HomeMy WebLinkAboutAsbestos noticeTZ4&4�� / J j -051.a�
_ Punning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort fierce, FL 34982
772462-1553 Fax 772462-1578
ASBESTOS NOTICE TO CONTRACTOR
Date: I I 4 bo-
Contractor Name: 0 "aL':a/cif
Business Name: --4j _
Address: 1 rVLr g—
City: _C--b Gl) A State: FL -
Zip Code: 3,L�2:,L
Re. Job Address:
It is your responsibility to complywith the provisions of Section 469.003, Florida Statutes
and to notify the Department of Environmental Protection of any intentions to remove
asbesto en applicable in accordance With state and federal law.
Signature & Date