HomeMy WebLinkAboutWeel Application ConstructionSTATF OF FLORIDA PERMIT APPLICATION TO CONSTRUCT.
REPAM, MODIFY, Gq ABANDON A WELL
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County
HEALTH
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HEALTH
PAYING ON:
RECEIVED FROM:
PAYMENT FORM:
St. Lucie County Health Department
5150 NW Milner Dr Port Saint Lucie, FL 34983
#: 56-SF-2411354 BILL HOC #:56-BID-5658522 CONSTRUCTION APPLICATION #: AP1758088
Ashton AMOUNT PAID: $ 660.00
CREDIT CARD . 019987 PAYMENT DATE: 10/19/2021
MAIL TO: Ron Raymond
FACILITY NAME:
PROPERTY LOCATION:
TBD Southwind Trl
Fort Pierce, FL 34951
Lot: Block:
Property ID: 1407-341-0005-000-5
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
123 - OSTDS Construction Site Evaluation
1
$
115.00
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
-1 - Well Construction
1
$
115.00
RECEIVED BY: AdamsC AUDIT CONTROL NO. 56-PID-5322369
Note: w/well #59-326'17