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HomeMy WebLinkAbout12112007CB AgendapTY ~~F ~~ -~: 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 i crrvoF ~~~y -~ 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. cmc~ ~~~~~ ... C~i~- 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 ,. ~~~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.