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HomeMy WebLinkAboutHealth Dept Mission: Rick Scott To probed,prorrnbe&Oxme the health Gaverrnr of all people inHorida haighhegrdted Celeste Philip,MD MPH state,mrty& HEALT motes Gard Swetary Vision:To be the Healthlest State in the Nation June 21,2017 Richard Laventure, Laventure &Associates Inc 774 W Midway Road Fort Pierce, FL 34982 RE: Modification to a Single Family Residence-No Bedroom Addition Application Document Number: AP1294966 Centrax Permit Number: 56-SF-1769997 6311 Oleander Avenue Fort Pierce, FL 34982 Lot:3 Block: Subdivision: Charles Way Dear Applicant, This will acknowledge receipt of a floor plan and site plan on 06/14/2017 for the use of the existing onsite sewage treatment and disposal system located on the above referenced property. This office has reviewed and verified the floor plan and site plan you submitted, for the proposed remodeling addition or modification to your single-family home. Based on the information you provided, the Health Department concludes: 1. the proposed remodeling addition or modification is not adding a bedroom; and 2. it does not appear to cover any part of the existing system or encroach on the required setback or unobstructed area. 3. No existing system inspection or evaluation and assessment, or modification, replacement, or upgrade authorization is required. Because an inspection or evaluation of the existing septic system was not conducted, the Department cannot attest to the existing system's current condition, size, or adequacy to serve the proposed use. You may request a voluntary inspection and assessment of your system from a licensed septic tank contractor or plumber, or a person certified under section 381.0101, Florida Statutes. If you have any questions, please call our office at(772) 873-4931. rely, L2g rian mIngra Environmental Specialist II Department of Health in St. Lucie County heel.YMrI -or News vnr.ffwk1&b*&NL9w In St Lucie County•5150 NW Milner Drive•Port Saint Lucie,Florida �!! ER:H6MIthyFLA 34983 FACEBOOIQDepartrnentotHealth PHONE: (772)873-4931 " YOUTUBE:fldoh St. Lucie County Health Department HEALTH 5150 NW Milner Dr Port Saint Lucie, FL 34983 r PAYING ON: PERMIT#:56-SF-1769997 BILL DOC#:56-BID-3449703 CONSTRUCTION APPLICATION#:AP1294966 RECEIVED FROM: Laventure &Associates Inc AMOUNT PAID: $ 515.00 } PAYMENT FORM: CHECK 0900 PAYMENT DATE: 06/14/2017 MAIL TO: Philip Tatarowicz < ' Q pt�� o6n`Z-c4,t �O p DELILA MCKENNA ko 772-828-0158 CELL 772-464-7007OFFICE �—y- 772-595-0720 FA,X + O FACILITY NAME : dmckennaWbellsonth.net PROPERTY LOCATIO1 q® 6311 Oleander Av PARADISE Fort Pierce, FL 349 4007 AIA AWLS Fort Pierce,FL 34949 0 Each Office Is Independently 3 Owned And Operated.IS Lot: Property ID: 3409-804-0003-000-3 EXPLANATION or DESCRIPTION: QUANTITY FEE -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 $ 75.00 128-OSTDS Construction System Inspection Research Fee 1 $ 5.00 133-OSTDS Construction Reinspection 1 $ 50.00 -1 - Surcharge (All) 1 $ 15.00 -1 - OSTDS New Permit Surcharge 1 $ 100.00 RECEIVED BY: VanceMH AUDIT CONTROL NO. 56-PID-3271913 1 • � t STATE OF FLORIDA PERMIT NO. F ' f DEPARTMENT OF HEALTH DATE PAID. ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: SYSTEM RECEIPT #: p APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: New System [ ] Existing System [ ] Holding Tank [ ] Innovative [ ] Repair [ ] Abandonment [ ] Temporary [ ] APPLICANT: l`� AGENT: LAV6V(L/►�c^y7 ',�/A00CWLc l/y�i TELEPHONE: MAILING ADDRESS: i ` � V1, 1hJDMA J I���+1/ 1` D�'a�G. L- 3VM 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 489.552, 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 OF STATUTORY GRANDFATHER PROVISIONS. PROPERTY INFORMATION ' i,,qA9 l/ LOT: _ BLOCK: SUBDIVISION: C�C ,;/ Lt/X�T PLATTED: ,616y 'y5 PROPERTY ID #: 340q--Roq-OCV3-Vvo3 ZONING: I/M OR EQUIVALENT: [ Y / N ] PROPERTY SIZE: 1. 2 ACRES WATER SUPPLY: [ ] PRIVATE PUBLIC [ 1/)<=2000GPD [ ]>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y��,�pp N-} DISTANCE TO SEWER: 7 FT PROPERTY ADDRESS: 1, 0�N,0G/� Avg, DIRECTIONS TO PROPERTY: 2-3 Ml LE> /WPV%- AflDiVA Y- AnjD DN aA5ii A 151-dr OE 0 BUILDING INFORMATION [ J(} RESIDENTIAL ( ] COMMERCIAL Unit Type of No. of Building Commercial/Institutional System Design No Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC 1 Ca�z BA1 �N- u 35 . - Alc.� 2 3 4 [ ] Floor/Equipment Drains [ ] Other (Specify) SIGNATURE: DATE: 61ahz (t'HqFO o,014A P.L-$ .SZOJ DH 4015, 08/09 (Obsoletes previous editions which may not be Zed) Incorporated 64E-6.001, FAC Page 1 of 4 t r a� STATE OF FLORIDA PERMIT #. DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS we APPLICANT: Ql-fILl -FAVA(2ywlC0 AGENT: LAtl,511MU2c LOT:-_ BLOCK: SUBDIVISION: C'�-}AEtCS PROPERTY ID #: J�0-Pv y-tr0- Coo,? [Section/Townshi Parcel No. r Tax ID Number] 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: Y q YES [ ] NO NET USABLE AREA AVAILABLE: (�L ACRES TOTAL ESTIMATED SEWAGE FLOW: - UG GALLONS PER DAY [RESIDENCES-TABLE 1/OTHER-TABY E2] AUTHORIZED SEWAGE FLOW: U GALLONS PER DAY [1500 GPD/ACRE OR 2500 GPD/ACRE] UNOBSTRUCTED AREA AVAILABLE: 9006 SQFT UNOBSTRUCTED AREA REQUIRED: SQFT BENCHMARK/REFERENCE POINT LOCATION: 120AP Ot6aNP Af D ELEVATION OF PROPOSED SYSTEM SITE IS� N /FT] [ OVE/ ELOW BENCHMARK REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: 1_5- FT DITCHES/SWALES: to FT NORMALLY WET? [ ] YES [ ] NO WELLS: PUBLIC: _10FT LIMITED USE: /00 FT PRIVATE: '75-_FT NON-POTABLE:_57V__FT BUILDING FOUNDATIONS: 7 FT PROPERTY LINES:_.4L _FT POTABLE WATER LINE S:2!(Q FT SITE SUBJECT TO FREQUENT FLOODING: [ ] YES [ ] NO 10 YEAR FLOODING? [ ] YES [ ] 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 MUNSELL #/COLOR TEXTURE DEPTH MUNSELL #/COLOR TEXTURE DEPTH TO _ TO TO TO TO TO TO TO TO TO TO TO TO TO TO TO_I 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: INCE-1E S SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: DEPTH OF EXCAVATION: INCHES DRAINFIELD CONFIGURATION: [ ] TRENCH [ ] BED [ ] OTHER (SPECIFY) REMARKS/ADDITIONAL CRITERIA: U/Af7Q 1/3tir Olyof 0i3,46&0 pLfj2{,+ S 4-14, SITE EVALUATED BY: DATE: 112,117 _ 520� .— D8 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, AC Page 3 of 4 0 STATE OF FLORIDA PERMIT NO.,3k5r--1* 9j9,7 DEPARTMENT OF HEALTH DATE PAID: ONS I TE SEWAGE TREATMENT AND DISPOSAL FEE PAID: ��j j 5 SYSTEM RECEIPT #: 4".0) APPLICATION FOR CONSTRUCTION PERMIT C c APPLICATION FOR: X] New System [ ] Existing System [ ] Holding Tank [ ] Innovative [ ] Repair [ ) Abandonment [ ] Temporary ( ] APPLICANT: f�(4j L (R TAIrA�ZD0 (C� q AGENT: L/^�1'V � /UR.t Zr Q�j�� � , //V� TELEPHONE: rM-3 Y—6 y�U MAILING ADDRESS:_ [ 7 y W, rr, DlG`Lj L _- 7?y C 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 489.552, 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 OF STATUTORY GRANDFATHER PROVISIONS. PROPERTY INFORMATION 1t LOT: _ BLOCK: SUBDIVISION: C��l4�1E5 �,{/ � PLATTED: MAY I15 PROPERTY ID #: 3�� +"'�©�(-�G3"��)C73 ZONING: (�s•3 I/M OR EQUIVALENT: [ Y / N ] PROPERTY SIZE: [.•� � ACRES WATER SUPPLY: [ ] PRIVATE PUBLIC [ I/]<=2000GPD [ 1>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y NT] G DISTANCE TO SEWER: FT PROPERTY ADDRESS: 4-�4 11 0K%d1V,0a DIRECTIONS TO PROPERTY: �i 2-3 O/J a,66� Av.5,u,C BUILDING INFORMATION [ RESIDENTIAL [ ] COMMERCIAL Unit Type of No. of Building Commercial/Institutional System Design No Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC 1 Can BAF�14 66 /Ff-661-:�) 2 3 4 [ ] Floor/Equipment Drains [ ] Other (Specify) / SIGNATURE: DATE: Ej / �l-ha/� f.�1��fJfr(Z� ,P11.k1 P L•S 520y DH 4015, 08/09 (Obsoletes previous edit4ons which may not be sed) Incorporated 64E-6.001, FAC Page 1 of 4 I dE STATE OF FLORIDA PERMIT #. 'Sl' -76°9S� DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS APPLICANT: EW]L l je�' T1-'frA j2v t.)f 6Z AGENT: LA -1AE AWM-Mf LOT:^L BLOCK: SUBDIVISION: PROPERTY ID #: 3� �Q y- j GtOf' [Section/Townshi Parcel No. or Tax ID Number] 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: Y YES [ ] NO NET USABLE AREA AVAILABLE: �; ACRES TOTAL ESTIMATED SEWAGE FLOW. - CC) GALLONS PER DAY [RESIDENCES-TABLE 1/OTHER-TABLE2] AUTHORIZED SEWAGE FLOW: 'U GALLONS PER DAY [1500 GPD/ACRE OR 2500 GPD/ACRE] UNOBSTRUCTED AREA AVAILABLE: 9006 SQFT UNOBSTRUCTED AREA REQUIRED: 6tz- SQFT BENCHMARK/REFERENCE POINT LOCATION: IZOAP Ol xwp ELEVATION OF PROPOSED SYSTEM SITE IS_ N /FT] [ OVE/ EL OW BENCHMARK REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: 1_5- FT DITCHES/SWALES: /© FT NORMALLY WET? [ ] YES [ ] NO WELLS: PUBLIC: Z_oe) FT LIMITED USE: /00 FT PRI'VATE:��FT NON-POTABLE:_ FT BUILDING FOUNDATIONS: "7 FT PROPERTY LINES:_V FT POTABLE WATER LINES:. FT SITE SUBJECT TO FREQUENT FLOODING: [ J YES [ ] NO 10 YEAR FLOODING? [ ] YES [ ] 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 MUNSELL #/COLOR TEXTURE DEPTH MUNSELL #/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 / 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) REMARKS/ADDITIONAL CRITERIA: (,(/rx�2'� ` /3LF_ !n(err 06.Sr ilo 5'/?L SITE EVALUATED BY: -&��[ �' DATE: / 7 L 1(41A �' L,4��i2 r �QI�IPA 5 2 DH 4015, 08/09 (Obsolotes pre sous editions which may not q used) Incorporated: 64E-6.001,PAC Page 3 of 4 ' 1 I • • STATE OF FLORIDA PERMIT NO. `Y DEPARTMENT OF HEALTH DATE PAID: ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: .� SYSTEM RECEIPT #: APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: New System [ ] Existing System [ ] Holding Tank [ ] Innovative [ ] Repair [ ] Abandonment [ ] Temporary [ ] APPLICANT: �� �I-L- (� T��C�)I��G�I (CS-z- �/a AGENT: LAV6/V/t�(jLt1 7� /W oeMtr/ ; l A/� /- TELEPHONE: '77z--?/9-6IJ MAILING ADDRESS: q,7 ! t/ , A41,051AY PO4,0 I"r &&Ve 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 489.552, 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 OF STATUTORY GRANDFATHER PROVISIONS. PROPERTY INFORMATION LOT: _ BLOCK: SUBDIVISION: PLATTED: I)Wf "/j PROPERTY ID #: lJ q" ©�" UC �� 090/ ZONING: I/M OR EQUIVALENT: [ Y / N ] PROPERTY SIZE: l•r ACRES WATER SUPPLY: [ ] PRIVATE PUBLIC [ I1 ]<=2000GPD [ ]>2000GPD r: IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y ( N ]� DISTANCE TO SEWER: ? FT PROPERTY ADDRESS: F��l� 046AP,06C 415� DIRECTIONS TO PROPERTY: 2-3 MItc> X.V711, ' Q ON OIF D � BUILDING INFORMATION [ RESIDENTIAL [ ] COMMERCIAL Unit Type of No. of Building Commercial/Institutional System Design No Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC 1 2 3 4 [ ] Floor/Equipment Drains [ ] Other (Specify) SIGNATURE: zsj��� DATE: 117 i c 1 tA L i1� lZ+R 4'�'I� /�L 5 SZo9 DH 4015, 08/09 (Obsoletes previous editions which may not be sed) Incorporated 64E-6.001, FAC Page 1 of 4