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Planning&D.evelopment Services ASBESTOS NOTICE
Building&.Code Regulation Division 1
2300 Virginia Avenue
Fort Pierce,FL. 34982
Phone:(772)462-2172 Fax:(772)462-6443
Asbestos Notice to Contractor
May 05, 2017
JOHN O'CONNELL INC
JOHN O'CONNELL
11005 W MIDWAY RD
FORT PIERCE, FL 34945
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RE: Building Permit Number 1705-0148
It is your responsibility to comply with the provisions of Section 469.003, Florida Statutes and to notify the Department
of Environmental Protection of any intentions to remove asbestos when applicable in accordance with state and federal
law.
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Signature
Date
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5/5/2017 3:00:28 PM
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S� PERMIT #:56'S.F-04071
APPLICATION #:AP1289171
STATE OF FLORIDA
+..; DATE PAID:
DEPARTMENT OF HEALTH
s „ ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID:
3
SYSTEM
RECEIPT #:
• ,. DOCUMENT #:PRI 060694
Os TDs #:02-0113-E
CONSTRUCTION PERMIT FOR: OSTDS Abandonment
APPLICANT: (First Assembly of God Church of FP.INC)
PROPERTY-ADDRESS: 1210 Hartman Rd Fort Pierce; FL 34947
LOT: BLOCK: SUBDIVISION:
PROPERTY ID_ #: 2417-232-0003-000=0 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR. TAX ID .NUMBER]
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION
381.0065; F.S., AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE
SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS,
WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE
PERMIT APPLICATION.. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID.
ISSUANCE OF THIS: PERMIT DOES' NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL,
STATE,- OR LOCAL PERMITTING REQUIRED -FOR DEVELOPMENT OF THIS PROPERTY:
SYSTEM"DESIGN AND SPECIFICATIONS
T [ 1,000 ] GALLONS / GPD Seotic Abandonment CAPACITY
A [ ] GALLONS / GPD CAPACITY
N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK.12sO GALLONS]
K [ ] GALLONS DOSING TANK CAPACITY I ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ]
D [ ] SQUARE FEET SYSTEM
R [ ] SQUARE FEET SYSTEM
A TYPE 'SYSTEM: [ ] STANDARD [ ] FILLED [ ] MOUND [ ]
I CONFIGURATION: [ ] TRENCH [ ] BED [ ]
N
F LOCATION OF BENCHMARK:
I ELEVATION OF PROPOSED SYSTEM: SITE [ ] [ / ] [ABOVE/BELOW]BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ ] [ / ].[ABOVE/BELOW]BENCHMARK/REFERENCE POINT
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D FILL REQUIRED: [ 0.001 INCHES EXCAVATION REQUIRED: [ ] INCHES
Have the tank abandoned in accordance with'the,following procedurest(a)The tank shall be pumped out(b)The bottom of
O the tank shall be opened or ruptured;or the entire tank collapsed to a$to prevent the tank from retaining water,and(c)The
T tank shall be filled with clean sand or other suitable material,and completely coveredwith soil.Have:the system inspected
H by the health department after it has been pumped and ruptured but before it is filled with sand and covered.
E
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SPECIFICATIONS BY: Dianna S May
TITLE: Environmental Specialist I
APPROVED BY: Y W TITLE: Environmental Specialist I St.Lucie CHD
Dianna S
DATE ISSUED: 05/05/2017 EXPIRATION DATE: 08/03/2017
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC Page 1 of 3'
V 1.1.4 AP1289171 SE-1