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Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772462-1553 Fax 772-462-1578
ASBESTOS NOTICE TO CONTRACTOR
Date: H—X _ 1
Contractor Name: -JO k A, Q 'do Kooell
Business Name: O ",,�.e
Address:
City: -f-v'*4 State: ><�
Zip Code: 3 Y-9'4�
Re: Job Address: e.- 4Lzed
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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nature & Date