{"id":1552,"date":"2021-01-01T18:05:41","date_gmt":"2021-01-01T22:05:41","guid":{"rendered":"https:\/\/villageofdennison.org\/?page_id=1552"},"modified":"2023-05-01T23:09:42","modified_gmt":"2023-05-02T03:09:42","slug":"permit-fee","status":"publish","type":"page","link":"https:\/\/villageofdennison.org\/permit-fee\/","title":{"rendered":"Pay A Fee"},"content":{"rendered":"<div class='fluentform ff-default fluentform_wrapper_12  ff_guten_block ffs_default_wrap'><form data-form_id=\"12\" id=\"fluentform_12\" class=\"frm-fluent-form fluent_form_12 ff-el-form-top ff_form_instance_12_1 ff-form-loading ff_has_stripe_inline fluentform_has_payment ffs_default\" data-form_instance=\"ff_form_instance_12_1\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">Pay a Fee<\/legend>        <span style=\"display: none !important;\"><input type=\"checkbox\"\n                name=\"item__12__fluent_checkme_\"\n                value=\"1\" style=\"display:none !important;\" tabindex=\"-1\" aria-hidden=\"true\"><\/span>\n        <input type='hidden' name='__fluent_form_embded_post_id' value='1552' \/><input type=\"hidden\" id=\"_fluentform_12_fluentformnonce\" name=\"_fluentform_12_fluentformnonce\" value=\"d669de82d7\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/wp-json\/wp\/v2\/pages\/1552\" \/><div data-type=\"name-element\" data-name=\"names\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_12_names_first_name_' aria-label=\"First Name\">First Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[first_name]\" id=\"ff_12_names_first_name_\" class=\"ff-el-form-control\" placeholder=\"First Name\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_12_names_last_name_' aria-label=\"Last Name\">Last Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[last_name]\" id=\"ff_12_names_last_name_\" class=\"ff-el-form-control\" placeholder=\"Last Name\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_12_email' aria-label=\"Email (for receipt)\">Email (for receipt)<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_12_email\" class=\"ff-el-form-control\" placeholder=\"Email Address\" data-name=\"email\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_12_input_text' aria-label=\"Fee Type\">Fee Type<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text\" class=\"ff-el-form-control\" data-name=\"input_text\" id=\"ff_12_input_text\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_12_custom-payment-amount' aria-label=\"Fee Amount\">Fee Amount<\/label><\/div><div class='ff-el-input--content'><div class=\"ff_input-group\"><div class=\"ff_input-group-prepend\"><span class=\"ff_input-group-text\">$<\/span><\/div><input type=\"number\" name=\"custom-payment-amount\" id=\"ff_12_custom-payment-amount\" class=\"ff-el-form-control  ff_payment_item\" placeholder=\"XXX\" data-payment_item=\"yes\" data-name=\"custom-payment-amount\" inputmode=\"decimal\" step=\"any\" min=\"10\" aria-valuemin=\"10\" max=\"500\" aria-valuemax=\"500\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"Online Payment Convenience Fee\">Online Payment Convenience Fee<\/label><\/div><div class='ff-el-input--content'><input type=\"hidden\" id=\"ff_12_payment_input\" name=\"payment_input\" value=\"1\" class=\"ff_payment_item\" data-payment_item=\"yes\" data-payment_value=\"1\" ><span class=\"ff_item_price_wrapper\"><span class=\"ff_product_price_label\">Price:<\/span> <span class=\"ff_product_price\">$1.00<\/span><\/span><\/div><\/div><div class='ff-el-group  ff-payment_summary_component' data-name=\"payment_summary_component-12_1\" ><div class=\"ff_dynamic_value ff_dynamic_payment_summary\" data-ref=\"payment_summary\"><div class=\"ff_payment_summary\"><\/div><div class=\"ff_payment_summary_fallback\">No payment items has been selected yet<\/div><\/div><\/div><div class=\"ff-name-address-wrapper fluent-address\" data-type=\"address-element\" data-name=\"address_1\" ><div class='ff-el-input--label'><label aria-label=Address of Worksite>Address of Worksite<\/label><\/div><div class='ff-el-input--content'><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_12_address_1_address_line_1_' aria-label=\"Address Line 1\">Address Line 1<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[address_line_1]\" id=\"ff_12_address_1_address_line_1_\" class=\"ff-el-form-control\" placeholder=\"Address Line 1\" data-key_name=\"address_line_1\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_12_address_1_address_line_2_' aria-label=\"Address Line 2\">Address Line 2<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[address_line_2]\" id=\"ff_12_address_1_address_line_2_\" class=\"ff-el-form-control\" placeholder=\"Address Line 2\" data-key_name=\"address_line_2\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_12_address_1_city_' aria-label=\"City\">City<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[city]\" id=\"ff_12_address_1_city_\" class=\"ff-el-form-control\" placeholder=\"City\" data-key_name=\"city\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_12_address_1_state_' aria-label=\"State\">State<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[state]\" id=\"ff_12_address_1_state_\" class=\"ff-el-form-control\" placeholder=\"State\" data-key_name=\"state\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_12_address_1_zip_' aria-label=\"Zip Code\">Zip Code<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[zip]\" id=\"ff_12_address_1_zip_\" class=\"ff-el-form-control\" placeholder=\"Zip\" data-key_name=\"zip\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group ' ><div class='ff-el-input--content'><div data-fluent_id='12' name='h-captcha-response'><div\n\t\tdata-sitekey='1cc8b362-fe34-40fb-88d6-942ec1d0a2b0'\n\t\tid='fluentform-hcaptcha-12'\n\t\tclass='ff-el-hcaptcha h-captcha'><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class='ff-el-input--content'><input name=\"payment_method\" type=\"hidden\" value=\"stripe\" data-name=\"payment_method\" class=\"ff-el-form-check-input ff_payment_method ff_selected_payment_method\" ><div class=\"stripe-inline-wrapper ff_pay_inline ff_pay_inline_stripe\" style=\"display: block\"><div class=\"ff-el-input--label\"><label for=\"payment_method_12_1_stripe_inline\">Pay with Card (Stripe)<\/label><\/div><div name=\"stripe_card_element\" class=\"ff_stripe_card_element ff-el-form-control\" data-wpf_payment_method=\"stripe\" id=\"payment_method_12_1_stripe_inline\" data-checkout_style=\"embedded_form\" ><\/div><div class=\"ff_card-errors text-danger\" role=\"alert\"><\/div><\/div><\/div><\/div><div class='ff-el-group ff-text-left ff_submit_btn_wrapper'><button type=\"submit\" class=\"ff-btn ff-btn-submit ff-btn-md ff_btn_style\" >Submit Fee Payment<\/button><\/div><\/fieldset><\/form><div id='fluentform_12_errors' class='ff-errors-in-stack ff_form_instance_12_1 ff-form-loading_errors ff_form_instance_12_1_errors'><\/div><\/div>        <script type=\"text\/javascript\">\n            window.fluent_form_ff_form_instance_12_1 = {\"id\":\"12\",\"settings\":{\"layout\":{\"labelPlacement\":\"top\",\"helpMessagePlacement\":\"with_label\",\"errorMessagePlacement\":\"inline\",\"asteriskPlacement\":\"asterisk-right\"},\"restrictions\":{\"denyEmptySubmission\":{\"enabled\":false}}},\"form_instance\":\"ff_form_instance_12_1\",\"form_id_selector\":\"fluentform_12\",\"rules\":{\"names[first_name]\":{\"required\":{\"value\":true,\"message\":\"This field is required\"}},\"names[middle_name]\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"names[last_name]\":{\"required\":{\"value\":false,\"message\":\"This field is 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