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Building and Code Regulations Division
Permitting and Zoning
2300 Virginia Ave
Ft. Pierce, F134982
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
l.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):_1100 Dryer Road
4. Parcel Identification Number: 34-14-501-0713-2506
5. Lease Holders Name & Address: _Crown Castle
6420 Congress Ave
Boca Raton, FL 33487
Phone Number: 561-922-1230 Fax Number:
6. ID Number of Bond, Irrevocable Letter of Credit or Check: 674021314
7. Permit Number of Tower, Antenna or Antenna Array: ") " �)� � I
Pagel of 2
Cash, Security Fund, Irrevocable Letter of Credit or Bond to Secure Prior
Service Provider Information (If Replacement Bond):
1. Name: T-Mobile South LLC
2. Address: 1300 Concord Terrace Suite 200
Sunrise FL 33323
Phone Number: 239-776-5884 Fax Number:
3. Location of Tower (Address): 1100 D, e� r Rd_`Port St. Lucie, FL�
4. Parcel Identification Number: 34-14-501-0713-2506
5. Lease Holders Name & Address: Crown Castle
_6420 Congress Ave
Boca Raton, FL 33487
Phone Number: 561-922-1230 Fax Number:
6. ID Number of Bond, Irrevocable Letter of Credit or Check: 674021314
7. Permit Number of Tower, Antenna or Antenna Array: 1 Z- Oy1
1 /12/2009
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