HomeMy WebLinkAbout12112007CB AgendapTY ~~F
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HOME OF PELICAN ISLAND
BUILDING DEPARTMENT
1225-MAIN STREET • SEBASTIAN, FLORIDA 32958
TELEPHONE: (772) 589-5537 • FAX (772) 589-2566
SEBASTIAN CONSTRUCTION BOARD
REGULAR MEETING
DECEMBER 11, 2007 - 7:00 P.M.
CALL TO ORDER
PLEDGE OF ALLEGIANCE --
ROLL CALL
APPROVAL OF MINUTES
ANNOUNCEMENTS
OLD BUSINESS
NEW BUSINESS
PROMETRIC/EXPERIOR EXAM:
COFFEY, BRIAN KEITH -MASTER RESIDENTIAL PLUMBING
BANFIELD, HAL -LIMITED PAINTING
VIOLATION HEARINGS
BUILDING OFFICIAL MATTERS: NONE
BOARD MATTERS: NONE
ATTORNEY MATTERS: NONE
RECORD SCORES IN SCOREBOOK
15 MINUTES TO PUBLIC
ADJOURN
NOTE: IF ANY PERSON DECIDES TO APPEAL ANY DECISION MADE ON THE ABOVE
MATTERS, HE/SHE WILL NEED A RECORD OF THE PROCEEDINGS AND FOR SUCH
PURPOSES, HE/SHE MAY NEED TO ENSURE THAT A VERBATIM RECORD OF THE
PROCEEDINGS IS MADE, WHICH RECORD INCLUDES THE TESTIMONY IN EVIDENCE ON
WHICH THE APPEAL IS BASED. TWO OR MORE ELECTED OFFICIALS MAY BE IN
ATTENDANCE
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HOME OE PELICAN ISLAND
BUILDING DEPARTMENT
1225 MAIN STREET • SEBASTIAN, FLORIDA 32958
TELEPHONE: (772) 589-5537 • FAX (772) 589-2566
SEBASTIAN CONSTRUCTION BOARD
REGULAR MEETING MINUTES
NOVEMBER 13, 2007 - 7:00 P.M.
Meeting was called to order by Ch. Garland at 7:00 P.M.
Pledge of Allegiance was led by Ch. Garland.
ROLL CALL: Present: Mrs. Carbano Mr. Dalessandro
Mr. Bulla Mr. Hosey
Mr. Garland Mr. Widup -excused
Unexcused: Mr.Morris
APPROVAL OF MINUTES: Regular meeting held 10/9/07.
I make a motion we approve the minutes of meeting held 10/9/07 as written.
MOTION: Bulla /Garland
A voice vote was taken -passed unanimously.
APPROVAL OF MINUTES: Special meeting concerning appeal by Andrew Allocco
held 10/15/07.
I make a motion we approve the minutes of special meeting held 10/15/07 as written.
MOTION: Garland / Bulla
A voice vote was taken -passed unanimously.
APPROVAL OF MINUTES: Special meeting concerning discussion of the construction
board held 10/30/07.
I make a motion we approve the minutes of special meeting held 10/30/07 as written.
MOTION: Garland /Hosey
A voice vote was taken -passed unanimously.
ANNOUCEMENTS: Discussion of Construction Board to be held at the City Council
Meeting to be held on Wednesday, 11/14/07.
OLD BUSINESS: None
NEW BUSINESS: Thomson * Prometric Exam
CICCO, JOSEPH W JR -RESIDENTIAL CONTRACTOR
CORNELL, BRIAN H -RESIDENTIAL CONTRACTOR
Mr. Cicco was not sworn in.
I make a motion we approve Mr. Cicco to take the Residential Contractors exam.
MOTION: Dalessandro /Bulla
ROLL CALL: Mr
Mr
Mr
Hosey -yes
Dalessandro -yes
Bulla -yes
Mr. Garland -yes
Mrs. Carbano - no
Motion carries : 4 - 1
Mr. Cornell was sworn in by Ch. Garland.
I make a motion we approve Mr. Cornell to take the Residential Contractors exam.
MOTION: Hosey / Dalessandro
ROLL CALL: Mrs. Carbano -yes Mr. Dalessandro -yes
Ch. Garland -yes Mr. Hosey -yes
Mr. Bulla - yes
Motion carries: 5 - 0
VIOLATION HEARINGS: SECTION 26-34 -UNSAFE STRUCTURE HEARING
RE: 1690 INDIAN RIVER DR
Wayne Eseltine, Building Official, presented several pictures of the condition of property which
had been damaged by the hurricanes and reasons as to why this structure should be demolished. A
60 day notice was given to obtain permits for repair and none have been subnutted. Notice was
given on 11/5/07 to owner as to the unsafe structure hearing. Code requires a hearing for any
demolition. Intent of this hearing is to take structure down to foundation, approval from health
department as already been given.
Mr. Patrick Flood, owner's son and representative of property, was sworn in by Ch. Garland.
After much discussion from Mr. Flood as to why homeowner has not complied with the city, a
motion was made for demolition of this structure which shall be taken care of by the city and will
be completed as soon as possible due to the safety of the structure.
MOTION: Garland /Carbano
ROLL CALL: Mr. Dalessandro - yes Mrs. Carbano- yes
Mr. Bulla -yes Mr. Hosey -yes
Mr. Garland -yes
Motion carries : 5-0
BUILDING OFFICIAL MATTERS: None
ATTORNEY MATTERS: None
RECORD SCORES IN SCOREBOOK: Widup /Dalessandro
There being no further business, meeting adjourned at 7:40 p.m.
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HOME OF PELICAN ISLAND
CONSTRUCTION BOARD
1225 Main Street
Sebastian, FL 32958
(772)388-8245 Phone
(772)589-2566 Fax
.,,.
}
APPLICATION FOR CERTIFICATE OF CO-MPETENCY
DATE:
APPLICATION FEE:
BOARD SECRETARY;
~~~~~~
''SFr H:.i"wY:17gFf~eLC:t~t3~ES~PL3Sr9 Fi+':~ :I93Gf~l~19CC;. ~~-s3@~, ~+~',.:=_.~34. ~ :~
APPLICATION FEE MUST ACCOMPANY THIS APPLICATION. ALL CHECKS SHALL BE MADE
PAYABLE TO THE CITY OF SEBASTIAN.
WITHIN THE PROVISIONS OF ARTICLE VI. SEC. 26, CODE OF ORDINANCES WHICH REGULATE AND
GOVERN CONTRACTORS WITHIN THE CITY OF SEBASTIAN. FLORIDA. I HEREBY APPLY FOR A
CERTIFICATE TO QUALIFY AS A CONTRACTOR OR SPECIALTY CONTRACTOR UNDER THE
CLASSIFICATION INDICATED BELOW.
GENERAL
PLUMBING [~
ELECTRICAL 0
CLASS "A" A/C
SPECIALTY CONTRACTOR
. 1 ,.
APPLICANT'S FULL NAME:
RESIDENTIAL 0
JOURNEYMAN 0
JOURNEYMAN
CLASS "B" A/C 0
iCIFY TRADE ~ ih,~`; ~- C'~ ~/~ 1 ~r A-1
t~`~
I AM QUALIFYING FOR: SOLE PROPRIETORSHIP ~ PARTNERSHIP ~ CORPORATION/LLC 0
COMPANY NAME: I ~ ~~ in( ~ (.,~~Sh . PHONE: ~ ~~}--9`FO(~
BUSINESS ADDRESS: ~~ `~ )~~~ ~~
CITY: ,~(.~(}f~~,1~K STATE: -~-.Q ZIP CODE: 5
APPLICANT'S TITLE: ~J( ~) Tj~p(Z
MAILING ADDRESS: ~~~(~/~~ PHONE:
CITY:
PLACE OF BIRTH:
BUILDING 0
MASTER
MASTER 0
SPI
r~
STATE:
ZIP CODE:
CITIZEN OF THE UNITED STATES: YES ~ NO
IF THE BUSINESS ORGANIZATION NAMED ON PAGE I OF THIS APPLICATION IS A SOLE
PROPRIETORSHIP, PLEASE PROVIDE THE FOLLOWING~,I/NFORMATION:
OWNERS NAME: L, ~ ~I ~ (( I
STREET ADDRESS: _~`~~ ~ ~ ~~ ~`~ ~~ ~ I
CITY:~~.~r~~
STATE: ~
~''
ZIP COD
a9 ~g
E:
IF THE BUSINESS ORGANIZATION NAMED ON PAGE I OF THIS APPLICATION IS A PARTNERSHIP,
PLEASE PROVIDE THE~OLLOWING INFORMATION:
OWNERS NAME:
STREET ADDRESS:
CITY: S TE: ZIP CODE:
OWNERS NAME:
STREET ADDRESS:
CITY: STATE: ZIP CODE:
,, _ _
IF THE BUSINESS ORGANIZATION NAMED ON PAGE I OF THIS APPLICATION IS A CORPORATION/LLC
CHARTERED BY THE ST TE OF FLORIDA, PLEASE PROVIDE THE FOLLOWING INFORMATION:
PRESIDENT NAME: ADDRESS: CITY/STATE:
V.P. NAME: ADDRESS: CITY/STATE:
SEC. NAME: ADDRESS: CITY/STATE:
TREASURER NAME: ADD SS: CITY/STATE:
WILL YOU AS QUALIFYING AGENT HAVE ANY OWN~SHIP IN THE FIRM?
IF S0, GIVE DETAILS:
WILL YOU BE A FULL TIME EMPLOYEE OF THIS FIRM?
IF S0, GIVE DETAILS:
2
+~saxr~wruaamaasasF~.:rsa~~ar:_~~.aaeaaeat~rmaar~. =~aa~maaaraaraace~s~+~:„,.~aa~ssra3,aa,cs~.
IF ANY OF THE QUESTIONS BELOW ARE ANSWERED YES, PLEASE EXPLAIN IN DETAIL ON A SEPARATE
SHEET.
HAS THE APPLICANT OR THE ORGANIZATION BEING QUALIFIED EVER: YES NO
I . FAILED TO COMPLETE A CONTRACT?
2. BEEN A MEMBER OF A FIRM WHICH FAILED TO PAY ALL SUB-CONTRACTORS.
MATERIAL SUPPLIERS OR EMPLOYEES ON A CONTRACT? O
3. HAVE ANY UNPAID, PAST DUE BILLS OVER 90 DAYS OR CLAIMS FOR LABOR,
MATERIAL OR SERVICES?
4. HAD LIENS, SUITS OR JUDGMENTS OF RECORD OR PENDING AS A RESULT
OF CONSTRUCTION?
5. BEEN CONVICTED OF ACTING IN THE CAPACITY OF A CONTRACTOR
WITHOUT A LICENSE?
6. BEEN CONVICTED OR PRESENTLY CHARGED WITH A FELONY?
7. HAD A CONTRACTOR'S LICENSE REVOKED OR SUSPENDED?
AFFIDAVIT
THE UNDERSIGNED HEREBY CERTIFIES THAT HE WILL ACT ONLY FOR HIM/I~RSELF OR THAT
HE/SHE IS LEGALLY QUALIFIED TO ACT ON BEHALF OF THE BUSINESS ORGANIZATION
SOUGHT TO BE CERTIFIED IN ALL MATTERS CONNECTED WITH ITS CONTRACTING
UNDERTAKEN BY HIM/HERSELF OR SUCH BUSINESS ORGANIZATION AND THAT HE WILL
CONTINUE DURING THIS CERTIFICATION TO BE ABLE TO SO BIND SAID BUSINESS
ORGANIZATION. IF ANY TIlVIE DURING THIS CERTIFICATION HE CEASES TO BE ABLE TO SO
BIND OR ACT FOR THIS BUSINESS ORGANIZATION HE/SHE WILL IMMEDIATELY NOTIFY THE
BOARD IN WRITING.
ANY WILLFUL FALSIFICATI F ANY INFORMATI N REIN,~NCLUDIN ALL
SUPPLEMENTARY PAGES A TAC TS IS G S FOR ISQU I CATION.
Signature of Applicant: ~ ~ ,~
STATE OF FLORIDA ~~ V
COUNTY OF ~~ r~~~ ~ ,7 fC,r` /~Y' ,
The o egoing -t t was a~ow}e ed before me tlus ~_ day of ~e ~ C "~ ~, C YLO ~~ 7
by Gc- Yt> / A-' ~'Sr r ~ iri ~ f who is personal y known or who has produced identification.
Type of idey~tification produced: ~ ~ "`fit- r~ r ~ ~ ~ ~ ~~ ~ ~ C d
PRY ~.-
Signature of Notary Public ~ ' - "' .,r~;'''~issior~ ~ o0
32169
~~.F W Ft~' 1'~O~:St~1 J JGa~urie 5. 20Q
.x"'~.~~>,~~a.~„;~_~,,~ `'r~rY Public Underv~riters~
VERIFICATION OF CONSTRUCTION EXPERIENCE
NAME OF EMPLOYEE:
EMPLOYED BY:
ADDRESS:
FROM
DATE/YEAR
DATE/YEAR
DURING THE ABOVE DATES OUR RECORDS REFLECT THAT THE ABOVE EMPLOYEE PERFORMED IN
THE CAPACITY OF: (HANDS ON EXPERIENCE ONLY)
ALSO, ATTACH A LETTER WHICH MUST BE ON COMPANY LETTERHEAD WHICH SHALL HAVE
QUALIFIER'S NOTARIZED SIGNATURE SHOWING LICENSE NUMBER ALONG WITH THE APPLICANT'S
SUPERVISORY STATUS.
(IE.) I AM THE QUALIFIER FOR THE ABOVE CONSTRUCTION FIRM AND HOLD A CURRENT
CERTIFICATE OF COMPETENCY # FROM
AS A
(CITY/STATE)
CONTRACTOR.
BUSINESS QUALIFIER (Original Signatures Required)
Signature: Printed Name:
STATE OF FLORIDA
COUNTY OF
Date:
The foregoing instrument was acknowledged before me this day of , 20
by who is personally known or who has produced identification.
T}~pe of identification produced:
Official Signature of Notary Public
Notary Seal
TIIIS FORM MAYBE DUPLICATE. VERIFICATION FORMS MUST BE FTJRNISHED TO SUBSTANTL4TE THE
MINIMUM EXPERIENCE REQUIRED IN THE CATEGORY FOR WHICH APPLICATION IS MADE.
CITY/STA
TO
IF SELF-EMPLOYED, VERIFICATION CAN BE SUPPLIED FROM BUSINESS RECORDS, COPIES OF PAST AND
CURRENT LICENSES, CERTIFICATE OF COMPETENCY, ETC.
FOR CORPORATION/LLC ONLY
I HEREBY CERTIFY THAT
QUALIFYING AGENT FOR
LOCATED AT
IS THE
AND THAT HE HAS AUTHORITY TO ACT FOR THE FIRM OR CORPORATION IN ALL MATTERS
CONNECTED WITH OUR CONTRACTING BUSINESS, TO TAKE THE QUALIFYING EXAMINATION
FOR THE FIRM AND WILL SUPERVISE THE CONSTRUCTION AND INSTALLATION UNDER THE
CERTIFICATE OF COMPETENCY ISSUED.
I FURTHER CERTIFY THAT WE WILL IMMEDIATELY NOTIFY THE SEBASTIAN CONSTRUCTION
BOARD IF THE ABOVE NAMED QUALIFYING AGENT SHALL SEVER CONNECTION WITH THE
FIRM OR IS NO LONGER ACTIVELY SUPERVISING THE CONSTRUCTION AND INSTALLATION
WORK UNDER CONTRACT.
SIGNATURE OF CORPORATE OFFICER:
(OTHER THAN APPLICANT QUALIFYING THE CORPORATION)
PRINTED NAME OF CORPORATE OFFICER
District Council #4 Trust Funds
International Union of
PAINTERS AND ALLIED TRADES OF AMERICA AND CANADA, AFL-CIO-CLC
~D A((~
~~` '~ ~.~
z.
~ ~,~
,~ m
a :s N
ONE UNION
_ z
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~~~gTlONA~J=
November 30, 2007
To Whom It May Concern:
HEALTH TRUST FUND
SUB TRUST FUND
585 Aero Drive
Cheektowaga, NY
14225
PHONE
716-565-0234
FAX
716-565-1494
Hal Banfield worked as a journeyman painter for
Dist; ict Council #4 far ±he last five (5) years.
He has worked for several signatory contractors during this time.
Please see the attached sheet for further information on the signatory
contractors.
Mr. Banfield has been an asset to this Union.
If you need further information please call me (716) 565-0234.
Sincerely
Ma k Stevens
D.C. #4 Business Representative
~i_~
~%~ -~
L~PNN NI. LbMBA~!~
~i;~Ylr[71lLIC.b'I`A'Pr :;.`' ili '`14i:
®UAUFlED IN t7ti~ %OU~' -',;
~rrco~w~ior~ ~~,: ,uw. t3,za ~1 ~
AFFILIATED LOCALS
# 31 # 150
# 38 # 178
#43 #515
# 65 # 660
# 112 # 677
#1990
s~
Painters District Council #4
Contractor Quick Report
Selected Contractors and excluding PLA's
Last
Company Name Local Signed Address
352 ERIE INTERSTATE 0004 06/06/2007 5428 GENESEE STREET
Contact: GREG ZAFIRAKIS LANCASTER NY 14086
940 GENE SWAN PAINTING CONTRACTOR 0004 09/14/2007 3103 NORTH MAIN STREET EXT
Contact: GENE SWAN JAMESTOWN NY 14701
721 NIAGARA COATINGS SERVICES, INC. 0065 05/08/2007 8025 QUARRY ROAD
Contact: ALLEN RICHARDS NIAGARA FALLS NY 14304
713 NIAGARA-IROQUOIS SPECIALTY 0004 05/07/2007 8025 QUARRY ROAD
Contact: NIKOLAJ BIRJUKOW NIAGARA FALLS NY 14304
848 R.W. PAINTING OF WNY. INC. 0004 07/23/2002 65 MID COUNTY DRIVE
Contact: I.C. CONSTRUCTION SERVICES ORCHARD PARK NY 14127
84.1 R.W.PAINTING, INC 0004 05/08/2007 65 MID COUNT-Y DRIVE
Contact: ROBERT WILLIAMS ORCHARD PARK NY 14127
11 /30/2007
Phone Number Fax Numb
716-685-3743 716-683-892
716-483-1200 716-483-394 ~
716-297-5834 716-297-560
716-297-6708 716-297-560
716-662-2827 716-662-565
716-662-3552 716-662-714
Page 1
NIAGARA COATINGS SERVICES
8025 Quarry Rd., Niagara Falls, N.Y. 14304
(716) 297-5834 • Fax (716) 297-5603 • Email NCS8025@aol.com
November 27, 2007
Re: Hal Banfield
To Whom It May Concern:
Hal Banfield has been employed by Niagara Coatings Services, Inc since 5/17/2004.
During his employment he has been a Field Supervisor on several painting jobs.
Niagara Falls Air Base -Lead abatement.
Playmore Farms Inn -Paint interior of 65 rooms.
Prime Outlet Mall of Niagara -Exterior painting of 300,000 square feet.
Attica Jail -Exterior painting of window grating.
His responsibilities on these jobs were to, set up job site, oversee Journeymen
Painters in the field, maintain timesheets for payroll, and communicate daily aspects
of the job schedule, with the Project Manager.
f ~ j-
Sincerely, fT
Martin Chiappone
Project Managaer
ODERN
RAPHICS
Professional
Quality
Service
483 Young St., Tonawanda, NY 14150, (716) 694-4401, FAX (716) 694-5730
November 19, 2007
To Whom It May Concern:
Harold Banfield was an excellent employee. He was in our
employment for approximately one year before he decided to take a
position with another company. He had a complete understanding
of all aspects of the job and knew how to work well with our
crews and crews from other companies.
While working for Modern Graphics Hal was in a supervisory
capacity. He was responsible for crews and ran jobs
successfully.
Should you have any questions, please feel free to contact our
office.
Sincerely;
Joseph S. Lombardo
Owner
cc: employee file
~~i~ J~
CNRISTINE'L,)ONNT
Nctary Puriic, ~+?£ate of ;~).aw York
Qualified in t•Ji ~)ara County
Reg. ~Jo. ~1JU6069' 18
f!,11y Commission Expires ~GGllf~tcYO
INTERIOR AND EXTERIOR COMMERCIAL AND INDUSTRIAL PAINTING
o{ Sib
~`~~ `~~
~~Ceived
~~
~_
HOME OF PELICAN ISLAND
CONSTRUCTION BOARD
1225 Main Street
Sebastian, FL 32958
(772) 388-8245 Phone
(772)589-2566 Fax
APPLICATION FOR CERTIFICATE OF COMI
DATE: 7 2' ~ ~ ~ 01
APPLICATION FEE: ~ ~S. ~ a~
BOARD SECRET-ARY:
APPLICATION FEE MUST ACCOMPANY THIS APPLICATION. ALL CHECKS SHALL BE MADE
PAYABLE TO THE CITY OF SEBASTIAN.
WITHIN THE PROVISIONS OF ARTICLE VI. SEC. 26, CODE OF ORDINANCES WHICH REGULATE AND
GOVERN CONTRACTORS WITHIN THE CITY OF SEBASTIAN. FLORIDA. I HEREBY APPLY FOR A
CERTIFICATE TO QUALIFY AS A CONTRACTOR OR SPECIALTY CONTRACTOR UNDER THE
CLASSIFICATION INDICATED BELOW.
GENERAL ~,
PLUMBING
ELECTRICAL 0
CLASS "A" A/C
SPECIALTY CONTRACTOR
BUILDING RESIDENTIAL ~ /
MASTER JOURNEYMAN ~~
MASTER ~] JOURNEYMAN
' CLASS "B" A/C
~j ECIFY TRADE
APPLICANT'S FULL NAME: $~ r ~' ~~, ~ t ~ ~ ~~,
I AM QUALIFYING FOR: SOLE PROPRIETORSHIP ~ PARTNERSHIP ~ CORPORATION/LLC 0`
COMPANY NAME:
BUSINESS ADDRESS: ~' 3 )S ~~ S-~-e~
CITY: ~~ ~~~. STATE: ~~
APPLICANT'S TITLE:
PHONE:
ZIP CODE: j ~- ~ ~ ~
a rS 8 ~ ~f~-vi
MAILING ADDRESS: CI
CITY": ~~~~ 1~2-G~ STATE: ~'..
PLACE OF BIRTH: C~ S ~ ~ .n ~; ~,~
CITIZEN OF THE UNITED STATES: YES ®JNO
PHONE:
ETENCY
ZIP CODE: > ~-~ ~'
IF THE BUSINESS ORGANIZATION NAMED ON PAGE I OF THIS APPLICATION IS A SOLE
PROPRIETORSHIP, PLEASE PROVIDE THE FOLLOWING INFORMATION:
OWNERS NAME:
STREET ADDRESS:
CITY: STATE: ZIP CODE:
._
IF THE BUSINESS ORGANIZATION NAMED ON PAGE I OF THIS APPLICATION IS A PARTNERSHIP
PLEASE PROVIDE THE FOLLOWING INFORMATION:
OWNERS NAME:
STREET ADDRESS:
CITY: - STATE: ZIP CODE:
OWNERS NAME:
STREET ADDRESS:
CITY:
STATE:
ZIl' CODE:
.L:~Gt?~ib'97 - ~d:~iai*- •FS:T,.-~mi.ea -__ -_ - _ -~N.S"~h.':~&
IF THE BUSINESS ORGANIZATION NAMED ON PAGE 1 OF THIS APPLICATION IS A CORPORATION/LLC
CHARTERED BY THE STATE OF FLORIDA, PLEASE PROVIDE THE FOLLOWING INFORMATION:
PP.ESIDENT NAND: ADDRESS: CITYiSTA i r,:
V.P. NAME: ADDRESS: CITY/STATE:
SEC. NAME: ADDRESS: CITY/STATE:
TREASURER NAME: ADDRESS: CITY/STATE:
WILL YOU AS QUALIFYING AGENT HAVE ANY OWNERSHIP IN THE FIRM?
IF SO, GIVE DETAILS:
~uILL YOU BE A FULL TIME EMPLGYEE OF THIS FIRM?
IF SO, GIVE DETAILS:
2
NAME OF -EMPLOYEE:
EMPLOYED BY•
ADDRESS: --L--~~
l
FROM ` % ~ 1
v~
DATE/YEAR
DURING THE ABOVE DATES OUR RECORDS REFLECT THAT THE ABOVE EMPLOYEE PERFORMED IN
THE CAPACITY OF: (HANDS ON EXPERIENCE ONLY)
Gl tlr ~ ,
~~ ~
ALSO, ATTACH A LETTER WHICH MUST BE ON COMPANY LETTERHEAD WHICH SHALL HAVE
QUALIFIER'S NOTARIZED SIGNATURE SHOWING LICENSE NUMBER ALONG WITH THE APPLICANT'S
SUPERVISORY STATUS.
(IE.} I AM THE QUALIFIER FOR THE ABOVE CONSTRUCTION FIRM AND HOLD A CURRENT
CERTIFICATE OF COMPETENCY # FROM
AS A
(CITY/STATE)
CONTRACTOR.
`~I~ESS Q,i~A IER (Original Signatures Required)
ff ~
Signature: Printed Name: 5~-e.r~e (<o~ gl:ask~, Date: I2- 3-01
STATE OF FLORIDA
COUNTY OF Iy~d~a.ti ~~~er
The foregoing instrument was acknowled ed before me this ~~ Z oa-'1
g 3 day of J~2L.ew. F~•r -X666--
by S-l-e.r~ lLo.1 aleS-c; who is / personally known or who has produced identification.
Type of identification produced:
C~_~~-~ r~~-~--u.Q
Official Signature of Notary Public
Notary Public - State of Florida
4y Commission Expires May 11, 2009
Co i ion # OD 428458
_ ~ ~~~y~ational Notary Assn.
THIS FORM MAY BE DUPLICATE. VERIFICATION FORMS MUST EE FURNISHED TC SUBSTA T TE THE
MINIMUM EXPERIENCE REQUIRED IN THE CATEGORY FOR WHICH APPLICATION IS MADE.
IF SELF-EMPLOYED, VERIFICATION CAN BE SUPPLIED FROM BUSINESS RECORDS, COPIES OF PAST AND
CURRENT LICENSES, CERTIFICATE OF COMPETENCY, ETC.
VERIFICATION OF CONSTRUCTION EXPERIENCE
:~i:d:h'. I ..°,:o~ .t..,.a~.n'_.•e.,.e--•' M.,~f ~,~ :.~,nar~,x-
IF-ANY OF THE QUESTIONS BELOW ARE ANSWERED YES, PLEASE EXPLAIN IN DETAIL ON A SEPARATE
SHEET.
HAS THE APPLICANT OR THE ORGANIZATION BEING QUALIFIED EVER: YES NO
I . FAILED TO COMPLETE A CONTRACT?
2. BEEN A MEMBER OF A FIRM WHICH FAILED TO PAY ALL SUB-CONTRACTORS
,
MATERIAL SUPPLIERS OR EMPLOYEES ON A CONTRACT?
3 • HAVE ANY UNPAID, PAST DUE BILLS OVER 90 DAYS OR CLAIMS FOR LABOR
MATERIAL OR SERVICES?
4. HAD LIENS, SUITS OR JUDGMENTS OF RECORD OR PENDING AS A RESULT
OF CONSTRUCTIO
N?
5. BEEN CONVICTED OF ACTING IN THE CAPACITY OF A CONTRACTOR
WITHOUT A LICENS
6. E?
BEEN CONVICTED OR PRESENTLY CHARGED WITH A FELONY?
7. HAD A CONTRACTOR'S LICENSE REVOKED OR SUSPENDED?
AFFIDAVIT
THE UNDERSIGNED HEREBY CERTIFIES THAT HE WILL ACT ONLY FOR HIM/HERSELF OR THAT
HE/SHE IS LEGALLY QUALIFIED TO ACT ON BEHALF OF THE BUSINESS ORGANIZATION
SOUGHT TO BE CERTIFIED IN ALL MATTERS CONNECTED WITH ITS CONTRACTING
UNDERTAKEN BY HIMlI~RSELF OR SUCH BUSINESS ORGANIZATION AND THAT HE WILL
CONTINUE DURING THIS CERTIFICATION TO BE ABLE TO SO BIND SAID BUSINESS
ORGANIZATION. IF ANY TIl~~IE DURING THIS CERTIFICATION HE CEASES TO BE ABLE TO SO
BIND OR ACT FOR THIS BUSINESS ORGANIZATION HE/SHE WILL IMIv1EDIATELY NOTIFY THE
BOARD IN WRITING.
ANY WILLFUL FALSIFICATION OF ANY
SUPPLEMENTARY PAGES AND ATTACF
RMATION HEREIN, INCLUDING ALL
TS ~GOUNDS FOR DISQUALIFICATION.
Signature of Applicant:
STATE OF FLORIDA
COUNTY OF lv1c~.~a~,n Rive r
The foregoing strument was acknowledged before me flus ~r d day of 1Je~,Mbp r 2~g°g°6
bygrtart ~o-~~e,~ who is ~/ personally known or who has produced identification.
Type of identification produced:
C~ ~
Official Signature of Notary Public
Notary Seal
°" ""' ALISC'N BC+LAND
+ . ~, Notary Public -State o! Florida
~` M Com
-' + '. Y mission Expires May 11, 2009
" ~~.oF ~~.?~~ Commission # DD 428458
"""""' Bonded By National Notary Assn,
~~~~
181619~i~ Place • Vero Beach, FL 32960
December 3, 2007
To: The City of Sebastian
Re: Brian Coffey
In regard to the above:
Office (772) 567-3099 • Fax (772) 567-3097
This memo is in regard to my knowledge of the direct plumbing experience and qualifications of
Mr. Brian Coffey. Over the past five years Mr. Coffey has superviselrl and implemented
countless projects for my company. Brian's responsibilities for the first (3) three years of our
working relationship directly relate to hands on experience in the plumbing field. Over the
course of the last (5) five years Brian has supervised and been directly involved with supervisor
responsibilities relating to plumbing issues.
I feel Mr. Coffey's vast knowledge of the plumbing industry and overall construction process
would benefit the community. If you wish to discuss the qualifications of Brian you can contact
me directly at my office.
Best regards,
Steve Kovaleski
Indian River Project Management, Inc.
STATE OF FLORIDA
COUNTY OF INDIAN RIVER
The foregoing instrument was acknowledged before me this 3`d day of December 2007
by
Steve Kovaleski who is personally known to me.
Notary Public
Sign (~$G.~.
INDIAN RIVER
PROJECT MANAGEMENT
Certified Building Contractor
CRC #125n2s7
,~~~ ~~~~~ ALISON BOtAND
.~~t~~ P~6'~i
,ro' ~~ : Notary Public - State o~ Florida
My Commission Expires May 11, 2009
";'` ' ~"~ Commission # DD 428458
~~'~OP,;,Y;'~ Bonded By National Notary Assn.