HomeMy WebLinkAboutAsbestos NoticeCOUNTY
F
L
O R I D A
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-1553 Fax 772-462-1578
ASBESTOS NOTICE TO CONTRACTOR
Date: /0—; / —;- 0
Contractor Name: /'q / ;11-
Business Name: '" h ,`/le -
Address: i W ea6 e
City: ,Te SLt q Ue.4 C �-1 State: is .
Zip Code: j 4/y �77
Re: Job Address: li�9/2 J ,J . Oce o Of - 7* 4/ /
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.
Sig ature & Date
Adam Smith Service Inc.
661 NE Spencer St.
Jensen Beach, FL 34957
adamsmithinc@yahoo.com
ph. 772-232-2566 fax 772-232-2191
Carol Mugnano
11109 Old Trail Rd
North Huntingdon PA 15642
Contract
Invoice Number: 10719
Issue Date: 10/26/2020
Due Date: 1 1 /25/2020
Qty
Item
Description
Unit Price
Total
1
tdlh
Tear down, load, and haul mobile home and FL room from
$1,900.00
$1,900.00
lot 499 Holiday Out including all permit and landfill fees
1
sb
Sign bottom and return for acceptance of proposal
$0.00
$0.00
Subtotal
$1,900.00
Total Amt
$1,900.00
Balance Due
$1,900.00
Thank you for your business.