HomeMy WebLinkAboutMiramar I Condominium_178245_Security Bond Form_2021-04-29
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: ______________________________________________________
2. Address: ____________________________________________________
_____________________________________________________
Phone Number: ________________ Fax Number: _______________
3. Location of Tower (Address):___________________________________
4. Parcel Identification Number: ___________________________________
5. Lease Holders Name & Address: ________________________________
__________________________________
__________________________________
Phone Number: __________________ Fax Number: ______________
6. ID Number of Bond, Irrevocable Letter of Credit or Check: ___________
7. Permit Number of Tower, Antenna or Antenna Array: _______________
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Verizon Wireless
4700 EXCHANGE CT, BOCA RATON, FL 32667
916-385-4266
9950 South Ocean Drive, Jensen Beach, FL 34957
4502-703-0000-000-1
Verizon Wireless
4700 EXCHANGE CT, BOCA RATON, FL 32667
916-385-4266
K09342539
TBD