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HomeMy WebLinkAboutHealth Department Septic Approval R E C E I�' D OCT 2 0 2017 PERMIT #:56-S F-1789636 r APPLICATION #:AP1307282 ti STATE OF FLORIDA DEPARTMENT OF HEALTH DATE PAID: s `>g ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: SYSTEM yy � RECEIPT #: DOCUMENT #:PR1076200 CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: (St Lucie Habitat for Humanity) PROPERTY ADDRESS: 7803 James Rd Fort Pierce, FL 34951 i LOT: 21 BLOCK: 17 SUBDIVISION: Lakewood Park PROPERTY ID #: 1301-603-0021-000-1 [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, E.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 [ 900 ] GALLONS / GPD Septic new CAPACITY A [ ] GALLONS / GPD N/A CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ] ` D [ 500 ] SQUARE FEET Drainfield new SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [x] MOUND [ ] I CONFIGURATION: [ ] TRENCH [x] BED [ ] N F LOCATION OF BENCHMARK: Orange circled BM nail in CL of rd NW property corner I ELEVATION OF PROPOSED SYSTEM SITE [ 1.00 ] [ INCHES FT ] [ ABOVE BELOW]BENCHMARK/REFERENCEI'POINT E BOTTOM OF DRAINFIELD TO BE [ 9.00 ] [ INCHES FT ] [ ABOVE BELOW]BENCHMARK/REFERENCE IPOINT L D FILL REQUIRED: [26.001 INCHES EXCAVATION REQUIRED: [ ] INCHES The system is sized for 3 bedrooms with a maximum occupancy of 6 persons(2 per bedroom),for a total estimated flow of 0 300 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 R SPECIFICATIONS BY: Brian J Ingram TITLE' Environmental Specialist II APPROVED BY: e I TITLE: Environmental Specialist II St. Lucie CHD Brian) J Ingram DATE ISSUED; 09/22/2017 EXPIRATION DATE: 03/22/2019 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC �7^® gp Page 1 of 3 v 1.1.4 AP1307282 SE10 (7��� ® Y 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. j 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. i i I i i i i i r i 5 - 1-Tie C, STATE OF FLORIDA PERMIT APPLICATION TO CONSTRUCT, 5�i /- REPAIR, MODIFY,OR ABANDON A WELL Permit No. ✓ 10 _ o�rt1EsryTT Florida Unique ID � ❑Southwest PLEASE FILL OUT ALL APPLICABLE FIELDS ❑Northwest ('Denotes Required Fields Where Applicable) Permit Stipulations Required(See Attached) ❑St.Johns River w _y The water well contractor is responsible for completing ❑South Florida this form and forwarding the permit application to the 62-524 Quad No. Delineation No. • ❑Suwannee River appropriate delegated authority where applicable. coowti `'S ❑DEP CUP/WUP Application No. ❑Delegated Authority(If Applicable) ' ABOVE THIS LINE- •.OFFICIAL USE ONLY 1. Ski G �1-�t�� ��✓,.� �4f��' ����` /�:t�t��l.��`�l` "Owner,Legal Name if Corporation "Address -State ZIP 'Telephone Number 2. ZED � , - pl /fie -e 4a — `Well Location-Address„Road Name or Number,City 3. l301 -&03-60St -00d"l Parcel 14 N. .(PIN)orAltema K y Circlle One) Lot Block Unit 4 `Section or Land Grant 'Township 'Range 'County 7 SubdivisionCheck if 62-524:_Yes _No 5. r�'s�5 H.��L� D�iJI ( mac; �l oZ% 71 /�7 171i r. : // i(�ti1ZiL"Ifi+'tt•�.L:1.)L "Water Well Contractor 'License Number 'Telephone Number E-mail AddressI— Water Well Contracto•s Address City, State ZIP 7.'Type of Work: Construction Repair —Modification —Abandonment 8.`Numb r of Proposed Wells Reason for Repair, Modification.or Abandonment � 9.'S cify of Use(s)of N/ell(s): n D f J'^S��J JW Domestic _Landscape Irrigation Agricultural Irrigation Site Investigation Lr�.l u u�+� —Bottled Water Supply _Recreation Area Irrigation Livestock —Monitoring _Public Water Supply(Limited Use/DOH) Nursery Irrigation —Test g Public Water Supply(Community or Non-Community/DEP) HVAC Commercial/Industrial — Coupled Geothermal SE P 2 2 2017 — —Golf Course Irrigation _ VAC Supply _Class I Injection —HVAC Return Class V Injection:—Recharge_Commercial/Industrial Disposal—Aquifer Storage and Recovery_Drainage H In St fuel@ COun Remediation: Recovery —Air Sparge —Other(Describe) ROt+I11PENTAWNE& _Other(Describe) (Note:Not all types of wells are permitter)by a given permitting authority) 10.'Distance from Septic System if<_200 ft. 7S�' 11.Facility Description 1,l�' 12.Estimated Start Date 13.'Estimated Well Depth J0 J�ft. -Estimated Casing Depth �S ft. 'Primary Casing Diameter Z� in. Open Hole: From-- To ft. 14.Estimated Screen Interval:From�Cj_ToL7ft. 15.`Primary Casing Material: Black Steel t/ Galvanized PVC Stainless Steel Not Cased Other: 16.Secondary Casing: Telescope Casing Liner Surface Casing Diameter in. 17.Secondary Casing Material: Black Steel Galvanized PVC Stainless Steel Other 18.`Method of Construction, Repair,or Abandonment: Auger Cable Tool Jetted Rotary Sonic I Combination(Two or More Methods) Hand Driven(Well Point,Sand Point) Hydraulic Point(Direct Push) Horizontal Drilling Plugged by Approved Method Other(Describe) 19.Proposed Grouting Interval for the Primary,S ondary,and Additional Casing: From 0 To-Seal Material( _B ntonite Neat Cement Other ) From To Seal Material( pntonite Neat Cement Other ) From To Seal Material( Be tonite Neat Cement Other ) From To j C,5 Seal Material( entonite Neat Cement Other ) 20.Indicate total number of existing wells on site List number of existing unused wells on site 21.-Is this well or any existing well or water�nNlo al on the owner's contiguous property covered under a Consumptive/Water Use Permit(CUP/WUP) or CUP/WUP Application? Yes If yes,complete the following:CUP/WUP No. District Well ID No. 22.Latitude Longitude 23.Data Obtained From: GPS Map Survey Datum: NAD 27 NAD 83 WGS 84 1 hereby certify that I=11'romply with the applicable rules of Title 40,Florida Administrative Cede,and that a water I certify that lam the owner of the property,that the inror—tiOn provided is accurate,and Thal I am aware of my use permit or artificial recharge permit,it needed.has beon or will be obtained prior to commencement of tvell responsibilities under Ch pier 373,Florida Statutes,to maintain or properly abandon this yell:or.I certify that I am construction.I further canify that all information prov,ded in this application Is accurate and that I will obtain the agent for the owner, tat Iho information provided is accurate.and that I have informed the owner of their necessary approval from other federal.state,or local governments,it appiiyble.I agree to provide a well responsibilities as state above.Omer consents to alto;ring personnel of this VlMD or Delegated Authority access completion report to the District within 30 days after completion of the construction.repair,modification.or to the well site during t a construction,repair,modification,or abandonment authorized by this permit. abandonment aulhom ed by this permit,or the permit expiration.whichever occurs first • "Signature of Contractor License No. ,r ure 0 eI Agent "Date BELOW • OFFICIAL USE ONLY Approval Granted By Issue Date �7 Expiration Date 2 �? Hydrologist Approval � Initials Fee Received S Receipt No. Check No. THIS PERMIT IS NOT VALID UNTIL PROPERLY SIGNED BY AN AUTHORIZED OFFICER OR REPRESENTATIVE OF THE WMD OR DELEGATED AUTHORITY. THE PERMIT SHALL BE AVAILABLE AT THE WELL SITE DURING ALL CONSTRUCTION,REPAIR,MODIFICATION,OR ABANDONMENT ACTIVITIES. DEP Form:62-532.900(1) Incorporated in 62-532.400(1),F.A.C. Effective Date:October 7,2010 Page 1 of 2 I St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: PERMIT*56-SF-1789636 BILL ooc#:56-BID-3589495 CONSTRUCTION APPLICATION#:AM307282 RECEIVED FROM: St Lucie Habitat for Humanitv AMOUNT PAID: $ 515.00 PAYMENT FORM: CREDIT CARD PAYMENT DATE: 09/18/2017 MAIL TO: (St Lucie Habitat for Humanity) FACILITY NAME : PROPERTY LOCATION: 7803 James Rd Fort Pierce, FL 34951 21 17 - Lot: Block: Property ID: 1301-603-0021-000-1 EXPLANATION or DESCRIPTION: QUANTITY FEE 128 - OSTDS Construction System Inspection Research Fee 1 $ 5.00 -1 - Surcharge (All) 1 $ 15.00 -1 - OSTDS New Permit Surcharge 1 $ 100.00 -1 - OSTDS Construction Application and Plan Review,New 1 $ 100.00 �I 123 - OSTDS Construction Site Evaluation 1 $ 115.00 i 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 i 'I o RECEIVED BY: VanceMH: AUDIT CONTROL NO. 56-PID-3370698 STATE OF FLORIDA PERMIT NO. ` DEPARTMENT OF HEALTH DATE PAID: ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: '.� SYSTEM RECEIPT #: 1030 WE APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: [V/ ] New System [ ] Existing System [ ] Holding Tank [ ] Innovative [ ] Repair [ ] Abandonment [ ] Temporary [ ] APPLICANT: St.Lucie Habitat for Humanity,Inc. AGENT: St.Lucie Habitat for Humanity,Inc. TELEPHONE: 772-464-1117 MAILING ADDRESS: 702 South 6th Street,Ft.Pierce,FL 34950 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: 21 BLOCK: 17 SUBDIVISION: Lakewood Park Unit PLATTED: 1958 PROPERTY ID #: 1301-603-0021-000-1 ZONING: RS-4 I/M OR EQUIVALENT: [ No ] PROPERTY SIZE: .230 ACRES WATER SUPPLY: [ ,/] PRIVATE PUBLIC [ ]<=2000GPD [ ]>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ No ] DISTANCE TO SEWER: FT PROPERTY ADDRESS: 7803 James Road,Fort Pierce,FL DIRECTIONS TO PROPERTY: From the intersection of Kings Highway and Indrio Road,travel west on Indrio Road to Fort Pierce Boulevard,travel north on Fort Pierce Blvd.to James Road,travel west on James Road.10 mile to lot on south side of road. 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 Residential 3 1948 300 2 3 4 [ ] Floor/EquipmentArains [ ] Other (Specify) S I GNATURE;:,�- ,; ,.s''� DATE: ' DH 4015 0 8/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC Page 1 of 4 STATE OF FLORIDA APPLICATION # AP1307282 DEPARTMENT OF HEALTH I ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM PERMIT #'56-SF-1789636 SITE EVALUATION AND SYSTEM SPECIFICATION DOCUMENT # SE1047716 APPLICANT: St Lucie Habitat for Humanity CONTRACTOR / AGENT: St Lucie Habitat for Humanity LOT. 21 BLOCK: 17 SUBDIVISION: Lakewood Park ID#: 1301-603-0021-000-1 , 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: 0.23 ACRES 'TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES-TABLET / OTHER-TABLE 2 ] AUTHORIZED SEWAGE FLOW: 345.01 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 1539.00 SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: Orange circled BM nail in CL of rd NW property corner ELEVATION OF PROPOSED SYSTEM,SITE 1.00 [ 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: 15 . FT NORMALLY WET: [ ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 75 FT NON-POTABLE, FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 60 FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES EX ]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 SOIL PROFILE INFORMATION SITE 2 ! USDA SOIL SERIES:Riviera fine sand USDA SOIL SERIES:Riviera fine sand Munsell#/Color Texture Depth Munsell#/Color Texture Depth 10YR 512 Sand 0 To 20 10YR 5/2 Sand 0 To 20 10YR 5/1 Sand 16 To 20 10YR 5/1 Sand 17 To 20 10YR 4/3 Sand 20 To 27 10YR 4/3 Sand 20 To 29 10YR 5/4 Sand 27 To 37 10YR 5/2 Sand 29 To 39 1 OYR 4/3 Loamy Sand 37 To 45 10YR 4/3 Loamy Sand 39 To 51 HOLE CAVING Refusal 45 To 72 HOLE CAVING Refusal 51 To 72 ' I OBSERVED WATER TABLE: 11.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 16 INCHES [ ABOVE / BELOW ] EXISTING',GRADE HIGH WATER TABLE VEGETATION: [ ]YES Ex ]NO MOTTLING: [X]YES [ ]NO DEPTH: 16.00 , INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.60 DEPTH OF EXCAVATION: INCHES DRAINFIELD CONFIGURATION: [ ] TRENCH [XI BED [ ] OTHER (SPECIFY) REMARKS/ADDITIONAL CRITERIA WSWT determined using USDA WSS and soil borings. 10YR5/1 stripping in 10YR5/2 matrix>10%with diffuse boundaries starting at 16"in SB1. SB1 1"above BM.S132 3"above BM. i SITE EVALUATED BY: DATE: :09/21/2017 Ingram,Brian(Title nvironmental Specialist II)(ENVIRONMENTAL HEALTH) i DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 3 of; 4 AP1307282 EID1789636 v 1.0.2 I i o STATE OF FLORIDA PERMIT DEPARTMENT OF HEALTH g ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS APPLICANT: St.Lucie Habitat for Humanity,Inc AGENT: Same LOT: 21 BLOCK: 17 SUBDIVISION: Lakewood Park Unit 3 PROPERTY ID #: 1301-603-0021-000-1 [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 PLAN: [✓] YES [ ] NO NET USABLE AREA AVAILABLE: .23 ACRES TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [RESIDENCES-TABLEI ] AUTHORIZED SEWAGE FLOW: 1500 GALLONS PER DAY [1500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 1539+/- SQFT UNOBSTRUCTED AREA REQUIRED: SQFT BENCHMARK/REFERENCE POINT LOCATION: NW corner of lot centerline of road ELEVATION OF PROPOSED SYSTEM SITE IS 0.1 [FT ] [BELOW ] ENC REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: n/a FT DITCHES/SWALES: n/a FT NORMALLY WET? [ [ YES [✓] NO WELLS: PUBLIC: n/a FT LIMITED USE: n/a FT PRIVATE: +75 FT NON-POTABLE: n/a FT BUILDING FOUNDATIONS: +5 FT PROPERTY LINES: 9 FT POTABLE WATER LINES: n/a FT SITE SUBJECT TO FREQUENT FLOODING: [ ] YES [✓] NO 10 YEAR FLOODING? [ ] YES [✓] NO 10 YEAR FLOOD ELEVATION FOR SITE: Zone X FT MSL/NGVD SITE ELEVATION: Zone X 20 FT MSL�NCfVD i� .i U'b 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 r] 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: SITE EVALUATED BY: I ' DATE: I DE 4015, 08/09 (obsoletes previous editions which may not be used) Incorporated: 64E-6.001,FAC Page 3 of 4 Iroperty Card Page 1 of ] Michelle Franklin, CFA-= Saint Lucie County Property Appraiser--All rights reserved. Property Identification Site Address:7803 JAMES I Parcel ID: 1301-603-0021- Account#:642 Sec/Town/Range: RD 000-1 14/34S/39E Map ID: 13/14N Zoning:RS-4 Use Type:0000 Jurisdiction:Saint Lucie County I Ownership Legal Description St Lucie Habitat for Humanity LAKEWOOD PARK-bNIT 3-BLK 17 LOT21 (MAP 13/14N) 702 S 6th ST (OR 3961-552) Fort Pierce,FL 34950 I Current Values Historical Values 3-year Just/Market: $5,900 Assessed: $5,856 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $5,856 2017 $5,900 $5,856 $0 $5,856 2016 $5,400 $5,324 $0 $5,324 2015 $5,200 $4,840 $0 $4,840 Sale History l Date Book/Page Sale Code Deed Grantor Price 01-27-2017 3961 /0552 0117 WD PEP Financial LLC $10,500 11-29-2007 2909/1805 XX01 TD Baker,William A $3,100 01-01-1900 $0 Primary Building Information i Finished Area of this building:0 SF Gross Area of this building:0 SF Exterior Data i View: Roof Cover: Roof Structure: Building Type: Year Built:N/A Frame: Grade: Effective Year:2014 I Primary Wall: Story Height: No.Units:0 Secondary Wall: 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: P` "y # Total Areas Finished/Under Air 0 Gross Area(SF): 0 Land Size(acres): 0.23 Land Size(SF): 10,000 Total Building Count: I Special Features and Yard Items Type Qty Units Year BIt G This informatioA 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. i i I i ttp://www.paslc.org/RECard/li 9/18/2017 STATE OF FLORIDA PERMIT NO.56-5" 17'-M5(a - D DEPARTMENT OF HEALTH ATE PAID: ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM FEE PAID: � D: CONSTRUCTION PERMIT CONSTRUCTION PERMIT FOR: [g ] New System [ ] Existing System [ ] Holding Tank [ ] Innovative [ ] Repair [ ] Abandonment [ ] Temporary [ ] APPLICANT: St.Lucie Habitat for Humanity, 702 South 6th Street Ft. Pierce,FL 772-464-1117 PROPERTY ADDRESS: 7803 James Road,Ft. Pierce,FL LOT: 21 BLOCK: 17 SUBDIVISION: Lakewood Park Unit NO. 3 Subdivision • [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] PROPERTY ID #: 1301-603-0021-000-1 [OR ID NUMBER , SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION 381.0065, F.S. , AND CHAPTER 64E-6, F.A.G. 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 [ ] GALLONS / GPD SEPTIC TANK/AEROBIC UNIT CAPACITY MULTI-CHAMBERED/IN-SERIES [ ] A [ ] GALLONS / GPD CAPACITY MULTI-CHAMBERED/IN-SERIES [ ] N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ] GALLONS @ [ ] DOSES PER 24 HRS # PUMPS [ ] D [ ] SQUARE FEET PRIMARY DRAINFIELD SYSTEM R [ ] SQUARE FEET SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [ ] MOUND [ ] I CONFIGURATION: , [ ] TRENCH [ ] BED [ ] N F LOCATION OF BENCHMARK: NW corner of lot,centerline of road I ELEVATION OF PROPOSED SYSTEM SITE [ ] [INCHES/FT] [ABOVE/BELOW] BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ ] [INCHES/FT] [ABOVE/BELOW] BENCHMARK/REFERENCE POINT L D FILL REQUIRED: [ ] INCHES EXCAVATION REQUIRED: [ ] INCHES 0 T H E R SPECIFICATIONS BY: TITLE: APPROVED BY: TITLE: CHD DATE ISSUED: EXPIRATION DATE: DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 1 of 3 1\ _ PLANS PREPARED FOR: APPLICABLE CODES Habitat for Humanity® PROJECT: 7803 JAMES STREET W—E— �rx81 w�l1��PW4�9 TOY�fAt1�rR m�PE�G1R1fOWt . • � aw�NamllasfwDEs - NDDw".below. ,.mi.nORDAeDRmxDcoOE elx EDrtwx Callbetmeyoudig. LPI.EEOWGRUNw000DElmEWRIXI PLANSPREPAREDBY: CUSTOMER NAME: HABITAT FOR HUMANITY "" °m o,"�� `"�� ew ENfxOVCpBfR A W !xEODq a>of;NAD�,RL E�D,a�D DDDf SITE NUMBER: HAB - 3BRHC C&C PRODUCT APPROVAL NUMBERS PROD. FBCPRODUCTAPPROVAL FBC PRODUCT APPROVAL PRO OCT APPROVAL WNOLEIIOUSEENGNEERIN .O G APP. PRODUCT OR MIAMI-DADE NA OR N.OA NUMBER EXPIRATION DATE U51 SL L lvd udE B .SW.M SITE ADDRESS: 7803 JAMES STREET SYM. "�=.1131® PAI PDf BwOLEIRwO,vR1 xG 6Y]!]t FORT PIERCE, FL 34951 �`°` n�m� oRAwlNononcE PN OAD NROtt WOOADf 1bA ST. LUCIE COUNTY PA. —N DNDR �° e�;;e m]e,, Btu DD OFMDCM Aw AAGORC NA BNlD6 1RILEEPINM110NAO—TNPINLi Ww A L FM My PIecRIpPoSEB Of6r.611E AND vA! La6UC0,1l BERiF9 LOWERED NwWaMENOA lOf1O, TiO MNAFAONRERB mPYfx16 PA! GBrtiffTE PPECABT CONC. NLWI DADENG 1,OY,.f! !Y]fYQ ODNOibG4EdUWwOl.PIFNEfixrtAcr DF.aRwEx Lw1Et8 YTNANYfdIE]IIONIISAMDwOOBIFMtWVS. ENGINEERING LICENSE: SITE INFORMATION SHEET INDEX SITE LOCATION , PROPERTYOWNER. SHT NO: SHEET TITLE: REV: ,{n ,. rW eMllx lIil Ai FORXNNNIrY.wG � � C41 1111E WEEP 4 'a jr NO IBB FPNDNe PPnN4°111 fir., N:r!` 61 DExEMLx01E0 ,'�+wL'.C�' W �•' vtEPtAv4rD�AmEy OY�Y SITE ADOREss� FlarnwRx ��.� 8�mm`�` � DmR,Pfiul.'it mi RDDEwAN ceaTA a. e.wcE eDuxrr E.EVArAra DRAWBiO NOnCE: GEOGRAPHIC COORDINATES: Aat A'N(ilda].'I I�.`kl &,9 fWONfOx PUN %tORRM1DiNWDAU COM NAr bTMRFPPDDI1�20. IONGRWE•BCif I,DBW IaeNNeYI - �I E,.jx 8� PRIxPUP4X D�FMIkDRRBIAEDNI1NOVr1MF DVRF4 rPROJECTNUMBER: A-nw } S fY REVISIONS: OFSCRIPf10N GATE BV y f`-. �• Y' W.vmEroaauDElEn STTE co SITE NAME: 7803 JAMES STREET . 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