HomeMy WebLinkAboutSLC Health Dept Receipt'k u, St. Lucie County Health Department
5150 NW Milner Dr Port Saint Lucie, FL 34983,
HEALTH
PAYING ON: #: 56-SF-2138532 BILL DOC #:56-BID-4900365 CONSTRUCTION APPLICATION #: AP1552189
RECEIVED FROM: Alexander J. Piazza PSM, Inc AMOUNT PAID: $ 660.00
PAYMENT FORM: CREDIT CARD 001346 PAYMENT DATE: 08/17/2020
MAIL TO: (Port St. Lucie Properties, Inc)
FACILITY NAME:
PROPERTY LOCATION:
TBD Marie Rd
Fort Pierce, FL 34945
12 & 13
Lot:
Property ID: 2311-601-0097-000-2
EXPLANATION or DESCRIPTION:
6
Block:
128 - OSTDS Construction System Inspection Research Fee
-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
QUANTITY
FEE
1
$
5.00
1
$
45.00
1
$
100.00
1
$
100.00
1
$
115.00
1
$
55.00
1
$
75.00
1
$
50.00
1
$
115.00
11
RECEIVED BY: MontanezNM AUDIT CONTROL NO. 56-PID-4566933