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FEE - PAYMENT RECEIPTS
Code Compliance Division 2300 Virginia Avenue FL Pierce, FL 34982 Phone: (772) 462-1553 Fax: (772) 462-2522 http://stiucieco.gov/ce Date: 31 March 2008 Job Address: 1103 TILTON RD Received By: GERSTEML Paid With: CK Paid By: HEMMINGWAY HOMES INC Building Receipt SCANNED BY StlucieCounty Sign: Receipt#: 0000061837 'ermit Numbe • SLC- 0803-0272 Amount: $275.00 �redit Card Number: Check Number. 5612 Code Compliance Division 2300 Virginia Avenue FL Pierce, FL 34982 Fees/Pa ments ������ " y -- Phone: (772) 462-1553 Fax: (772) B � 462-2522 Code Type--*e - :Account.:• ^ Quantity Amount Address 11103 1 ITILTON - RD Owner(s) , William K Bessemer, Unit# City/ State /:Zip,PSLFL 34952 1•• ' Parcel # 3414-501=070A-000/3 luisdiction CTY Zoning RIM-5 -ot# uture Land Use Residential: Urban Subdivision $41 5501 - Block' APPLICATION•' Permit Type 'Building Residential (SFR) 0603-0272 ,pplication Type (Master Permit w/subs Other Issued Activity Type fNew ,} Stories L itomatic Sprinkler, System? Ej Pay Date Posted 'Paid? . Fee' fConcu692 06-Concurrency Fee 102 2415 341910 200 I$25.00 o41owom Concu692 06-Concurrency Fee 1022415 34 9910200- $25.00 •. 04/01/2008 PlanR741 06-Plan Review. -Single FamilyHorn 491 2415322000 200 ,'. $250:00 04/01I2008' Perrm685 06-Permit Fee - Residential & Comn 4912415 322000200 - $5,501,00 05105/2008, BIMS651 06-BIMS - 491 2415322050200 - $5.00" 05/05/2008 Radon206 06-Radon,Fee 6500001)208200000: $37.22 051 512008 Inspe234 06-inspector Trust Fund 650 0000'208201..000, $37.22 :. 0510512008 )ate Entered 03/26/2008 Dale Paid 03/31/2008 Entered By jhumphreya J, Historical? INo Receipt # ° Amount [ Date Posted 01000061837 $275.00'' 04/01/200s 0000062585 $55,580.44 05/05/2068 Yes,, Yes Yes Yes Yes Yes Paid By HEMMINGWAY HOMES, INC I -. " Payment Type CK •;•—; —� Check (CK), Cash (CA), Check'# 5655 Mastercard (MC), Visa (VS), Fee Waived (FW) Refund (RF),. Credit Card Number _ Reversal (RV) • 7redit.Card Authorization, Issued To HEMMINGWAY HOMES, INC Received By dimonb I, ' Date Paid 05/0512008 4 - $ 5,855.44 1 $5,855.44 $ 0.00 To refresh the balance, please click the i"• - - `Refresh Data' button at the top of the form I