HomeMy WebLinkAboutAPPROVED, Security Bond
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: ___Verizon Wireless ________________________________
2. Address: _7701 Telecom Parkway, Tampa, FL 33627________________
_____________________________________________________
Phone Number: _410-952-3860 Paul Bailey/Agent Fax Number: ________
3. Location of Tower (Address): 3100 North A1A, Fort Pierce 34949
4. Parcel Identification Number: _1425-606-0083-000-3_Rooftop________
5. Lease Holders Name & Address: _Verizon Wireless_________________
__7701 Telecom Parkway_____________
__Tampa, FL 33627_________________
Phone Number: _410-952-3860 Paul Bailey/Agent Fax Number: ______
6. ID Number of Bond, Irrevocable Letter of Credit or Check: _K09342722
7. Permit Number of Tower, Antenna or Antenna Array: 2106-0511 _____
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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: __________________ 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: ________________
1/12/2009
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