HomeMy WebLinkAboutSewageSTATE OF FLORIDA PERMIT NO.
DEPARTMENT OF HEALTH DATE PAID: r I3
ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID:
SYSTEM RECEIPT
APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
[ l New System [ 1 Existing System ( ] Holding Tank [ ] Innovative
[ ] Repair [ ] 'Abandonment [ ) Temporary [ r/ ] Plan Review
APPLICANT: �/
AGENT: J TELEPHONE: 7 � �' 7 7S0 d C
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 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: JP SUBDIVISION: �.��� •%� P^iae 5 �r' ,�'t� PLATTED:
PROPERTY ID # : -% .� �, �••_ �-t 3< ov p " �+ ZONING: `5 I/M OR EQUIVALENT: [ Y / N ]
PROPERTY SIZE: +' qACRES WATER SUPPLY: [ W/PRIVATE PUBLIC [ ] <=2000GPD [ ] >2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [0/N I DISTANCE TO SEWER: J FT
PROPERTY ADDRESS: � Z- �/ �/,z.� �Z 4042 ...
DIRECTIONS TO PROPERTY: G % /� `1- ��"Z' '� % e- -c1
L
BUILDING INFORMATION V�j RESIDENTIAL [ ] COMMERCIAL
Unit Type of No. of Building Commercial/Institutional System Design
No Establishment Bedrooms Area Sgft Table 1, Chapter 64E-6, FAC
3
4
[ ] Floor/Equipment Drains [ ] Other (Specify)
SIGNATURE:]' /
a`��%"^ DATE: �Z "-
i
DH 4015, 08/09 (Obsoletes previous editions which may not be used)
Incorporated 64E-6.001, PAC w 0 G f�),Z,r� Page 1 of 4
Lj L.
r
Michelle Franklin, CFA -- Saint Lucie County Property Appraiser --All rights reserved.
Property Identification
Site Address:5512 Parcel ID:3402-602-0283- Account #: 36605 Sec/Town/Range:11/36S/40E
PINETREE DR 000-8 Map ID: 34/11N Zoning: RS-3 - Con
Use Type: 0100 Jurisdiction: Saint Lucie
County
Ownership Legal Description
John Paul Edgar INDIAN RIVER ESTATES -UNIT I- BLK8 LOTS 16 AND 17
5512 Pinetree DR (MAP 34/11N)
Fort Pierce, FL 34982
Current Values Historical Values 3-year
Just/Market: $295,400 Assessed: $208,488 Year Just/Market
Assessed
Exemptions
Taxable
Exemptions: $50,000 Taxable: $158,488 2020 $295,400
$208,488
$50,000
$158,488
2019 $278,400
$116,554
$50,000
$66,554
2018 $278,000
$114,381
$50,000
$64,381
Date
03-20-2019
10-08-2013
11-23-2005
View:
Year Built: 1974
Primary Wall: Wood/Sheath
Bedrooms: 0
Full Baths: 1
Half Baths: 0
Sale History
Book/Page
Sale Code Deed Grantor
4259 / 1683
0001 WD Prince Robert I
3571 / 2720
0111 QC Prince Robert 1
2422 / 2499
XX00 WD Smith Halbert
Primary Building Information
Finished Area of this building: 1,680 SF
Gross Sketched Area: 2,112 SF
Exterior Data
Roof Cover: Dim Shingle Roof Structure: Gable
Frame: Grade: C-
Story Height: 1 Story No. Units: I
hiterior Data
A/C %: 100% Electric: MAXIMUM
Heated %: 100% Heat Type: FrcdHotAir
Sprinkled %: 0% Heat Fuel: ELEC
Type
Driv-Concret
POOL DK-AVG
RES POOL AVG
CHAINLINK 4'
VINYLFENCE6'
WOOD FEN 6'
UTILITY AVG
Total Areas
Price
$360,000
$100
$270,000
Building Type: HC-
Effective Year: 1974
Secondary Wall:
Primary Int Wall:
Avg Hgt/Floor: 0
Primary Floors: Carpet
Finished/Under Air
3,636
(SF):
Gross Sketched Area
7,677
(SF):
r Land Size (acres):
0.91
Land Size (SF):
39,600
Total Building Count:
2
Special Features and Yard Items
Qty Units
Year Blt
1 1400
1974
1 2083
1977
1 512
1977
1 120
1989
1 30
1999
1 40
1999
1 160
2016
All information is believed to be correct at this time, but is subject to change and is provided without any warranty.
0 Copyright 2021 Saint Lucie County Property Appraiser. All rights reserved.
Mission:
To protect', promote & irrprove the health
of all people in Florida through integrated
state, county & omr unity efforts.
H Dean Roberts
565 NW Correll Avenue
Port Saint Lucie, FL 34983
HEALTH
Vision: To be the Flealthiest State in the Nation
January25, 2021
RE: Modification to a Single Family Residence - No Bedroom Addition
Application Document Number: AP1612747
Centrax Permit Number: 56-SF12220878
5512 Pinetree Drive
Fort Pierce, FL 34982
Lot: 16 Block: 8 Subdivision: Indian River Estates
Dear Applicant,
This will acknowledge receipt of a floor plan and site plan on 01/13/2021 for the use of the existing
onsite sewage treatment and disposal system located on the above referenced property.
Ron DoSantis
Governor
Scott A. Rlvkoes, MD
State Surgeon General
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 regtired.
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) 873-49.31.
Sincerely,
Brian Ingram
Environmental Specialist III
Department of Health in St. Lucie County
Florida Departmont of Health www.forldah"lth.gov
in St. Lucie County • 5150 NW Milner Drive - Port Saint Lucie, Florida TWITTER:HealthyFLA
34983 FACEBOOK:FLDepartmentofHealth
PHONE: (772) 8734931 1 YOUTUBE: fldoh
J
PAYING ON:
RECEIVED FROM:
PAYMENT FORM:
St. Lucie County Health Department
5150 NW Milner Dr Port Saint Lucie, FL 34983
#: 56-SF-2220878 BILL DOC #:56-BID-5152001 CONSTRUCTION APPLICATION #: AP1612747
H Dean Roberts AMOUNT PAID: $ 35.00
CREDIT CARD 000832 PAYMENT DATE: 01/13/2021
MAIL TO: H Dean Roberts
FACILITY NAME:
PROPERTY LOCATION:
5512 Pinetree Dr
Fort Pierce, FL 34982
16
Lot:
8
Block:
Property ID: 3402-602-0283-000-8
EXPLANATION or DESCRIPTION: QUANTITY FEE
139 - OSTDS Application Approval Existing, No Insp 1 $ 35.00
RECEIVED BY: AdamsC AUDIT CONTROL NO. 56-PID-4855929
{ dF'•TItE
STATE OF FLORIDA
�'• DEPARTMENT OF HEALTH
�.D ONSITE SEWAGE TREATMENT AND DISPOSAL
., SYSTEM
APPLICATION FOR CONSTRUCTION PERMIT
PERMIT NO.
DATE PAID: J'3
FEE PAID:
RECEIPT # :��
APPLICATION FOR:
[ ) New System [ Existing System [ ) Holding Tank [ ] Innovative
[ ] Repair [ ] Abandonmennt [ ) Temporary [ r/ ] Plan Review
APPLICANT:
AGENT: ~TELEPHONE: �75V/l
MAILING ADDRESS:
TO BE COMPLETED BY APPLICANT ORIAPPLICANT'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: J� SUBDIVISION: ��� � 'S PLATTED:
PROPERTY ID #: Jam' ` 2 0.2-P3 CZONING: P5
_3 I/M OR EQUIVALENT: [ Y/N ]
PROPERTY SIZE: Ste'"' ACRES WATER SUPPLY: [ W/PRIVATE PUBLIC [ ]<=2000GPD [ 1>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [0/N ] DISTANCE TO SEWER: FT
PROPERTY ADDRESS:/
DIRECTIONS TO PROPERTY;
1-7
BUILDING INFORMATION
Unit Type of
No Establishment
1
2 PJZ .
3
4
RESIDENTIAL [ ] COMMERCIAL
No.; of Building Commercial/Institutional System Design
Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC
,Ae36 x1,114
-
[ I Floor/Equipment Drains [ ) Other (Specify)
SIGNATURE: 40--e— re��/
DATE:
DH 4015, 08/09 (Obsoletes previous editions which may not be used)
Incorporated 64E-6.001, FAC -M a 1?1a
/, D Q
Page 1 of 4
Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved.
` Property Identification
Site Address: 5512 Parcel ID: 3402-602-0283- Account #: 36605 Sec/Town/Range: 11/36S/40E
PINETREE DR 000-8 Map ID: 34/11N Zoning: RS-3 - Cou
Use Type: 0100 Jurisdiction: Saint Lucie
County
Ownership Legal Description
John Paul Edgar INDIAN RIVER ESTATES -UNIT 1- BLK8 LOTS 16 AND 17
5512 Pinetree DR (MAP 34/11N)
Fort Pierce, FL 34982
Current Values Historical Values 3-year
Just/Market: $295,400 Assessed: $208,488 Year Just/Market
Assessed
Exemptions
Taxable
Exemptions: $50,000 Taxable: $158,488 2020 $295,400
$208,488
$50,000
$158,488
2019 $278,400
$116,554
$50,000
$66,554
2018 $278,000
$114,381
$50,000
$64,381
Date
03-20-2019
10-08-2013
11-23-2005
View:
Year Built: 1974
Primary Wall: Wood/Sheath
Bedrooms: 0
Full Baths: 1
Half Baths: 0
Sale History
Book/Page
Sale Code Deed Grantor
4259 / 1683
0001 WD Prince Robert I
3571 / 2720
0111 QC Prince Robert I
2422 / 2499
XX00 WD Smith Halbert
Primary Building Information
Finished Area of this building: 1,680 SF
Gross Sketched Area: 2,112 SF
Roof Cover: Dim Shingle
Frame:
Story Height: 1 Story
A/C %: 100%
Heated %: 100%
Sprinkled % 0%
Exterior Data
Roof Structure: Gable
Grade: C-
No. Units: 1
Interior Data
Electric: MAXIMUM
Heat Type: FrcdHotAir
Heat Fuel: ELEC
Total Areas
Price
$360,000
$100
$270,000
Building Type: HC-
Effective Year: 1974
Secondary Wall:
Primary Int Wall:
Avg Hgt/Floor: 0
Primary Floors: Carpet
Finished/Under Air
3,636
(SF):
Gross Sketched Area
7,677
(SF):
Land Size (acres):
0.91
Land Size (SF):
39,600
Total Building Count:
2
Special Features and Yard Items
Type
Qty
Units
Year Blt
Driv-Concret
1
1400
1974
POOL DK-AVG
1
2083
1977
RES POOL AVG
1
512
1977
CHAINLINK 4'
1
120
1989
VINYLFENCE6'
1
30
1999
WOOD FEN 6'
1
40
1999
UTILITY AVG
1
160
2016
All information is believed to be convect at this time, but is subject to change and is provided without any warranty.
0 Copyright 2021 Saint Lucie County Property Appraiser. All rights reserved.
Mission:
To protect promote &improve the health
of all people in Florida through integrated
state, county & comrrrunity efforts.
H Dean Roberts
565 NW Correll Avenue
Port Saint Lucie, FL 34983
HEALTH
Vision: To be the Healthiest State in the Nation
January 25, 2021
RE: Modification to a Single Family Residence - No Bedroom Addition
Application Document Number: AP1612747
Centrax Permit Number: 56-SF-2220878
5512 Pinetree Drive
Fort Pierce, FL 34982
Lot: 16 Block: 8 Subdivision: Indian River Estates
Dear Applicant,
This will acknowledge receipt of a floor plan and site plan on 01/13/2021 for the use of the existing
onsite sewage treatment and disposal system located on the above referenced property.
Ron DeSantis
Governor
Scott A. Rlvkaas, MD
State Surgeon General
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.
Sincerely,
Brian Ingram
Environmental Specialist III
Department of Health in St. Lucie County
Florida Department of Health www.florldahtalth.gov
in St. Lucie County • 5150 NW Milner Drive • Port Saint Lucie, Florida TWITTER:HealthyFLA
34983 FACEBOOK:FLDepartmentofHealth
PHONE: (772) 873-4931 1 YOUTUBE: fldoh
St. Lucie County Health Department
i ME 5150 NW Milner Dr Port Saint Lucie, FL 34983
HEALTH
PAYING ON: #:56-SF-2220878 13ILL Doc #:56-BID-5152001 CONSTRUCTION APPLICATION #: AP1612747
RECEIVED FROM: H Dean Roberts AMOUNT PAID: $ 35.00
PAYMENT FORM: CREDIT CARD 000832 PAYMENT DATE: 01/13/2021
MAIL TO: H Dean Roberts
FACILITY NAME:
5512 Pinetree Dr
Fort Pierce, FL 34982
16 � 8
Lot: Block:
i
Property ID: 3402-602-0283-000-8
EXPLANATION or DESCRIPTION. QUANTITY FEE
139 - OSTDS Application Approval Existing, No Insp 1 $ 35.00
RECEIVED BY: AdamsC AUDIT CONTROL NO. 56-PID-4855929
FIRC
to ID
FIRC
r
mail Center Line
Howard Street
Ln
fj w
io
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30.0'
i
8
c
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6.72
LEGAL DESCRIPTION
Lot 16 and 17, Block 8, INDIAN RIVER ESTATES UNIT ONE, according to the Plat thereof,
as recorded in Plot Book 10, Page 43, Public Records of St. Lucie County, Florida.
-------------
FEMA Flood Zone data shown here on is based on the visual inspection of
the digital Flood Hazardous Maps provided by the Federal Emergency
Management Agency (FEMA) and is limited to the accuracy of such maps.
Flood Zone: X Community 1: 120255, Panel J: 277 Suffix: K, Date. 2.19.2020
LEGEND
CIE - Gowned Enby
FCAI - Found ^4 concrste Monument
CAC - Canvate Pad with Air Conditioning
F!P - Fount I' Iron Pipe
CB - catch Baton
CBS - Cawete BWde Stneura
•
FIPC - iouM bon with
Pipe �
OW - Comgoted 1Arfot P7pe
CPE - Concrete Pod with Pont Equipment
CIV - Cable TV Box
FIR - Found kon Rod
FIRC - Found 15 Iran Rod with CaQ
SRC - Set 15 Iron Rod with Cap �17357'
GV -Water Gate Valve
F1PC - Found 1/2- Iron Pipe with Cap
HID - Firo rant
MES -Mitered End Section
A -found Ali Nar7
FMD - Found Mag Nail with Disk
0/1 - Overhead Ut#4 Line
FN - Found Nail
PP - Power Pok
FN7 - round Not/ with Tin Tab
SSMH - sanitary Sewer Monhok
FPK - Found PK Na
We - Telephone Communications Box
FF/M - Found PK Nail with Disk
UB - Utility Box
ERRS - Found Rail Road Spike
WM -Water Moto
/CO - In Pavement Cut Out
Lot 15, Block 8
N89057'33"E 299.90'
N89'57'33 E 300.00'(P)
4' Chain Link Fence
X 18.13
I
I
��., �
0
rCAACj
L_
oh
^�.
f
48.6'
Aspholt,o
Driveway �,
r\,
to
One Story
_......_. .._._.....� t l8.3
Concrete
r
of
Guest House
? )r16.66
°j °t Finished Floor El. 19.37
60. i'
Woad o X1.95 Sts °} Flasiia Cover El
o etoe Bar ACPE
- -- -
ed-
19
,,� ,� .r ]; .-.• Ii wood Beck -
M
06
SURVEYOR'S REPORT
1 This Survey shall not be valid unless sealed with an embossed Surveyor's Seal
2 No underground improvements have been located as part of this Survey.
3 The last field date of this Survey was: 8.11.2020.
4 This Survey was prepared using the Plat of Record only. No other documents were
provided and no search of the public records was performed by this office.
5 The Survey shown hereon was prepared in accordance with the standards for the practice
of Surveying & Mapping as defined in 5J-17.050-FAC).
6 By acceptance of this survey all parties agree that the signing surveyor's liability is limited
to the amount paid for said Survey.
7 Unless other wise noted all bearing and distances are in accordance with the record plat
and have been verified by field measurements. See map for bearing base.
8 Parcel/Lot line locations have been based on found survey control along the center line
and or right of way line of Pine Tree Dr.
9 LEFT BLANK.
10 The Legal Description shown hereon was provided by the client and/or his/her
representatives.
11 No ownership of fence lines has been determined as part of this Survey.
12 Off set calls to found survey control are relative to the nearest property corner,
intersection of lines, point of curvatures (PC), point of reverse curvatures (PRC) or other
identifiable point.
13 Compliance with local zoning requirements and or with requirements set forth by other
State, Public, and/or Private entities has not been verified as part of this Survey.
14. Elevations shown are based on the North American Vertical Datum of 1988
o
0
o.
0
X 17.95
_-__-____�_�� __-___ ________ __ __ _
8 B - Lot 16,
o� �W a tea. 4f.T ro I Block 8
m m r 9.65 Lot 17 Block 8
18.50 o 4
s
Wood
p Steps o e ti 9'' 3 , � ancrefe
aaa ig
C .J. 4
� � C p
.yuu -
- nit rr
a.6 ( X17.81 'a mC4 j
' v 3 Lo
m34,
i _..______
0 X19.21
' I 6` �� CAC CAC
9� o III
P loi X 18.56
i X17.65 w a.
6'3 6' Wood Fence
�..:T18._-d___L _.0, I 1 4'�Chain ink Fe ce Q
I
.- 1
RC
0.19'E,
O 0.13'S
PREPARED FOR:
John Paul Edgar
Prepared By: Regina C. Kanner, PSM#4363
Kanner Surveying, Inc. LB#7357
N89057'33"E 299.85'
Lot 18, Block 8
Prepared For:
John Paul Edgar
fi77
21
X1885 X18.65 lk
,
Opd 15.14 x 18.05
U
57.1'
---- 35.5' -- n p
cn �
0
"�C18.35
N89'5733'E 300.00'(P)
0.91 Acres f
6' Chain Link Fence
MIN. S
FRONT
c7n'- ---
REQ.
KARNER SURVEYING, INC. _
Residential & Commercial Surveying Servicesj�,
2740 SW Martin downs Bivd.#333, Palm t e F1.34990
Phone: (772)288 7206 Fax:(7jl)223 8181
FIR
FDOH in St. Lucie County
Environmental Health
Septic System Appears Adequate
For Proposed Construction Sr - 2,27,ocg?
This Approval Does Not G arantee
Perf ante nth tem
Reviewer: -
stwef mow
>er
--"-- f3oaxxdsrg Survey
Rrnm 2p 'Nitta &x-
2po] _ .... ..._...
at r� Cana ,¢;..;ro: .
2007-2e