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<br />STATE 0 <br />DEPA~T~ FLORIDA <br />DIVISION ~~T OF FINANC <br />CONSTRU WORKERS' d~L SERVICES <br />~~W'FICAT~~~~N INDU~:~~SATlON <br />KERS' COMP XEMPTION F <br />EFFECTIVE' ENSATION LA~OM FLORIDA <br /> <br />* * EXP~RA~: /26/2006 ' <br /> <br />PERSO'" W.::'TE' 07/25/200. . ... <br /> <br />;t:~.""'..r., S::R~r- .5.5 V t\N ~.'E <br />R "O~md2~.417NTS <br />,t=JL ~).... . "- <br />SCOPE _ "" __. 4472 SE <br />OF BUSIN <br />1- CERTIFIED ROOFI~~SC OR TRADE: <br />ONTRACTOR <br /> <br /> <br /> <br /> <br /> <br />IMPORT ANT <br /> <br />Pursuant to C <br />corporation w hapter 440,05(14 <br />certificat ho elects e ), F.S" an ' <br />benefits :r of election un~~mPtion from t~fflcer of a <br />compensation U:d thiS section ~ chapter by Wi <br />er this chapter ~y not recover ng a <br /> <br />nlll:C'TlnMC"") <br /> <br />lor:-n\ II"~ <br />