. STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION, DIVISION OF HOTELS AND RESTAURANTS iy) “be, . MAS. DEPARTMENT OF BUSINESS AND ” crt Key “Oy, PROFESSIONAL REGULATION O4 ~ 395¢F Am a oA Petitioner, “ Vs. OLYMPUS VILLAGE INC Serial Number 29955 Respondent. License Type 241014 Elevator / Case Number 2005033480 . ADMINISTRATIVE COMPLAINT The DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION, DIVISION OF HOTELS AND RESTAURANTS, (‘Petitioner’), files this Administrative Complaint against OLYMPUS VILLAGE ING, ("Respondent"), and says: 1. Petitioner is the state agency charged with regulating the operation of elevators, pursuant to Section 20.165 and Chapter 399, Florida Statutes, 2. Respondent is, and has been at all times matertal hereto, subject to the jurisdiction of the Division of Hotels and Restaurants. The respondent's business address of record is 5917 VIA VERMILYA, LANTANA, FLORIDA 334622435. The mailing address of record is OLYMPUS VILLAGE INC at 1928 3. A review of the licensure records of the Division of Hotels and Restaurants reveals that the Certificate of Operation for this conveyance has expired; however, the operation continues, in violation of the provisions of Chapter 399, Florida Statutes, and / or the rules promulgated thereto governing operation of the conveyance, The violation(s) and applicable law are described in Exhibit "A", attached hereto and incorporated herein by reference, Inspection documents are attached as Exhibit "B", incorporated herein by reference. WHEREFORE, Petitioner respectfully requests entry of an Order imposing one or more of the following penalties: administrative fine not to exceed $1,000 per offense; suspension, revocation, and/or any other relief authorized by Chapter 399, Florida Statutes, or the rules promulgated thereto. Signed June 23, 2005 . LO |e Cathy C. White, Bareau Chief By delegation of the Director, or designee Division of Hotels & Restaurants . Department of Business & Professional Regulation COUNSEL FOR THE DEPARTMENT: Charles F. Tunnicliff, Lead Attorney Florida Bar No. 0153831 Department of Business & Professional Regulation 1940 North Monroe Street Tallahassee, Florida 32399-1007 CERTIFICATE OF SERVICE BY CERTIFIED U.S, MAIL, ARTICLE NUMBER: ! HEREBY CERTIFY that a true and correct copy of the foregoing ADMINISTRATIVE COMPLAINT has been hand served by me on this day of , 2005, Received by: Division Employee's Signature . Operator's Signature Title Title Case Number: 2005033480 : . Form revised 03.01.05 License Type: 2101. . OLYMPUS VILLAGE INC Certificate Number: 29955 EXHIBIT A | ae it is alleged that on June 22, 2004 the operator was in violation of Florida Statute 399 (FS) and/or the Rules of the Division of Hotels and Restaurants, Bureau of Elevator Safety, Florida Administrative Code (FAC), in the following particulars: 1. 399.061(1)(A) FS Certificates of operation may be renewed only for vertical conveyances having a current satisfactory inspection. OBSERVED ELEVATOR IN OPERATION WITH AN EXPIRED CERTIFICATE OF OPERATION AND NO SATISFACTORY INSPECTION ON FILE. 2. 399.07(1) FS The owner of an elevator operating with an expired certificate of operation Is in violation of this chapter....The department shall adopt by rule a fee schedule for the renewal of certificates of operation. : OBSERVED ELEVATOR IN OPERATION WITH AN EXPIRED CERTIFICATE OF OPERATION AND NOT HAVING PAID THE REQUIRED ANNUAL RENEWAL FEE. Case Number: 2005033480 Form revised 03.01.05 License Type: 2101 OLYMPUS VILLAGE INC Certificate Number: 29955 Vly VOM OF MOteis dla Nestat ants Bureau of Elevator Safety www. hospitalityeducation.org EXPIRED ELEVATOR CERTIFICATE VISIT VERIFICATION ; Dist. #2 [ Serial Number: | 29955 | Expiration Date: 8/1/2002 Area #:2{ Owner Name: _| OLYMPUS VILLAGE INC | Letter #: 3 | Building Name: | OLYMPUS COMPLEX BULLDING # | Address: 5917 VIA VERMILYA, LANTANA, FL 33462-2435 | Time of Visit: | Qoe pm Was elevator | operational? No “ra f yes, date of expiration on Certificate: S- /- 9 OZ a Date of Visit: (6 1F-0 Was Certificate found in car? Corrected Address: Corrected Mailing Address: New Owner: When | visited this site | observed that the elevator/escalator/dumbwaiter/lift was in operation and did not have a current certificate as required by Chapter 399.07, Florida Statute. ¢ DBPR Employees Signature Ovepesce Name (Prin boxe a Doi Selb Title: oT - If unable to verify, indicate why: cUnable to access building O Unable to locate building O Building torn down 0 Other (explain in comments) Comments: Person contacted signature: Name (Print): Title: Company Name: Date: Phone#:(__) LETTER CODES Letter # 1=Exp 8/1/02 not paid 2 years needs inspection Letter# 2=Exp 8/1/02 not paid 2 years passed inspection Letter # 3=Exp 8/1/02 not paid 1 year needs inspection Letter # 4=Exp 8/1/03 not paid 1 year passed inspection Letter # 5=Exp 8/1/02 or 03 paid needs inspection Form Revised 6/11/2004

Docket for Case No: 05-003958