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2010 -2011 HILLSBOROUGH COUNTY BUSINESS TAX RECEIPT EXPIRES 9 - 2011 FOLIO NO <br /> i PACIUTIES OR MACHINES I ROOMS SEAT$ EbtPLOYEE3 <br /> 0 0 0 2 RENEWAL I 202559.0000 <br /> OCC. CODE BUSINESS TYPE �' TAX SURChiARGE 201 1 090.010 GENERAL CONTRACTOR - 40.00 18.00 <br /> 090.030 UNDER TOR 18.00 <br /> BUSINESS 360 BLANCA AVE <br /> LOCATION TAMPA 33606 <br /> NAME MOURTOS KENNETH A <br /> MAILING GTB BUILDERS LLC <br /> ADDRESS 1706 LARABIE CT <br /> BRANDON FL 33511 <br /> BUSINESS TAX RECEIPT DOUG BELDEN, TAX COLLECTOR PAID -19941 -85 <br /> 4AS HEREBY PAIOAPRtve.tGETAXTOENGAGE 813 -635 -5200 08/11!2010'"' 76.00 <br /> IN BUSINESS, PROFESSION. CR OCCUPATION OPECFJE0 HEREON. THIS BECOMES A TAX RECEIPT WHEN VALIDATED. <br /> • FF:- s*�t -i�{ <br /> 12 -08 -2009 <br /> ALEX SINK STATE OF FLORIDA <br /> CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES <br /> DIVISION OF WORKERS' COMPENSATION <br /> * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * <br /> CONSTRUCTION INDUSTRY EXEMPTION <br /> This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. <br /> EFFECTIVE DATE: 12/08/2009 EXPIRATION DATE: 12/08/2011 <br /> PERSON: MOURTOS KENNETH A <br /> FEIN: 208870779 <br /> BUSINESS NAME AND ADDRESS: <br /> GTE BUILDERS LLC <br /> 360 BLANCA AVENUE <br /> TAMPA FL 33606 <br /> SCOPES OF BUSINESS OR TRADE: <br /> 1- REMODELING 2- CERTIFIED GENERAL CONTRACTOR <br /> 3- EXCAVATION 4- CERTIFIED UNDERGROUND UTILITIE <br /> IMPORTANT: Pursuant to Chapter 440 . 05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certlllett* of election larder this <br /> section nay not recover benefits or compensation ender this chapter. Pursuant to Chapter 440.051121, F.S., Comilicutes of election le be exempt... apply ally within the <br /> scope el the business or trade listed on the malice al election to be exempt. Persian! to Chapter 440.05(13). F.S.. Notices of election to be exempt and certificates of <br /> election to be exempt shell be subject to revocation if, at any time after the tiling of the notice or the issuance of the certificate, the person rented Si the notice or <br /> certificate no longer meets the requirements of this section ter isseace of a certificate. The department shall revoke a certificate at any time tar fa flare of the person <br /> named ON the certificate to meet the requirements of this setafon. <br /> QIJESTIONS7 (850) 413 -1609 <br /> DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09-06 <br /> bd d8ZZ0LLLZUef <br />