HomeMy WebLinkAboutA2P0038B - Security Bond Document.doc 2109-0134
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: ___SBA Communications_________________________________
2. Address: 8051 Congress Avenue Delary Beach, FL 33487____________
_____________________________________________________
Phone Number: _561 226-9287____ Fax Number: ___N/A________
3. Location of Tower (Address):_____375 E Midway Road______________
4. Parcel Identification Number: __3403-502-0055-020-3_______________
5. Lease Holders Name & Address: ___SBA Towers II LLC___________
_____8051 Congress Avenue ________
_____Boca Raton, FL 33487_________
Phone Number: _561-226-9287_____ Fax Number: ______________
6. ID Number of Bond, Irrevocable Letter of Credit or Check: _070008906_
7. Permit Number of Tower, Antenna or Antenna Array: _2107-0702_____
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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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