HomeMy WebLinkAboutA2P0226A-Security Bond Document 20211229
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: T-Mobile South LLC
2. Address: 1300 Concord Terrance, Sunrise, FL 33323
Phone Number: ________________ Fax Number: _______________
3. Location of Tower (Address): 1578 Digiorgio Road, Fort Pierce, FL 34982
4. Parcel Identification Number: 2428-133-0001-0006
5. Lease Holders Name & Address: Silver Line Plastics Corp
900 Riverside Dr,
Asheville, NC 28804
Phone Number: 828-252-8755 Fax Number: ______________
6. ID Number of Bond, Irrevocable Letter of Credit or Check: 018224777
7. Permit Number of Tower, Antenna or Antenna Array: 2004-0619
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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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