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PERMIT #:66-SF-01609
STATE OF FLORIDA APPLICATION #: AP1581683
DEPARTMENT OF HEALTH DATE PAID:
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM FEE PAID:
RECEIPT #:
DOCUMENT #: PR1453370
OsTDs #: 99-1522-R
CONSTRUCTION PERMIT FOR r .Q+ SIDS j�
j rF�SLsting illJ` difica ion:
APPLICANT: Asulina Shlomi 7 + i f�►
PROPERTY ADDRESS: 3105 S 23rd St Fort Pierce, FL 34982
LOT: 3 BLOCK: 2 SUBDIVISION: Edgewood Acres
PROPERTY ID #: 2428-603-0021-000-4 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR TAX ID NUMBER]
SYSTEM MUST BE CONSTRUCTE
381.0065, D IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SF.S., AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL, OF N
SYSTEM DOES NOT GUARANTEE
SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME.
ANY CHANGE IN WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT MATERIAL
MODIFY ACTHE
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 STATE, OR LOCAL, PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. OTHER FEDERAL,
SYSTEM DESIGN AND SPECIFICATIONS
T [ 750 ] GALLONS / GPD SeotiC existing/new CAPACITY
A [ ] GALLONS / GPD N/A
N [ ] GALLONS GREASE INTERCEPTOR CAPACITY CAPACITY
[MAXIMUM CAPACITY SINGLE TANR:1250 GALLONS]
K [ 225 ] GALLONS DOSING TANK CAPACITY 150.00 ]GALLONS @[ 6 ]DOSES PER 24 HRS #Pumps [ j ]
D [ 500 ] SQUARE FEET Drainfield existing/new SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD [X] FILLED [] MOUND
I CONFIGURATION: [ l
L l TRENCH (X] BED [ ]
N
F LOCATION OF BENCHMARK: ' orange spot, CL of 24th St, center of Drooertv
I ELEVATION OF PROPOSED SYSTEM SITE
E BOTTOM OF DRAINFIELD TO BE
L
[ 8.00 ][INCHES FT ][ ABOVE BELOW BENCHMARK/REFERENCE POINT
BELOW
[ 9.00 ][INCHES FT ][ABOVE BENCHMARK/REFERENCE POINT
D FILL REQUIRED. [17.00] INCHES EXCAVATION REQUIRED: [ ] INCHES
r0300e system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of gpd.
T
H Contractor proposing to install new drainfield area on existing drainfield.
E Existing septic tank within one tank size. Performing Lift Dosing.
R
SPECIFICATIONS BY: Brian J In am TITLE:
Environmental Specialist II
APPROVED BY: TITLE: Environmental Specialist II
Brian J I ram St. Lucie CHD
DATE ISSUED: 10/14/2020
EXPIRATION DATE: 04/14/2022
DH 4016, Oe/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
Page 1 of 3
V 1.1.4 AP1581683 SE1411701
St. Lucie County Health Department
5150 NW Milner Dr Port Saint Lucie, FL 34983 .
IdG ON: #: 56-SF-01509 BILL Doc #:56-BID-5001730 CONSTRUCTION APPLICATION #: AP1581683
�CEIVED FROM: ASHTON SEPTIC TANKS,. INC. AMOUNT PAID: $ 380.00
'PAYMENT FORM: CREDIT CARD 001299 , PAYMENT DATE: 09/30/2020
MAIL TO: Asulina Shlomi
FACILITY NAME: Maggie Biando
PROPERTY LOCATION:
3105 S 23rd St
Fort Pierce, FL 34982
Lot: 3 Block: 2
Property ID: 2428-603-0021-000-4
EXPLANATION or DESCRIPTION:
QUANTITY
FEE
128 - OSTDS Construction System Inspection Research Fee
-1 - Surcharge (All)
124 - OSTDS Construction Repair or Mod Site Evaluation
126 - OSTDS Construction Permit (New or Mod, Amendment)
127 - OSTDS Construction System Inspection
131 - OSTDS Construction Application & Existing System E
139 - OSTDS Application Approval Existing, No Insp
1
1 $
1 $
1 $
1 $
1 $
1 $
5.00
45.00
115.00"
55.00
75.00
50.00 ='
35.00
RECEIVED BY: WhighamJL AUDIT CONTROL NO. 56-PID-4697972
=11
i.N
wa-
91
0)
Vj-
17DOH in St. Lucie County
Enviroll.,nental Health
Site Plan Approved for Construction
Supersedes All Previous Site Plans for
OSTDS & Well #
Date:(I
Reviewer. te
I
C;'I
r->
A —
"I!.
7 -,fir r`l
APPLICAUNT:
ST?'T'E OF FLORIDA
DEPA1R NT OF BEALTi3
ON"' }SEIVAGE TRRAT NT �?MD DISPOSAL SYST :M .
E 25T*- SYST- AT7D S'1S3`EM_ REP-4 �R EVAL-Up=_014
/ r �-
CONTtZA�CTOR % AGE23'3': 9�1�
LOT: 3 BLOCK-
Tyl ,c,
PERMIT 4 :56 -S9 0 7
TO BE COMPLETED BY FLORID_A REGISTERED F �? i " C)c" "
OT.T R CE_�{TIFIED P ENGINEER, DEPARTMENT FM r,OYEE, SEPTIC m PERSON. SIGN "3ND SF -AL -A-1 SUBMITTED DOCI7ME_NTS. CO_ TANK CoNmR.ACTo-R OR
COMPLETE TANK CERTI - T COMPLETE , aTwr, pnPi,IC.zBLE ITEMS.
�C_AT_ON BE_T,OW OR NOTE IN REM-4RKS t-Ti Tk3E Tp2KS CM-N0i, BE CERT-r rrn
-EXIStT�iZvG TAM n-mop N
t ! ✓ 0I GALL' ONS SEPTIC TATX/GAD n �`U
I GALLONS SEPTIC T-algK/GPD ATU
C I GALLONS GREASE INTERCEPTOR
I r_Ars.oNS I)OSIlTG MANX
LEGEND :.
LEGEND: S
LEC-END:
LEGEND:
_ CERTIFY THAT THE LISTED Ta1�TKS WERE PUrI-ERED ON
TIM VOLUM✓S SPECIFIED AS DETERMINED BY f D
DEN'i OR LEAKS r -^ND� HAVE 46 �OLIDS DRpT.r mT�
LICENSED CONTRp_C2'OR V v v
BUSINESS IUME
MATERIAL: C-.Iyv5 brek 8
MRSERZaT.:
n PUMPS:f 1
S / FLLING EVE
/ . LECE ID ] , ATtE F'2EE OF OBSERVt�3LE
OQTr-SET FTL-a`R DE�
V± n
-
29zv
EXISTnTG DRAINFIE= INFOR,,aTION
SQUARE FEET PRIMARY DRPTNFT
-ELD SYSTEM NO. OF 'TREIvCEMS �
C I SQUARE F,-w,ET SYSTEM NO. OF TRENCHES DT?�LNSIOZ3S 2- i -
TYPE OF SYSTEM: I 7 STANDARD [ I FILLED L 1'MOUND C I C I DT-W-NS_T0N8 :.
CONFIGURA+TION': [ I TRENCH >d BED C 7
DESIGN: HEADER C I D-BOg
ELEV3-LTION OF BOTTOM OF D C 7 GRa�
RAINFIELa LT3 TY SYSTEM ><:I -DOSED SYST��M
RELATION TO EXISTING C-_RA,DE _ 42 T-��,.� NCHES I _n3Ov-E / '_'
SYSTEME'AlLuGtE -Z-hm REPpT_R INFORI�LP-TION
C 1 / 5 � 1 SYSTEM MST -AZ rA`r 161W
I 3G p I C-PD EST -TUFTED SEMGE FLOW BASED ON
SITE ' I I DRAIlQG_E STRUCTURES
I I POOL
CONDITIONS:
C I SI,OPaiG PROPERTY C 7
N2'-3`URE OP C l HYDRAULIC OVERLOAD
FAILURE: [ 1 DPAINAGE / RUN OFF
A-ILLRE C 1 SEWAGE ON GROUND
Syl+Co JToM: C . I PLUMBImTG HACKUP
REMARKS/ADDITION6.L CRITERIA t� C-) -A ,
C I SOILS
C 7 ROOTS
t ] T-�i23K
C 1
TYPE .OF TMSTE J� DOMESTIC I I COMLMERCLnr,
I I METERED TIATER P<:4 TABLE- 11 6d..E-6, FAC
t I PATIO / DECK
t I M4INTEI�TE1t7CE
C 7 Wa2ER M.ABLE
I I D BOX/BtADER
C I PAR-VJNG
t 3 SYSTEM DpmGE
O 24t v r-er
C 1 DRA_3yT -VTFrn
1 e�Q OUV
----------------
5u'BrT�"TTB'D BY: ��I: }%1 ��� d b ! �L. �J�
DH 4015, .06 09 TI-T��E/LICENSE S :Dp'rE ) j D
/ �iObsolet_s pre�� 0us' editi0rs which may not be used) ��
yncorp0razed GA-6.001, Fp,C _
! Aga 4 of 4
Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved.
Building Information
Finished Area: 728 SF
Gross.Sketched Area:1,080 SF
Exterior Data
Building Type:
HD
Grade:
D
Year Built
1955
Effective Year.
1962
No. Units:
I
Primary Wall:
Conc Block
Secondary Wall:
Roof Cover:
Tar & Gravel
Roof Structure:
Flat/Shed
View:
Frame:
Story Height:
i Story
Interior Data
Bedrooms:
2
Full Baths:
I
Half Baths:
U
Primary Int Wall:
Drywall
Primary Floors:
Carpet
Avg Hgt/Floor:
o
Heat Type:
Heat Fuel:
Electric:
MINIMUM
A/C %:
o%
Heated %:
0
0%
Int Sprinkler %:
0%
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. All rights reserved.
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