FI LED

AN 2 2 2016

Docketedby M

CHIEF FINANCIAL OFFICER

JEFF ATWATER

STATE OF FLORIDA

IN THE MATTER OF:

FOREVER FLOORS AND MORE, INC.

CASE NO.: 15-106-D 1- WC

FINAL ORDER

THIS CAUSE came for consideration and final agency action on the Recommended Order issued on October 28, 2015. After review of the record, including testimony and admitted exhibits, and being otherwise fully apprised in all material premises, the administrative law judge's findings of fact, conclusions of law, and recommendation are adopted in full.

Accordingly, a $23,538.34 penalty is imposed against Forever Floors and More, Inc. ("Forever Floors") for its failure to secure workers' compensation coverage as provided in the Amended Order of Penalty Assessment. Forever Floors shall also comply with the Agreed Order of Conditional Release from Stop-Work Order.

DONE and ORDERED this Z t day of , 2016.

C 4 4 J , k

Robert C. Kneip

Chief of Staff

Filed July 29, 2016 9:50 AM Division of Administrative Hearings

NOTICE OF RIGHT TO APPEAL

A party adversely affected by this final order may seek judicial review as provided in section 120.68, Florida Statutes, and Florida Rule of Appellate Procedure 9. 190. Judicial review is initiated by filing a notice of appeal with the Agency Clerk, and a copy of the notice of appeal, accompanied by the filing fee, with the appropriate district court of appeal. The notice of appeal must conform to the requirements of Florida Rule of Appellate Procedure 9.110(d), and must be filed (i.e., received by the Agency Clerk) within thirty days of rendition of this final order.

Filing with the Department's Agency Clerk may be accomplished via U.S. Mail, express overnight delivery, hand delivery, facsimile transmission, or electronic mail. The address for overnight delivery or hand delivery is Julie Jones, DFS Agency Clerk, Department of Financial Services, 612 Larson Building, 200 East Gaines Street, Tallahassee, Florida 32399-0390. The facsimile number is (850) 488-0697. The email address is Julie.Jones@myfloridacfo.com.

Copies furnished to:

Christopher Bohren, President, Forever Floors and More, Inc. Trevor S. Suter, Esq., Attorney for the Department

CHIEF FINANCIAL. OFFICER

JEFF ATWATER

STAFF OF FLORIDA

MEMORANDUM

TO: Robert C. Kneip Chief of Staff

FROM : Jeff Atwater

Chief Financial Officer

DATE: June 12, 2014

SUBJECT: Delegation of Authority

I hereby authorize Drew Parker, General Counsel, in your absence or when you're not available, to approve and sign the capitol complex and non-complex access card applications, to sign

contracts, enter Final Orders, including Consent Orders, issue licenses on my behalf in my capacity as Chief Financial Officer, and to sign all documents in all proceedings arising in connection with the activities of the Department of Financial Services, effective June 9, 2014.

This authorization shall be in full force and effect until such time as I revoke it in writing. All previous delegations forPK Jameson are hereby revoked.

Sincerely

cc: Drew Parker John Hale

FLORIDA DEPARTMENT OF FINANCIAL SERVICES

THE CAPITOL, TALLAHASSEE, FLORIDA 32399- 0301 • (850)413-2850 c Fax (850)413-2950

Docket for Case No: 15-003944

Orders for Case No: 15-003944