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Planning & Development Services
fi r' Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-1553 Fax 772-462-1;578
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ASBESTOS NOTICE TO CONTRACTOR
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12/22/17
Date:
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Contractor Name•• Blue Goose Construction LLC
Business Name: Blue Goose Construction ,
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Address:
9901 Okeechobee Road
City: Fort Pierce State: FL
Zip Code: 34945
Re: Job Address: 4405 GARNER CT Fort Pierce, FL 34947
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It is your responsibility to comply with the provisions of Section 469., 03, 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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Signature & Date
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