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PAYMENT SLIP
Coe liance Division / Avenue Payment Slip 230 Virginia �0p U Ft. Pierce, FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1148 THIS IS NOT A RECEIPT Permit Date: 17 February 2006 Permit Number: SLC- 0509-0906 Building Commercial Contacts: Property Owner BILTMORE COMMERCIAL PARK (305) 883-9878 Contractor SANCHEZ ELLIS A (305) 883-9878 Job Address: OLEANDER AVE I Fee Description: Amount Due: BIMS163 BIMS $2.00 FireE141 Fire/EMS Impact Fee $1,107.45 Inspe234 Inspector Trust Fund $51.75 LawEn277 Law Enforcement Impact Fee $517.50 Permi44 Permit Fee - Warehouses $3,759.00 Publi118 Public Bldg Impact - Corr $614.10 Publi605 Public Blding Impact - Gen $307.05 Radon206 Radon Fee $51.75 Roadl430 Road Impact Fee - District 3 $4,771.35 Total unpaid Fees: I $ 11,181.95