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Code Compliance Division 2300 Virginia Avenue Ft. Pierce, FL 34982 Phone: (772) 462-1553 Fax: (772) 462-2522 http:/Istiucieco.gov/ce THIS IS NOT A RECEIPT Payment Slip Permit Date: 19 August 2008 Permit Number: SLC- 0807-0102 Building Residential (SFR) Contacts: Contractor DENEMARK DAVID (772) 216-6912 Fax (772) 344-2021 Property Owner FLOYD R SIMMONS (772) 332-4466 Fax ( ) - Job Address: 10701 S OCEAN DR 749 Fee Description: Amount Due: BIMS651 06-BIMS $5.00 Inspe234 06-Inspector Trust Fund $4.25 Permi685 06-Permit Fee - Residential & Commercial - New & Additions $637.00 Radon206 06-Radon Fee $4.25 Total Unpaid Fees: $ 650.50