HomeMy WebLinkAboutinspection doc i
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;_ Planning & Development Services
I -5 = Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-1553 Fax 772-462-1578
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ASBESTOS NOTICE TO CONTRACTOR
Date: 3 17
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Contractor Name:
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Business Name:
VAj
Address: _
City: State:
Zip Code:
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Re: Job Address: ��� ��F �t"1'�l'�C�. �1ST 6\-rd—
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It is your responsibility to comply with the provisions of Section 469.003, Florida Statutes
and to notify the Department of Environmental Protection of any intentions to remove
asbestos when applicable in accordance with state and federal law.
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Signatu & ate
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