
01 -17
130.47
307632
01 -17
26.60
Page 2 of 19
January 31, 2012
MANASOTA FLOORING INC
Number Date Amount
307633 01 -17 806.35
307634 01 -17 15,885.13
307635
01 -12
144.19
307636
01 -12
301.93
307637
01 -12
15,044.26
307638
01 -17
14,940.36
307639
01 -12
23,237.24,
307640
01 -17
23,919.58
307641
01 -17
419.44
307643 *
01 -12
41, 000.00.
307644
01 -18
121.99
307645
01 -17
440.96/
307647 *
01 -18
522.56
307648
01 -17
5,101.82
307649
01 -20
3,796.27
307650
01 -19
645.80
307651
01 -20
16, 581.31
307652
01 -20
1,156.88
307653
01 -23
500.00
307654
01 -20
19.36
307655
01 -23
587.61
307656
01 -23
12,630.51
307658 *
01 -23
12,187.16
307659
01 -19
1,080.00
307660
01 -23
63.20
307661
01 -20
3,782.29
307662
307664 *
01 -24
01 -23
4,192.78/
32.48
307665
01 -19
61.88
307666
01 -20
18,683.360-
307668 * 01 -23 3.560.79
307669 01 -23 1,253.63
307670
01 -20
12,189.20
307671
01 -24
4,044.20
307672
01 -23
8,462.19 i
307673
01 -23
4,725.00
307674
01 -23
21.35
307675
01 -23
3,469.73
307676
01 -23
8,065.09 1
307677
01 -23
1,658.37'
307678
01 -23
31089.73
307679
01 -23
1,803.971-
307682 *
01 -27
9.33
307684 *
01 -20
37,000.00
307685
01 -25
551.20 j
307687 *
01 -25
33.79
307688
01 -24
200.00
307689
01 -24
3,965.28,.E
307692 *
01 -25
209.03
307693
01 -25
3,661.02
307694
01 -23
4,000.00
;� 307695
01 -24
6,107.12
Checks
Number
Date
Amount
307707
01 -30
25.00
307696
01 -26
9,294.94'
307697
01 -25
500.00
307698
01 -25
500.00
307699
01 -25
2,500.00
307700
01 -27
3,400.00
307701
01 -30
344.82 - .
307704 * 01 -30
307706 *
01 -30
342.42
307707
01 -30
25.00
307708
01 -27
133.01
307709
01 -30
38.00
307710
01 -31
150.00
307712 * 01 -30 6.135.71
307713
01 -31
4,177.00
307714
01 -30
221.86
307715
01 -27
500.00
307716
01 -31
4,979.32
307717
01 -26
37.55
307718
01 -30
93.80
307719
01 -31
200.00
307720
01 -31
4,023.96
307721
01 -27
979.00
307722
01 -30
8,038.31
307723
01 -27
45.00
307725 * 01 -27 710.35
Other Debits
rage s of iY
January 31, 2012
MANASOTA FLOORING INC
Number Date Amount
307726
01 -30
327.42
307728 *
01 -30
53.93
307729
01 -31
808.70
307730
01 -30
98.00
307731
01 -31
7,553.00
307732
01 -27
12,218.05
307735 *
01 -27
320.00
307736
01 -31
2,527.75 I
307738 *
01 -30
11,177.94
307739
01 -31
5,026.77
307742 *
01 -31
11,816.55
307743
01 -31
521.40
307744
01 -31
1,498.26
307745
01 -30
495.14 ,
307746
01 -31
1 1,402.40- 2-
307748 *
01 -31
572.31
307749
01 -27
57,000.00 j
307751 *
01 -30
4,280.33
307752
01 -30
551.20'
307755 *
01 -31
217.35.
307756
01 -30
,
3.50 ,1
307757
01 -30
32.03
307772 *
01 -31
5,467.10,//-`
* Skip in check sequence
I Date
Transaction Type
Description
Amount
01 -03
Preauthorized Wd
American Express Collection
4.95
( j
120103
01 -03
Preauthorized Wd
American Express Collection
4.95
120103
01 -03
Preauthorized Wd
American Express Collection
4.95
120103 4090882176
01 -03
Preauthorized Wd
Ge Capital Btot Adj
40.00
I
120103
01 -03
Preauthorized Wd
Ge Capital Btot Adj
395.54
120103
01 -03
Preauthorized Wd
John Hancock ACH Debit
865.59
I/
120103 0074234
01 -03
Preauthorized Wd
Underfloor LLC Payment
4,740.00
120103
01 -05
Preauthorized Wd
American Express Axp Discnt
163.71
120105
01 -05
Preauthorized Wd
American Express Axp Discnt
375.13
120105
01 -05
Preauthorized Wd
American Express Axp Discnt
508.64
120105
01 -06
Preauthorized Wd
S. E. Personnel Payroll t�
y F
30,457.12
120106 8259006 ! g0
01 -09
Preauthorized Wd
John Hancock ACH Debit
913.82
120109 0074234 t
V
�. SYNOVUS'
RANK
PO Box 30707 Tampa FL 33630 -3707
Other Debits
January 31, 2012
MANASOTA FLOORING INC
rage 4 01 19
Date
Transaction Type
Description
Amount
01 -09
Preauthorized Wd
Mohawk Factoring Payments
40,017.96
120106 171455
01 -10
Preauthorized Wd
Underfloor LLC Payment
3,975.00
I/
120110
01 -10
Preauthorized Wd
Mohawk Factoring Payments
20,041 .91
120109 171455
01 -11
Preauthorized Wd
Mohawk Factoring Payments
20,003.97
120110 171455
01 -13
Preauthorized Wd
S. E. Personnel Payroll
33,845.65
120113 8259006
01 -17
Preauthorized Wd
John Hancock ACH Debit
913.82
120117 0074234
01 -19
Preauthorized Wd
Fla Dept Revenue C01
1,746.61
120119 000000012249770
01 -19
Preauthorized Wd
Fla Dept Revenue C01
12,132.05
120119 000000012249782
01 -19
Preauthorized Wd
Mohawk Factoring Payments
20,010.69
120118 171455
01 -19
Preauthorized Wd
Fla Dept Revenue C01
29,180.20
r
120119 000000012249769
01 -19
Preauthorized Wd
Mohawk Factoring Payments _
40,050.76
120118 171455
01 -20
Preauthorized Wd
S. E. Personnel Payroll o ;7 t1
72,606.02
120120 8259006 4
01 -23
Preauthorized Wd
John Hancock ACH Debit
913.82
120123 0074234
01 -23
Preauthorized Wd
Mohawk Factoring Payments -------
20,169.91
120120 171455
01 -26
Preauthorized Wd
Mohawk Factoring Payments
20,042.40
120125 171455
01 -27
Preauthorized Wd
S. E. Personnel Payroll
32,605.70
120127 8259006
01 -30
Preauthorized Wd
John Hancock ACH Debit
926.32
120130 0074234
01 -30
Preauthorized Wd
Shawusd Payments
3,553.84
120127 1156368
01 -30
Preauthorized Wd
Mohawk Factoring Payments
20,004.30
120127 171455
01 -31
Preauthorized Wd
Mohawk Factoring Payments
25,020.41
✓"
120130 171455
01 -31
Service Charge
17.50
✓
Deposits/Other Credits
Date
Transaction Type
Description
Amount
01 -03
Automatic Transfer
Transfer From Deposit System
33.51
ACCOUNT 1001986106
01 -03
Preauthorized Credit
American Express Settlement
925.00
120103
01 -03
Preauthorized Credit
American Express Settlement
1,198.00
120103
V
January 31, 2012
MANASOTA FLOORING INC
its /Other Credits
u6,. - ii
01 -03
Preauthorized Credit
American Express Settlement
120103
1,284.50
.
01 -03
Preauthorized Credit
American Express Settlement
120103
8,036.00
V-
01 -03
Preauthorized Credit
Tm - Wfl Ap
120103 ET014238
20,605.20
01 -03
Remote Express Dep
27,909,89
s•�
01 -04
Automatic Transfer
Transfer From Deposit System
ACCOUNT
61.57
0.1 -04
Remote Express Dep
17.32
t/
01 -04
Remote Express Dep
23,495.35
✓
01 -04
Remote Express Dep
24,801.65—r,--
01 -04
Remote Express Dep
25,989.14
01 -04
Remote Express Dep
89,1 16.46
01 -05
Automatic Transfer
Transfer From Deposit System
ACCOUNT
8,216.22
01 -06
Automatic Transfer
Transfer From Deposit System
ACCOUNT
4,725.05
.�
01 -06
Deposit
1,560.00
01 -06
Remote Express Dep
125.74
L--"
01 -06
Remote Express Dep
10,895.04
✓
01 -09
Automatic Transfer
Transfer From Deposit System
ACCOUNT
Settlement
120109
730.20
01 -09
Preauthorized Credit
Ge Capital Mtot Dep
120109 534812064010217
3,699.20
173 —t
v'
(
01 -10
Automatic Transfer
Transfer From Deposit System
ACCOUNT
5,008.09
01 -10
Remote Express Dep
14,325.22
01 -10
Remote Express Dep
15,739.39
Y'
01 -10
Remote Express Dep
17 684.01
tr
01 -10
Remote Express Dep
26,419.87
✓
01 -10
Remote Express Dep
30,282.92
✓
01 -11
Automatic Transfer
Transfer From Deposit System
ACCOUNT
10,097.17
01 -11
Preauthorized Credit
Ge Capital Mtot Dep
120111
2,615.10
10"? ,v7
✓
01 -11
Remote Express Dep
57,776.20
.0
01 -11
Remote Express Dep
75,231.07
✓
01 -12
Automatic Transfer
Transfer From Deposit System
ACCOUNT
7,628.85
01 -12
Remote Express Dep
22,635.73
✓
01 -13
Automatic Transfer
Transfer From Deposit System
ACCOUNT
6,897.27
–4¢"
i
01 -13
Preauthorized Credit
Ge Capital Mtot Dep
120113
2,671.28
110 J2,
01 -17
Automatic Transfer
Transfer From Deposit System
ACCOUNT
22,349.47
01 -17
Preauthorized Credit
American Express Settlement
120117
944.40
SYNOVLJS
BANK
PO Box 30707 Tampa FL 33630 -3707
Other Credits
January 31, 2012
MANASOTA FLOORING INC
Page 6 of 19
01 -17 Preauthorized Credit American Express Settlement 1,160.00
120117
01 -17 Preauthorized Credit American Express Settlement 2,427.26
120117
2
01 -17
Remote Express Dep
9,562.96
v°
01 -17
Remote Express Dep
Transfer From Deposit System
ACCOUNT
2,905.00
01 -23
Preauthorized Credit
American Express Settlement
120123
4,939.00
t/
01 -24
Automatic Transfer
Transfer From Deposit System
ACCOUNT
5,506.97
01 -24
Remote Express Dep
12,687.00
V
01 -24
Remote Express Dep
24, 309.86
✓
01 -24
Remote Express Dep
25, 675.60
01 -24
Remote Express Dep
26,003.42
V
01 -25
Automatic Transfer
Transfer From Deposit System
ACCOUNT
14,387.75
01 -25
Remote Express Dep
652.16V
01 -25
Remote Express Dep
7,476.13
tom''
01 -25
Remote Express Dep
21,1 13.22
01 -25
Remote Express Dep
77,184.45
✓
01 -26
Automatic Transfer
Transfer From Deposit System
ACCOUNT
7,649.88
01 -26
Deposit
4,703.50
�%
January 31, 2012
MANASOTA FLOORING INC
Deposits /Other Credits
Page 7 of 19
01 -26
Preauthorized Credit
American Express Settlement
196, 254.37
900.88
311,304.83
01 -05
120126
01 -06
238,440.07
01 -27
Automatic Transfer
Transfer From Deposit System
205,778.18
4,045.93
ACCOUNT
01 -27
Preauthorized Credit
American Express Settlement
126.52
120127
01 -27
Preauthorized Credit
Tm - Wfl Ap
703.20
120127 ET014672
01 -27
Preauthorized Credit
American Express Settlement
6,211.91
120127
9,754.15
120127
y u i-( , i /
01 -27
Remote Express Dep
4,175.50
01 -30
Automatic Transfer
Transfer From Deposit System
13,228.97
ACCOUNT
01 -30
Preauthorized Credit
American Express Settlement
145.94
120130
01 -30
Preauthorized Credit
American Express Settlement
468.64
120130
01 -30
Preauthorized Credit
American Express Settlemen
" `�
1,457.67
120130
01 -30
Preauthorized Credit
Ge Capital Mtot Dep $4,t,
c 75 -12-1» -4 C -7 S'13 h, `
5,150.65
120130
1" Ke 1 � 0,- 7
01 -31
Automatic Transfer
Transfer From Deposit\ System f o�:, ;° �; ,' a � r"', 7 ��
.07
ACCOUNT % i A :' i Ole -"f f,e-, a
zeeA,° (''i-
01-31 Remote Express De �4 ,/
01 -31 Remote Express Dep 7- r.e_6 ._,g,5 7e,. 29,794.48
01 -31 Remote Express Dep 32,193.27
01 -31 Remote Express Dep 59,078.76
Balance Summary
Date Amount Date Amount Date Amount
12 -31
174, 273.22
01 -03
196, 254.37
01 -04
311,304.83
01 -05
312,190.57
01 -06
238,440.07
01 -09
159,158.75
01 -10
205,778.18
01-11
324,404.22
01 -12
255,951.40
01 -13
219,257.33
01 -17
400,77
01 -18
411,76
01 -19
335,222.86
01 -20
207,578.59
01 -23
144,899.67
01 -24
220,543.14
01 -25
333,401.81
01 -26
317,281.18
01 -27
234,377.95
01 -30
197,755.76
01 -31
253,603.80
v�
Synovus Bank. Account Page S of 19
IP M
3-�ny s
CK 307432 1/4/2012 $100.16
.iwtynrr
CK 307460 1/3/2012 $680.37
•—••.. wl,si
CK 307458 1/3/2012 $1272.00
CK 3074961 1/4/2012 $780.00
--•— im,so
rS:iRim�
CK 307459901/4/20120$1,110.15
^- iol,et
CK 522.58
CK 307463 1/11/2012 $1,123.80 CK 307464 1/3/2012 $2,422.46 CK 307465 1/3/2012 $2,364.45
hxe=
CK 30746601/3/20120$2,667.99
CK 00
CK 307467 1/3/2012 $3,366.00 CK 307460891/4/201200$182.85
CK 307470 1/3/2012 $112.87
CK 307475 1/5/20120i$300.00 CK 30747691 /10/2012 $4.50
•-�'^ 101,1,
CK 307471 1/4/2012 $105.00
CK 307477 1/3/2012 $5,575.18
Synovus Bank Account Page 9 of 19
CK 307478 1/3/2012 $76.31
A,
CK 30 /4 /201 2 $46.27
CK 307488 1/3/2012 $910.79
-V.
CK 307494 1/3/20120$150.00
CK 30439 1/3/2012 "$81.10 CK 30748141/3/20c120'$128.60
IC
CH 307484 1/4/2012 $12,501.48
CK 58
1=. 'MPAWI
CK 307495 1/3/2012 $1,502.41
CK
X. 711—
CK 30749101/6/2012p5$4,056.31
CK 307497 1/9/2012^$510.97
W7M
vgv=
CK 307500c1/5/201'20'$3,000.00 CK 307501 1/3/2012 $52.92 CK 307502 1/3/2012 $272.53
7--
CK 307503 1/5/2012 $2,983.00 CK 307504 1/3/2012 $82.82 CK 307505 1/4/2012 $442.00
Synovus Bank. Account Page 10 of 19
CK 307506 1/3/2012 $5,812.33
CK 307510 1/3/2012 $467.81
CK 307515 1/4/2012 $551.20
CK 307508 1/10/2012 $6,980.00
CK 307512 1/24/2012 $30.00
........ ....
CK 307517 I/i/2012 $483.10
M,
CH 307509 1/3/2012 $2,699.04
CK 307513`1/3/20121$26.41
XT,
CK 062.77
7
CK 307519 1/4/2012 $20,005.77-3 CK 307520 1/9/2012 $76.36 CK 307521 1/9/2012 $222.18
CK 307522 1/9/2012 $22,163.72
CK 307523 1/10/2012 $5,837.36
W(!&
--
4
CK 307526 1/10/2012 $45.00 CK 307527 1/9/2012 $5,982.99 CK 307528 1/10/2012 $117.30
Syn ,evus Bank Account Page 11 of 19
CK 307529411/64/20124$17,542.90
^""•" ]016]2
CK 307532 1/12/2012 $403.69
CK 307536 1/94/2012 $440.96
CK 307590 1/13/20142 $48.13
]p)66>
' •ate
CK 307593 1/9/2012 $1,328.75
CK 307597 141/201246 <$1,550.90
XtMWI
CK 307530 1/10/2012 $5,893.66
•—•— a015]]
CK 30753301/6/2012 $39,000.00
i^•^y 30925 aV7536
,M —mr® ream en. sn. na
CK 307539 1/9/2012 $12,717.56
�•,.,,.«.,......, — vii J'
..
CK 307591 1/17/2012 $10,531.00
Mw
Ot
CK 307595 1/10/2012 $19,942.05
CK 307598 1/13/2012 $4,245.14
CK 307531 1/11/2012 $2,108.36
�' vuo,< uro ronm - ,ww �uw
CK 307535 1/10/2012 $3.29
— >MT61p
CK 307540 1/9/2012 $1,719.69
I°
' •�-- '-- R---- � - -` %R= cis «.: —':;
CK 307592 1/11/2012 $1,679.74
rorouiuw �wvPReui�
' °m via�anan
Iv
CK 30759641/9/2012 $9,602.45
•...� ]msw
ME
4WHOA
CK 307599 1/13/2012 $7,887.00
Synovus Bank, Account Page 12 of 19
T=T-
CK 307600 1/23/2012 $1r500.00
...............
CK 307602 1/18/2012 $6,649.00
CK 307603 $226.32
r7g-'a
.........
CK 307604 1/13/2012 $124.05 CK 307605 1/18/2012 $150.00 CK 307606 1/17/2012 $800.00
U."
ZL
CK 307607 1/13/2012 $109.65 CK 307608 1/17/2012 $4,100.67
CK 307609 1/12/2012 $1,874.00
C C 307610 1/19/2012 $511.47 CK 45 CK 307612 1/17/2012 $303.12
CK 307613,1/17/2012 $356.00
CK 307616`01/17/2012 ~$117.09
CK 307614 1/12/2012 $311.29
CK 307617 1/17/2012 $775.14
CK 307615V1/12/2012a$5,392.28
CK 307618 1/18/2012 $693.00
Synovus Bank Account Page 13, of 19
� • ., .,. .,
700.92
w».�.c. «.«»» fir.. x.,l+' -,__.. e_..._��.�.� _ ` !~� ✓..s..�r
_
CK 3071622 1/17/2012x$51.27 CK 30762]3 1/11/2012 $189.11 CK 307624 1/17/2012x$879.22
:wW
CK 307625o1/ 2012x$1,813.53
CK 307626 1/18/2012 $46.38
•. •+oa.nm...w w+ Q®
CK $3.00
jot
CK 307628 1/12/2012 $370.15 CK 307629`1/17/2012 $46.52 CK 307630 1/17/2012$3,704.00
., . .
CK 307631 1/17/2012 $130.47 CK 307632 1/17/2012 $26.60 CK 307633 1/17/2012 $806.35
.,,..o.
Zll M.
:.i. i _ — '« .. " "s L�� _ _ _ray --•r` -� .
CK 307634 1/17/2012 $15,885.13 CK 307635 1/12/2012 $144.19 CK 307636Ce1/12/2012`t$301.93
Synovus Bank, Account Page 14 of 19
�•� ]mem
nv
waaiw a
CK $15,044.26
7
CK 307638[11/117/2012941$14,940.36
r,..s eoo
CK 3076939 »1/12/24012 $23,237.24
uww,am W •9i9a v.,�i� „ �.. .w_ia.,r �� ,�rp
24/.f.46 unw M1 vw]e�TW
CK 307640 1/17/2012 $23,919758 CK 307641 1/17/201294$419.44 CK 307643 1/12/201241$41,06 -0 00
CK 307644.11/18/2012 $121.99
jt,nx,m uwxn M•.3o,W
ivw1�M w.eexum �,x. 1e,,mN �
CK 307648 1/17/2012 $5,101.82
�° 11u.xu c.�nrn,v n� •..n, ,xwr,
CK 307651 1/20/20121$16,581.31
CK 307645 1/17/201241$440.96 CK 307647Se1/18/20124$522.56
'�"" w9me10
CK 307649 1/20/2012 $3,796.27
•-- ]mesx
CK 307652 1/20/2012 $1,156.88
® .... X
CK 307650 1/19/2012 $6459.480
]mess
'.
CK 307653 1/23/201214$500.00
]]Kress ^"•� �m «a
CK 307654 1/20/2012 $19.36 CK 307655 1/23/2012 $587.61 CK 307656 1/23/2012 $12,630.51
Synows Bank Account Page 1$ of 19
fe,fy .r.._ w,s» ........ a,ew
�.° � °ems ,.° w, ' ` ,,..S rya �� ...n.,., •<,�.a.oY�...�. �% n., ar'" :.., v.�,.. �....,, �n�,.�. - /�r�.r., �'�
CK 307658 1/23/2012 $12,187.16 CK 307659 1/19/2012 $1,080.00 CK 307660 1/23/2012 $63.20
CK 30766111/20/2012 $3,782.29
CK 307665 1/19/2012 $61.88
CK 307669 1/23/2012 $1,253.63
J® %eu
CK 307672 1/23/2012 $8,462.19
CK 307675 1/23/201211$3,469.73
lb wee:
CK 307662 1/24/2012 $4,192.78
.arv'�1l�1
CK 307666 1/20/2012 $18,683.36
•�••� DUn1D
CK 307670 1/20/2012Y1$12,189.20
•r.••• sDrnD
nWV.��YCYm �
CK 307673 1/23/2012 $4,725.00
gm
CK 307676 1/23/2012{ 8,065.09
'••_ efinee
32.48
•.•••�• sD,eee
CK 201211$3,560.79
® � DMee1
CK 307671 1/24/2012 $4,044.20
•
CK 3076714 1/23/2012 $21.3511
—"M <e0161]
CK 307677 1/23/2012 $1,658.37
Synovus Bank Account Page 16 of 19
114
CK 307678 1/23/2012 $3,089.73
MI.
..........
CK 307679J1/23/2012x$1,803.97
CK 307682 1/27/2012 $9.33
CK 307684 1/20/2012 $37,000..00 CK 307685 1/25/2012 $551.20 CK 307687 1/25/2012 $33.79
CK 307688`1/24/2012 $200.00
CK 02
-=Samb
CK 307696 1/26/2012 $9,294.94
CK 307699 1/25/2022 $2,500.00
CK 307689 1/24/2012 $3,965.28
CK 00
47
CK 307692 1/25/2012 + 209.03
CK 107.12
CK 307697 1/25/2012 $500.00 CK 307698 ]1/25/20128$500.00
CK 307700 1/27/2012 $3r400.00
CK 307701 1/30/201218$344.82
Synovus Bank Account Page 17 of 19
CK 307704 1/30/2012` 330.19
• — �snx., ra„s ' —•-
CK 307706 11/30/2012 $342.42 CK 00
CK 307708 1/27/2012 $133.01 CK 307709 1/30/20121$38.00 CK 307710 1/31/2012 \$150.00
—•— bnlz
CK 307712 1/30/2012 $6,1354.71
T vA:
'1•r `uiies -•
CK 307715 1/27/2012 $500.00
�° cc.c.� -wnl ant anxa ' �
CK 307718 1/30/2012 $93.80
mm, \'
CK 307721 1/27/2012 $979.00
. •. ,
[[ ,]•
CK 307713 1/31/2012 $4,177.00 CK 307714 1/30/2012 $221.86
CK 307716 1/31/2012 $4,979.32
"'— liR1Y
® w— fern
�� wc,a ia,,r r1^r ]� M
CK 307719 1/31/2012 $200.00
Inca, am _ •�a ..-
CK 307722 1/30/20124$8,038.31
i
CK 3077171/26/2012 $37.55
�•— bm0
.. +'a ,,.nRicr
CK 307720 1/31/2012 $4,023.96
CK 307723 1/27/2012 $45.00
Synovus Bank, Account Page 18 of 19
CK 307725C1/27/2012 $710.35
CK 307726 1/30/2012 $327.42
CK 307728 1/30/2012 $53.93
77
CK 307729 1/31/2012 $808.70 CK 307730 1/30/2012„$98.00u
CK 307731 1/31/2012 $7r553.00
. ml
All.
=c-
307732 1/27/2012 $12,218.05 CK 307735 1/27/2012 $320.00 CK 307736 1/31/2012 $2,527.75
CK 307738c1/30/2012,$11,177.94
=M43
CK 307743 1/31/2012'$521.40
CK 307739 1/31/2012 $5,026.77
CK 307744 1/31/2012 $1,498.26
CK 55
CK 307745e1/30/2012'$495.14
CK $11,402.40 CK 307748 1/31/20120$572.31 CK 307749 1/27/2012'$57,000.00
Synovus Bank Account Page 19 of 19
CK 307751 1/30/2012 $4,280.33
CK 307756 1/30/2012 $3.50
2T.
..........
CK 307752 1/30/2012 $551.20 CK 307755 1/31/2012 $217.35
'AN
CK 307757'1/30/2022a \$32.03
CK 307772 1/31/2012 $5,467—.1-0
C-L7W`-q, cNU-u�-s T ,14-7
Commercial Checking
Account number: ■ 'February 1, 2012 - February 29, 2012 ■ Page 1 of 5
Image count: 216
TILE IT INDUSTRIES INC
DBA INTERNATIONAL TILE & STONE
475 FENTRESS BLVD STE M
DAYTONA BEACH FL 32114 -1236
Account summary
Questions?
Available by phone 24 hours a day, 7 days a week:
1- 800 - CALL -WELLS (1- 800 - 225 -5935)
Online: wellsfargo.com
Write: Wells Fargo Bank, N.A. (287)
Daytona Business Bkg
P.O. Box 6995
Portland, OR 97228 -6995
Commercial Checking
Account number Beginning balance Total credits Total debits Ending balance
$197,990.94 $870,487.72 - $995,645.43 $72,833.23
Credits
Deposits
Effective Posted
date date Amount Transaction detail
02/02
5,067.89
Deposit
02/02
3,030.79
Deposit
02/06
77,722.43
Deposit
02/08
39,029.39
Deposit
02/10
22,390.31
Deposit
02/16
33,396.05
Deposit
02/16
1,086.77
Deposit
02/17
12,299.95
Deposit
02/21
95,627.16
Deposit
02/23
18,799.36
Deposit
02/24
11,726.03
Deposit
02/28
17,008.53
Deposit
02/29
4,684.89
Deposit
$341,869.55 Total deposits
Electronic deposits /bank credits
Effective Posted
date date Amount Transaction detail
02/01
9,860.86
Elavon
Mer Svcs
Merch
Dep 120201
8016229661 Internationa0000000000
02/01
601.80
Elavon
Mer Svcs
Merch
Dep 120131
8016229661 Internationa0000000000
02/02
2,352.98
Elavon
Mer Svcs
Merch
Dep 120202
8016229661 Internationa0000000000
02/03
487.95
Elavon
Mer Svcs
Merch
Dep 120203
8016229661 Internationa0000000000
02/03
6.30
Elavon
Mer Svcs
Merch
Dep 120202
8016229661 Internationa0000000000
02/06
1,649.58
Elavon
Mer Svcs
Merch
Dep 120204
8016229661 Internationa0000000000
Img = 216
(287)
Sheet Seq = 0003102
Sheet 00001 of 00016
Account number: ■ February 1, 2012 - February 29, 2012 ■ Page 2 of 5
Electronic deposits /bank credits (continued)
Effective Posted
date date Amount Transaction detail
02/06
695.10
Elavon Mer Svcs Merch Dep 120203 8016229661 Internationa0000000000
02/07
135,796.28
Pulte Home Corpo AP Payment 1075- 751Ti1102 Tile -It Industries, IN
02/07
19,078.41
Pulte Home Corpo AP Payment 1045 -451 Till 50 Tile -It Industries Inc
02/07
2,474.23
Elavon Mer Svcs Merch Dep 120207 8016229661 Internationa0000000000
02/07
109.83
Elavon Mer Svcs Merch Dep 120206 8016229661 Internationa0000000000
02/08
1,610.92
Elavon Mer Svcs Merch Dep 120208 8016229661 Internationa0000000000
02/08
721.21
Elavon Mer Svcs Merch Dep 120208 8016229661 Internationa0000000000
02/09
952.67
Elavon Mer Svcs Merch Dep 120209 8016229661 Internationa0000000000
02/10
853.19
Elavon Mer Svcs Merch Dep 120210 8016229661 Internationa0000000000
02/13
42.82
Elavon Mer Svcs Merch Dep 120211 8016229661 Internationa0000000000
02/13
40.90
Elavon Mer Svcs Merch Dep 120210 8016229661 Internationa0000000000
02/14
16,659.81
Elavon Mer Svcs Merch Dep 120214 8016229661 Internationa0000000000
02/14
1,386.56
Elavon Mer Svcs Merch Dep 120213 8016229661 Internationa0000000000
02/15
205.45
Elavon Mer Svcs Merch Dep 120215 8016229661 Internationa0000000000
02/15
192.55
Elavon Mer Svcs Merch Dep 120214 8016229661 Internationa0000000000
02/16
177.09
Elavon Mer Svcs Merch Dep 120215 8016229661 Internationa0000000000
02/16
62.92
Elavon Mer Svcs Merch Dep 120215 8016229661 Internationa0000000000
02/17
205,942.65
Pulte Home Corpo AP Payment 1075- 751TiI102 Tile -It Industries, IN
02/17
50,104.34
Pulte Home Corpo AP Payment 1045- 45lTill50 Tile -It Industries Inc
02/17
2,871.36
Elavon Mer Svcs March Dep 120217 8016229661 Internationa0000000000
02/17
1,178.26
Elavon Mer Svcs Merch Dep 120216 8016229661 Internationa0000000000
02/21
3,362.47
Elavon Mer Svcs Merch Dep 120217 8016229661 Internationa0000000000
02/21
2,063.09
Elavon Mer Svcs Merch Dep 120221 8016229661 Internationa0000000000
02/21
430.48
Elavon Mer Svcs Merch Dep 120220 8016229661 Internationa0000000000
02/21
320.86
Elavon Mer Svcs Merch Dep 120218 8016229661 Internationa0000000000
02/21
55.04
Elavon Mer Svcs Merch Dep 120221 8016229661 Internationa0000000000
02/22
545.42
Elavon Mer Svcs Merch Dep 120222 8016229661 Internationa0000000000
02/22
91.49
Elavon Mer Svcs Merch Dep 120222 8016229661 Internationa0000000000
02/23
50,000.00
Advance Clw 6740 -26
02/24
447.38
Elavon Mer Svcs Merch Dep 120223 8016229661 Internationa0000000000
02/24
126.78
Elavon Mer Svcs Merch Dep 120224 8016229661 Internationa0000000000
02/27
489.34
Elavon Mer Svcs Merch Dep 120224 8016229661 Internationa0000000000
02/27
40.22
Elavon Mer Svcs Merch Dep 120225 8016229661 Internationa0000000000
02/28
9,985.03
Elavon Mer Svcs Merch Dep 120228 8016229661 Internationa0000000000
02/28
3,062.47
Elavon Mer Svcs Merch Dep 120227 8016229661 Internationa0000000000
02/28
1,482.08
Elavon Mer Svcs Merch Dep 120228 8016229661 Internationa0000000000
$528,618.17 Total electronic deposits /bank credits
$870,487.72 Total credits
Sheet Seq = 0003103
Sheet 00002 of 00016
Account number: ■ February 1, 2012 - February 29, 2012 ■ Page 3 of 5
Debits
Electronic debits /bank debits
Effective Posted
date date Amount
Transaction detail
02/01
36,118.30
WT Fed #01506 Bank of America, N /Drw /Bnf= Primepay of Florida, Inc Srf#
Date
Number
2012020100173900 Trn #120201055094 Rfb#
02/01
1,119.94
Elavon Mer Svcs Merch Fee 120131 8016229661 Internationa0000000000
02/03
200.00
Ffva Mutual Insu Insprempmt 120202 Tile -It Industries, IN
02/08
35,512.92
WT Fed #01809 Bank of America, N /Drw /Bnf = Primepay of Florida, Inc Srf#
02/13
11723'
2012020800140843 Trn #120208039150 Rfb#
02/13
344.61
Client Analysis Srvc Chrg 120210 Svc Chge 0112 002000028696740
02/15
35,430.48
WT Fed #09786 Bank of America, N /Drw /Bnf = Primepay of Florida, Inc Srf#
02/07
11746'
2012021500161158 Trn #120215046733 Rfb#
02/16
3,000.00
Proof -Adj Addition Error on Deposit Ticket
02/17
15,357.33
Fla Dept Revenue C01 120216 000000015127663 Tile -It Industr
02/22
150.00
WT Fed #00526 Bank of America, N /Ftr /Bnf = Kristina Maugeri Srf#
02/07
11901
IN 12022112442710 Trn #120222005407 Rfb# 000000022
02/22
15,055.55
WT Fed #00936 Bancaja /Ftr /Bnf= 510010477 Srf# IN12022105463381
02/10
11876'
Trn #120221060699 Rfb# 000000021
02/22
35,509.35
WT Fed #06924 Bank of America, N /Drw /Bnf = Primepay of Florida, Inc Srf#
02/06
11925
2012022200162278 Trn #120222053741 Rfb#
02/27
2,106.00
Ffva Mutual Insu Insprempmt 120224 Tile -It Industries, IN
02/29
34,891.27
WT Fed #05628 Bank of America, N /Drw /Bnf = Primepay of Florida, Inc Srf#
02/06
11926
2012022900185589 Trn #120229063997 Rfb#
02/10
$214,795.75
Total electronic debits /bank debits
Checks paid
Number
Amount
Date
Number
Amount
Date
Number
Amount
Date
11655
828.00
02/13
11898
1,300.25
02/08
11921
241.39
02/13
11723'
6.50
02/10
11899
3,091.05
02/09
11922
483.53
02/07
11746'
2,289.55
02/02
11900
2,090.65
02/07
11923
828.00
02/07
11850'
3,747.95
02/07
11901
1,427.35
02/06
11924
580.00
02/10
11876'
113.71
02/02
11902
12,930.93
02/06
11925
8,525.96
02/10
11877
17,010.23
02/02
11903
4,563.29
02/06
11926
3,460.50
02/10
11881 '
2,474.90
02/03
11904
588.35
02/06
11927
804.00
02/07
11882
2,71 3.12
02/06
11905
1,443.15
02/07
11928
45.08
02/09
11883
3,602.87
02/08
11906
541.64
02/08
11929
17,955.99
02/10
11884
1,780.37
02/09
11907
28.76
02/14
11930
48,393.96
02/07
11885
1,186.35
02/07
11908
346.19
02/03
11931
9,161.60
02/10
11886
4,214.49
02/10
11909
16,348.09
02/07
11932
179.99
02/02
11887
3,170.74
02/09
11910
13,387.30
02/07
11933
58.25
02/07
11888
2,209.00
02/06
11911
1,855.20
02/07
11934
935.00
02/13
11889
1,070.16
02/03
11912
2,043.50
02/06
11935
2,147.62
02/10
11890
605.03
02/09
11913
247.45
02/06
11936
1,965.00
02/17
11891
2,000.00
02/08
11914
4,665.25
02/03
11937
678.45
02/13
11892
384.00
02/08
11915
2,086.67
02/13
11938
3,184.69
02/08
11893
2,084.00
02/06
11916
720.00
02/13
11939
1,000.00
02/02
11894
45.00
02/10
11917
1,425.09
02/09
11940
3,950.65
02110
11895
1,946.00
02/13
11918
2,808.00
02/09
11941
2,155.40
02/13
11896
2,695.85
02/06
11919
17,799.94
02/10
11942
153.72
02/16
11897
100.00
02/10
11920
9,430.57
02/09
11943
1,989.25
02/14
Sheet Seq = 0003104
Sheet 00003 of 00016
Account number: ■ February 1, 2012 - February 29, 2012 ■ Page 4 of 5
Checks paid (continued)
Number
Amount
11944
1,925.55
11945
1,242.35
11946
1,257.44
11947
306.70
11948
465.49
11949
424.72
11950
929.10
11951
70.00
11952
986.00
11953
237.40
11954
3,073.35
11955
3,012.68
11956
100.00
11957
747.95
11958
4,884.85
11959
2,762.18
11960
2,008.25
11961
1,433.04
11962
2,391.43
11963
814.10
11964
375.00
11965
1,619.55
11966
752.12
11967
5,323.21
11968
1,099.50
11969
1,830.55
11970
1,214.10
11971
2,810.00
11972
1,111.98
11973
10,539.06
11974
293.81
11975
504.72
11976
13,265.38
11977
55.00
11978
19,145.43
11979
7,005.84
11980
3,192.55
11981
186.09
11982
1,263.07
11983
365.03
11984
2,077.28
11985
222.13
11986
1,168.38
11987
36.74
11988
954.00
11989
1,000.00
11990
2,500.00
11991
2,642.45
Sheet Seq = 0003105
Shee100004 of 00016
Date
Number
Amount
Date
Number
Amount
Date
02/13
11992
1,845.80
02121
12043
2,268.30
02/24
02/13
11993
108.79
02/23
12044
1,824.30
02/27
02/14
11994
4,773.05
02/27
12045
153.72
02/29
02/14
11995
7,189.55
02/21
12046
1,788.50
02/28
02/14
11996
450.90
02/24
12047
2,784.75
02/29
02/13
11997
203.70
02/24
12048
1,573.80
02/27
02/15
11998
1,759.50
02/21
12049
8,924.00
02/28
02/14
11999
5,441.55
02/21
12050
2,120.00
02/28
02/13
12001 `
7,529.03
02/21
12051
120.07
02/28
02/14
12002
100.00
02/21
12052
500.00
02/24
02/16
12003
632.37
02/24
12054
260.40
02/28
02/13
12004
20,814.24
02/22
12056 `
150.00
02/29
02/13
12005
1,598.65
02/21
12057
182.51
02/28
02/15
12006
1,031.75
02/17
12058
1,689.89
02128
02/15
12007
3,279.85
02/21
12059
1,861.30
02/28
02/13
12008
3,826.11
02/21
12060
1,824.30
02/27
02/10
12009
416.85
02/21
12061
2,060.45
02/28
02/13
12010
165.00
02/17
12062
4,811.95
02/27
02/13
12011
12.57
02/21
12063
100.00
02/27
02/13
12012
1,165.37
02/17
12064
782.60
02/28
02/14
12013
12,359.45
02/21
12065
10,819.39
02/29
02/15
12014
555.49
02/21
12066
3,677.00
02/28
02/10
12015
3,237.32
02/21
12067
1,541.35
02/24
02/14
12016
176.50
02/21
12068
11,828.87
02/27
02/16
12017
6,682.05
02/21
12069
4,291.46
02/27
02/13
12018
7,711.85
02/24
12070
238.35
02/27
02/14
12019
756.60
02/21
12071
218.75
02/27
02/14
12020
1,629.31
02/21
12073"
1,841.52
02/24
02/10
12021
30,135.81
02/21
12074
525.05
02/27
02/15
12022
7,310.00
02121
12075
16,512.19
02/27
02/14
12023
10,026.09
02/21
12076
9,262.40
02/27
02/15
12024
72.07
02/22
12077
2,198.70
02/27
02/14
12025
959.98
02/21
12078
817.62
02/28
02/21
12026
3,459.65
02121
12079
17,075.11
02/29
02/14
12027
16,802.65
02/22
12081 '
8,899.97
02/29
02/14
12029 `
948.89
02/21
12082
5,145.05
02/27
02/14
12031 '
28,694.81
02/21
12083
78.51
02/27
02/10
12032
7,532.24
02/21
12084
1,485.00
02/29
02/13
12033
3,735.09
02/21
12085
44,773.82
02/28
02/14
12034
121.29
02/16
12086
1,045.71
02/27
02/15
12035
53.79
02/17
12087
159.62
02/24
02/16
12036
552.64
02/21
12088
1,570.00
02/27
02/14
12037
1,586.00
02/22
12089
8,377.04
02/27
02121
12038
258.11
02/23
12090
17.48
02/27
02/17
12039
2,179.35
02/21
12091
80.77
02/29
02/14
12040
829.00
02/22
12092
439.50
02/27
02/14
12041
185.19
02/21
12093
1,130.08
02/29
02/17
12042
500.00
02/16
12095'
122.02
02/28
Account number: ■ February 1, 2012 - February 29, 2012 ■ Page 5 of 5
Checks paid (continued)
Number Amount Date Number Amount Date Number Amount Date
12097 782.64 02/28 12099" 267.95 02/28 12101 " 500.00 02/28
$780,849.68 Total checks paid
' Gap in check sequence.
$995,645.43 Total debits
Daily ledger balance summary
Date
Balance
Date
Balance
Date
Balance
01/31
197,990.94
02/09
241,639.77
02/21
287,802.87
02/01
171,215.36
02/10
192,876.58
02/22
197,620.92
02/02
161,073.54
02/13
164,839.11
02/23
266,053.38
02/03
152,811.29
02/14
120,871.71
02/24
263,043.96
02/06
201,375.56
02/15
64,536.72
02/27
184,811.06
02/07
268,207.88
02/16
91,089.56
02/28
145,618.40
02/08
263,043.03
02/17
340,151.43
02/29
72,833.23
Average daily ledger balance
$209,980.45
D IMPORTANT ACCOUNT INFORMATION
Effective April 16, 2012, the daily maximum number of Overdraft Item (OD) and /or Returned Items (Non- Sufficient
Funds /NSF) fees that can be charged on any business day will increase from 4 to 8 per day. OD and NSF fee pricing
remains unchanged.
If you have questions, please contact your local banker or call the phone number listed at the top of your statement.
NOTICE: Wells Fargo Bank, N.A. may furnish information about accounts belonging to individuals, including sole
proprietorships, to consumer reporting agencies. If this applies to you, you have the right to dispute the accuracy of
information that we have reported by writing to us at: Overdraft Collections and Recovery PO Box 5058 Portland, OR.
97208 -5058. You must describe the specific information that is inaccurate or in dispute and the basis for any dispute with
supporting documentation. In the case of information that relates to an identity theft, you will need to provide us with an
identity theft report.
02010 Wells Fargo Bank, N.A.
All rights reserved. Member FDIC.
Sheet Seq =0003106
Sheet 00005 of 00016
S►YNC;vUS- WvDS EQ
�- BANK
1'0 Box307071'ampa FL 33630 -3707
MANASOTA FLOORING INC
4551 N WASHINGTON BLVD
SARASOTA FL 34234
flu � Itatement -44-7 of Account
Last statement: January 31, 2012
This statement: February 29,2AM
Total days in statement period: 29
Direct inquiries to:
888 317 -0085
Summary of Account Balance
iii4: iiiiii;} �} v;:.; J? i:•: �:- ii}::::::: TT:>: � :::::::::::::::::>::: ivui': i' ii' C: vi: i' 4ii }:ii'r'�:'�::•iiiiii }:�.i-i: �::: T;: :- .:w:i- Ti.<•:< ^TT-�: v:J�••:': �: _: �: •: nsy: •:::- ::::::::. �:: {:::: -:: n;- .:y:.:. :.:..,..... - - -
-
:: " { +`:- ?:::J;;:•i:.;• .:: :.:..:. ....:.: :..:::::nom:...:.
.. ....... ....
... . ..... .. ..:.. ..v ... . .. ..:.:. v- :::::ti•i:.:,••:::::::::::::.:•: }:.v. �: v: :.:.�::: ♦� �: :
. v. nn. v.. :.v..Zv..........::.:.v :::.ii:: .;: v.; • ::.:;•. �.
Beginning balance
253,603.80
Deposits /Credits
1,122,970.55
Withdrawals /Debits
1,105,342.69
Ending balance
271,231.66
Checks
Number
Date
Amount I
- 367778
02 -01
2,500.00 ✓
- X67783 *
307681 *
02 -01
02 -21
12.00
292.50 ✓
307691 *
02-1)8
1,007.00
307702 *
02 -06
1,818.,19
307703
02 -01
1,08$:67
02 -10
307705 *
02 -03
128.70
02 -02
307711 *
02 -01
2.50
10.99
307724 *
02 -06
601.31-
307782
j07727 *
02 -01
2,946.00
02 -03 7f,,
307734 *
02 -07
132.85'
10,949.00 +�
307740 *
02 -28
100.00
307786
307741
02 -01
11,140.75
02 -03
307758 *
02 -02
315.66,
256.29 v'
307759
02 -03
1,520.80
307794 *
307760
02 -21
30.00
02 -13
307761
02 -02
173.17
415.95
307762
02 -03
7,010.29
307799
307763
02 -02
64.90
02 -10
307764
02 -02
2,485.86
777.35
307765
02 -01
766.23-
307803
307766
02 -01
225.35
02 -21
307767
02 -03
375.33
1,000.00
307768
02 -03
3,683.00
307770 *
02 -06
9,146.86
307771
02 -03
5,828.75
Low balance 155,628.82
Average balance 239,830.36
Average collected balance 204,015.00
Number
Date
Amount
307773
02 -02
5,837.36
307774
02 -02
3,798.25
307775
02 -01
1,171.49
307776
02 -10
17,991.60
307779
02 -02
17.33
307780
02 -09
10.99
307781
02 -15
93.03
307782
02 -03
414.18
307784 *
02 -03 7f,,
3,730.00
307785
02 -09
10,949.00 +�
307785 *
02 -13
76.05,,-
307786
02 -07
6,239.34 v
307787
02 -03
5,392.28 v
307791
02 -06
256.29 v'
307792
02 -03
57,000.00 -
307794 *
02 -03
4,900.00 -
307796 *
02 -13
32.82
307797
02 -08
415.95
307798
02 -13
11,266.98
307799
02 -09
23.11
307800
02 -10
14,445.02
307801
02 -08
777.35
307802
02 -13
900.00
307803
02 -09
231.81
307805 *
02 -21
828.82
307806
02 -16
1,000.00
BANK February 29, 2012
,,.
PO Box 30707 'Pampa FL 33630.3707
NIANASOTA FLOORING INC
i G. S cr `j0
Checks
Number
Date
Amount
Number
Date
Amount
307807
02 -23
14.53 V
307867
02 -22
292.10
02 -16
02 -21
307808
02 -10
69,500.00 v
307868
02 -27
150.00
307810 *
02 -22
2,878.00
7869
02 -22
28.46
307812 *
02 -27
75.00
307872 *
02 -22
95.50
307813
02 -16
2,188.32 -
307875 *
02 -17
1,559.58
307814
02 -14
5,722.12
307876
02 -17
66,500.00
307815
_02 -10
15,097.81
307878 *
02 -21
200.00
307816
02 -15
2,344.50
307879
02 -24
250.0_0
307817
02 -14
196.81 ,
307882 *
_
02 -22
272.00
307818
02 -14
37.4_5
307883
02 -21
344.82.1
307819
02 -14
772.19
307885 *
02 -22
302.42 ,
307820
02 -14
1,160.79
307886
02 -22
132.09
307821
02 -14
95.76
307887
02 -22
930.51
307822
02 -16
148.72 '
3_07888
02 -22
99.81
307823
02 -14
537.09
307889
02 -22
2,059.49
307824
02 -14
20.0_0
307890
02 -21
69.23
307825
02 -21
9,375.87
307891
02 -2_2
_
300.00
307826
_
02 -27
51.27
307892
02 -22
285.44
307827
02 -21
10,118.22
307893
02 -22
1,729.82 ,
307828
02 -15
200.00
307894
02 -21
247.31
307829
02 -15
150.00
307895
02 -22
372.16
307830
02 -13
5,807.79
307896
02 -22
228.26
307831
02 -24
71.69,
307897
02 -21
1,018.96
307832
02 -16
120.47
307898
02 -22
1,882.70.
307833
02 -16
14.80
307899
02 -22
3,731.40
307834
02 -14
755.15
307900
02 -22
5,963.21
307835
02 -14
5,32.00
307901
02 -22
108.75
307836
02 -13
2,145.00
307902
02 -22
811.11
307838 *
02 -15
5,093.2 :/
307903
02 -23
507.61 "
307841 *
02 -15
656.1 r/
307904
02 -22
213.00
307842
_02 -21
29,9 -
307905
02 -27
136.64
307843
02 -21
14,054.53
307906
02 -23
2,956.00 '
307844
02 -22
9,867.8
307907
02 -23
50.20
3_07845
02 -22
2,547.3
307846
02 -21
3,154.5
307847
02 -23
954. 8
307848
02 -22
93.
307849
02 -22
443.9
307850
02 -23
2,219.60
307851
02 -21
2,448,5
307852
02 -27
206.95
307853
02 -21
90.4$
307854
02 -21
1,835.6_21
307855
02 -22
3,222.48
307857 *
02 -22
2,817.64
307860_*
02 -21
16.19,,
307861
02 -23
_439.07
719.71
307862
02 -21
6,722,56
307863
02 -21
2,072.59
307864
02 -22
1,368.58
307865
02 -22
500.00
307866
02 -22
640.00
307908
02 -22
862.81
307909
02 -22
21,387.35 ,-
307912 *
02 -24
311.59 -
307913
02 -24
64.86
307914
02 -27
16.19,,
307916 *
02 -27
9,669.42
307917
02 -28
1,453.0_2
307918
02 -28
1,417.08
307919
02 -24
16,078.00
307920
02 -28
471.74
307921
02 -27
3,186.00'
-�' 307922
02 -27
311.29
307923
02 -28
47.76
307924
_
02 -27
4,417.57
307925
02 -27
1,428.89
307926
02 -29
5,624.27
307927
02 -27
505.32
307928
02 -28
12,005.95,
�- 307931
02 -27
138.50
Checks
Number Date Amount
307932 02 -29 13,015.71 ✓
307933 02 -24 10,346.44 t/
307935 * 02 -24 54,500.00 Ll-
Other Debits
Page 3 of 16
February 29, 2012
A/IANASOTA FLOORING INC
Number Date Amount
307937 * 02 -27 14,600.00 ✓
307943 * 02 -29 5,837.36 V
* Skip in check sequence
Date
Transaction Type
Description
Amount
02 -01
Preauthorized Wd
American Express Collection
7.95
(I)
_ 120201
02 -01
Preauthorized Wd
American Express Collection
7.95
120201
7.95
02 -01
Preauthorized Wd
American Express Collection
120201
02 -01
Preauthorized Wd
Ge Capital Btot Adj
40.00
U
_
_ 120201
_
✓
02 -01
Preauthorized Wd
Shawusd Payments
22,051.60
120131 1164249
i
02 -03
Preauthorized Wd
S. E. Personnel Payroll
32,845.12
r,/
120203 8259006
02 -06
Preauthorized Wd
American Express Axp Discnt
174.23
i
120206
02 -06
Preauthorized Wd
American Express Axp Discnt
261.03
120206
lJ
02 -06
Preauthorized Wd
American Express Axp Discnt
588.92
120206
_
02 -06
Preauthorized Wd
John Hancock ACH Debit
926.32
120206 t074234
02 -07
Preauthorized Wd
Mohawk Factoring Payments
20,040.98
V
120206 171455
02 -10
Preauthorized Wd
S.'E. Personnel Payroll
35,016.35
V
120210 8259006
02 -13
Preauthorized Wd
John Hancock ACH Debit
926.32
120213 001X4234
25,061.47
✓
02 -13
Preauthorized Wd
Mohawk Factoring Payments
120210 171455
02 -14
Preauthorized Wd
Mohawk Factoring Payments
25,099.57
\ ,'
120213 171455
�(
02 -16
Preauthorized Wd
Megatrade Corp Cash Trans
855.23
120215 MANC00
02 -16
Preauthorized Wd
Shawus -i Payments
7,867.92
✓
120215 1200616
_
02 -17
Preauthorized Wd
Fla Dept Revenue C01
1,646.67
120217 000000012249770
02 -17
Preauthorized Wd
Fla Dept Revenue C01
5,599.59
120217 000000012249782
02 -17
Preauthorized Wd
Fla Dept Revenue C01
21,310.05
120217 000000012249769
02 -17
Preauthorized Wd
S. E. Personnel Payroll
72,658.45
120217 8259006
02 -21
Preauthorized Wd
John Hancock ACH Debit
926.32
_ 120221 0074234
02 -21 Preauthorized Wd Underfloor LLC Payment
iWiP414
3,185.00 ,/
x
W
sYvOVCH
BANK
Box 30707 Tampa FL 33630 -3707
Other Debits
February 29, 2012
NIANASOTA FLOORING INC
Date
Transaction Type
Description
Amount
Date
02 -21
Preauthorized Wd
Mohawk Factoring Payments
49,999.43
t�
Automatic Transfer
Transfer From Deposit System
120217171455
`T
ACCOUNT
155.43
02 -06
Preauthorized Credit
American Express Settlement
120206
02 -06
Preauthorized Credit
American Express Settlement
3,839.39
02 -07
120206
—
Automatic Transfer
Transfer From Deposit System
2,149.88
ACCOUNT
Settlement
1,000.00
120207
Preauthorized Credit
American Express Settlement
2,731.00
02 -07
02 -07
Preauthorized Credit
120207
American Express Settlement
&- 3,479.00
✓
120207
& 7 52
_
(ilrsv f{ V, s4a_ 500.00
02 -07
Remote Express Dep
_
4,112.89
✓
02 -07
Remote Express Dep
38,079.05
�
02 -07
Remote Ex ress Dep
Automatic Transfer
Transfer From Deposit System
8,969.24
-�-
02 -08
ACCOUNT
—
V
Remote Express Dep
TL' 1hD��,c it
i r cl- 5` i.7'� c�515,363.90
02 -08
CIc
EZ 7 Y
Q
I re , ,� <a V. /hc.; r/, , 7s/,>_ j j,S
IFIF
February 29, 2012
FLOORING INC
Page 5 of 16
Deposits /Other Credits
Date Transaction Type Description Amount
02 -09 Automatic Transfer Transfer From Deposit System 1,489.02 T
ACCOUNT
02 -09 Preauthorized Credit American Express Settlement 4,913.87 t/
120209
02 -09
Remote Express Pea_
_ _
15,816.25
02 -09
Remote Express Dep
_ 16,743.09
✓
02 -09
Remote Express Dep
Transfer From Deposit System
ACCOUNT
11,398.18
T
__
02 -17
_
Deposit
1,501.12
02 -17
Remote Express Dep
2,466.84
02 -21
Automatic Transfer
Transfer From Deposit System
ACCOUNT
22,001.14
T
02 -21
Preauthorized Credit
American Express Settlement
120221
34.13
02 -21
Preauthorized Credit
American Express Settlement
120221
1,730.21
_
v,'
02 -21
Preauthorized Credit
American Express Settlement
120221
5,409.90
02 -21
Preauthorized Credit
Ge Capital Mtot Dep
120221
6,067.51
1s/, -/1 0
02 -21
Remote Express Dep
5,383.50
r/
SYNOVL3
BANK
j B} 30707 'rampa FL 33630 -3707
February 29, 2012
YIANASOTA FLOORING INC
Deposits/Other Credits
Date Transaction Type Description Amount
Balance Summary
02 -21
Remote Express Dep
Date
6,165.77
v
02 -21
_
Remote Express Dep
10,990.40
02 -21
Remote Express Dep
01 -31
20,858.24
✓
02 -21
Remote Express Dep _
_
_ 40,041.45
✓
02 -22
Automatic Transfer
Transfer From Deposit System
5,823.24
(—
270,220.55
02 -10
ACCOUNT
02 -21
301,497.36
02 -22
Remote Express Dep
_
_ _ _
3,648.42
V
02 -23
Automatic Transfer
Transfer From Deposit System
7,764.37
'T
02 -23
240,244.20
ACCOUNT
184,355.74
02 -15
02 -24
Automatic Transfer
Transfer From Deposit System
17,311.30
ACCOUNT _
02 -24
Deposit
2,020.00
✓
02 -24
Preauthorized Credit
American Express Settlement
2,063.95
✓
120224 _
02 -24
Preauthorized Credit
American Express Settlement
3,470.00
120224
02 -24
Remote Exp_mss Dep
_
4,311.93
02 -27
Automatic Transfer
Transfer From Deposit System
29,702.08
T
ACCOUNT
02 -27
Preauthorized Credit
American Express Settlement
675.00
;r
120227
02 -27
Preauthorized Credit
American Express Settlement
760.58
02 -27
Preauthorized Credit
120227
Ge Capital Mtot Dep
963.56
141,
U
120227 _
02 -27
Preauthorized Credit
Ge Capital Mtot Dep
1,920.40
120227
7 9,
02 -27
Preauthorized Credit
American Express Settlement
4,721.22
1 02r 227
02 -27
Preauthorized Credit
American Express Settlement
6,994.00
120227
_
02 -28
Automatic Transfer
Transfer F.,tom Deposit System
3,451.30
-�
ACCOUNT
02 -28
Remote Express Dep
9,175.30
02 -28
Remote Express Dep
10,862.14
6-2-2-8--Remote
Express Dep
19,338.06
02 -28
Remote Express Dep
_
40,102.54
✓
02 -28
Remote Express Dew__
62,255.64
02 -29
Automatic Transfer
Transfer From Deposit System
2,029.05
T
ACCOUNT
02 -29
Remote Express Dep
9,765.50
✓
02 -29
Remote Express Dep
59,065.71
Balance Summary
Date
Amount
Date
Amount
Date
Amount
01 -31
253,603.80
02 -08
206,488.58
02 -16
_ 444,499.73
02 -01
_
245,076.94
02 -09
336,177.44
02 -17
290,591.53
02 -02
270,220.55
02 -10
206,717.59
02 -21
301,497.36
02 -03
164,233.38
_
02 -13
215,449.03
02 -22
244,792.98
02 -06
158,717.09
02 -14
310,258710
02 -23
240,244.20
02 -07
184,355.74
02 -15
323-,491.38
02 -24 _
155,628.82
X
Balance S
Date
02 -27
Page 7 of 16
February 29, 2012
IMANASOTA FLOORING INC
165,546.30 02 -28 294,927.88 02 -29 271,231.66
m
r'
-�, Bank Account
CK 307681 2/21/2012 $292.50
f -.: - - -- uYnn
Em
4
CK 307691 2/8/2012 $1,007.00 CK 307702 2/6/2012 $1,818.19 CK 307703 2/1/2012 $1,088.67
U
CK 307705 <2 /3/2012w$128.70 CK 307711 2/1/2012 $2.50 CK 307724 2/6/2012$601.31
CK 307727 2/l/2012 $2,946.00
CK 307741L2/ <1/2012 $11,140.75
7.
CK 3077342/7/2012 $132.85 CK 307740 2/28/2012 $100.00
CK 307758 2/2/2012 $315.66
CK 307759 2/3/2012 $1,520.80
Page 8 of 16
Account Pagge 9 of 16
x. 3,nk
CK 307763 2/214014 Y----
CK 307766 2/ /2012$225.35
. . .........
CK 307770 2 6/2012 $9,146.86
------------
CK 30777442/2/2012x$3,798.25
CK 30777¢94'2/2/2012W
$17.33
CK 86
CK 307767 2/3/2012'$375.33
;L7
CK 307765 2/1/2012 „$766.23
CK 307768x2/3/2012 $3,683.00
CK 307771 '2/3/2O12µ$5,828'•75 CK 307773 '2/2/2012 $5,837.36
CK 307775 2/l/2012 $1,171.49
L
ER 307780 2/9/2012' 10.99
&K 3077.7642/10/2012'}$17,991.60
CK 307781 2/15/2012 $93.03
CK
CK 3077912/6/2012^$256.29
$256.29
CK 307796~2/13/2012 $32-82
CK 307799 2/9/2012 $23.11
Account
CK
CK 307792 2/3/2012 $57,000.00
CK 307787 2/3/2012 $5,392.28
-6 7P4
J
CK 307794`2/3/2012 $4,900.00
Page 10 of 16
- - ----- ------
CK 307797 2/8/2012 T415.95 CK 307798V2/13/2012 $11,26-6.98
Em
. — .v.. ®..0 �.._ ,.�.. we.ti v., u.a i �n CK 307800 2/10/2012 $14,445.02 CK 307801 2/8/2012x$777.35
CK 307802 2/13—/2012 $900.66 CK 307803 2/9/2012 $231.81 CK 307805 2/21/2012 $828.82
CK 307806 2/16/2012 81.000-60 FW- --An -7 R n -7 9 1 g 9 n i "I A r -J rrr 9n 7ono n /i n lnni, e-
enn nn
CK 307810 2/22/2012 $2,878.00
CK 307814 2/14/2012 $5,7Y2-12
Account Paae 11 of .16
fol
Z. PZZff
CK 307812 2/27/2012 $75.00 CK 307813 2/16/2012 $2,1�8.32
CH 307815 2/10/2012 z CK 307816 2/15/2022 $2,344.50
CK 307817 2/14/2012 $196.81 CK 307818 2/14/2012 $37.45 CK 307819 2/14/2012 $772.19
CK 307820 2/14/2012 �1,160.79
CK 307823 2/14/2012 $53TO9
CK 307821 2/14/2012 $95.76
CK 30�824 2/14/2012 $20.00
CK 307822 2/16/2012 $148.72
CK 307825 2/21/2012 .or
Bank
CX317829 2/15/2012".$150.00
CK R311832 2/16/2012 $120.47
M3078312/14/2012 "$'5,329.00 —
CK 307835 -�-
Account
CK 3078302/13/2012 $5,807.79
-
/-2- 2- =$19.80
CH 30
mm
CK 2012 $2,145.00
C CH =3
H 307841 2/15/2012 $656.13 CK 1842 2/21/2012 $29.97
C-K -
$9,867.89 CK 3
2/22/2012 $2, 47.33
201—
at 307847 2/23
QC
$3,154.50
CK 30785002/23/20124
$2,219.66
Em
CK 307853 2/21/2012 $90.49
CK 307857n2/22/2012 $2,817.64
CK 307862 2/21/2012 $6,722.56
--774—
CK 307865 2/22/2012f$500.00
�n BE
Account Page 13 of,16
(7 307851 2/21/2012 $2,448.51
. !f-
CK 307854 2/21/2012i4$1,635.62
- --
Em
CK 301660 2/21/20129$439.07
CK 307863 2/21/2012 $2,072.59
CK 307852 2/27/2012 $206.95
CK 307855`2/22/2012 $3,222.48
n7—
i-L
CK 307861 2/23/2012 $719.71
CK 307864 2/22/201249$1,368.58
CY, 307866 2/22/20124$640.00 CK 20124'$292.10
CK 307875 2/17/2012 $1,55�.58
CK 307879 2/24/2012 $250.00
CK 307885 2/22/2012 $302.42
ccount Pa(ve 14 of 16
, CK 307876 2/17/2012 o CK 367878 2/21/2012 $200.00
CK 307882 2/22/2012 $272.00 CK 307883 2/21/2012 $344.82
-
- `
CK 307886 2/22/2012 $132.09
CK 307887 2/22/2012 $930.
CK 307888 2/22/2012 $99.81 CK 307889 2/22/2012 $2,059.4,9 CK 307890 2/21/2012 $ 23
CK 307891 2/22/2012 $300.00 CK 307892 2/22/2012 $285.44
CK 307893 2/22/2022 $1,729.82
M 307897 $1,018.96
CK 307900 2/22/2012 $5,963-21
Account
CK $1,882.70
.....
CK 30
$3,731.40
7.1-7m
CK 30 2/22/2012";$108.75
., , :,,_ --- -7
CK :34097902 $811.:L:L
iz%
CX 307903 2/23/2012 $507.61
CK R3,07904 2/22/2012•„$213.00 : „
CK 3079052/27/2012 $136.64
CK 307906 $2,956.00
CK $21,387.35
CK 307907 2123I2012 950.20
ME] ..= -
L x
30 791 2/24/2012 $321.59
"Al
M.
LI
1-;,11 307908 '2/22/2012`$862.81
ICMX 2,
/2012 $64-86
P;It'.y,e 15 Of - 16
CY, 417.08
CK 307921 <x2 /27/2012 #$3,186.00
CK 307924 2/27/2012 $4,417.57
Account Page 16 of 16
CK 307919 2/24/2012 $16,078.00
CK 307920 2/28/2012 $471.74
CK 307922 2/27/2012e4$311.29 CK 307923 2/28/2012 $47.76
_
CK 307925 2/27/2012 $1,428.89
CK 307926 2/29/2012 $5,624.27
�-- ...__ .STET i ® .__.. - m,�;;
CK 307927 <2 /27/2012'$505.32 CH 307928 2/28/2012 $121005*95 CK 307931 2/27/2012 $138.50
CK 30793292/29/2012 $13,015.71
CK 307937 2/27/2012 S14.600.00
0
CY, 307933'2/24/2012 $10,346.44
r'K " Ari A47--Iri
z*M.5
CK 30793592/24/2012 $54,500.00
eK t-( q C- "EC.ILIIS-�- 41-�
Commercial Checking
Account number: i 'March 1, 2012- March 31;`2012 ■ Page 1 of 6
Image count: 248
TILE IT INDUSTRIES INC
DBA INTERNATIONAL TILE & STONE
475 FENTRESS BLVD STE M
DAYTONA BEACH FL 32114 -1236
Account summary
Commercial Checking
Questions?
Available by phone 24 hours a day, 7 days a week:
1- 800 - CALL -WELLS (1- 800 - 225 -5935)
Online: wellsfargo.com
Write: Wells Fargo Bank, N.A. (287)
Daytona Business Bkg
P.O. Box 6995
Portland, OR 97228 -6995
Account number Beginning balance Total credits Total debits Ending balance
2000028696740 $72,833.23 $999,174.75 - $863,142.51 $208,865.47
Credits
Deposits
Effective Posted
date date Amount Transaction detail
03/01
37,717.78
Deposit
03/01
5.86
Deposit
03/02
25,067.83
Deposit
03/05
55,684.68
Deposit
03/06
9,310.61
Deposit
03/08
31,445.91
Deposit
03/08
3,059.77
Deposit
03/12
11,985.56
Deposit
03/13
3,674.66
Deposit
03/14
5,675.54
Deposit
03/15
1,315.90
Deposit
03/19
22,726.69
Deposit
03/19
779.67
Deposit
03/20
4,981.39
Deposit
03/21
10,765.61
Deposit
03/22
9,203.86
Deposit
03/23
33,917.84
Deposit
03/26
26,059.59
Deposit
03/28
10,886.91
Deposit
03/29
19,761.97
Deposit
03/30
1,162.44
Deposit
$325,190.07
Total deposits
Img = 248
(287)
Sheet Seq = 0004031
Sheet 00001 of 00019
Account number: ■ March 1, 2012 - March 31, 2012 ■ Page 2 of 6
Electronic deposits /bank credits
Effective Posted
date date Amount Transaction detail
03/01
75,000.00
ADV on 0192 -26
03/01
5,781.50
Elavon
Mer Svcs
Merch
Dep 120301 8016229661 Internationa0000000000
03/01
639.87
Elavon
Mer Svcs
Merch
Dep 120229 8016229661 Internationa0000000000
03/02
3,498.89
Elavon
Mer Svcs
Merch
Dep 120302 8016229661 Internationa0000000000
03/02
103.31
Elavon
Mer Svcs
Merch
Dep 120301 8016229661 Internationa0000000000
03/05
6,384.72
Elavon
Mer Svcs
Merch
Dep 120302 8016229661 Internationa0000000000
03/05
76.95
Elavon
Mer Svcs
Merch
Dep 120302 8016229661 Internationa0000000000
03/05
25.56
Elavon
Mer Svcs
Merch
Dep 120302 8016229661 Internationa0000000000
03/06
2,719.48
Elavon
Mer Svcs
Merch
Dep 120305 8016229661 Internationa0000000000
03/06
91.04
Elavon
Mer Svcs
Merch
Dep 120305 8016229661 Internationa0000000000
03/07
474.45
Elavon
Mer Svcs
Merch
Dep 120307 8016229661 Internationa0000000000
03/07
44.36
Elavon
Mer Svcs
Merch
Dep 120306 8016229661 Internationa0000000000
03/08
2,034.41
Elavon
Mer Svcs
Merch
Dep 120307 8016229661 Internationa0000000000
03/08
6.91
Elavon
Mer Svcs
Merch
Dep 120307 8016229661 Internationa0000000000
03/09
279,979.61
Pulte Home Corpo AP Payment 1075- 75lTi1102 Tile -It Industries, IN
03/09
46,960.13
Pulte Home
Corpo AP Payment 1045 -451 Till 50 Tile -It Industries Inc
03/09
4,541.29
Elavon
Mer Svcs
Merch
Dep 120309 8016229661 Internationa0000000000
03/09
1,424.63
Elavon
Mer Svcs
Merch
Dep 120308 8016229661 Internationa0000000000
03/12
1,206.26
Elavon
Mer Svcs
Merch
Dep 120310 8016229661 Internationa0000000000
03/12
180.95
Elavon
Mer Svcs
Merch
Dep 120309 8016229661 Internationa0000000000
03/13
918.21
Elavon
Mer Svcs
Merch
Dep 120313 8016229661 Internationa0000000000
03/14
819.69
Elavon
Mer Svcs
Merch
Dep 120313 8016229661 Internationa0000000000
03/15
1,226.41
Elavon
Mer Svcs
Merch
Dep 120315 8016229661 Internationa0000000000
03/15
417.11
Elavon
Mer Svcs
Merch
Dep 120314 8016229661 Internationa0000000000
03/16
705.68
Elavon
Mer Svcs
Merch
Dep 120315 8016229661 Internationa0000000000
03/16
158.30
Elavon
Mer Svcs
Merch
Dep 120316 8016229661 Internationa0000000000
03/19
33.28
Elavon
Mer Svcs
Merch
Dep 120317 8016229661 Internationa0000000000
03/19
9.52
Elavon
Mer Svcs
Merch
Dep 120317 8016229661 Internationa0000000000
03/20
1,686.50
Elavon
Mer Svcs
Merch
Dep 120319 8016229661 Internationa0000000000
03/20
1,045.28
Elavon
Mer Svcs
Merch
Dep 120320 8016229661 Internationa0000000000
03/21
2,416.76
Elavon
Mer Svcs
Merch
Dep 120321 8016229661 Internationa0000000000
03/21
271.44
Elavon
Mer Svcs
Merch
Dep 120321 8016229661 Internationa0000000000
03/22
633.31
Elavon
Mer Svcs
Merch
Dep 120322 8016229661 Internationa0000000000
03/22
6.38
Elavon
Mer Svcs
Merch
Dep 120322 8016229661 Internationa0000000000
03/23
189,073.79
Pulte Home
Corpo AP Payment
1075 -751 Till 02 Tile -It Industries, IN
03/23
34,834.78
Pulte Home
Corpo AP Payment 1045- 451Till50 Tile -It Industries Inc
03/23
2,409.94
Elavon
Mer Svcs
March
Dep 120322 8016229661 Internationa0000000000
03/23
1,639.19
Elavon
Mer Svcs
Merch
Dep 120323 8016229661 Internationa0000000000
03/23
273.93
Elavon
Mer Svcs
Merch
Dep 120322 8016229661 Internationa0000000000
03/23
31.92
Elavon
Mer Svcs
Merch
Dep 120323 8016229661 Internationa0000000000
03/27
905.54
Elavon
Mer Svcs
Merch
Dep 120326 8016229661 Internationa0000000000
03/28
2,100.39
Elavon
Mer Svcs
Merch
Dep 120327 8016229661 Internationa0000000000
03/28
19.17
Elavon
Mer Svcs
Merch
Dep 120327 8016229661 Internationa0000000000
03/29
5.31
Elavon
Mer Svcs
Merch
Dep 120329 8016229661 Internationa0000000000
Sheet Seq = 0004032
Sheet 00002 of 00019
Account number: ■ March 1, 2012 - March 31, 2012 ■ Page 3 of 6
Electronic deposits /bank credits (continued)
Effective
Posted
date
date
Amount
Transaction detail
03/30
1,113.15
Elavon Mer Svcs Merch Dep 120329 8016229661 Internationa0000000000
03/30
55.38
Elavon Mer Svcs Merch Dep 120329 8016229661 Internationa0000000000
$673,984.68
Total electronic deposits /bank credits
$999,174.75
Total credits
Debits
Electronic debits /bank debits
Effective
Posted
date
date
Amount
Transaction detail
03/01
2,554.70
Elavon Mer Svcs Merch Fee 120229 8016229661 Internationa0000000000
03/07
35,000.89
WT Fed #03266 Bank of America, N /Drw /Bnf= Primepay of Florida, Inc Srf#
2012030700144130 Trn #120307045424 Rfb#
03/07
15.49
Elavon Mer Svcs Merch Dep 120306 8016229661 Internationa0000000000
03/12
287.48
Client Analysis Srvc Chrg 120309 Svc Chge 0212 002000028696740
03/12
9,727.50
WT 120312 - 028959 Banca Popolare Dell /Bnf =Acif Srf# IN12030912095436
Trn #120312028959 Rfb# 000000023
03/12
1,380.00
WT Fed #04048 Banco Popolare Soc /Ftr /Bnf = Saicis Srf# IN 12030912191224
Trn #120312028961 Rfb# 000000027
03/12
15,818.40
WT Fed #04047 Credito Emiliano S /Ftr /Bnf = Fincibec Spa Srf#
IN12030912133988 Trn #120312028958 Rfb# 000000024
03/13
38,038.46
WT Fed #02147 Credito Emiliano S /Ftr /Bnf = Fincibec Spa Srf#
IN12030912151460 Trn #120313010966 Rfb# 000000025
03/14
35,060.92
WT Fed #00767 Bank of America, N /Drw /Bnf = Primepay of Florida, Inc Srf#
2012031400152661 Trn #120314053909 Rfb#
03/14
37,490.39
WT Fed #07066 Credito Emiliano S /Ftr /Bnf = Fincibec Spa Srf#
IN12030912165298 Trn #120314018682 Rfb# 000000026
03/20
14,015.90
WT Fed #01489 Credito Emiliano S /Ftr /Bnf = Fincibec Spa Srf#
IN 12031906132497 Trn #120320098696 Rfb# 000000028
03/20
18,447.22
Fla Dept Revenue C01 120319 000000015127663 Tile -It Industr
03/21
34,456.41
WT Fed #02098 Bank of America, N /Drw /Bnf = Primepay of Florida, Inc Srf#
2012032100146616 Trn #120321041386 Rfb#
03/28
34,936.84
WT Fed #06575 Bank of America, N /Drw /Bnf = Primepay of Florida, Inc Srf#
2012032800146983 Trn #120328045597 Rfb#
03/30
2,874.00
Ffva Mutual Insu Insprempmt 120329 Tile -It Industries, IN
$280,104.60
Total electronic debits /bank debits
Checks paid
Number
Amount Date Number Amount Date Number Amount Date
349.44 03/12 12098' 107.85 03/07 12108 9,661.45 03/06
12000
1,939.10 03/01 12100'
954.00 03/01 12109 2,553.11 03/08
12053
390.25 03/05 12102'
1,458.05 03/02 12110 840.95 03/02
12055 `
251.50 03/01 12103
1,438.90 03/05 12111 342.85 03/05
12072'
2,179.50 03/02 12104
153.72 03/07 12112 1,747.80 03/08
12080'
17,010.23 03/02 12105
1,350.60 03/06 12113 1,146.84 03/06
12094'
2,235.00 03/08 12106
2,041.15 03/07 12114 751.45 03/05
12096'
117.69 03/02 12107 4,665.20 03/12 12115 3,809.40 03/05
Sheet Seq = 0004033
Sheet 00003 of 00019
Account number: ■ March 1, 2012 - March 31, 2012 ■ Page 4 of 6
Checks paid (continued)
Number
Amount
Date
Number
Amount
Date
Number
Amount
Date
12116
5,045.75
03/05
12168
2,000.00
03/09
12223
954.50
03/12
12117
1,898.75
03/14
12169
439.25
03/15
12224
932.89
03/12
12118
2,979.50
03/05
12170
70.00
03/14
12226
100.08
03/12
12119
100.00
03/06
12171
2,384.25
03/13
12227
935.00
03/13
12120
583.17
03/08
12172
579.60
03/13
12228
353.31
03/13
12121
80.50
03/07
12173
563.43
03/21
12229
2,497.50
03/13
12122
3,028.50
03/05
12174
1,492.20
03/13
12230
5,287.52
03/14
12123
3,727.65
03/02
12175
6,031.15
03/12
12231
39.13
03/13
12124
3,895.74
03/05
12176
187.84
03/12
12232
136.25
03/16
12125
2,441.36
03/05
12177
100.00
03/12
12233
9,923.50
03/29
12126
296.12
03/05
12178
680.60
03/14
12234
3,200.16
03/14
12127
191.32
03/06
12179
436.10
03/14
12235
2,640.10
03/19
12129'
300.22
03/06
12180
5,678.95
03/13
12236
3,578.15
03/19
12130
420.00
03/05
12181
2,762.18
03/13
12237
109.80
03/21
12131
3,529.30
03/05
12182
93.25
03/13
12238
153.29
03/20
12132
15,998.13
03/05
12183
3,482.45
03/13
12239
2,215.00
03/26
12133
1,437.50
03/05
12184
870.66
03/13
12240
249.89
03/20
12134
1,296.00
03/05
12185
726.60
03/13
12241
1,008.95
03/19
12135
1,798.15
03/06
12186
760.92
03/13
12242
143.36
03/30
12136
1,958.70
03/06
12187
1,596.45
03/12
12243
977.48
03/19
12137
13,315.76
03/07
12188
133.27
03/23
12244
96.25
03/26
12138
535.56
03/05
12190'
283.06
03/14
12245
2,328.10
03/19
12139
9,252.06
03/06
12191
28.76
03/16
12246
400.00
03/19
12140
392.50
03/05
12192
3,765.16
03/12
12247
3,170.55
03/20
12141
231.94
03/06
12193
201.67
03/14
12248
4,110.95
03/19
12142
282.51
03/05
12194
5,165.45
03/14
12249
100.00
03/26
12143
215.03
03/08
12195
8,867.07
03/14
12250
197.75
03/23
12144
1,968.00
03/05
12196
5,201.10
03/20
12251
49.98
03/21
12145
1,070.40
03/07
12197
490.00
03/20
12252
1,762.20
03/21
12146
4,804.86
03/06
12198
1,846.55
03/13
12253
1,065.45
03/16
12147
33.95
03/07
12199
930.49
03/12
12254
948.93
03/19
12148
1,808.30
03/06
12200
2,086.67
03/13
12255
7,538.50
03/19
12149
1,150.05
03/05
12201
1,597.81
03/13
12256
654.25
03/19
12150
625.00
03/06
12203'
1,592.80
03/12
12257
756.00
03/16
12151
1,077.17
03/06
12204
2,412.50
03/15
12258
14.62
03/26
12152
1,149.10
03/01
12205
530.19
03/12
12259
130.44
03/19
12153
385.96
03/05
12206
211.12
03/12
12260
8,661.98
03/19
12154
549.30
03/05
12207
349.69
03/13
12261
1,948.80
03/19
12155
121.73
03/12
12209'
4,163.25
03/27
12262
636.00
03/26
12156
3,625.40
03/12
12210
17.06
03/14
12263
872.10
03/20
12157
10,107.00
03/12
12211
718.20
03/16
12264
250.00
03/16
12158
241.57
03/14
12212
641.17
03/14
12265
733.31
03/19
12159
1,780.37
03/12
12213
75.00
03/13
12266
85.00
03/19
12160
5,026.90
03/12
12214
3,145.50
03/14
12267
144.59
03/20
12161
74.73
03/13
12215
4,576.61
03/12
12268
299.88
03/19
12162
1,000.00
03/12
12216
6,626.07
03/13
12270'
160.54
03/21
12163
1,754.85
03/12
12217
616.90
03/12
12271
846.20
03/19
12164
1,349.77
03/13
12218
3,625.04
03/13
12272
402.00
03/20
12165
413.99
03/15
12219
238.76
03/13
12273
7,871.86
03/21
12167'
605.03
03/13
12222`
1,637.75
03/13
12274
5,295.00
03/20
Sheet Seq =0004034
Sheet 00004 of 00019
Account number: ■ March 1, 2012 - March 31, 2012 ■ Page 5 of 6
Checks paid(continued)
Number
Amount
Date
Number
Amount
Date
Number
Amount
Date
12275
211.55
03/23
12303
2,838.85
03/27
12330
1,623.12
03/27
12276
102.91
03/19
12304
1,340.55
03/28
12331
7,156.53
03/27
12277
3,316.50
03/22
12305
5,945.50
03/26
12332
12,181.02
03/27
12278
44,527.71
03/19
12306
100.00
03/26
12333
324.92
03/27
12279
2,171.60
03/19
12307
211.50
03/30
12334
6,368.70
03/26
12281
6,658.12
03/19
12308
423.23
03/28
12335
1,637.75
03/26
12282
53.79
03/16
12309
1,620.90
03/26
12336
246.87
03/23
12283
603.67
03/19
12310
5,035.90
03/23
12337
123.92
03/26
12284
1,516.67
03/20
12311
3,668.14
03/26
12338
6.52
03/26
12285
81.50
03/20
12312
125.88
03/26
12340'
482.76
03/27
12286
205.67
03/20
12313
311.50
03/28
12341
1,725.44
03/28
12287
1,629.31
03/20
12314
3,858.00
03/27
12342
51.62
03/27
12288
1,000.00
03/15
12315
2,264.55
03/27
12343
2,200.00
03/27
12290'
197.65
03/28
12316
118.23
03/28
12344
17,075.11
03/28
12291
280.19
03/27
12317
1,674.68
03/26
12345
252.82
03/30
12293'
2,595.50
03/26
12318
16,486.85
03/26
12347'
216.28
03/30
12294
1,778.18
03/27
12319
45.84
03/26
12348
1,970.70
03/30
12295
2,120.00
03/28
12321'
3,198.89
03/28
12352`
2,269.00
03/30
12296
120.07
03/28
12322
14,129.03
03/27
12354'
2,500.00
03/29
12297
234.75
03/29
12323
1,773.28
03/28
12356`
2,252.60
03/29
12298
2,912.80
03/23
12324
19,233.70
03/27
12370 `
2,622.18
03/30
12299
860.18
03/27
12325
72.80
03/26
12374 "
375.00
03/30
12300
180.60
03/29
12326
71.90
03/26
12390'
1,176.71
03/29
12301
1,990.20
03/27
12328'
180.39
03/27
12399'
316.56
03/30
12302
2,474.75
03/26
12329
2,199.00
03/28
$583,037.91
Total checks
paid
Gap in check sequence.
$863,142.51 Total debits
Daily ledger balance summary
Date
Balance
Date
Balance
Date
Balance
02/29
72,833.23
03/12
420,507.57
03/22
108,089.71
03/01
185,129.84
03/13
344,293.11
03/23
361,532.96
03/02
188,465.80
03/14
248,101.35
03/26
341,511.05
03/05
198,273.08
03/15
246,795.03
03/27
266,820.10
03/06
176,087.60
03/16
244,650.56
03/28
214,286.78
03/07
124,786.70
03/19
177,244.69
03/29
217,785.90
03/08
153,999.59
03/20
133,083.07
03/30
208,865.47
03/09
484,905.25
03/21
101,562.66
Average daily ledger balance $255,307.65
D IMPORTANT ACCOUNT INFORMATION
The following applies to Wells Fargo business accounts with linked business debit cards or business ATM cards.
Sheet Seq = 0004035
Sheet 00005 of 00019
?P,GSE�'Ay F-�-k-vcvl
CNC-ULLCST 4 9-
April 16, 2012
Cheryl Smith
Tile -It Industries, Inc.
475 Fentress Blvd., Ste, M
Daytona Beach, FL 32114
Dear Ms. Smith,
Per your request, your account balance in your Well Fargo business checking account ending in
3/30/2012 was $208,865.47.
Best Regards,
Melanie A. Robinson
Business Associate
Together we'll .. far
ML��i.
S�vovUS' ��P�ED(
1-v-1 I
®, BANK �
PO Box 30707 Tampa FL 33630 -3707
MANASOTA FLOORING INC
4551 N WASHINGTON BLVD
SARASOTA FL 34234
-4,' /tSon�5�/ v2.
C-� L CY-u -QT 4 -1
Statement of Account
Last statement:
February 29, 2012
This statement:
March 31, 2012
Total days in statement period: 31
Page 1 of 17
11.00
Direct inquiries to:
888 317 -0085
2-1,
i
Summary of Account Balance
`'cc; >: > >:: a >`'<`< €'< <''' > <» ": >' > < " >.n Ra ace..... .
A ' >?`> ?> y ? ?ss > >'E ?? ?'?> asp ?sE #'E ?'s``'.
r rre ?:Ig�t
................
t �t;k. r ::.:..:..... ....: :.::::: : ::.:............ �t�'5.... 8.. �.a8:::::.. .
Beginning balance
Deposits /Credits
Withdrawals /Debits
Ending balance
271,231.66
972,447.83 Low balance
1,088,807.41 Average balance
154,872.08 Average collected balance
Checks
Number Date Amount
307840
03 -02
33.44 v
307884 *
03 -02
328.40 4. "
307911 *
03 -12
11.00
307960
307915 *
03 -01
16.07
03 -06
307930 *
03 -05
122.78
—
307940 *
03 -05
26.74
307964
307942 *
03 -05
20,087.50-
03 -02
307944 *
03 -05
1,195.00
—
307946 *
03 -05
823.20
665.82
307947
03 -02
6,043.70
41,300.00
307948
03 -02
2,018.76
12,013.42z
307949
03 -05
786.49
2,578.95
307950
03 -05
1,965.85
°
307951
03 -01
2,664.34
'
307952
03 -02
1,186.07
°
307954 *
03 -01
407.93
110.55
307955
03 -21
30.00
"
307957 *
03 -05
456.00
307958
03 -06
1,566.38
307959
03 -05
3,954.50
307960
03 -06
37.45
307961
03 -06
294.61
307962
03 -05
6,106.50
307963
03 -06
271.13
307964
03 -06
802.91
307966 *
03 -02
205.41
i�
X
113,854.62
198,733.96
164,408.00
Number
307967
Date
03 -08
Amount
400.00
307968
03 -12
46.27
307993 *
307970 *
03 -12
5,941.70
03 -15
307971
03 -02
700.00
—
307972
03 -07
46.32
°
307973
03 -07
3,743.00
03 -07
307974
03 -06
14.80
8,445.73
307975
03 -06
7,259.00-
'
307977 *
03 -05
665.82
307979_*
03 -01
41,300.00
—
307981
03 -02
12,013.42z
—
307982
03 -06
2,578.95
307983
03 -06
11,753.44
_
307984
03 -05
5,392.28 ,
307985
03 -07
1,026.91
307986
03 -07
110.55
307987
03 -06
829.46.
307989 *
03 -07
13,317.62
307991 *
03 -06
4,936.67
307993 *
03 -05
3,555.07
307994
03 -15
1,750.00
307995
03 -16
786.45
307996
03 -15
1,782.00
307997
03 -12
900.00
307998
03 -07
3,400.00
307999
03 -12
8,445.73
A
x
SYNOVU&
BANK
PO Box 30707 Tampa FL 33630 -3707
Checks
Number
308000
Date
03 -12
Amount
3,557.17v<
308002 *
03 -13
3,800.00
308013
308004 *
03 -12
708.88
-
308005
03 -14
639.56
5,777.55
308006
03 -13
304.86
-
308008 *
03 -09
50,000.00
-
308010 *
03 -20
75.98
9,871.82
308011
03 -20
46.09
308012
03 -13
81.67
308013
03 -14
288.00
308014
03 -14
210.80
308015
03 -15
5,777.55
308016
03 -16
2,560.78•
308017
03 -19
3,035.27
308018
03 -15
3,224.93
308019
03 -13
9,871.82
308020
03 -19
224.44
308021
03 -19
2,750.00
308022
03 -26
324.20
308023
03 -20
658.70
308024
03 -20
632.77
308025
03 -19
139.64
308026
03 -21
500.00
308027
03 -19
363.73
308028
03 -21
103.70
308029
03 -20
300.00
308030
03 -19
578.77
308031
03 -19
161.01
308032
03 -20
101.90
308033
03 -20
133.96
308034
03 -19
135.00
308035
03 -20
16.30
308036
03 -20
243.75
308037
03 -20
229.05
308038
03 -20
941.55
308039
03 -21
321.00
308040
03 -26
1,679.80
308041
03 -20
428.46
308042
03 -20
300.00
308043
03 -21
540.12
308044
03 -19
393.75
r
r
308045
03 -21
407.18
-
308046
03 -27
81.60
r
308047
03 -19
66.81
3,511.47
308048
03 -20
426.00'
'-
308049
03 -21
129.64
8,558.19
308050
03 -21
2,987.00'
1,386.41
308051
03 -20
120.47
-
308052
03 -21
75.42
-
308053
03 -20
2,030.15
10,571.91
308054
03 -15
39,000.00
J
308057 *
03 -22
350.00
-
Page 2 of 1.7
March 31, 2012
MANASOTA FLOORING INC
Number
Date
Amount
308059 *
03 -22
3,392.77
308060
03 -19
132.00 -
308061
03 -19
3,511.47
308121
308062
03 -19
10,945.56
`
308063
03 -20
8,558.19
318.85
308064
03 -20
1,386.41
`
308065
03 -23
188.71
308066
03 -20
1,032.40
308067
03 -20
10,571.91
308068
03 -19
1,213.15
-
308070 *
03 -19
123.63
-
308071
03 -21
69.27
308073 *
03 -20
200.00
308074
03 -20
4,810.27
-
308075
03 -19
366.65
-
308076
03 -20
252.50
308077
03 -23
372.94
308078
03 -23
610.18
308079
03 -26
7,493.25
-
308080
03 -26
4,634.16
308081
03 -22
3,522.88
308082
03 -26
2.75
308084 *
03 -23
1,498.83
--
308086 *
03 -26
3,743.13•
308087
03 -21
8,149.01
308088
03 -21
56.59
308090 *
03 -27
591.50
308091
03 -26
743.00
-
308092
03 -28
183.53
308093
03 -26
344.82
308094
03 -29
130.09
308095
03 -23
5,700.00
`
308097 *
03 -27
500.00 .
-
308098
03 -30
79.34
308099
03 -23
138.50 -
308101 *
03 -26
10,375.69.
308102
03 -26
5,116.50 -
308106 *
03 -23
56,000.00
308108 *
03 -26
1,099.00
308111 *
03 -28
843.63
308112
03 -28
169.00
308114 *
03 -28
608.00 '
308115
03 -30
1,566.38
308116
03 -29
1,150.00 .
308118 *
03 -30
2,366.00'
308120 *
03 -28
37.45
308121
03 -29
622.56
308123 *
03 -28
1,052.96•
308124
03 -29
318.85
308125
03 -29
2,057.01
308121 x 03 -29 240.22
308132 * 03 -29 26.63
r
Ilk
Checks
Number Date Amount
308133
03 -29
46.44 ,
308136 *
03 -28
6,937.86
•-
308137
03 -29
6,890.45
03 -30
308138
03 -30
17,223.71
1,815.00
308140 *
03 -30
875.14
l�l
308141
03 -28
6,209.10
7.95
308142
03 -29
3,899.34
120301
'
03 -01
Preauthorized Wd
American Express Collection
7.95
120301
l
03 -01
Preauthorized Wd
Ge Capital Btot Adj
40.00
120301
\:J
03 -01
Preauthorized Wd
Ge Capital Btot Adj
40.00
(,\
120301
03 -01
Preauthorized Wd
Shawusd Payments
5,621.61
120229 1228180
v
03 -02
Preauthorized Wd
Mohawk Factoring Payments
20,045.67
"
120301 171455
03 -02
Preauthorized Wd
S. E. Personnel Payroll
32,557.00
120302 8259006
03 -02
Automatic Transfer
Transfer To Deposit System
2,535.08
r
ACCOUNT
03 -05
Preauthorized Wd
American Express Axp Discnt
194.66
c
120305
03 -05
Preauthorized Wd
American Express Axp Discnt
689.02
r;
120305
�,
03 -05
Preauthorized Wd
John Hancock ACH Debit
926.32
,
120305 0074234
03 -05
Preauthorized Wd
American Express Axp Discnt
958.58
120305
03 -05
Preauthorized Wd
Mohawk Factoring Payments
30,011.04
_
120302171455
03 -06
Preauthorized Wd
Mohawk Factoring Payments
30,013.62
�Z_
120305 171455
03 -09
Preauthorized Wd
Mohawk Factoring Payments
29,988.51
03 -09 Preauthorized Wd
03 -12 Preauthorized Wd
03 -14 Preauthorized W
03 -14 Preauthorized Wd
03 -14 Preauthorized Wd
120308 171455
S. E. Personnel Payroll
120309 8259006
John Hancock ACH Debit
120312 0074234
Fla Dept Revenue C01
120314 000000012249770
Fla Dept Revenue C01
120314 000000012249782
Fla Dept Revenue C01
120314 000000012249769
4,367.93 e�
993.82 V —
3,936.26
8,520.16 V —
,581.26 j,'/ --
Page 4 of 17
�. SYNOVLTS
BANK March 31, 2012
PO Box 30707 Tampa FL 33630 -3707
MANASOTA FLOORING INC
Other Debits
I Date
Transaction Type
Description
Amount
03 -01 Preauthorized Credit American Express Settlement
80.00
120301
2,060.74
03 -01 Preauthorized Credit Tm - Wfl Ap
7,550.00 (� —
120301 ET015156
American Express Settlement
120302
101.12
03 -02
Remote Express Dep
6,069.62
v1 "
03 -02
Remote Express Dep
11,934.44
03 -02
Remote Express Dep
81,119.47
03 -05
Automatic Transfer
Transfer From Deposit System
ACCOUNT
14,306.87
F
�`/ X X
� r,� i4 rs -I I
March 31, 2012
MANASOTA FLOORING INC
its /Other Credits
Page 5 of 17
03 -05
Preauthorized Credit
American Express Settlement
120305
4,697.50
03 -06
Automatic Transfer
Transfer From Deposit System
ACCOUNT
11,149.24
03 -06
Remote Express Dep
436.00
l-' -
03-06
Remote Express Dep
9,199.44
a/
03 -06
Remote Express Dep
24,910.56
V
03 -06
Remote Express Dep
49,580.93
03 -07
Automatic Transfer
Transfer From Deposit System
ACCOUNT
2,608.00
03 -07
Preauthorized Credit
American Express Settlement
120307
Deposit System
ACCOUNT
8,262.73
03 -08
Remote Express Dep
243.24
03 -08
Remote Express Dep
2 584.74
;'
03 -08
Remote Express Dep
5,837.58
03 -08
Remote Express Dep
10,624.85
✓ —
03 -09
Automatic Transfer
Transfer From Deposit System
ACCOUNT
5,938.44--T—
03 -09
Deposit
1,680.36
03 -09
Preauthorized Credit
American Express Settlement
120309
970.00
03 -09
Preauthorized Credit
Ge Capital Mtot Dep
120309 ..0 S $
7,637.69
S-V
03 -12
Automatic Transfer
Transfer From Deposit System
ACCOUNT
6,502.45
-f
1
03 -12
Preauthorized Credit
American Express Settlement
120312
240.70
03 -12
Preauthorized Credit
American Express Settlement
120312
120312 ETO 15320
800.00
j./
03 -12
Preauthorized Credit
American Express Settlement
120312
13,900.00
03 -13
Automatic Transfer
Transfer From Deposit System
ACCOUNT
4,723.67
-1'
03 -13
Remote Express Dep
7,714.50
03 -13
Remote Express Dep
20 915.87
✓
03 -13
Remote Express Dep
21,890.13
✓'
03 -13
Remote Express Dep
103,732.93
+2--
03-14
Automatic Transfer
Transfer From Deposit System
ACCOUNT
2,061.00
1
03 -14
Remote Express Dep
5,426.46
03 -14
Remote Express Dep
7,418.79
✓-
03-14
Remote Express Dep
12,323.29
�.-
03-15
Automatic Transfer
Transfer From Deposit System
ACCOUNT
3,874.73
i
03 -16
Automatic Transfer
Transfer From Deposit System
ACCOUNT
3,900.00
T
03 -16 Deposit
03 -16 Deposit
770.00
2,728.54
X
i/�
®.SYNOVL S'
BANK
PO Box 30707 Tampa FL 33630 -3707
Deposits /Other Credits
March 31, 2012
MANASOTA FLOORING INC
Page 6 of 17
I Date
Transaction Type
Description
Amount
-
03 -16
Preauthorized Credit
Ge Capital Mtot Dep
6,001.25
'
03 -21
Automatic Transfer
120316 7 G r31
'2-q F, 7S
--
03 -19
Automatic Transfer
Transfer From Deposit System
15,714.73
-�-
03 -21
Remote Express Dep
ACCOUNT
37,085.46—r,°
'
03 -19
Preauthorized Credit
American Express Settlement
937.45
v
120319
03 -19
Preauthorized Credit
American Express Settlement
1,499.57
-22
120319
1,267.28
03 -19
Preauthorized Credit
American Express Settlement
2,555.41
T
120319
t
03 -19
Preauthorized Credit
Ge Capital Mtot Dep,
5,665.18
✓'
120319
2311, 6110),
-
03-20
Automatic Transfer
Transfer From Deposit System
2,442.22
-T
ACCOUNT
03 -20
Preauthorized Credit
American Express Settlement
723.50
✓ —
03 -26
Automatic Transfer
120320
15,651 .58
03 -20
Remote Express Dep
ACCOUNT
03 -26
Preauthorized Credit
American Express Settlement
14.34
.r
120326
03 -26
Preauthorized Credit
American Express Settlement
189.00
120326
03 -26
Preauthorized Credit
American Express Settlement
551.62
120326
03 -26
Preauthorized Credit
American Express Settlement;
2,000.00
I/ •-
120326 C 74 3? V
03 -27
Automatic Transfer
Transfer From Deposit System
8,374.54
ACCOUNT
03 -27
Remote Express Dep
10,870.07
✓
03 -27
Remote Express Dep
14,004.93
03 -27
Remote Express Dep
17,895.00
✓-
03-27
Remote Express Dep
50,710.57
✓
03 -27
Remote Express Dep
51 904.74
.�-' "
03 -28
Preauthorized Credit Ge Capital Mtot Dep
5,761.20
120328 534812064010217`
l 3 SA
��, _
Ll
March 31, 2012
MANASOTA FLOORING INC
sits /Other Credits
Page 7 of 17
03 -28 Remote Express Dep
5,408.00 V'—
03-29 Automatic Transfer Transfer From Deposit System
4,679.53
ACCOUNT
03 -30
03 -29 Preauthorized Credit American Express Settlement
/
955.71 a/ —
120329
230,134.62
03 -29 Remote Express D
03 -29 Remote Express D
03 -30 Automatic Transfe
Transfer From Deposit System
ACCOUNT
37.20 ✓''
32,818.04
3,964.14 .r-
03 -30
Deposit
03 -01
860-85
03 -02
03 -30
Preauthorized Credit
American Express Settlement
192.79
230,134.62
03 -07
21 1,581.02
120330
238, 734.16
03 -21
03 -30
Preauthorized Credit
American Express Settlement
3,157.00
I/ ,
120330
3,222.08
120330
03 -30 Remote Express Dep
Balance Su
Date
02 -29
271,231.66
03 -01
230, 436.41
03 -02
254,129.85
03 -05
195,216.87
03 -06
230,134.62
03 -07
21 1,581.02
03 -08
238, 734.16
03 -09 140,604.21
mount
03 -12
142,1 17.79
03 -13
287,036.54
03 -14
271,090.04
03 -15
223,430.29
03 -16
157,498.36
03 -19
156, 956.52
03 -20
262,002.24
03 -21
252,198.40
V2
3,400.38 A, —
03 -22
235,932.61
03 -23
131,948.20
03 -26
113,854.62
03 -27
266,441.37
03 -28
261,438.15
03 -29
219,865.23
03 -30
154,872.08
k
Svnovus Bank Account
Page 8 of 17
CK 307840 3/2/2012 $33.44
CK $328.40
V1=17
CK 307911 3/12/2012 $11.00
CK 307915 3/ /2012 $16.07 CK 307930 3/5/2012 $122.78 CK 307940 5/2012!$26.74
CK 307942 3/5/2012 $20,087.50 CK 307944 3/5/2012 $1,195.00 CK 307946 3/5/2012 $823.
.7.7
CK 307947 3/2/2012 $6,043.70
(.. ��e,ix ®..nit ...�. c... .r...,
CK 307950 3/5/2012 $1,965.85
(".V 'Af)7Qr,4 'A/I /' Ol 9 AA07 Q:k
x �iir vc[ut cTm .u.FR '+�usr ®nm. <_r. ..w.,
Z�
CK 307948 3/2/2022 $2,018.76 CK 307949 3/5/2012 $786.49
CK 307951 3/l/2012 $2,664.34
CK 307952!3/2/2012 $1,186.07
�) 0 p
Synovus Bank Account Page 9 of 17 �
CK 307958,3/6/2012 $1,566.38
CK 307961 3/6/2012 $294.61
CK 307964 3/6/2012 $802.91
CK 307968 3/12/2012 $46.27
:z.
CK 307959 3/5/2012 $3,954.50
CK 307962 3/5/2012 $6r106.50
CK 307960 3/6/2012 $37.45
33
CK 307963 3/6/2012 $271.13
. .. . ..... . . ............ ............ . . . .
CK 307966 3/2/2012 $205.41 CK 307967 33/8/20123$400.00
M-7
CK 307970 3/12/2012 $5,941.70
CK 307971 3/2/2012 $700.00
CK 307972 3/7/2012 $46.32
CK 307973'3/ 2012 $3,743.00 CK 307974 3/6/2012 $14.80
rw An"7Q7r, Alrlgnlg Al 910 nn ry qn7Q77 '4/9; l)nl') to:CM 0o
Symovus Bank Account Page 10 of 17
Page
CK 307981 3/2/2012 $12,013.42
CK 307984 3/5/2012 $5,392.28
CK 307987 3/6/2012 $829.46
CK 307993f03/5/2012 $3,555.07
CK 30799603/15/2012 $1,782.00
CK 307982 3/6/2012 $2,578.95
r
41
CK 30798503/7/201200$1,026.91
CK 307989 3/7/2012'$13,317.62
CK 307994 3/15/2012 $1,750.00
XM7
CK 307997 3/12/2012 $900.00
Em
CK 307983 3/6/2012 $11,753.44
CK 307986 3/7/2012 $110.53--
CK 30799103/6/20`12 $4,936.67
CK 307995f3/26/2012 $786.45
CK $3,400.00
CK 307999 3/12/2012 S8.445.73 CK 308000 3/12/2019 17 rx 7r)Rnn2 Aq Ann nn
Svnovus Bank Account
Page 11 of 17
CK 308004 3/12/2012 $708.6-8 CK 308005 3/14/2012 $639.56 CK 308006 3/13/2012 $304.86
CK 308008 3/9/2012 $50,000.00 CK 308010 3/20/20121$75.98 CK 308011L3/ 2012'$46.09
CK 308012 3/13/2012 $81.67
CK 308015'3/115/20121$5,777.55
CK 308018 3/15/2012 $3,224.93
CK 308013 3/14/2012 $288.00
CK 308016 3/16/2012,$2,560.78
CK 308019 3/13/2012 $9,871.82
CK 308014 3/14/2012 $210.80
xy
CK 308017 3/19/2012 $3,035.27
CK 308020 3/19/2012 $224.44
Si.novus Bank Account
Page 12 of 17
- so
CK 308024 3/20/2012 $632.77 CK 308025 3/19/2012 $139.64 CK 308026 3/21/2012 $500.00
gnql
CK $363.73- CK 308028 3/21/2012 $103•70 CK 30802903/20/2012 $300.00
Ems Em
CK 308030 3/19/2022 $578.77 CK 308031 3/19/2012 $161.01 CK 308032 3/20/2012 $101.90
Em Em
�^ _,_... �,.c. >., :<..,....,f,...� lam, .,_._.,. ,10. � .;.'�
CK 306033 3/20/2012 $133.96 CK 308034 3/19/2012 $135.00 CK 308035 3/20/2012 $16.30
CK �308037 3/20/2012 $229.05 CK 308038 3/20/2012 $941.55
5391 nn rK 3OA04n Ai r,7Q Rn f'R 'AnQn&l ItA00 AC
S17no,vus Bank Account Page 13 of 17,
CK 308042 3/20/2012 $300.00 CK $540.12 CK 308044 3/19/2022 $393.75
CK 308045 3/21/2012 $407.18 CK 308046 3/27/2012 $81.60 CK 308047 3/19/2012 $66.81
'Ar M.
CK 308048 3/20/2012 $426.00 CK 308049 3/21/2012 $129.64 CK 308050 3/21/2012 $2,967.00
.Zell
CK 30805163/20/2012 $120.47 CK 308052r3/21/2012 $75.42 CK 308053E3/20/2012 $2,030.15
IV%
CK 00 CK 30 057 3/22/2012 $350.00 CK 308059 392.77
. . ........
Em
MR
.........
CK 308060 3/19/2012 $132.00 CK 308061 3/19/2012 $3,511.47 CY, 308062 3/19/2022 $10,945.56
S3 novus Bank Account Page 14 of 17
Page
CK 308063c3/ 2012'$8,558.19
CK 308066 3/20/2012 $1,032.40
J%l
zz.
CK 308064 3/20/2012 $1,386.41
CK 308067 3/20/2012 $10,571.91
CK >$188.71
CK 308068 3/19/2022 $1,213.15
CK 308070 3/19/2012 $123.63 CK 308071 3/21/2012 $69.27 CK 308073 3/20/2012 $200.00
, =71
CK 27 CK 308075 3/19/2012 $366.65 CK 50
EM
............. ..........
CK 94 CK 308078 3/23/2012 $610.18 CK 308079 3/26/2012 $7,493.25
—7
gsozc, r J
CK
CK 308081
3/22/9019 93.5519 RR
r. w 'AnRnR9 Algs;lgnlg S9 7r,
S�novus Bank Account Page 15 of 17•
CK 30808403/23/2012'$1,498.83
CK 30e08 . 6 3/26/2012 $3,74-313
CK $6,149.01
I No
CK 308088`3/21/2012 °$56.59 CK 308090[3/27/201244$591.50 CK 308091- 00
L
fi
CK 53 CK 308093 3/26/2012 $344.82 CK 308094 2012„$130.09
CK 308095 3/23/2012 $5,76-0--.00 CK 308097 3/27/2012 $500.00 CK 308098 3/30/2012 $79.34
CK 306099 '3/23/2012$138.50
CK 308101 03/26/20124'$10,375.69
CK 308102 $5,116.50
CK 308106 3/23/2012 $56.000.00 CK 308108 3/26/2012 59 .099 nn rK qnRIll A14
Synovus Bank Account Page 16 of 17
CK 308,112 3/28/2012 $169.00 CK 308114c3/28/2012 $608.00 CK 308115 3/30/2012 $1,566.38
X120
' - � tee_
CK 308116 3/29/2012 $1,150.00 CK 308118 3/30/2012 $2,366.00 CK 308120 3/28/2012 $37.45
._..µ r2-.. 'y e,r _ ..»„ ,..me,:a �.. ®.,.,, wry ..«,. ,,...
CK 308121 3/29/2012 $622.56 CK 308123 3/28/2012 $1,052.96 CK 308124 3/29/2012 $318.85
EM
CK 308125 3/29/2012 $2,057.01 CK 308127 3/29/2012,$240.22 CK 30813213/29/2012 $26.63
2T.
R� .,. ,�.- ,..., ---� _ �. �'�' ..� r`,..,r. ".s � „,.,.. �_ :;�,: ::.. �'�:,- .�...�>.rt arc w �,rt
CK 308133 3/29/2012 $46.44 CK 308136 3/28/2012 $6,937.86 CK 308137u3/29/2`012 +$6,890.45
5'r13e
..... . ........
rw 4nRiAR q/4n/9nl9 All 99q 71 CK 308140 3/30/2012 987514 CK 308141 3/28/2012 56.209.10
SN-novus Bank Account Page 17 of 17
1-42
CK 308142 3/29/2012 $3,899.34
CK 308150 3/30/2012 $5,637.36
may.
L
CK 3081434'
815.00
CK 308144 3/30/201`2i1$321.14
m.4
CK 3081554^3/29/2012'$36,000.00
�(�t3�(�SE►� ��T1� --�
SYNOVUS BANK
rhoNJI w
April 20, 2012
To whom it may concern,
As of March 30, 2012, the checking account belonging to Manasota Flooring, Inc., held with Synovus
Bank of Florida, had a balance of $154,872.08. Valerie Tiffany - Quattlebaum is a signor. If you have any
further questions please contact me directly.
Thank you,
Adafn P. Ercoli
Vice President — Business Banking
941 - 556 -1009
APPLICATION TO QUALIFY SECOND ENTITY
Make sure you give written authorization to the credit agency so they can accurately check your credit references. Federal, State, County
(including all counties within the State of Florida) public records pertaining to judgments, bankruptcies, and tax liens must be searched and
results noted on the credit report. The credit report must include a public records check ofthe.home counties and all other counties where
25% or more of the contractor's work has been done over the last three years. (If public records reflect unsatisfied obligations, attach
written explanation and legal documentation.) The credit report must reflect officers, partners, and proprietors and FEIN and Social
Security numbers.
Attach a credit report(s) from a nationally recognized credit - reporting agency to this application. If you are unable to receive the credit
repoil, you may have a credit agency send the credit report directly to: Florida Construction Industry Licensing Board, 7960 Arlington
Expressway, Suite 300, Jacksonville, Florida 32211-7467, and complete this statement:
I have requested a credit report(s) on Mond SCE Ci F�CVO t-O Cgi d �e - 14 W Date
(PROPOSED LN I f I Y AN RESLNT ENTITY) .
to be sent directly from
ta-gu SE0oce
(NAME OF CREDIT REPORT G AGENCY)
S. CORPORATIONS — ATTACK A COPY of the current Annual Report Form filed with the Florida
Secretary of State or, if your corporation is newly established, attach a copy of the Florida Certificate of
Incorporation for the proposed and present entities, if applicable. All foreign (out of state) corporations
must register with the Florida Secretary of State (850) 488 -9000.
-SE-C-- /A- 0CLN0-1ey-4S :0 -2 -FCv- pt--ES Cn- Co-Ad Pau fx)s �cj t<'t�-- - -� �'
9. FICTIT ME — ATTACH A C Y of the recorded Fictitious Name Registration from the
Division of Corporations; also submit a copy of the filed application or newspaper article for the
proposed and present entities, if applicable. (This does not apply to corporations using their registered
name.)
10. ORGANIZATIONAL RELATIONSHIPS — Do you qualify any business other than the business you
are applying to qualify? YES ✓ NO '(If "yes ", what percentage of the business do you own (if
any)? D %). Contact Board office for guidelines to qualify more than one business.
Company Name: i 1 E t` I mDM -Tj-T I i E S, At,�
Company Y Address: y1 -5 Pey4vz�-S5' IMID �ul l L � D t4� - CC'�-o BEAC�
Your Liecnsc Number:
0-33��q
11. PROOF OF CONTINUING EDUCATION IS REQUIRED when reactivating or rcinstatinf; a
license. When reactivating or reinstating your license, you must attach a copy of your Certificate of
Completion from a Board approved sponsor. You must provide proof of your continuing education
hours, cquaI to those required of an active licensee, during the period of time your license was
delinquent or inactive (begiurrirrg December of 1993). F--Ns I S u1 020�17
7
2012 FOR PROFIT CORPORATION ANNUAL REPORT FILED
DOCUMENT# L71874 Secretary' of State
Entity Name: TILE -IT INDUSTRIES, INC.
Current Principal Place of Business: New Principal Place of Business:
475 FENTRESS BLVD STE M
DAYTONA BEACH, FL 32114
Current Mailing Address:
475 FENTRESS BLVD STE M
DAYTONA BEACH, FL 32114
FEI Number: 59- 3012315 FEI Number Applied For ( )
Name and Address of Current Registered Agent:
MAUGERI, RONALD G.
475 FENTRESS BLVD
STE M
DAYTONA BEACH, FL 32114 US
New Mailing Address:
FEI Number Not Applicable ( ) Certificate of Status Desired
Name and Address of New Registered Agent:
The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both,
in the State of Florida.
SIGNATURE: U I rl
Electronic Signature of Registered Agent Date
OFFICERS AND DIRECTORS:
Title: P
Name: MAUGERI, RONALD G.
Address: 475 FENTRESS BLVD SUITE M
City -St -Zip: DAYTONA BEACH, FL 32114
I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic
signature shall have the same legal effect as if made under oath; that I am an officer or director of the corporation or the receiver
or trustee empowered to execute this report as required by Chapter 607, Florida Statutes; and that my name appears above, or
on an attachment with all other like empowered.
SIGNATURE: RONALD G MAUGERI P 01/27/2012
Electronic Signature of Signing Officer or Director Date
2012 FOR PROFIT CORPORATION ANNUAL REPORT
DOCUMENT# P00000055794
Entity Name: MANASOTA FLOORING, INC.
Current Principal Place of Business:
4551 N. WASHINGTON BLVD
SARASOTA, FL 34234
Current Mailing Address:
4551 N. WASHINGTON BLVD
SARASOTA, FL 34234
FEI Number: 65- 1017624 FEI Number Applied For ( )
Name and Address of Current Registered Agent:
KURVIN, STEPHEN H
7 SOUTH LIME AVENUE
SARASOTA, FL 34237 US
OTDSIFILED tM
Jan 09, 2012
Secretary of State
New Principal Place of Business:
New Mailing Address:
FEI Number Not Applicable ( ) Certificate of Status Desired ( )
Name and Address of New Registered Agent:
The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both,
in the State of Florida.
SIGNATURE:
nic Signature of Registered Agent
OFFICERS AND DIRECTORS:
Title:
P
Name:
TIFFANY, BARBARA G
Address:
4551 N. WASHINGTON BLVD
City -St -Zip:
SARASOTA, FL 34234
Title:
CEO
Name:
TIFFANY, ROBERT
Address:
4551 N. WASHINGTON BLVE
City -St -Zip:
SARASOTA, FL 34234
Title:
CFO
Name:
KLEIN, SCOTT M
Address:
4551 N. WASHINGTON BLVD
City -St -Zip:
SARASOTA, FL 34234
Date
I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic
signature shall have the same legal effect as if made under oath; that I am an officer or director of the corporation or the receiver
or trustee empowered to execute this report as required by Chapter 607, Florida Statutes; and that my name appears above, or
on an attachment with all other like empowered.
SIGNATURE: SCOTT M. KLEIN CFO 01/09/2012
Electronic Signature of Signing Officer or Director Date
RESOLUTION OF AUTHORIZATON
WHEREAS Marra seya Qode nq aetC proposesto
(Name of Business Entity)
engage in contracting as o C
(`I jpe of le I entity- Corp., par(nership, eto.
Collier County, Florida, according to Collier County Ordinance 9945; and
WHEREAS l?) an a 5 all �Oc�r� f' � �._ proposes to
(Name of Business Entity) ,
qualify fora Certificate of Competency with _ b., to , �
(Name of Individ l)
NOW, THEREFORE, BE IT HEREBY RESOLVED THAT:
Ale the undersigned C__c &Is _ _ of
(Officers, Owners, Partners)
0 a �r-_ C hereby resolve and represent to the Collier County
(Name of Business Entity)
Contractors' Licensing Board that the qualiing agent, d41 T� />!( ,�.is active
in all matters connected with fire (Marne of dividual),
contracting business of Yha� ! r ,-, , and
(Bayne of Business En ) � 4
We thrther resolve and represent that �er�_ i_ 7 ��r� �, �f�n t r4e
(Names of vidual)
legally empowered to act for fih ( T c in all matters connected with its
(Name of Business En )
contracting business, and has the authority to supervise construction undertaken by
MA,) .DT - _ 1 lODfr
(Name of Business Fla
Witness
Witness
Witness
DIMY PASSED AND ADOPTED THIS Z
— day of
(Officers, Pagers, Owners - with
Designation underneath)
/Ff".,60,7 j
Corporate Seal (if Applicable)
Or Notary lPublic Certificate
t� RabC "s r;'F Sc,
SWOM tO and subscribed before me this f _may of Z4&-by Doi ba T,`F{�i�
Notary Public Name Printed Notary Pu ignature
C
amrrrtssto7a Nuuzber
My Commission expires; ._ ._
DEBORAH L. MOSHER
�! MY COMMISSION # DD788886
2 aF EXPIRES: May 14, 2012
o► r! �;rnan- Discount AUM- Co.
Lppry.t.NOTARY
71- 111 -ei.1
AFFIDAWT
1, - 5,-, 77 M- - L /,-/ -N I certify that the foregoing is true
and correct to the best of any knowledge.
AUTHORIZED OFFICER FOR THE FIRM
f
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before me this
(DATE)
-
(NAME OF OFFICER, TITLE/AGENT) (NAME OF CORPORA ON)
corporation, on behalf of the corporation. He/She has
(STATE OR PLACE OF CORPORATION)
produced 6ee( Sang jl!, 1�pjo wn 10 me) as identification and did not take an oath.
(TYPE OF IDENTIFICATION)
S I G, N A Tnt I R V--1 W406T XAR V
DEBORAH L. MOSHER
My ComNUSSION 4 DD789886
EXPIRES: May 14, 2012
Asses. CO.
(PRINT
NAME OF NOTARY) 14-t� DisZnt
NOTARY PUBLIC
L-N
AFFIDAVIT
The undersigned hereby makes application for Certificate of Competency under the
provisions of Collier County Ordinance 90 -105, as amended, and vouches for the truth and
accuracy of all statements and answers herein contained.
The undersigned hereby certifies that he /she is legally qualified to act on behalf of the
business organization sought to be licensed in all matters connected with its contracting
business and that he /she has full authority to supervise construction undertaken by
himself/herself or such business or organization and that he/she will continue during this
registration to be able to so bind said business organization. The qualified license holder
understands that in all contracting matters, he 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.
Vmerie 4 �
APPLICANT (PLEASE PRINT)
000
NAME OF COMP
OF APPLICANT
ao-4�oqau n
STATE OF FLORIDA
COUNTY OF L4.5c=
The foregoing instrument was acknowledged before me this A/We- 2.5 Zol 2__ by
(DATE) F
izZI +ho has produced
(NAME OF PERSON ACKNOWLEDGING) (TYPE OF IDENTIFICATION)
as identification and who did not take an oath.:'
e =o`Y'�¢� Notary Public State of Florida
Patricia G Schaber
My Commission EEG36334
'x or sLe Expires 11/26/2014
as
SIGNATURE OF NOTARY
(PRINT NAME OF NOTARY)
NOTARY PUBLIC
6
C Rr=Drr CREDrr BUREAU SERVICES, INC.
1 3663 NORTH DME WIGHIWAY
B U-REAU I OAKLAND PARK FL 33I34
I TCI-- 954451-100 • 856-WI-1400
I
1°AX: 05"67-144- 966-587-1441
Pmvldnd Foe! COLLIER COMTY C<?0TMCrQR LICENSING BOARD
2900 X HCRSE9202 DR
NAPIXG. F:, 34104
0 Li n-U �:i ec PeesuL4-L
p0C)e,T-- CRIMYT XWOAT
� 463040
Date R*CA'Wad
�Dato Is"
e-d RWestsd Sy
4/27/2012
1
14/27/2012
COL:,1ER. CIYUNTY
Type
FNMA A
Chargam
,Loran
-------------
1$37.00
03/12
TRADELZiNES
$135
5offcwcr Name QC*ATTLE3ALW- VALERIE T sockpi Security No
Cc-Bb"wer Name social S=rfty No
Curpent Addre" 32115 CLAY QtMLY PMAD, 14YAKKA CITY, FX, 34.251
Previous A4drew
mariud Status
Dependents
•mployef
position
since Income
verified By -
Age
Age
Length
Length
Employer
ft0w
since Income
viarified By -
M(TOR NAME A 9T14 R I 12ATE I 'A' 0' I HISTORIM
ACCOUNTNUM93P OAE Aff OPLNED HIGH CRDIT TERMS AVDUNT tLS STATUS t
PR.NTSTATUS
-------------------- I - - --- -------- ----- - ----------------- ----------- ------------
8 CO Z 9 0 D 2 L S
------------- ...... -------- --- - --- - -
------ ----------------- ------------
QUATTLEBAUM VALERIE !TIFFAN"
2Q1JIFAX/B2ACON` 5.0 AUTO
00010 - PROPORTX001 --i- RALAWCES 'TO CREDIT XXTS IS TOO HIGH ON A. REV0,LV1P* OR
OTHER REVOLVING ACC TS
00030 - TZY—"- SINCE ST AS I ACq0RNTV OP9NING IS TPO SHORT,
00023 - NIPMER OF B OR 1W OLV ACC OUN`�S WITH 1WAUNCE;
00011 - AMOUNT OWED N R LVING COUNTS IS TOO HIG.H
VALERIE T QUATTLESAII I
TRANSW;ON/F7CO CLASSIC 79
010 _ PROPORTION OF BALA•C S; TO C. - DIT L;;b ITS IS TOO HIGH 011 RAI rK ZEV DL*% ITR OR OTHER
REVOLVING ACCOUWS
030 TIME SINCE MOST RE ACCOI OPENANG IS TOO SHORT
003 PROPORTION OIP AN CBS Tfl LOAN JAMOUNTS TS TOO HI'
OOS TOO MANY ACCOTUIt'TTS WI BALA CES
FA INQW.RISS IMPACTED MMI SCORE
------------- ......
------
I_.....'
- - - - --
-
`- - - - ---
-----
0
-----
.0
-------------
03/12
TRADELZiNES
$135
[
TU/--F
---------------- I
FRStAMERHiC
........
03/12
07/01
$375000
--------
$304854
--------
$0
-----
. 46
0
----------- MI,
Bq&T
03/12
04/10
mTG
$2012
$0
23
0
0
0
EP
REAL ESTATE MORTC-Ad,
WNW219TIO
MORTGACZ
72 $765
TUIEF
marcT
04/12
06109
$164000
$157095
$0
33
0
0
0
141
02/12
MTr.
360 $1050
-JU/EF
coNvExTiONAff, REAL ESfrATE
XdRTGAGE
06101
COLLAT912U-
$25669
$0
48
0
0
0
R1
FREDDIE MAC ACCOUNT
WEDS
33/12
10/03
$300001
$4901$
$0
12
0
0
.0
M1
03/12
KTCIIMTN
$135
TU/--F
HOME EQUITY LOAN
Bq&T
03/12
04/10
$42464
$315031
$0
23
0
0
0
11
03/12
AUTO
72 $765
TUIEF
FInELITY BK
03/12
01/12
$30411
$29601
$0
01
0
p
0
12
03/12
AUTO
60 $589
TU/ET
CITI
04/12
06101
$26910
$25669
$0
48
0
0
0
R1
04/12
REV
MIN $428
TU/EF
FLEXIBLE SPEIM-ING
"T
CHASE
4/12
7o
065/03
$11050
$10403
$o
48
0
0
0
R1
11M
REV
MIX $354
TUfEF
Page 1/5
C REOrr [ CREW BUREAU SERVICES, INC. CREDIT 92PORT
3503 NORTN DIVE HIGHWAY
i� UREAU I OAO PARK FL33334 Fife f
' ERVtCES I( .ra. 954 - 461-1400 ` OW- 561-1400 463040
FAX' $54.567 -1441 404.587 -1441
pone Rmeivetd flute ir%ued Requested By
ProvidedFOr; COLLIER COUNTY CONTRACTOR LI=SXNG SOAK €/27/2012 4/27/2032 COLLIER COUNTY
2800 N MORS8SWR DR LoanTW9 FNMA* Cnargos
NAPLES, F. 34104 $37.00
•
OormvwW Name QVA•TTLMUT4, VALSRIZ T SociaL Security N Age
Ca&?rrownr Name social Security No Ago
Current Addrew 3211.5 CLAY GULLY ROAD, HYARZA CITY, PL 34251 Imam
Previous Adctrets LenTh
Msrw St„ltus
pgaendenES
CREDIT
CREDITOR NAME ?Cffe OAl' r BALUC8 PAST WE HISTOWAL 57ATUS
0 ACCCUNt KINBER W, cc OPENED H1oH CRcDIT TERMS AmOuNt K 3 A&Sew ar pItE5ENT STATUS
8 DISCOVER D]
04/12
02/03 $9800
$8160
$0
4B
0
0
0
R1
04/12
REV
MIN $20$
!
'FJ /EF
B CHASE
03/12
04/05. $7500
$7334
$0
48
0
0
0 I
R1
03/12
REV
PAIN $243
TO /EF
2i AMEX
04/12
03/05 $1600
$5085
$0
48
0
0
0
Rl
04/12
I I R.RV
—
1V /EF
B WELLS FA3RC•a0
04/12
01/13 ( $3000
$1853
$0
03
0
0
0
Rl
04/12
REV
MIN $34
TU /EF
B SIC OF AMER
04/12
03/11 $2500
$1577
$0
13 ;
0
0
0
R1
as
03/12
REV''
MIN $42
1
TU /1 F
JI FIA CSNA
04/12
10199 $1500
$1456
$0
31 10
0
0
Rl
03/12
REV
MIN $15?
/EF
Bl. AMEX
OS /03
03/01 ,•$2853
$0
$0
27
0
0
0
01
04/03
OPEN''
$01
TU /EF
ACCOUNT CLOSED Sly cc
KSUMSR
s
EK or AMER
01/10
08/05 $25527
$0
$0
48
0
0
0
I1
07/10
AUTO
60 $0
TU /EF
CL08ED
3K OF AMER
04/08
09/02 $2500
$0
$0
48
1
0
0
Rl
02/08
REV
so
Tu /13a
Late natest 2/08.3
AC>COLi7aTT CLOSED BY CC
9SUbMA
S SK OF AMER
12/07
012/91 ! $10400
$0
$0
38
0
0
0
Pi
02/06
REV
$0
TU /EF
ACCOUNT CLOSED BY C
SU
3 ONB
04/12
03/03 $2000
$0
$0
48
0
0
0
R1
01/04
REV
$0
'TV /EF
BTJS INESS CtRZDI T CARE
S CITT SIRE
03/03
02/02 $800
$0
$0
12
0
0
0
R1
01/03
R3V
$0
TO /ES
ACCOL%"T CLOSET? BY
1,09/10
SUMER
J FIA CM
10/99 + $13300
$0
$0
48
0
0
0
C$RC.DLOST
09/10
?2EV
$q
TU /1EF
CRSi7IT CARD 0
P. LOST
3 M MOTOR CR
06102
04/00 $42352
$0
$0
26
0
0
0
11
06/02
AUTO
60 $0
711
C LOBED
B GVECRB /AMA ON
04/1..2
12/11 $1700
$0
$0
04
0
0
0
Rl
04/12
REV
$0
TU /EF
GECR,B /DILLAR
04/12
09/92 $2700
$0.
$0
48
0
0
0
R1
04/03
3::V
$0
TD /EF
ACCdL7A r CL.OSEZ' 8Y C
I SUM91 ;
ECOA 9Ey! 8 =11OR OW
•
8UR dWER S- SHARED!
m),* U-UNDESIGNAY
6
A-
THORIZED
i i3a
1Rp rlsmelsnatulpOrd6 t'mpd'SP Ism" — prior -*Aw DNS aft 4taq s.. n aaW.68rMtlAR4SCMfnr.NatlK tzar.!luttCr tl v'trim'taMjnrc+wua ! aaan ntl4at'dtbt. rllri pt'a.rl� aa�ttaWaalOrraof urarngat+'g
b.mwd►rya�,a9..na�a tnmrv�apd+ttywmun.�aard noQaa Mlshw nrtlaiw nr�anr r.aa,tri Iraas mahe'On.utenMbNamMrr OO+'DAItMlp �r p .naauafi+�e @Ea►!'dE4'hpirrCanai fhRt,•rg Aa RNaNMLVpiw
awmrmrstilaeuaW Ntr'Bt�a G4G amryrm rstlan9�.ierd ya6e0t0yf1Ytrl nIM[, I'iit. vtt:u!01'Mlrpf Ipwr Mewlrslle4
F99w 2/5
C RMT
CREW BUREAU SERVICES, INC.
13 UREAIi
3503 NORTH OWE HIGHWAY
URKI,AND PARK. FL 33334
EEtVtGES
TEL• 964.561-1400 986.561.1400
'
.J�`r
FAX: 954 - 567.1441 86$-667.1441
Pr*Aded For:
COLLIER COMVrY CONTRACTOR L.ICEN5Z -NO BOAR?
PURC KASE3 BY ANOTIRER
2900 N HGRSEME DR
Sources
NAPLES, -L 34104
CARDIT MORT
FUe tl
4,63D4D
Fflte Received
fiat* L— sued
Rrquc -.ted 9Y
4127/2012
4/27/2012
COLLIER COM"9"Y
Loan Type
FNMA P
Chiamm
$0
PURC KASE3 BY ANOTIRER
$37.00
Sources
Reerente R
IV /EF
SUNTRUSi ax
Borrowor Name t U;6TTL'EBAC7M, V,A � =IE T
Sx4ol Security No Age
Cc -Wmwer Name
$50000,
Soclei Sowrity NO
Age
CurramtAddress 32115 CLAY GULLY ROAD, N,YAKXA C%TY, FL 34251
Length
Previous AdOress
$0
PURC KASE3 BY ANOTIRER
Length
AAwxm Status
EQUITY I
' OAN
SUNTRUSi ax
Depondanks
09/99
$19025
$0
CREDITOR MANE
pCom o DAT-E
BALMM PAV ME
HtGIiCRfdf
HSTORICAL8TATUS
ACCOIJNTNUNWER
O*TStnsr OPENED
TERMS AM4uNT
tt4S �WItiunsrUde
$2000,
nC'fiVtTr
TALBOT$
REV 30.. 1 40, 1 R
im IND
12/04
06/02
$35637,
$0 $0
30
0
0 0
11/04 INST $0
.IV 02/10 07/01 $375000 $0
01/10 MTG $0
TRWISTERRED R SOLI, REAL ESTATE QRTGAQE
08/04 12/03 I1a /ss I $14�OO�I $00
S!DL17'HTRU IL
06/05
10/03
$50000,
$0
ACCOUNT C COSUMER
06/05
M7CG'
$0
PURC KASE3 BY ANOTIRER
LENDE
; ROME
EQUITY I
' OAN
SUNTRUSi ax
05/04
09/99
$19025
$0
PURCHASED BY ANOTIMB
06/02
; HOME
AUTO
60 $0
CLOSED
11/03
06/03
$2000,
$0
TALBOT$
07/08
10195
$530
$0
ImmEmb
01/03
REV
$0
CLOSED
12/02
07/00
$400
$0
TARGET N -B. 02/10 03/02 $6100 $0
$ 0 52 lo la i 1.0
$0 48 0 0 0
$0 20 0 10 10
$01 26 10 10 10
sol as 10 10 10
$W 48 ID 10 10
$01 48 10 10 10
$0 06 10 10 0
$0 so 0 0 0
$01 14 0 0 0
0 RMNT STATUS
12
fir
M1
EF
Rl
TU
M1
TV
I1
TU
Rl
TC7 /EP'
R3
TU /EF
ml
TU /EF
R
TU /SF
TU /E:
321
TV
------ g U 8 L 7 C+ R E C R -R-
r r 3 - -�_J _ - �------------
------ --- -- ...--- --j--- --`i- - - -- tw* NO- CORD FO' x * *W -- -� i ----- - - - - --
,c f I
I b, 0171P IES ( LAST 9 0 n Y 9
s-- ------- A3- --- --- :TGTGH9 s ......... - - -- - - - --- - - - - - -- - -- - -- - ---- - - - - --
F" ,07f12 EF 03/03/12 ROADL a W-S
EP 01/28/12 BRAM0
EF 01/28/12 MELT Y
EK' - 01/28/2-24. WFDS
8F 03/28/12 BUT DIP
EF 01/28/12 ax OF �i.MER
Page 5/5
11103
REV
$0
ACCOUNT C COSUMER
KF/W%
11
10/03
OOD
$SOMTG
$0
02/e
$0
PURCHASED BY ANOTIMB
LENDE
; HOME
RQUXTY
MAN
1 DD""YFR
11/03
06/03
$2000,
$0
REV[
$0
ACCOUNT CLOSED BY C
SU+98R
W-VN G13 VC
12/02
07/00
$400
$0
12/02
REV
$0
FIRST USA 8XC l
08/04
06/03
$4600
-
07 /04
RRV
$ 0 52 lo la i 1.0
$0 48 0 0 0
$0 20 0 10 10
$01 26 10 10 10
sol as 10 10 10
$W 48 ID 10 10
$01 48 10 10 10
$0 06 10 10 0
$0 so 0 0 0
$01 14 0 0 0
0 RMNT STATUS
12
fir
M1
EF
Rl
TU
M1
TV
I1
TU
Rl
TC7 /EP'
R3
TU /EF
ml
TU /EF
R
TU /SF
TU /E:
321
TV
------ g U 8 L 7 C+ R E C R -R-
r r 3 - -�_J _ - �------------
------ --- -- ...--- --j--- --`i- - - -- tw* NO- CORD FO' x * *W -- -� i ----- - - - - --
,c f I
I b, 0171P IES ( LAST 9 0 n Y 9
s-- ------- A3- --- --- :TGTGH9 s ......... - - -- - - - --- - - - - - -- - -- - -- - ---- - - - - --
F" ,07f12 EF 03/03/12 ROADL a W-S
EP 01/28/12 BRAM0
EF 01/28/12 MELT Y
EK' - 01/28/2-24. WFDS
8F 03/28/12 BUT DIP
EF 01/28/12 ax OF �i.MER
Page 5/5
C REDIT CREW BUREAU SERVICES. INC.
3503 NORTH 00r; HIGHWAY
B UREAU OAKLAKD PARK, fL 33334
>±RVICES
TEL 9S4-561-1400 • 866401.1400
FAk 950- 567-1441 ' 566 -567 -1441
ProvldcdFoe COLLIER couNTY CONTRACTOR LICENSING BOARD
2809 :Q SORSESH07S DR
N"LES, rL 34:.04
CRODIT REPORT
fliv �
4634x0
Dais Rccuived
Dmo Ixucd
Re queued By
4/27/20:,2
4,/27 207.2
COLLIER COMM
LcanTVDe
FNMA$
ChorVwz
- -- - --- -- - - - - --
FORT LAUDE
ACMIASY
$37.00
$ourcrrs
Radcrenee #
TU /EP
,
Borrower Nhn+c QUNlVJ lr bAVM. VALTRIE T 80aa1 S,a[url:y N Ape
C0- Rorrowee Name Social $gcvrlty No Age
Cwtem; Aodreta 32515 CLAY GIi 3.,Y ROAD. MYAICKA CITY, FL 34251 Length
Previous Address Length
Marital Staum
Depnntleou
CRREDITORNAME
ACCOUP7T PILFiBER
I M__ 04T
p4T� usr OPM
BALANCE
HIGH CREDIT
1ERh!$
PAST ME H15'0FWAL5TATUS
AMOUNT WS
e
PRE_1TTIi STATUS
FA
- - -- -- - - - - -'
P 0 BOX 767;L,
- -- - --- -- - - - - --
FORT LAUDE
ACMIASY
--
REV 'A-
E311
x.
,
_—_•--....,— _.'M�"-------
'------ .--- - -,.
- - ----- - - - - - - --
-- - -- --- - -- -
--
..-
- .- .•- __ —_....
40, BR CA 9282
F,MA.R
9
{600} 200 -69'
&T
P 0 BOX
------------- - - - - - --
THE REPORTING RUPJMC
-- --.-- - - - - -^-----------------------------------
CERT% TES THATi
PUBLIC PECORD
PAVE 3 EN , r~
.800- 226 -522,8
--
------- - - - ^..
N FE03mkL,
STATE AND COUNK'Y RE
RDS R TAX LIERS,
JTDGMMWMTS, .
ISM S BA14XRUITCIES,
813- 246 -3673
P I SANX
AND
OTHER LrT~GAL INFORMAIZON,
INFORMATION
HAS BEEN OSTA
THR UGH' TE3
U
E
OF A
QUALIFIZV PUBLIC RECORDS
REPORTING
SERVTCE WITH THE
RESULTS: IM-CATED
400 -955 -7070
XlREIN.
NONS
RELATED REPORTS:
DE 1980
$00 -436 -7927
TI
ROB 624OUX
�A
"C
800 -843 -0777
TI-TM C0
P 0 BOX 15
=- LS- INWSTRIESZ
i
800- 9335600
$COVER FIN
208 15316,
----- r----- - - - -z-
- - -- - - --
- - - - -- ----- _
_ .... - - - -- -----------------
- -------- --- - - - - - --
EX
- - -- -- - - - - -'
P 0 BOX 767;L,
- -- - --- -- - - - - --
FORT LAUDE
----- - - - - - -- -
, FL 33329
--
--
------ - - - - --
800 -528 -4800
NKAMZRXC
,
800- 299 -2265
NHAME-RICA
P.O BOX 2
40, BR CA 9282
{600} 200 -69'
&T
P 0 BOX
, GRE XLLE, S
29602
.800- 226 -522,8
,ANWON
909 ADR,
TAM A, FL 33
19
813- 246 -3673
P I SANX
PO OX
, Ric OND VA 2
285 -5075
800- 955 - '7070
PITAL 1 BK
11.0 .3 W qB?AD
ST, LZ.%T ALL=
, VA 230 0
400 -955 -7070
ASE
201 N W
ST, W LMINGrTOM,
DE 1980
$00 -436 -7927
TI
ROB 624OUX
F S, SD 5--117
800 -843 -0777
TI-TM C0
P 0 BOX 15
87, WI IAGTOXI
E 1.9850
800- 9335600
$COVER FIN
208 15316,
'WILTING nE 1
850
800- 347 -2683
SCOUR CTS
PO OX1531
ATT:CM /PROD D
rA)P, WI IN
17E
00- 347-26$3
A CSNA
,
800 - 655 -1491
A MBNlk
P.O. BOA 17054,
WI MINGTON ,'
DE, 198B4
$00 -421 -2110
9bELITY
101 1 -DE
COT) P BLVD, J
CKSONVIL• , FL
32
566904-996-1050
DELITY XATIONAL BA
160 CLAI
NT RD, CTR, GA
0030 -250.
DELITY NTL
ROB 105075,
ATLAiRT GA 3034
888 -248 -5466
AST UNION
$0 BOX 133
PI VA758 RO+ANO
, VA 240' 0
800 -829 -0192
RST USA BX ��
800 HROOTKS
DGE, CO UMBVS, 0'_
43272
800 -944 -0919
RD MOTOR CREDIT
800 -727 -7000
MB /DI,LA
,
800 -643 -8278
a IND e4
MAIL ONLY
NA AMER
400 MRIST
ANA T2D, NEWARK x7
29713
800- 441 -7048
NA ANE -RICA
POB 15026,
WILMING?ON, DE 19!$01
800- 421 -2110
B- TGTVIBA
,
888-755-5856
UTIFIRST 3C
POB 3.22, B
RMINGEA4, AL 3 S2
1
QTHTRU IL
112 NO 20
T V 0 $ X 2554, E
Ii?M NG , A
52
0
800- 239 -2322
NTRUST BK
POB.3303,
AMT'A, 33601
813- 224.2121
LBOTS
d 175' REAL S
, HINT M, ?4A 0z
43
781-7497600
RGET NB
MAI STOP
UP, MI M. POLIS bN
55440
888- 755 -5656
cHOV /FTU
,
MATL ONLY
LLS FARGO
PQ ' OX 5445,
PORT , OR 9
228
LLS sa*o HOME, EQU
445 A;MOW
EST DRIVE, COLO
RDO SPRI 3, a
8090
888- 667 -6059
B CD SVC
800- 642 -4720
/VS
PO 3OX 182L28,
COZ U$ OR 43218
,800 -695 -9478
DiiTB /CLMB
NM /DUTY??.
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ST, C LLMUS,
432:13
MAIL ONLY
800- 695$865
W3/VCTRIA
220 W SCHRPCK
RD, ifESTERVIL
I OR 43Q$1
S FINANCIAL SERVIC
23 FASTSUR'-
IRVY1� -1; CA 9271
714- 72701000
rxdw ApaAROgyApn �,.wnud riaano0dtam V! s�" I10' R�iv +ieimMrNaRCORpwebeekw,miwfy. It mua to DEWnenn mrll'ww�ro dGORAlIpN7+r,GTwgOrGYMKMPJIk iJn,dn,f4A akPordhapr wdtxK^9� Rgmunp
.nxMptA �+.asA.tw,MRpancgrowa�mwnra,c earF!fdN.P MclR,tlSvAaeo pion "0"A& -W*WO^
Page 415
C REorr
CREDIT BUREAU SERVICES, INC.
Rg ueaad Qy
$$03 NORTH DIXIE 14IG14WAY
B UREAU
OAKLAND PARK, FL 33334
$RVICES TEL' 94+ -661 -9400 ' 856. 561.1400
-
FNMA d
FAX, 954.567.1441 856 - 557 -1441
Prcwided For;
COLLIER CCU-V-AY CONTRACTOR LICENSING MOARD
$3 7.00
2$00 3 HORSESHOE BR
RoWeeice 4
NAPS,E$, 7L 34104
CR=XT REPORT
File o
4'03040
ecei,- d
OaeR Issued
Rg ueaad Qy
1210.2
4/27/2012
COLLIER COUNTY
EY2
ype
FNMA d
Charges
$3 7.00
s
RoWeeice 4
r
3orrewcr Name QOATTIMSAUM, VALERIE it Smiol se urlry N AQ
C6.20rr6Wer Name Social Security No Age
CurrentAderess 32115 CLAY GULLY R.OA1i, KYAKKA CITY, FL. 34251 LeNth
Previous Address Lerrgth
M,sritni Status
Dependents.
CREDITORNAW W;& Tw DATE MACE PAST OW HISTflRICALSTATUS
AWDUNTNlAMER DATE UST OPENEO H10HCREDIT TE fS M05 easPtisrui PREWSIT STATUS
A M1Y .1.1 i ]eM 1 'Jas
I
........... . ---------
i __ M T S C S 1, L A N E 0 b S -- �- N F 0 -�' M_ T x fit w_ -- ---
T ...
Instant View Passwa . A1,- lU01
To verify the authenticity of this credit report, p ease vi it
httpst//cbx.meridiamlink.c m and lick on the Instant View ink t r report
number 463040 and password A3. -414 1 to view the >re ort. F r y n lea
regarding this repot ors rvices provide by CREDI HCIRFASi $ I s, INC. please
contact us at 954 -5 -1400
V TE is C I, A .11 M R R
AA asterisk ( *) following the payment am0 t indicates the tepa it ri�zs have no
payment data and that the ammmt was autoratically alculat'd a a De c ntage Of the
account balance.
This is a report comtainint inforration ztpplied by t`ic ren si,t ri e i ted above.
The merge process is auto ted ant. the re ort may include ^ckte dupLic tans and /or
owassions. XnquiricG regarding any disput d items s ovild be din ct d o the creditor
reporting the item, r to he appropriate reposita serviC ce�tet {s listed below.
EXMI I N p
Pa sox 2002 !C
ALLEN, TX 75013
$8$ -399 -3742
www.experi.an.cam /reportaccelss
0 BOX 1000 PO 0X 74 z 1
RESTER, PA 1$022 AT 30314
QQ- 888 - 213 so 4$ -1 1
ran:suni.�.com /rah+ ti.ons www a if com /fora
END Or UP= 1/27/2014 904: 41 7{M � **
snnraar�.. hAC.e�eA�.�Ar:pw wnrnikrsAa!YAaval4d.
Pragn 5/5
t
J
CREDIT BUREAU SERVICES, INC
April 26, 2012
C ollier C ounty C ontxactor Licensing B oard FA X:
239 -252 -2469
On April 251', I faxed two reports, one Ion Tile -It Industries Inc
and one on M anasota Flooring Inc.
These are, "basic" reports that include
Division of Corporations and a publi
determine if there are any judgments, ra:
Scott Klein of M anasota and Tile -It
ADDITIONAL credit report from Expe:
includes additional information.
I am attached those reports as requested -I
status with the Florida
record certification to
liens and etc.
asked that I obtain an
:ian Business Credit that
Please note that the name on th Tile -It report states:
INTERNATIONAL TILE & STONE I CORPORATED. While
the name is not accurately reflected, t e Federal Identification
number matches, the officer narme mate es and the corporate data
on Page 5 matches. Therefore, we kn w that this is the same
company. There must have been some typographical error with
Experian_ Getting them to correct this will take a long time.
In additional, the report also has the nai
each page. This was a typographical er
way alters the integrity of the inform
page. I am unable to change my inI
encrypted for security measures.
If you have any questions, please do not
Sincerely,
Steven P. Naimoli
e TIKE -IT at the top of
I on MY part and in no
ation contained on each
or
as all of the data is
Ihesitate to contact me.
3505 N. DIXIE HWY • OAKLA,NO PARK, FL • 33334
954 -561 -1400 • FAX: 954-567-1441
STEVENQa CREDIT1400_COM
WWW.CREDIT1400 COM
Business Credit Report #125
Page 1 of 6
BUSINESS CREDIT REPORT
REPORT #: 125 REPORT DATE: 4/2612012
PROVIDED FOR: CREDIT BUREAU SERVICES INC - REFERENCE:
8004521
BUSINESS NAME: MANASOTA FLOORING INC
BUSINESS ADDRESS: 4551 N WASHINGTON BLVD, SARASOTA, FL 34234
TELEPHONE: TAX ID: 651017624
BUSINESS KEY FACTS
NAME:
MANASOTA FLOORING INC AKA / DMSION:
/
BUSINESS TYPE:
INCORPORATED STATUS:
ACTIVE
STREET
4551 N WASHINGTON BLVD #OF EMPLOYEES:
35
ADDRESS:
Business Inquiries:
2
CITY, STATE. ZIP:
SARASOTA, FL 342342130 INCORPORATED:
6192000 STATE: FL
TELEPHONE:
941- 35548437 SALES:
$-
SIC CODE:
5713 KEY PERSONNEL:
CRAIG CRANSTON -- OWNER
DESCRIPTION:
FLOOR COVERING STORES
EXECUTIVE SUMMARY
CURRENT DAYS BEYOND TERMS (DBT) PREDICTED DBT FOR 6/20/2012
PAYMENT TREND INDICATOR
3 - GOOD RISK -0 119 - POTENTIAL RISK
INCREASING LATE
Lowest 6 Month Balance:
$$6,100
Industry DBT:
20
Highest 6 Month Balance:
$130,500
Payment Tradelines:
24
Current Total Balance:
$37,200
Business Inquiries:
2
Highest Credit Amount Extended:
$118,200
Banking /lnsurance/Leasing:
1
Median Credit Amount Extended:
$3,400
UCC Filings:
0
Common Terms:
NET 30; REVOLVE; CREDIT
COLLECTION FILINGS
DATE AGENCY
TELEPHONE AMOUNT
PAID DATE
CLOSED
STATUS
2/10 RECEIVABLE MANAGEMENT
SERVICES
(484)242 -4000 $1,445
$1,314 3/10
PARTIALLY PAID
1/09 CMAC COLLECTION ACCOUNTS (818)972 -5300 $133
$133 1/09
PAID
11/09 TRANSWORLD SYSTEMS INC.
(888)207 -3081 $7,239
$-
OPEN
12110 VENGROFF, WILLIAMS & (941)363 -5200 $139 $139 12/10
ASSOC.
PAID
12/10 VENGROFF, WILLIAMS & (941)363 -5200 $299 $139 PAY PLAN
The Information herein is tumished in confidence for your exclusive use for legitimate business Purposes and Shall not be reproduced. Neither t:7Xwan
Information Sdutions, uo_, nor their sources or distributors warrant such information nor Shall they be liable for your use or reliance upon it
(c) Experian 201 2. Ail rights reserved. Experian and the Experian marks herein are service marks or reg stared irademaris of Experian.
https:// credit_ advcredit. comisharedlBusinessCredit IViewReport.aspx ?orderid =125 4/26/2012
Business Credit RepolrE #125
REPORT #: 125 REPORT DATIE 412642012
PROVIDED FOR: CREDIT BUREAU SERVICES INC, REFERENCE:
8004521
BUSINESS NAME: MANASOTA FLOORING INC
BUSINESS ADDRESS: 4551 N WASHINGTON BLVD, SARASOTA, FL 34234
TELEPHONE: TAXID_ 651017624
ASSOC.
Page 2 of
FINCL SVCS
4112
3/12 NET 30
TRADE PAYMENTS
{$100
SUPPLIER
CATEGORY
REPORTED
DATE
ACTIVITY
DATE
TERMS
HIGH
CREDIT
BALANCE
CURR
7 30
DRT
60
90
90+
DBT
IN
100%
- CURRENT TRADES
SUPPLIER [REPORT ACTMTY
CATEGORY DATE DATE
PERMS
HIGH
CREDIT
BALANCE CURR 1 -30 60 90 80+ I COMP Y
DBT DBT
DBT
DBT
ADVERTISNG 9/09
F
ACCT SVCS
2/12
5108
VARIED
$4,000
$1,000
1000/6
AIR TRANS
4/12
OTHER
$100
x$100 100%
CABNT MANF
2112
1112
OTHER
$-
$-
DISTRIBUTR
4112
4112
VARIED
$118,200
$28,000 100 ° /a
FINCL SVCS
4112
3/12 NET 30
$17,300
{$100
100%
FINCL SVCS
4/12
12/09 NET 30
$1,600
$-
+$100,000 +$100,000 100%
FINCL SVCS
4/12
REVOLVE
$10,900
$10,900
100%
OFFC SUPPL 3/12 1105
COMMENT: CHARGE OFF
CREDIT
$300
$300 100%
RENTALS 3/12
NET 10
$-
$
TRANSPORTN 3/12
NET 30
$-
+$100,000 +$100,000 100%
COMMENT: PROMPT
BLDG MATRL 5/11
5101 CREDIT
NON
- CURRENT TRADES
SUPPLIER [REPORT ACTMTY
CATEGORY DATE DATE
PERMS
HIGH
CREDIT
BALANCE CURR 1 -30 60 90 80+ I COMP Y
DBT DBT
DBT dF3T RATING
ADVERTISNG 9/09
NET 30
$3,400
$
COMMENT: CHARGE OFF
AIR TRANS 7109
NET 30
$- $-
COMMENT., CUST 2 YR
AUTO RENTL 3112
NET 30
$800 $-
BANK 7/10
8/07 CONTRCT
+$100,000 +$100,000 100%
COMMENT: CUST 4 YR
BLDG MATRL 5/11
5101 CREDIT
$- $-
The information hcrcin is furnished in confidence for your exclusive use for legitimate business purposes and shall not be reproduced. Neither 9xperian
Information Solutions, Irrc., nor their sources or dstributors v aerant such informadon nor shall they be liable foryour use or reliance upon n,
(c) Expe ew 2012. Al rights reserveo, Exporizan and the Experipn marks heroin are service marks or registered trademraft of Fxperlan.
kwpas.1,1orodit_advoradit rr nm/ sh -art-dfRininPssireditNitwReVort aSUX ?9rderid =125 4/26/2012
Business Credit Report #125
Page 3 of 6
REPORT #: 125
REPORT DATE:
4/26/2012
PROVIDED FOR, BUREAU SERVICES INC -
REFERENCE:
8004521
BUSINESS NAME: MANASOTA
FLOORING INC
BUSINESS ADDRESS: 4551 N WASHINGTON
BLVD,
SARASOTA, FL 34234
TELEPHONE:
TAX ID:
651017624
CHEMICALS 1/11
NET 30
$400
$100
100%
CHEMICALS 5111
NET 30
$100
$-
COMPUTERS 10/09
CREDIT
$
$-
COMMENT. ACCTCLOSED
CRIED CARD 3/12 9100
REVOLVE
$5,100
$6,100
100%
COMMENT: BANKRUPTCY
FACTOR 2/11
VARIED
$-
FINCL SVCS 8/11 8/11
NET 30
$22,600
$-
COMMENT: ACCTCLOSED
GENL MERCH 7/09 4104
CREDIT
$-
COMMENT, ACCTCLOSED
LEASING 3/12
NET 10
$-
$
PLUMBING 2/10 1/10
NET 10
$3,000
$100
34% 66%
100%
80%
60%
40%
20%
0% IL
Current 1.30 31-60 51.90 ?40
PAYMENT TOTALS
100%
80%
60%
40%
20%
0%
Current 1.30 31- 6061 -90 3-90
100%
80%
60%
40%
20%
0%
Current 1 -30 316061 -90 *0
'Continuous distribution with DST. 'Newly Reported distribution with DST. 'Combined distribution with DST,
Number of Accounts: 10 Number of Accounts: Number of Accounts: 10
Present Balance: $40,400 Present Balance: $- Present Balance: $40,400
Highest Balance: $152,400 Highest Balance: $- Highest Balance: $152,400
COUNT DBT HIGH BAL BALANCE % CURR % 1 -30 %31-60 % 61-90 % X90
NEW: $- $-
CENT: 10 3 $152,400 $40,400 97 3
The inforrnatlon herein is furnished in conrldence for your EXcluslve use for legitimate business purposes and shall not be reproduced, Neither E.kpertan
Information Solutions, Inc., nor their sources or distributors warrant such inforrnatlon nor shall they be liable for your use or rellance upon It.
(c) Experlan 2012. Ail rights resarvod. Exparian and the Expgrian marks herein are service rnarm or IEgibtered trademarks or "rian.
https: / /credit.advcredit -corn/ sharedI BusinessCredit IviewReport.aspx ?orderid =125 4/26/2012
Business Credit Report #125 Page 4 of 6
REPORT #; 125 REPORT BATE: 4126/2012
PROVIDED FOR: CREDIT BUREAU SERVICES INC - REFERENCE:
8004521
BUSINESS NAME: MANASOTA FLOORING INC
BUSINESS ADDRESS: 4551 N WASHINGTON BLVD, SARASOTA, FL 34234
TELEPHONE: TAXID: 651017624
COMB: 10 3 $152,400 $40,400 97 3
PAYMENT TRENDS
100%
80%
60%
40%
20%
0%
11111 12/11 1112 2/12 3112 412
100%
80%
60%
40%
20%
0%
101 12111 1112 2/12 3/12 4112
100%
80%
60%
40%
20%
0%
3/11 6111 9/11 17 11 3112
*Percentage of on-time payments by month. 'Percentage of on -time payments by month. 'Percentage of on -frrie payments by quarter.
MONTHLY TRENDS
MONTH
DBT
BALANCE % CURR %1-30 % 31-60 %61-90
% X90
04/2012
26
$37,200 31
29 34
6
03/2012
2e
$36,500 30
29 35
6
02/2012
26
$36,200 30
29 35
6
01/2012
12
$42,100 49
46
5
12/2011
2
$129,600 98
1
1
11/2011
2
$130,500 98
1
1
INDUSTRY TRENDS
MONTH
DBT
BALANCE
% CURR
04/2012
20
$16,868
74
03/2012
20
$17,070
74
02/2012
19
$17,261
74
01/2012
19
$17,495
75
1212011
19
$17,772
76
11/2011
20
$17,596
75
QUARTERLY TRENDS
QUARTER
YEAR
DBT BALANCE % CURR
%1-30 %31-60 %61-90
%>90
1
2012
26 $36,600 30
29 35
6
4
2011
3 $100,700 91
6 1
2
3
2011
3 $32,100 93
4 1
2
2
2011
3 $35,100 88
11
1
1
2011
4 $23,000 81
15 2
1
The Information herein is furnished in oonndence for your oxcluslve use for legitimate business
purposes and shall not be repraduOed. Neither Experian
Information Solutions, Inc., nor their Souron or distributors warrant such information roar shall they be liable for your use or reliance upon It.
(c) Experan 2012. All rights reserved. Experian and the experian marks herein are service marks or registered trademarks of Expenan.
https= / /credit.adveredit.cozxt/ shared/ BusinessCredit /ViewP,eport.aspx7orderid =125 4/26/2012
Business Credit Report #125
REPORT #: 125 REPORT DATE: 4/26/2012
PROVIDED FOR: CREDIT BUREAU SERVICES INC - REFERENCE:
8004521
BUSINESS NAME: MANASOTA FLOORING INC
BUSINESS ADDRESS: 4551 N WASHINGTON BLVD, SARASOTA, FL 34234
TELEPHONE: TAX ID: 651017624
START DATE
1/1/2012
7/1/2011
1/1/2011
7/1/2010
1/1/2010
1/1/2010
Page 5 of 6
UCC SUMMARY COUNTS
FILINGS RELEASES CONTINUATIONS AMENDED DEROG COLLATERAL
6
2 2
Total : 10
The information herein is fumishcd in confldence far your exclusive use for legitimate business purposes and shall not he reproduced. Neither Experian
informeflOn Solutions, IM, nor their Sourms or distrlbutors warrant such Information nor shat they he liable for your use or reliance upon it
(c) Experian 2012. All rights reserved, Experian and the Experian marks herein are service marks or registered trademarks of Experian.
https: / /credit_advcredit.com/ shared/ BusinessCrediWiewReporLaspx ?orderid -125 4/26/2412
LEASES
1) Name. LEASING SERVICES
Phone:
(319)365-5000
Location: CEDAR RAPIDS, 5240E-0609
Start Date: 3/2011
Prod Type:
OFFICE EQUP
Orig Amt
$21,546
Close Date:
Lease Type: OPERATING
Terms:
63
Ext Date: 4/6/2012
Comment:
Pay lnt:
12 / YR
Due Date:
Pay Type:
FIXED
Amt Due: $342
# Overdue:
Bal Due: $-
Overdue:
$-
Rem Bal:
$17,442
Cur Cnt:
Late Cnt:
30+ Cnt:
6
60+ Cnt.
90+ Grit,
>90 Cnt
Cur Amt $-
Late Amt:
gr
30+ Amt:
60+ Amt $-
90+ Amt:
$-
>90 Amt:
$-
CORPORATE DATA
State. FL
Orig Filed:
Rec Filed: Incorp:
6/9/2000
Type: INCORPORATED
Status:
ACTIVE $tat Desc:
P /NP: PROFIT
Chart Num:
P000000557 Term:
Term Date:
DEMOGRAPHIC DATA
Prim SIC: 5713 SIC Desc:
FLOOR COVERING STORES
Sales:
$21,301,000
See SIC: 1752 SIC Desc:
FLOORS - CONTRACTORS & BUILDERS
Proft
$
Other SIC: 1743 Founded:
1973
In Bldg Date:
Net Worth:
$-
Other SIC: 5714 Yrs In Bus:
39
Bldg Size:
Own/Rent:
# Emp: 35 Location:
Own Type:
# Gust: Bus Type:
Corporation
Fisc Yr Starts:
KEY PERSONNEL
Name/Title: CRAIG CRANSTON -- OWNER
INQUIRIES
Business Category 412012 312012 212012 112012 1212011
11/2011 1012011
912011 812011
PLBG EQUIP
0 0
0 0 0
0 0
0 1
TOTALS
0 0
0 0 0
0 0
0 1
BANKRUPTCIES
*"NONE"
TAX LIENS
"'"NONE '**
The information herein is fumishcd in confldence far your exclusive use for legitimate business purposes and shall not he reproduced. Neither Experian
informeflOn Solutions, IM, nor their Sourms or distrlbutors warrant such Information nor shat they he liable for your use or reliance upon it
(c) Experian 2012. All rights reserved, Experian and the Experian marks herein are service marks or registered trademarks of Experian.
https: / /credit_advcredit.com/ shared/ BusinessCrediWiewReporLaspx ?orderid -125 4/26/2412
Business Credit Report #125
Page 6 of 6
REPORT #: 125 REPORT DATE: 4/26/2012
PROVIDED FOR: CREDIT BUREAU SERVICES INC - REFERENCE:
8004521
BUSINESS NAME: MANASOTA FLOORING INC
BUSINESS ADDRESS: 4551 N WASHINGTON BLVD, SARASOTA, FL 34234
TELEPHONE: TAX ID: 651017624
JUDGEMENTS
*— NONE***
END OF REPORT 41261201210:11:16 AM
The Information herein Is furnished in confidence for your exclusive use for legitimate business purposes and shall not be reproduced. Neither Experian
Information Solutions, Inc., nor their sources or distributors warrant such informoon nor shall they be liable for your use or reliance upon It
(c) Experian 2012 All rights reserved. Experian ano the Experian marks herein are service marks or registered trademarks of Experian.
https'// cred it. advcredit. com/ shared/ BusinessCredittviewReport.aspx ?ordeirid =125 4/26/2012
Business Credit Report 4126
Page 1 of 3
BUSINESS CREDIT REPORT
REPORT #: 126 REPORT DATE: 412612412
PROVIDED FOR: CREDIT BUREAU SERVICES INC - REFERENCE:
8004521
BUSINESS NAME: TIKE -IT INDUSTRIES INC
BUSINESS ADDRESS: 475 FENTRESS BLVD STE M, DAYTONA BEACH, FL 32114
TELEPHONE: TAX ID: 593012315
CURRENT DAYS BEYOND TERMS (VU 1)
- GOOD RISK 0
Lowest 6 Month Balance:
Highest 6 Month Balance:
Current Total Balance:
Highest Credit Amount Extended:
Median Credit Amount Extended:
Common Terms:
EXECUTIVE SUMMARY
PKtUI1.I tU 013T FOR 0/2012012 PAYMCNT Tr2CND INDICATOR
1 - GOOD RISK STABLE
$19,400 Industry DBT: 16
$48.000 Payment Tradelines: 31
$46,340 Business Inquiries: 0
$27,400 Banldng/Insurance/Leasing: 0
$3,200 UCC Filings: 0
NET 30; CREDIT; REVOLVE
COLLECTION FILINGS
DATE AGENCY TELEPHONE I AMOUNT I PAID rrDnc�n STATUS
9/06 RECEIVABLE MANAGEMENT
SERVICES
5335
TRADE PAYMENTS
COMMUN SVC 3/12 NET 30 $4,500 $3,200 100%
COMMENT: CUST 11 YR
DISTRIBUTR 4/12
COMMENT: CUST 8 YR
COD $- $-
OPEN
The information herein is furnished in confluence for your exdurivo uce for legitimate businM purposes and shall not be reproduced. NAMW ExWan
Information Solutions, Inc., nor meir sources or distributors warrant such Information nor shall they be liable for your use or reliance upon it
(0) Experian 2012. All flgnts reserved. Experian and the Experian marks herein are service marks or registered trademarks of Experian_
httpsJ /crcdit.advcredit.coml sharedl] 3u sinessCrediWiewReport-aspx ?orderid =126 4/26/2012
BUSINESS
KEY FACTS
NAME:
INTERNATIONAL TILE & STONE
AKA / DIVISION:
I
BUSINESS TYPE:
INCORPORATED
STATUS:
ACTIVE
STREET
475 FENTRESS BLVD STE M
# OF EMPLOYEES:
25
ADDRESS:
CITY, STATE, ZIP:
DAYTONA BEACH, FL 32114 -1236
INCORPORATED:
5110/1990 STATE: FL
TELEPHONE:
386 -253 -1112
SALES:
$-
SIC CODE:
1743
KEY PERSONNEL:
RON MAUGERI — PRESIDENT
DESCRIPTION:
TERRAZZO, TILE, MARBLE & MOSAIC
RON MAGUERI — PRESIDENT
WO
CURRENT DAYS BEYOND TERMS (VU 1)
- GOOD RISK 0
Lowest 6 Month Balance:
Highest 6 Month Balance:
Current Total Balance:
Highest Credit Amount Extended:
Median Credit Amount Extended:
Common Terms:
EXECUTIVE SUMMARY
PKtUI1.I tU 013T FOR 0/2012012 PAYMCNT Tr2CND INDICATOR
1 - GOOD RISK STABLE
$19,400 Industry DBT: 16
$48.000 Payment Tradelines: 31
$46,340 Business Inquiries: 0
$27,400 Banldng/Insurance/Leasing: 0
$3,200 UCC Filings: 0
NET 30; CREDIT; REVOLVE
COLLECTION FILINGS
DATE AGENCY TELEPHONE I AMOUNT I PAID rrDnc�n STATUS
9/06 RECEIVABLE MANAGEMENT
SERVICES
5335
TRADE PAYMENTS
COMMUN SVC 3/12 NET 30 $4,500 $3,200 100%
COMMENT: CUST 11 YR
DISTRIBUTR 4/12
COMMENT: CUST 8 YR
COD $- $-
OPEN
The information herein is furnished in confluence for your exdurivo uce for legitimate businM purposes and shall not be reproduced. NAMW ExWan
Information Solutions, Inc., nor meir sources or distributors warrant such Information nor shall they be liable for your use or reliance upon it
(0) Experian 2012. All flgnts reserved. Experian and the Experian marks herein are service marks or registered trademarks of Experian_
httpsJ /crcdit.advcredit.coml sharedl] 3u sinessCrediWiewReport-aspx ?orderid =126 4/26/2012
Business Credit Report 4126
Page 2 of 5
REPORT #: 126
REPORT DATE: 41262012
PROVIDED FOR: CREDIT BUREAU SERVICES INC -
REFERENCE:
8004521
BUSINESS NAME: TIKE -IT INDUSTRIES INC
BUSINESS ADDRESS: 475 FENTRESS BLVD STE M, DAYTONA
BEACH, FL 32114
TELEPHONE:
TAX ID: 593012315
DISTRIBUTR 1/12 12111
VARIED
$17,500
<$100 100%
FACTOR 2/12
NET 30
$-
$_
FINCL SVCS 4/12 3112
NET 30
$8,800
$1,200 100%
FINCL SVCS 4/12 4/12
NET 30
$19,700
$12,500 1DO%
COMMENT: SATSFTRY
FINCL SVCS 4/12
NET 30
$-
$_
FINCL SVCS 4/12
REVOLVE
$27,400
$16,500 100%
FINCL SVCS 4/12
NET
$-
$..
COMMENT ;ACCTCLOSEO
LUMBR &WOOD 4/12 4/12
NET 10
$700
$500 100%
OFFC SUPPL 3/12 6/07
CREDIT
COMMENT:ACCTCLOSED
OFFC SUPPL 3112 3/12
CREDIT
$1,200
$1,100 100%
COMMENT:ACCTCLOSED
OFFC EQUIP 4/12 2/12
REVOLVE
$300
$100 100%
PACKAGING 4/12
NET 30
$100
$100 100%
COMMENT: CUST 10 YR
RENTALS 3/12
NET 10
$-
$
SAM PROD 4/12
NET30
$
TRAN$PORTN 4112
NET 15
$-
TRANSPORTN 3/12
NET 30
$800
$-
COMMENT; PROMPT
WAREHOUSE 4/12 8/09
CREDIT
$-
$
COMMENT:ACCTCLOSED
WAREHOUSE 3/12 3112
CREDIT
$700
$200 100%
NON - CURRENT TRADES
SUPPLIER REPORTED ACTIVITY
HIGH
11-30131- 67- 90+ INDUSTRY
The information herein it, Nrnisned In confidence for your exclusive use for leflltlmate business purposes and shall not be reproduced. Neither Expsrian
Information $pWtlons, Inc., nor Choir sources or distributors warrant such information
nor
Shall they be liable for your use or reliance upon It
(c) Experian 2012. Alt rights reserved. Experian and the Expedan marks herein are service marks of registered trademarks of Experlan.
https: // credit. adveredit. com /shared/Busin=Credit[ViewReport.aspx ?orderid =126 4/26/2012
Business Credit Report #126
Page 3 of 5
REPORT #' 126
REPORT DATE: 4/26/2012
PROVIDED FOR: CREDIT BUREAU
SERVICES INC-
REFERENCE
8004521
BUSINESS NAME: TIKE -IT INDUSTRIES
INC
BUSINESS ADDRESS. 475 FENTRESS BLVD STE
M, DAYTONA
BEACH, FL 32114
TELEPHONE:
TAXID: 593012315
CATEGORY DATE DATE TERMS
CREDIT �
SALANCEICURR� DBT A D � 90 DBT RA--C
II
H
N
NNET
T
ADVERTISNG 7/09
30
$
$-
COMMENT: CUST 5 YR
AIR TRANS 7109
NET 30
$-
$
COMMENT: COST 3 YR
AUTO RENTL 8111
NET 30
$-
$-
AUTO LEASE 8/10
LOC
$6,600
$
COMMUN SVC 5/09
NET 30
$3,200
$3,200 100%
COMMENT: CUST 8 YR
CRED CARD 9/09 8/09
REVOLVE
$9,700
$
COMMENT:ACCTCLOSED
FACTOR 2/11
VARIED
$-
$-
FINCL SVCS 7/10 4110
VARIED
$22,800
$
COMMENT: ACCTCLOSED
LEASING 3/12
CONTRCT
$700
$600 100%
LEASING 3/12
NET 10
$11,700
$
LEASING 2112
CONTRCT
$4,500
$4,300 100%
PAYMENT TOTALS
100
to 100% 100
80% 80% 8V
60% 60% 6W
40% 40% 409
20% 20% 200
0% 0 % 00
Current 7.30 31 -60 61 -90 s90 Current 1 -30 31.90 61.90 "0 Current 1 -30 31-60 61.90 >g0
'Continuous distribution with DBT. 'Newly Reported distribution with DBT. `Combined distribution with DBT.
The Information herein is Nrrdshed in confidence for your exclusive use for legitimate business purposes and Shan not be reproducecl, Neither Experian
infonn0tbn Solutions. Inc., nor their sources or distributors warrant such information nor shall they be liable for your use or reliance upon it
(c) Experian 2012. All rights reserved. Experian and the Experian marks herein are service marks or registered trademarks of Experian.
k ttps: / /credit.advereditcom/ sharedM usinessCreditNiewReporLaspx ?orderid =126 4/26/2012
Business Credit Report 4126 Page 4 of 5
REPORT #: 126 REPORT DATE: 4/26/2012
PRnlllnrr) FAR: CREDIT BUREAU SERVICES INC - REFERENCE:
60040£1
BUSINESS NAME. TIKE -IT INDUSTRIES INC
BUSINESS ADDRESS: 475 FENTRESS BLVD STE M, DAYTONA BEACH, FL 32114
TELEPHONE: TAX ID: 593012315
Number of Accounts: 20 Number of Accounts: Number of Accounts: 20
Present Balance: $35,500 Present Balance: $- Present Balance: $35,500
Highest Balance: $81,700 Highest Balance: $- Highest Balance: $81,700
COUNT DBT HIGH 8AL BALANCE % CURR % 1 -30 %31-60 % 61 -90 % X90
NEW: $- $-
CENT: 20 $81,700 $35,500 100
COMB: 20 $81,700 $35,500 100
PAYMENT TRENDS
100%
80%
60%
40%
20%
0%
11111 12/11 1/12 2/12 3112 4112
*Percentage of on -time payments by month.
MONTH
04/2012
03/2012
02/2012
01/2012
12/2011
11/2011
MONTH
04/2012
03/2012
02/2012
01/2012
12/2011
11/2011
DBT
100%
80%
60%
40%
20%
0%
11111 12/11 1/12 2/12 3/12 4112
*Percentage of on -time payments by month.
MONTHLY TRENDS
% CURR %1-30
100
100
100
100
97 3
97 3
INDUSTRY TRENDS
BALANCE
$48,000
$19,500
$34,100
$33,600
$37,100
$37,700
100%
80%
60%
40%
20%
0%
3/11 13111 8/11 12M 1 3/12
'Percentage of ot1-time payments by quarter.
%31-60 %61-90 % >90
DBT
BALANCE
% CURR
18
$18,696
77
16
$18,776
77
16
$18,864
77
15
$19.240
78
15
$19,323
78
14
$19,890
78
QUARTERLY TRENDS
QUARTER YEAR DBT BALANCE % CURR 0/01-30 % 31 -60 %61-90 % >90
The Information herein Is furnished in confidence for your exclusive use for Iegitimato business purposes and shall not be reproduced. Neither Experlan
intormaUen solvtions, ind., nor their sowces or distributors warrmt such information nor shall they be liable for your use or reliance upon it
(c3 Experlyn 2012. All rights reserved. Experlan and the Experian marks hcrcirl are service marks or registered trademarks of Experian.
https:ticredit.advcredit.coml shared /BusinessCrediv ViewReport.aspx ?orderid =126 4/26/2012
Business Credit Report 9126
REPORT 0: 126 REPORT DATE: 4/26/2012
PROVIDED FOR: CREDIT BUREAU SERVICES INC - REFERENCE:
8004521
BUSINESS NAME: TIKE -IT INDUSTRIES INC
BUSINESS ADDRESS: 475 FENTRESS BLVD STE M, DAYTONA BEACH, FL 32114
TELEPHONE: TAXIp: 593012315
1 2012
4 2011
3 2011
2 2011
1 2011
START DATE FILINGS RELEASES
1/1/2012
7/1/2011
1/1/2011
7/1/2010
1/12010
1/1/2010 3
$33,700 100
$36,000 98 2
$54,300 99 1
$46,000 100
$35,400 99 1
UCC SUMMARY COUNTS
CONTINUATIONS AMENDED
3
KEY PERSONNEL
Namel 'itle: RON MAUGERI — PRESIDENT
Namer itle: RON MAGUERI — PRESIDENT
2
8
Pagc 5 of 5
DEROG COLLATERAL
Incorp: 5/1011990
Tenn Date:
Sales: $4,200,000
Profit:
Net Worth: $
Own/Rent:
Own Type:
Fise Yr Starts:
BANKRUPTCIES
"*"NONE`
TAX LIENS
`NONE""'
JUDGEMENTS
"NONE*"
END OF REPORT 41261201210:13:08 AM •""
The information herein is famished in confidence for your exclusive use for leghlmate business purposes ana snarl not be reproduced. Noither Experlan
Information Solutions, I=, nor their sources or distributors warrant Such information nor shall they be liable for your use or reliance upon iL
(c) Experlan 201 2- All rights reserved. Experian and the Experian marks herein are service marks or registen d trademarks of Experian.
https: / /credit.adveredit_coml shared IBusinessCredittViewReport.aspx ?orderid =126 4/26/2012
Total
CORPORATE DATA
State: FL
Orig Filed:
Ree Filed:
Type: INCORPORATED
Status:
ACTIVE Stat Desc:
P /NP: PROFIT
Chart Num:
L71874 Term:
DEMOGRAPHIC DATA
Prim SIC:
1743 SIC Desc:
TERRAZZO, TILE,
MARBLE & MOSAIC WO
Sec SIC:
5032 SIC Desc:
TILE - CERAMIC - DISTRIBUTORS (WHLS)
Other SIC:
8748 Founded:
1995
In Bldg Date:
Other SIC:
5211 Yrs In Bus,
17
Bldg Size:
# Emp:
25 Location:
# Cust:
Bus Type:
Corporation
KEY PERSONNEL
Namel 'itle: RON MAUGERI — PRESIDENT
Namer itle: RON MAGUERI — PRESIDENT
2
8
Pagc 5 of 5
DEROG COLLATERAL
Incorp: 5/1011990
Tenn Date:
Sales: $4,200,000
Profit:
Net Worth: $
Own/Rent:
Own Type:
Fise Yr Starts:
BANKRUPTCIES
"*"NONE`
TAX LIENS
`NONE""'
JUDGEMENTS
"NONE*"
END OF REPORT 41261201210:13:08 AM •""
The information herein is famished in confidence for your exclusive use for leghlmate business purposes ana snarl not be reproduced. Noither Experlan
Information Solutions, I=, nor their sources or distributors warrant Such information nor shall they be liable for your use or reliance upon iL
(c) Experlan 201 2- All rights reserved. Experian and the Experian marks herein are service marks or registen d trademarks of Experian.
https: / /credit.adveredit_coml shared IBusinessCredittViewReport.aspx ?orderid =126 4/26/2012
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2012
Business Address Mailing Address
MANASOTA FLOORING INC TIFFANY ROBERT
4551 N WASHINGTON BLVD 4551 N WASHINGTON BLVD
SARASOTA uninc FL 34234 SARASOTA, FL 34234
Units 15
Status * *ACTIVE **
Business Type
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RETAIL
Tax Amount $52.50
Date Paid
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7/22/2011
6016024.0002
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Growth Management Division
f''"^'..., eY C o►� nt, 2800 Horseshoe Drive N.
�+ ,�` Nap /es, FL
34104
239 - 252 -2400
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Date Paid:
Amount Due:
Payment Details:
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RECEIPT OF PAYMENT
2012063746
2012 - 012607
04/25/2012
$210.00
Payment Method Amount Paid Check Number
Check $105.00 308317
Check $105.00 308318
$210.00
$0.00
Manasota Flooring, Inc.
4551 North Washington Blvd.
Sarasota, FL 34234
Fee Description Reference Number
Second entity application fee LCC20120001718
Second entity application
fee
LCC20120001718
Cashier Name: LeaDerence
Batch Number: 2543
Entered By: consuelathomas
Original Amount GL Account
Fee Paid
$105.00 $105.00 113 - 138900 - 321210
$105.00 $105.00 113 - 138900- 321210
BEFORE THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD
BOARD OF COUNTY COMMISSIONERS,
COLLIER COUNTY, FLORIDA, CONTRACTORS'
LICENSING BOARD
Petitioner,
V.
Robert E. Elwell
D /B /A — Service Star Cooling & Heating Inc.
Respondent.
Case Number: 2012 -07
License Number: CAC058252 / C.C. #36992
ADMINISTRATIVE COMPLAINT
Collier County (County) files the Administrative Complaint against Robert E. Elwell ( Respondent), a
State of Florida licensed Air Conditioning Contractor ( license # CAC058252 / Collier County Certificate #
36992), and states the following facts and allegations in support of the cited violations below:
1. The Respondent is currently licensed by The State of Florida as a Certified Class A Air
Conditioning Contractor with License number CAC058252.
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 Air Conditioning Contractor's License shall constitute
misconduct and grounds for discipline pursuant to Section 22 -202.
a. In March, 2012, Robert E. Elwell was issued a Notice of Noncompliance for a violation of the
2007 Florida Building Code Section 105.1., for installation of an A/C system without required
permitting.
b. In April ,2012, Robert E. Elwell was issued a Notice of Noncompliance, for a violation of the
2007 Building Code Section 105.1 for installation of an A/C system without required
permitting.
c. In April, 2012, nineteen (19) separate A/C system installations without required permitting
were discovered by the City of Marco Island Building Services Division.
d. The State license (CAC058252) qualifying Service Star Cooling & Heating was never
registered with the City of Marco Island Building Services Division to acquire permitting
privileges prior to performing the installations.
e. 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: (-4 x �'� Signed:
Collier County Contractors' Licensing
Supervisor or Designee
C.L.B. Case #2012 -07
Robert E. Elwell
D /B /A — Service Star Cooling & Heating Inc.
SUMMARY
On April 6th, 2012, 1 was notified by the City of Marco Island Building Services Division of their
discovery of the unpermitted installation of seventeen (17) separate air conditioning systems by
the State certified contractor Service Star Cooling & Heating /CAC058252, qualified by Robert E.
Elwell at the Pier 81 condominium complex located at 1069 -1079 Bald Eagle Dr. At this same
time, I was notified by Marco Island Permitting Supervisor Lee Loewer that this company had
not even registered their State license with their office to pull permits within their jurisdiction.
The property management representative for Pier 81 provided a list of the properties and
owners where work had been performed and I called Service Star to advise them to contact the
City of Marco Island Building Services to immediately initiate a resolution to this matter. When I
asked to speak to the qualifier Mr. Elwell, I was informed of his unavailability and spoke to a
manager named Michael Hussion Jr. who advised me that he would be resolving the violations.
On April 11th, 2012, 1 was called by Marco Island Inspector Gary Konicek to the Princess Del Mar
condominium located at 174 S. Collier Blvd. where we observed another unpermitted A/C
installation by Service Star in unit #306. A phone call was made to the property Mrs. Albertson
who verified that Service Star had performed the installation the day before on April 10tH
On April 13th, 2012, 1 was again called by Marco Island Inspector Konicek to the South Seas
condominium complex located 320 Seaview Ct. where he discovered yet another unpermitted
A/C installation by Service Star in unit #1501. Contract specifications also dated April 10th
included the unpermitted and unlicensed installation of a water heater that required an
electrical contractor to hardwire. Inspector Konicek advised me that the electrical wiring
performed was not up to code and would have failed inspection even if a permit had been
pulled. Contact was made with the qualifier Mr. Elwell and a meeting was held on April 18th,
2012. At this meeting Mr. Elwell acknowledged his reception of Notices of Noncompliance for
unpermitted work served by Ian Jackson on March 7th, 2012, and another served for a
complaint driven violation on March 21St. A Notice to Appear in front of the C.L.B. was served
for a violation of the 2010 Florida Building Code Section 105.1 pertaining to permitting which
results in a violation of Collier County Ordinance 90 -105, as amended, Section 22.201.1(2) for
"Willfully violating the applicable codes or laws of the State, City, or Collier County ".
C.L.B case #2012 -07
Robert E. Elwell
d /b /a — Service Star Cooling & Heating Inc.
Table of Contents
E1 /E3 — Formal Complaint
E4 — Collier County Certificate Detail Report
E5 —State D.B.P.R. Licensure Information
E6 — Signed Notice of Hearing
E7 — E -Mail from Pier 81 Condominium Board Member
E8 /E9 — E -Mail from Pier 81 Condominium Property Manager to Marco Inspector
E10/E11— Correspondence Between Service Star and Marco Island Building
Services regarding license registration for permitting privileges
E12/E13 — Previous Preliminary Complaint Filed and Notice of Noncompliance
signed by Qualifier
E14/E15 — STOP WORK Orders posted for recent violations on Marco Island
E16/E18 - Invoices Collected for Multiple Unpermitted A/C Installations
E19 - Florida Building Code Section 105.1 Outlining Permitting Requirements
E20 - Collier County Ordinance 90 -105, as amended, Section 22.201.1(2) Outlining
Misconduct by State Certified Contractors for "Willfully Violating the Applicable
Building Codes or Laws of the State, City, or Collier County."
Contractors' Licensing Board
2800 North Horseshoe Dr.
Naples, Fl. 34104
Complaint Number- 2012 -07
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: April 251h, 2012
Against:
Contractor's Name: Robert E. Elwell
Phone: (941) 567 -7876
Business Name: Service Star Cooling & Heating Inca
License Number if known: CAC058252
Collier County Competency number: 36992
Contractor's Business Address: 5701 Zip Drive #2
Ft. Myers, FL. 33905
Filed By:
f—;-'—t
Name: Collier County Contractors' Licensing Office
Address: 2800 N. Horseshoe Dr.
Naples, Fl. 34104
Business Phone: (239) 252 -2914
Address(s) where work done: 1) 1069/1079 Bald Eagle Dr.
2) 174 S. Collier Blvd. #306
3) 320 Seaview Ct. #1501
City: Marco Island, FL. 34145
County: Collier
Date of contract(s): March /April, 2012
Date job started: Unknown
Date job completed or new home occupied: Unknown
Were there plans and specifications? Yes
Is there a written contract(s)? Yes. If yes, amount of Contract: Variable
Has Contractor been paid in full? Yes. If not, what amount? N /A.
Was a Building Permit obtained? No
Building Permit number If known: N/A
Have you communicated by letter with the licensee? Yes
Date: April 18th, 2012. 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 90 -105, as amended, Section 22- 201.1(2).
Willfully violating the applicable building codes or laws of the State, City, or Collier County.
,' I
Please state the facts which you believe substantiate your charge of misconduct against the subject
contractor. List facts separately for each subsection number above:
Discovery of multiple A/C system installations by Service Star Cooling & Heating Inc. at several locations
by the City of Marco Island Plumbing /Mechanical Inspector without issuance of required permits, and
without qualifier being duly registered with Marco Island Building Services to obtain permit pulling
privileges.
( Complainant's signature)
State of: Florida
County of: Collier
Sworn to (or affirmed) and subscribed before me this 25th day of April, 2012,
(signature of person making statement).
/
"Ay Pok LINDA C. WOV4
(signature of Notary Public) ;} ,. MY COMMISSION fEE144TN
EXPIRES: December7, 2015
�r lFOF FI�Q -`O! Bonded Thni Budget Notary Sv*es
Print, type or samp-- GQmmissioned name of Notary Public:
rsonally known ,F' / or produced identification
T----3
Certificate Detail Report
CDPR2305 - Certificate Detail Report
CERT NBR QUALIFIER NAME DBA STATUS
36992 ROBERT E. ELWELL SERVICE STAR COOLING & HEATING, INC ACTIVE
DETAIL
CLASS CODE CLASS DESC
1450 A/C CLASS A CERTIFIED
ORIG ISSD DATE
12/8/2011
RENEWAL DATE
COUNTY COMP CARD COUNTY EXP DATE
EXPIRE DATE
8/31/2012
COUNTY OL EXEMPT Y
CNCL DATE
COUNTY OL NBR COUNTY OL EXP DATE
REINSTATE DATE
DBA
PHONE FAX
(239)458 -4405 (239)491 -2557
MAILING ADDRESS PHYSICAL ADDRESS
5701 ZIP DRIVE #2 5701 ZIP DRIVE #2
FT MYERS FL 33905- FT MYERS
I_IARILITY INSURANCE
COMPANY EXP DATE
AL MAILINS INSURANCE 4/17/2013
PHONE EFFECTIVE DATE
(941)377 -7283 4/17/2011
POLICY NUMBER CNCL DATE
GFL 1005693
INSURANCE LIMITS
300000
WORKERS COMPENSATION INSURANCE
WC EXEMPT N
COMPANY
SUNZ INSURANCE AGENCY
PHONE
(727)497 -1247
POLICY
Dllier County Board of County Commissioners
D -Plus for Windows 95 /NT
STATE NBR
CAC 058252
STATE EXP DATE
8/31/2012
0TH OL NBR
0TH OL EXP DATE
FL 33905-
EXP DATE
10/29/2012
EFFECTIVE DATE
10/29/2011
CNCL DATE
Printed on 4/16/201 3:21:18PM
Page I
DBPR - ELWELL, ROBERT EARL JR; Doing Business As: SERVICE STAR COOLIN... Page 1 of 1
7:25.27 AM 52012
Licensee Details
Licensee Information
Name: ELWELL, ROBERT EARL JR (Primary Name)
SERVICE STAR COOLING & HEATING, INC (DBA Name)
Main Address: 5328 24TH ST CT E
UNIT A
BRADENTON Florida 34203
County: MANATEE
License Mailing:
License Location:
License Information
License Type:
Certified Air Conditioning Contractor
Rank:
Cert Air
License Number:
CACOSS252
Status:
Current,Active
Licensure Date:
09/28/2000
Expires:
08/31/2012
Special Qualifications Qualification Effective
Class A
Construction Business 02/20/2004
View Related License Information
View License Complaint
1940 North Monroe Street Tallahassee FL 32399 :: Email: Customer Contact Center :: Custorer Contact Center: 850.487.1395
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, please contact 850.487.1395.
r
https:// www. myfloridalicense .com/LicenseDetail.asp ?SID = &id =D 1 E254EC7573FB417E91... 5/8/2012
Hand
Robert E. Elwell
Collier County
Growth Management Division / Planning and Regulation
Operations Department / Licensing Section
DB /A- Service Star Cooling & Heating Inc.
5701 Zip Drive #2
Ft. Myers, Fl. 33905
Date: April 18''', 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) in March of 2012.
Dear: Mr. Elwell
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 May 16th, 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' Liccnsing 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 be imposed are from an
oral reprimand to a suspension or revocation of your Collier County Certificate #36992 and/or suspension
or revocation of your permit privileges against your state license # CAC058252 .
r
ere
Ro guli
Licensing Comp iance Officer
Collier County Contractors' Licensing
(239)252 -2914
f F-�—
GanguliRobin
From: Geoffrey Wilkinson [mainflame.gcw @gmail.com]
Sent: Wednesday, April 25, 2012 9:39 AM
To: GanguliRobin
Cc: Julie Dana
Subject: Re: Service Star invoices
Hi Rob,
1) Service Star(SS) came on site at Pier 81 like 'locusts' after they figured out that the'key' to everyone's 'wallet'
that used them was their $55.00 A/C 'system service check and maintenance inspection'. They barely completed
the original $55.00 inspection before they declared that the A/C units,by majority,were defective.
This is just a sample of what they told the average homeowner who is a'lay' person.
The SS technicians went to each Air Handling Unit(AHU) and removed the front panel cover.
They then went into the condo unit and turned on the A/C or lowered the A/C thermostat to make the unit start
it's cycle. Mind you that during this time the outside temperature and humidity really didn't warrant the use of
A/C unless the owner specifically had it set to run The2 days I was there it was in the mid 70's with low
humidity around 3/22/12 + -.
The Technician ran the condenser and AHU with the front panel of the AHU off. When this occurs the fan and
blower assembly air discharge does not specifically concentrate the full air volume across the evaporator coil.
When this occurs the evaporator coil shows signs of icing up externally due to atmospheric conditions. When
this icing recurred the Technicians from SS went to the unit owner and asked them to come to see that the
evaporator coil had an ice buildup on the coil and then told the owner and I quote "You have a leak in your
evaporator coil and you're leaking Freon" Your coil is no good and it should be replaced. I heard this many
times. I was quite surprised since the majority of these units were working fine before they showed up.
This so called Freon leak wasn't a leak at all but a Technician taking the front cover off the AHU and thereby
not allowing the proper and directed air flow to go across the evaporator thereby icing up the evaporator coil.
There was really nothing wrong if the Technician ran the unit with the front cover panel on the AHU so air flow
would be normal and proper across the evaporator.
2) They didn't properly evacuate the Freon from an old system in 5 -601/2 elevator lobby causing Freon and oil
lubrication mist in the. lobby area and thereby setting off the Fire Alarm. The MI FD showed up. We had to
extensively clean the lobby. SS did not properly evacuate Freon in accordance with strict EPA guidelines. It is a
reportable event.
If I hear of anything else I'll let you know.
3) We really want this to die a'quick death' for the owners sake here at Pier 81. The owners don't need this type
of stress. I firmly want you to get all the facts without disturbing the owners that used this 'ham and egger' of a
Contractor.
Thank you
Regards,
Geoff Wilkinson P.E.
Trustee
On Wed, Apr 25, 2012 at 7:05 AM, GanguliRobin <RobinGan uligcollier ov.net> wrote:
Good Morning Mr. Wilkinson.
Thank you for your assistance in this matter. I have corresponded with Julie to see if she may be able to assist me in the
collection of as many invoices as possible from your fellow owners. I have informed her that Service Star Cooling &
Heating have been served with a Notice of Hearing to appear in front on the Contractors' Licensing Board on May 16tH,
V --4-
A/C Units Replaced
as of 4/6/2012
1
501A
LIPPERT,'Thomas
1079 Bald Eagle
2.
3
: 404A
40 4B
JOHNSTON;-, _
1079 Bald Ea le - _ - - - -_
g
5
5
PH1A
PH16 .
GROUT, Harold
1069 Said Eagle
6
803
RUDOLPH, Steve
1069 Bald ,'Eade
7
7016
YALE, Jeffrey
1069 Bald, Eagle
8
9
601A
601 B '
HANDSCHIEGL, Robert
69
10 Bald Eagle
_
10
301
JOHNSON; William
1069 Bald Eagle
11
201
BERN, Steve
1069 Bald Eagle
12
904B
PESCIONE,: Pat
1069 Bald Eagle
13
80.4
BERN, Dorrit
1069 Bald' Eagle
14
15
604A
6048
KRAEMER, Thomas
1069 Bald Eagle
16
4641
MCILHON, Ed
1069 Bald Eagle
17
304A
MOORE, Wil
1069 Bald Eagle
AC Replacement by Service Sta1'.43
Marco island Building Services
50 said Eagle Drive
Marco island, FL 34.145
Phone: (239).389 -5059
Fax: (239) 393 -0266
10�Az
To: David Hoeltzel -- Service Star From: BETTY— 239 -389 -5062
Fax. 239- 491 -2557 Pages: 3
Phone: Date: April 3, 2012
Ret Mechanical Permits & Registration CC:
0 Urgent 0 For Review 0 Please Comment O Please Reply 0 Please Recycle
• Comments:
Good morning,
We received your mechanical applications. We have been unable to process these
permits for 2 reasons. First, I don't show your company registered with the City. I
have attached a copy of the Registration form for you to fill out. We also will need a
copy of your state license and your liability and worker's comp insurance certificates
with the City of Marco Island Building Services as the certificate holder. There is no
charge for this registration but we just ask that you keep us up -dated with your
current information. if you have any questions about the registration process, please
do not hesitate to contact me at 239 -389 -5052 or blarson @cityofmarcolsland.com.
.Secondly, the mechanical inspector has not received all the information he needs for
these :applications: I have attached -a Notice to Contractors that shows what the new
requirements are. If you have any questions, please do not hesitate to contact Gary
at 239- 389 -5055 or email to gkonicek cityofmarcoisland.com.
Thank you
571 D Zip Drira #2
Fort Myem FL 33905
Officet (239) 458-4405
Fax: (23190) 491-2557
Facsimile Cover Letter
4161201Z
ATTN: Barbara Anderson Permit Technician
Please accept the enclosed documentation as registration for Maroo Island.
State & Local License Registratton for Servtce Star Cocib ng & Heating, Inc..
under qualifier Robert Earl Blivelt, Jr. license CAC058252. Please note thatthis
information was arigInMlysent on October 20t 2011 i-n-d-i-v-as notproperly
filed with no errom orornissions stated to the main office. This Itti=ation
was also faxed recentlywhen requested but no response was g1ven, I have
been
81 ndoxnjnjum and would hImto resolve the issue of Marco Island ficensing
immediately to prevent any furdher code enForcement issues. Please ]at me
kwivif you requireanAing else In order W facilitate this reg:tstration and I
wilt send it aver immediately.
TbaTil-'YO u v exy Aux h for you r time. .
WrectMrcha% HUSSiono JJF-
c of Operations, SWF]orlda
Phone: (239) 45844D5,ext- 222
Fax: C239] 491-2557
e,O
C'A
Lic-n-io-se CAC03582252 N'...
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Z1) (Z' htiz� _w
113 (L e-r Count
Gmwkh Management Division
130000030-1 Planning & Regulation
PRELIMINARY COMPLAINT FORM
xComplainant's Name: / f�L 0 L pL1G,6(R y /:
dress: / 0 S7 0! T LN City: p
Y• pt5 State: FL Zxp: �t ll Z
,11�ome Phone: a 32 '732-7 1- . Business Phone:
COMPLAINT INFORMATION:
/801rupany Name: S� ;
-- -t1��� a License Number:
Contractor or Person in Charge: (If known)
Address:
Phone: Date of Contract:
COMPLAINT DETAILS: (Attach additional sheets as necessary)
,w&4
Include copies of all appropriate documents: Contracts, checks, liens, permits, etc...
Si gnature. • A.
Growth Ii lanagmWt Division - Planning & Regulation • 2800 North Horseshoe Drive • Naples, Florida 34104 - 239 - 252 -2400 - www oolliergov.net
•... . •evu 4, VVIA J c4^ LAOA YO.{
Notice of Noncompliance
8E IT KNOWN THAT f, the nerson whose signature appears beiaw, do hereby furrnatiy acknowledge,
egr+ee and consent as follows:
THAT a certain rase, case o CECv2012000i65t7, involving me has recently been Investigatod by the
Colilatr County Contractor Licensing Department,
THAT the said Departrneat had made it known to ma than in the Department's view, l violated State
17007 Florida Building Corte section 105,1) and County (Ordhiance 2006- 46.5ections 44.6 & 4.1.181
Ilcensing laths In said rase by commencing work without. (itsL obtaining a Budding Permit.
Type of Work: Multi €amliyAC replacernent
LOCatius,ofwork, 18 4 5tarpoint LM. Naples, Fl,
Date of work: January 13, 2W
THAT the said Department has explained to me that all contraCting work, ine.h(ding BUT NOT LIMiTEU
TO, home or business Improvement, remodeling, renavatlon, audition, repair, olumbingg, electrical,
roofing, p001 buiidlog, air conditioning, sheet metal, alurninorn and alarm cons; actor %wrk all mqulra tire
issuance of A Wilding hermit prior to commen"ment.
THEROORE, BEING FULLY ADVISED, I DO AGREE that I will obtain all Building Permits required by
Statutes and fully understand that if t commence work without obtaining necessary Building Pemiem in
the future the Contractor Licensing Department 41 consider that a willful code violation, where
penaltles and restrictions to Building Perm ilegesmay f aw
Witness my signature; (Contract
State of ,
County of
The foregoing instrument was acknowledged before me this __. _ _ (date) by
-, who has produced as
Identification And who did not take an oath.
r`
i yignatura of Notary '
Licensing Invw1galor, in 11eu of Notery. Date _
1'�,
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I X
SEOTION I05 PERMTS
105
- SECTION 105
PERMITS
Page 1 of 7
105.1 Required.
Any owner or authorized agent who intends to construct, enlarge, alter, repair, move, demolish,
or change the occupancy of a building or structure, or to erect, install, enlarge, alter, repair,
remove, convert or replace any electrical, gas; mechanical or plumbing system, the installation
of which is regulated by this code, or to cause any such work to be done, shall first make
application to -the building official and obtain the required permit.
105.1.1 Annual facility permit.
In lieu of an individual permit for each alteration to an existing electrical, gas, mechanical,
plumbing or interior nonstructural office system(s), the building official is authorized to. issue
an annual -permit for any occupancy to facilitate routine ore
mergency service, repair,
refurbishing, minor renovations of service systems or manufacturing equipment
installationstrelocations. The building official shall be notified of major changes and shall
retain the right to make inspections at the facility site as deemed necessary. An annual
facility permit shall be .assessed with an annual fee and shall be valid for one year from date
of issuance. A separate _permit shall be obtained for each facility.and- for -each construction
trade, as applicable. The permit application shall contain a general description of the
parametera-of work intended to be performed during the year.
105.9.2 Annual permit records.
The person to whom an annual permit is issued shall keep a detailed record of alterations
made under such annual :permit. The building official shall have access to such records at all
times or such records shall be filed with the building offici'ai as designated.
105.1.3 Food permit
As per'SecUon 5.00.12, Florida Statutes, a food .permit from the Department of.Agriculture
and Consumer Services is required. of any person who operates a food -establishment or
retailstore.
105.2 Work exempt from pdrmit.
Exemptions from permit requirements of this code shall notbe deemed to grant authorization for
any work to be. done in any manner in violation of the provisions of this code. Permits shall not
be required for the following:
Gas:
1. Portable heating appliance.
2. Replacement of any minor part that does not alter approval of equipment or make.
such equipment unsafe.
Mechanical:
1. Portable heating appliance.
2. Portable ventilation equipment.
E.tq
ARTICLE V. BUILDING TRADES*
Page 30 of 36
Sec. 22 -203.1 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:
violations of subsection 489.132(1), F.S.; and
contractor's licensing board.
(i) violations of subsection 489.127(1), F.S.; (ii)
(iii) other violations within the jurisdiction of the
(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 Sedtion 483.127 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 469.127(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