HomeMy WebLinkAboutSewageSt. Lucie County Health Department
5150 NW Milner Dr Port Saint Lucie, FL 34983
PAYING ON: #:56-SF-2027302 BILL DD& :56-BID-4515264 CONSTRUCTION APPLICATION #: AP1460099
RECEIVED FROM: Gerard Mead AMOUNT PAID: $ 35.00
PAYMENT FORM: CREDIT CARD 01734B PAYMENT DATE: 01/03/2020
MAIL TO: Gerard Mead
FACILITY NAME: _
I PROPERTY LOCATION:
5519 Pine Tree Dr
1111 Fort Pierce, FL 34962
4
43 & 44
Lot:
Property ID: a402-602-0260-000-1
EXPLANATION or DESCRIPTION:
139 - OSTDS Application Approval Existing, No Insp
7
Block:
1
QUANTITY
FEE
$ 35.00
RECEIVED BY: MontanezNM AUDIT CONTROL NO. 56-PID-4258057
�j}IE
STATE OF FLORIDA
" DEPARTMENT OF HEALTH
'�"•n ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
APPLICATION FOR CONSTRUCTION PERMIT
PERMIT NO.
DATE PAID:
FEE PAID:
RECEIPT #:
19/ 2 -044-4
APPLICATION FOR:
[ ] New System [t-�] Existing System [ ] Holding Tank [ ] Innovative
[ ] Repair
/' p [ ] Abandonment [ ] Temporary [ �/ ] Plan Review
APPLICANT: ( roz�- go moy 77 p/
AGENT: TELEPHONE: S 6+ Z.SI FO�S
MAILING ADDRESS:
5Si9 19i+VC" 'T(Z6r 04. +i7CC&
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:
PROPERTY ID #: 34-02 -602 -0260 - 0W1J ZONING: k -�`3 I/M OR EQUIVALENT: [ YGN ]
r
PROPERTY SIZE: + ACRES WATER SUPPLY: [ ] PRIVATE PUBLIC [x]<=2000GPD [ 1>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y/N ] DISTANCE TO SEWER: FT
PROPERTY ADDRESS: SSi l Pme2,ec' jo-' rT /ole'ee
DIRECTIONS TO PROPERTY:
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
I 5'+n y/e -4
2 NO
3
4
[ ] Floor/Equipment Drains [ ] Other (Specify)
SIGNATURE: DATE: 3 z e z 6
DH 4015, 08/09 (Obsoletes previous editions which may not be used)
Incorporated 64E-6.001, FAC Page 1 of 4
A Catr.tt
Tradev
SIT
Rods Reei Bails
St Lude Flats Fishing
v
LE6AL 0F5GF/PF/0N.,
LOT 43 AND 44, BLOCK 7, INDIAN RIVER ESTATES UNIT'
ACCORDING TO THE PLAT THEREOF, AS RECORDED IN
PLAT BOOK 10, PAGE 43, OF THE PUBLIC RECORDS OF
ST. LUCIE COUNTY. FLORIDA.
FLOOD ZONE: X
COMMUNITY NUMBER: 120285
PANEL:12111CO277
SUFFIX: J
BASE FLOOD ELEVATION: NAVD88
FIRM DATE: 2/16/2012
"PPtV/Ar/ON DE_'5CP/ ION,
A/C
AIR CONDITIONER
C/L
CENTERLINE
I.D.
IDENTIFICATION
LB
LICENSED BUSINESS
P-K
PARKER KYLON NAIL
P
PLAT
M
MEASURED
P.I.
POINT OF INTERSECTION
R/W
RIGHT OF WAY
OKISNATION BENGMINK
ST. LUCIE COUNTY
BENCHMARK'V4030
NA.V.D.1988 ELEVATION =13.34
FOUND NAILIDISC NO I.D.
r_ Qa P.L OFROWARD STREET
\ LOCATIONMAP,w.. Ne / LOT 42
B OCK7 MAR 3 0 2020
USET
LOT 17 FOUND 112• (BEARING BASIS) '} 1r�°
IRONPIPE BY. �4311
WATER
`
"I
BLOCK? IRON ROD
N90000'00"E 300.00'
METER
(1D.2EJ #7463
300':,
SET f/2'
�
1.9'S
1.9'S�
SEPTIC
.`-1-
'•-Q,�
IRONROD
LB 17463
I
I
TANK I
`V ..!
opy
L
�.s
®WELL
LOT 1S
loez'
100.0
BLOCK 7
I I _ 22.0'.
69.9'
LOT 43 1
B, DRaN
I I BLOCK 7 MOP05EI7 ..
n FIELD
00
:: .22.0' . :.
I PVL91ION
I
12.3' `�
I
O
N
PROPOSEDx
'./ za.o' too.o
WI
I F.F.EL=19.75w
I --------------------------
two+ t?E5117ENCE- -------------------
o 5519 #'O
I
�' F.F. EL=19.7500
S
I
� 6.0' 2.0' W I
CD
Z
I I LOT44
m3 n 0p
I
BLOCK 7
I
N
LOT 19
i
as.e'
^�
BLOCK 7
oY
41
1. ImU
L
I
Ic'y
'
m
I m d
' •.��t
I I
I
WATER
"
METER'
• ' O�?I
SET 1/2' N90-00'00"W 300.013 0.3'S FOUND 6/6'
IRON ROD IRONROD
a
LOT 220
LB#7463 I NO. I.D.
BLOCK 7
LOT 45 I
C'i c�FOUND
518'
PEVI5I0NS: BLOCK 7 ORIGINAL FIELD WORK IRONROD
COMPLETED BY: NO, ID.
1. ADD CROWN OF ROAD ELEVATIONS & F.F. EL.: 03-11-2020
2. ADDED PROPOSED F.F. EL.: 03-27-2020
NOTeS:
LEGAL DESCRIPTION PROVIDED BY CLIENT
2. NO SEARCH OF THE PUBLIC RECORD FOR THE PURPOSE OF ABSTRACTING TITLE WAS PERFORMED BY THIS OFFICE
3. NO SUBSURFACE IMPROVEMENTS WERE LOCATED AS PART OF THIS SURVEY
4. ALL ANGLES AND DISTANCES SHOWN HEREON ARE BOTH RECORD AND MEASURED UNLESS OTHERWISE NOTED
5. THE BEARINGS SHOWN HEREON ARE BASED ON THE NORTHERLY PROPERTY LINE, ASSUMED TO BEAR N90°00'00"E.
TARGET SURVEYING, LLC
DATED: 12/22/2014
SURVEY #219647
SET 0AHt REQ,
SIDES
CNR S
REAR _
—SITE BENCHMARK
EL=16.74
°s
P °9B0
SURVEYORS CERAFICATE
N0.6615 F'9
THEREBY CERfIFyTHAT THIS BOUNDARY SURVEY
IB ATRUE ANO CQRRELT REPRESENTATIONOFA
SURVEY PREPARED UNDER MY DIRECTION.
NOT VALID WITHOUT AN A ENTCATED ELECTRONIC
¢
SIGNATURE AND AUTHENTICATED ELECTRONIC SEAL,
w
OR A PA SO EMBOSSED SEAL AND SIGNATURE
0
w
w
Cf
Q,
m
��
o°
N
o
W!
IL
IS
Of
5
� �
EL
a
Nn Q)
w
0
a
d
OO
w
4
STATEOF �e
Oft 1 O Op d �d(SIGNED)
SDRVEY KENNETH OSBORNE, PftOEGssiONu su"vE:vaRAND MraPEftassts
P-]Z r
C-18711
Dote
02-13-2020
1;=30' 1°E1
N n N
o O p
<n m
m
]
Onx
e
.s u
a
o
On
z'
w
o
v
d
n
�� rr
c1>
Qt
b
i
Rl 0*��
I
_q How.fda'c�=.:`.
' ITrade
7.
Indibn RiVer
ESt8fe's
�
Robs Reel
Balls
a '.
�;i --•
'
S4LticieFlats_Fs6mg
Lt6& Dt5GPIMONr
LOT 43 AND 44, BLOCK 7, INDIAN RIVER ESTATES UNIT 1,
ACCORDING TO THE PLAT THEREOF, AS RECORDED IN
PLAT BOOK 10, PAGE 43, OF THE PUBLIC RECORDS OF
ST. LUCIE COUNTY. FLORIDA.
FLOOD ZONE: X
COMMUNITY NUMBER: 120285
PANEL:12111CO277
SUFFIX: J
BASE FLOOD ELEVATION: NAVD88
FIRM DATE: 2/16/2012
VOPtVIATION 0t5GP1PrI0N1
A/C
AIR CONDITIONER
C/L
CENTERLINE
I.D.
IDENTIFICATION
LB
LICENSED BUSINESS
P-K
PARKER KYLON NAIL
P
PLAT
M
MEASURED
P.I.
POINT OF INTERSECTION
R/W
RIGHT OF WAY a
FDOH in St. Lucie CountyFOUIJ
y
Environmental HeaAh
@P.1ONA/OWAIq SMEE
QOPIOFNOWAROSTREET
ems
Septic SystUrW.40eU /•1.1�1C1@CgUWe----
_
-For Proposed C61tti'66tion - 27302.
LUGA I I UN MAf' wTmscue
LOT 42
This Approval Des'' otGuarantee
� �.;� •'�
BLOCK?
Performand&bf+the'System
Reviewer:
LOT 17
FOUND 112"
(BEARING BASIS)
SET 112'
BLOCK?
IRONPIPE
o ��
N90 0000E 300.00
IRON ROD
i
t';.��,", "
(10.2'E)
LB#7463
30
SET 112°Tr"
—•—'—'—'—•—•—'—•—•—'—'—•—'—
1.9'S
+ 1.9'S�
IRON ROD
SEPTIC
LB 97463
I I
TANK
I
WELL
I
I
LOT 18
130.2'
100.0
BLOCK 7
LOT 43
I I
BLOCK?
`f
" FIELD'S
I
'
b
12..3.'
CD
�
o
N
.
..
:`
w
r
u
W
W
W I
O
,;'w;
W uT •- m
..•w ¢�. r_ I S�f7�NC�
..
2.A'.< ;
I
W
_
:•': i
�-I t
_Q ,_M
.
-.� Z — 5�9 -- -n U..�— _______—___________
U # 5
O
o
C7
U•
U
..e
I
O.r
�..
''"4
CD
a
CDE,
o
I I
:' v
Q�> a
O
CD
:to
z
I
LOT 44
s.3' N
':�P �•~ ;a' .' .•:,••,
•i. ^` T..p�•
C/)
".�•!
LOT 19
I i
BLOCK?
m
•� • ..a,. 'a
1
:,>,_...I
45.8'
BLOCK?
I
:<: `'' ..x
Ion
...:I
i
�. d
U
~0.4'N
` 0.2'ON
30.1'=='`''I
'
SET 1/2'
N90°00'00"W 300.00'
0.3'S•
FOUND 5/6"
IRON ROD
I
IRON ROD
LOT ?0
LB#7463
NO. I.D.
BLOCK 7
LOT 45
ORIGINAL FIELD WORK
BLOCK 7
COMPLETED BY:
TARGET SURVEYING, LLC
; II
FOUND5B"
1
NOTt5;
1. LEGAL DESCRIPTION PROVIDED BY CLIENT
2. NO SEARCH OF THE PUBLIC RECORD FOR THE PURPOSE OF ABSTRACTING TITLE WAS PERFORMED BY THIS OFFICE
3. NO SUBSURFACE IMPROVEMENTS WERE LOCATED AS PART OF THIS SURVEY
4. ALL ANGLES AND DISTANCES SHOWN HEREON ARE BOTH RECORD AND MEASURED UNLESS OTHERWISE NOTED
5. THE BEARINGS SHOWN HEREON ARE BASED ON THE NORTHERLY PROPERTY LINE, ASSUMED TO BEAR N90°00'00"E.
DATED: 12/22/2014 IRON ROD
SURVEY #219647 NO. I.D.
Kenneth J. Osborne PSM #6415
THIS SURVEY IS NOT VALID WITHOUT
THE SIGNATURE AND THE ORIGINAL RAISED SEAL
OF A FLORIDA LICENSED SURVEYOR AND MAPPER
W
ZG\
a�
o°
o
U)
}`'tea°
a" u�
it q
z w
W oc
z
0-0
0
V1
Pmlect mr
C-18711
Doti,
02-13-2020 sa I.1
OF1
1"=30'
M
�
a
o
r
w
zcono
w
v
Cq
h
O
a
M
'
a