HomeMy WebLinkAboutSERVICE PROVIDER INFORMATIONr
RECEI': "D NDV 23
SCANNtL,
Building and Code Regulations Division BY
Permitting and Zoning St. Lurie Count,
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
1. Name: SAFECO INSURANCE COMPANY OF AMERICA
2. Address:
Phone Number: 617-357-9500 Fax Number: N/A
3. Location of Tower (Address): 1401 Swain Rd Fort Pierce FL 34947
4. Parcel Identification Number: 2418-242-0001-000-0
5. Lease Holders Name & Address: T-Mobile South, LLC
1300 Concord Terrace Suite 200
Sunrise, FL 33323
Phone Number: 954-514-8020 Fax Number: N/A
6. ID Number of Bond, Irrevocable Letter of Credit or Check: 6592627
7. Permit Number of Tower, Antenna or Antenna Array:
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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:
3. Location of Tower (Address):
4. Parcel Identification Number:
5. Lease Holders Name & Address:
Phone Number:
Fax 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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