HomeMy WebLinkAboutD O H - PAYMENT RECEIPT1 ^
HEALTH
PAYING ON:
RECEIVED FROM:
i
PAYMENT FORM:
St. Lucie County Health Department,
5150 NW Milner Dr Port Saint Lucie, FL 34983
Pegm�r #. 56-SF-1863336 W LL Doc #:56-130-3828462 CONSTRUCTION APPLICATION k: AP1366363
Patsi Meltzer AMOUNT PAID: $ 515.00
CHECK 4644 PAYMENT DATE: 07/16/2018
MAIL TO: (PLIN Construction Consulting LLC)
SC iVED
Sy
at Lucie County
FACILITY NAME:
PROPERTY LOCATION_;
Tb'd Southwind TrI
Fort Pierce, F1. 34951
Lot: Block:
;Property ID_ 1407-432-0003-OOM
EXPLANATION or DESCRIPTION:
QUANTITY FEE
128 - OSTDS Construction System Inspection Research Fee
1
$ 5.00
-1 - Surcharge (All)
1
$ 15.00
-1 - OSTDS New Permit Surcharge
1
S 100.00
-1 - OSTDS Construction Application and Plan Review,New
1
S 100.00
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123 - OSTDS Construction Site Evaluation
1
$ 115.00
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126 - OSTDS Construction Permit (New or Mod, Amendment)
1
$ 55.00
127 - OSTDS Construction System inspection
1
$ 75.00
133 - OSTDS-Constructibn
Reinspection
1
$ 50.00
RECEIVED BY: VanceMH AUDIT CONTROL NO. 56-PID-3620252
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