HomeMy WebLinkAbout3701 sewer permit 9.11.20STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: (Unico Air Conditioning Go)
PROPERTY ADDRESS, 3701 Okeechobee Rd Fort Pierce, FL 34947
LOT: 13,14,15 BLOCK: 4 SUBDIVISION:
PROPERTY ID #: 2417-704-0063-000-6
PERMIT #:55-SP-2137874
APPLICATION #: AP1551750
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT # : PR1406338
[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. DEPARTNENT 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
T [ 900 ] GALLONS / GPD Septic new 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 NRSS #Pumps [ ]
D [ 434 ] SQUARE FEET grainfield new SYSTEM
R [ ] SQUARE FEET SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [x] MOUND
I CONFIGURATION: [ ] TRENCH [x] BED [ ]
I
F LOCATION OF BRNCH ra. : SITE BM, FND mag NiD in sidewalk, N side of Okeechobee Rd
I ELEVATION OF PROPOSED SYSTEM SITE [ 6.00 ] [ INCHES FT ] [ ABOVE FiELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 5.00 ] [ IIQCHES FT ] [ ABOVE BEiAW BENCHa MARK/REFERENCE POINT
L
D P
a
T
H
E
R
REQUIRED: [i9,001 INCHES. EXCAVATION RE[
gallon pump tank minimum total capacity if lift dosing is necessary.
INCHES
SPECIFICATIONS BY: � Brian J Ipgrama TITLE: Environmental Specialist II
APPROVED BY: / TITLE.' Environmental Specialist II SL Lucie CHD
Brian S gram
DATE ISSUED: 09/03/20 EXPIRATION DATE: 03/03/2022
DH 4016, 06/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAO Page 1 of 3
v 1.S.S AP1551750-,=364892
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 Cleric 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 flied within 30 days of rendition of the final order.
HEALTH
PAYING ON:
RECEIVED FROM
PAYMENT FORM:
St. Lucie County Health Department
5150 NW Milner Dr Port Saint Lucie, FL 34983
#: 56-S1--2137874 BILL DOC #'56-BID-4890952 CONSTRUCTION APPLICATION 9: AP1561750
Oscar Calzad€lla AMOUNT PAID: $ 545.00
CHECK 5328 PAYMENT DATE: 08/1312020
MAIL. TO: (Unico Air Conditioning Go)
FACILITY NAME:
PROPERTY LOCATION:
3701 Okeechobee Rd
Fort Pierce, FL 34947
Lot: 13,14,15
4
Block:
Property ID: 2417-704-0063-000-6
EXPLANATION or DESCRIPTION:
128 - OSTDS Construction System Inspection Research Fee
-1 - Surcharge (All)
-1 - OSTDS New Permit Surcharge
-1 - OSTDS Construction Application and Plan Review,New
123 - OSTDS Construction Site Evaluation
126 - OSTDS Construction Permit (New or Mod, Amendment)
127 - OSTDS Construction System Inspection
133 - OSTDS Construction Reinspection
QUANTITY
FEE
1
$
5.00
1
$
45.00
1
5
100.00
1
$
100.00
1
$
116.00
1
$
55.00
1
$
75.00
1
$
50.00
RECEIVED BY- WhighamJL AUDIT CONTROL NO. 56-PID-4561859