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HomeMy WebLinkAboutWater Permitsl. a STATE OF. FLORIDNPERMITAPPOCATION TO.CONSTRUGT. REPAIR;MODIFY; ORADANDON:A.WELL?; . _ Ugilvdsl "Worlliwe5t' PLEASEFlLLti+IYMLAPFSCABIE FIEl0.S,. CDanotss .Brsd F"ia!dn,"hare'Applicabld. ' c - °1) �Soulii:Flddda •$GY(dnn22 n'e.Msrowratx;�LmrFv._.a+Wrwmnp'erug, =1 Wli +r9YGwPrniaGP%zW.n 1, Ne Rorer TiLCjJLi?r�6L`�dLu�tyyNLL4S• +�„ or r QDFP• Qi7 CDelega(etl Auili'eritp. Rf Appricebla}•. of 11 Let --, SlaaR' - Unit - Chock lf62-524:_Y9s_No _:andscset soon -- Agrimllulei,irrigauon _ Sile'InvesOgeuon '--' p nig _Reaealon Preatrttgall'on Ltves`lotl%" _Monitodngj' " =Nuaerylrrpa0on _lest, A rN1 imunityoror Non-CommumlyrDEP) Commerd&ndushcal _Earlh-Coupled'Geolhemwl JUN I B 2�GV - GoltCourselidgauoN _=AC Supply. ) " 77. _AyeifarSlonga.endRewvery_Drelnage _ I { Open Hot*: fi?m=To_ft 'Primary Cestng Materiel _ Sfeok Steel �Galvadrsed _PVG _. Sle1Ne55 Sleet. _NolCased, __Outer, _ - — - SecanCary.Casing; _. Telescope Cactng�=Linea _6udaca Casing Dtemeler_In.. Saconday,Ccsthg Material' ...... BlacSleer—GWInlzed_PVC._Slainless'Sleel _Other- — - MalhodolCon@frucdon, Repeir,-orAbandonmsnk Auger �Cabla obl Jeued, _Rotary =Son)c: Cambinalton (Two or More MellicQ Harid Driven (Well Pauy Sand Point) _Hydwullc P61_nt(Dlreo(' Push) -_HOraongll)dlling; _PNgged!oy'Appmvetl McNod. _Cifisr;D"w — -- - From 70 9eal Materlel Bentomis=Nest Cemsn Olhar IndimtetotainumberofmisUngwegsonslle Q UstnumberofaamengunwedweAe,onatlo: •lsthis %yell arenyedseng)vall arwalervndPinwal an the oeners mnbgueue Prop" covered undera ConmunpdvslWaler Use Pemdl(CUPAVUP)' I cr CUPIWUPAppllmtlan4, YvaG lryes.comp)ete Utefollmringt CUPMlUP. No: - Dismal Weg iD,No. - - - Oral Gmrted SS-:N`^'� ISeee biteQ(,�'j�Ev�rJUgl Dlli •L(��•eec,.u4 �nPWura.T R. aMC e � R�oiplNe: - CnocT Nu: - r ve.c •,rmvn. mf.u::r'JR%:CFGrV. J.Cr1nYGN A[T.HDRITFOOFFlCERORiiEatiCY.a��iA1�tYE OFC}1EWIdD,GRDEIEGPTFDAV:HORTY.,Kul ' Yi i4`nF�i1—'/3 r St. Lucie County Health Department io4y41 cl 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: #:56-SF-2086329 GILL DOC#:56-BID-4705229 CONSTRUCTION APPLICATION#: AP1506523 RECEIVED FROM: Reliable Treasure Coast Services Seoti AMOUNT PAID: $ 430.00 PAYMENT FORM: CREDIT CARD 223371 PAYMENT DATE: 05/27/2020 MAIL TO: Clayton and Melea Bell FACILITY NAME: PROPERTY LOCATION: 5242 Slash Pine Trl Fort Pierce, FL 34951 Lot: Block: Property ID: 1407-343-0025-000-7 EXPLANATION or DESCRIPTION: QUANTITY FEE 128 - OSTDS Construction System Inspection Research.Fee 1 $ 5.00 -1 - Surcharge (All) 1 $ 45.00 -1 - OSTDS New Permit Surcharge 1 $ 100.00 -1 - OSTDS Construction Application and Plan Review,New 1 $ 100.00 126 - OSTDS Construction Permit (New or Mod, Amendment) 1 $ 55.00 127 - OSTDS Construction System Inspection 1 $ 75.00 133 - OSTDS Construction Reinspection 1 $ 50.00 RECEIVED BY: MontanezNM AUDIT CONTROL NO. 56-PID-4418909