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•23 0N.Ir l*a.Ave
p
Fort Pie i m,.VL 34992 ..
772-462-x5.53 Fax 772-462- 578
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Date, - 08/27/18
C6ritractor Name: •MATTHEW LAE WYNNE
.13.usin.bss flame: ,WYNNE.BUILDING CORP.
Address:- .800.0 SOUTH US.HWY. I. SUITE 402
PORT ST. LUCIE FL
City: State:
Zip Code; 34952
Re: Job Address: 16 Reforma Lane
It is your responsibility to comply'with the.prodisions 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:federallaw..
I Signature-&.Date