HomeMy WebLinkAboutService Bond InformationBuilding 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:
2. Address: Oely-e
/ANTa iv-.i FL 3332�
Phone Number: <6 / �Sl - Fax Number:
3. Location of Tower (Address): A//O / �j le /V
ire6,/17
4. Parcel Identification Number: 2 "3U 6 - t I \ - U ooZ- ® o'D 6
5. Lease Holders Name & Address: dl.-tr
8601 C1/Csi
Phone Number: f6(- z/1/- 7�V ?� Fax Number:
6. ID Number of Bond, Irrevocable Letter of Credit or Check: 179py6 10
7. Permit Number of Tower, Antenna or Antenna Array:
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Cash, Security Fund, Irrevocable Letter of Credit or Bond to Secure Prior
Service Provider Information (If Replacement Bond):
1. Name:
2. Address:
Phone Number:
3. Location of Tower (Address):
4. Parcel Identification Number:
5. Lease Holders Name & Address:
Phone Number:
Fax Number:
Fax Number:
6. ID Number of Bond, Irrevocable Letter of Credit or Check:
7. Permit Number of Tower, Antenna or Antenna Array:
1/12/2009
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