HomeMy WebLinkAboutSLC HEALTH DEPT RECEIPT- ♦ t
HEALTH
PAYING ON:
RECEIVED FROM:
PAYMENT FORM:
St. Lucie County Health Department
5150 NW Milner Dr Port Saint Lucie, FL 34983
PERMIT #: 56-SF-1880424 BILL DOC #:56-BID-3976270 CONSTRUCTION APPLICATION #: AP1366216
Alexander J. Piazza PSM, Inc AMOUNT PAID: $ 515.00
CHECK 3960 PAYMENT DATE: 09/26/2018
MAIL TO: Kevin & Claire O'connor
SCANNED
BY -
St Lucie County
FACILITY NAME:
PROPERTY LOCATION:
610 Willows Ave
Port Saint Lucie, FL 34952
Lot: 12 Block: 19
Property ID:
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
$
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
i
1
$
75.00
133 - OSTDS Construction Reinspection
1
$
50.00
RECEIVED BY: VanceMH
I
Note: St Lucie Properties
I '
AUDIT CONTROL NO. 56-PID-3740576