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Florida Department of Agriculture and Consumer Services Nicole "Nikki" Fried, Commissioner 1-800-HELP-FLA www.800helpfla.com

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AGENDA

BOARD OF PROFESSIONAL SURVEYORS AND MAPPERS

APPLICATION REVIEW COMMITTEE

HILTON GARDEN INN – GAINESVILLE

4075 SW 33RD PLACE GAINESVILLE, FLORIDA 32608

THURSDAY, JANUARY 24, 2019

Meeting starts immediately following the Probation Review Committee Meeting

Members: Deborah Hill, Committee Chair Frank Conkling Robin Petzold

I. CALL TO ORDER/ROLL CALL

II. REVIEW OF THE OCTOBER 2018 APPLICATION REVIEW COMMITTEE MINUTES

III. APPLICATIONS FOR CONSENT

EXAMINATION APPLICATIONS

AMES, ALISON – NCEES FS & PS and the Florida Jurisdictional Examination

GARDNER, JONATHAN K. – Florida Jurisdictional Examination Only

MONETTI, PIERSON - NCEES PS and the Florida Jurisdictional Examination and waive

the NCEES FS Examinations

WHITMORE, JEFFREY – Florida Jurisdictional Examination Only and waive the NCEES FS and PS Examinations

ENDORSEMENT APPLICATION

HUFFMAN, WILLIAM – Florida Jurisdictional Examination Only and waive the NCEES

FS and PS Examinations

SURVEYOR-IN-TRAINING APPLICATIONS

BROWN, ANDREW – NCEES FS Only

LAMBERT, RYAN – NCEES FS Only

VOYLES, KEITH F. – NCEES FS Only

2

IV. APPLICATIONS FOR DISCUSSION

INITIAL APPLICATIONS

KUHN, RYAN – NCEES PS Examination and the Florida Jurisdictional Examination and waive the NCESS FS Examination

NEFF, MICHAEL – Florida Jurisdictional Examination and waive the NCEES FS and PS Examinations

V. PUBLIC COMMENT

VI. ADJOURNMENT

2

Board of Professional Surveyors and Mappers August 2018 Application Review Committee Meeting Page 1 of 6

MINUTES 1

2 BOARD OF PROFESSIONAL SURVEYORS AND 3

MAPPERS 4

5

APPLICATION REVIEW COMMITTEE 6

7

HILTON ST. AUGUSTINE HISTORIC BAYFRONT 8

32 AVENIDA MENENDEZ 9

ST. AUGUSTINE, FLORIDA 32084 10

11

TUESDAY, OCTOBER 30, 2018 12

13 The meeting was called to order by Nick Campanile, Committee Chair, at 9:35 a.m. 14 15 COMMITTEE MEMBERS PRESENT 16 17 Nick Campanile, Committee Chair 18 David Schryver 19 Frank Conkling 20 21 OTHERS PRESENT 22 23 Deborah Hill, Board Chair 24 Steven Hyde, Board Vice Chair 25 Robin Petzold, Board Member 26 Christopher McLaughlin, Board Member 27 George Grubbs, Board Member 28 Jenna Harper, Executive Director 29 Regenia Lee, Government Analyst 30 Robert Summers, Board Counsel 31 Erik Sayler, Prosecuting Attorney 32 33 OTHERS PRESENT 34 35 W. Lamar Evers 36 Corey Fedrick 37 Steve Cartechine 38 Don Elder 39 Dianne Collins 40 Doug Walker 41 Jay Sturgeon 42 Lou Campanile 43 James Elson 44 Matthew Crowley 45 John Minnick 46 Robert Strayer, Jr. 47 Clyde O. Van Kleeck, Jr. 48 Joe Lambert 49 Diane Sliger Bazile 50 Jeff Barnes 51 52

2


REVIEW AND APPROVAL OF THE AUGUST 2018 APPLICATION REVIEW COMMITTEE MINUTES 53 54 After discussion, the following motion was made: 55 56 MOTION: Mr. Conkling made a motion to approve the August 2018 minutes as amended. 57 SECOND: Mr. Schryver seconded. 58 ACTION: The motion passed unanimously. 59 60 REVIEW/CONSIDERATION OF INITIAL APPLICATIONS 61 62 AARON BLANKENSHIP (NOT PRESENT) 63 64 After discussion the following motion was made: 65 66 MOTION: Mr. Campanile made a motion to approve Mr. Blankenship’s application for licensure by 67

examination and approval to take Florida Jurisdictional Examination and waive the 68 NCEES Fundamentals of Surveying examination and the NCEES Principles and 69 Practices Examination. 70

SECOND: Mr. Conkling seconded. 71 ACTION: The motion passed unanimously. 72

73 MATTHEW CROWLEY (PRESENT) 74 75 After discussion the following motion was made: 76 77 MOTION: Mr. Campanile made a motion to approve Mr. Crowley’s application for licensure by 78


SECOND: Mr. Conkling seconded. 82 ACTION: The motion passed unanimously. 83

84 RICHARD G. DANIELS (Present) 85 86 After discussion the following motion was made: 87 88 MOTION: Mr. Campanile made a motion to approve Mr. Daniel’s application for licensure by 89

examination and approval to take the NCEES Fundamentals of Surveying examination, 90 the NCEES Principles and Practices Examination and the Florida Jurisdictional 91 Examination. 92

SECOND: Mr. Schryver seconded. 93 ACTION: The motion passed unanimously. 94 95 CHRISTOPHER GAILEY (NOT PRESENT) 96 97 After discussion the following motion was made: 98 99 MOTION: Mr. Campanile made a motion to approve Mr. Gailey’s application for licensure by 100


SECOND: Mr. Conkling seconded. 104 ACTION: The motion passed unanimously. 105 106 107

2


JONATHAN C. GEORGE (NOT PRESENT) 108 109 After discussion the following motion was made: 110 111 MOTION: Mr. Campanile made a motion to approve Mr. George’s application for licensure by 112


SECOND: Mr. Conkling seconded. 116 ACTION: The motion passed unanimously. 117 118 NICOLE HEWITT (PRESENT) 119 120 After discussion the following motion was made: 121 122 MOTION: Mr. Campanile made a motion to approve Ms. Hewitt’s application for licensure by 123

examination and approval to take the NCEES Principles and Practices Examination and 124 the Florida Jurisdictional Examination waiving the Fundamentals of Surveying 125 Examination. 126

SECOND: Mr. Schryver seconded. 127 ACTION: The motion passed unanimously. 128 129 After discussion the following amended motion was made: 130 131 FAREED IMORO (NOT PRESENT) 132 133 After discussion the following motion was made: 134 135 MOTION: Mr. Campanile made a motion to approve Mr. Imoro’s application for licensure by 136


SECOND: Mr. Conkling seconded. 140 ACTION: The motion passed unanimously. 141 142 BRANDON LAUSTER (NOT PRESENT) 143 144 After discussion the following motion was made: 145 146 MOTION: Mr. Schryver made a motion to approve Mr. Lauster’s application for licensure by 147

examination and approval to take the NCEES Fundamentals of Surveying and Principles 148 and Practices Examination and the Florida Jurisdictional Examination. 149

SECOND: Mr. Conkling seconded. 150 ACTION: The motion passed unanimously. 151 152 After discussion the following amended motion was made: 153 154 MOTION: Mr. Schryver made a motion to approve Mr. Lauster’s application for licensure by 155

examination and approval to take the NCEES Principles and Practices Examination and 156 the Florida Jurisdictional Examination and waive the NCEES Fundamentals of Surveying. 157

SECOND: Mr. Conkling seconded. 158 ACTION: The motion passed unanimously. 159 . 160 161 162 163

2


JOHN LOVELETTE (NOT PRESENT) 164 165 After discussion the following motion was made: 166 167 MOTION: Mr. Schryver made a motion to approve Mr. Lovelette’s application for licensure by 168


SECOND: Mr. Conkling seconded. 172 ACTION: The motion passed unanimously. 173 ERIC MCLENDON (NOT PRESENT) 174 175 After discussion the following motion was made: 176 177 MOTION: Mr. Schryver made a motion to approve Mr. McLendon’s application for licensure by 178


SECOND: Mr. Campanile seconded. 182 ACTION: The motion passed unanimously. 183 184 AMIR MOGHIMI (PRESENT) 185 186 After discussion the following motion was made: 187 188 MOTION: Mr. Schryver made a motion to approve Mr. Moghimi’s application for licensure by 189


SECOND: Mr. Conkling seconded. 193 ACTION: The motion passed unanimously. 194 195 ALFREDO PEREZ (NOT PRESENT) 196 197 After discussion the following motion was made: 198 199 MOTION: Mr. Schryver made a motion to approve Mr. Perez’ application for licensure by 200


SECOND: Mr. Conkling seconded. 204 ACTION: The motion passed unanimously. 205 206 LANOIJER RODRIGUEZ (NOT PRESENT) 207 208 After discussion the following motion was made: 209 210 MOTION: Mr. Schryver made a motion to approve Mr. Rodriguez’ application for licensure by 211


SECOND: Mr. Conkling seconded. 215 ACTION: The motion passed unanimously. 216 217

2


DOUG WALKER (PRESENT) 218 219 After discussion the following motion was made: 220 221 MOTION: Mr. Schryver made a motion to approve Mr. Walker’s application for licensure by 222


SECOND: Mr. Conkling seconded. 226 ACTION: The motion passed unanimously. 227 REVIEW/CONSIDERATION OF ENDORSEMENT APPLICATIONS 228 229 KENNETH BUCHANAN (NOT PRESENT) 230 231 After discussion the following motion was made: 232 233 MOTION: Mr. Conkling made a motion to approve Mr. Buchanan’s application for licensure by 234

endorsement and approval to take Florida Jurisdictional Examination and waive the 235 NCEES Fundamentals of Surveying examination and the NCEES Principles and 236 Practices Examination. 237

SECOND: Mr. Schryver seconded. 238 ACTION: The motion passed unanimously. 239 240 ABDEL RODRIGUEZ GONZALEZ (NOT PRESENT) 241 242 After discussion the following motion was made: 243 244 MOTION: Mr. Conkling made a motion to approve Mr. Gonzalez’ application for licensure by 245

endorsement and approval to take Florida Jurisdictional Examination and waive the 246 NCEES Fundamentals of Surveying examination and the NCEES Principles and 247 Practices Examination. 248

SECOND: Mr. Schryver seconded. 249 ACTION: The motion passed unanimously. 250 251 DAVID STANDINGER (NOT PRESENT) 252 253 After discussion the following motion was made: 254 255 MOTION: Mr. Conkling made a motion to approve Mr. Standinger’s application for licensure by 256

endorsement and approval to take the Florida Jurisdictional Examination waiving the 257 NCEES Principles and Practices examination and the NCEES Fundamentals of 258 Surveying examination. 259

SECOND: Mr. Schryver seconded. 260 ACTION: The motion passed unanimously. 261 262 REVIEW/CONSIDERATION OF SURVEYOR-IN-TRAINING APPLICATIONS 263 264 RAFAEL DIAZ VAZQUEZ (NOT PRESENT) 265 266 After discussion the following motion was made: 267 268 MOTION: Mr. Conkling made a motion to approve Mr. Vazquez’ application for surveyor-in-training 269

and approval to take the NCEES Fundamentals of Surveying examination. 270 SECOND: Mr. Schryver seconded. 271 ACTION: The motion passed unanimously. 272

2


JERROD FUSCO (NOT PRESENT) 273 274 After discussion the following motion was made: 275 276 MOTION: Mr. Conkling made a motion to approve Mr. Fusco’s application for surveyor-in-training 277

and approval to take the NCEES Fundamentals of Surveying examination. 278 SECOND: Mr. Schryver seconded. 279 ACTION: The motion passed unanimously. 280 281 ASA MAUST (NOT PRESENT) 282 283 After discussion the following motion was made: 284 285 MOTION: Mr. Conkling made a motion to approve Ms. Maust application for surveyor-in-training 286

and approval to take the NCEES Fundamentals of Surveying examination. 287 SECOND: Mr. Schryver seconded. 288 ACTION: The motion passed unanimously. 289 290 SETH REARICK (NOT PRESENT) 291 292 After discussion the following motion was made: 293 294 MOTION: Mr. Conkling made a motion to approve Mr. Rearick’s application for surveyor-in-training 295

and approval to take the NCEES Fundamentals of Surveying examination. 296 SECOND: Mr. Schryver seconded. 297 ACTION: The motion passed unanimously. 298 299 PUBLIC COMMENT 300 301 NONE 302 303 ADJOURNMENT - Meeting was adjourned at 11:01 a.m. 304

2

Application Summary

Report Prepared by: The Florida Department of Agriculture and Consumer Services, Division of Consumer ServicesData Source: Division of Consumer Services (DOCS) Oracle DatabaseReport Name: Application_Approval_Checklist_LS

Page 1 of 1

Letter - LS Complete

Fees Validated Correctly

Enter/Update Person Details

Application Received

Education Verified

Experience Verified

Fees Cashiered

01/08/2019

01/08/2019

01/08/2019

01/08/2019

01/08/2019

01/08/2019

01/03/2019

REGENIA LEE

REGENIA LEE

REGENIA LEE

REGENIA LEE

REGENIA LEE

REGENIA LEE

Items Required Date Complete Completed by Details

AMES, ALISON

10446 BRIDLEWOOD AVE, ORLANDO, FL 32825-6620

$255.00Fees Paid:

UNIVERSITY OF CENTRAL FLORIDA POST OFFICE BOX 160114 ORLANDO, FLORIDA 32816

2011

BACHELORS

Institution:Degree:

Major: ENVIRONMENTAL ENGINEERING

Application

Enrolled: NoForeign:

No Verified

Education1.

ExperienceJONES, WOOD & GENTRY, INC. 2600 EAST ROBINSON STREET ORLANDO, FLORIDA 32803

LAND-TECH SURVEYING MAPPING CORP. 350 SOUTH CENTRAL AVENUE OVIEDO, FLORIDA 32765

SURVEYS INC., DBA/ CENTRAL FLORIDA TINKELPAUGH SURVEYING SERVICES 5125 ADANSON STREET, SUITE 800 ORLANDO, FLORIDA 32804

AMERICAN SURVEYING AND MAPPING 3191 MAGUIRE BOULEVARD, SUITE 200 ORLANDO, FLORIDA 32803

407-898-7780

407-365-1036

407-262-0957

407-836-7881

Employer:

Employer:

Employer:

Employer:

Phone:

Phone:

Phone:

Phone:

From:

From:

From:

From:

07/31/2017

05/02/2016

05/01/2004

04/01/2002

Reference:

Reference:

Reference:

Reference:

DANIEL E. GENTRY, JR.

RICK BURNS

GERALD LIVERNOISE

WILLIAM MUSCATELLO

Verified

Verified

Verified

Verified

1.

2.

3.

4.

To:

To:

To:

To:

01/08/2019

07/28/2017

06/01/2009

05/01/2004

407-898-7780

407-365-1036

407-262-0957

407-836-7881

Phone:

Phone:

Phone:

Phone:

0

61

24

17

52.6

0

0

Qualified Mths:

Qualified Mths:

Qualified Mths:

Qualified Mths:

85 69.6Total: Responsible:

Months Exp:

Months Exp:

Months Exp:

Months Exp:

Checklist

Name:

Address:

Received: 01/02/2019

3150343DTN:

Type: BPSM - Individual New -

2

ADAM H. PUTNAM COMMISSIONER

Florida Department of Agriculture and Consumer Services Division of Consumer Services ~

~"V~ BOARD OF PROFESS!~,c~s SURVEYORS.ND ~~~s

APPLICATION F saRE BY EXAMINATION bOR~

Chapter472~~onda Statu~\?-\\1 <..\~~

Submit and Pay Online at:

www. FreshFromF/orida . com

- or-

Rule 5J-17.029(1)(b), Florida Ad~ij3)strat1ve ~ ~ ~i

1-800-HELP-FLA (435-7352) • 850-410-380 ~b~1da ....._ __________ ___. www.800helpfla .com • 85 4 '!~v

k subject to public review pursuant to Chapter 119, F. S

ii Initial Exam O Temporary Certificate O Endorsement Application

APPLICANT INFORMATION

Name: Suffix: Alison D. Ames

Date of Birth: 09 / 30 / 1974

Gender: 0 Male ii Female

••Social Security Number:

Race:

0 Asian or Pacific Islander

0 Spanish, Hispanic, or Latino

0 Black or African American

ii White or Caucasian

0 Native American or Alaskan Native

0 Other

Home Address (if applicable please include suite, apartment and/or unit numbers): 10446 Bridlewood Avenue

City: Orlando

County (if address is in Florida): Country: Orange USA

ii Please check if mailing address is the same as home address.

State: FL

Zip Code: 32825

Mailing Address (if applicable please include suite, apartment and/or unit numbers):

City:

County (if address is in Florida):

Email Address: [email protected]

Contact Number(s): ( 407 ) 341

----Home Phone

( 407 ) 898

- 3547

- 7780 Business Phone

State:

Country:

Cellular Phone

Facsimile •• Under the Federal Privacy Act, disclosure of Social Security Numbers is voluntary, unless specifically required by federal statute. Social Security numbers must be recorded on all professional license applications and will be used for licensee identification pursuant to the Personal Responsibility and Worl< Opportunity Reconciliation Act of 1996, 104 Pub.L. 193, Sec 317. Social Security numbers will be used to allow efficient screening of applicants and licensees by a Title IV-D child support agency to assure compliance with child support obligations. As such, disclosure of your Social Security number is required on this application under Sections 409.2577, 409.2598, and 472. 015, Florida Statutes. Social Security numbers are not a public record under Florida law.

FDACS-10050 Rev. 02/12 Page 1 of 7

Zip Code:

Org Code: 42 10 08 01 000 EO: A2 Object Code: 001266 Object Code: 002230 42100802000 I 001256

DTN/FAID: .3150.34.3 19-04965746-0001 255. 00 01/03/ 20 :t 9 )l;:;;;jj Q91n-;;1

$125 $125 $5

2

PRIOR NAME INFORMATION

Have you used, been known as, or called by another name (example: maiden name, pseudonym , nickname) or alias other than the name signed to the application?

Iii Yes 0 No

\f you answered yes, p\ease provide namels) be\ow:

Name: Alison D. Rodgers (Maiden Name)

Name: Alison D. Miller (Previous Marital Name)

Name:

Name:

EDUCATION HISTORY

Highest Grade Completed (Please check one):

High School: College:

01 02 03 lll4 01 02 03 lil4 Graduate School :

0 1 02

Suffix: - ---- - -

Suffix: - ------

Suffix: -------

Suffix: - - --- --

Name and Address of Schools, Year of Currently enrolled? Foreign School

Colleges, or Universities Attended Graduation Degree If Yes•, date of anticipated Was your school located

graduation. overseas?

4 University of Central Fl~ida ~- . ~ 2011 B.S. 0 Yes* Iii No * 0 Yes Iii No coo t~"tr cd ~\o (\(Jo. \\J · - -

or\.~<''-' .:i ?= L "3'2.. '0\ \o ~ . Valencia Community College . 1

2009 A.A. 0 Yes* Iii No * 0 Yes Iii No \ Cl "1 f ~o CL._\..Q_c.._t-h g,_:t L~C ( l --O C"\U.\"\60 ~ '- ~1.. -Z..CS

- ~ - ---+ --

p, w;otec Parl< H;gh School \ '('. j 1992 Diploma 0 Yes* Iii No * 0 Yes Iii No 1....\ o b ~c_f_\~\_u c --vJ \ f\ ~ C.(" \'~I"'~ 1 f' L ·3-i,-,c;· Z.

0 Yes* 0 No * I 0 Yes D No I --

CRIMINAL HISTORY INFORMATION

Please select either yes or no to the questions below. If you answered yes to any of the following , please explain your answer on "Exhibit 1" located below (make additional copies as needed).

a. Have you ever been convicted of a crime, found guilty, or entered a plea of guilty or nolo contendere (no contest) to, D Yes Iii No even if you received a withholding of adjudication? This question applies to any violation of the laws of any municipality, county, state or nation, including felony, misdemeanor, and traffic offenses (but not non-criminal infractions, such as parking, speeding, inspection, or traffic signal violations), without regard to whether you were placed on probation, had adjudication withheld, were paroled, or pardoned. If you intend to answer "NO" because you believe those records have been expunged or sealed by court order pursuant to Section 943.0585, Florida Statutes, or applicable law of another state, you are responsible for verifying the expungement or sealing prior to answering "NO."

b. Has any judgment or decree of a court been entered against you in this or any other state, province, district, D Yes Iii No territory, possession, or nation for fraud or dishonest dealing, or is there any such case or investigation pending?

c. Have you ever had an application for registration, certification, or licensure in Florida or in any other jurisdiction D Yes Ill No denied, refused, revoked, suspended, or otherwise acted against, or is there now a pending proceeding or investigation to deny such an application?

d. Has any license, registration, certificate or permit to practice any regulated profession, occupation, vocation, or D Yes Iii No business been revoked, annulled, suspended, relinquished surrendered, withdrawn, or otherwise acted against, in Florida or in any other jurisdiction, or is any such proceeding or investigation now pending?


2

Exhibit 1

Please provide this information for each separate conviction, judgment, etc. Please attach additional sheets, if necessary.

Court or administrative agency rendering the decision, judgment, or order:

State I Governmental agency which brought the action :

Nature of conviction, judgment, order, or action:

Date of Action: Docket Number: I

OUT OF STATE LICENSES

Please list all your out of state licenses (attach additional sheets if necessary).

License Number: --------- Expiration Date: _ ___ _ a. Issuing State: _ ___ ___ _

b. License obtained by: D Examination D Grandfather Clause D Reciprocity/Endorsement D Other: ----------

c. Was an licensure exam taken: D Yes* D No

T- *If Yes: Cl)

1U Was the examination(s) a National Council of Examiners for Engineering and Surveying (NCEES) exam? en If so, please select the examination(s) completed:

D Fundamentals of Land Surveying (Part I) D Principles and Practice (Part II)

Please select ifthe examination(s) was a state exam? D

d. Is the license in good standing? D Yes D No*

* If No, please provide explanation:

a. Issuing State: _ _____ _ Expiration Date: _____ _ License Number: ---------

b. License obtained by: D Examination D Grandfather Clause D Reciprocity/Endorsement D Other: ---- -------


N * If Yes: Cl)

1U Was the examination(s) a National Council of Examiners for Engineering and Surveying (NCEES) exam? en If so, please select the examination(s) completed:

D Fundamentals of Land Surveying (Part I) D Principles and Practice (Part II)

Please select if the examination(s) was a state exam? D




2

EMPLOYMENT HISTORY

A specific experience record is required for licensure as a surveyor and mapper. The experience must be as a subordinate to a licensed surveyor and mapper in the active practice of surveying and mapping. A specific amount of time consisting of responsible charge is also required .

472.005(6), Florida Statutes The term "responsible charge" means direct control and personal supervision of surveying and mapping work, but does not include experience as a chairperson, rodperson, instrument person, ordinary draftsperson, digitizer, scriber, photo lab technician, ordinary stereo plotter operator, aerial photo pilot, photo interpreter or other positions of routine work.

Please list all your previous employers where you have gained experience as a surveyor and mapper (attach additional sheets as necessary):

Employer I Company Name: Employer I Company Address :

'1 one.s l ~Jood ca u lntr~ ( {\(, 'lb00 ~, eob\ f\SD n 5-trec.+ City: State: Zip Code:

Q(\<Ando f L '3"2'bo3 -Supervisor's Name: License Number: Contact Number:

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Dates of Employment:

~IC-~ e:.nt Number of Hours Per Week:

.... From: 1 I ~ \ I '2..o \I To: L{o Q)

>-..2 Did you ever work on a part-time basis? D Yes ii No Number of Hours Per Week: c.

From: To: E w From: To:

From: To:

Total Months of Experience:

Routine (in months): ·- Responsible Charge (in months): 1 ·1 Summary of Experience I

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·'bso s. c e:." t1~\ A Jc. n \ILe City: , State: Zip Code:

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p, ~. LtL\ c¥-) '\)u.lf\S Y 1 O?., Number of Hours Per Week:

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Number of Hours Per Week:

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Total Months of Experience: Responsible Charge (in months): __ ~_3 __ _ """ Routine (in months): _____ _

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2

EMPLOYMENT HISTORY

A specific experience record is required for licensure as a surveyor and mapper. The experience must be as a subordinate to a licensed surveyor and mapper in the active practice of surveying and mapping. A specific amount of time consisting of responsible charge is also required.

472.005(6), Florida Statutes The term "responsible charge" means direct control and personal supeNision of surveying and mapping work, but does not include experience as a chairperson, rodperson, instrument person, ordinary draftsperson, digitizer, scriber, photo lab technician, ordinary stereo plotter operator, aerial photo pilot, photo interpreter or other positions of routine work.



P LSl"\ LLC 19 L} B\9 \rGe. Dr City:

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NuJ.~ of Hours Per Week:

Number of Hours Per Week: >-..2 Did you ever work on a part-time basis? D Yes iii No

~From : To: _ _________ _

W From: To: ------ --- --From: To: ---- - ------Total Months of Experience:

Routine (in months): @' I 9 Responsible Charge (in months):• f 'D Summary of E~perience . C ·

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St.l\ \.\G ~ \ (\3 Employer I Company Address:

::f1 (\ $_\G ~U.\A~ \I s lL. s AcJ. c,n~ on s-t --:tt 5co City: State: Zip Code:i-{ [1\\ c..ndo f L -:S2Bo·

Supervisor's Name: License Number: Contact Number:

Gc,<~\d ·(, l,,\ '1G\no\~G 5'1«00 YO/- 'Lb!, - 0951 N Dates of Employment: J.

~ 'Loo; Nu4 er of Hours Per Week: ... From: ~U..'-\ 000 To: j l,.Lf\~ (I) 0

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2

EMPLOYMENT HISTORY




Employer I Compan}'. Name_: . . .l.A , Employer I Company Address: . d .l _..(\~rn~<-_<_\_C_C).._'f'\_~_v.._r_'-\_e_'\_,_f'_S_'C!_1_ ,u_· "~p_n').5 3 l '\ \ t-'\ 0. <j u i re Bl~ ' "fl Zoo City:

()(\ u..06-0 State: FL

Zip Code:

-":)2.BoC, -__ Supervisor's Name: \.A \ \ -"'\ License Number: \;'1\\\ \o.f"\ Q, . '"\A~C.Q~c. o Jv z_\q l,l}

Contact Number:

401·53b- -183t "'"" Dates of Employment:

~ From: ~ \7 < \ \ 'Loo?..,, >-0 Did you ever work on a part-time basis? 0 Yes


4o To:---'-t--1\_rA_\.\.>__'L_o_o_t\_,____ Iii No Number of Hours Per Week:

c.. E From: To: __________ _

W From : To: ------------From: To: ------------Total Months of Experience:.

Routine (in months):* "Lt..\. Responsible Charge (in months): l/!J -

Summary of Experience

5\A<~C...'\ c~oo "fe-Onn ~ ( \ Cl.1\ - \J'c:..Y'a.n: P\ Q:tS Is u.r,\-c.'-\.S ~no \.,ea_~\ \){.Ser\ t>t \ D\'">S


City: State: Zip Code:

Supervisor's Name: License Number: Contact Number:

N Dates of Employment: Number of Hours Per Week:

~ From: To: >- ------------.2 Did you ever work on a part-time basis? 0 Yes Iii No Number of Hours Per Week:

~ From : To: ___________ _

W From : To: ------------From: To: ----------- ------------Tot a I Months of Experience:

Routine (in months): _____ _ Responsible Charge (in months): 0 -------

FDACS-10050 Rev. 02112 Page 4 of 7


2

EXAMINATION INFORMATION

Please complete the following:

Fundamentals of Land Surveying (Part I) If you are applying as an SIT this is the only part that is required. Have you passed this exam? State Board: Year Passed: D Yes Iii No

Principles and Practice (Part 11) Have you passed this exam? D Yes Iii No

State Board:

Florida Jurisdictional 100 Item Multiple Choice (Part Ill) Have you passed this exam? State Board: D Yes Iii No

SPECIAL TESTING ACCOMMODATIONS

Year Passed:

Year Passed:

Please indicate if you require special testing accommodations due to disability or if you have a religious conflict with the scheduled examination date.

D Yes** Iii No

**If yes, please contact the Florida Deparlment of Agriculture and Consumer Services immediately at 1-800-HELP-FLA ( 435-7352) if you 're calling from with Florida, or 850-410-3800 calling from outside Florida.

AUTHORIZATION

I authorize all institutions or organizations, my references, employers (past and present), business and professional associates (past and present), and all government agencies and instrumentalities (local, state, federal, or foreign) to release to the Florida Department of Agriculture and Consumer Services any information, files or records requested by the Department in connection with the processing of this application . I further authorize the Florida Department of Agriculture and Consumer Services to release any information which is material to my application to the organizations, individuals and groups listed above.

I have carefully read the questions in the foregoing application and have answered them completely, without reservations of any kind, and I declare, under penalty of perjury, that my answers and all statements made by me herein are true and correct. Should I furnish any false information in this appl ication, I hereby agree that such act shall constitute cause for the denial, suspension or revocation of any license to practice in the State of Florida for the profession for which I am applying.

Applicant Signature:~~ \.9- , ~


Date:

2

INFORMATION REDACTED

Pursuant to s . 472.0201, Florida Statutes, certain

information submitted by this applicant has been

redacted from the public record. All information

required by the Board of an applicant is a public record

and is open to public inspection pursuant to s. 119.07,

except financial information, medical information, school

transcripts, examination questions, answers, papers,

grades, and grading keys, which are confidential and

exempt from s. 119.07(1) and shall not be discussed with

or made accessible to anyone except members of the

Board, the Department, and staff thereof, who have a

bona fide need to know such information.

110

THIS FORM IS TO BE COMPLETED BY FORMER OR CURRENT EMPLOYER VERIFING WORK EXPERIENCE. Make additional copies as needed.

Florida Department of Agriculture and Consumer Services


Division of Consumer Services

BOARD OF PROFESSIONAL ' SURVEYORS AND MAPPERS

APPLICATION FOR LICENSURE BY EXAMINATION

Chapter 472, Florida Statutes Rule 5J-17.029(1)(b), Florida Administrative Code

Please return this form lo:

FDACS Division of Consumer Services Surveyors and Mappers 2005 Apalachee Parkway Tallahassee, FL 32399-6500

1-800-HELP-FLA (435-7352) • 850-410-3800 Calling Outside Florida www.800helpfla.com • 850-410-3804 Fax

A specific experience record is required for licensure as a professional surveyor and mapper. The experience must be as a subordinate to a registered surveyor and mapper in the active practice of surveying and mapping . A specific amount of time consisting of responsible charge is also required.


Please list employment where the applicant has gained experience as a surveyor and mapper (attach additional sheets as necessary):

Apfli_cant Name: Title:

~~___.__Ll~s~o~a~D~·-'-'A~t'f'\~e~~---- Si,?~Q....V&~ Employer I Company Name: Employer I Company Address :

~6r-.leS1 WooD <=\ 6c-11{71l'-( 1 2ltDC 5 io\?.1'4 ~cl~ City: State: Zip Code:

Q\lL..-ANQo FL.. 'gz/~63 Supervisor's Name:

k:>BAI IE L E. 6 q··rrnt (; a.. .. Contact Number:

4o7 eqe 1?eo Dates of ?:ployment: Number of Hours Per Week:

From : 7 /-2> J / ZQ t 1 To* :~P~r~e,~~~C-~n~1-~-- 40 Did the applicant ever work on a part-time basis? D Yes )0 No Number of Hours Per Week:

From : To: ~~~~~~~~~~~~

From: To: ~~~~~~~~~~~- ~~~~~~~~~~~~

From: To: ~~~~~~~~~~~- ~~~~~~~~~~~~


Routine (in months): D + Responsible Charge (in months): l '7 =Total Months of Experience 0 17 If you have questions concerning whether experience gained by the applicant qualifies as either routine or responsible charge, please review the definition of "responsible charge" above.

Verifying Surveyor: Please provide a summary of experience and duties performed by the applicant

'.S'uvCQ\11 ~ E Ct}-!G:>\) DEPT. S'...:il. \Jc'f ~ TccJ..1-rh rrfl,J . V"{l\ TE L.::=-tYll Oc{;C. ·, P.flcf>fJ(I..:!. °9.L~S f3 ~r-.xJtlfl rJ ~-..)/1..\J c-'1 ~ -r~po ( vO"-c'fS FoQ tZc\.ltevJ fb '1 ~svn · Pl1oc.c<( r=1Gw O,oli t9f"n c .J('b<7v1k~1 trL 0 C..fl ~vJ~.

QAJrJ ~ Print name and license number of

surve or and mapper verif in experience ~sea10Ci

* If you indicate to "present," the time will be calculated to the day this form is signed and sealed.

FOACS-10050 Rev. 02/12 Page 6 of 7

2


Florida Department of Agriculture and Consumer Services C> i"i ~ i c:> r-o c:>f C:::c:. ..--. ~'--lm ~r ;S;.E'<l r......i~~~ -----------~


...,..~--~rrL.fo"-1-roiir-On--= .... LICENSURE BY EXAMINATION

Chapter 472, Florida Statutes 5J-17.029(1 ){b)

ilmoi-ri"irarooi1ourtrnr oeiriiooo- ----Terry Rhodes Building 2005 Apalachee Parkway Tallahassee, FL 32399-6500


A specific experience record is required for licensure as a professional surveyor and mapper. The experience must be as a subordinate to a registered surveyor and mapper in the active practice of surveying and mapping. A specific amount of time consisting of responsible charge is also required .

472.005(6), Florida Staty_tes The term "responsible charge" means direct control an9 personal supervision of surveying and mapping work, but does not include experience as a chairperson, rodperson, instrument person, ordinary draftsperson, digitizer, scriber, photo lab technician, ordinary stereo plotter operator, aerial photo pilot, photo interpreter or other positions of routine work.


Applicant Name: Title: Alison Ames Drafter

Employer I Company Name: American Surveying and Mapping

Employer I Company Address: 3191 Maguire Blvd .- Suite 200

City: Orlando

Supervisor's Name: William Muscatello

Dates of Employment: From: April 2002 To*: May 2004

State: FL

Contact Number: 407-836-7881

Did the applicant ever work on a part-time basis? D Yes Iii No

From: To: ___________ _

From: -----------~

From: -----------~

Zip Code: 32803

Number of Hours Per Week: 40



Routine (in months): Z4_ +Responsible Charge (in months): __ =Total Months of Experience ')..A..~ If you have questions concerning whether experience gained by the applicant qualifies as either routine or responsible charge , please~~ the ' definition of "responsible charge" above.

*If you indicate to "present," the time will be "&:atcul?te d .!_9 tile _day this form is signed and sealed.

DACS - 10050 Rev. 02/12 Page 6 of 7

2

°THIS FORM IS TO BE COMPLETED BY FORMER OR CURRENT EMPLOYER VERIFING WORK EXPERIENCE. Make additional copies as needed.



Division of Consumer Services E!S.C> .-. ~ C> C:> F" F> -.c::> F" E:: ~ '5; I C> ..... ..-_ '~ .._. -.'-'" E:: -W- <:>~= .-.. ..... C> ""9-~F> E:: -.=

LIO[llOuft.[~OT~tJi1'iilTll1'TIOll

Chapter 472, Florida Statutes Rule 5J-17.029(1)(b) , Florida Administrative Code

Tallahassee, FL 32399-6500



472.005(6), Florida Statutes The term "responsible charge" means direct control and personal supervision of surveying and mapping work, but does not include experience as a chairperson, rodperson, instrument person, ordinary draftsperson, digitizer, scriber, photo Jab technician, ordinary stereo plotter operator, aerial photo pilot, photo interpreter or other positions of routine work.


Applicant Name: Title: Alison Ames CAD/Survey Technician

~~~~~~~~~~~~~~~~~~~~~~-

Employer I Company Name: LAND-TECH SURVEYING MAPPING CORP.

Employer I Company Address:

350 S Central Ave

City: Oviedo

Supervisor's Name:

P.R. (Rick) Burns


From: 05-02-2016

State:

FL

Contact Number:

407-365-1036

To*: 07-28-2017

Did the applicant ever work on a part-time basis? Iii Yes D No

From: 07-06-2009 To: 01-13-2012

From : 01-16-2012 (Full Time)

From: ~~~~~~~~~~~~


~~~~~~~~~~~~-

To: 12-28-2012 (Full Time)

To: ~~~~~~~~~~~~-

Zip Code:

32765


50


24

40

Routine (in months): +Responsible Charge (in months) : 52.6 =Total Months of Experience 53 If you have questions concerning whether experience gained by the applicant qualifies as either routine or responsible charge, please -re-v-ie-w-th_e_ definition of "responsible charge" above.


07-06-2009 to 01-13-2012:While Alison was attending UCF,she worked part-time (132 weeks at 24 hours a wk/160 days=19.8 mths):During this time she directed crews via scype in the mornings & check & draft their work at days end and/or on the wknds.& prepare calculation sheets crews under my direction, all of which was in responsible charge. 01 -16-2012 to 12-28-2012:This was after she graduated from UCF when she worked full time directing crews, preparing calc. sheets & check/draft work under my direction (50 weeks at 40 hours a week/160 = 12.5 months), all of which was in my opinion responsible charge. 05-02-2016 to 07-28-2017: This was when she worked at Land-Tech full-time, during this ti she did all the above plus more direct interaction with clients and other employees etc. (65 weeks at 50 hours a week/ 160 = . months\. all of which was in responsible charoe.D

PR. (Rick) Burns PSM 4702

Print name and license number of suNeyor and ma er verifying experience

Sealed

* If you indicate to "present," the time will be calculated to the day this form is signed and sealed.

FDACS-10050 Rev. 02/12 o~no ~ rif 7

Date

2







Chapter 472, Florida Statutes Rule 5J-17.029(1}(b}, Florida Administrative Code

Please return this form to:

FD ACS Division of Consumer Services Surveyors and Mappers 2005 Apalachee Parkway Tallahassee, FL 32399-6500





Applicant Name:

AL.tSMJ A1'1£S Title:

vMffSPER..~o~ \

Employer I Company Address : Employer I Company Name: ctWT~i\L f\.oRfi>A sv~v€.y~, 1cl e-, dptA.: ro-\~Mv9~ t;uRv'W1!'4 city: s~~v1 c..e.s

.:;' 26 A l>~otJ 51~E.J:: Su ltf. Soo

ORkANl>O State: yl.,

Zip Code:

2Z.B04 Supervisor's Name: "<;"'\ i;qSo Contact Number:

ur:~ qJ€bJ01si.::., rs"'\ -;r;it /1'1»ii:.Et'w ;/\o"1Aeo __ 4,__c.-+1-- =Z=c":i=-----b'-+1-'--6-t-7---------Dates of Employment: ( Number of Hours Per Week:

From : Mk/ 'Z69t To* : ,..-'-'rJe. Zod~ 4o Did the applicant ever work on a part-time basis? D Yes ~ No Number of Hours Per Week:

From: To: _ _ ___ ___ ___ _

From:~----------- To: ___________ _

From : ____ ___ ____ _ To :~----------~


Routine (in months): J,e_{__ + Responsible Charge (in months) :~ =Total. Months of_ Experience _,k,_.,.l~.,-lf you have questions concerning whether experience gamed by the applicant qualifies as either routine or responsible charge, please review the definition of "responsible charge" above.


\t\e J\c;<;~S of c,f.N1p.AL- fLo~lf)I\ Sv~vf.'f_, 11~c. J~ \\t-Jt<LefA_uf=ll{ Sv~>.J9 _ St!:.~'\/ 1ces ll .. ?t ';11 S) vvA.s So Lt> To A.No't'4t. ~ f"\~ (AS oF N\A/ 1, 2..0l.P>\ C.f.~4i.t> ~f:T1Rtl) o~ c, -200S A.NI> t.VA.S ~Svf€ti/\S e.A.. . :r. t.NA ') H~$\1(-'el2..v'l'i>Ol.> tll°"'\. c,-:i.bos UN Ti L.. u-Z.001. 1 AM ~o\ t\WMr<. o..-A.LLSo'-1 A.Me':J ~c11-lLt 1N ~fo,Js li3Le: u-tARti~ o-JfloJ Ci!.. f-\ep_, ~yM6'tf. A:-(UH11S. AL'fi{()OC-1{ 1 Do Flt-ll> A.\...\SoiJ ~M~S T6 ~ thl\"':1..\..l'.~Nf P~~~ ·

---'-l - --10-t;'~ZDl8

Sealed " Date

~

*If you indicate to "present," the time will b~ calculat: d to th!!_day this form is signed and sealed.

FDACS-10050 Rev. 02/12 ', , ' .,., Page 6 of 7 •. -:.,· ,

..... ,· ........ ,. , -....... ,,,... \~ .. ·· ...

2

Application Summary


Page 1 of 2

GARDNER, JONATHAN

5134 FLINT CT, TRUSSVILLE, AL 35173-2357

$255.00Fees Paid:

EAST TENNESSEE STATE UNIVERSITY BOX 70561 JOHNSON CITY, TENNESSEE 37614

1998

BACHELORS

Institution:Degree:

Major: SURVEYING AND MAPPING SCIENCE

Application


No Verified

Education1.

Experience

Out-of-State Licenses

GRANITE CONSTRUCTION 3300 REVEREND ABRAHAM WOODS BOULEVARD BIRMINGHAM, ALABAMA, 35222

S & ME, INC. 4955 CORPORATE DRIVE HUNTSVILLE, ALABAMA, 35805

HDR / ICA 4825 UNIVERSITY SQUARE HUNTSVILLE, ALABAMA 35816

205-703-0369

615-830-5371

614-835-0460

Employer:

Employer:

Employer:

Phone:

Phone:

Phone:

From:

From:

From:

04/01/2016

01/01/2014

02/01/2010

Reference:

Reference:

Reference:

MATT STROTHER

ROBERT SEARSON

JAMES HISE

Verified

Verified

Verified

1.

2.

3.

To:

To:

To:

12/10/2018

04/01/2016

12/01/2013

205-703-0369

615-830-5371

614-835-0460

Phone:

Phone:

Phone:

LS2934

LS24330

License:

License:

1.

2.

0

0

0

31

27

46

Qualified Mths:

Qualified Mths:

Qualified Mths:

0 104Total: Responsible:

06/19/2013

06/08/2001

Tennessee

Alabama

Issued On:

Issued On:

Issuing State:

Issuing State:

Verified

Verified

Laws/Rules:

Laws/Rules:

No

No

Months Exp:

Months Exp:

Months Exp:

Name:

Address:

12/31/2019

12/31/2019

Expires On:

Expires On:

Reciprocity

Examination

Obtained By:

Obtained By:

Yes

Yes

Good Standing:

Good Standing:


3131277DTN:

Type: BPSM - Individual New - Initial License

2

Application Summary


Page 2 of 2


Out of State License Verified

Letter - LS Individual Deficiency




Experience Verified

Education Verified

Fees Cashiered

12/12/2018

12/12/2018

12/10/2018

12/10/2018

12/10/2018

12/10/2018

12/10/2018

12/10/2018

11/21/2018

REGENIA LEE

REGENIA LEE

REGENIA LEE

REGENIA LEE

REGENIA LEE

REGENIA LEE

REGENIA LEE

REGENIA LEE


GARDNER, JONATHAN

5134 FLINT CT, TRUSSVILLE, AL 35173-2357

$255.00Fees Paid:

Application

Checklist

Name:

Address:


3131277DTN:


2

Florida Department of Agriculture and Consumer Services Division of Consumer Services


AND CONSUMER SE~M VEY ORS AND MAPPERS - or-

www.FreshFromFlorida.com DEPTOFAGR/CUL§RD OF PROFESSIONAL

APPL CATION FOR LICENSURE Nov 2 0 ~BfXAMINATION OR ENDORSEMENT

Check or Money Order payable to FDACS and remit with application to:

ADAM H. PUTN9tJREA . .. . COMMISSIONER LJ OF s:::/N' A, Chapter 472, Florida Statutes 'AND ACC ,- .rttNe~7.029(1)(b), Florida Administrative Code

q{JltJ.ifrJiNf!A (435-7352) • 850-410-3800 Calling Outside Florida www.800helpfla.com • 850-410-3804 Fax

FD ACS P.O. Box 6700 Tallahassee, FL 32314-6700

All documents and attachments submitted with this application, with the exception of transcripts, are subject to public review pursuant to Chapter 119, F.S.

APPLICATION TYPE

~ Initial Exam D Temporary Certificate D Endorsement Application


Suffix:

Date of Birth:

lQ_ 1 2~ 1 -,z.. Gender:

~Male D Female

••Social Security Number:

Race:

D Asian or Pacific Islander D Black or African American D Native American or Alaskan Native

D Spanish, Hispanic, or Latino ~White or Caucasian D Other

Home Address (if applicable please include suite, apartment and/or unit numbers):

~toy FI; .-cl- C ot.tc-t' State:

AL Zip Code:

?517 3 ------

County (if address is in Florida): Country:

U.S.A. K.Please check if mailing address is the same as home address.


City: State:

Country:

Contact Number(s):

( ) ( ·20 5 ) fA.3 - C/G8t/ Home Phone Cellular Phone

Business Phone Facsimile •• Under the Federal Privacy Act, disclosure of Social Security Numbers is voluntary, unless specifically required by federal statute. Social Security numbers must be recorded on all professional license applications and will be used for licensee identification pursuant to the Personal Responsibility and Work Opporlunity Reconciliation Act of 1996, 104 Pub.L. 193, Sec 317. Social Security numbers will be used to allow efficient screening of applicants and licensees by a Title IV-D child support agency to assure compliance with child support obligations. As such, disclosure of your Social Security number is required on this application under Sections 409. 2577, 409. 2598, and 472. 015, Florida Statutes. Social Security numbers are not a public record under Florida law.


Zip Code:


$125 $125 $5

2


Have you used, been known as, or called by another name (example: maiden name, pseudonym, nickname) or alias other than the name signed to the application?

0 Yes ~No If you answered yes, please provide name(s) below:

Name:

Name:

Name:

Name:

EDUCATION HISTORY


High School:

01 02 03 04 College:

01 02 03 ~4

Name and Address of Schools, Colleges, or Universities Attended

Year of Graduation

c;q

l~q

1'11B

Graduate School:

01 02

Currently enrolled? Degree If Yes *, date of anticipated

graduation.

0 Yes* 0 No *

0 Yes* 0 No *

0 Yes* 0 No *

0 Yes* 0 No *


Suffix:

Suffix: -------

Suffix: -------

Suffix: - - -----

Foreign School Was your school located

overseas?

0 Yes 0 No

0 Yes 0 No

0 Yes 0 No

0 Yes 0 No

Please select either yes or no to the questions below. If you answered yes to any of the following, please explain your answer on "Exhibit 1" located below (make additional copies as needed).

a. Have you ever been convicted of a crime, found guilty, or entered a plea of guilty or nolo contendere (no contest) to, O Yes ~No even if you received a withholding of adjudication? This question applies to any violation of the laws of any municipality, county, state or nation, including felony, misdemeanor, and traffic offenses (but not non-criminal infractions, such as parking, speeding , inspection, or traffic signal violations), without regard to whether you were placed on probation, had adjudication withheld, were paroled, or pardoned. If you intend to answer "NO" because you believe those records have been expunged or sealed by court order pursuant to Section 943.0585, Florida Statutes, or applicable law of another state, you are responsible for verifying the expungement or sealing prior to answering "NO."

b. Has any judgment or decree of a court been entered against you in this or any other state, province, district, O Yes Jl?(' No territory, possession, or nation for fraud or dishonest dealing, or is there any such case or investigation pending?

c. Have you ever had an application for registration , certification, or licensure in Florida or in any other jurisdiction O Yes 9( No denied, refused , revoked , suspended , or otherwise acted against, or is there now a pending proceeding or investigation to deny such an application?

d. Has any license, registration , certificate or permit to practice any regulated profession , occupation, vocation, or O Yes }(No business been revoked, annulled, suspended, relinquished surrendered, withdrawn, or otherwise acted against, in Florida or in any other jurisdiction , or is any such proceeding or investigation now pending?


2

Exhibit 1

Please provide this information for each separate convidion, judgment, etc. Please attach additional sheets, if necessary.


State I Governmental agency which brought the action:




Please list all your out of state licenses (attach additional sheets if necessary). I I

~

Cl> -ca -en

License Number: 24~30 Expiration Date: I 2 /3 f / ICj I

a. Issuing State: A..)o. bcuvu::\

b. -k!fense obtained by: Vl\ Examination D Grandfather Clause D Reciprocity/Endorsement D Other:

- --- - - ----

c. Was an licensure exam taken: 'l;l(_ Yes* D No

*If Yes:

Was the examination(s) a National Council of Examiners for Engineering and Surveying (NCEES) exam? If so, please select the examination(s) completed: ~Fundamentals of Land Surveying (Part I) ')ll_Principles and Practice (Part II)

Please select if the examination(s) was a state exam? ii(_ d. ~he license in good standing?

~Yes D No*


I

License Number: Expiration Date: I z /31 /,q -a. Issuing State: l~n~e5.5e.e.

_ - i- _b_. Llc_ens_e_ob_taioed_by_:, ____________________________ ---------i--

- ~ Examination D Grandfather Clause

N Cl> -ca -en

D Reciprocity/Endorsement D Other: - ------- --

c. !!Js an licensure exam taken: ~Yes* D No

*If Yes:

Was the examination(s) a National Council of Examiners for Engineering and Surveying (NCEES) exam? If so, please select the examination(s) completed: D Fundamentals of Land Surveying (Part I) D Principles and Practice (Part II)

Please select if the examination(s) was a state exam? )(.

d. Is the license in good standing?

~Yes D No*



2

EMPLOYMENT HISTORY

A specific experience record is required for licensure as a surveyor and mapper. The experience must be as a subordinate to a licensed surveyor and mapper in the active practice of surveying and mapping . A specific amount of time consisting of responsible charge is also required.

472.005(6), Florida Statutes The term "responsible charge" means direct control and personal supeNision of suNeying and mapping work, but does not include experience as a chairperson, rodperson, instrument person, ordinary draftsperson, digitizer, scriber, photo lab technician, ordinary stereo plotter operator, aerial photo pilot, photo interpreter or other positions of routine work.



Gran i +e lonc:;fruc.J i ovr State:

?XL License Number: LJ P.E. :IL 3'o757 AL)

T"" Dates of Employment:

~ From: ~~ci \ '20 I LQ To: ?~~£ ..._.-.-->. -!""' ---~-~~~----

0 Did you ever work on a part-time basis? D Yes ~No a. E From: To: _ _ _________ _

W From: To: - - ----- --- - -From: To:


Zip Code:

~SZ'Z2..

C~act Number: os) 10'3 -o3Co'f


"/5+-Number of Hours Per Week:

Routine (in months): Responsible Charge (in months) : ? I --~----

Summpry of Experience tvlG<M~e dG··'y ac+\111 ~1es {)(- survey field l'~s Cur atf OV'\ \:.~vy civil ~n!.+'°'"tc+.l<M. prvec;.4.. O.te~e._ ~I-Ii'~

c!>V\umevif> s~o iGO.+eo w · .


S ~ NlE , r~~ Employer I Company Address:

L(q'Ob Gc~k Dr;ve City:

.J-L..r(-5"' J f e_

State: Zip Code:

AL ?~842 -~-Supervisor's Name:

----=--g o er(.- S ~aV--.)0 (\ N Dates of Employment:

License Number: -~e~o-uo·---tp---

Ttd 'iZ'-' ·t '"'"'"

20IV; ~From: :fat'l""-ary ZVI'-{ To: ~;I S:! Did you ever work on a part-time basis? D Yes'ci( No a. E From: To: ___________ _

W From: To: ------------From: To:

----------~ ------------Total Months of Experience:

Contact Number:

(~ts) 3Zt./-3 '(~ Number of Hours Per Week:

'lo Number of Hours Per Week:

Routine (in months): _ _ ___ _ _ Responsible Charge (in months): __ Z_ 7 _ __ _

rV1a.~ .. 5e l'."ield c '""'~ ~ o~:c.t

Fsrvu~·



c..u-rvey Cofo.ff". 'DCMV\..doc-y,

LOIVI -F

2

EMPLOYMENT HISTORY

A specific experience record is required for licensure as a surveyor and mapper. The experience must be as a subordinate to a licensed surveyor and mapper in the active practice of surveying and mapping. A specific amount of time consisting of responsible charge is also required.



Employer I lmpany Name: Employer I Company Address:

t{ <J z t;;;" u .... i .reY---"> i±r S'fuar(_ !-ID~ t C.A City: State: Zip Code:

1-\ UV\ t-s Vii ( (__ Al "35'0/(Q -Supervisor's Name: License Number:

Ta~~s \-{ iS.E- AL. ?.t -t 27o\e>8 ;:;;_ntact Number:

li.-\2 8 '3S-- OL{(J,O "l""" Dates of Employment: Number of Hours Per Week: ..... From: Febf'~rt 2010 To: be.ceft\b~ ZoL3 LLo Q) >. 0 Did you ever work on a part-time basis? D Yes 't(_No Number of Hours Per Week: a.


From: To:


'-I& Routine (in months): Responsible Charge (in months):

Surveyor I"'- t<-Spv"""'i ble... ~ Summary of Experience

?~hMed boL.t,JOf( c ~e ~r Pi(4ba.--CL- D'vl51o/\.

lof10 l (Yl i "°' r\~b, 1?Dv0 1 '!" (;,Y'f.+ ,..~.f.s-rh-- ~/:..'.t7q. -Employer I Company Name: ~ef - ~t111p "Y"d Employer I Company Address:

Gacdrie~ PraF'-e..??"10"'"'' Sw.rvty1:rtq 1 !~c. Cf(pqL-{- rrlad1$on Blvd City: J State: Zip Code:

tYlad1$DVl AL ~758 -_ _ --- Supervisor's Name: License Number: Contact Number: ----.,,.,.._.,,. --_ --:C~i:e;;1-;::· · ... 0:t;~7------ -----:-7zm-a- ·- --·· - - ----·-- - -· ·------- - ----- - --- -

N Dates of Employment:

~ From: P-ehcv.acy ZOO Z. To: :Ian.u.a<y ZD ID ~ Did you ever work on a part-time basis? D Yes ~o E From: To: _ _ _ ______ __ _

·- ... 2oS Ct;Z3-q<18Jd Number of Hours Per Week:

L/0 Number of Hours Per Week:

W From: To: - - - --- - - - ---From:

----------~


Routine (in months): _____ _ Responsible Charge (in months) : q b --~----

wtttw--- / Gt~efO. 1

To ALT


Mjr - Su.N·~yw-- 1"' (l(,>fOMil-i-e c~~e. _ ~e-rfor""'e-d [0A'b-J.r1 .. 1,<.,,./-}0J\. 5~:11. Su.bcli'vi'~.'TIA Pl0tf5.

FDACS-10050 Rev. 02/12 Page 4 of 7 2



Fundamentals of Land Surveying {Part I) /f you are applying as an SIT this is the only part that is required. Have you passed this exam? State Board : Year Passed : /tlt?!2 l)t_ Yes D No __ f\l_a.~b:?_V"'l_Cf~----- I I 0

Principles and Practice {Part II) Have you passed this exam? ~Yes D No

State Board :

A\abaltVtC?i Florida Jurisdictional 100 Item Multiple Choice {Part Ill) Have yo~sed this exam? State Board : D Yes No --------------


Year PassedZOO /

Year Passed:

Please indicate if you require special testing accommodations due to disability or if you have a religious conflict with the scheduled ex~ination date.

D Yes** YQ_ No

** If yes, please contact the Florida Department of Agriculture and Consumer Services immediately at 1-800-HELP-FLA ( 435-7352) if you 're calling from with Florida, or 850-410-3800 calling from outside Florida.

AUTHORIZATION

I authorize all institutions or organizations, my references , employers (past and present), business and professional associates (past and present), and all government agencies and instrumentalities (local, state, federal , or foreign) to release to the Florida Department of Agriculture and Consumer Services any information, files or records requested by the Department in connection with the processing of this application . I further authorize the Florida Department of Agriculture and Consumer Services to release any information which is material to my application to the organizations, individuals and groups listed above.

I have carefully read the questions in the foregoing application and have answered them completely, without reservations of any kind , and I declare, under penalty of perjury, that my answers and all statements made by me herein are true and correct. Should I furnish any false information in this application, I hereby agree that such act shall constitute cause for the denial, suspension or revocation of any license to practice in the State of Florida for the profession for which I am

applying. ! _ _A'"-•!_ Applicant Signature: -------'-(J_'--=~~""-!<....:...C'-----===--"'--C,(;'l-.,..,,~~CI£_,__ ____ _


2

November 15, 2018

Florida Board of Professional Surveyors and Mappers

The following is provided for clarification of my educational background and work experience as a

professional land surveyor.

I graduated from East Tennessee State with a Bachelor's Degree in Surveying and Mapping in 1998.

obtained an Alabama PLS license in June 2001 . I later obtained a Tennessee PLS license in June 2013 .

was the owner/general manager of my own company, Southern Geomatics Consulting, Inc., which later

became Gardner Professional Surveying, Inc., from February 2002- January 2010, in which I was the

principal surveyor in charge. From February 2010- December 2013 I was employed by Florence &

Hutchinson, Inc. in the Huntsville, Alabama office location, which later became HDR/ICA, in which I was

the principal surveyor in charge for our projects in Alabama . From January 2014-April 2016 I was

employed by Littlejohn Engineering in the Huntsville, Alabama location, which later became S&M E, Inc.,

in which I was the principal surveyor in charge for our projects in Alabama . From April 2016-present I

am employed by Granite Construction, Inc., in which I am the surveyor in responsible charge for our

project in Birmingham, Alabama. In total I have over 17 years as professional land surveyor during

which I have been the surveyor in responsible charge at the different locations mentioned above.

Please consider me to have the qualifications required to take the Florida jurisdictional exam.

Alabama License No. 24330

Tennessee License No. 2934

2














110







Chapter 472, Florida Statutes Rule 5J-17.029(1 )(b), Florida Administrative Code



1-800-HELP-FLA (435-7352) • 850-410-3800 Calling Outside Florida www.800helpfla .com • 850-410-3804 Fax




Applicant Name:

3o"'-<A+k"'-Employer I Company Name:

Gean. ;+e ~ns+<t.tc-L Of\


From: .!\µc-1 I 'Z DI lo To*: .P'i?f5£t'tT Did the applicant ever work on a part-time basis? D Yes ~No From: To:

State:

!JiL

-------------From: To: ------------ -------------

From: To: -----------~ - ------------

Zip Code:

3522Z


t/6 Number of Hours Per Week:

Total Months of ExQerience: -------~-----------------~-Routine (in months): U +Responsible Charge (in months) : 3 =Total Months of Experience 0 ~ ( If you have questions concerning whether experience gained by the applicant qualifies as either routine or responsible charge , please review the definition of "responsible charge" above.


fr 0 ......._ fll\ o- re-i,,.._ '2.. o /J. h, /JO\.,,e ~'b~ '2..0 l 'l feJ t,......._e_j C:t>-\lu.\0-.J,...,,....._5 °'"'1 /o..../ ·"'"'-f- {},, ,

~: ~"'-'""-' "-! 6o "',,-i-< .... "- .g ...,v-.. f r "')e c..-t ; ~ ~ \ {'"'"' :"'_, ~"'- 1 ~ L • L"""r"' }- ~,,4-.Jd b ~~ """\ 1.\.-;.~l lo f <> .. ~~7 o-.\ i j"'-"'-'- ev....\-.sJ sh.1....~ .,{ .5truch-ve. -. °""'J f\5 \,,.+--..f, \A_,/ .......... l..vs , .'1?\ o..J~; 4"°"'/ ,5LA..f «.r "'i ~eJ 2. 5'-v-"'7 u e...,._, .:,,

M .... 1-tke.- C \.~\-,,~ 5\ .. , .... +Ler IL 3l7S/ Print name and license number of

..it1r-veyo1 and rnapper venfyliTg expsrier:ic>J PJ: ... -------

Sealed Signature of licensed surveyor and mapper

verifying experience

•If you indicate to "present, " the time will be calculated to the day this form is signed and sealed.


{( (~ tQ Date

2






APPLICATION FOR U CENSURE BY EXAMINATION

Chapter 4 72, Florida Statutes Rule 5J-17.029(1)(b), Florida Administrative Code


FDA CS Division of Consumer Services Surveyors and Mappers 2005 Apalachee Parkway Tallahassee, FL 32399-6500



472.005(6), Florida Statutes The term "responsible charge " means direct control and personal supervision of surveying and mapping work, but does not include experience as a chairperson, rodperson, instrument person, ordinary draftsperson, digitizer, scriber, photo lab technician, ordinary stereo plotter operator, aerial photo pilot, photo interpreter or other positions of routine work.

Please l ist employment w here t he applicant has gained experience as a surveyor and mapper (attach additional sheets as necessary):

Title: Applicant Name:

3on. cd·kal'l. r:evi"" Sur~ fVlavtRe< - H'-'vrfsv;f/e_ 1 AL Employer I Compf)ny Name:

5 f il1.£, lri c. City: State: Zip Code:

AL 3S&oC- - - -Supervisor's Name:

'i?h • .J-Contr,t Number:

t---<.Pt s-') f3 ZX> - 53 7 I Dates of Employment:

From: :Sa~v-~u-y Zof'-/- To*: Apel ( Did the applicant ever work on a part-time basis? D Yes Number of Hours Per Week:

From: . To: --- --- - - -----From: To: --- - - - - - - - ---From:

Total Months of ExQ_e_r_ie_n_c_e_: _ __ _

Routi~-~ (in months): 0 - + Re;r;onsible Charge (in ~;;;th-;): 27 =Total M-;;~ths--;;fExperience 6--zz . If you have questions concerning whether experience gained by the applicant qualifies as either routine or responsible charge, please review the definition of "responsible charge" above.

Date

,,, 0 urve~ o ,•' * If you indicate to "present, " the time will be calc'JtYtoo (p ~1'e' day this form is signed and sealed.


2









Please return this form lo:

FDACS Division of Consumer Services Surveyors and Mappers 2005 Apalachee Parkway Tallahassee , FL 32399-6500


472.005(6), Florida Statutes The term "responsible charge " means direct control and personal supervision of surveying and mapping work, but does not include experience as a chairperson, rodperson, instrument person, ordinary draftsperson, digitizer, scriber, photo lab technician, ordinary stereo plotter operator, aerial photo pilot, 'photo interpreter or other positions of routine work.

Please l ist employment w here the applicant has gained experience as a surveyor and mapper (attach additional sheets as necessary):

Applicant Name:

-:roV\ o.i'~vt Employer I Company 7me:

WI:>~ tCA City: State: Zip ode:

AL 35Bt~ Supervisor's Name: Con~t Number:

~""'-e5 H ;$e_ -*"'~~l'-l __ ) ___ B_'3_5_ -_0_lf_(o_D ____ _ Dates of Employment: Number of Hours Per Week:

From: febn""QC" y 2'D I 0 To*:--""''--=-"'~~----=2=-D'---'--"'/3~ __ l(~D _ ___ _ Did the applicant ever work on a part-time basis? No Number of Hours Per Week:

From: . To: ~~~~~~~~~~~~-

From: To: ~~~~~~~~~~~- ~~~~~~~~~~~~-

From: To: ~~~~~~~~~~~- ~~~~~~~~~~~~-

Total Months of ExQerience: _

R~uti~~-(in -~~-nths): o· .;. Re~ponsi-ble Ch~rge (in m~nths): ~ = Tot~l l'ionths ~f Experience 6--t:f(;3 . If you have questions concerning whether experience gained by the applicant qualifies as either routine or responsible charge, please review the definition of "responsible charge" above.

J Q,.wte.S "D. 1./, S'P AL P€ 2:7ot1i Print name and license number of ~

surveyor and mapper verifying experience * verifying experience

!t/tk/t[d Date

"' ~4i····~· · ·· ~~ , ... *If you indicate to "present," the time will be t!!Jt;[email protected]~ "!;\~'this form is signed and sealed.

, , \ '' FDACS-10050 Rev. 02/12 11111 ' Page 6 of 7

2

Alabama Board of Professional Engineers & Land Surveyors PO Box 304451

Montgomery, AL 36130-4451 (334) 242-5568

VERIFICATION OF LICENSURE

TO: FDACS Div of Consumer SeN SuNeyors and Mappers 2005 Apalachee Parkway Tallahassee, FL 32399-6500

LICENSEE: Jonathan Kevin Gardner DateofBirth 10126172

Social Secu~er

xxx - xx ------

I. THE ABOVE NAMED PERSON WAS LICENSED AS:

II.

1.

__ Engineer Intern

__ Professional Engineer

_x_ Land Surveyor Intern

_x_ Professional Land Surveyor

BASIS OF LICENSURE:

_xx_ Written Examination Hours

FE

PE

FLS 8

PLS 6

State 2

License No.

3

24330

Results NCEES

pass yes

pass yes

pass no

Date Issued

12/23/98

6/8/01

Date of Exam

10/31/98

4/20/01

4/20/01

Valid Until

lie comp

12/31/19

Discipline

2. FEorFLSacceptedfrom _ _ _ ___ _ _________ ___ _ _ _ __ _

3. __ PE, PLSorStateacceptedfrom _ ____________ _ ~ ....... ;""'.;~;:cs~s~rn~~1r21;·,;~-;:-~ ..... -·.;--•• ---•• q_~ ......... e~ · .. . · ~ ... ··. ~ ..

111. DISCIPLINARY ACTION TAKEN OR PENDING:_n_o ____ _ _ _ __ :-i--.~ii~'< ... r-··-v<i'f=~:--"',.'t'""',. .• = .. ~~~'·:· ..... :--<:.'P~~o;:·=:--\--

<. ~ ~ ffi ~ ~-~:.~ ····: .. s '~··~ ~ ~ ~ ~<:2:· ;"" •,\ : ~:

.i /) • ~ "1 ... ~I • ·:·' •.. • c::;: t S. ed by /VJ A .,,,,a_ __,/ •. \,)-:: " ·'6.:- •• ~ • • ~ :

1gn 4--JL-J.- . • o •• . , ~"" •• ~· • </t. ... .. • • ~ ... •• 9"J... ••• • • • • •• ..:>) •

S rt A t t • 09 ~c::i·- •• Title: Administrative uppo ssis an ••• ••• ~:~:~::.; ••• •• N·~o~v~e~m~b~e~r9~,~2~0~18=--------~ Date: _

2

LETTER OF GOOD STANDING May 31, 2018 To: Florida Department of Agriculture & Consumer Services Division of Consumer Affairs - BPSM 2005 Apalachee Parkway Tallahassee, FL 32399-6500

This is to certify that a good faith search of our record reveals the following information:

GENERAL INFORMATION

Name: JONATHAN KEVIN GARDNER is licensed by the Board of Examiners for Land Surveyors License number: 2934 Business Name and Address of Record: JOHNATHAN KEVIN GARDNER 5134 FLINT COURT

TRUSSVILLE, AL 35173

Current Status: ACTIVE Current expiration date: 12/31/2019

HISTORY INFORMATION

Date first licensed as a Land Surveyor: 06/19/2013 Requirement Met By: Reciprocal

DISCIPLINARY ACTION

X No Record of Disciplinary Actions See Attached Documents Other

Jamye L. Carney Administrative Assistant 2 Commerce and Insurance, Regulatory Boards, TN

2

Application Summary


Page 1 of 1





Education Verified

Experience Verified

Fees Cashiered

12/17/2018

12/17/2018

12/17/2018

12/17/2018

12/17/2018

12/17/2018

12/06/2018

REGENIA LEE

REGENIA LEE

REGENIA LEE

REGENIA LEE

REGENIA LEE

REGENIA LEE

PASSED NCEES FJ ON 04/16/2016 - VERIFIED BY REGENIA LEE ON 12/17/2018.


MONETTI, PIERSON

2409 W STROUD AVE, TAMPA, FL 33629-6217

$255.00Fees Paid:

UNIVERSITY OF FLORIDA GAINESVILLE, FLORIDA USA 2014BACHELORS

Institution:Degree: Major: GEOMATICS

Application

Enrolled: NoForeign: No Verified

Education1.

ExperienceGEOPOINT SURVEYING, INC. 213 HOBBS STREET TAMPA, FLORIDA 33619813-248-8888

Employer:Phone: From: 01/12/2015

Reference: PIERSON MONETTIVerified

1.To: 12/17/2018

813-248-8888Phone:0 48Qualified Mths:


Months Exp:Checklist

Name:

Address:


3136935DTN:


2




APPLICATION FOR LICENSURE BY EXAMINATION OR ENDORSEMENT




www.FreshFromFlorida.com

- or-

Check or Money Order payable to FDA CS and remit with application to:

FD ACS P.O. Box 6700 Tallahassee, FL 32314-6700

All documents and attachments submitted with this application, with the exception of transcripts, are subject to public review pursuant to Chapter 119, F. S.

APPLICATION TYPE

~itialExam D Temporary Certificate

Name:

Q\ e rso" Moil e+t=i Date of Birth:

Q!i_J d..1 Race:

G«7'1der: l2f Male


••Social Security Number: D Female

D Endorsement Application

Suffix:

D Asian or Pacific Islander

D Spanish, Hispanic, or Latino

D )31ack or African American

~ White or Caucasian

D Native American or Alaskan Native

D Other

Home Address (if applicable please include suite, apartment and/or unit numbers):

'd-J.I oq W St rovd Ave_ City:

Tq~ftA State:

f \ Zip Code:

~~p~q County (if address is in Florida): Country:

\\.~Hsborovjh ~V~S~----------iJ Please check if mailing address is the same as home address.


City: State:


Email Address:

p \ t<"SO O'MO n@ :> VV'ai \ .CO~ Contact Number(s):

( ) ( 407 ) ';}.5" - g,~4 '1 Home Phone Cellular Phone

Business Phone Facsimile •• Under the Federal Privacy Act, disclosure of Social Security Numbers is voluntary, unless specifically required by federal statute. Social Security numbers must be recorded on all professional license applications and will be used for licensee identification pursuant to the Personal Responsibility and Work Opportunity Reconciliation Act of 1996, 104 Pub.L. 193, Sec 317. Social Security numbers will be used to allow efficient screening of applicants and licensees by a Title IV-D child support agency to assure compliance with child support obligations. As such, disclosure of your Social Security number is required on this application under Sections 409.2577, 409.2598, and 472. 015, Florida Statutes. Social Security numbers are not a public record under Florida law.


Zip Code:


DTN/FAID : 3136935 19-04934751-000l 255:00 12/06/2018 Itep#991872

$125 $125 $5

2


Have you used, been known as , or called by another name (example: maiden name, pseudonym, nickname) or alias other than the name ~gned to the application?

0 Yes ~ No

If you answered yes, please provide name(s) below:

Name: Suffix:

Name: Suffix: -------

Name: Suffix: ------ -



High School : College:

01 02 03 04 01 02 03

EDUCATION HISTORY

Graduate School:

01 02

Name and Address of Schools, Year of Degree

Currently enrolled? Foreign School

Colleges, or Universities Attended Graduation If Yes*, date of anticipated Was your school located graduation. overseas?

unNtrs.·t-t of Flo",'"'"' col\~t of ()pit.I Gc4c"t.tor5 0 Yes* efNo * 0 Yes ~o

A41'ilOB'1t"tl I • Lik. ~''"'"<.,. C,to.'11t+.-c.s - -

Md.Ar+t ~n OJ~ ~o 4}.o 0 Yes* 0 No * 0 Yes 0 No (,°';~tSv,'l(e_ .. FI ~ ).(,O°?l --

0 Yes* 0 No * 0 Yes 0 No - -

0 Yes* 0 No * 0 Yes 0 No --



a. Have you ever been convicted of a crime, found guilty, or entered a plea of guilty or nolo contendere (no contest) to, even if you received a withholding of adjudication? This question applies to any violation of the laws of any municipality, county, state or nation, including felony, misdemeanor, and traffic offenses (but not non-criminal infractions, such as parking, speeding, inspection , or traffic signal violations), without regard to whether you were placed on probation, had adjudication withheld, were paroled, or pardoned . If you intend to answer "NO" because you believe those records have been expunged or sealed by court order pursuant to Section 943.0585, Florida Statutes, or applicable law of another state, you are responsible for verifying the expungement or sealing prior to answering "NO."

b. Has any judgment or decree of a court been entered against you in this or any other state, province, district, territory, possession , or nation for fraud or dishonest dealing, or is there any such case or investigation pending?

c. Have you ever had an application for registration , certification, or licensure in Florida or in any other jurisdiction denied , refused , revoked , suspended , or otherwise acted aga inst, or is there now a pending proceeding or investigation to deny such an application?

d. Has any license, registration , certificate or permit to practice any regulated profession, occupation, vocation , or business been revoked , annulled, suspended, relinquished surrendered , withdrawn , or otherwise acted aga inst, in Florida or in any other jurisdiction, or is any such proceeding or investigation now pending?


0Yes ~o

0 Yes ~o 0 Yes ~o

0 Yes ~o

2

Exhibit 1






OUT OF ST ATE LICENSES


a. Issuing State: _______ _ License Number: Expiration Date: ____ _

b. License obtained by: D Examination D Grandfather Clause D Reciprocity/Endorsement D Other:

---------~


""""" *If Yes: 4) ca Was the examination(s) a National Council of Examiners for Engineering and Surveying (NCEES) exam?

Ci) If so, please select the examination(s) completed: D Fundamentals of Land Surveying (Part I) D Principles and Practice (Part II)

Please select ifthe examination(s) was a state exam? D


*If No, please provide explanation :

a. Issuing State: _ ______ _ Expiration Date: ____ _ License Number: - --------

b. License obtained by: D Examination D Grandfather Clause D Reciprocity/Endorsement D Other:

---------~


N *If Yes: 4) ca Was the examination(s) a National Council of Examiners for Engineering and Surveying (NCEES) exam?

Ci) If so, please select the examination(s) completed: D Fundamentals of Land Surveying (Part I) D Principles and Practice (Part II)



*If No, please provide explanation:

FDACS-10050 Rev. 02/12 Page 3 of 7 2

EMPLOYMENT HISTORY

A specific experience record is required for licensure as a surveyor and mapper. The experience must be as a subordinate to a licensed surveyor and mapper in the active practice of surveying and mapping . A specific amount of time consisting of responsible charge is also required.




&eoPo\f\+ Su£ve~;t1;9 !..oc... ~\~ ~obb~ ~+ ... u+ City: State: Zip Code:

T~W'lfD\ f \ ~}~I~ -Supervisor's Name: License Number: Contact Number:

~vlcl W l\\it.\WIS LS '"I~~ ti'i l-~~ ... ~o "!>6

"'"" Dates of Employment: Number of Hours Per Week:

i.. From: 1-\~-d.015 To: Cuf'rtV\ ~ ~5-(I) >.

Did you ever work on a part-time basis? D Yes 'ilf No 0 Number of Hours Per Week: 0.

From : To: E w From : To:

From : To:


'i~* * Qy "''"'e. of Routine (in months): 0 Responsible Charge (in months): ~eeLicea~:c:J"

Summary of Experience f' t.v •' t W wortc~ tlt.S f "°it(t S\Jr'!.Jctt"' v~dtr L-ict"Sttl Sutve'for c.h'rtci•'"~ dtff4lt cou~c·Hdi\ \rl-{ie/J {'r<Jt-ts~,·Y\~ \ o ~.te_, '1o" G.r"'f Cei1lcvlr.c-.;o_.~,..d{q.f+ of {i'rir.tf ')11Ne15 St"'+ iO c.litt'\..,.S, J



-Supervisor's Name: License Number: Contact Number:

N Dates of Employment: Number of Hours Per Week: ... From : To: (I) >.

Did you ever work on a part-time basis? D Yes D No 0 Number of Hours Per Week: 0.


From : To:


Routine (in months): Responsible Charge (in months):


FDACS-10050 Rev. 02/12 Page 4 of 7 2



Fundamentals of Land Surveying (Part I) If you are applying as an SIT this is the only part that is required. H~e you passed this exam? State Board: Year Passed: lll Yes D No ylo t i'dtif ~;).._O_{~f, ___ _

Principles and Practice (Part II) Have you pa;sed this exam? D Yes &"No

State Board :

Florida Jurisdictional 100 Item Multiple Choice (Part 111) Have you pa;sed this exam? State Board: D Yes IY'No

Year Passed:

Year Passed:


Please indicate if you require special testing accommodations due to disability or if you have a religious conflict with the scheduled exa19-ination date.

D Yes** fl!' No

** If yes, please contact the Florida Department of Agriculture and Consumer Services immediately at 1-800-HELP-FLA ( 435-7352) if you 're calling from with Florida, or 850-410-3800 calling from outside Florida.

AUTHORIZATION

I authorize all institutions or organizations, my references, employers (past and present), business and professional associates (past and present), and all government agencies and instrumentalities (local, state, federal , or foreign) to release to the Florida Department of Agriculture and Consumer Services any information, files or records requested by the Department in connection with the processing of this application . I further authorize the Florida Department of Agriculture and Consumer Services to release any information which is material to my application to the organizations , individuals and groups listed above.

I have carefully read the questions in the foregoing application and have answered them completely, without reservations of any kind, and I declare, under penalty of perjury, that my answers and all statements made by me herein are true and correct. Should I furnish any false information · -this application , I hereby agree that such act shall constitute cause for the denial , suspension or revoc · se to practice in the State of Florida for the profession for which I am applying .


Date: \( /3Q / i ~

2














110

THIS FORM IS TO BE COMPLETED BY FORMER OR CURRENT EMPLOYER VERIFING WORK EXPERIENCE.


Make additional copies as needed.








A specific experience record is required for licensure as a professional surveyor and mapper. The experience must be as a subordinate to a registered surveyor and mapper in the active practice of surveying and mapping . A specific amount of time consisting of responsible charge is also required .



ARplicant Name:

fi e.r .f'OY) ;vldh e 1-/-t. Employer I Company Name: -.---

{;.e.o f6,y,1- S vrv ey1n5 , L n c. Cil_y

<J .-Am /2€.. Supervisor's Name:

Ofi..vi'J /-}. M/l 1 v.,,-;

. 7 Employer I Company Address:

:J..1 3 /-/-I 61:;.~ .f +re-er State: p(_

Zip Code:

336/C/ Contact Number: ..,.r:/

Rt 3- 2.'-1 r- s-rt:Pd

r .

Dates of Employment: / Number of Hours Per Week:

From : 0 I /ri./ 2..0 I:;_ To*: CvY-r~ .c

Did the applica~t ever 'WOrk on a part-time basis? D Yes ~ '-10 - 50


From: To: ~~~~~~~~~~~-

From: To: ~~~~~~~~~~- ~~~~~~~~~~~-

From: To: ~~~~~~~~~~~ ~~~~~~~~~~~-

Total Months of Experience: _ /

Routine (in months): + Responsible Charge (in months): 4.4 =Total Months of Experience If you have questions concerning whether experience gained by the applicant qualifies as either routine or responsible charge, please review the definition of "responsible charge" above.

Verifying Surveyor: Please provide a sur:nmary-of experience and duties performed by the applicant

Pre f°"-r-'J 0.::vnr/7 s_v~j_ _, wr-1'fe . 1-e~~(J II I 0 j1)() J' t/r~ J - a .e fer I p...J..1()4 .s t-c.e.fa::f

• • , 1, we+t,....,. ! .fv-~:er.:1 , A+H>~ c 1, 'er,-1- M<<' 4 .f vbd lv.'1 /«!fYI ~/V1.e1-7 /f1/f1..f:s ' (/,..,,~~ /VI~ h/J.-1-e~~

<:----+-~-~-------,--...,.--,=------ ______ , __ CA, I c. I -w ·11 ~'"" L 2.3

Print name and license number of surveyor and mapper verifyin experience

Sealed

* If you indicate to "present, " the time will be calculated to the day this form is signed and sealed.

FDACS-10050 Rev. 02/12 Page 6 of 7 2

I, David Williams, Vice President and Owner of GeoPoint Surveying Inc., and employer of applicant Pierson Monetti verify that in order to achieve board approval and eventual licensure in the most time efficient manner, Pierson will have obtained the necessary 48 months of responsible charge by the time this application is presented to the board on January 23-31. Due to the application deadline of December 28, 2018 , and his employment start date of January 12, 2015 , the application was submitted prematurely in order to meet the application deadline. If necessary, please feel free to contact me to verify this information and that Pierson is in fact still an employee of GeoPoint Surveying Inc. All experience Pierson has gained through my employment and supervision qualifies as responsible charge under Florida Statutes 472 .005(6) .

David Williams LS6423

[email protected]

Cell: 941 -302-8036

Date:

2

Application Summary


Page 1 of 2

WHITMORE, JEFFREY

11720 SW 110 LANE, MIAMI, FL 33186

$255.00Fees Paid:

FLORIDA ATLANTIC UNIVERSITY BOCA RATON, FLORIDA USA

DELAWARE TECHNICAL AND COMMUNITY COLLEGE DOVER, DELAWARE USA

2018

2000

BACHELORS

A.A.S.

Institution:

Institution:

Degree:

Degree:

Major:

Major:

GEOMATICS ENGINEERING

CIVIL ENGINEERING

Application

Enrolled:

Enrolled:

Yes

No

Foreign:

Foreign:

No

No

Verified

Verified

Education1.

2.

Experience


MIAMI-DADE COUNTY 111 NW 1 STREET MIAMI, FLORIDA, 33128

BISCAYNE ENGINEERING 529 WEST FLAGLER STREET MIAMI, FLORIDA 33130

KARINS & ASSOCIATES 17 POLLY DRUMMOND CENTER, SUITE 201 NEWARK, DELAWARE, 19711

KARINS & ASSOCIATES 17 POLLY DRUMMOND CENTER, SUITE 201 NEWARD, DELAWARE 19711

305-375-2657

954-776-1616

302-369-2900

302-234-2542

Employer:

Employer:

Employer:

Employer:

Phone:

Phone:

Phone:

Phone:

From:

From:

From:

From:

01/15/2015

11/15/2012

01/01/2008

09/01/1999

Reference:

Reference:

Reference:

Reference:

SCOTT RIGGS

DONALD SPICER

JOHN JOHNSON

MICHAEL T. SZYMANSKI

Verified

Verified

Verified

Verified

1.

2.

3.

4.

To:

To:

To:

To:

12/10/2018

06/15/2013

11/01/2012

12/01/2007

305-375-2657

954-776-1616

302-362-2900

304-234-2542

Phone:

Phone:

Phone:

Phone:

LSS6-0000778License:1.

0

0

3

46

47

7

55

53

Qualified Mths:

Qualified Mths:

Qualified Mths:

Qualified Mths:


01/04/2011 DelawareIssued On: Issuing State:

VerifiedLaws/Rules: No

Months Exp:

Months Exp:

Months Exp:

Months Exp:

Name:

Address:

06/30/2019Expires On: ExaminationObtained By:YesGood Standing:


3135796DTN:


2

Application Summary


Page 2 of 2



Education Verified


Online App Recd. Data Updated by System

New Documents Received. Please look.

Experience Verified




Fees Cashiered

01/03/2019

01/03/2019

01/03/2019

12/10/2018

12/10/2018

12/10/2018

12/10/2018

12/05/2018

12/05/2018

12/05/2018

12/05/2018

REGENIA LEE

REGENIA LEE

REGENIA LEE

REGENIA LEE

REGENIA LEE

REGENIA LEE

REGENIA LEE

CSTRACK CSTRACK

CSTRACK CSTRACK

CSTRACK CSTRACK


WHITMORE, JEFFREY

11720 SW 110 LANE, MIAMI, FL 33186

$255.00Fees Paid:

Application

Checklist

Name:

Address:


3135796DTN:


2

1. InstitutionName:Delaware Technical and CommunityCollege

Degree: A.A.S.

GraduationYear: 2000

Location: Dover, Delaware, USA

CurrentlyEnrolled: NO

AnticipatedGraduationDate:

ADAM H. PUTNAM

Florida Department of Agriculture and Consumer ServicesDivision of Consumer Services

Mailing Address:

Florida Department ofAgriculture andConsumer Services

2005 Apalachee Parkway


www.800helpfla.com

1-800-HELP-FLA (435-7352)FL Only

850-488-2221 Calling OutsideFlorida

Fax 850-410-3804

BOARD OF PROFESSIONAL SURVEYORS AND MAPPERSAPPLICATION FOR LICENSURE

Chapter 472, Florida Statutes

Note: All documents and attachments submitted with this application are subject to public review pursuant to Chapter 119, F.S.

APPLICATION TYPE

Application Type Endorsement

Highest Degree College 4 Years


First Name Jeffrey

Middle Initial D

Last Name Whitmore

Date of Birth 10/9/1979

Race White or Caucasian

Social Security Number

Gender Male

Home Address 11720 SW 110 Lane

Miami,Florida,33186,USA

Mailing Address 11720 SW 110 Lane


Email address [email protected]

Home Phone

Cellular Phone 302-359-6969

Business Phone 305-375-1935

Fax


Has Prior Name : NO

EDUCATION HISTORY

2

2. InstitutionName: Florida Atlantic University

Degree: B.S.


Location: Boca Raton, Florida, USA

CurrentlyEnrolled: YES


Criminal And Litigation History

1. Have you ever been convicted of a crime, found guilty, or entered a plea of guilty or nolo contendere (no contest) to,even if you received a withholding of adjudication? This question applies to any violation of the laws of anymunicipality, county, state or nation, including felony, misdemeanor, and traffic offenses (but not non-criminalinfractions, such as parking, speeding, inspection, or traffic signal violations), without regard to whether you wereplaced on probation, had adjudication withheld, were paroled, or pardoned. If you intend to answer "NO" because youbelieve those records have been expunged or sealed by court order pursuant to Section 943.058, Florida Statutes, orapplicable law of another state, you are responsible for verifying the expungement or sealing prior to answering "NO."

No

2. Has any judgment or decree of a court been entered against you in this or any other state, province, district, territory,possession, or nation for fraud or dishonest dealing, or is there any such case or investigation pending?

No

Licensure History

1. Have you ever had an application for registration, certification, or licensure in Florida or in any other jurisdictiondenied, refused, revoked, suspended or otherwise acted against, or is there any pending proceeding or investigation todeny such an application?

Yes

When : 02/13/2013

Where : Florida

LicenseType :

Florida Professional Surveyor and Mapper

Action : Denied

Details :My application was denied by the Board of Professional Surveyors and Mappers because I was lackinga Bachelor's Degree. I am reapplying now that I will graduate with a Bachelor's degree in GeomaticsEngineering on December 14, 2018.

2. Has any license, registration, certificate or permit issued to you to practice any regulated profession, occupation,vocation, or business been revoked, annulled, suspended, relinquished, surrendered, withdrawn or otherwise actedagainst, in Florida or in any other jurisdiction, or is any such proceeding or investigation now pending?

No

1. IssuingState: Delaware LicenseNumber: S6-0000778

OriginalIssueDate: 01/04/2011 ExpirationDate: 06/30/2019

LicenseObtainedBy: Examination LicenseInGoodStanding: YES

Explanation:

CRIMINAL/CIVIL LETIGATION INFORMATION

LICENSURE HISTORY INFORMATION


2

1. Title: Crew Chief

CompanyName: Karins and Associates

CompanyAddress: 17 Polly Drummond Center

Newark,Delaware,19911,USA

EmploymentFromDate: 09/13/1999

EmploymentToDate: 11/15/2012

HoursPerWeek: 40

Total Work Experience (in Months) : 135

Responsible Charge Exp (in Months) : 111

ExperienceSummary: I began surveying as a rodman in September of 1999, and soon thereafter became an instrument man on a two-man survey crew. In June of 2003 I was promoted to Crew Chief. From August of 2007 until September of 2008 I worked in the office as a survey technician. From Octoberof 2008 until November of 2012 (when I left the company to move to Florida) I worked both in the office as a survey technician and in the field as a one-man survey crew, using robotic and GPS surveying instruments. I performed the following types of surveys while at Karins and Associates: GPS control surveys, boundary surveys, topographic surveys, bathometric surveys, highway cross-sections, mortgage surveys, and construction layout. While working at Karins andAssociates, I gained extensive experience performing the construction layout for infrastructure and buildings, on both residential and commercial sites. I also gained experience with the office calculations and computer-aided drafting that correspond to construction layout. In addition, I acquired experience doing deed, property, and right-of-way research. In January of 2011 Ibecame a Delaware Professional Land Surveyor.


CompanyName: Biscayne Engineering

CompanyAddress: 529 W Flagler St




HoursPerWeek: 40



ExperienceSummary: I performed boundary, topographic, and construction layout surveys while working as a CrewChief for Biscayne Engineering.

3. Title: Engineering Survey Technician 1

CompanyName: Miami-Dade County

CompanyAddress: 3575 S Lejeune Road




HoursPerWeek: 40

EMPLOYMENT HISTORY

2



ExperienceSummary: I worked as a rodman and instrument operator on a survey crew, performing boundary, topographic, and construction layout surveys, until I was promoted to supervisor.

4. Title: Engineering Survey Technician Supervisor

CompanyName: Miami-Dade County

CompanyAddress: 111 NW 1 Street




HoursPerWeek: 40



ExperienceSummary: I presently work as an engineering survey technician supervisor. This involves processing field crew survey data, researching deeds, plats, and right-of-way documentation, drafting boundary and topographic surveys, writing legal descriptions, and preparing project information for the field crews. I also occasionally supervise a field crew on projects that require 3-D laser scanning; and in the office I process the point cloud data that we collect. Additionally, I assist withthe survey drone program here at Miami-Dade County.


Exam Passed : YES StateBoard : Delaware Year Passed : 2010

Exam Passed : YES StateBoard : Delaware Year Passed : 2010

Exam Passed : NO StateBoard : Year Passed :


Please indicate you if require special testing accommodations due to disabilities or if you have a religious conflict with thescheduled examination date.

NO

AUTHORIZATION

I have carefully read the questions in the foregoing application and have answered them completely, without reservations ofany kind, and I declare, under penalty of perjury, that my answers and all statements made by me herein are true and correct.Should I furnish any false information in this application, I hereby agree that such act shall constitute cause for thesuspension or revocation of my license to practice in the state of Florida. [X]

Applicant Signature: Jeffrey Whitmore Signature Date: 12/3/2018

2

1

Lee, Regenia

From: Jeff Whitmore <[email protected]>Sent: Tuesday, December 18, 2018 5:25 PMTo: Lee, RegeniaSubject: Fw: Application for Florida Surveyor & Mapper License

Hello Ms. Lee, I have attached the email correspondence below that I had previously with Jenna Harper. I recently applied for the Florida Surveyor and Mapper license. Now I just received a letter of denial that tells me what paperwork I'm still missing. (Which I will be having sent to you shortly, including the college transcript and the license verification). The letter also states for me to request that you change my application from "endorsement" to "initial". If you could do that for me I would greatly appreciate it. I hope that you will receive all of the necessary paperwork before the December 28 deadline, however, it may not make it on time since my official transcript is not ready yet (I just graduated last Friday). It should be ready within a few days though. Thanks for your help, Jeffrey Whitmore 302‐359‐6969

From: Harper, Jenna <[email protected]> Sent: Thursday, November 29, 2018 3:19 PM To: Jeff Whitmore Subject: RE: Application for Florida Surveyor & Mapper License Hi Jeff,

Sorry about that – sent too early 😊 You are welcome to apply online and pay the registration fee now, and then wait to have the transcript sent once it is received. Regenia will not send anything to the board for approval until everything is complete. Please feel free to contact Regenia with any further questions about the application process: [email protected], 850‐410‐3810. Thank you! Jenna Jenna L. Harper

2














110

THIS FORM IS TO BE COMPLETED BY FORMER OR CURRENT EMPLOYER VERIFING WORK EXPERIENCE.


Make additional copies as needed.




Chapter 472 , Florida Statutes Rule 5J-17 .029(1)(b) , Florida Administrative Code



FDACS Division of Consumer Services Surveyors and Mappers 2005 Apalachee Parkway Tallahassee , FL 32399-6500




Applicant Name: Title: Jeffrey D. Whitmore Engineering Survey Technician Supervisor

Employer I Company Name: Employer I Company Address : Miami-Dade County 111 NW 1 Street Suite 1610

City: Miami

Supervisor's Name: Scott Riggs

Dates of Employment: From : 01/15/2015 To*: Present

State: FL

Contact Number: (305) 375-2657

Did the applicant ever work on a part-time basis? D Yes • No

From: To: ~------------

From: To: ~----------- ~------------

From: To: ~----------~ ~------------


Zip Code: 33128



Routine (in months): +Responsible Charge (in months): 47 =Total Months of Experience 47 If you have questions concerning whether experience gained by the applicant qualifies as either routine or responsible charge , please -re-v-ie-w-th_e_ definition of "responsible charge" above.


Jeffrey is an Engineering Survey Technician Supervisor who supervises and reviews data from several field crews and then processes it to create boundary and topographic survey maps using AutoCAD. His duties also involve researching boundary and right-of-way records, performing boundary calculations, plotting plats and deeds, and writing al descriptions. He is also familiar with the processing of 3-D point cloud data. He occasionally goes to the fiel to supervise the I ser-scanning crew and he also assists with the field operations of the survey drone that Miami-Dade nt ecentl acquired

i

Scott A Riggs #LS6160

Print name and license number of surveyor and mapper verifying experience

_ _ _ ~~~~-4-~--Jt/odzorf/ Sealed

*If you indicate to "present," the time will be calculated to the day this form is signed ands


Date

2








Florida Department of Agriculture and Consumer Services Division of Consumer Services Terry Rhodes Building 2005 Apalachee Parkway Tallahassee , FL 32399-6500





Applicant Name: Jeffrey D. Whitmore

Employer I Company Name: Karins & Associates

City: Newark

Supervisor's Name: John Johnson

Dates of Employment:_

From: ,/;) /..; :z_ct>f

Title: Delaware Professional Land Surveyor

Employer I Company Address : 17 Polly Drummond Center, Suite 201

State: Zip Code: DE 19711

Contact Number: 302-369-2900

To*: _ _ N_t)_V_/_~~;jL~----

- - --- -


Did the applicant ever work on a part-time basis? D Yes Iii No Number of Hours Per Week:

From: To: - - --- ----- - - ----- - --- ----From: To: - - - - - - - - - ----From: To: --- - ---- --- - - - - - - - - - - - - --Total Months of Experience: C5_f

0]0

o

Routine (in months): ·3 +Responsible Charge (in months): S.5 =Total Months of Experience 1J If you have questions concerning whether experience gained by the applicant qualifies as either routine or responsible charge, please review the definition of "responsible charge" above.


r;:'1 c,7. f) ~ ·>J e:- o Pp , c . .£ t:/..f:Vi<. 1 -;:7" c.f 1 rl c. .... '-' " ..... """£-;

/)rJ ;> C(.-iN., J1!.t,.• · -/7 t).·J L-f<l-Y (l :/,~

• If you indicate to "present," the time 1Nill be calwlated to the day this form is signed and sealed.

DACS - 10050 Rev. 01/12 Page 6 of 7 2

-.

Make addlUonal copies as needed. 10-1'5-I .~ Pll-1::24 IN


ADAM H. PUTMAll COMMISSIONER




Chapter 472, Florida Statuble

PIBBstl t8fUm this !Olm to:

Flollda Oepal\mant of Aarieulure and Conuner SeMces Division of Consumer Services Terry Rhodes Building 2005 Apatachee Parkway Talahauee, FL 32399-6500

1-800-HELP-FLA (4~7352) • 850-41~ CallinQ Outside Ronda www.800helplla.com • 850-41D-3804 F•

of'd is required for licensure as a professional surveyor and mapper. The experience must be as ;act surveyor and mapper in the active practice of surveying and mapping. A specific amount of

-~ ·· ible charge is also required.

~I The term .,..,,,,,..,,,,. t:/rll9• means direct control and personal supervision of surveying and . ~- include experience as a chairperson, rodperson, instrument person, ordinary dralr$person. digmzsr,

_ __ ··--- • ·-- •

0

ordinarf stereo plotter operator, aerial photo pilot, photo intsqxeter or other positions of tOUtins worlc.

P ..... 1181 employment whent Iha applicant h• gained experience aa a aurveyor and mapper (attach additional sheets as necessary): ·

Appllcant N811MJ: L .Jc.# U/l'J'C'#IO,<t!-----------------···· ·-·--

Emplpyer I Company Na~

,fA1.111.s £'_.f/S$oq · --~------City:

Emplopr /Company Add~ . / _ ~ / l'J Pol/yPl'u~U//tftX. 5'J,tz ~I

/Y'ewMJL State: Zip Code:

~ 191'/ II ··-· ··-S~rviutj,s~ma: fl/1tAlfUZ ~~ll'IA~$Jet.

Conblct Number: !JoZ.· Z~./-zs4Z-

Datea of Employment:

From: ~~. I!!.~' To*: 'Atutlf'I~ .t'~ -· _ Did the •ppllcant aver work on •part-time baala? CJ Yes ~ From: To: --------·· ·---From: To: -------··· --From:_~ .. ... .. To:

----Number of Houra Per Week:

~ _______ ,. -·--Number of Hours Per Week:

Total Montha of Experience: RouUne (in months)A It, + Responsible Charge (in months~ .53 = Total Month• of Expertanca JfY' '19 If you have questions c:oncemlng whether experience gained by the appllr.ant qualir. as eilher routine or responsible charge, pie .. ntview the definllon of •responsible ctiarve" above.

·- , ' . ... • ff you indicate lo "ptesent," ttJe time will b6 calculated lo the day this lonn is signsd and ssaled. . ... \ .. DACS • 10050 Rev. 01112 · · · n.,.,.....," .,.,..., 2








Please return this fonn to:

FDA CS Division of Consumer Services Surveyors and Mappers 2005 Apalachee Parkway Tallahassee, FL 32399-6500

1-800-HELP-FLA (435-7352) • 850-410-3800 Calling Outside Florida www.800helpfta.com • 850-410-3804 Fax

A specific experience record is required for licensure as a professional surveyor and mapper. The experience must be as a subordinate to a registered surveyor and mapper in the active practice of surveying and mapping. A specific amount of time consisting of responsible charge is also required.

47~;005(6), - Florida- Statutes The term ";esponslble charge" means direr:t ~ontrol and pf:Jrsorral sup-ervision of surveying and mapping work, but does not include experience as a chairperson, rodperson, instrument person, ordinary draftsperson, digitizer, scriber, photo Jab technician, ordinary stereo plotter operator, aerial photo pilot, photo interpreter or other positions of routine work.


Applicant Name: Title: Jeffrey D. Whitmore Survey Crew Chief

Employer I Company Name: Biscayne Engineering

Employer I Company Address: 529 West Flagler Street

City: Miami

Supervisor's Name: Donald Spicer

Dates of Employment: From: 11115/2012 To*: 06/15/2013

State: FL

Contact Number: (954) 776-1616

Did the applicant ever work on a part-time basis? D Yes Iii No

From: To: ________ ___ _

From: To: _________ _ _

From: -----· - - "·- • •• --.&L - _..,#

--.---,~ ... ,, ,.,.on;;,m~-

Zip Code: 33130



Rout .r"ls): + Responsible Charge (in months): 7 = Total Months of Experience _7_,.--..,,--lf you have ll.ll:l!>uons concerning whether experience gained by the applicant qualifies as either routine or responsible charge, please review the definition of "responsible charge" above.

Verifying Surveyor: Please provide a summary of experience and duties perfonned by the applicant

1 Jeffrey worked full-time as a party chief for a 3-man survey crew performing boundary and topographic surveys in addition to

I construction stakeout. His duties included supervising the field crew, making calculations, taking field notes, and delivering field data to the office personnel.

'---------Donald A. Spicer #LS4677

Print name and license number of Sealed surve or and ma

• If you indicate to "present, n the time will be calculated to the day this form is signed and sealed.


Date

2

CANNON BUILDING

861 SILVER LAKE BLVD., SUITE 203 DOVER, DELAWARE 19904-2467

STATE OF DELAWARE

BOARD OF PROFESSIONAL LAND SURVEYORS

TELEPHONE: (302) 744-4500 FAX: (302) 739-2711

WEBSITE: DPR.DELAWARE.GOV EMAIL: [email protected]

08

FDACS Division of Consumer Services Surveyors and Mappers Attn: Regenia Lee 2005 Apalachee Parkway Tallahassee, FL 32399-6500

December 28, 2018

VERIFICATION/CERTIFICATION OF LICENSURE

This is to certify that the records of the Delaware Board of Professional Land Surveyors show that the person named below was issued a(n) Professional Land Surveyor license.

NAME: Jeffrey Daniel Whitmore

LICENSE NUMBER: S6-0000778

LICENSURE DATE: 01/04/2011

EXPIRATION DATE: 06/30/2019

STATUS: Active

DISCIPLINARY HISTORY: Good standing with no disciplinary action taken.

CERTIFICATION OF EXAMINATION RESULTS

EXAM TYPE PASSING SCORE DATE EXAM PASSED

Principles and Practice 10/01/2010

Fundamentals 10/01/2010

State Law/Drainage 82 10/01/2010

To expedite the verification process, the information above is the only verification provided by this office.

If you have questions, please call (302) 744-4500 or email [email protected].

DELAWARE BOARD OF PROFESSIONAL LAND SURVEYORS (SEAL)

License verifications are now available online - free of charge - from our web site. The online verifications come directly from our licensure database and are current within seconds of updates to the licensure database. Online

verifications are considered primary source verifications. Visit www.dpr.delaware.gov and click "Search & Verify Professional License." 2

Application Summary


Page 1 of 2

HUFFMAN, WILLIAM

750 OLD HICKORY BLVD. SUITE 1-254, BRENTWOOD, TN 37027

$255.00Fees Paid:

EAST TENNESSEE STATE UNIVERSITY JOHNSON CITY, TENNESSEE USA 1992BS

Institution:Degree: Major: SURVEY & MAPPING

Application

Enrolled: NoForeign: No Unverified

Education1.

Experience


CESO, INC. 750 OLD HICKORY BLVD., STE 1-254 BRENTWOOD, TENNESSEE 37027 USA

CIVIL & ENVIRONMENTAL CONSULTANTS, INC. 325 SEABOARD LANE, STE. 170 FRANKLIN, TENNESSEE 37027 USA

Unknown

Unknown

Employer:

Employer:

Phone:

Phone:

From:

From:

02/05/2018

02/02/2015

Reference:

Reference:

JEFFERY MILLER, PS

JEFFERY MILLER, PS

Verified

Verified

1.

2.

To:

To:

01/03/2019

02/02/2018

614-942-3662

614-942-3662

Phone:

Phone:

LSLS003398

LS26987

LS35343S

LS25145

LS3739

LS002510

LSL3827

License:

License:

License:

License:

License:

License:

License:

1.

2.

3.

4.

5.

6.

7.

0

0

11

36

Qualified Mths:

Qualified Mths:


11/14/2018

01/08/2016

08/28/2015

06/23/2006

04/29/2005

12/02/2002

06/24/1996

Georgia

Mississippi

Alabama

South Carolina

Kentucky

Virginia

North Carolina

Issued On:

Issued On:

Issued On:

Issued On:

Issued On:

Issued On:

Issued On:

Issuing State:

Issuing State:

Issuing State:

Issuing State:

Issuing State:

Issuing State:

Issuing State:

Unverified

Unverified

Unverified

Unverified

Unverified

Unverified

Unverified

Laws/Rules:

Laws/Rules:

Laws/Rules:

Laws/Rules:

Laws/Rules:

Laws/Rules:

Laws/Rules:

No

No

No

No

No

No

No

Months Exp:

Months Exp:

Name:

Address:

12/31/2020

12/31/2018

12/31/2019

06/30/2020

06/30/2019

12/31/2018

12/31/2018

Expires On:

Expires On:

Expires On:

Expires On:

Expires On:

Expires On:

Expires On:

Examination

Examination

Examination

Examination

Examination

Examination

Examination

Obtained By:

Obtained By:

Obtained By:

Obtained By:

Obtained By:

Obtained By:

Obtained By:

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Good Standing:

Good Standing:

Good Standing:

Good Standing:

Good Standing:

Good Standing:

Good Standing:


3136529DTN:

Type: BPSM - Individual New - Endorsement (Out-of-State)

2

Application Summary


Page 2 of 2



Experience Verified


Check License History On Application






Fees Cashiered

01/03/2019

01/03/2019

01/03/2019

12/17/2018

12/17/2018

12/17/2018

12/17/2018

12/07/2018

12/07/2018

12/07/2018

12/07/2018

REGENIA LEE

REGENIA LEE

REGENIA LEE

REGENIA LEE

REGENIA LEE

REGENIA LEE

REGENIA LEE

CSTRACK CSTRACK

CSTRACK CSTRACK

CSTRACK CSTRACK


HUFFMAN, WILLIAM

750 OLD HICKORY BLVD. SUITE 1-254, BRENTWOOD, TN 37027

$255.00Fees Paid:

Application

LS1754License:8. 02/09/1995 TennesseeIssued On: Issuing State:


Checklist

Name:

Address:



3136529DTN:

Type: BPSM - Individual New - Endorsement (Out-of-State)

2

1. InstitutionName: East Tennessee State University

Degree: BS


Location: Johnson City, Tennessee, USA



2. InstitutionName: East Tennessee State University

ADAM H. PUTNAM


Mailing Address:




www.800helpfla.com



Fax 850-410-3804




APPLICATION TYPE

Application Type Endorsement



First Name William

Middle Initial J

Last Name Huffman




Gender Male

Home Address 750 Old Hickory Blvd. Suite 1-254

Brentwood,Tennessee,37027,USA

Mailing Address 750 Old Hickory Blvd. Suite 1-254



Home Phone


Business Phone 615-238-0690

Fax


Has Prior Name : NO

EDUCATION HISTORY

2

Degree: BS


Location: Johnson City, Tennessee, USA





No

2. Has any judgment or decree of a court been entered against you in this or any other state, province, district, territory,possession, or nation for fraud or dishonest dealing, or is there any such case or investigation pending?

No

Licensure History


No


Yes

When : 03/23/2017

Where : State of Mississippi

LicenseType :

Land Surveyor

Action : Consent Order

Details:

Dear Sir or Madam: Please accept the requested documentation regarding my affirmative answer to theabove Application Question. I would like to amend this information with a brief explanation of theactions taken by the Mississippi Board. At no time did I attempt to deceive the MS Board. I hadaccumulated a surplus of CE credits the two previous years including courses that I believed satisfiedany specific requirements. Upon learning of my 1 hour MS SOP deficit, I promptly completed thecourse, agreed to enter into the enclosed Consent Order and pay the civil fine (see attached image ofcheck). It was a humbling experience and it has required me to be more diligent in completing therenewal applications of the several states (8) I am currently privileged to practice Land Surveying. Ifthere are any additional questions you may have regarding this incident, please do not hesitate tocontact me. Sincerely, William J. Huffman, PLS Surveying Program Director

a) Document Name: MS Consent Order-submitted.pdf Document Type: Exhibit/Evidence



2

1. IssuingState: Tennessee LicenseNumber: 1754



Explanation:

2. IssuingState: North Carolina LicenseNumber: L3827



Explanation:

3. IssuingState: Virginia LicenseNumber: 002510



Explanation:

4. IssuingState: Kentucky LicenseNumber: 3739



Explanation:

5. IssuingState: South Carolina LicenseNumber: 25145



Explanation:

6. IssuingState: Alabama LicenseNumber: 35343S



Explanation:

7. IssuingState: Mississippi LicenseNumber: 26987



Explanation:

8. IssuingState: Georgia LicenseNumber: LS003398



Explanation:


EMPLOYMENT HISTORY2

1. Title: Sr. Project Manager

CompanyName: Civil & Environmental Consultants, Inc.

CompanyAddress: 325 Seaboard Lane, Ste. 170

Franklin,Tennessee,37027,USA



HoursPerWeek: 40



ExperienceSummary: Tasks and Duties Senior Project Manager and Survey Office Lead (Nashville) for national engineering, surveying & consulting firm. Responsibilities include survey project procurement,survey project management, review & processing of survey data collected, boundary analysis& determination, construction layout calculations, legal description preparation & review, plat preparation & review and business development. Representative Projects Typical projects include large boundaries, subdivision layout and staking, route surveying, grade staking, ALTA surveys, large topographical surveys, and deformation surveys. Clients include Tennessee Department of Transportation, Tennessee Wildlife & Resources Agency, Vulcan Materials, TVA contractors, commercial developers, excavation contractors and municipalities in Middle Tennessee region. CEC utilizes the latest in surveying technology including robotics, RTK GPS, scanning and photogrammetry. Office's geographical range of surveying projects includes Kentucky, Tennessee, Alabama and Mississippi. My project involvement and responsibilities began with initial client contact and continued with project cost estimation, direct supervision of field activities, data review and adjustments, and issuance of final deliverables. RepresentativeProjects: 1) Acklen Place Apartments, Nashville, TN: The project was a deformation monitoring survey of a recently constructed four story apartment complex located near downtown Nashville. As project manager, I was responsible for writing a proposal which included developing proper high-accuracy leveling procedures and specifying and procuring the needed equipment.The equipment utilized included a Trimble Di-Ni Digital level and a two meter invar staff. Asdirected by the consulting geotechnical and structural engineers, dome headed screws were tapped into the concrete floor as points of observation. We then performed level circuits on these points using procedures based on US Army Corps of Engineer's manual. The survey circuitwas repeated on monthly intervals over the course of 1 year. All data was adjusted using StarNet least squared adjustment software. To perpetuate the survey, a permanent NGS type survey monument was set near they site in a stable area and tied to an exiting published NGS monument located approximately one-half mile from the area. 2) TVA Starkville, MS Transmission Line Survey: This project involved the survey and mapping of a new 12 mile long TVA transmission line through a rural and suburban area near Starkville, MS. I was responsible for establishing surveying control, establishing the centerline alignment, profiling and cross-sections along the centerline and topographic survey of critical areas along the route. I was also responsible for determining boundary issues and writing legal descriptions for easements on approximately 50 properties impacted by this project. 3) American Municipal Power Hydroelectric Project, Smithland, KY: This project involved an as-built and monitoring survey of a newlyconstructed dam along the Ohio River near Smithland, Ky. My involvement with this projectwas from start to completion. I met with the representatives of American Municipal Power, Stantec Engineering (Consultant) and several of the participating contractors to determine a process for re-establishing survey control for the project in order to confirm that the project was built to the specified elevations and locations. Since this project was built along the Ohio River, the vertical datum used was unique and based upon the Army Corps of Engineers' Ohio Rive2

r Datum. Also, the horizontal survey required a conversion from the original control in termsof the North American Datum of 1927 to the North American Datum of 1983 (Kentucky SouthZone). Once we had recovered the remaining original control monuments and appropriate adjustments using the StarNet adjustment software was performed, survey control was re-established and new NGS type monuments were set for future use on the project. Monthly horizontal and vertical monitoring was conducted over a six month period to establish a baseline for future monitoring of the dam structure

2. Title: Program Director

CompanyName: CESO, Inc.

CompanyAddress: 750 Old Hickory Blvd., STE 1-254




HoursPerWeek: 40



ExperienceSummary: Tasks and Duties Duties include the direct supervision of multiple survey field crews and office personnel at CESO's Brentwood, Tennessee office. The responsibilities of my position include contact with clients to develop the scope of survey projects, project cost and budget estimation, assignment of field crews, direct supervision of survey field work activities, survey data analyzation, preparation of survey plat and deliverables and reviewing and approving invoicing.Approximately 20 percent of my work week is dedicated to business development. Representative Projects Current surveying projects being conducted from the Brentwood office include construction layout and staking of large programmatic housing developments in the Nashville-middle Tennessee region, ALTA\NSPS surveys of commercial and industrial sites, deformation monitoring surveys, infrastructure construction staking and as-built surveys, FEMA Elevation Certificate surveys, and boundary & topographical surveys for engineering design purposes. I currently prepare the majority of proposals for surveying services from this office and work with our clients to develop the scope of each project as well as the best practices to achieve the required survey data. Along with input from my staff, a project schedule is prepared and periodically reviewed as needed to assure deadlines are met. CESO uses the latest technology insurveying including RTK-GPS and robotics. Representative Projects: 1) Ryan Homes of Tennessee, Middle Tennessee Area: Ryan Homes is a large production home-builder in the rapidly-growing middle Tennessee Region. CESO provides many services to facilitate this client's business including topographical surveys of undeveloped subdivisions, site plans, material plans,survey documents for permitting purposes, FEMA Elevation Certificates, house layout and staking services and as-built surveys. My responsibilities include the cost estimation, writing proposal and scope documents, scheduling and coordination survey field crew to complete tasks, review survey documents and certificates and facilitate billings. 2) CESO Program Projects, Various location in TN, MS, AL and KY. CESO has several national clients including ALDI, Speedway convenience stores, RaceTrac convenience stores, Mapco convenience stores, Love's Travel Stops and Walmart. The projects associated with these clients typically begin with an initial boundary and topographical survey of site. Often these surveys are later upgraded to ALTA-NSPS surveys for ownership transfer and finance purposes. It is also not uncommon for CESO to provide staking services and final as-built record surveys. My responsibilities related to these projects typically includes cost estimating, writing proposal and scope document, scheduling and coordination of survey field crews, survey document review and project billings.

2

3. Title: Principal Owner

CompanyName: Huffman Land Services, PC

CompanyAddress: 121 Huffman Private Drive

Johnson City,Tennessee,37601,USA



HoursPerWeek: 40



ExperienceSummary: Description President and Professional Land Surveyor of Huffman Land Services, PC. Surveyexperience included boundary, topographical, construction, route, communication towers, precision machinery layout, ALTA and geodetic control surveys. Supervised up to 6 employees including field survey crews, CAD operators and office personnel. Other responsibilities includedbusiness development, strategic planning, equipment calibration and purchases and courtroom expert witness. Partnered with several regional consulting firms on extensive civil projectsin Tennessee & Virginia. Worked with various building contractors on various projects ranging from single family, multi-family, commercial and industrial. Performed and supervised multiple boundary dispute surveys and testified in local, state and federal cases as an expert witness.

4. Title: Survey Party Chief\Surveyor

CompanyName: Vaughn & Melton

CompanyAddress: 219 West Depot Street

Greeneville,Tennessee,37743,USA



HoursPerWeek: 40



ExperienceSummary: Description Survey Party Chief and later Licensed Surveyor for regional engineering consulting firm. Experience included boundary, topographical, construction layout & staking, route surveying and control surveys. Responsibilities included supervision of survey field crews, fieldcalculations for construction projects (slope staking) and evaluation of boundary evidence. Projects included location and R\W surveys of SR 33\US 411(Monroe Co., TN), SR 394 Sullivan Co., TN), SR 131 Grainger Co., TN and grade staking of multiple large construction project. Survey equipment used included total station, auto levels and electronic field book (data collector). Began using cadd programs for drafting surveys and calculations.


Exam Passed : YES StateBoard : Tennessee Year Passed : 1994

Exam Passed : YES StateBoard : Tennessee Year Passed : 1994



2


NO

AUTHORIZATION


Applicant Signature: William Huffman Signature Date: 12/5/2018

2

LETTER OF GOOD STANDING January 9, 2019 To: Florida Department of Agriculture and Consumer Services-Land Surveyors Division of Consumer Affairs Terry Rhodes Building 2005 Apalachee Parkway Tallahassee, FL 32399-6500

This is to certify that a good faith search of our record reveals the following information:

GENERAL INFORMATION

Name: WILLIAM J HUFFMAN is licensed by the Board of Examiners for Land Surveyors License number: 1754 Business Name and Address of Record: CESO, INC 750 OLD HICKORY BLVD. SUITE 1-254

BRENTWOOD, TN 37027

Current Status: ACTIVE Current expiration date: 12/31/2019

HISTORY INFORMATION

Date first licensed as a Land Surveyor: 02/09/1995 Requirement Met By: Exam FS-10/29/1994 Pass PS-10/29/1994 Pass

DISCIPLINARY ACTION

X No Record of Disciplinary Actions See Attached Documents Other

Jamye L. Carney Administrative Assistant 2

2

Application Summary


Page 1 of 1

Letter - LS Exam


Check for Exam

Education Verified

Create Exam Letter



12/12/2018

12/10/2018

12/10/2018

12/10/2018

12/10/2018

11/21/2018

11/21/2018

CSREPORTS CSREPORTS

REGENIA LEE

REGENIA LEE

REGENIA LEE

REGENIA LEE

REGENIA LEE

REGENIA LEE


BROWN, ANDREW

100 CABANA CAY CIR UNIT 101, PANAMA CITY BEACH, FL 32413-46632812 HIGHWAY 2321 LOT 34, SOUTHPORT, FL 32409-1647

TROY UNIVERSITY TROY, ALABAMA 2018BACHELORS


Application


Education1.

Checklist

Name:

Address:Address:

3131215DTN:

2





APPLICATION FOR LICENSURE AS SURVEYOR IN TRAINING

Chapter 472 , Florida Statutes Rule 5J-17.029(1)(c), Florida Administrative Code


Please remit application to:



Name: Andrew Brown

Date of Birth: 08 I 05 / 1992

Race:


Gender: I!! Male 0 Female

** Social Security Number:

Suffix:




I!! White or Caucasian


0 Other

Home Address (if applicable please include suite, apartment and/or unit numbers): 2812 Highway 2321 Lot 34

City: State: Southport Fl

County (if address is in Florida): Country: Bay USA

0 Please check if mailing address is the same as home address.

Mailing Address (if applicable please include suite, apartment and/or unit numbers): 100 Cabana Cay Circle

City: Panama City Beach

County (if address is in Florida): Bay


Contact Number(s): ( 256 ) 531

Home Phone

- 3310

Business Phone

State: Fl

Country: USA

256 ) 531 - 3310 - - -

Cellular Phone

Facsimile

Zip Code: 32409

Zip Code: 32413

** Under the Federal Privacy Act, disclosure of Social Security Numbers is voluntary, unless specifically required by federal statute. Social Security numbers must be recorded on all professional license applications and will be used for licensee identification pursuant to the Personal Responsibility and Worl< Opportunity Reconciliation Act of 1996, 104 Pub.L. 193, Sec 317. Social Security numbers will be used to allow efficient screening of applicants and licensees by a Title IV-0 child support agency to assure compliance with child support obligations. As such, disclosure of your Social Security number is required on this application under Sections 409.2577, 409.2598, and 472. 015, Florida Statutes. Social Security numbers are not a public record under Florida law.

FDACS-10055 Rev. 02112 Page 1 of 5 2

0 Yes•• Iii No

0 Yes·· Ill No

Have you previously filed an application with this office? If yes·•, please specify the date:

Have you ever been declared legally incompetent? If yes••, please explain on attached sheet including full details as to court , date, circumstances, and medical practitioners consulted .

0 Yes Ill No Have you ever been refused a surveying license - or the renewal thereof - in any state?

0 Yes·· f!I No Have you ever been denied the right to take a surveying examination in any state? If yes••, please explain on attached sheet including full details of the denial.

EDUCATION HISTORY



01 02 03 04 01 02 03 lil4

Name and Address of School, College, or University Attended

Samford University

Troy University

Year of Graduation

2015

2018

Graduate School :

01 02

Degree Currently enrolled? If Yes *, date of anticipated

graduation.

Geography 0 Yes* Iii No * --

Geomatics 0 Yes* Iii No * --

0 Yes* 0 No * --

0 Yes* 0 No * --

BACKGROUND INFORMATION


overseas?

0 Yes 0 No

0 Yes 0 No

0 Yes 0 No

0 Yes 0 No

Please select either yes or no to the questions below. If you answered yes to any of the following, please explain your answer on "Exhibit 1" located below and provide documentation of all charges and disposition, including penalty/sentence. (make additional copies as needed).

a. Have you ever been convicted of a crime, found guilty, or entered a plea of guilty or nolo contendere (no contest) O Yes Ii) No to , any violation of the laws of any municipality, county, state or nation, including felony, misdemeanor and traffic offenses (but not parking , speeding , inspection, or traffic signal violations) , without regard to whether you were placed on probation , had adjudication withheld, were paroled , or pardoned. If you intend to answer "NO" because you believe those records have been expunged or sealed by court order pursuant to Section 943.0585, Florida Statutes, or applicable law of another state, you are responsible for verifying the expungement or sealing prior to answering "NO." YOUR ANSWER TO THIS QUESTION WILL BE CHECKED AGAINST LOCAL, STATE AND FEDERAL RECORDS.

b. Has any judgment or decree of a court been entered against you in this or any other state, province, O Yes Iii No district, territory, possession or nation, in which you were charged in the petition, complaint, declaration, answer, counterclaim , or other pleading with any fraudulent or dishonest dealing, or is there any such case or investigation pending?

c. Have you ever had an application for registration , certification, or licensure in Florida or in any other O Yes Iii No jurisdiction denied, or is there now pending a proceeding or investigation to deny such an application?

FDACS-10055 Rev. 02/12 Page 2 of 5 2

d. Has any license, registration, certificate or permit to practice any regulated profession, occupation, D Yes Iii No vocation, or business been revoked , annulled, suspended, relinquished surrendered, withdrawn, or otherwise acted against, in Florida or in any other jurisdiction, or is any such proceeding or investigation now pending?

Exhibit 1

Please provide this information for each separate conviction , judgment, etc. Attach additional sheets as necessary.:





Description:


Have all sanctions been satisfied?

0 Yes 0 No


0 Yes 0 No


Name: Suffix: - - - - - - -

Name: Suffix: _ _ ____ _

Name: Suffix: ----- - -

Name: Suffix: ___ _ _ _ _



Fundamentals of Land Surveying (Part I) If you are applying as an SIT this is the only part that is required. Have you passed this exam? State Board: Year Passed: 0 Yes 0 No

Principals and Practice (Part II) Have you passed this exam? D Yes D No


State Board: Year Passed:

2



D Yes** Iii No

** If yes, please contact the Florida Department of Agriculture and Consumer SeNices immediately at 1-800-HELP-FLA ( 435-7352) if you're calling from with Florida, or 850-410-3800 calling from outside Florida.

AUTHORIZATION

I authorize all institutions or organizations, my references, employers (past and present), business and professional associates (past and present), and all government agencies and instrumentalities (local, state, federal, or foreign) to release to the Florida Department of Agriculture and Consumer Services any information, files or records requested by the Department in connection with the processing of this application. I further authorize the Florida Department of Agriculture and Consumer Services to release any information which is material to my application to the organizations, individuals and groups listed above.

I have carefully read the questions in the foregoing application and have answered them completely, without reservations of any kind , and I declare, under penalty of perjury, that my answers and all statements made by me herein are true and correct. Should I furnish any false information in this application, I hereby agree that such act shall constitute cause for the denial , suspension or revocation of any license to practice in the State of Florida for the profession for which I am applying. I_ ~

~._...,. .... .- - -- 10/1/20~ Applicant Signature: ~ ~ ~ Date: ---------

FDACS-10055 Rev. 02/12 Page 4 of 5 2














110

Application Summary


Page 1 of 1


Education Verified

01/03/2019

01/03/2019

REGENIA LEE

REGENIA LEE


LAMBERT, RYAN

291 TERRELL RD, WAUCHULA, FL 33873-8732

UNIVERSITY OF FLORIDA GAINESVILLE, FLORIDA 2013BACHELORS


Application


Education1.

Checklist

Name:

Address:3150312DTN:

2














110

Application Summary


Page 1 of 1


Education Verified




11/20/2018

11/20/2018

11/13/2018

11/13/2018

11/13/2018

REGENIA LEE

REGENIA LEE

REGENIA LEE

REGENIA LEE

REGENIA LEE


VOYLES, KEITH

4840 NW 46TH PL APT 101, GAINESVILLE, FL 32606-7632

UNIVERSITY OF FLORIDA GAINESVILLE, FLORIDA 2018BACHELORS


Application


Education1.

Checklist

Name:

Address:3128001DTN:

2





APPLICATION FOR LICENSURE AS SURVEYOR IN TRAINING

Chapter 472, Florida Statutes Rule 5J-17.029(1)(c}, Florida Administrative Code


Please remit application to:

FD ACS Division of Consumer Services Surveyors and Mappers 2005 Apalachee Parkway Tallahassee , FL 32399-6500



Name: Suffix: KEITH FAULKNER VOYLES JR

Date of Birth: Gender: 04 I 09 I 1994 Ii! Male 0 Female

Race:




Ii! White or Caucasian


0 Other

Home Address (if applicable please include suite, apartment and/or unit numbers): 4840 NW 46TH PL, APT 101

City: State: GAINESVILLE FL


Zip Code: 34606

ALACHUA UNITED STATES OF AMERICA

Ii! Please check if mailing address is the same as home address.




Email Address: KE ITH FVOYLESJ R@GMAIL. COM

Contact Number(s): ( ) 352 ) 397 - 8837

Ho_m_e_P"'"h_o_n_e Cellular Phone

Business Phone Facsimile

** Under the Federal Privacy Act, disclosure of Social Security Numbers is voluntary, unless specifically required by federal statute. Social Security numbers must be recorded on all professional license applications and will be used for licensee identification pursuant to the Personal Responsibility and Worl< Opportunity Reconciliation Act of 1996, 104 Pub.L. 193, Sec 317. Social Security numbers will be used to allow efficient screening of applicants and licensees by a Title IV-0 child support agency to assure compliance with child support obligations. As such, disclosure of your Social Security number is required on this application under Sections 409.2577, 409.2598, and 472. 015, Florida Statutes. Social Security numbers are not a public record under Florida law.


2

0 Yes•• Iii No

0 Yes•• ~No

Have you previously filed an application with this office? If yes••, please specify the date:

Have you ever been declared legally incompetent? If yes··, please explain on attached sheet including full details as to court, date, circumstances , and medical practitioners consulted .

0 Yes ~No Have you ever been refused a surveying license - or the renewal thereof - in any state?

0 Yes•• l2S:I No Have you ever been den ied the right to take a surveying examination in any state? If yes••, please explain on attached sheet including full details of the denial.

EDUCATION HISTORY



01 02 03 04 01 02 03 lil4

Name and Address of School, College, or University Attended

UNIVERSITY OF FLORIDA

Year of Graduation

2018

Graduate School :

01 02

Degree

GEOMATICS

Currently enrolled? If Yes*, date of anticipated

graduation.

0 Yes* Iii No * --

0 Yes* 0 No * --

0 Yes* 0 No * --

0 Yes* 0 No * --

BACKGROUND INFORMATION


overseas?

0 Yes 0 No

0 Yes 0 No

0 Yes 0 No

0 Yes 0 No

Please select either yes or no to the questions below. If you answered yes to any of the following, please explain your answer on "Exhibit 1" located below and provide documentation of all charges and disposition, including penalty/sentence. (make additional copies as needed) .

a. Have you ever been convicted of a crime, found guilty, or entered a plea of guilty or nolo contendere (no contest) O Yes Iii No to , any violation of the laws of any municipality, county, state or nation, including felony, misdemeanor and traffic offenses (but not parking, speeding, inspection, or traffic signal violations) , without regard to whether you were placed on probation , had adjudication withheld , were paroled, or pardoned. If you intend to answer "NO" because you believe those records have been expunged or sealed by court order pursuant to Section 943.0585, Florida Statutes, or applicable law of another state, you are responsible for verifying the expungement or seal ing prior to answering "NO." YOUR ANSWER TO THIS QUESTION WILL BE CHECKED AGAINST LOCAL, STATE AND FEDERAL RECORDS.

b. Has any judgment or decree of a court been entered against you in this or any other state, province, 0 Yes Iii No district , territory, possession or nation, in which you were charged in the petition , complaint, declaration, answer, counterclaim , or other pleading with any fraudulent or dishonest dealing, or is there any such case or investigation pending?

c. Have you ever had an application for registration, certification, or licensure in Florida or in any other O Yes Iii No jurisdiction denied, or is there now pending a proceeding or investigation to deny such an application?

FDACS-10055 Rev. 02/1 2 Page 2 of 5

2

d. Has any license, registration, certificate or permit to practice any regulated profession, occupation, D Yes Iii No vocation , or business been revoked , annulled, suspended, relinquished surrendered, withdrawn , or otherwise acted against, in Florida or in any other jurisdiction, or is any such proceeding or investigation now pending?

Exhibit 1

Please provide this information for each separate conviction, judgment, etc. Attach additional sheets as necessary.:


State I Governmental agency which brought the action :



Description:


Have all sanctions been satisfied?

D Yes D No


D Yes Iii No



Name: Suffix: - - -----





Fundamentals of Land Surveying (Part I) If you are applying as an SIT this is the only part that is required. Have you passed this exam? State Board : Year Passed: D Yes Iii No

Principals and Practice (Part II) Have you passed this exam? D Yes Iii No


State Board: Year Passed:

2



0 Yes** Iii No

** If yes, please contact the Florida Department of Agriculture and Consumer Services immediately at 1-800-HELP-FLA (435-7352) if you 're calling from with Florida, or 850-410-3800 calling from outside Florida.

AUTHORIZATION

I authorize all institutions or organizations, my references, employers (past and present), business and professional associates (past and present), and all government agencies and instrumentalities (local, state, federal , or foreign) to release to the Florida Department of Agriculture and Consumer Services any information, files or records requested by the Department in connection with the processing of this application. I further authorize the Florida Department of Agriculture and Consumer Services to release any information which is material to my application to the organizations, individuals and groups listed above.

I have carefully read the questions in the foregoing application and have answered them completely, without reservations of any kind, and I declare, under penalty of perjury, that my answers and all statements made by me herein are true and correct. Should I furnish any false information in this application, I hereby agree that such act shall constitute cause for the denial, suspension or revocation of any license to practice in the State of Florida for the profession for which I am applying .

~11~ Applicant Signature: _____ y_ 1~..,_ __________________ _


11 /12/2018 Date: ________ _

2














110

Application Summary


Page 1 of 1




Fees Cashiered


Experience Verified




Education Verified

01/03/2019

01/03/2019

12/26/2018

12/26/2018

12/21/2018

12/21/2018

12/20/2018

12/20/2018

12/20/2018

12/20/2018

REGENIA LEE

REGENIA LEE

CSTRACK CSTRACK

REGENIA LEE

REGENIA LEE

REGENIA LEE

REGENIA LEE

REGENIA LEE

REGENIA LEE

PASSED THE NCEES FS ON MAY 10, 2018. VERIFIED WITH NCEES BY REGENIA LEE


KUHN, RYAN

2265 E CHEROKEE ST, BARTOW, FL 33830-4216

$255.00Fees Paid:

UNIVERSITY OF FLORIDA GAINESVILLE, FLORIDA USA 2018BACHELORS


Application


Education1.

ExperienceFLORIDA DEPARTMENT OF TRANSPORTATION 801 NORTH BROADWAY AVENUE BARTOW, FLORIDA 33830

RAPID SURVEYING 2000 EAST EDGEWOOD DRIVE LAKELAND, FLORIDA 33803

863-519-2290

863-808-6732

Employer:

Employer:

Phone:

Phone:

From:

From:

07/01/2015

07/01/2007

Reference:

Reference:

HOWARD DUKES

DANNY GANN

Verified

Verified

1.

2.

To:

To:

12/21/2018

10/01/2012

863-519-2290

863-808-6732

Phone:

Phone:

0

0

42

63

Qualified Mths:

Qualified Mths:


Months Exp:

Months Exp:Checklist

Name:

Address:


3145485DTN:


2

1. InstitutionName: University of Florida

Degree: Bachelors


Location: Gainesville, Florida, USA



ADAM H. PUTNAM


Mailing Address:




www.800helpfla.com



Fax 850-410-3804




APPLICATION TYPE

Application Type Initial Examination



First Name Ryan

Middle Initial A

Last Name Kuhn




Gender Male

Home Address 2265 East Cherokee Street

Bartow,Florida,33830,USA

Mailing Address 2265 East Cherokee Street



Home Phone


Business Phone

Fax


Has Prior Name : NO

EDUCATION HISTORY

2



Yes

Date of Action: 05/16/2004

Docket Number 04003173MMMA

Court or administrative agencyrendering the decision, judgment or order:

St. Johns County

Governmental agencywhich brought the action:

FWC

Details: Failure to respond to a game officer citation.

List of Uploaded Documents

2. Has any judgment or decree of a court been entered against you in this or any other state, province, district,territory, possession, or nation for fraud or dishonest dealing, or is there any such case or investigation pending?

No

Licensure History


No


No

1. Title: Project Manager IV

CompanyName: Florida Department of Transportation

CompanyAddress: 801 N. Broadway Ave.




HoursPerWeek: 40





EMPLOYMENT HISTORY

2

ExperienceSummary: Directs field crews on policy and procedures. Reviews consultant boundaries, alignments, control surveys and topographic surveys.

2. Title: CAD Manager/Crew Chief

CompanyName: Rapid Surveying

CompanyAddress: 2000 E Edgewood St. Suite 106B

Lakeland,Florida,33803,USA



HoursPerWeek: 40



ExperienceSummary: LB 7568- Here I did office and field work. Doing both I produced topographic surveys, boundaries, creating legal descriptions, construction calculations and stakeout. I directed field crew onproject specific procedures. I processed and QA/QC field data. Calculated preliminary boundaries for PSM to review and approve.

3. Title: CAD Manager/Crew Chief

CompanyName: Global Surveying of Winter Haven

CompanyAddress: 118 W. Central Ave.

Winter Haven,Florida,33883,USA



HoursPerWeek: 40



ExperienceSummary: (LB 6432 - Out of business) Here is did office and field work, producing topographic surveys, boundaries, creating legal descriptions. I directed field crews on project specific procedures. I processed and QA/QC field data. I created preliminary boundaries for PSM to review.

4. Title: Draftsman

CompanyName: Chastain-Skillman

CompanyAddress: 205 E. Orange St.Suite 110

Lakeland,Florida,33801,USA



HoursPerWeek: 30



ExperienceSummary: Basic drafting


CompanyName: Landtech & Assoc.2

CompanyAddress: 5100 A1A St. S. Suite A

St. Augustine,Florida,32080,USA



HoursPerWeek: 45



ExperienceSummary: Here I was a crew chief doing boundaries, topographic surveys, construction stakeout and calculations.


CompanyName: Bradshaw-Niles & Assoc

CompanyAddress: 280 Business Park Circle, Suite 410

St. Augustine,Florida,32095,USA



HoursPerWeek: 40



ExperienceSummary: (LB 6824 - Known as Privett-Niles when I worked here) Here I was a crew chief doing boundaries, topographic surveys, construction stakeout and calculations.


CompanyName: LD Bradley

CompanyAddress: 510 5th St.

McClenny,Florida,32063,USA



HoursPerWeek: 40



ExperienceSummary: (LB 6888) Here I was a crew chief doing boundaries, topographic surveys, construction stakeout and calculations.


CompanyName: Ghiotto & Assoc.

CompanyAddress: 2426 Phillips Hwy.

Jacksonville,Florida,32207,USA



HoursPerWeek: 40

2



ExperienceSummary: Here I was a crew chief doing topographic surveys and minor boundaries.

9. Title: Rodman - Instrument Man

CompanyName: B.H.R.

CompanyAddress: 1900 Corporate Square Blvd.

Jacksonville,Florida,32216,USA



HoursPerWeek: 40



ExperienceSummary: (This company is out of business, so, I had no phone number) I started here, I was a rodman, instrument man and data collector operator.


Exam Passed : YES StateBoard : Florida Year Passed : 2018





NO

AUTHORIZATION


Applicant Signature: ryank3377 Signature Date: 12/19/2018

2














110

Application Summary


Page 1 of 1


Experience Verified





Education Verified

Fees Cashiered

01/03/2019

01/03/2019

12/10/2018

12/10/2018

12/10/2018

12/10/2018

12/10/2018

11/21/2018

REGENIA LEE

REGENIA LEE

REGENIA LEE

REGENIA LEE

REGENIA LEE

REGENIA LEE

REGENIA LEE

3 RECOMMENDATION LETTERS


NEFF, MICHAEL

4243 TWINBUSH TER, NORTH PORT, FL 34286-1601

$255.00Fees Paid:

ALFRED STATE/SUNY COLLEGE OF TECHNOLOGY 10 UPPER COLLEGE AVENUE ALFRED, NY, 14802

1991

BACHELORS

Institution:Degree:

Major: SURVEYING ENGINEERING TECHNOLOGY

Application


No Verified

Education1.

Out-of-State LicensesLS050669License:1. 01/09/2008 New YorkIssued On: Issuing State:


Checklist

Name:

Address:



3131209DTN:


2


().

-1,z,0 ~'°;- BOARD OF PROFESSIONAL ~i' l'o1t-.

0~"'1. SURVEYORS AND MAPPERS .,_,. . ., . ~o <S>v_,,~G'1}C'v. APPLICATION FOR LICENSURE

"~m. ·.' ~~"- 'P./ n 'l>~f~AMINATION OR ENDORSEMENT ADAM H. PU~ V t7 ~ ')>l-: ~ . · Q <fl 7C Chapter 472, Florida Statutes COMMISSIONE C'a ~ ,("'. C/~ ~le 5J-17.029(1)(b), Florida Administrative Code

o~:~J 1-800-HELP-FLA (435-7352) • 850-410-3800 Calling Outside Florida


www.FreshFromFlorida.com

- or-

Check or Money Order payable to FDACS and remit with application to:

FDACS P.O. Box 6700 Tallahassee, FL 32314-6700

~y)'.-11'; www.800helpfla.com • 850-410-3804 Fax

All documents and attachments subm"fpJ"~is application, with the exception of transcripts, are subject to public review pursuant to Chapter 119, F.S.

APPLICATION TYPE

ii Initial Exam D Temporary Certificate D Endorsement Application


Name: Suffix: Michael Charles Neff

Date of Birth: 09 I os / 1970

Gender: ii Male

~Number:

D Female~-------Race:

D Asian or Pacific Islander

D Spanish, Hispanic, or Latino

D Black or African American

ii White or Caucasian

D Native American or Alaskan Native

D Other

Home Address (if applicable please include suite, apartment and/or unit numbers): 4243 Twinbush Terrace

City: State: Zip Code: 34286 North Port Florida

County (if address is in Florida): Country: Sarasota USA

ii Please check if mailing address is the same as home address.



County (if address is in Florida):


Contact Number(s): ( )

Ho_m_e_P...,,.h,.._o-n-e

( ----Business Phone

Country:

( 315 ) 420 - 3362

Cellular Phone

( - - -

Facsimile •• Under the Federal Privacy Act, disclosure of Social Security Numbers is voluntary, unless specifically required by federal statute. Social Security numbers must be recorded on all professional license applications and will be used for licensee identification pursuant to the Personal Responsibility and Work Opportunity Reconciliation Act of 1996, 104 Pub.L. 193, Sec 317. Social Security numbers will be used to allow efficient screening of applicants and licensees by a Title /V-0 child support agency to assure compliance with child support obligations. As such, disclosure of your Social Security number is required on this application under Sections 409.2577, 409.2598, and 472. 015, Florida Statutes. Social Security numbers are not a public record under Florida law.

FDACS-10050 Rev. 02/12 Page 1of7

Org Code: 42 10 08 01 000 EO: A2 Object Code: 001266 Object Code: 002230 42100802000/001256

DTN/FAID: 3L'i1209 19-04915198-0001 255.00 11/27/2018 Dep!#991787

$125 $125 $5

2


Have you used, been known as, or called by another name (example: maiden name, pseudonym, nickname) or alias other than the name signed to the application?

0 Yes Iii No


Name:

Name:

Name:

Name:

EDUCATION HISTORY



01 02 03 04 01 02 03 lil4

Name and Address of Schools, Year of Colleges, or Universities Attended Graduation

State University of New York at Alfred 1994

State University of New York at Alfred 1991

Graduate School:

01 02

Degree Currently enrolled? If Yes*, date of anticipated

graduation.

BS (A.B.E.T.) 0 Yes* Iii No * --AAS(A.B.E.T.) 0 Yes* Iii No * --

0 Yes* 0 No * --

0 Yes* 0 No * --


Suffix: -------

Suffix: -------

Suffix: ----

Suffix: - ------


overseas?

0 Yes Iii No

0 Yes Iii No

0 Yes 0 No

0 Yes 0 No


a. Have you ever been convicted of a crime, found guilty, or entered a plea of guilty or nolo contendere (no contest) to, O Yes Iii No even if you received a withholding of adjudication? This question applies to any violation of the laws of any municipality, county, state or nation, including felony, misdemeanor, and traffic offenses (but not non-criminal infractions, such as parking, speeding, inspection, or traffic signal violations), without regard to whether you were placed on probation, had adjudication withheld, were paroled, or pardoned. If you intend to answer "NO" because you believe those records have been expunged or sealed by court order pursuant to Section 943.0585, Florida Statutes, or applicable law of another state, you are responsible for verifying the expungement or sealing prior to answering "NO."

b. Has any judgment or decree of a court been entered against you in this or any other state, province, district, O Yes Iii No territory, possession, or nation for fraud or dishonest dealing, or is there any such case or investigation pending?

c. Have you ever had an application for registration, certification, or licensure in Florida or in any other jurisdiction iii Ye~ denied, refused, revoked, suspended, or otherwise acted against, or is there now a pending proceeding or \:._/ investigation to deny such an application?

d. Has any license, registration, certificate or permit to practice any regulated profession, occupation, vocation , or O Yes ~No business been revoked, annulled, suspended, relinquished surrendered, withdrawn, or otherwise acted against, in Florida or in any other jurisdiction, or is any such proceeding or investigation now pending?


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.Exhibit1





Date of Action: Docket Number: I I



. New York a. Issuing State: ______ _ Expiration Date: Aug

31'

2019 License Number: 050669 ----~----

b. License obtained by: Iii Examination D Grandfather Clause D Reciprocity/Endorsement D Other:

~--------~

c. Was an licensure exam taken: Iii Yes* D No

'I- * HYes: Q) 1U Was the examination(s) a National Council of Examiners for Engineering and Surveying (NCEES) exam? en If so, please select the examination(s) completed:

D Fundamentals of Land Surveying {Part I) Iii Principles and Practice {Part II)


d. Is the license in good standing? Iii Yes D No*


License Number: LSI# OL0390 Expiration Date: NA -----. Nevada

a. Issuing State: -------

b. License obtained by: Iii Examination D Grandfather Clause D Reciprocity/Endorsement D Other:

---------~

c. Was an licensure exam taken: Iii Yes* D No

N *If Yes: Q) 1U Was the examination(s) a National Council of Examiners for Engineering and Surveying (NCEES) exam? en If so, please select the examination(s) completed:

Iii Fundamentals of Land Surveying {Part I) D Principles and Practice (Part II)


d. Is the license in good standing? Iii Yes D No*

*If No, please provide explanation:


2

EMPLOYMENT HISTORY




Employer I Company Name: Topcon Positioning Systems

City: Livermore

Supervisor's Name:

Employer I Company Address: 7 400 National Drive

State: California

Zip Code: 94550

License Number: Contact Number:

,.. Dates of Employment: Number of Hours Per Week: ~ From: 8-2007 To: PRESENT >- ---- --------.5! Did you ever work on a part-time basis? D Yes D No Number of Hours Per Week: ~ From: To: _ __________ _

W From: To: ------ ----- -From:

----------~


Routine (in months): _ _ ___ _ Responsible Charge (in months): - ------Summary of Experience

Employer I Company Name: Employer I Company Address: Advanced Geodetic Mapping Land Associates 6695 North Glen Haven Road

City: State: Zip Code: Homer NY 13077 -Supervisor's Name: License Number: Contact Number: Michael Neff Sole Proprieter 050669 315 420 3362

N Dates of Employment: Number of Hours Per Week: ... From: 2010 To: 2018 Cl)

>-Did you ever work on a part-time basis? iii Yes D No 0 Number of Hours Per Week:

Q. E From: 2010

w From:

From:

Total Months of Experience: Routine (in months):


To: 2018 10

To:

To:

Responsible Charge (in months):


2



Fundamentals of Land Surveying (Part I) If you are applying as an SIT this is the only part that is required. Have you passed this exam? State Board: Year Passed: Iii! Yes D No Nevada State Board Licence# OL0390 1997

Principles and Practice (Part II) Have you passed this exam? Iii! Yes D No

State Board: New York State Board of Education

Florida Jurisdictional 100 Item Multiple Choice (Part Ill) Have you passed this exam? State Board: D Yes Iii! No

Year Passed: 2008

Year Passed:



D Yes** Iii! No

** If yes, please contact the Florida Department of Agriculture and Consumer Services immediately at 1-800-HELP-FLA (435-7352) if you're calling from with Florida, or 850-410-3800 calling from outside Florida.

AUTHORIZATION

I authorize all institutions or organizations, my references, employers (past and present), business and professional associates (past and present), and all government agencies and instrumentalities (local, state, federal , or foreign) to release to the Florida Department of Agriculture and Consumer Services any information, files or records requested by the Department in connection with the processing of this application. I further authorize the Florida Department of Agriculture and Consumer Services to release any information which is material to my application to the organizations, individuals and groups listed above.

I have carefully read the questions in the foregoing application and have answered them completely, without reservations of any kind , and I declare, under penalty of perjury, that my answers and all statements made by me herein are true and correct. Should I furnish any false information in this application, I hereby agree that such act shall constitute cause for the denial, suspension or revocation of any license to practice in the State of Florida for the profession for which I am applying.

Applicant Signature : ------~-----""'-..,,....,,.---------


Date: 10-25-2018

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6 NOVEMBER 2018 MICHAEL C. NEFF. L.S.

4243 TWINBUSH TERRACE

NORTH PORT , FLORIDA 34286

F"DACS

DIVISION OF CONSUMER SERVICES BOARD OF PROFESSIONAL SURVEY ORS AND MAPPERS

P.O. Box 6700 TALLAHASSEE, FLORIDA 323 1 4-6700

To whom it may concern:

Please accept this application attached within to sit for the Florida Jurisdictional Examination section. The intent is to obtain a Land Sun-eying and !\lapping license, ultimately to offer Land Sun-eying and !\lapping se1Yices in the State of Florida.

To be clear, I haYc been a sole proprietor of m,· part time land sun-eying business in upstate New York since 2010 and is currently inacti\·e. This business is called Ad,-anced c;eodetic Mapping Land _\ssociates (AGl\IL\). It is part time because I only took on projects and contracts that l knew T could handle with out totally disrupting my <lay job with Topcon Positioning Systems.

Below is a macro Yiew of my academia, and cxtensi,-e professional hands on, field and office experience. This time line dates back before my college degree, through my NYS land sun-eyors license, up to present time.

I hope that if you hm-e any questions you will not hesitate to ask.

Thank you for your attention to this matter.

Michael C, >i eff, L.S. ,.\d,·anccd Geodetic ;\lapping Land /\ssociates + 1.315.420.336~

2

M1c:1 IAEL C. NEFF

4243 TWIN BUSH TERRACE f-.lORTH PORT. FLORIDA 34286 (31 5 ) 420-3362

ACADEMIC BACKGROUND :

B.S. ;\la\· 1994

Bachelor's of Science degree in Su1Yeying Engineering (ABET Accredited)

.\ .• \ .S. S !ult: L'11i11mi(y ~/J\'eJJJ ) 'ork, College o(J i:chnology, .Alfred NY l\Ia\· 1991

.\ssociatcs of .\pplied Science in Sun-eying Engineering Technology

PROFESSIONAL D E VELOPE M EN T:

• • • • • •

De,-eloped and led continuing educatfrm classes for Topcon Positioning

New York State Land Sun-eyor license (LS#050669), Januar:- 2008

Land Su1-Yeyor Intern (LS.I # OL0390), October 1997

Consultatin Sales Training Course, Reed Professional Denlopment, l\Iay 1995

. \dnnced GPS Training Course, January 1997, and 0Iarch 2006 l\Iember of the New York State _\ ssociation of Professional Land SutTeyors, June 1994

2

PR O FESSIONAL EXPERIENCE:.

7 i;pro11 Positio11i11g 5__ys/e1JIJ', 111c

.\ugust 2007 - Present Li,·ermore, Ca

Training Manager Topcon University

October 2014 CBU-NE Regional Sales Manager

De\·eloped an L\ IS for Topcon distribution and end users, instmcror led training and web tr:umng conrenr deployed for CFL'. Developed rhe Topcon Sales app and much ofToralCare content management.

Sales for CBL' in :\orrheastcrn L'S managing 20 million dollar rerriron-. De,·cloped sales and additional distribution with ( lE.\l.

/ldvanced Geode/it Mapping Lmd/ lJsoiiales (/1G\JL/]) .\Iay 201 0- June 2017

I-T orncr , :\\'

Sole Proprietor Topographic and boundan- surYe~·s, constn1crion stakeout, laser scanning se1Tices, cellular communication rower boundafl' surve,·s, 3D model building for 3D:-IC applications.

Sh111?Mker Co11.mlti1{g E1(~i11eeri11'-~ a11d T __and S11n1~)'tl{~, P. C >: owmber 2001 - .l uly 2007

Binghamton. :\\'

Senior Party Chief:

Costich r11gi11eerit{g, P.C. . \ ugusr 2000 - ( )crober 2001

GPS Technician & Party Chief:

Responsible for all topographic data collec1ion and processing of GPS and terrestrial control data, including DT\l surface models for sub-contracrors for higlrn·ay construcr10n projects. \\'orked on :\YSDC >T T . .\SS, ()GS, and many orher projccrs for municipalities ranging from small bridge designs \\'ith hydraulic srrcam analy~is, to larger higll\nn- phorogrnmmetric projects with R.( )\\ ' sur\'C)' and final constTuction stakeout.

Rochester, :\Y

\\'orked on wireless communication sires requiring ,·arious Je,-c]s of boundan- and topographic data collection to the final stake out. Posrprocessing data field dara analysis . Performed construction stakeout for several large residential subcJi,·isions designed in-house rhar included road, utiLiry, and drainage stakeout, as well as deed, map and record plan research. Completion of sewral GPS phorogrnmmetric control projects throughout the stare. Base mapping comple1ion in ~oftdesk 2001.

John F Papalir1 rL':' A.1Jo1iales Juk 1999- ~\ugust 20UO

. \ubnrn, :\\'

CAD Technician & Party Chief:

Coordination and planning of GPS nerwork projects, as well as po~r

processing, adjustment, and analysis of collected data. Produce utility, bow1dan-, subdiYision, and other related plan;; based on field sulYe\' data

2














110

1

Lee, Regenia

From: MICHAEL NEFF <[email protected]>Sent: Tuesday, December 18, 2018 3:46 PMTo: Lee, RegeniaSubject: DTN 3131209 - Neff FS NCEES verification

Hello Regenia How are you today. ? I have gotten the Nevada Board to verify my passing of the Fundamentals NCEES exam through their website designed for this. I have attached a copy of my certificate that I forgot I had, and a pic from my account on the NCEES website showing my account number and the verification of my exam. I hope this is sufficient to document my Nevada Land Surveyor Intern (LSI) license that I got as a result of passing the FS exam. I also have submitted a freedom of information request to the NYS board of education where my endorsements ( recommendations ) were received from my endorsers directly and are recorded. They estimate response by Jan 17. Beyond that, due to length of time that has passed by as me being a sole proprietor of my own survey business, procuring a recommendation from a surveyor that I worked directly under is impossible. Please let me know if there is something more I can do before the board meets. Thank you so much for your help. Sincerely Michael C.Neff, P.L.S.

2

Tectonic PRACTICAL SOLUTIONS . EXCEPT OtlAL SERV ICE

December 26, 2018


To Whom It May Concern:

Please accept this letter of recommendation as a testimonial to Mr. Michael Neff's character and professional experience.

I, Theodore J. Haines, L.S., recommend Mr. Michael C. Neff, L.S. to be a candidate for the professional land surveyor exam in the state of Florida. I know he is licensed in NY for the past 10 years, and the sole proprietor of Advanced Geodetic Mapping Land Associates, (AGMLA) for the last 8 years. I have known Mr. Neff since he was at Alfred State College and is of good moral character.

Mr. Neff worked at Costich Engineering in Rochester NY from 2000 to 2001 in responsible charge as a Party Chief. More importantly he was employed at Shumaker Consulting Engineering in Binghamton NY from 2001 to August 2007. Mr. Neff was in responsible charge with enough acceptable experience so as to gain admittance to the New York State Land Surveying Licensure Exam.

Corporate Office

70 Pleasant Hill Road, PO Box 37 I Mountainville, NY 10953 845.534.5959 Tel I 845.534.5999 Fax

tectonicengineering.com Equal Opportunity Employer

2

@ precisionpoint'"

To Whom it May Concern:

Please accept this letter of recommendation as a testimonial to Mr. Michael Neffs character and professional experience.

I, John J. Scanlon, L.S., recommend Mr. Michael C. Neff, L.S. to be a candidate for the professional land surveyor exam in the state of Florida. I know he is licensed in NY for the past 10 years, and the sole proprietor of Advanced Geodetic Mapping Land Associates, (AGMLArror the last Byears. I--have known Mr. Neff since-b.ewas at Alfred State College and is of good moral character.

Mr. Neff worked at Costich Engineering in Rochester NY from 2000-2001 in responsible charge as a Party Chief. More importantly he was employed at Shumaker Consulting Engineering in Binghamton NY from 2001 -Aug 2007. Mr. Neff was in responsible charge with enough acceptable experience so as to gain admittance to the New York State Land Surveying Licensure Exam.

Thank You

:VerY. Best Regards

l~L.S. NY#OS0591

Direct: 317-660-8620 •Toll Free: 855-30 SCAN! (337-2261) www.precisionpointinc.com

r--:> = __. = c:1 i-r•

" N ()

(

. --,-.

.. ~ ~ . ···~ 1··'. --·

2

CHRISTOPHERSON LAND SURVEYING Professional Land Surveying

-~- 5848 Heritage Landing Drive, East Syracuse, New York 13057 Phone: (315) 437-9848 Fax: (315) 437-4634

__ 349 Frenchs Bay Road, Tully, New York 13159 Phone: (315) 696-5956 Fax: (315) 43 7-4634

To Whom it May Concern:

December 21, 2018

Please accept this letter of recommendation as a testimonial to Mr. Michael Neffs character and professional experience.

I, Hans Christopherson, L.L.S., recommend Mr. Michael C. Neff, L.L.S. to be a candidate for the professional land surveyor exam in the state of Florida. I know he is licensed in NY for the past 10 years, and the sole proprietor of Advanced Geodetic Mapping Land Associates, (AGMLA) for the last 8 years. I have known Mr. Neff since he was at Alfred State College and is of good moral character.

Mr. Neff worked at Costich Engineering in Rochester NY from 2000-2001 in responsible charge as a Party Chief. More importantly he was employed at Shumaker Consulting Engineering in Binghamton NY from 2001-Aug2007. Mr. Neff was in responsible charge with enough acceptable experience so as to gain admittance to the New York State Land Surveying Licensure Exam.

Lastly, I speak from being both past President of the Central New York Society of Lands Surveyors and past Board of Director for the New York Association of Professional Land Surveyors, that Michael Neff has represented the Professional Surveying Community with a unique balance of excellent thoroughness of utilizing traditional research techniques and modem surveying equipment. This has benefited the public that all of us serve. Hence, elevated our public perception of what a Professional Land Surveyor's role is in society.

Very Best Regards,

Hans Christopherson, L.L.S. NY#50260

HBC/aec 2

f

THE UNIVERSITY OF THE STATE OF NEW YORK THE STATE EDUCATION DEPARTMENT

DIVISION OF PROFESSIONAL LICENSING SERVICES 89 WASHINGTON AVENUE

ALBANY, NEW YORK 12234

F(_

This is to certify that according to the records of the Division of Professional Licensing Services, New York State Education Department Albany, New York, NEFF MICHAEL CHARLES was issued license/certificate number 050669 for the practice of LAND SURVEYING on 01/09/2008.

Our records also indicate the following information: Date of birth: 09/05/1970 School attended: EXPER IN LIEU FORMAL EDUC Date of graduation: 05/21/94 Degree earned: BS

Program was acceptable in accordance with the NYS Regulations of the Commissioner of Education. Requirements met at the time ·of licensure.

Basis of licensure: DATE PARTl PARTl PART2 CO/ST NY/SP 10/07 p 04/07 F 10/06 F 00074 04/06 F 00062 10/05 F 00048

PARTl PARTl PART2 PART3 11/97 00070 OOSNV EXMS TAKEN=06

A license is valid during the life of the holder unless revoked, annulled or suspended by the Board of Regents. A licensee must register periodical ly with this Department to practice in this state.

Currently Registered: YES Address: 4243 TWINBUSH TERRACE

Reg period ends: 08/31/19 NORTH PORT FL 34286 - 0000

Disciplinary information: No charges have been preferred against this l icensee

Comments: -~~j\'

I , Audrey Bell, Education Program Assistant 1 , Divisio~ of ~~ Professional Licensing Services of the New York State EducatiGh

' ' .!j,' Department, do hereby state that as Education Program Assis t;.gti t 1 of said Division, I have legal custody of the official reco:iJls of the Division of Professional Licensing Services and to the best of my knowledge, the aforesaid information is true and correct .

SEAL

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N ikki 1-800-HELP-FLA · agenda board of professional surveyors and mappers application review...

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