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Home My WebLink Abouthealth Department9 00-1p11(o STATE OF FLORIDA AECEMED DEPARTMENT OF HEALTH nnM1 ONSITE SEWAGE TREATMENT AND DISPOSA]SER016201D SYSTEM Pe SL LWW CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Johathan Santana PROPERTY ADDRESS: 2951 S Brocksmith Rd Fort Pierce, FL 34945 PERMIT #: 56-SF-21 39520 APPLICATION #:AP1552908 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1393950 LOT: 16 BLOCK: 3 SUBDIVISION: [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] PROPERTY ID #: 2320.501-0047-000-8 [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 [ 1,050 ] GALLONS / GPD Sentic new CAPACITY A [ ] GALLONS I GPD N/A CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ D [ 667 ] SQUARE FEET Drainfield new SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [x] MOUND [ ] I CONFIGURATION: [ ] TRENCH N F LOCATION OF BENCHMARK: Site BM to I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D F 0 T H E R [x] BED [ ] NW property corner elev 20.35 [ 0.00 ][ INCHES FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT [ 12.00]t INCHES FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT myul1 u: t 3u.uuj INCHES EXCAVATION tW QUIl W: L J INu=b system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of gpd. SPECIFICATIONS BY: _Brian Davis , TITLE: Master Septic Tank Contractor APPROVED BY: , 4— 2` '..-'�/�" TITLE: Environmental Specialist II St. Lucie CHO araan J Ingr ' DATE ISSUED: 08/20/2020 _ EXPIRATION DATE: 02/20/2022 ON 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 A 1552909 SE1352712 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 PAYING ON: #:56-SF-2139520 BILLooca:56-BID-4912302 CONSTRUCTION APPLICATIONM AP1552908 RECEIVED FROM: Brian Davis Septic and Backhoe Servic AMOUNT PAID: $ 430.00 PAYMENT FORM: CREDIT CARD 004023 PAYMENT DATE: 08/19/2020 MAIL TO: Johathan Santana FACILITY NAME: PROPERTY LOCATION: 2951 S Brocksmith Rd Fort Pierce, FL 34945 16 Lot: 3 Block: Property ID: 2320-501-0047-000-5 EXPLANATION or DESCRIPTION: QUANTITY FEE 128 - OSTDS Construction System Inspection Research Fee 1 $ 5,00 -1 - Surcharge (All) 1 $ 45.00 -1 - OSTDS New Permit Surcharge 1 $ 100.00 -1 - OSTDS Construction Application and Plan Review,New 1 $ 100.00 126 - OSTDS Construction Permit (New or Mod, Amendment) 1 $ 55,00 127 - OSTDS Construction System Inspection 1 $ 75.00 133 - OSTDS Construction Reinspection 1 $ 50.00 RECEIVED BY: VanceMH AUDIT CONTROL NO. 56-PID-4572111 4 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSXTE SEWAGE TREATMENT AND DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT AP [ New Syst [ ] Existing System [ I Holding Tank [ 7 Now [ I Abandonment [ ] Temporary APPLICANT, Jonathan Santana AGENT; Brian Davis Septic & Backhoe Services MAILING ADDRESS: P.0 Box 99, Fellsmere, FL 32948 W.�.� �i • 30 � 3s DATE PAID: i 2-t?2 l3 FEE PAID:2;p RECEIPT #: _ et, 009V [ I Innovative [ ] TELEPHONE: 772. 571.8200 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 U4H/DD/YY) IF REQUESTING CONSIDERATION OF STATUTORY GRANDFATHER PROVISIONS. PROPERTY INFORMATION LOT: 16 BLOCK: 3 SUBDIVISION: Subdivision Of Mc Nurlen PLATTED: Po>t PROPERTY m #: 2320-501-0097000-$ arms ZONING; R I/M OR EQUIVALENT: [ Y / 70 PROPERTY SIZE: 8.86 ACRES WATER SUPPLY: [A PR PUBLIC [ ]<=2000GPD [ 1>20000PD IS SEWER AVAILABLE A7Spp PER 381.0065, FS? [ Y / N DISTANCE TO SEWER: Z�'^ FT PROPERTY ADDRESS: r&> Brocksmith Rd } DIREcmxoxs To PROPERTY: Turn L on 512 ,Take the the FL-68 Exit, Turn L on S Brocksmith Rd BUILDING INFORMATION Unit Type of No Establishment 1 House 2 3 [ Y ] RESIDENTIAL [ I C%=RCIAL _......_.. No. of Building Commercial/Institutional System Design Bedrooms AreaS ft Table 1, Chapter 64E-6 PAC 9 2,045 [ 1 Floor/Equipment Drains [ I Other (Specify) SIGNATURE: DATE: DR 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAO Page 1 of 4 0sR STATE OE FLORIDA PERMIT #. (•�- ZI $BZz� DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM a� SITE EVALUATION AND SYSTEM SPECIFICATIONS APPLICANT: Jonathan Santana AGEN., Brian Davis Septic & Backhoe LOT: 16 3 SUBDIVISIONubdivisicn Of Mc Nurlen Farms — BLOCK: PROPERTY m #: 2320-501-0047-000-8 [Se0tion/Township/Parcel No. or Tax ID Number] TO HE COMPLETED BY,ENG7I4EER, HEALTH DEPARTEMENT EMPLOYEE/OR OTHER QUALIFIED PERSON. ENGINNEERS MUST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE. ALL ITEMS, PROPERTY SIZE CONFORMS TO SITE PLAN: C YES TOTAL ESTIMATED SEWAGE FLOW: t(� C ] NO NET U3AB VAILABLE: 9'S b ACRES AUTHORIZED SEWAGE FLOW; /�,• GALLONS PER DAY E - 1/OTHER-TABLE23 O GALLONS PER DAY 0 GPD/ACRE 2500 GPD/ACRE] UNOBSTRUCTED AREA AVAILABLE: ty'+( 3QFT UNOBSTRUCTED REQUIRED: /a<C SQ FT BENCM0MVREPERENCE POINT LOCATION: PM (,P /A•'/ Al Pr'v/tV (Y C-A--- --e U.; ELEVATION OF PROPOSED SYSTEM SITE. ISv rT%Tr THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEAR SURFACE WATER: Z Ua FT DITCHES/SWALES: '-T'-- FT NORMALLY WET? -fr---- [ ] YES [' NO WELLS: PUBLIC: TIO FT LIMITED USE: /lil'— FT PRIVATE: T % FT NON -POTABLE: FT BUILDING FOUNDATIONS: a`� FT PROPERTY LINES: ((O FT POTABLE WATER LINES: ,)FT SITE SUBJECT TO FREQUENT FLOODING��[��] NO 10 YEAR FLOODING? _j•J YES V ] NO 10 YEAR FLOOD ELEVATION FOR SITE: T MSL/NGVD SITE ELEVATION: T MSL/NGM 6'k USDA SOIL SERIES: OBSERVED WATER TABLE: 2 q INCHES [ABOVE EL XISTING ESTIMATED WET SEASON WATER TABLE ELEVATION: Z, INCHES HIGH WATER TABLE VEGETATION: [ ] YES 0 NO MOTTLING: I SOIL TEXTURE/LOADING RATE FOR SYSTEM DRAINFIELD CONFIGURATION: [ ] TRENCH SITE EVALUATED HY ki fG: aB�� S / Sur. /-�6 .(.•15' %iK rp),/y GRADE. TYPE: [�P;�E��:N [PERCHED / C� ABOVE / EXISTING GRADE 'Q YES [ ] NO DEPTH: INCHES DEPTH OF EXCAVATION: INCHES DATE: rH 4015' 00/09 tobsolstes previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4 d? : }\° \ � � IN ■ t'-,fir #t� f r� t �'Y3 � 3 ♦ :W 4i,.. t s t ref t ' .*�� r n !i r ll r1�' a ...............Y.�4;{d,1�yi li.... Property Card Page I of I 1.20� Michelle Franklin, CFA --Saint Lucie Cot ntjW peity Appraiser --All right reserved. Property identification Site Address: 2951 S Parcel ID: 2320-501-0047- Account 6: 155235 Seefrown/Range: BROCKSMITH RD 000-8 20/35S/39E Map ID: 23/20N Zoning: AG-5 Count Use Type: 9900 Jurisdiction: Saint Lucie County Ownership Legal Description Jonathan Santana SUBDIVISION OF MC NURLEN FARMS ELK 3 LOT 16 Brittany Autry (8.86 AC) 1626 Hawthorne PL Wellington, FL 33414 Current Values Historical Values 3-year Just/Market: $150,900 Assessed: $119,911 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $119,911 2020 $150,900 $119,911 $0 $119,911 2019 $150,900 $109,010 $0 $109,010 2018 $99,100 $99,100 $0 $99,100 Date 06-01.2020 03-31-2004 05-16-2003 View: Year Built: NIA Primary Wall: Bedrooms: 0 Full Baths: 0 Half Baths: 0 Sale History Book/Page Sale Code Deed Grantor Price 4429/0158 0001 WD RocheZeidy $175,000 1934 / 1120 XXoo WD Campbell Custom Home Bldrs $210,000 LLC 1714 / 2757 XX02 WD Navajo Groves Ine $336,000 Primary Building information Finished Area of this building: 0 SF Gross Sketched Area: 0 SF Type Exterior Data Roof Cover: - Roof Structure: Building Type: Frame: Grade: Effective Year: N/A Story Height: - No, Units: 0 Secondary Wall: Interior Data A/C %: 0% Electric: Primary Int Wall: Heated %: N/A% Heat Type: Avg Hgt/Floor. 0 Sprinkled %: 0% Heat Fuel: Primary Floors: Total Areas Finished/Under Air 0 5 (SF): Gross Sketched Area 0 (SF): - £(Is,''•'�; Land Size (acres): 8.86 Land Size (SF): 385,942 Total Building Count: I Special Features and Yard Items Qty Units Year Bit All information is believed to be correct at this time, but is subject to change and is provided without any warranty. 0 Copyright 2020 Saint Lucie County Property Appraiser. 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