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HomeMy WebLinkAboutSewage; OSTDS AbandonmentSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS Abandonment APPLICANT: Gregory Johnson PROPERTY ADDRESS: 3705 Avenue I Fort Pierce, FL 34947 PERMIT #:56-SF-2039924 APPLICATION #:AP1468328 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PP1304866 LOT: 1.2.3 BLOCK: .A SUBDIVISION: Sumner Heights PROPERTY ID #: 2405-704-0001-000-7 {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 RRS #Pumps [ D [ ] SQUARE FEET SYSTEM R [ ] SQUARE FEET SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [] MOUND [ ] I CONFIGURATION: [ ] TRENCH N F LOCATION OF BENCHMARK: I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D FILL REQUIRED: r 0.001 INCHES 0 T H E R [ ] BED ][ABOVE/ BELOW] BENCHMARK/REFERENCE POINT / ][ABOVE/ BELOW] BENCHMARK/REFERENCE POINT ve the tank abandoned in accordance with the following procedures:(a) The tank shall be pumped out.(b) The bottom of , tank shall be opened or ruptured, or the entire tank.collapsed so as to prevent the tank from retaining water, and(c) The ik shall be filled with clean sand or other suitable material, and completely covered with soil.Have the system Inspected the health department after it has been pumped and ruptured but before it is filled with sand and covered. SPECIFICATIONS BY. TITLE: APPROVED BY: TITLE: Environmental Specialist I St. Lucie CHU Hunter A ColliftV DATE ISSUED: 02/24/2020 EXPIRATION DATE: 05124/2020 DH 4016, 08109 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 1 of 3. v 1.1.4 AP1469328 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 ofthis 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. 4 St. Lucie County Health Department to ' 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: a:56-SF-2039924 BILL oocrk56-BID-4556041 CONSTRUCTION APPLICATION AP1468328 RECEIVED FROM: Georqe & Assoc; LLC., AMOUNT PAID: $ 95.00 PAYMENT FORM: CREDIT CARD 182245 PAYMENT DATE: 02/18/2020 MAIL TO: Gregory Johnson FACILITY NAME: PROPERTY LOCATION: 3705 Avenuel Fort Pierce, FL 34947 Lot: 1,2,3 Black: A_ Property ID: 2405-704-0001-000-7 EXPLANATION or DESCRIPTION: QUANTITY FEE -1 - Surcharge (All) 1 $ 45.00 134 - OSTDS Construction Abandonment Permit and Inspect!' 1 $ 50.00 RECEIVED BY: WhighamJL AUDIT CONTROL NO. 66-PID-4296189 STATE OF FLORIDA DEPARTMENTS OF HEALTH up ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTIONPERMIT APPLICATION FOR: [ ] New System [ ] Repair i APPLICANT: 0r AGENT: I" `auy MAILING ADDRESS: [ ] Existing System [,/] Abandonment I 1 Holding Tank [ J Temporary PERMIT NO..S 3 DATE PAID: p FEE PAID. RECEIPT #: [ 1 Innovative ? 72 22 y-7 W3 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. ve=e==-va-�=m ppeae==eevev= mneovv=.==vna=nv=o=o====mcv===vvecvnovc=v=e=vcv=v===e===ve==e PROPERTY INFORMATION LOT: 3 BLOCK: A SUBDIVISION: C.i V yn mC- T FY R : In- PLATTED: PROPERTY ID #: d 'bS �� (", �')/... ('S j-_� ZONING: EL:jg I/M OR EQUIVALENT. [ Y/DN ] PROPERTY SIZE: p ACRES WATER SUPPLY: [ ] PRIVATE PUBLIC [ <-2000GPD [ )>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS7 [ Y 1 DISTANCE TO SEWER: til^ FT PROPERTY ADDRESS: HIV Alt% DIRECTIONS TO PROPERTY: BUILDING INFORMATION [ 1 RESIDENTIAL [ ] COMMERCIAL Unit Type of No, of Building Commercial/Institutional System Design No Establishment Bedrooms Area Sq£t Table 1, Chapter .64E-6, FAC 1 v. -1U0=�xisfinq 2 I a 9s8 : proR6 3 4 [ ] Floor/Equipment Drains [ ] Other (Specify) SIGNATURE: DATE: 0 I V 2U DH 4015, 08/09 (Obsoletea previous editionswhich may not be used) Incorporated 64E-6.001, FAC Page 1 of 4 01� LK4lE r-av 0 1�5 30 3705 Avenue PARCEL CONTROL NUM1 SURVEYNOTES.- 1. RANDS 9i0FM HEREON WERE NOT ABSTRAC NO LEARN OF PIAXIC RMOTTS HAS BEET 2 MI5 SUNEY 4 CERIWED ONLY lO AE NI x ELEVATIONS HEREON ARE ELEVAM RAW. 4. REM DESEtlPMW SUPRIi0 BY WENT. S. NO SIRUCTLIM THAT ARE ABOVE ON USE WHAT 15 SHOVTI. IEREON. S. BEARDNGS SHOW HEREON ARE C64 O) T. BEARING REFERENCE CENTERLINE CF AVENU FDOH in St. Lucie County Environmental Health Site Plan Approved for Construction Supersedes All Previous Site Plans for # Sl2-SF-1A 49In& Wei # Reviewer: CENTERLINE AVENUE 1 20' ASPHALT ROADWAY 50 R.O.W. ' ELEYATON 16A5 16.1 j aD NAM EY 16' DR, T EwSTxO DPA(NAfE DI OHTASN W FRO I• IR NO P 50.00 M (P)50.00'(M) (p)6310'(M) 25. 3.35 2910 2 00 34 9.45 fwSM1G { EWAU( 11t:2 a 42 40 NO POD: E1 nN0 T STORY RESIDE F.F. 17.40 42.4D' y,45 _ _ _ _ 111:5 a A LOT 5 VACANT BlQ'.Ot A LOT 4 VACANT O am A LOT 2 LOT A flLOIX A s 20.02' LOIX% T I a. pOi 15.4 W N Y PPCPOSEO AOgTON 55.00' J5.4 0 6 to be z I {L aT.'^�L1F15QIg- 9500 3.3 (P)50.00'(M) ( )50.00'(M) (P)63.20'(M) p54 MO' A VAUNT ENO 1' W NO 0 N6936'55'W (P 163:20'(M) FNo 1' IN NO m LOT 20 OCCUPIED Loin 3ER 2405-704-0001-000-7 TED FOR RIGHTS -Of -WAY AND/On EMENENTS OF REMD TONE BY TLLSOFn£. MED INOIVIOIAIA. SLOCN A LOT 22 OCWPED BE SMn LUCIE MINTY II DES NATON SOAN ELEVATION Ian ACIX A LOT 23 OCCUPED BLOCK A LDT 24 vADAxr ATI THE EUWAM HAVE am LOCATED EITHER TUN TO PLAT RIMLESS OIHERMSE NOTED. E I LOT IM h 37AHO BEARS "953'OOW 8. EHCRWCXYENIS. Ti WIpFAQEpIXD FWOATIX!$ bPNOVEYEHIS OR YTUTEOL NOT VISIBLE MOTE NOT LOCATED AS PART EC MIS WAVEY UNLESS SROTM-HEREON. 9. M ORIGINAL DE T I5 &LAPEI AND ALL AREA U ATTACHED ARE NOT E U PER. T2 9GUNRE AND T ME RY YAL OF I 17W E DCENSED TE D2 16 201 YAPPER 10. FLUO ZONE M YAP AREPANEL,N 11111 W M EPEC114£ CAT: AITS SZO13 It. ALL YEtlq RA l) NICE ARE & ACCpN.W(E YM WITFD STMER SURVEY FEET 12 AOgTONS M10 tll OEETOVB 10, 9JA1EY GAPS pf pEPCR15 9Y'OMFA THAN MF SIpNO PMIY.b! PRATES IS PROHIBITED 3E O.MsbM 1�ry�pLpEGAH}L5 BDE$CRIPTION. PBOS P6121A.5 RECORDED IN hJi6[03 RECORD55AINT W CIECOUNIY MRKOFCOURTS, PLOAIDA SELTION OS TO W NSH IP 35S RANGE 4M 0.53ACRES MORE OR IESS LEGEND NOW - RIGHT-OF-WAY iR - IRON ROD VAP - WOOD POA R POLE PP - POTTER POLE US - LICENSED BUSINESS NY - FOUND IRON RO CL - UNTERUNE TWO - FOUND YA1 - WATER NETER D - DEED PG- PAGES M - MEASURED MH- MANHOE PB- PLA1a0OK FIRC - FdIND WON RDO R CM N _ INOENPFlCAIIIXN FF - FINISH FLOOR IP - WON PPE P - PLAT PENSION DATE OF SURVEY 01/20/2020 Property Card Page 1 of 1 Michelle Franklin, CFA — Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 3705 Avenue I Parcel ID: 2405-704-0001- Account H: 19003 Sec/Town/Range: 000-7 '05/35S/40E Map ID: 24/05S Zoning: RS-4Count Use Type: 0100 Jurisdiction: Saint Lucie Ownership Gregory S Johnson TaWonna D Johnson 3705 Avenue I Fort Pierce, FL34947 Current Values Just/Market: $53,000 Assessed: Exemptions: $0 Taxable: County Legal Description SUMNER HEIGHTS BLK A LOTS 1,.2 AND 3 (0.53 AC) Historical Values.3-year $34,259 Year Just/Market Assessed Exemptions Taxable $34,259 2019 $53,000 $34,259 $0 $34,259 2018 $46,300 $31,.145 $0 $31,145 2017 $36,800 $28,314 $0 $28,314 Sale History Date Book/Page Sale Code Deed Grantor 10-23-2019 4339/2214 0111 QC Johnson, Gregory S 11-27-1996 1048/2283 XX01 WD Hortenberry Sandra N Primary BuildingInformation Finished Area of this,building: 700 SF Gross Sketched Area: 1,050 SF View: Year Built: 1971 Primary Wall: CB Stucco Bedrooms: 2 Full Baths: I Half Baths: 0 Roof Cover: Dim Shingle Frame: Story Height: 1 Story A/C %: 0% Heated %: 0% Sprinkled %: 0% Exterior Data Roof Structure; Gable Grade: C- No. Units: 1 Interior Data Electric: Heat Type: Heat Fuel: Total Areas Price $100 $19,000 Building Type: HC-, Effective Year:1971 Secondary Wall: Primary int. Wall: AvgHgt/Flooc 0 Primary Floors: Finished/Under Air 700 (SF): Gross Sketched Area 1,050 (SF): Land Size (acres): 0.53 Land Size (SF): 23,086.8 Total Building Count: . 1 Special Features and Yard Items Type Qty Units Year Blt All information is believed to be correct at this time; but is subject to change. and Is provided without any warranty. © Copyright.2020 Saint Lucie County. Property Appraiser. All rights reserved. https://www.paslc.orgIRECard/ 2/18/2Q20