HomeMy WebLinkAbout59-31407Mission:
To protect, promote & improve the health
of all people in Florida through integrated
state, county & community efforts.
n x�T qr t
HFEAA LT
Vision: To be the Healthiest State in the Nation
Ron DeSantis
Governor
Scott A. Rivkees, MD
State Surgeon General
Florida Department of Health in St. Lucie County
Conditions for Issuance of Water Well Permits
Effective July 24, 2017
• Contact the Florida Department of Health in Saint Lucie County (FDOH — St. Lucie)
prior to constructing or abandoning any well.
a. Call the FDOH — St. Lucie Well Line at 772-873-4936 or email
SLCDOH-WELLS(cD-FLHEALTH.GOV
b. Provide the following information:
i. Permit number
ii. Driller name
iii. Address
iv. Date and time to begin construction/abandonment
• A minimum of 24 hours' notice is required before constructing any public water supply
wells. Please call our main office at 772-873-4931 and speak with Environmental
Health Staff or provide notification by email to SLCDOH-WELLS(a)-FLHEALTH.GOV
• Submit revisions to permit and/or site map and associated fee within 48 hours of well
construction or abandonment.
Florida Department of Health
St. Lucie County Accredited Health Department
5150 NW Milner Drive • Port St. Lucie, FL 34983 Public Health Accreditation Board
PHONE: 772/462-3800 • FAX: 772/871-5360
StLucieCountyHealth.com
STATE OF FLORIDA PERMIT APPLICATION TO CONSTRUCT,
REPAIR, MODIFY, OR ABANDON A WELL
-'Southwest
lPLc•:Sf: I:; :i h t PPLI+,•:v EFlctCi;
-tl -.Northwest I De"Glas Recitneed Fields :'.7tt?re Applicahlel
St Johns River
So:ah Florida
Suwannee Raver
DEP
Delegated Authority rllapplicablel
Aodcation ?Ja
021 neat o^ 'r
- l"' [Name It t.orp,Zr,on Address: Oly
G1
_ ► < <<<:l t, .- tl� r_ u,_ r ,-1�r1 , �—�.. � �, t aLl�t s -7
Staff. ZIP - - -
Telephone Number
�ti
lr'iell Location • Address Road Name or Number. City
�15er1- c`ta -COC -"1
Parcel ID NO (PIN) or Alternate Xey iCirrJe C,;i, ! �-
a _ 09 p' '1S t E . LLLe 11r_
--- Let Blsti Unit
_ Check if 62-524:❑ Ye, ly l No
Section or Land 'Grant Township Range County 5ubdwiscn
5 Timothy J. Huggins 11247 772-876-6698
:`lalcr tiVr•If %onrraelor
absofutewaterservicel?igmail.com
I_Icertse. i Dumber Tele p'tone Number E-mail address
e 258 SE Volkeris Terrace F
Port St. Lucie
%dater Well Contractor's Addres,
FI 34993
City
' Type ur'J;s:k r rtnarucpc+n ❑ F:epair ❑ i:'odltic;G1n❑ ;-handollnlum
Slate ZIP
8. Number of Proposed Welts E ^y —�
5 ' pqw ;ly Ir tten:Jca Uses; of 7- in
Domestic Landscape Imgatron
7LasG1 rn.4tryar, '.I:,J r cAcen q a`SP__:p1K;
Bottled Water Supply I_Recreation Area Imgalion
.J
[I Ag6rullural Irrigation
❑ Livestock
Site Investigations
Monitoring
D
([ 1 Public Water Supply (Unused UserDOH)
Public Water Supply (Community or Ilion-Comntl_rnifyrDEM
}LJ Nursery Irngation
I Commercial/fnduslrial
iest
Earth Geothermal
I Injection
Course Ell'
-Coupled
MA❑ 1 2 2OrlClass
IYIHrI I
ItJ1Gall
Irrigation
HVAC Supply L
s V Injection: ❑
❑ Recharge N Commercialllnduslrial Disposal ❑ A.yuifer Storage and
HVAC Return
Recovery ❑ I
Rem d 1;
Drainage
e ra Son. ❑ Recovery ❑ Air Sparge ❑ Other lDefu+rei
❑ Other !Dot,.t.t f
1s. Distanc-e frorn SepticSystem it S 200 iL J 11 1c&:j :.r1sa'PI!1N1 sS .�'•
13 E s I in Sated :':"all Deplh&im� }+ Estimated Casing'Der ��g Primary Cas4:g Dian •ter
14. Estimated Screen Interval From __ To h,
15. Pr'ntarlr Casing r;aterial Mack Steel >6 Galvanized P?.'
'rilnittb_ss :71e=_I
Not Cased 01her
16 Secondary Casing Telescope Casing t iner Surfarr Casing Diameter _ in
17 Secondary Casing Nialenal: Black Steel Galvanizes PVC Slaotlress Steel 101her
18 41eUtod of Cons:ruciinn Repair o: Abananrsmeri; Auger X Cable Tool ictled Rij!a,y Sonic
Combination (Two or More Methods) J larld Driven (%deli Point. Sand Pointi Hydraulic Pornt !Drrecl Push)
Horizontal tDrillino Plunged by Approved Method Other
:r Pr;;nasr7 ,•r.uring Interval for Itre Primary. Secondary sins Addibonai Casing -
Frcrrt To Seal F.Salerial I Gentonite Neat Cement Other
Front T, Seal t.latenal r tienlc^ile Ncal Cen:znl Other
Franc To Seal 10a'anal ( Serlcnse Neal Cement 01ner 1
From ib Seal pelaterial J 9, n!oniis Neat Cernenf Other _
c0. Indicate total number of existing wells on site �1.-_ - Gsl ntunbcr o! Ezsting unused Svells on site
?1 Is this well or any exishnq yell a waIer:vilhdrawal on Ihu n.rner's cnntitluau p:rp,orty covest,C under a COW) mpiiveMlater Use Permit (CLIP,MfUP
Of CUPP,hUP AppbcatmtO Yes }D I•;o It ;res rontplete IT t{!olio:•r,ng r U{' `n_tt� `o. _ District Well ID No.
:2. Latitude Lenyinlde
23 Data L•`,t30ned From _pc t
r7:e
,+..1 11247
-- _ S�g a•Ina of ;,oa,r3 �- Liceasc Na
Appm-wal Granted By Issce Date
12. Estrma:ea Start Date • i 1 'J
+" Open Hilo From ---- TV
c.?salt:• t�, n.27 %AC'.,
,F•:.e c�
,. .. .. _ :•i::.. ...
= is ').. ..
Signature ct rJ;• ar r+genr
Owe
Exoiralror-Date -111Z/Z4Lt HidrNogrsl •:pprc.al
Luc !•:o _ ChccY. r1C
THIS PERMIT Ij NOT VALID UNTIL PP.OPERLY S;GNEC BY AN.4,uTHCF3IZEO OFFICER OR REPRESENTATIVE OF THE V:T\tt OR CIFLEG4TED AUTHORITY THE
pr:R ,!i7 St7,;L L EE-V44LJZL-.. THE' .ciL a'TE U'n:-: r_! 1 - ;fi' �K _
Ccc c _ '-J' -� TI(; 6; REF.�.IR .UDIFIC=-KY! GR -P-INDONMEN7 A'1-TI'rl l IES
r:rm Si-b32 SC'_'i Incc•po:a:ed m 5i•532.aG0• = _=•:r.'re Case •Qct_ker , 20?0
Pa;- • .
n
ryH
LEGAL DESCRIPTION
Lot 12, OAKS AT INDIAN RIVER, according
to the Plot thereof, as recorded in Plat
d with an embossed Surveyor's Seal o e s
located as port of this Survey. Book 33, P g � ) 10 and 10A, Public
18-19. Records p'f St Lucie County, Florida.
f Record only. No other documents were
s was performed by this office.
ith the Standards for the practice of
0-052FAC.
Iree that the signing surveyor's liability is
stances are in accordance with the record
ments. See map for bearing base.
on found survey control along the South
i
)rovided by the client and/or his/her
termined as part of this Survey. j
relative to the nearest property corner,
point of reverse curvatures (PRC) or
i
and or with requirements set forth by I
rs not been verified as part of this Survey.
the Right of Way. Therefore it appears
y by the Florida Power & Light Co, Pad as
.ordance with the north American Vertical
LEGEND f
FCLI -Found <it Yanaaia 4xicment l_66.17'
nr - Formd y von rnk I I i Rc50.00'4,
nac - rev,d Iron Pipe ..Ih Cs
n4 -Found .ken Pa.1 I pc78'07
rlrc - Fowd 15 tr. Rod v:lh Cop 1
S,% - Set •f5 ban Rr wfn Cap 181r 7-
FIFC - F.—f 112• ban P:u rill. Cop
FU- rawu!I N7
"' - Found e+ Kal nlh aal
rN -r dN.
MT- F d Nail -if" On Fab
FPK - F and PK I
FPO - Ibemr PK Keil nth Dick
/Co - FoP. PoremmCOai Road ika /LO - In t Dv;l I '
/ _ VACANT
/ Lot 11 i �•p�e? p"trnt,cn Ss°fc RC 4049
^] 2.50'30" 187.58' f` __�73/
/y ate.
�� °
S5 -E 1e7.e9'
N5
`3.06'56
\
((\/ I / _ f t r9� �
�- 1 IC gp49 _ - �-t
°0 FND11 // �' - ..r- --` � cent Lot
X O.J•3'E i
' � � pryposed Conrrnte Urivs
Cb
67
— — .+e_ 1 — — w o 0
tl it to ° I--—_05.17-"'
Lot
�.. h. I I Onle Fden Creek `Cans t-g°tar �' R°5i4Ddo Floor o1 t 6 »
CA CA �p " I I ed ;lcll Story Finisna rn°lstY 1e;91,t I , \ ° 1
H ti C4 o I I Pr°Pas 0 roPoF`ed hPDroa Flold r
C;1 _ -� ddv°. °° to Or°tn
14.25 _ Si�Lt
A i r 8.0
f/ �d r
16
O11.6t �15 b Ft'+O�r49
02 r
.ounty-
olth_ 0
onstruction ( ^
>ite Plans for to ZF� J) N45.O6'33 E
�dL}
Volts (- 31y07 =Nx I - —54h a",3
a 1 A. �b lot �72
14.32 I a 2S
.area• `SB9 O7y)p/S _ FND15 �, '17398 yy7
Sg9, AO F "Rq 4049
S�. �• y6
e ryJ iAJ
1#4363 Prepared For: KARNER SURVEYING, INC. Rggina �
Residential & Commercial Surveying Services
Mr. Young & Ms. Barry Ornerr,n...
o,„.
2740 SW Marlin Downs BIvd.#333, Palm City, F1.34990 O55m ui+
Phone: (772)288 7206 Fax:(772)223 8181
St. Lucie County Florid WWW.KARNERSURVEYINGINC.COM kamer®comcast.net �„
Property Card
Page 1 of 1
o SF - 2-2Z cq2 5ci- 31g0?
Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved.
Property Identification
Site Address: 121 EDEN Parcel ID: 4509-807-0015- Account #: 135043 Sec/Town/Range:
CREEK LN 000-9 09/37S/41E
Map ID: 45/09S Zoning: RM-5 - Cou Use Type: 0000 Jurisdiction: Saint Lucie
County
Ownership Legal Description
Michael J Young OAKS AT INDIAN RIVER LOT 12
Kristine A Barry
2392 SE Patio CIR
Port Saint Lucie, FL 34952
Current Values Historical Values 3-year
Just/Market:
$64,400 Assessed:
$64,400 Year Just/Market Assessed
Exemptions
Taxable
Exemptions:
$0 Taxable:
$64,400 2020 $64,400 $64,400
$0
$64,400
2019 $64,400 $64,400
$0
$64,400
2018 $61,500 $61,500
$0
$61,500
Sale History
Date
Book/Page
Sale Code Deed Grantor
Price
04-28-2020
4414 / 2873
0001 WD Smit Martinus
$75,000
11-20-1998
1187 / 0537
XX00 WD Bateman Steven C
$34,500
11-19-1993
0872 / 0024
XX00 WD
$28,000
Primary Building Information
Finished Area of this building: 0 SF
Gross Sketched Area: 0 SF
Exterior Data
View:
Year Built: N/A
Primary Wall:
Bedrooms: 0
Full Baths: 0
Half Baths: 0
Type
Roof Cover:
Roof Structure:
Frame:
Grade:
Story Height:
No. Units: 0
Interior Data
A/C %: 0%
Electric:
Heated %: N/A%
Heat Type:
Sprinkled %: 0%
Heat Fuel:
Building Type:
Effective Year: N/A
Secondary Wall:
Primary Int Wall:
Avg Hgt/Floor: 0
Primary Floors:
Total Areas
Finished/Under Air 0
(SF):
Gross Sketched Area 0
(SF):
Land Size (acres): 0.51
Land Size (SF): 22,101
Total Building Count: 1
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.
OO Copyright 2021 Saint Lucie County Property Appraiser. All rights reserved.
https://www.paslc.org/RECard/ 1 / 14/2021
HEALTH
PAYING ON:
RECEIVED FROM:
PAYMENT FORM:
St. Lucie County Health Department
5150 NW Milner Dr Port Saint Lucie, FL 34983
#: 56-SF-2220992 BILL DOC #:56-BID-5152188 CONSTRUCTION APPLICATION #: AP1612830
Michael Young AMOUNT PAID: $ 660.00
CREDIT CARD 05426D PAYMENT DATE: 01/13/2021
MAIL TO: Michael Young
FACILITY NAME:
PROPERTY LOCATION:
121 Eden Creek Ln
Jensen Beach, FL 34957
12
Lot:
Properly ID: 4509-807-0015-000-9
Block:
EXPLANATION or DESCRIPTION: QUANTITY FEE
128 - OSTDS Construction System Inspection Research Fee
1
$
5.00
-1 - Surcharge (All)
1
$
45.00
-1 - OSTDS New Permit Surcharge
1
$
100.00
-1 - OSTDS Construction Application and Plan Review,New
1
$
100.00
123 - OSTDS Construction Site Evaluation
1
$
115.00
126 - OSTDS Construction Permit (New or Mod, Amendment)
1
$
55.00
127 - OSTDS Construction System Inspection
1
$
75.00
133 - OSTDS Construction Reinspection
1
$
50.00
-1 - Well Construction
1
$
115.00
RECEIVED BY: WhighamJL AUDIT CONTROL NO. 56-PID-4856186
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