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HomeMy WebLinkAboutHealth Department Septic Permit or Utility Company Approval t4iB 1-7 d� APPLICATION #:AP1293 11 { OF / STATE OF FLORIDA PERMIT #:56-SF-1767197 DEPARTMENT OF HEALTH l90' ! DOCUMENT #:F11170730 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:06/01/2017 RECEIVED FEE PAID: 515.00 RECEIPT #:56-P I D-3256619 APPLICANT: Daniel&Jennifer Taylor APR 2.0 2010 AGENT: Gem Builders, Inc Permitting Department PROPERTY, ADDRESS: 1308 Lone Pine Dr Fort Pierce, FL 34982 St Lucie County LOT: 2 BLOCK: SUBDIVISION: Lone Pine ID#: 3409-505-0007-000-3 CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED. TANK INSTALLATION SETBACKS [ ] [01] TANK SIZE [11 1090.00 [2] [ ] [27] SURFACE WATER FT [ ] [02]. TANK MATERIAL Polyethylene [ ] [28] DITCHES FT [ ] [03] OUTLET DEVICE [ ] [29] PRIVATE WELLS FT [ ] [04] MULTI-CHAMBERED [ Y N ] [ ] [301 PUBLIC WELLS FT [ ] 105] OUTLET FILTER Polylok PL-68 [ ] [31] IRRIGATION WELLS FT [ ] [06] LEGEND 1. 70-143-11DC3 2. [ ] [32] POTABLE WATER 10 FT [ ] [07] WATERTIGHT [ ] [33] BUILDING FOUNDATIONS 6 FT [ ] [08] LEVEL [ ] [34] PROPERTY LINES 5 FT [ ] [09] DEPTH TO LID [ ] [35] OTHER FT DRAINFIELD INSTALLATION FILLED / MOUND SYSTEM [ ] [10] AREA [11 669.2 [2] SQFT [ ] [36] DRAINFIELD COVER [ ] [11] DISTRIBUTION BOX HEADER X [ ] [37] SHOULDERS [ ] [121 NUMBER OF DRAINLINES 1, 8.00 2, [ ] [38] SLOPES [ ] [13] DRAINLINE SEPARATION [ ] [39] STABILIZATION 04/20/2018 [ ] [14] DRAINLINE SLOPE [ ] [15] DEPTH OF COVER ADDITIONAL INFORMATION [ ] [16] ELEVATION [ ABOVE / BELOW ]BM 11.00 [ ] [40] UNOBSTRUCTED AREA [ ] [17] SYSTEM LOCATION [ ] [41] STORMWATER RUNOFF [ ] [18] DOSING PUMPS [ ] [42] ALARMS [ ] [191 AGGREGATE SIZE [ ] [43] MAINTENANCE AGREEMENT [ ] [20] AGGREGATE EXCESSIVE FINES [ ] (44] BUILDING AREA [ ] [21] AGGREGATE DEPTH [ ] [45] LOCATION CONFORMS WITH SITE PLAN FILL / EXCAVATION MATERIAL [ ] [46] FINAL SITE GRADING [ ] [22] FILL AMOUNT [ ] [47] CONTRACTOR MICHAEL W STUHR(ASHTO [ ] [23] FILL TEXTURE [ ] [48] OTHER INFILTRATOR Quick4 Plus EQ36 LP [ ] [24] EXCAVATION DEPTH ABANDONMENT [ ] [25] AREA REPLACED [ ] [49] TANK PUMPED [ ] [26] REPLACEMENT MATERIAL [ ] [50] TANK CRUSHED S FILLED Comments: Comments are on page 2. i [ APPROVED / t. Lucie• CHD DATE: 02/02/2018 CONSTRUCTION DISAPPROVED ] nvironmental Specialist II Bria J ngram(ENVIRONMENTAL HEALTH) FINAL SYSTEM [ APPROVED / DISAPPROVED ] : % �L St. Lucie CHD DATE:. 04/20/2018 Environmental Specialist I Dianna S (Florida Department of Health (Explanation of Violations an following page) i DH 4016, 08/09 (Obsoletes alliprevious editions which may not be used) Incorporated: 64E-6.003, FAC Page 2 of 3 EH Database;v 1.0.1 AP1293211 EID1767197 If y i I. " i APPLICATION #AI 29321 1 STATE OF FLORIDA PERMIT #:56-S F-1767197 ti DEPARTMENT OF HEALTH DOCUMENT #:F1117073b ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:06/01/2017 W1 FEE PAID .515.00 RECEIPT #:56-P I D-3256619 Violation Number Comment Comments The system is sized for 3^bedrooms with a maximum occupancy of 6 persons(2 per bedroom),for a total estimated flow of 400 j gpd.New ST and 4x7+4x8 DF installed. No violations,system ok to cover. Contractor notified onsite. Needs final inspection for mound system and final site grading. Final inspection satisfactory,no violations observed. Emailed to building department and contractor. I I ' i i. i I i DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 2 of 3 EH Database iv 1.0.1 AP1293211 EID1767197 I I April 25,2018 This affidavit is being provided to St. Lucie County Planning and Zoning Department in reference to a home completed at 1308 Lone Pine Drive, Fort Pierce, Florida. Said home is located in Lone Pine Subdivision which currently has platted driveway easements. During the construction of said home, GEM Builders did not comply with the necessary easement,thereby placing the driveway outside the platted easement. In order to facilitate the issuance of the Certificate of Occupancy,GEM Builders hereby agrees to the following: Susan Barber will expeditiously prepare the documents needed to request an amendment to the platted driveway easement. She will appear before the scheduled Board of County Commissioners meeting to represent GEM Builders in requesting said amendment. Since St. Lucie County Planning and Zoning previously stated that they would support this amendment,there should be no valid reason that this support should not be available at this time and the appearance before the board is simply a procedure to put this matter to rest. In the event the Board of County Commissioners denies the easement request,Susan Barber as Pre ' o GEM " ers, Inc. hereby agrees that GEM will move the existing driveway at 1308 Lone ine Drive and repour s me t conform to the plat. ed this 251h da of ', 018 State of Florida,County of St.Lucie The foregoing instrument was signed before me this 251h day of April,2018 by Susan Barber who produced a drivers license as Id tification. (� 49 notary Ax �) h(C) �- �Q UIY 2 print name of notary I STAMP •""" LASHAHNA INGRAM .<PRv PUBS i Notary Public-State of Florida o My Comm.Er,Pires Dec 20,2018 NA rt b OQ; Con,rnissiun ;;r fF 177249 CIF 1 6ondz- hrou�h National Notary Assn.LL _ p • PERMIT #::56-SF-'f 767197 STATE OF FLORIDAAPPLICATION # AP1293211 DEPARTMENT OF HEALTH DATE PAID: ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: SYSTEM R E r RECEIPT #: 1,E; SE% DOCUMENT #:PR1066162 CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Daniel&-Jennifer..Taylor PROPERTY ADDRESS: 1308,Lone Pine Dr Fort Pierce,FL 34982 LOT: 2 BLOCK: SUBDIVISION: Lone Pine PROPERTY ID #: 3409-505-0007-000-3 [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 PERMITTING REQUIRED ,FOR DEVELOPMENT OF THIS PROPERTY. SYSTEM DESIGN AND SPECIFICATIONS T [ 1,050 ] GALLONS / GPD Sentic new CAPACITY A [ ] GALLONS / GPD N/A CAPACITY N' [. ] GALLONS GREASE INTERCEPTOR CAPACITY (MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS) K j ] GALLONS DOSING TANK CAPACITY [ ]GALLONS G[ ]DOSES PER 24 HRS #Pumps [ ] D [ 667 ] SQUARE FEET Drainfleld new SYSTEM R [ . ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED Ex] MOUND [ ] I CONFIGURATION: [ ] TRENCH [X] BED [ ] N F LOCATION OF BENCHMARK: Site BM triangle CL of rd center of property I ELEVATION OF PROPOSED SYSTEM SITE [ 4.00 ]j INCHES FT ] [ ABOVE BELOW]BENcmwK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 11.001E INCHE3 FT ] [ ABOVE BELOW]BENCHMARK/REFERENCE POINT L D FILL REQUIRED: [25.001 INCHES __ . EXCAVATION REQUIRED: _[ 14.00 ] INCHES The system Is sized for 3 bedrooms with a maximum occupancy of 6 persons(2:perbedroom),for a total estimated flow of 0 400 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)(0,FAC. i E R SPECIFICATIONS BY: Brian J Ingram TITLE: Environmental Specialist II APPROVED BY: TITLE: Environmental ,Specialist II St. Lucie Brian J Ind CHD DATE ISSUED: 06/13/2017 EXPIRATION DATE: 12/13/2018 DH 4016, 08/09 (Obsoletes all Previous editions which may not be used) Incorporated: 64E-6_.003,' FAC dV 3 v i.s.a tta1293211 T®R P 1 I � I I STATE OF FLORIDA. PERMIT NO. ( DEPARTMENT OF HEALTH DATE PAID t �^ ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: V . SYSTEM RECEIPT ]# APPLICATION FOR CONSTRUCTION PERMIT P ICATION FOR; [,. New System [ ] Existing -System [ ] Holding Tank [ ] Innovative ] Repai , ] Aba donmen [ T, ovary L ] APPLICANT• AGENT: TELEEFiONF: I" / MAILING ADDRESS: F 1 1 6� < • 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 489.5521 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 OF STATUTORY GRANDFATHER :PROVISIONS. PROPERTY INFORMATION LOT: _ BLOCK: SUBDIVISION: 260 /SQj PLATTED: (` Q PROPERTY ID : " (J G: l/M OR $QUIVALENT: [ Y / N ] PROPERTY SIZE: Q 2 ACRES WATER SUPPLY-: [ ] :PRIVATE PUBLIC <=2000GPD [ 7 2000GPb IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y / N ] DISTANCE TO SEWER: FT PROPERTY ADDRESS: O 7 DIRECTIONS TO PROPERTY: tam (9 a n f v <'1 G:. r/,j vs � SUILDING II1F0Rl-,TI0IQ I VKI RESIDENTIAL L 7 COM2<1ERCIAL Unit Type of No. of Building Commercial/Insti.tutonal -System Design; No Establishment Bedrooms Area Sqft Table 1, Chapter 64E•-6, FAC 'I 2 3 i 4 I [ ] Floor/Equipment rains Other (Specify) SIGNATURE: DATE: .. DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, +FAC Page 1 of .4 �1 1 ' 7 STATE OF FLORIDA APPLICATION # AP1293211 .;z DEPARTMENT OF HEALTH PERMIT 56-SF-1767197 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT # SE1037307 '•, SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: Daniel&Jennifer Taylor CONTRACTOR / AGENT: Gem Builders, Inc LOT: 22 BLOCK: SUBDIVISION: Lone Pine ID#: 3409-505-0007-000-3 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: IX ]YES [ ]NO NET USABLE AREA AVAILABLE: 0.38 ACRES TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [[RESIDENCES-TABLET / OTHER-TABLE 2 ] AUTHORIZED SEWAGE FLAW: 950.01 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE j UNOBSTRUCTED AREA AVAILABLE: 1080.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1000.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: Site BM triangle CL of rd center of property ELEVATION OF PROPOSED SYSTEM SITE 4.00 [ INCHES / FT 1 [[ABOVE / BELOW ] BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: 150 FT DITCHES/SWALES: FT NORMALLY WET: [ )YES [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON-POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 10 FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES EX]NO 10 YEAR BLOODING? [ ]YES [X]NO] 10 YEAR FLOOD ELEVATION FOR SITE: FT [ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD SOIL PROFILE INFORMATION SITE 1 SOIL PROFILE INFORMATION SITE 2 USDA SOIL SERIES: USDA SOIL SERIES: Munsell#/Color Texture Depth Munsell#/Color Texture Depth 1 OYR 3/2 Fine Sandy Loam 0 To 8 1 OYR 313 Fine Sandy Loam 0 TO 5 IOYR 5/1 Sandy Loam 8 To 14 1 OYR 512 Fine Sandy Loam 5 To 13 10YR 5/8 Sandy Loam 8 To 14 10YR 518 Fine Sandy Loam 9 To 13• 10YR 412 Fine Sand 14 To 35 1 OYR 4/2 Fine Sand 13 To 27 10YR 512 Fine Sand 16 To 41 1 OYR 512 Fine Sand 17 To 37 1 OYR 5/3 Fine Sand 41 To 52 1 OYR 513 Fine Sand 37 To 49 1 OYR 3/1 Fine Sandy Loam 52 To 63 1 OYR 411 Sandy Clay Loam 49 To 66 HOLE CAVING Refusal 63 To 72 HOLE CAVING Refusal 66 To 72 OBSERVED WATER TABLE: 27.00 INCHES [ ABOVE BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION, 17 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES ( ]NO DEPTH': 17.00 IINCIES 'SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Fine Sand/ DEPTH OF EXCAVATION: 14 INCHES DRAINFIELD CONFIGURATION: [ ] TRENCH [X] BED [ ] OTHER (SPECIFY) REMARKS/ADDITIONAL CRITERIA WSWT determined using.USDA WSS'and soil borings. 10YR612 stripping in 10YR4/2 matrix>10%with diffuse boundaries starting at 17"in SB1. S81 4"above BM. S132 3"above BM SITE EVALUATED BY: o�+.�, �t� ``- DATE: 06/08/2017 Ingram,Brian( t :Environmental Specialist IQ(ENVIRONMENTAL HEALTH) DR 4015, 08/09 (obsoletes previoui edition. which may not be.used) Incorporated: 64E-6.001, PAC Page 3 of 4 AP1293111 EID1767197' v 1.0.2 O' STATE OF FLORIDA PERMIT #. 5'60Sr'- 17(,,,%/ 97 DEPARTMENT OP HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM ' S E' EVALUA IS STEM SPECIFICATIONS APPLICANT: �-� :• ��,NT: � 1 LOT: _ BLO . ^--' SUBDIVISION: ()/j Q�/) L �'.J f' Ls104 PROPERTY ID #: -� 3 [Section/Township/Parcel No.or Tax ID Number 1 TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPI,OYEE,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: �J�] YES [ ] NO NET USABLE AREA AVAILABLE: ,A.CRES TOTAL ESTIMATED SEWAGE FLOW: ©© GALLONS PER DAY IRESIDGNCES TABLE I/OTHER TABLE2 ] AUTHORIZED SEWAGE FLOW: ©00 GALLONS PER DAY [1500 GYD/ACRE OR 2500 GPD/A RSy� ] UNOBSTRUCTED AREA AVAILABLE: Q SQFT UNOBSTRUCTED AREA REQUIRED: v SQFT` BENCHMARK/REFERENCE POINT LOCATION: al1J S�� •lt`� n all iD ELEVATION OF PROPOSED SYSTEM SITE IS [IIt1CiIES/FT ] [ABOVE/BELOW] BENCHMARK REFERENCE POINT THE MINIMUM SETBAM WHICH CAN BE MAINTAINED FROM THE PR POSED SYSTEM TO THE FOLLOWING FE -S SURFACE WATER: FT DITCHES/ ALES: _FT NO LY WET? [ [ YES 2Q0 WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON-POTABLE: Q FT BUILDING FOUNDATIONS: FT PROPERTY LINES: Q _FT POTABLE WATER LINE S:4a_-t-FT SITE SUBJECT TO FREQUENT FLOODING: [ j YES N-NO 10 YEAR FLOODING? [ ] YES [ ] NO IO YEAR FLOOD ELEVATION FOR SITE: FT MSL/NGVD SITE ELEVATION: FT MSL/NGVD SOIL PROFILE INFORMATION SITE 1 SOIL PROFILE INFORMATION SITE 2 MUNSELL #/COLOR TEXTURE DEPTH MONSELL #/COLOR TEXTURE DEPTH TO 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/APPA.RENT ] ESTIMATED WET SEASON WATER TABLE ELEVATI N: INCHES [.ABOVE/V Low ] EXISTING; GRADE HIGH WATER TABLE VEGETATION: [ J YES NO MOTTLING: [ J YES [j` ` NO DEPTH: INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: . DEPTH OF EXCAVATION: I INCHES DRAINFIELD CONFIGURATION: [ 1 TRENCH j 1 BE [ ] OTHER (SPECIFY) REMARKS/ADDITIONAL CRITERIA: -- SITE EVALUATED cr HATE 3 Of 4 DH 3401'5-, 12/11 (Ohssole oa Provlovo -aditions which may not be used) Incorporated: 04E-6.001,FAG age i Il ?roperty Card Page 1 of 5� 176,71 f 7 Michelle Franklin, CFA--Saint Lucie County Property Appraiser--All rights reserved. Property Identification Site Address: 1308 Lone Parcel ID:3409-505-0007- Account#: 166407 Sec/Town/Range: Pine DR 000-3 09/36S/40E Map ID:34/09N Zoning:PUD-CO Use Type:0000 Jurisdiction:Saint Lucie County Ownership Legal Description Daniel L Taylor LONE PINE SUBDIVISION(PB 51-21)LOT 2(OR 3989- Jennifer L Taylor 1744) 327 SW Sandy WAY Port St Lucie,FL 34986-2083 Current Values Historical Values 3-year Just/Market: $19,600 Assessed: $15,306 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $15,306 2016 $19,600 $15,306 $0 $15,306 2015 $17,000 $13,915 $0 $13,915 2014 $17,000 $12,650 $0 $12,650 Sale History Date Book/Page Sale Code Deed Grantor Price 04-26-2017 3989/1744 0001 WD Vaughn Jim $35,000 05-29-2012 3395/0563 0001 WD Gem Builders Inc, $13,500 01-25-2006 2482/0452 XX00 WD Ocean Four Development Corp, $139,900 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 Frame: Grade: Effective Year:2014 Prima Wall: Story Height: No.Units:0 Secondary Wall: Primary n' g rY Interior Data Bedrooms:0 A/C%:0% Electric: Primary Int Wall: Full Baths:0 Heated%:N/A% Heat Type: Avg Hgt/Floor:0 Half Baths:0 Sprinkled%:0% Heat Fuel: Primary Floors: Total Areas Finished/Under Air 0 (SF): Gross Area(SF): 0 Land Size(acres): 0.38 Land Size(SF): 16,553 i I Total Building Count: 1 Special Features and Yard Items Type Qty Units Year Bit This information is believed to be correct at this time but it is subject to change and is not warranted. ©Copyright 2017 Saint Lucie County Property Appraiser.All rights reserved. ttp://www.pasIc.org/RECard/ 6/1/2017 I i