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HomeMy WebLinkAboutHealth Department Septic Approval Symbols (Numbering System ® General Safety (Notes
PLATE LOCATION AND ORIENTATION
1 3/' Center plate on joint unless x,y 6-4-8 dimensions shown in ft-in-sixteenths Failure to Follow Could Cause Property
4 offsets are indicated. (Drawings not to scale) Damage or Personal Injury
Dimensions are in ff-in-sixteenths.
Apply plates to both sides of truss 1 2 3 1. Additional stability bracing for truss system,e.g.
and fully embed teeth. TOP CHORDS diagonal or X-bracing,is always required. See BCSI.
_
O_1/1 ar c1-2 c2-3 2. Truss bracing must be designed by an engineer.For
WEBSwide truss spacing,individual lateral braces themselves
p Nc, may require bracing,or alternative Tor I
iyp bracing should be considered.
>> 3 �y� OO = 3. Never exceed the design loading shown and never
o_ O stack materials on inadequately braced trusses.
00 0- 4. Provide copies of this truss design to the building
For 4 x 2 orientation, locate c�a BOTTOM CHORDS c5v '— designer,erection supervisor,property owner and
plates 0-'/14' from outside all other interested parties.
edge of truss, 8 7 6 5 5. Cut members to bear tightly against each other.
6. Place plates on each face of truss at each
This symbol indicates the JOINTS ARE GENERALLY NUMBERED/LETTERED CLOCKWISE jointond embed fully.Knots and wane at joint
required direction Of slots in AROUND THE TRUSS STARTING AT THE JOINT FARTHEST TO locations are regulated by ANSI/TPI 1.
connector plates, THE LEFT.
7. Design assumes trusses will be suitably protected from
CHORDS AND WEBS ARE IDENTIFIED BY END JOINT the environment in accord with ANSI/TPI 1.
'Plate location details available in MiTek 20/20 NUMBERS/LETTERS.
software or upon request. 8. Unless otherwise noted,moisture content of lumber
shall not exceed 19%at time of fabrication.
PLATE SIZE PRODUCT CODE APPROVALS 9. Unless expressly noted,this design is not applicable for
9 ICC-ES Reports: use with fire retardant,preservative treated,or green lumber.
The first dimension is the plate 10.Camber is a non-structural consideration and is the
4 X 4 width measured perpendicular ESR-1311, ESR-1352, ESR1988 responsibility of truss fabricator.General practice Is to
to slots.Second dimension is ER-3907, ESR-2362, ESR-1397, ESR-3282 camber for dead load deflection.
the length parallel to slots,
11.Plate type,size,orientation and location dimensions
indicated are minimum plating requirements.
LATERAL BRACING LOCATION
12.Lumber used shall be of the species and size,and
in all respects,equal to or better than that
Indicated by symbol shown and/or Trusses are designed for wind loads in the plane of the specified.
by text in the bracing section of the truss unless otherwise shown. 13.Top chords must be sheathed or purlins provided at
output. Use T or I bracing spacing indicated on design.
if indicated. Lumber design values are in accordance with ANSI/TPI 1 14.Bottom chords require lateral bracing at 10 ft.spacing,
section 6.3 These truss designs rely on lumber values or less,if no ceiling is installed,unless otherwise noted.
BEARING established by others.
15.Connections not shown are the responsibility of others.
Indicates location where bearings 16.Do not cut or alter truss member or plate without prior
(supports)occur, Icons vary but ©2012 MiTek®All Rights Reserved approval of an engineer.
reaction section indicates joint
number where bearings occur. 17.Install and load vertically unless Indicated otherwise.
Min size shown is for crushing only. � 18.Use of green or treated lumber may pose unacceptable
environmental,health or performance risks.Consult with
Industry Standards: project engineer before use.
ANSI/TPI1: National Design Specification for Metal 19.Review all portions of this design(front,back,words
Plate Connected Wood Truss Construction. and pictures)before use.Reviewing pictures alone
DSB-89: Design Standard for Bracing, ■_ is not sufficient.
BCSI: Building Component Safety Information, 20.Design assumes manufacture In accordance with
Guide to Good Practice for Handling, M_� a k"-__ _____ ANSI/_TP_I 7_Quality Criteria.
Installing&Bracing of Metal Plate
Connected Wood Trusses, MiTek Engineering Reference Sheet:Mll-7473 rev. 10/03/2015
PERMIT #:56-SF-172344$
IAPPLICATION #:AP 1265274
STATE OF FLO�IDA DATE PAID
r: DEPARTMENT O HEALTH
- TREATMENT AND DISPOSAL SYSTEM FEE PAID::
ONSITE SE TREATME
CONSTRUCTION PERMIT RECEIPT #:i
DOCUMENT # PR1040955
CONSTRUCTION PERMIT FOR: O TDS New
APPLICANT: Jon&Skyla Simon
PROPERTY ADDRESS: 1404 Lone Flne Dr Fort Pierce, FL 34982
LOT: 8 BLOCK: SUBDIVISION: Lone Pine
[SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
PROPERTY ID #: 3409-505-0013-0 08 [OR TAX ID NUMBER'
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SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION
381.0065, F.S., AND CHAPTER64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE
SATISFACTORY PERFORMANCE FORANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN! MATERIAL FACTS,
_,_.WHICH SERVED AS A BASIS OR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE
PERMIT APPLICATION. SUCH ODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID.
ISSUANCE OF THIS PERMIT D ES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL,
STATE, OR LOCAL PERMITTING REQIIRED FOR DEVELOPMENT OF THIS PROPERTY.
SYSTEM DESIGN AND SPECIFICATIONS
T [ 1,050 ] GALLONS / GPD Septic CAPACITY
A [ ] GALLONS / GPD N/A CAPACITY
N [ ] GALLONS GREASE IN ERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [ ] GALLONS DOSING T K CAPACITY j ]GALLONS @[ ]DOSES PER 24 HRS, #Pumps [ 7
D [ 667 ] SQUARE FEET Drainfield SYSTEM
R [ ] SQUARE FEET I N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD FILLED [X] MOUND [ ]
I CONFIGURATION: [ ) TRENC [x) BED [ ]
N
F LOCATION OF BENCHMARK: Site BM NID in Rd near median s side Of property i
I ELEVATION OF PROPOSED SYSTEM SITE [ 7.00 ] [ INCHES FT ] [ ABOVE BELOW]BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 11.001 [ INCHES FT J [ ABOVE BELOW]BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: [22.001 IN RES EXCAVATION REQUIRED: [ ] INCHES
The system is sized for 4 bedrooms ith a maximum occupancy of 8 persons(2 per bedroom),for a total estimated flow
0 of 400 gpd.
T The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with
H s.64E-6.013(3)(f), FAC.
E
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SPECIFICATIONS BY: Brian J I gram TITLE: Environmental Specialist II
APPROVED BY: TITLE: Environmental Specialist II St. Lucie CHD
Brian J ram n
DATE ISSUED: 1 2106/2 01 6 EXPIRATION DATE:' 06/06/2018
DH 4016, 08109 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC Page 1 of 3
v !AA API.265274 SE1015575
" NOTICE OF RIGHTS
I
A party whose subste ntial interest is affected by this order may petition for an
i
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 i
Department,within twenty-one (21) days from the receipt of this order. The address of the
Agency Clerk is 4052 Bald C press 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 submil a petition for hearing within 21 days from receipt of this order
will constitute a waiver of YOL r 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 pur uant to Section 120.68, Florida Statutes. Review proceedings i
are governed by the Florida ules 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 econd 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 rder.
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St. Lucie County Health Department
riy 5150 NW Milner Dr Port Saint Lucie, FL 34983
HTH
PAYING ON: PERMIT#:5 -SF-1723448 BILL Doc#:56-BID-3312852 CONSTRUCTION APPLICATION#:AP1265274
RECEIVED FROM: LaventurE &Associates, Inc AMOUNT PAID: $ 515.00
PAYMENT FORM: CHECK 1394 PAYMENT DATE: 11730/2016
MAIL TO: Jon &Skyla Simon
i
FACILITY NAME
PAROPERTY LOCATION:
1404 Lone Pine Dr
Fort Pierce, FL 34982
Lot: $ Block:
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Property ID: 3409-505-001 -0008
EXPLANATION or DESCRIPTION: QUANTITY; FEE
1 - OSTDS Construction Applicat on and Plan Review,New 1 $ 100.00
I
123- OSTDS Construction Site El raluation 1 $ 115.00
126- OSTDS Construction Permit (New or Mod, Amendment) 1 $ 55.00
127- OSTDS Construction System Inspection 1 $ 75.00
1128- OSTDS Construction System Inspection Research Fee 1 $ 5.00
133 - OSTDS Construction Reins ection 1 $ 50.00
-1 - Surcharge (All) 1 $ 15.00
-1 - OSTDS New Permit Surcharg 1 $ 100.00
RECEIVED BY: VanceMH AUDIT CONTROL NO. 56-PID=3148778
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-- _ STATE OF ORIDA PERMIT NO. ir 97 1 3yyg
DEPARTMEN OF HEALTH DATE PAID,:
ONSITE SE GE TREATMENT AND DISPOSAL FEE PAID:;
SYSTEM RECEIPT i !
`Op"S APPLICATI N FOR CONSTRUCTION PERMIT
APPLICATION FOR:
[ ] New System [ ] Existing System [ ] Holding Tank [ ] Innovative
[ ] Repair [ 1] Abandonment [ 7 Temporary
APPLI CANT:
AGENT: G- A �1" %� � �SG�C-I � 'V��'a TELEPHONE: 'l /�",1 1 3—, �K,
!MAILING ADDRESS: 7,714 Cam, /GilDi'VA ( f% -ArRe'15 . 1 �,
TO BE COMPLETED BY APPLI T OR APPLICANT'S AUTHORIZED AGENT SYSTEMS MUST BE CONSTRUCTED
BY A PERSON LICENSED PURS ANT TO 489.105(3) (m) OR 489.552, FLORIDA STATUTES.'., IT IS THE
APPLICANT'S RESPONSIBILIT TO PROVIDE DOCUMENTATION OF THE DATE THE LOT WAS CREATED OR
PLATTED (MM/DD/YY) IF REQ STING CONSIDERATION OF STATUTORY GRANDFATHER PROVISIONS.
PROPERTY INFORMATION
I
LOT: _ BLOCK: SUBDIVISION: d'�'/J� "-//�� PLATTED: ,
PROPERTY ID #: " ,s' C�G�f�-GAG?C3 ZONING: I/M OR EQUIVALENT: N 7
PROPERTY SIZE: ACRE WATER SUPPLY: ��� A
[ �•J�;PRIV�TE PUBLIC: [ ]<=2000GPD [ 1>2000GPD
IS SEWER AVAILABLE AS PER 81.0065, FS? [ Y e--5�j DISTANCE TO SEWER:.54:0 FT
PROPERTY ADDRESS:
DIRECTIONS TO PROPERTY: 69-no leY- A 9K ?wl vie Cfrpla /CRiLI. .
BUILDING INFORMATION [ ] RESIDENTIAL [ J COMMERCIAL
Unit Type of No. of Building Commercial/Institutional System Design
No Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC
S� i`i /LY 2 Fps;
3
4
[ ] Floor/Equipment Drains ] Other (Specify) l
SIGNATURE: / DATE: // zZ 1�
L •o•
(G4 a12
DH 4015, 08/09 (Obsoletes p evious editions which may not be used)
( Incorporated 64E-6.001, FAC Page 1 of 4
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STATE OF FLORIDA APPLICATION # AP1265274
DEPARTMENT C F HEALTH PERMIT # 56-SF-1723448
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT # SE1015575
SITE EVALUA ION AND SYSTEM SPECIFICATION
APPLICANT: Jon&Skyla Simon
CONTRACTOR / AGENT: Laventure Associates, Inc
LOT. 8 BLOCK:
SUBDIVISION: Lone Ping ID#: 3409-505-0013-0008
TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEERS MUST
PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS.
PROPERTY SIZE CONFORMS TO SITE 'LAN: [X ]YES [ ]NO NET USABLE AREA AVAILABLE: 0.38 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES-TAHLEI / OTHER-TABLE 2 ]
UTHORIZED SEWAGE FLOW: 950.00 GALLONS PER DAY [ 1500 GPD/ACRE OR 12500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 1100.00 SQFT UNOBSTRUCTED AREA REQUIRED: i1000.00 SQFT
ENCHMARK/REFERENCE POINT LOCAT ON: Site BM NiD in Rd near median s side of property
ELEVATION OF PROPOSED SYSTEM SITE 7.00 [ INCHES / FT ] [ ABOVE / BELOW ] BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: FT DITCHES/SWALES: FT NORMALLY WET.: [ ]YES [X]NO
W"LS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON-POTABLE: 100 FT
BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 60 FT
SITE SUBJECT TO FREQUENT FLOODI G? [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]NO]
_ 10 YEAR FLOOD ELEVATION FOR SITE : FT [ MSL / NGVD ] SITE ELEVATION: 'FT [ MSL / NGVD
I
SOIL PROFILE INFORMATION SITE 1 SOIL PROFILE INFORMATION SITE 2�
!USDA SOIL SERIES:Oldsmar sand USDA SOIL SERIES:Oldsmar sand
` Munsell#/Color Texture Depth Munsell#/Color Texture Depth
10YR 5/2 Sand 0 To 7 1 OYR 5/2 Sand 0 To 6
j 10YR 7/2 Sand 7 To 13 1OYR 612 Sand 6 To 14
1 OYR 3/1 Sand 13 To 16 10YR 311 Sand I 14 To 16
1 OYR 4/1 Sand 16 To 18 1 OYR 4/1 Fine Sand 16 To 18
10YR 5/1 Fine Sand 18 To 34 1OYR 5/1 Fine Sand 18 To 36
1OYR 312 Fine Sand 34 To 45 10YR 3/2 Fine Sand 36 To 45
10YR 4/2 Loamy Fine Sand 45 To 63 10YR 4/2 Loamy Fine Sand 45 To 67
1 OYR 5/2 Fine Sand 63 To 72
10YR 6/2 Fine Sand 67 To 72
OBSERVED WATER TABLE: 61.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ]
ESTIMATED WET SEASON WATER TABLE E EVATION: 20 INCHES [ ABOVE BELOW
/ ] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ]YES [X ]NO MOTTLING: [X ]YES [ ]NO DEPTH: 20.00 INCHES
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SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.60 DEPTH OF EXCAVATION: INCHES
DRAINFIELD CONFIGURATION: [ j TRENCH [X ] BED [ ] OTHER (SPECIFY)
REMARKS/ADDITIONAL CRITERIA
WSWT determined using USDA WSS,soil b°'rings,and past data.
10YR5/1 and 10YR611 stripping in 10YRI 'rings,
10%with diffuse boundaries starting at 20"in both SBs.
SB1 and SB2 7"above SM
SITE EVALUATED BY: DATE%': 12IO6IZO16
Ingram Sri (Title:Environmental Specialist li)(ENVIRONMENTAL HEALTH)
DR 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, PAC Page 3 of 4
AP1265274 EID1723448 v1.0.2
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STATE OF FLO�ZIDA PERMIT #. � � " /7Z 3,y q j
DEPARTMENT O HEALTH
ONSITE SEWAGE' TREATMENT AND DISPOSAL SYSTEM
SITE EVALVAT ON AND SYSTEM SPECIFICATIONS
APPLICANT: ..JL1 0 5+�lL / i/1G�llo AGENT:
LOT: BLOCK: SUBDIVISION: il,6yvC DNIF
PROPERTY ID 0 [Section/Townshi• Parcel No os• Tax ID Number]
TOE BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE,OR OTHER QUALIFIED PERSON. ENGINEERS
MUST PROVIDE REGISTRATION NUbBBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS.
PROPERTY SIZE CONFORMS TO SI E PLAN: [)] YES [ ] NO NET USABLE AREA AVAILABLE: LACRES
TOTAL ESTIMATED SEWAGE FLOW -6-e)o GALLONS PER DAY [RESIDENCES-TABLE 1/OTHER-TABLE2]
AUTHORIZED SEWAGE FLOW: _57 0 GALLONS PER DAY [1500 GPD/ACRE OR 2500 GPD/ACRE].
UNOBSTRUCTED AREA AVAILABLE: p4 SQFT UNOBSTRUCTED AREA REQUIRED: ? �q SQFT
BENCHMARK/REFERENCE POINT LO TION: t G> � l��i�1�.iT •? k,. L4T_
ELEVATION OF PROPOSED SYSTEM SITE IS NCHE3/FT] OVE BELOW BENCHMARK%/REFERENCE POINT
THE MINIMUM SETBACK WHICH I BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: , FT DITCHES/SWALES: 15 FT NORMALLY WET? [ ] YES [ ] NO
WFILLS: PUBLIC: 900 FT L ITED USE: ICV FT PRIVATE: TS— FT NON-POTABLE: L FT
BUILDING FOUNDATIONS: FT PROPERTY LINES: FT POTABLE WATER LINES: , FT
SITE SUBJECT TO FREQUENT FLO DING: [ ] YES [jC] NO 10 YEAR FLOODING? 1 [ ] YES [ ] NO
10 YEAR FLOOD ELEVATION FOR ITE: FT MSL/NGVD SITE ELEVATION: FT MSL/NGVD
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SOIL PROFILE INFORMATION SI1.1E 1 SOIL PROFILE INFORMATION SITE 2
MUNSELL #/COLOR TEXTURE DEPTH MUNSELL #/COLOR TEXTURE DEPTH
TO I TO
TO TO
TO TO
TO TO
TO TO
_ TO TO
TO TO
�— TO TO
TO TO
USDA SOIL SERIES: USDA SOIL SERIES:
OBSERVED WATER TABLE: INCHES [ABOVE / BELOW] EXISTING GRADE. TYPE: [PERCHED / APPARENT]
ESTIMATED WET SEASON WATER TABLE ELEVATION: INCHES [ABOVE / BELOW]; EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ] YES [ ] NO MOTTLING: [ ] YES [ ] NO DEPTH: INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: DEPTH OF EXCAVATION: INCHES
DRAINFIELD CONFIGURATION: [ ] TRENCH [ ] BED [ ] OTHER (SPECIFY)
MARKS/ADDITIONAL CRITERIA: I ��,s, /1 /�'�r,/ /,•rlq �i�( Crdi�' +OI�QJ,1 � !? SBT
SI TE EVALUATED BY: 1�G -' C ? c{. �� DATE: & ,
� I
D8 4015, 08109 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001,FAC Page 3 of 4
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'roperty�Card Page 1 of
Site Address: 1404 Lone P' I ID:3409-505-0013- Account#: 166413 • Sec/Town/Range:
Pine DR UN-609/36S/40E
Map ID:34/09N Zpning:PUD-CO Use Type:0000 Jurisdiction:Saint Lucie
County
Ownership I Legal Description
Jon Simon LONE PINE SUBDIVISION(PB 51-21)LOT 8(OR 3894-
Skyla Simon 1003)
343 NW Stratford LN
Port Saint Lucie,FL 34983-3431
Current Values Historical Values 3-year
Just/Market: $19,600 Assessed: $19,600 Year Just/Market Assessed Exemptions Taxable
Exemptions: $0 Taxable $19,600 2016 $19,600 $19,600 $0 $19,600
2015 $17,000 $17,000 $0 $17,000
2014 $17,000 $17,000 $0 $17,000
Sale History
Date Book/Page Sale Code Deed Grantor Price
07-21-2016 3894/ 1003 0001 WD Luster Johnnie Chester $20,000
12-31-2015 3823/1802 0001 WD Jacobson Mark A $23,500
06-07-2013 3526/1700 0111 WD Jacobson,Thomas A $100
Primary Building Information
Finished Area of this building:0 SF
Gross Area of this building:0 SF
Exterior Data
View: Roof Cover: Roof Structure: Building Type:
Year Built:N/A Fra e: Grade: Effective Year:2014
Primary Wall: Sto Height: No.Units:0 Secondary Wall:
Interior Data
Bedrooms:0 A/C Oo:0% Electric: Primary Int Wall:
Full Baths:0 Heat�d%:N/A% Heat Type: Avg Hgt/Flodr:0
Half Baths:0 Sprinkled%:0% Heat Fuel: Primary Floors:
I
Total Areas
Finished/Under Air 0
(SF)
j Gross Area(SF): 0
Land Size(acres): 0.38
Land Size(SF): 16,553
Total Building Count: I
Special Features and Yard Items
Type Qty Units Year Blt
This information is believed to be correct at this time but it is subject to change and is not warranted.
©Copyr'ght 2016 Saint Lucie County Property Appraiser.All rights reserved.
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.ttp://www.paslc.org/RECard/ i 11/30/201(
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@ LAP SIDING I caetaeu _.-- s� � o � o
SCALE: %rr=1•-0" UES J1101,11 'RASIL9Z S c O E
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SCALE: %-=r-0•• SCALE: Vii"=r-0•r PRELIMINARY FLOOR PLAN SCALE yr'=1 -o A2
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