HomeMy WebLinkAboutWell Permit,.:.fir'
a St. Lucie County Health Department
RUM 5150 NW Milner Dr Port Saint Lucie, FL 34983
HEALTH
PAYING ON: #• 56-SF-2310403 BILL DOC# 56-BID-5356845 CONSTRUCTION APPLICATION #: AP1679492
RECEIVED FROM:. Rebecca _Percy AMOUNT PAID: $ 545.00____
PAYMENT FORM: CREDIT CARD 00937E PAYMENT DATE: 06/09/2021
MAIL TO: Rebecca Percy
FACILITY NAME:
PROPERTY LOCATION:
5321 S Header Canal Rd
Port Saint Lucie, FL 34987
Lot:
Block:
Property ID: 3211-111-0004-000-6
EXPLANATION or DESCRIPTION:
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
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
.V: -coo COP"(
RECEIVED BY: AdamsC AUDIT CONTROL NO. 56-PID-5039957
Note: Well Permit#59-32152
St. Lucie County Health Department
5150 NW Milner Dr Port Saint Lucie, FL 34983
PAYING ON: a siLLDoc #•56-BID-5356869
RECEIVED FROM: American Drillinq 2411 AMOUNT PAID: $115.00
PAYMENT FORM: CREDIT' CARD 00937E PAYMENT DATE: 06/09/2021
MAIL TO: American Drilling 2411
Port Saint Lucie FL 34987
FACILITY NAME: American Drilling 2411
PROPERTY LOCATION:
Port Saint Lucie FL 34987
Lot: Block:
Property ID:
EXPLANATION or DESCRIPTION: QUANTITY FEE
-1 - Well Construction 1 $ 115.00
its r'op'y
RECEIVED BY: AdamsC AUDIT CONTROL NO. 56-PID-5039962
Note: 59-32152 - 5321 S Header Canal