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Home My WebLink AboutHealth Department Septic Approval ` APPLICATION #:AP1417452 STATE OF FLORIDA PERMIT #:56-SF-1954547 DEPARTMENT OF HEALTH DoCUMENT #:FI 1307829 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM 06/04/2019 40 � CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID: FEE PAID:65.00 tq RECEIPT #:56-PID-3963950 APPLICANT. Glassman Holdings LLC AGENT: Jamie DiFrancesco(All Contractor Services) PROPERTY ADDRESS: 5100 Russakis Rd Fort Pierce, FL 34951 LOT: BLOCK: SUBDIVISION: ID#: 1315-121.0001-000-9 CHECKED [XI ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED. TANK INSTALLATION SETBACKS [ I [013 TANK SIZE [1] [23 [ 3 [27I SURFACE WATER FT [ 3 [02I TANK MATERIAL [ 3 [281 DITCHES FT [ I [031 OUTLET DEVICE [ I [29I PRIVATE WELLS FT [ 3 [04I MULTI—CHAMBERED I Y / N I [ I 1301 PUBLIC WELLS FT [ I [053 OUTLET FILTER [ 3 (31I IRRIGATION WELLS FT I I [061 LEGEND 1. 2. [ 3 [321 POTABLE WATER FT I I [071 WATERTIGHT [ I [33I BUILDING FOUNDATIONS FT [ 3 [081 LEVEL [ 3, [343 PROPERTY LINES FT [ 3 [091 DEPTH TO LID [ I [35I OTHER FT DRAINFIELD INSTALLATION FILLED / MOUND SYSTEM [ 3 [101 AREA Ill 121 SOFT [ 3 [36I DRAINFIELD COVER [ I [111 DISTRIBUTION BOX HEADER [ I [373 SHOULDERS [ 3 [12I NUMBER OF DRAINLINES 1. 2. [ 3 [38I SLOPES [ 3 (13I DRAINLINE SEPARATION [ 3 [391 STABILIZATION [ 3 1141 DRAINLINE SLOPE [ I [15I DEPTH OF COVER ADDITIONAL INFORMATION [ I [16I ELEVATION [ ABOVE / BELOW IBM [ I [40I UNOBSTRUCTED AREA [ 3 [171 SYSTEM LOCATION [ 3 [413 STORMWATER RUNOFF I I [181 DOSING PUMPS I I [42I ALARMS [ I [191 AGGREGATE SIZE [ 3 [433 MAINTENANCE AGREEMENT [ 3 1201 AGGREGATE EXCESSIVE FINES [ I [441 BUILDING AREA [ I [21I AGGREGATE DEPTH I I' [451 LOCATION CONFORMS WITH SITE PLAN FILL / EXCAVATION MATERIAL I 3 [46I FINAL SITE GRADING [ I [221 FILL AMOUNT [ 3 [471 CONTRACTOR Jamie DiFrancesco(All Contr [ 3 [231 FILL TEXTURE I 3 [48I OTHER [ 3 [241 EXCAVATION DEPTH ABANDONMENT [ I [251 AREA REPLACED [ 3 [49I TANK PUMPED 07/0912019 [ 3 [26I REPLACEMENT MATERIAL [ 3 [50I TANK CRUSHED 6 FILLED 07/09/2019 Comments: Comments are on page 2. CONSTRUCTION [ APPROVED / ! t. Lucie CHD DATE: 07/09/2019 DISAPPROVED )' Enviro tal Specialist li Brl n (ENVIRONMENTAL HEALTH) FINAL SYSTEM [ APPROVED / DISAPPROVED 1: St. Lucie CHD DATE: 07/09/2019 EhVlronmental Specialist II Brig ngram(ENVIRONMENTAL HEALTH) (Zxplanation of Violationa on following page) DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 2 of 3 EH Database v 1.0.1 AP1417462 EID1954547 APPLICATION #:API 417452 STATE OF FLORIDA PERMIT #:56-S F-1954547 DEPARTMENT OF HEALTH DocumENT #:F11307829 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:06/04/2019 FEE PAID:65.00 RECEIPT #:56-PID-3963950 Violation Number Comment Comments Tank pumped and abandoned properly. No violations. Contractor emailed abandonment approval. DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 2 of 3 EH Database v 1.0.1 AP1417452 EID1954547 i PERMIT #:56-SF-1954547 APPLICATION #:AP 1417452 STATE OF FLORIDA DEPARTMENT OF HEALTH DATE PAID' ONSITE SEWAGE TREATMENT AND.DISPOSAL FEE PAID: SYSTEM RECEIPT #: DOCUMENT #: PR1239857 CONSTRUCTION PERMIT FOR: OSTDS Abandonment APPLICANT: (Glassman Holdings, LLC) PROPERTY ADDRESS: 5100 Russakis Rd Fort Pierce, FL 34951 LOT: BLOCK: SUBDIVISION: [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] PROPERTY ID #: 1315-121-0001-000-9 [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 j ] 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: [ 0.00 1 INCHES EXCAVATION REQUIRED: I INCHES Have the tank abandoned in accordance with the following procedures:(a)The tank shall be pumped out.(b)The bottom of O 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: Jamie DiFrancesco TITLE: APPROVED BY: TITLE: Environmental Specialist I St.Lucie CHD Hunter A C011i6r, DATE ISSUED: 06/10/2019 EXPIRATION DATE: 09/08/2019 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 11oof�3 v 1.1.4 AP1417452 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 H 5150 NW Milner Dr Port Saint Lucie, FL 34983 PAYING ON: #•56-SF-1954547 BILL ooc#•56-BID-4207937 CONSTRUCTION APPLICATION#:AP1417452 RECEIVED FROM: All Contractor Services AMOUNT PAID: $65.00 PAYMENT FORM: CREDIT CARD 034150 PAYMENT DATE: 06/04/2019 MAIL TO: (Glassman Holdings, LLC) FACILITY NAME : PROPERTY LOCATION: 5100 Russakis Rd Fort Pierce, FL 34951 Lot: Block: Pro 'e ID: 1315-121-0001-000-9 P rtY EXPLANATION or DESCRIPTION: QUANTITY FEE -1 - Surcharge (All) 1 $ 15.00 134-OSTDS Construction Abandonment Permit and Inspecti 1 $ 50.00 RECEIVED BY: MontanezNM AUDIT CONTROL NO. 56-PID-3963950 STATE OF FLORIDA PST NO. S y 7 DEPART14M OF HEALTH DATE PAID: ONSITE SEWAGE AND DISPOSAL FEE PAID 410 SYSTEM: RECEIPT #: APPLICATION FOR CONSTRUCTION PERMIT _ APPLICATION FOR: [ ] New System [ ] Existing System [ ] Holding Tank [ ] Innovati e L ] Repair [XI Abandonment [ ] T�r�Y [�l 0► 1GYN APPLICANT: AGENT: Ali 4_)n tMCtDr I nC. TELEPHONE:I-72- 5q9 -9 19 0 14AILING ADDRESS: 1-1't Z SE I pvjeTA (n e St 1 Q vi l4. I i.I L4 T , E14 &J"15 2- TO BE CoMpLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MOST 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 DOCUMMTATION 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 #: 1315-- ill -0 0 01- 0 00-9 zoNING: I/M OR EQUIVALENT: [ Y/N ] PROPERTY SIZE: ACRES WATER SUPPLY: U6 PRIVATE PUBLIC [ ]<=2000GPD [ 1>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y/N ] DISTANCE TO SEWER: FT PROPERTY ADDRESS: 5I oo R.0 S 3 OItCI S P-0 ad 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 1 2 3 4 [ ] Floor/Equipmen Dmaids [ ] Other (Specify) 10- ae__ SICsN7►TURB: DATE= - - 'T- "I .DR 4015, 08/09 (Obsol s previous editions which may not be used) Incorporated 64E-6.001, FAC Page 1 of 4 FDOH in St. Lucie County Environmental Health Site Plan Approved for Construction Supersedes All Previous Site Plans for OSTDS#S -SF-instri &Well # Date: Reviewer: r� STATE OF FLORIDA PERMIT # DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM EXISTING SYSTEM AND SYSTEM REPAIR EVALUATION •�°ao s� APPLICANT: C-5 I US5Man H olcl I nqs Ll_C- CONTRACTOR / AGENT: Al ` CEO+n tm C*_O r & -Y V ce S I n C . LOT: BLOCK: SUBDIV: ID#: 3 5— I2 I—�� 00D^ q ccascoamcsacasc=csccoaass=cccacesascarcasacssc=acacsc==aacaas=ocasasaoaaasascaascccsassacassasaa TO BE COMPLETED BY FLORIDA REGISTERED ENGINEER, DEPARTMENT EMPLOYEE, SEPTIC TANK CONTRACTOR OR OTHER CERTIFIED PERSON. SIGN AND SEAL ALL SUBMITTED DOCUMENTS. COMPLETE ALL APPLICABLE ITEMS. COMPLETE TANK CERTIFICATION BELOW OR NOTE IN REMARKS WHY THE TANKS CANNOT BE CERTIFIED. caacsscacaccscaaaccccccaacacaccacasccacasasccccaaeaa=caoecaasaa=oamssaccasoaccasacaraccacoscasac EXISTING TANK INFORMATION 1760 ] GALLONS SEPTIC TANK/GPD ATU LEGEND: MATERTAL: ✓ BAFFLED: IY / NI [ I GALLONS SEPTIC TANK/GPD ATU LEGEND: MATERIAL: BAFFLED: IY / NI [ I GALLONS GREASE INTERCEPTOR LEGEND: MATERIAL: I ] GALLONS DOSING TANK LEGEND:- MATERIAL: # PUMPS: I ] c cccscaacasccesasaaasasaaaassc=arsasaarcaaaaasscaacas=sacccaasaaasssaacasoaac=acaasasaccccaaccaa I CERTIFY THAT THE LISTED TANKS WERE PUMPED ON / / BY , HAVE THE OLUD SPECIFIED AS DETERMINED BY [ DIMENSIONS / FILLING / LEGEND ], ARE FREE OF OBSERVABLE DEFE HAVE A [ SOLIDS EFEECTION DEVI / ET,F�r LTER DEVICE ] INSTALLED. SIGN OF LICENSED CONTRACTOR BUSINESS NAME DATE ccac -an�a�ssaaaccapa ascccasasmasccacscoaaascaaaacsacaaac�ssaaccassaaccaccocsasssc��acscoasaaas EXISTING DRAINFIELD INFORMATION I ] SQUARE FEET PRIMARY DRAINFIELD SYSTEM NO. OF TRENCHES ( ] DIMENSIONS: X [ ] SQUARE FEET SYSTEM NO. OF TRENCHES [ ] DIMENSIONS: X TYPE OF SYSTEM: I I STANDARD I ] FILLED [ I MOUND - I ] CONFIGURATION: [ I TRENCH [ I BED [ I DESIGN: [ I HEADER [ I D-BOX [ ] GRAVITY SYSTEM [ ] DOSED SYSTEM ELEVATION OF BOTTOM OF DRAINFIELD IN RELATION TO EXISTING GRADE INCHES [ ABOVE / BELOW] SYSTEM FAILURE AND REPAIR INFORMATION [ ] SYSTEM INSTALLATION DATE TYPE OF WASTE [ I DOMESTIC I I COMMERCIAL [ ] GPD ESTIMATED SEWAGE FLOW .BASED ON [ ] METERED WATER [ I TABLE 1, 64E-6, FAC SITE [ I DRAINAGE STRUCTURES [ ] POOL [ I PATIO / DECK [ ] PARKING CONDITIONS: [ I SLOPING PROPERTY [ ] NATURE OF [ ] HYDRAULIC OVERLOAD [ ] SOILS [ ] MAINTENANCE [ ] SYSTEM DAMAGE FAILURE: [ ] DRAINAGE / RUN OFF I l ROOTS [ ] WATER TABLE [ ] FAILURE [ ] SEWAGE ON GROUND ( ] TANK [ I D BOX/HEADER [ ] DRAINFIELD SYMPTOM: [ ]_ PLUMBING BACKUP [ ] REMARKS/ADDITIONAL CRITERIA SUBMITTED BY: 1 G C J W 1 V"\ TITLE/LICENSE .MO��'l al�1,C,�' DATES DR 4015, 08/09 (Obsoletes previous eations which may not be used) Incorporated 64E-6.001, FAC Page 4 of 4 Property Card Page 1 of 1 Michelle Franklin, CFA--Saint Lucie County Property Appraiser--All rights reserved. Property Identification Site Address:5100 Parcel ID: 1315-121-0001- Account#:5096 Sec/Town/Range: RUSSAKIS RD 000-9 15/34S/39E Map ID: 13/15N Zoning:AG-1 Use Type:6000 Jurisdiction:Saint Lucie County Ownership Legal Description Glassman Holdings LLC 15 34 39 NW-1/4 OF NE 1/4-LESS W60 FT-(39.12 AC)(OR 1000 S Federal Hwy 1874-2912) Boynton Beach,FL 33435 Current Values Historical Values 3-year Just/Market:. $400,338 Assessed: $68,684 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $68,684 2018 $400,338 $68,684 $0 $68,684 2017 $322,111 $63,393 $0 $63,393 2016 $246,231 $58,583 $0 $58,583 Sale History Date Book/Page Sale Code Deed Grantor Price 12-22-2003 1874/2912 XX00 SP Viamontes Rafael $586,800 02-10-2000 1278/2508 XX01 TR Ricci(EST)Elsie $245,000 05-17-1991 0739/0163 XX01 WD Ricci Elsie $100 Primary Building Information Finished Area of this building: 1,659 SF Gross Sketched Area:4,512 SF Exterior Data View: Roof Cover:Dim Shingle Roof Structure:Gable Building Type:HD+ Year Built: 1947 Frame: Grade:D+ Effective Year: 1947 Primary Wall:Brk/Wd Frame Story Height: 1 Story No.Units: 1 Secondary Wall: Interior Data Bedrooms:0 A/C%: 100% Electric:MAXIMUM Primary Int Wall: Full Baths:3 Heated%: 100% Heat Type:FrcdHotAir Avg Hgt/Floor:0 Half Baths:0 Sprinkled%:0% Heat Fuel:ELEC Primary Floors:Hardwood 77 Total Areas _ Finished/Under Air 1,659 (SF): - Gross Sketched Area 5,512 (SF): Land Size(acres): 39.12 ' Land Size(SF): 1,704,067.2 Total Building Count: 2 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 2019 Saint Lucie County Property Appraiser.All rights reserved: https://paslc-dev.org/RECard/ 6/5/2019