Loading...
HomeMy WebLinkAboutSub Agreementffi Planning & Development Services Building & Code Regulation Division 2300 Virginia Ave Fort Pierce, FL 34982 772-462-1553 Fax 772-462-1578 t/c-il( ASBESTOS NOTTCE TO CONTRACTOR Date:r-20-2 I Contractor Name: Business Name: r Address dr City:.Tet t-art State: F/- Zip Code:39t f7 Re: Job Address: IOZ) f t. Ocart 0. frrtfen t?a*cA, Fl 3/7t7 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 accorda state and federal law sig n re & Date f-24-.21 PIil{v}lT #lSlliJir i.)iifFl I'},,\\\1 \{ ; Ji l}!._\'!,,8.(}1,\,1 t,.\'!' til,.l{\, I{.'1.:} ItuildinE & ( orlc ( ourplirrncc I)ir,isiorr Itl ll.l)l\(; I'lrltrll I\! ti-{ ( }\ I t{ \(' t {}t{ ,\(;lil:t.t\t t.t\ I *eo TunTlt Flr*i)rtg / 5/r/r fr0g t r.9 f *{r r*r<;d*Itlrr '-' lltl'Ltrl {o !rr.' ( { lr:r:r1"ra:r}' N l r r:,:,, I n rl i r it{u* I l\ a l:ic ),i:i P/"" b;'nq Suh-c..r'ucltir iirr. | '',,. ,,i t t:ttt,., J n fn;''// Ec /.r,t fuz r'4( 1 I)r'i ttrarv ( lorrf r;rr-:lor ) l)? ,/r;*-- 7<{*uL { {-.^{ } 1P; tr.jcct Stre *t .,\tirlr-r.'si rlt' I'r'rlpdi'tr' llrr: ID ., I,,7€-Zi. 5 -:-,t- fr r'4i t/a. ) l-' a?-"'7_)r{ 7 } .f ii is undcrstood lhat, ii'there is arry chan::c oi'st*tLls rcgardir-rg our parricipation lviLl: the above rncntiolieri pr*"i*rt- th* Uuildirrg anti []ode Rcgulatiorr [)ivisiorr oi-Sr. I_ucii-, (iounly rvill he aclviscd Srursuant trr thr: iiling ol' ;r {lhirrige ol' Sub-contrirctr:r llsticc. lior tl:* pro.icct Iccared at 5 I rl\I ;\.1 I 1'ru\l CBr t) 5-/? ;r/ )/ 7 .t-_7 " r,l \t) ( I l{rll l: \t,(}\, \l \llil t{ 5l*tl *l ["krritllr. {'urrn{r- *l' 'tr'trt* frrr*gcing icslrumrut *:* sig*trl htfrire mr' thirJ& ,tr.v ,rt tt*l*y -&d*rpn S,yni*l * ':1 llr, i1 l)i.!:rlIi]ll', l.rr,rrrll Ir' llrr p|ilrlrri.r rl :r f,Ertel* Dt= .r. itli'lttilir::riirrn. t t .\lt ti :;ilIilir1ilrt l'rtlrlit \l ti-{ il\ilt\( l(}:\ \ I t.l,ll 1(Jurrlilir,r ) (,#/.' isfr# &?rY:rc- r#grX:,5" I'llt\ I \ \\ll d{*d cr*- $$*/*{ t /)l \ I \'( l.lt I ltrt( \ I t()\ \t \llil.tt Stxlr {rl lillritla" ('uint1 r:l *-t i -*d- i -L 'I'lte lnrtgcitg inltrnme rrt r+a: sigrutl lre{irrt nir thit .} & , tt:r,- uf :r;?ir,'1,.r < v( '4.', , IZ- t : \r ltrl i\ li{,1'\r),1:lllr Lrrrr$ rt 1 ,S!,t hus prorlutt,tl rr - :t\ U l'rirrl \:rnrrl ,t \,rta y I'rrirlir "m-+a' .df:.::-%.-Ml MARYLEE MAfiIS Commission # HH 089498 Expires March 6,2025 Bondod Ihru BudgetNotary S€fliffi lrtlr ri'ril \otrrr l'rrhlir' l'rinl \;rrrre ol \ot;rrt l'rtltlir Ilrr isril I I rl6.2tlll; Notar!- Pull€ State 0t i:;ntidil Lrsa Bonura My Commrssicn cC 2?3725 Expires C5/3'1/20?2t'ffi \ t.\\1, { PTRMiT,?ISSUT DATfi !,$,,\'\5I.\( ; & I)F.\'1..6,()!l\!r.\'N' str,.R\,!(t;,.$ trluilrlinu & ( otle ( orrr;lli:rncc I)ir,isiolr Iil il,tlt\{; t,t,.t{\lt I\t'n-.'o\t't{ \("t'(}tt 1,(;lil.t.1il \ I ,1-avs E/orfrlco I 5e"nic c j>flire"rf rr-r * #-d d r*I) f-: /Jrtri fi1" L, ^z iravc agrcrri to bc { ('or.itpi1111, Narntrll;di vitliral Narnt} th*lr)c t Prittt;rry ('ctttractor) 2{ 5 (icE *rur fiR L*T 2 t S^ t'l-1,pr *1'1-rnrlL,i I:tr tirc pro-ic*t l*c;rtcd at { lrrtr.iect Stlcct Atl<lrcss ol Prrrpcrrv i'ax lD r,) I€61y g 51, S *f ?;5 ? r',;t\ l'5l I t.tf \t li.{- (\( l(rl{\l(;\\ll { (,}rtrlilir'r.i I'lit\ I \.1.\1 l'lu\ 1 \ 1\ll' { Ec /)\- /?g/)tzz3 | {}l \t1 tlt t{ilt. l{'\t,(}n, \{ \llilll{ \trrle rrl l;llritlit, (.rnln(t r', l'lri' tirrr:gning irl\trumrnt rrrl: signrrl befirrr. nt thii ;1,/r. rlr,r ot Iti"l l . tr3 Artn^hn,i-tn -, rr lxr is p*rs*rlll1' knor n _--or lr;rt prlrlurcd a :r e i{rt'ntiltr irti* fi . t ( !t '. I \ {il. li... II{}\ \l \lltl tt {*_ (-,r-1 /1 Statr rf Florirlx" (:ounry r,l' l,'f '.L*-.1,-, i -"' l he frrrrgring ifrstrunrrn{ rras rignrrl hctirr* ntc ttlir }.-?. rllr-r rf J\t a'";--1- I El*:da-D-t-.rr llo ir ltrt t0rtirll\ lr,l.,\1 ri,rJ rll irn\ Itrrlrlttcr(l :l :l\tiiic;r(iilil. s I \11t,Zl,_-- frF-\tJ r, rrrl tl \r,{rrr I}ttlrlir::aiililirtUl t.()t irrr hiir t'; inI 1rl \rrlJr'! l't!iliil #3 s i -1 MARY LEE MATTIS L r sa *:Lt1r L u fE*- # HH 089198 Expires March 6, 2025 BondedThtu Budget tlotary S*rioes I'r irrt \artrt,o! \otrtrr l'itltlit l{utisr:d I lrl&.ll!Ib Nctrry PtJbtlc State 'f Fliirlii'r Lraa Bonura ^^ ^^.,? ,.- Mv Commlg!'on (rt' zzJ' '" Finiro* oit3tt2o22 \ I \\I ,^l Siil"r-r,.rnrriicr(r' i ", "Ao/'d tut 5. ; lA /i. / r., / frc ) ,t<. l.* Lao It is rulclerstood that" ii'therc is iinv changc ol'slatirs rcgarrling {)L}r participation r,vitlr thc {ttror,e nlt:xtiorlc{! pril.iccl. t1:* Huilding and l'orle I{c{rLrlatirlri Division ol-St. [.ucie (-ountv rvill tre adviscrl pursuant to iire iilirrg t:f':r {..'lial'rge cf"Sub-eontril(lor n*1ice . ffi,"fa I Yk't , -rrd t^ t,r 5",xrsll"ia# - .L*-J\