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09-9855
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09-9855
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Last modified
1/11/2011 8:11:50 AM
Creation date
1/11/2011 8:11:49 AM
Metadata
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Template:
Building Department
Company Name
GALL BLVD LAND TRUST & SARAVANOS
Building Department - Doc Type
Permit
Permit #
09-9855
Building Department - Name
GALL BLVD LAND TRUST & SARAVANOS
Address
6038 GALL BLVD
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• <br /> STATE OF FLORIDA `; <br /> DEPARTMENT OF FINANCIAL SERVI T S <br /> DMSION OF WORK`'' COMPENSA .r <br /> CONSTRUCTION INDUSTRY <br /> CERTIFICATE OF ELECTION TO BE EXEMPT FROM FL - , <br /> WORKERS CO MPENSATION LAW <br /> EFFECTIVE: • 09/02/2008 EXPIRATION DATE: 09/02/2010 2 r, <br /> PERSON: DARWIN A ENCARNACION 4;. VA <br /> FEIN: 205499872 <br /> B NESS NAME DG N DDRESS: <br /> 1923 N DALE MABRY SUITE8321 <br /> LUTZ, FL 33548 <br /> SCOPE OF BUSINESS OR TRADE: <br /> 1- CERTIFIED AC CONTRACTOR <br /> I SEQ8 DsPAR STATE OF FL - -_ <br /> 1,087.0010.1.3 g ORiDA r BT :..en. p p I N I 6ND p HO S2 ---: DLATION <br /> DAT QBTR . -I;I E i r u• L 10 O1 2008 0 880519 77 <br /> The CLA88 <br /> Named glow $ AIR l7xTI <br /> I Under t g d O 1 ° IS CERTiF.2 O x O CONTRACTOR <br /> i Birattoapdate, of ma + 2010 489 F8 <br /> a8CARNACION DAR f <br /> T 2 DALB -w LINO INC <br /> CHARLIE GRIST FL 33548 ■ <br /> GOVERNOR <br /> O'LAY AS REQUIREp 8Y LAW 8 8CARY IAGO <br /> I <br />
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