HomeMy WebLinkAboutWater Permit ApplicationSt. Lucie County Health Department
HEALTH 5150 NW Milner Dr Port Saint Lucie, FL 34983
PAYING ON: #:56-SF-2055307 SILL Dog#:56-BID-4624076 CONSTRUCTION APPLICATION#: AP1478697
RECEIVED FROM: Wallace T. Lonq AMOUNT PAID: $ 660.00
PAYMENT FORM: CHECK 1088 PAYMENT DATE: 04/13/2020
MAIL TO: Wallace T. Long
FACILITY NAME: _
PROPERTY LOCATION:
2635 S Brocksmith Rd
Fort Pierce, FL 34945
Lot:
Block: 3
Property ID: 2320-501-0034-000.4
EXPLANATION or DESCRIPTION: QUANTITY FEE
128 - OSTDS Construction System Inspection Research Fee 1 $ 5.00
-1 - Surcharge (All)
-1 - OSTDS New Permit Surcharge
-1 - OSTDS Construction Application and Plan Review,New
123 - OSTDS Construction Site Evaluation
126 - OSTDS Construction Permit (New or Mod, Amendment)
127 - OSTDS Construction System Inspection
133 - OSTDS Construction Reinspection
-1 - Well Construction
RECEIVED BY: MontanezNM
1 $
45.00
1 $
100.00
1 $
100.00
1 $
115.00
1 $
55.00
1 $
75.00
1 $
50.00
1 $
115.00
AUDIT CONTROL NO. 56-PID-4356063