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Home My WebLink AboutFolio 2024-2026 Permit - CR 667627 CR 667627 - 9/24/2024 2C JIMMY PATRONIS CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS'COMPENSATION ** CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW** CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers'Compensation law. EFFECTIVE DATE: 5/30/2024 EXPIRATION DATE: 5/30/2026 PERSON: LEROY E WILKERSON EMAIL: LEROYWILKERSON954@GMAIL.COM FEIN: 452086930 BUSINESS NAME AND ADDRESS: LEROY WILKERSON PLUMBING LLC 5240 SW 20TH STREET HOLLYWOOD, FL 33023 This certificate of election to be exempt is NOT a license issued by the Department of Business and Professional Regulation. To determine if the certificate holder is required to have a license to perform work or to verify the license of the certificate holder, go to www.myfloridalicense.com. IMPORTANT:Pursuant to subsection 440.05(13),F.S.,an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter.Pursuant to subsection 440.05(11),F.S.,Certificates of election to be exempt issued under subsection(3)apply only to the corporate officer named on the notice of election to be exempt.Pursuant to subsection 440.05(12),F.S.,notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if,at any time after the filing of the notice or the issuance of the certificate,the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate.The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT E01937877 QUESTIONS?(850)413-1609 RULE 69L-6.012, F.A.C. REVISED 01/2023 BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT — _ 115 S.Andrews Ave., Rm.A-100. Ft. Lauderdale, FL 33301-1895—954-357-4829 VALID OCTOBER 1,2023 THROUGH SEPTEMBER 30,2024 DBA:LEROY WILKERSON PLUMBING LLC Receipt#: B irrG/LWN SPRHKL/CO + CT Business Name: Business Type: g Owner Name:LEROY E. WILKERSON Business Opened:01/29/2011 Business Location:27 N.W. 4 AVE State/CountyiCertlReg:10-CMMP-16554-X a DAN IA BEACH Exemption Code: ri Business Phone: Rooms Seats Employees Machines Professionals ,; 1 For Vending Business Only ol Number of Machines: Vending Type: X Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid - 27.00 0.00 0.00 0.00 0.00 0.00 27.00 Receipt Fee 27.00 Packing/Processing/Canning Employees 0.00 , a THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is non-regulatory in nature.You must it. ,all County and/or Municipality planning WHEN VAUDATED and zoning requirements.This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location.This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. - Mailing Address: LEROY E. WILKERSON Receipt 404R-22-00003264 27 N.W. 4 AVE Paid 08/02/2023 27.00 DANIA BEACH, FL 33004 r CERTIRCATE OF COMPETENCY oromamens /111 4,EROY E.WILKERSON 4 ASTER PLUMBER q vNr fA ` L�dS t may �. � yv 6 CC# 10-CMP-16554-X EXPIRES 2025-08-31 Scanned• CamS n er ° : . � Ron DeSantis,Governor Melanie S.Griffin,Secretary V.74 fb 4111, r STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD THE PLUMBING alitistTRACTOR HEREIN IS CERTIFIED UNDER THE PROVISIOK SVF CHAPTER 489 FL. 1APIIATUTES LEROY EMANUEL LEROY WILKERSON PLUMBING LLC 5240 SW 20TH STREET WEST PARK FL 33023 11111111 ' MOM' EXPIRATION DATE: AUGUST 31,2026 Always verify licenses online at MyFloridaLicense.com ❑ ;; ; E ISSUED:08/19/2024 t'•?>wr'*•' Do not alter this document in any form. 0 • •ot This is your license. It is unlawful for anyone other than the licensee to use this document.