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ii <br /> � STATE OF FLORIDA <br /> DEPARTMENT OF FINANCIAL SERVICES <br /> i DIVISION OF WORKERS'COMPENSATION <br /> CONSTRUCTION INDUSTRY <br /> � CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA <br /> � <br /> { WORKERS'COMPENSATION LAW ''�+.. <br /> EFFECTIVE: 11/22/2011 EXPIRATION DATE: 11/21/2013 <br /> � PERSON: DAVID W JOF�ISON <br /> i <br /> FEIN: 593583856 <br /> BUSINESS NAME AND ADDRESS: <br /> ' DAVID W 10HNSON/BUILDER INC <br /> DBA DAVID W JOHNSON/BUILDER INC. <br /> . 9504 FORT KING ROAD <br /> DADE CITY, Fl 33525 <br /> SCOPE OF BUSINESS OR TRADE: <br /> 1- Contractor-Eaacutiva 2- PROJECT MANAGEMENT <br /> 3- CONSTRUCTION MANAGEMENT 4- CERTIFIED GENERAL CONTRACTOR <br /> 3TATE OF FLORIDA A� '�'������ <br /> �l�P3�RT�d� t�� HIIS I�S S� �AN]`J <br /> PAOF��r�3� ��A'���N <br /> � <br /> :°_ . �, s <br /> C�C06�3��u` ,_ '�'� j���,0� it1fl0236$5 <br /> � '� <br /> CBRTIF'I�l. �r, � ,� CT-�.?R <br /> �'C��3N�t7�.-- I�,�F� I2�C <br /> D�'U'T�'? � �. <br /> :,-� ;f. <br /> �- �r . <br /> , . t _ <br /> ' I5 CF.itTIF�BD uaaor tho praviaions of Ch.489 a'8 <br /> ' s,��r�►tioa �auuce� 11Ui3' .81. Z€�112 T+1007,�3+UD4�2A <br /> � <br /> � <br /> [ <br /> i <br /> i <br /> ii <br /> ! <br /> � <br /> V <br /> � <br /> ,� <br /> ,� <br /> , <br /> �I <br /> i <br /> i <br /> �� <br /> i <br /> ; <br /> f <br /> i <br /> I <br /> � <br />