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<br />..Auto-Owners <br /> <br />Page 1 <br />AGENCY COpy <br /> <br />55040 (11/81> <br />Issued 01-02-20 <br />TAILORED PROTECTION POLICY DECLARATIOI <br /> <br />INSUR~NCE COMPANY <br />~lOl ANACAPRI BLVD., LANSING, MI 48917-3999 <br /> <br />AG=NC, LEE REED INSURANCE IHC <br />12-0154-00 MKT TERR 068 <br />1~$1JREC DUWAVHE R TVSON <br />DBA TYSON CONCRETE <br /> <br />(813) 782-5502 <br /> <br />Renewal Effective 08-17-20 <br />POLICY NUMBER 952312-20522771-' <br /> <br />ZEPHYRHILLS, FL 33540-2500 <br /> <br />Company POLICY TERM <br />Bill 12:01 ..m. 12:01 a.m. <br />oa-17-Z003to 08-17-2004 <br /> <br />ADD"'E5S 6134 7TH ST . A <br /> <br />PASCO COUNTY OCCUPATIONAL LICENSE 2003-04 <br /> <br />Issued pursuant and subject to Florida Statutes and Pasco County Ordinances. Issuance does not certify compliance with <br />zoning or other laws. This license must be posted conspicuously in place of business. Expires September 30. <br /> <br />ACCOUNT NO: 32284 <br />SIC CODE: 1771 <br /> <br />MIk~OIson <br />TAX COLJ1ECTOR <br />PASCO COUNTY FLORIDA <br /> <br />TVPE OF BUSINESS: <br />CONCRETE CONTRACTOR <br /> <br />1..11...11..1.1..11.1..1.11"11.1.1.11"111.....11..1..1.1..11 <br />TVSON D R <br />6134 7TH STREET <br />ZEPHVRHILLS FL 33542-7500 <br /> <br /> <br />DATE RECEIPT <br />08/13/03 434657 <br /> <br />AMOUNT <br />31.25 <br /> <br />LOCATION ADDRESS: <br />6134 7TH STREET <br />ZEPHVRHILLS <br /> <br />xx <br /> <br />DEVELOPMENT REVIEW SERVICES DEPT. <br />CONTRACTOR LICENSING <br />CERTIFICATE OF COMPETENCY <br /> <br /> <br />OFFICE DISPLAY CARD <br />DEVELOPMENT REVIEW SERVICES DEPT. <br />CONTRACTOR LICENSING <br />CERTIFICATE OF COMPETENCY <br /> <br /> <br />4' <br /> <br />0093~9 . <br />I.D.#/",.,. LCCC, -08432 <br />D R TYSON,~,......~."./.~..;:::....;-~..,-....,.."........,....'.... <br />t.,. . ,. ., <br />\ ;',';---~"'.:C^:!-,- <br />CONCRET'<<..,. ........ RACTOR <br /> <br />009349 -C84 <br /> <br /> <br /> <br />i HAVING MET THE COMPETENCY REQUIREMENT FOR <br />l ~E L1CENSE"fj~G. 9/10/04 <br /> <br />STATE OF flORIDA .1 <br />DEPARTMENT OF FWANClAL SERVICES <br />DIVISION Of WORKERS' COMPENSA T10N <br /> <br />CONSTRUCTION NlUSTRY <br />CERTIFICATE OF EXEWTION FROM FlORtDA <br />WORKERS' COMPENSATION LAW <br /> <br />I.D.# <br />Be it known that: D <br />CONCRET <br /> <br />CIO <br /> <br />EFFECTIVE: 08/30/2003 <br />EXPfiA TION: 08/29/2005 <br />PERSON: TYSON DUW A YNE <br />SSN: 261-68- 2803 <br />FEW: 261682803 <br />at IC.!''''II:~~. -..--.. ........---- <br /> <br />UNDER SEC. 18 PASCO COUNTY CODE HAS MET THE <br />PROVISIO CERTIFICATE OF COMPETENCY <br />I <br /> <br /> <br />DATE <br />