Laserfiche WebLink
<br /> <br />10-30-2007 <br /> <br />ALEX SINK STATE OF FLORIDA <br />CHIEF FINANCIAL OFFICER DEPAR-rMENT OF. FlNANClALSERV1CES <br />DIVISION OF WORKERS' COMPENSATION <br />* * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * <br />CONSTRUCTION INDUSTRY EXEMPTION <br /> <br />This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. <br /> <br />EFFECTIVE DATE: <br /> <br />10/30/2007 <br /> <br />E~Ti6N';~:WI2912D89 <br /> <br />PERSON: HOOKER <br />FEIN: 204003134 <br /> <br />BUSINESS NAME AND ADDRESS: <br />WESLEY CHAPEL ELECTRIC LLC <br />2.5678 IN<WOOD PLACE <br />WESLEY CHAPEL FL 33544 <br /> <br />FRANK <br /> <br />R <br /> <br />SCOPES OF BUSINESS OR TRADE:. <br />1- ELECTRICAL CONTRACTOR <br /> <br />IMPORTANT: f'ursualll 10 Dlpter 4411 . 0504!. f.S.. In ollicer 01 . corp anti on who elects exemptioa from Ibis chapter by'iillRg a certificale of elecllon under Ihis <br />section may not recover beaelits or cOIIIpensllion uoder this chlpler. Pursuanl to Chapler 440.05HZ). f.S., Cenilicates 01 eleclion to .be nempl... apply only within the <br />scope 01 the bosi.ess or trade listed llII JlJe oolice of eleclion to be exempt. Pursulnl 10 Chapter ..40.0liOS), f.S., NOlices of election 10 be exempl and certificates of <br />election to be exempt shan b. subject 10 rl!Yllcation if, at ony time after lb. filing 01 tile Dlllic. or the issuonce of the certi/klle, Ibe person Darned on the notice or <br />cerlillcote no longer meels the rl!lluir_ 01 IIIls seclion for issuance of a certificate. The departmeol shall revoke a certificale 01 any lime lor failure of Ihe person <br />nomed on tile "ertifielte to meet lire ....r_s of this secllon. <br /> <br />QUESTIONS? (850) 413-1609 <br />