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RECIEPT - PAYMENT SLIP
Code Compliance Division 2300 Virginia Avenue Ft Pierce, FL 34982 Phone: (772) 462-1553 Fax: (772) 462-2522 http://stiucieco.gov/ce Date: 27 December 2006 JoFX-ddress: 12010 RIVERBEND RD Received By: coueselb Paid With: CK Building Receipt Paid By: JAMES C PEARSON- RELGA M PEARSON Sign: SCANNED BY St. LucieCounty Receipt#: 0000049340 'ermit Number. SLC- 0612-0244 Amount: $335.00 ::redit Card Number: Check Number: 6372 i Code Compliance Division 2300 Virginia Avenue Ft. Pierce, FL 34982 Phone: (772) 462-1553 Fax: (772) 462-2522 http:l/stlucleco.gov/ce THIS IS NOT A RECEIPT --Permit Number: SLC. 0612-0244 Contacts: •Property Owner Owner Builder Property Owner Job Address: 12010 RIVERBEND RD Payment Slip SCANNED BY st. Lude Comb Permit Date: 22 December 2006 HELGA M PEARSON Fax JAMES C PEARSON Fax JAMES C PEARSON Fax Dock/Sea Wail (773)383.9005 (772)344-3316 Fee Description: Amount Due: BIMS651 06-BIMS $5.00 Perm1685 06-Permit Fee - Residential & Commercial - New & Additions $165.00 Perm1693 06-Permit Fee - Double Fee - Construction w/out Permit $165.00 Total Unpaid Fees: $ 335.00