HomeMy WebLinkAbout5800245 Security Bond Document SLC5800245 TMO-700
COUNTY`
F L O
R 1 D A- --
Building and Code Regulations Division
Permitting and Zoning
2300 Virginia Ave
Ft. Pierce, Fl 34982
772-462-1553
Cash Security Fund, Irrevocable Letter of Credit or Bond to Secure Cost of
Removing an Antenna, Antenna Array or Tower
Service Provider Information
1.Name: T-Mobile
2. Address: 1300 Concord Terrace Suite 200, Sunrise, FL 33323
Phone Number: 239-776-5884 Fax Number:
3. Location of Tower (Address):_ 5041 ST. LUCIE BLVD. FT. PIERCE
FL. 34996
4. Parcel Identification Number: 1431-211-0001-000-2
5. Lease Holders Name & Address: T-Mobile, 1300 Concord Terrace Suite
200. Sunrise. FL 33323
Phone Number: 561-922-1230 Fax Number:
6. ID Number of Bond, Irrevocable Letter of Credit or Check: 674021315
7. Permit Number of Tower, Antenna or Antenna Array: _ 1509-0324
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5800245 TMO-700
Cash, Security Fund, Irrevocable Letter of Credit or Bond to Secure Prior
Service Provider Information (If Replacement Bond):
1. Name:
2. Address:
Phone Number: Fax Number:
3. Location of Tower (Address): 5041 ST. LUCIE BLVD. FT. PIERCE, FL.
34996
4. Parcel Identification Number: 1431-211-0001-000-2
5. Lease Holders Name & Address: T-Mobile, 1300 Concord Terrace Suite
200, Sunrise, FL 33323
Phone Number: 561-922-1230 Fax Number:
6. ID Number of Bond, Irrevocable Letter of Credit or Check: 674021315
7. Permit Number of Tower, Antenna or Antenna Array: 1509-0324
1/12/2009
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