HomeMy WebLinkAboutState of Florida Health Permit 56-SF-2215544STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT
PERMIT tt: 56-SF-2216644
APPLICATION #: AP1608837
DATE PAW:
FEE PAID:
RECEIPT @•
DOCUMENT # : PR1514286
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: Eddy & Connie Beland
PROPERTY ADDRESS: 7964 Plantation Lakes Dr Port Saint Lucie, FL 34986
LOT: 7 BLOCK: SUBDIVISION: Reserve Plantation
PROPERTY ID $: 3321-803-0013-000-4 [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. 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 PERMIITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY.
SYSTEM DESIGN AND SPECIFICATIONS
T [ 1,050 ] GALLONS / GPD Septic new CAPACITY
j0+ I ] GALLONS / GPD N/A CAPACITY
N I I GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K I ] GALLONS DOSING TANK CAPACITY I IGALLONS @[ ]DOSES PER 24 HRS NPumps [ ]
D I 667 ] SQUARE FEET Drainfield new SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: 17 STANDARD [ ] FILLED NJ MOUND [ ]
I CONFIGURATION: [ J TRENCH [X] BED [ ]
N
F LOCATION OF BENCHMARK: NiD in cut-out, CL of plantation lakes dr and cul-de-sac
I ELEVATION OF PROPOSED SYSTEM SITE [ 5.00 ] INCHES FT ICABOVE / BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 1.00 ]I INCHES FT ] ABOVE BELOW] BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: 124.001 INCHES EXCAVATION REQUIRED: [ ] INCHES
O
T
H
E
R
system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of
9pd•
SPECIFICATIONS BY: Brian J Ingram TITLE: Environmental Specialist III
APPROVED BY: TIC: Environmental Specialist III St. Lucie CHD
ian a
DATE ISSUED: 02/11/2021 EXPIRATION DATE: 08/11/2022
not b
DH 4016, 08/09 (Obsoletes all previous editions which may e used)
Incorporated: 64E-6.003, FAC Page 1 of 3
v 1.1.4 AP1608837 SE2480723
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
I'l EUTH 5150 NW Milner Dr Port Saint Lucie, FL 34983
PAYING ON:
#: 56-SF-2215544
BILL DOC #•56-BID-5131656
CONSTRUCTION APPLICATION #• AP1608837
RECEIVED FROM:
Eddv & Connie
Beland
AMOUNT PAID: $ 545.00
PAYMENT FORM:
CREDIT CARD
02255C
PAYMENT DATE: 12/21/2020
MAIL TO: Eddy & Connie Beland
FACILITY NAME:
PROPERTY LOCATION:
7964 Plantation Lakes Dr
Port Saint Lucie, FL 34986
7
Lot: Block:
Property ID: 3321-803-0013-000-4
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
$
100.00
1
$
100.00
1
$
115.00
1
$
55.00
1
$
75.00
1
$
50.00
-RECEIVED BY: AdamsC AUDIT CONTROL NO. 56-PID-4834248
Note: 7964 Plantation Lakes Drive - Septic
rle�.
STATE OF FLORIDA
PERMIT NO.
DEPARTMENT OF' HEALTH
DATE PAID:
AZC�
ONSITE SEWAGE TREATMENT AND DISPOSAL
FEE PAID:--
SYSTEM
RECEIPT #:
APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
(�/J New System [ ] Existing System [ J Holding Tank [ J Innovative
[ ] Repair [ ] Abandonment [ ] Temporary [ J
APPLICANT:
AGENT: ,j (2 m TELEPHONE : 5- 9 6 2 �j f�Sl
MAILING ADDRESS:
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 4.89.552, FLORIDA STATUTES. IT IS THE
APPLICANT'S RESPONSIBILITY TO PROVIDE DOCUMENTATION OF THE DATE THE LOT WAS CREATED OR
PLATTED (MM/DD/YY) IF REQUESTING CONSIDERATION OP STATUTORY GRANDFATHER PROVISIONS.
.-3=aaS :=c=�C=3..=�-ac �=:m�=a==a33aca=a_aaa=3ca'c=e=c===3asa==ss==ate==3ccasaoaaasa>aaaaa=ac=
PROPERTY INFORMATION Q P lift •P3312(U
LOT: BLOCK: SUBDIVISION: �CSc('t)e l rU�1�GifQt'j PLATTED:
PROPERTY ID #: �, -( 3 "C ZONING: KS I/M OR EQUIVALENT: [ Y/N J
PROPERTY SIZE.: ACRES WATER SUPPLY: [y() PRIVATE PUBLIC I Jc=2000GPD [ ]>2000GPD
IS SEWER AVAILABLE AS PER 382.0065, FS? [ Y(IN) J
PROPERTY ADDRESS:
DISTANCE TO SEWER: FT
1 —1 I .- J-1 n/—.
DIRECTIONS TO PROPERTY: Q6 4-, 'PcA�\ b.Ac c UJ W.
BUILDING INFORMATION [%/rRESIDENTIAL [ j COMMERCIAL
Unit Type of No. of Building Commercial/institutional System Design
No Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC
1 , " e 3 3,2�8 �.
2
3
4
[ ) Floor/Equipment Drains [
] Other (Specify)
� �---- DATE :• ��' � �/ ZU
DH 4015, 08/09 (Obsoletes previous editions which may not be used)
Incorporated 64E-6.001, FAC Page 1 of 4
STATE OF FLORIDA APPLICATION # AP1608837
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM PERMIT # 56-SF-2215544
SITE EVALUATION AND SYSTEM SPECIFICATION DOCUMENT # SE1480723
APPLICANT: Eddy & Connie Beland
CONTRACTOR / AGENT: Eddy & Connie Beland
LOT: 7 BLOCK:
SUBDIVISION: Reserve Plantation ID#: 3321-803-0013-000-4
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 PLAN: [X]YES ( ]NO NET USABLE AREA AVAILABLE: 0.84 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2
AUTHORIZED SEWAGE FLOW: 1259.99 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE
UNOBSTRUCTED AREA AVAILABLE: 1458.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1000.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION: NID In Cut -Out, CL of plantation lakes dr and cul-de-sac
ELEVATION OF PROPOSED SYSTEM SITE 5.1 [ INCHES / FT ] [ ABOVE / BELOW ] BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: 100 FT DITCHES/SWALES: FT NORMALLY WET: [ ]YES [X]NO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON -POTABLE: 50 FT
BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 12 FT POTABLE WATER LINES: 82 FT
SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES
[ X ] NO]
10 YEAR FLOOD ELEVATION FOR SITE: FT[ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD
SOIL PROFILE INFORMATION SITE 1 anTT. nnn11- r
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
10YR 3/2
Sand
0 To 12
10YR 5/1
Sand
12 To 25
1 OYR 6/1
Sand
18 To 25
10YR 7/2
Sand
25 To 37
1 OYR 4/3
Loamy Sand
37 To 42
1 OYR 6/2
Sandy Clay Loam
42 To 48
REFUSAL
Refusal
48 To 72
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
1 OYR 3/2
Sand
0 To 12
10YR 5/1
Sand
12 To 25
10YR 6/1
Sand
18 To 25
1 OYR 7/2
Sand
25 To 37
1 OYR 4/3
Loamy Sand
37 To 42
1 OYR 6/2
Sandy Clay Loam
42 To 48
REFUSAL
Refusal
48 To 72
OBSERVED WATER TABLE: 40.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ]
ESTIMATED WET SEASON WATER TABLE ELEVATION: 18 INCHES [ ABOVE / BELOW ] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 18.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING
DRAINFIELD CONFIGURATION: [ ] TRENCH
r REMARKS/ADDITIONAL CRITERIA
[ X ] BED
Sand/0.60 DEPTH OF EXCAVATION:
[ ] OTHER (SPECIFY)
WSWT determined using USDA WSS and soil borings.
10YR6/1 stripping in a 10YR5/1 matrix > 10% with diffuse boundaries starting at 18" in SB1.
SB1 18" below BM. S132 19" belovvS BM. 1-7
SITE EVALUATED BY: ` (G
Ingram, Brian
DH 4015, 08/09 (Obsoletes previous editions %
Environmental Specialist III) (ENVIRONMENTAL HEALTH)
may not be used) Incorporated: 64E-6. 001, FAC
INCHES
DATE: 02/04/2021
Page 3 of 4
AP1608837 EID2215544 v 1.0.2
155
Michelle Franklin, CFA -- Saint Lucie County Pr perty Appraise-- All rights reserved.
Property Identification
Site Address: 7964 Parcel ID: 3321-803-0013- Account #: 35934
Sec/Town/Range: 28/36S/39E
PLANTATION LAKES DR 000-4
Map ID: 33/28N Zoning: RS-2 - Cou
Use Type: 0000 Jurisdiction: Saint Lucie
County
Ownership Legal Description
Eddy Beland RESERVE PLANTATION -PHASE IIA LOT7 (MAP 33/28N)
Connie Beland
20 Hilltop Dr
AYR , ON NOB 1 EO
CANADA
Current Values
Historical Values 3-year
Just/Market: $79,300 Assessed: $79,300 Year Just/Market
Exemptions:
Assessed Exemptions
Taxable
$0 Taxable: $79,300 2020 $79,300
$79,300 $0
$72,3 00
2019 $79,300
2018 $79,300
$72,326 $0
$65,751
$26
,51
$0
$65,751
Date
02-18-2020
08-01-1988
08-01-1988
View:
Year Built: N/A
Primary Wall:
Bedrooms: 0
Full Baths: 0
Half Baths: 0
Book/Page
4387 / 0450
0597 / 2796
0597 / 2796
Type
Roof Cover:
Frame:
Story Height:
Sale History
Sale Code Deed Grantor
0001 WD Barber Mark A
XX00 CV
XX00 CV
Primary Building Information
Finished Area of this building: 0 SF
Gross Sketched Area: 0 SF
Exterior Data
Roof Structure:
Grade:
No. Units: 0
Interior Data
A/C %: 0% Electric:
Heated %: N/A% Heat Type:
Sprinkled %: 0% Heat Fuel:
Total Areas
Price
$100,000
$48,900
$48,900
Building Type:
Effective Year: N/A
Secondary Wall:
Primary Int Wall:
Avg Hgt/Floor: 0
Primary Floors:
Finished/Undcr Air 0
(SF):
Gross Sketched Area 0
(SF):
Land Size (acres): 0.84
Land Size (SF): 36,473
Total Building Count: I
Special Features and Yard Items
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.
C0 Copyright 2020 Saint Lucie County Property Appraiser. All rights reserved.