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Home My WebLink AboutSeptic abandon PERMIT #: 56-SF-1823657 x 4e STATE OF FLORIDA APPLICATION #:AP 1329102 . DEPARTMENT OF HEALTH DATE PAID: ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: SYSTEM RECEIPT #: DOCUMENT #: P R1094114 CONSTRUCTION PERMIT FOR: OSTDS Abandonment APPLICANT: Elsa DeLeon PROPERTY ADDRESS: 1732 Old FFA Rd Fort Pierce, FL 34945 LOT: BLOCK: SUBDIVISION: PROPERTY ID #: 2303-232-0005-000-4 [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 [ ] GALLONS / GPD CAPACITY A [ ] GALLONS / GPD CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]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 L D FILL REQUIRED: [ 0.001 INCHES EXCAVATION REQUIRED: [ ] INCHES Have the tank abandoned in accordance with the following procedures:(a)The tank shall be pumped out.(b)The bottom of 0 the tank shall be opened or ruptured, or the entire tank collapsed so as to prevent the tank from retaining water, and(c)The T tank shall be filled with clean sand or other suitable material, and completely covered with 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 R SPECIFICATIONS BY: TITLE: APPROVED BY: 4 Environmental Specialist II St. Lucie CHD Brian J Ingra DATE ISSUED: 02/16/2018 EXPIRATION DATE: 05/17/2018 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 AP1329102 SE-1 NOTICE OF RIGHTS A party whose substantial interest is affected by this order may petition for an administrative hearing pursuant to sections 120.569 and 120.57, Florida Statutes. Such proceedings are governed by Rule 28-106, Florida Administrative Code. A petition for administrative hearing must be in writing and must be received by the Agency Clerk for the Department, within twenty-one (21) days from the receipt of this order. The address of the Agency Clerk is 4052 Bald Cypress Way, BIN A-02, Tallahassee, Florida 32399. The Agency Clerk's facsimile number is 850-413-8743. Mediation is not available as an alternative remedy. Your failure to submit a petition for hearing within 21 days from receipt of this order will constitute a waiver of your right to an administrative hearing, and this order shall become a 'final order'. Should this order become a final order, a party who is adversely affected by it is entitled to judicial review pursuant to Section 120.68, Florida Statutes. Review proceedings are governed by the Florida Rules of Appellate Procedure. Such proceedings may be commenced by filing one copy of a Notice of Appeal with the Agency Clerk of the Department of Health and a second copy, accompanied by the filing fees required by law, with the Court of Appeal in the appropriate District Court. The notice must be filed within 30 days of rendition of the final order. St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: PERMIT#:56-SF-1823657 BILL DOC#:56-BID-3672894 CONSTRUCTION APPLICATION#:AP1329102 RECEIVED FROM: Elsa DeLeon AMOUNT PAID: $ 65.00 PAYMENT FORM: CASH PAYMENT DATE: 02/16/2018 MAIL TO: Elsa DeLeon FACILITY NAME : PROPERTY LOCATION: 1732 Old FFA Rd Fort Pierce, FL 34945 Lot: Block: Property ID: 2303-232-0005-000-4 EXPLANATION or DESCRIPTION: QUANTITY FEE 134 - OSTDS Construction Abandonment Permit and Inspecti 1 $ 50.00 -1 - Surcharge (All) 1 $ 15.00 RECEIVED BY: WhighamJL AUDIT CONTROL NO. 56-PID-3483324 9� STATE OF FLORIDA PERMIT NO. DEPARTMENT OF HEALTH DATE PAID: �� ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: �Os .Yt .' SYSTEM RECEIPT #: APPLICATION FOR CONSTRUCTION PERMIT -- APPLICATION FOR: [ ] New System [ ] Existing System L l Holding Tank [ ] Innovative [ ] Repair [ �/] Abandonment [ ] Temporary [ ] z APPLICANT: C��/� AGENT: TELEPHONE: 00 — L f sq c7*� CJJ TT MAILING ADDRESS: J L F 90 .lo, ca✓e TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED BY A PERSON LICENSED PURSUANT TO 489.105 (3) (m) OR 489.552, FLORIDA STATUTES. IT IS THE APPLICANT'S RESPONSIBILITY TO PROVIDE DOCUMENTATION OF THE DATE THE LOT WAS CREATED OR PLATTED (MM/DD/YY) IF REQUESTING CONSIDERATION OF STATUTORY GRANDFATHER PROVISIONS. PROPERTY INFORMATION LOT: BLOCK: SUBDIVISION: PLATTED: 23 PROPERTY ID #: 30 3 Z ZONING: I/M OR EQUIVALENT: PROPERTY SIZE: 1- / ACRES WATER SUPPLY: [ PRIVATE PUBLIC [ ]<=2000GPD [ ] >2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y/ND] DISTANCE TO TO SEWER; FT PROPERTY ADDRESS: 3 Z G L] i9 �� /� Ol i�� ^ 3 '�•cs4, DIRECTIONS TO PROPERTY: 14 t BUILDING INFORMATION [ ] RESIDENTIAL [ ] COMMERCIAL Unit Type of No. of Building Commercial/Institutional System Design No Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC z 1 2 3 4 [ ] Floor/Equip n Dr s [j] Other (Specify) SIGNATURE: DATE: Z lS DH 4015 O8/09 (Obsoletes pr _editions which may not be used) Incorp rated 64E-6.001, FAC Page 1 of 4 Property Card Page 1 of 2 562- S 3657 Michelle Franklin, CFA--Saint Lucie County Property Appraiser--All rights reserved. Property Identification Site Address: 1732 OLD Parcel ID:2303-232-0005- Account#: 12846 Sec/Town/Range: FFA RD 000-4 03/35S/39E Map ID:23/03N Zoning:AR-I Use Type: 0200 Jurisdiction:Saint Lucie County Ownership Legal Description Elsa H Deleon Maldonado 03 35 39 E 258.31 FT AND S 130 FT OF W 317.33 FT OF N 1616 Old Ffa RD 1/2 OF N 1/20F FOL DESC PROP:FROM NW:COR OF SEC Fort Pierce,FL 34945-2465 RUN S 02 DEG 02 MIN 43 SEC E1519.10 FT,TH S 89 DEG 43 MIN 47SEC E 40 FT FOR POB,TH CONT S 02DEG 02 MIN 43 SEC E 1278.36 FT M/L,TH N 89 DEG 57 MIN 03 SEC E 575.59 FT M/L,TH N 02 DEG 02 MIN43 SEC W//TO AND 615.25 FT ELY OF W SEC LI 1276.87 FT M/L,TH N 89 DEG 54 MIN 04 SEC W 575.64 FTM/L TO POB-BEING PART OF NW 1/4(1.38 AC)(OR 3943-2184) Current Values Historical Values 3-year Just/Market: $22,600 Assessed: $22,600 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $22,600 2017 $22,600 $22,600 $0 $22,600 2016 $24,900 $24,900 $0 $24,900 2015 $24,900 $24,900 $0 $24,900 Sale History Date Book/Page Sale Code Deed Grantor Price 12-16-2016 3943/2184 0111 QC Florida Land and Farm Holdings $34,000 Inc 09-12-2016 3911/0892 0111 TD Petersen Joram 0 $20,000 10-21-2013 3571/2047 0111 QC Petersen,Joram 0 $100 Primary Building Information Finished Area of this building:720 SF Gross Area of this building:720 SF Exterior Data View: Roof Cover: Roof Structure: Building Type:MHL Year Built: 1981 Frame: Grade:MANH Effective Year: 1981 Primary Wall: Story Height: I Story No.Units: 1 Secondary Wall: Interior Data Bedrooms:0 A/C%:0% Electric: Primary Int Wall: Full Baths:0 Heated%:0% Heat Type: Avg Hgt/Floor:0 Half Baths:0 Sprinkled%:N/A% Heat Fuel: Primary Floors: T M Total Areas Finished/UnderAir 720 s- (SF): Gross Area(SF): 720 Land Size(acres): 1.38 Land Size(SF): 60,112.8 t ^' Total Building Count: I Special Features and Yard Items Type Qty Units Year Blt UTILITY AVG 1 360 2000 http://www.paslc.org/RECard/ 2/16/2018