Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAboutSewageSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: Luciano Pisciotta
PROPERTY ADDRESS: 5406 Deleon Ave Fort Pierce, FL 34951
LOT: 8 BLOCK: 160 SUBDIVISION: Lakewood Park
PERMIT #:56-SF-2217206
APPLICATION #: AP1610050
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1614931
PROPERTY ID #: 1301-614-0098-000-5 [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
[ 900 ] GALLONS / GPD Senticnew
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 [ 334 ] SQUARE FEET Drainfield new SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [X1 MOUND
I CONFIGURATION: [ ] TRENCH [X] BED []
M
F LOCATION OF BENCHMARK: SITE BM #2, NiD W side of Rd, near S PL extended W
I ELEVATION OF PROPOSED SYSTEM SITE [ 1.00 ][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 1.00 ][ INCHES FT ][ABOVE BELOW] BENCHMARK/REFERENCE POINT
L
D E
O
T
H
E
P.
ILL REQUIRED: [ZU.UU] INCHES EXCAVATION REQUIRED: [ 6U.UU1 INCHES
The system is sized for 2 bedrooms with a maximum occupancy of 4 persons (2 per bedroom), for a total estimated flow of
200 gpd.
y
SPECIFICATIONS BY: Todd -A Re' old TITLE: Environmental Sp
ecialist II
APPROVED BY: TITLE: Environmental Specialist III St. Lucie CHD
Brian fAngram
.p DATE ISSUED: 03/01/2 21 EXPIRATION DATE: 08/29/2022
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC Page 1 of 3
v 1.1.4 AP1610050 SE1482000
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.
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.
St. Lucie County Health Department
t
5150 NW Milner Dr Port Saint Lucie, FL 34983
HEALTH
PAYING ON: #: 56-SF-2217205 BILL DOC #:56-BID-5134718 CONSTRUCTION APPLICATION #: AP1610050
RECEIVED FROM: Luciano Pisciotta AMOUNT PAID: $ 545.00
PAYMENT FORM: CREDIT CARD 001646 PAYMENT DATE: 12/29/2020
MAIL TO: Luciano Pisciotta
FACILITY NAME:
PROPERTY LOCATION:
5406 Deleon Ave
Fort Pierce, FL 34951
8
Lot:
160
Block:
Property ID: 1301-614-0098-000-5
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
RECEIVED BY: AdamsC AUDIT CONTROL NO. 56-PID-4837919
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
~`°D1 APPLICATION FOR CONSTRUCTION PERMIT
APPICATION FOR:
PERMIT NO.J4 ZZ G FV 2
DATE PAID : ZI7--12c'�
FEE PAID:
RECEIPT #:
[ ] New System [ ] Existing System [ ] Holding Tank [ ] Innovative
[ ] Repair [ ] AbP,15
onment [ ] Temporary [ ]
APPLICANT: C_-(�. L % �� �C1� C-ic) /
AGENT: (j(J�/�:.� res �[�j,� TELEPHONE:
MAILING ADDRESS:60 2 e
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} IINFORMATION
LOT: BLOCK: SUBDIVISION: �D (,y�F�,�� 11L PLATTED:
PROPERTY ID #: �_ Q " �I� ` ('yiv' � ZONING: I/M OR EQUIVALENT: [ Y / 01
PROPERTY SIZE: ACRES WATER SUPPLY: [}C PRIVATE PUBLIC [4,1 <=2000GPD [ 1>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y / �] DISTANCE TO SEWER: FT
PROPERTY ADDRESS:
DIRECTIONS TO PROPERTY: �� � �/hG�•�i /�`�- �'�,} �� ( J� Cr '7 l ✓�
BUILDING INFORMATION
Unit Type of
No Establishment lu
3
4'
[ ] RESIDENTIAL [ ] COMMERCIAL
No. of Building Commercial/Institutional System Design
Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC
[ '] Floor/Equipment Drains [ ] Other (Specify)
• SIGNAT �DATE : CZ�Z�j'77- C)
DH 4015, 08/09 (Obsoletes previous editions which may not be used)
Incorporated 64E-6.001, FAC Page 1 of 4
w
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATION
APPLICANT: Luciano Pisciotta
CONTRACTOR / AGENT
LOT, 8
Luciano Pisciotta
BLOCK: 160
APPLICATION # AP1610050
PERMIT # 56-SF-2217205
DOCUMENT # SE1482000
SUBDIVISION: Lakewood Park ID#: 1301-614-0098-000-5
• 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: 0.27 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 200 GALLONS PER DAY [ RESIDENCES-TABLEI / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 404.99 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 500.00 SQFT UNOBSTRUCTED AREA REQUIRED: 375.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION: SITE BM
ELEVATION OF PROPOSED SYSTEM SITE 1.00 [ INCHES / FT ] [ ABOVE / EOW ] BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: FT DITCHES/SWALES: FT NORMALLY WET: [ ]YES [ ]NO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 75 FT NON -POTABLE: FT
BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: FT
SITE SUBJECT TO FREQUENT FLOODING?
10 YEAR FLOOD ELEVATION FOR SITE:
SOIL PROFILE INFORMATION SITE 1
[ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]NO)
FT [ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD
USDA SOIL SERIES:Lawnwood sand
Munsell #/Color Texture
Depth
1 OYR 5/1
Fine Sand
0 To 12
1 OYR 6/1
Fine Sand
12 To 20
1 OYR 5/1
Fine Sand
20 To 24
10YR 6/1
Fine Sand
22 To 24
1 OYR 2/1
Fine Sandy Loam
24 To 60
1 OYR 413
Fine Sand
60 To 72
SOIL PROFILE INFORMATION SITE 2
USDA SOIL SERIES:Lawnwood sand
Munsell #/Color Texture
Depth
1OYR 5/1
Fine Sand
0 To 12
1 OYR 611
Fine Sand
12 To 20
1 OYR 5/1
Fine Sand
20 To 24
1 OYR 6/1
Fine Sand
22 To 24
1 OYR 2/1
Fine Sandy Loam
24 To 60
1 OYR 4/3
Fine Sand
60 To 72
OBSERVED WATER TABLE: 24.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT I
ESTIMATED WET SEASON WATER TABLE ELEVATION: 22 INCHES [ ABOVE / HOW ] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [X]YES [ ]NO MOTTLING: [X]YES [ ]NO DEPTH: 22.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Fine Sand/0.60 DEPTH OF EXCAVATION: 60 INCHES
DRAINFIELD CONFIGURATION: [ ] TRENCH [X] BED [ ] OTHER (SPECIFY)
REMARKS/ADDITIONAL CRITERIA
WnSWT determined using USDA WSS soil borings. 10YR6/1 stripping in 10YR5/1 matrix >10% with diffused boundaries starting
at 22 inches in SB1. SB1 and So21 IncRes below BM. Remove SL layer.
SITE EVALUATED BY:
5 -
V Reinhold, Todd (Title: Environmental Specialist 11) (Florida Department of Health in Ok
DH 4015, 08/09 (obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC
DATE: 02/10/2021
Page 3 of 4
AP1610050 EID22'17205 V '1.0.2
Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved.
Property Identification
Site Address: 5406 DELEON Parcel ID: 1301-614-0098- Account #: 3566 Sec/Town/Range: 12/34S/39E
- AVE 000-5 Map ID: 13/12S Zoning: RS-4 Count
Use Type: 0000 Jurisdiction: Saint Lucie
County
Ownership
Luciano Pisciotta II
6202 SEMINOLE RD
Fort Pierce, FL 34951
Current Values
Just/Market: $11,100 Assessed:
Exemptions: $0 Taxable:
Date Book/Page
12-04-2020 4518/1077
02-25-2014 3607/1348
06-10-2011 3300/1396
View:
Year Built: N/A
Primary Wall:
Bedrooms: 0
Full Baths: 0
Half Baths: 0
Roof Cover:
Frame:
Story Height:
A/C %: 0%
Heated %: N/A%
Sprinkled %: 0%
Legal Description
LAKEWOOD PARK -UNIT 12- BLK 160 LOT 8 (MAP 13/12S)
Historical Values 3-year
$9,050 Year Just/Market Assessed
$9,050 2020 $11,100 $9,050
2019 $9,700 $8,228
2018 $9,300 $7,480
Sale History
Sale Code Deed Grantor
0111 QC Casadine Tod E
0111 QC Parramore Jeffrey A
0001 WD Alvarez Judith A
Primary Building Information
Finished Area of this building: 0 SF
Gross Sketched Area: 0 SF
Exterior Data
Roof Structure:
Grade:
No. Units: 0
Interior Data
Electric:
Heat Type:
Heat Fuel:
Exemptions
Taxable
$0
$9,050
$0
$8,228
$0
$7,480
Building Type:
Effective Year: N/A
Secondary Wall:
Primary Int Wall:
Avg Hgt/Floor: 0
Primary Floors:
Price
$100
$100
$7,000
Total Areas
Finished/Under Air
0
(SF):
Gross Sketched Area
0
;.., ... (SF):
Land Size (acres):
0.27
Land Size (SF):
11,700
Total Building Count:
1
Special Features and Yard Items
Type Qty Units Year Blt
All information is believed to be correct at this time, but is subject to change and is provided without any warranty.
© Copyright 2020 Saint Lucie County Property Appraiser. All rights reserved.
97n {fir
Y F 7 r _.. , r r {„ ro T _ti� v wa.
pv } .,`i y' fj'- F{' Y *N3 ? Jtiy.,� '}s 1y
's [ '�',< � x� x ; ' � - �'�a `'ti•i. "'� � �'•u x rt�.yy 7�y rt '.#�'�, ^�'�•�. �' ���.� �,- `'-'�i?' �� , .
�' . 7 z k{. s, e a : , t •� r s. �"`� tro„�€ , '� �tt'x' '�gc i r�. � ,
- t :.•,fPJA ..,. ..-....:�'....._.t Fu. e.y.•—�.tis`•Y#.: .._�- ^K:;l+ �,�^4t�h bve:•.,..�.�, ....�
T C 1 b �2Y sL f" t ,�9rx} - t.�,K
.,£..i$y . 4 tom.._.....,. K 4 t ' -S"j4{ R1x{<{"�
y t t fm i w §§ xa a a c f
'+ s •s� la��Nic'Y,n1 3 _� r�� j�?L ,�, ^ 4� e � � � �';AiT ea. ` , 1 s !,i a��,
.-
Tie
iJ.4 F kr .'L �* t $ fi'� �'`��j ! i+�t v ���'hs��'y�°".•,�?i x ... �t 4 } < . w '��i •`" A ;, �,�, ems' .
' t ' e �3�' t• -. �` 4'^�3' i`' y o a'�'��k7 � xF " � Ex ;'.•�
x
` �31 S' s i x} t Y..7CIr 6rP �„••�`cea{.?-'f' ( �1._
} .. r ; +�4i t - tJ�f..^+ t F; f4ivxe+.f •k+a 7sl
nir_"
It
r �• ~ 5 a. 1 -e fx t N4 1' �+ ;� sH" �, r t p ' 7x� �tx ?�,�. r• y..:. .� "..
A i
P. f: M
>•,� �
i (, -'t t'. - ' s k; X }.a St ,�'. }a yy k a£ a '` t r
` :r r t i is �1: y •� r si •�k g•' .�
s �i t t �, ,#a •i�rr,•';. .,# n F a pity A S4{ rx.8 V1,
& r if 4" "
(a.'<'.,xu�`r .E �. r gwy4 J �o ,fg �,�7tt '-+� 'f � hwa �•v'� 3 p i � N r�
wxN { ._ "i Yx x °k,?v .M7'*fs'r�,1 r f
'� �" 4;C S: ''•i.. tY s ia¢�'t15, 'a,
4F'
;`N 71
WA
�S
naRz., :.7'F•°x?ga�•S�1p
n:.[ /s�
x.:w tr tea. t+`f k+t; t s .• o w �r(•{ i.?'r
1��.. � !,S
�� $r�, �.s t&^+.,; t d F• 4� � � r •4• id is is ,y`�'�a '�• 3+K.vi + t .,
4.
i
1 + "`t
`l �
���w�
� i n'i 4.. x4 f y�. �•3 + fyt@ .,.��t�� .� r` 44 e>,ax 3-��,�e `A' �eyq'v.rt..
Mixy� �•h,� ,� '1;Sti..-' :fir Jr �` r�b Y"' t � ~$ i �,•a�.�_� r e (t �,� xa Y a � ,, +5�. 'i'�n
Y �tr '3%typ I t.•�'R 4'a �A f' ,32�t� +"4i.' f S.'S. �� II'i s..
5.'.
,ag x.w,'Ltr• 44{ h ox 4.aw' '�+ ,,,ryyr �'*w °''. V..n3. 1 s. 3�tl-u'� .. a 1' ,� d' . tom. ^r ' V I'• 1 W �` '' �
Custom Soil Resource Report
St. Lucie County, Florida
21—Lawnwood and Myakka sands
Map Unit Setting
National map unit symbol: 1 jpvg
Elevation: 0 to 200 feet
Mean annual precipitation: 49 to 58 inches
Mean annual air temperature: 70 to 77 degrees F
Frost -free period: 350 to 365 days
Farmland classification: Farmland of unique importance
Map Unit Composition
Lawnwood and similar soils: 41 percent
Myakka and similar soils: 39 percent
Minor components: 20 percent
Estimates are based on observations, descriptions, and transects of the mapunit.
Description of Lawnwood
Setting
Landform: Marine terraces on flatwoods
Landform position (three-dimensional): Talf
Down -slope shape: Linear
Across -slope shape: Linear
Parent material: Sandy marine deposits
Typical profile
A - 0 to 8 inches: sand
E - 8 to 28 inches: sand
Bh9 - 28 to 52 inches: sand
Bh2 - 52 to 58 inches:. sand
C - 58 to 80 inches: sand
Properties and qualities
Slope: 0 to 2 percent
Depth to restrictive feature: 10 to 31 inches to ortstein
Drainage class: Poorly drained
Runoff class: High
Capacity of the most limiting layer to transmit water (Ksat): Moderately low to
moderately high (0.06 to 0.20 in/hr)
Depth to water table: About 6 to 18 inches
Frequency of flooding: None
Frequency of ponding: None
Maximum salinity: Nonsaline to very slightly saline (0.0 to 2.0 mmhos/cm)
Sodium adsorption ratio, maximum: 4.0
Available water capacity: Very low (about 0.9 inches)
Interpretive groups
Land capability classification (irrigated): None specified
Land capability classification (nonirrigated): 4w
Hydrologic Soil Group: A/D
Forage suitability group: Sandy soils on flats of mesic or hydric lowlands
(G156BC141FL)
10
Custom Soil Resource Report
Other vegetative classification: Sandy soils on flats of mesic or hydric lowlands
(G156BC141FL)
Hydric soil rating: No
Description of Myakka
Setting
Landform: Flatwoods on marine terraces
Landform position (three-dimensional): Talf
Down -slope shape: Convex
Across -slope shape: Linear
Parent material: Sandy marine deposits
Typical profile
A - 0 to 7 inches: sand
E - 7 to 27 inches: sand
Bh - 27 to 38 inches: sand
C - 38 to 80 inches: sand
Properties and qualities
Slope: 0 to 2 percent
Depth to restrictive feature: More than 80 inches
Drainage class: Poorly drained
Runoff class: High
Capacity of the most limiting layer to transmit water (Ksat): Moderately high to high
(0.57 to 5.95 in/hr)
Depth to water table: About 6 to 18 inches
Frequency of flooding: None
Frequency of ponding: None
Maximum salinity: Nonsaline to very slightly saline (0.0 to 2.0 mmhos/cm)
Sodium adsorption ratio, maximum: 4.0
Available water capacity. Low (about 4.5 inches)
Interpretive groups
Land capability classification (irrigated): None specified
Land capability classification (nonirrigated): 4w
Hydrologic Soil Group: A/D
Forage suitability group: Sandy soils on flats of mesic or hydric lowlands
(G156BC141FL)
Other vegetative classification: Sandy soils on flats of mesic or hydric lowlands
(G156BC141FL)
Hydric soil rating: No
Minor Components
Ankona
Percent of map unit. 7 percent
Landform: Flatwoods on marine terraces
Landform position (three-dimensional): Talf
Down -slope shape: Convex
Across -slope shape: Linear
Other vegetative classification: Sandy soils on flats of mesic or hydric lowlands
(G156BC141FL)
Hydric soil rating: No
Electra
Percent of map unit. 7 percent
11
Custom Soil Resource Report
Landform: Knolls on marine terraces, rises on marine terraces
Landform position (three-dimensional): Interfluve
Down -slope shape: Convex
Across -slope shape: Linear
Other vegetative classification: Sandy soils on rises and knolls of mesic uplands
(G156BC131 FL)
Hydric soil rating: No
Waveland
Percent of map unit: 6 percent
Landform: Flatwoods on marine terraces
Landform position (three-dimensional): Talf
Down -slope shape: Convex
Across -slope shape: Linear
Other vegetative classification: Sandy soils on flats of mesic or hydric lowlands
(G156BC141FL)
Hydric soil rating: No
12
Bridge Web Viewer
Fage 1 of 1
STATE OF,FLORIDA
DEPARTMENT OF HEALTH
APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT
Permit Application Number
-------- ------------------- PART II-SITEPLAN--------- =-----------------
',�� -" 5-1 �— �� �XC� ✓�— utiJ (, �9- '
tb f`
Site Plan submitted by: Q� °`� A-U
Plan Approved Not Approved Date
BY County Health Department
ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT
DH 4015,10/96 (Replaces HRS-H Form 4016 which may be used)
(Stock [Number. 5744-002-4015•6)
Page 2 of 4
ittps:Hs2.ebridge.com/ebridge/3.0/webviewerNiewer.aspx?ref--KLzz6LnBIr9eTcB 17BYfKCnF9HLKwPj... 2/17/2021
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT
PERMIT #- 56-SF-2217205
APPLICATION #: AP1610050
DATE PAID:
FEE PAID•
RECEIPT #:
DOCUMENT # : P R1514931
•CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: Luciano Pisciotta
PROPERTY ADDRESS: 5406 Deleon Ave Fort Pierce, FL 34951
LOT: 8 BLOCK: 160 SUBDIVISION: 1-64woOd Park
1
s ; tFN:`: ['EGON, TOWNSHIP, RANGE, PARCEL NUMBER]
PROPERTY ID #: 1301-614-0098-000-5
ID NUMBER]
p'
0
� �. "� z a
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE IT�GopEFICATIONS
AND STANDARDS OF SECTION
381.0065, F.S., AND CHAPTER 64E-6, F3A.C.• {
. DEPARTME T,_ PPROVAL OF
SYSTEM DOES NOT GUARANTEE
�
SATISFACTORY PERFORMANCE FOR ANY SPECIFIC
PERIOD 'OF:it'""'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 SeDtic new CAPACITY
r 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 [ 334 ] SQUARE FEET Drainfield SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [x] MOUND [ ]
I CONFIGURATION: [ ] TRENCH [x] BED [ ]
N
F LOCATION OF BENCHMARK: SITE BM
I ELEVATION OF PROPOSED SYSTEM SITE [ 1.00 ][INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 1.00 ][INCHES FT ][ABOVE BELOW] BENCHMARK/REFERENCE POINT
L
60 00 D FILL REQUIRED: [20.00] INCHES EXCAVATION REQUIRED ft ] INCHES
p The system is sized for 2 bedrooms with a maximum b6cupancji of
200 gpd.
T i
:j
H
E
-R
. SPECIFICATIONS BY: 'Todd A
APPROVED BY:
for a total estimated flow of
TITLE: Environmental Specialist II
Environmental Manager
DATE ISSUED: 02/15/2021 EXPIRATION DATE:
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
St. Lucie CHU
08/15/2022--}
Page 1/ of X
v 1.1.4 AP1610050 SE1482000
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.
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
a>.=+.
second copy, accompanied by the filing fees required byJaw4` it hey ourt of Appeal in the
appropriate District Court. The notice must be filed within j�, days of6f;r ttion of the final order.
"=
Wit.,+` ! Rf'
o
b
> � d f • � � � � � s µ
12 • ��
CD
{;# �24,.0 dt �sE#, # g ,5„' A. :. a 4. S fa`^Rr` �L,•�, q'",✓'I„.y(''
8.
.i :. `"t n -`D r r { lk S' ,as;, -xR Qd s Y.c c.. �'° •�4.� .�.; i-j ,�.., 1' a r '��.. �
a.3t .4
'32,
w T
,� ,�, t � ,� 5. } ,s x f � •. 4 tj` Z. -� a, ;�"ra ".'.F r `rn N .d h �4R Y
l* .. k t /� • 'k -
��rr••w.R� y *y •('AG,
r 1 1 O _ a 9 �_ tl 4 *} '�°'A' y 1��•r�J 1
Y;3i
14
�k
p
0 •� .�_ ' "� � i ` �,' " - �, , �, iti' ���#,z �.� k4
x�`k�x'! a'at i'a•F,� _ v.,d, ;'i rt.,... -� `x ,.ak $i.`i t.,, ard' g °F"..� t' `t'�a'�"`•" !c`ii- °... 4.,t" t' w'«F•- 4 : � t �� : �, � � ''%��� -,r. F w ,'• .w ~ < � " rr l .j n �-�� h• � '�'*. _ F 1
�5 � � 3� - `�yt fir' �'y'��• v.'� e �" a� �t- E�' Q � ,� �� � .,. � � �� mx
VIP-
�
��>�'r�Y�+��AY'"'�T iSur�v�'41'��x9. x�i �a %n .t: �.� a�T'fi�. 'y?` ryy • # } r 'iR. �y t' ,s � ,s:,
, 7
w 136 � '�'{ # -;� �f ��.'�! �> �?�'F'�� f ��—��+'S�"�s0�„ax.. � ' --- .. S r• �" �'� � ���e F
r, fa
x ?3 K.?' + h M �'`x'l 6 ,€ ' #°-^ � . � �`� a t�� i�' �w. »; ' t •`'. � ' ���+. •:: 1' }� � $ .. � { ~ ' t � • �'' � ' ui +s. �' � ~ � :.ti
3y .3 1 sy€
;. � {� • tyf r a � i r ' � . Y 5't�y � * 5 •k �� i a } y
t � ,., � � ''� � `•�R�i'r,. fit..: M:a�k, ^ � , , � dtX. tta �� �xt _ �� Yi . ;�zy t _ *✓a. `��,� ° t� ^•�`,� � N'ta- k y;1�'`
r 1 7 [j t °' - s, a s , v . • .tea,' .` t ,}�i t7�•.., - .ex' 4nt• �` Y,r ���"Y7G�. �, 4nc
,
a,. �... , I a .k?.r . :.,. d �. , . i ..."� 4sY'r�'�t ft," �qaid`, ���_ ..�� � ��.:, � .j�,i i..J+as -� '�'v'd �4r,`7iv •. � ` .e__ a"^.^M`w""s "r.^'�<::�'-__ Fa,.. ..'.
y a a e � �a ��*S��' a � ik _ t;„° ,.r� � ?'S'v't;'� �d'"� ,' �h•. � � .' r�..:3 �.....ac.,_. shoe�s 3: •t a s' � ,�*w` k' � ��k# 8 r
-.,,z '�^a'Y� .,y, , .�*T.r... x a# - —_ �':r',,u' „Tj:• J ice" 't a
�a _
^,
v ^ _ �. 4 6� x �• yam y °�f
'�}, x i � k '+ x', d i f� w 2 s tiR a. Si u�,+ �•
•4; �' . � t a. pp66 �� pa_ .. 1 x� v r' : tar '�Y°'4 ' _:i'� �t� �' t� "' ... r F 1 ` � � 4 x�
4'r• °.p ag a�,•w - � _ 4 3 :#4 '� ! .r tt- I�, � "arAT "3 x �:.}y �. ` ; � a
en
'�#: ' l ^• , �y4"_,` `4 1 - r °' �'1e. wit ' ''i�' d ti"3 4-,�
s+ ?� 'fir' e �z`1'^ E J0 • �it=.. ° �' « � h i r � a r,•.��' x ,. � �' r s��.Y.
i'
?;.4 • s x r ' ,-r .��m ,"fit ( c 1th d ,. `e. ,�k.'x>�•'a•^ ?el' s I�i. '4 ' �i:_ � r -1"` , i^"
"' ' # •., "ew i•s : . , ,. '` V�.�r', � S ra 'g�". Y w« °( •�:.5 s�',�.c .-tit
c�'a�.'�..�:�"��r.�x.,1.x:�:�"s...-�u-s'_s:,,.:'"$.:� _..iz.:.:._.:h,°-...,tiEat?'.im .., �s3�.:� �..r._:.:•.. ,�. u"'� ._n..._. .. .� , re..�.?..,��..ei?ii5�..�.».s�.�..dkc.�.,�...fl •e_,. a..-. b;s.l.,.cl+$s,;�..-l.Lx �.aa'y'..s+.'t„_.....:_�r 1p.,s�lt..t.v...�,,._z.�.b..?......T`�.:�r_,..w.a�..
C C 10
FASTENING
1QQ&110N
J - 8d COMMON (21rA.1311
ST TO SILL OR ORDER
AST
] - 3710.131' NUTS
TOE-NAL
3 - Y 14 CAGE STARES
2 - Bd COMMON (2$.0A3Ij
2. BROCING TO JOIST
2 - Y.O.ISI" NULLS
TOE-IAL FACT ENO
2 - Y 14 FACE STALES
I SOLE PLATE TO JOIST OR BLOCI0.9
Y.D.131- NAILS 0 8- o%
I)RCAL FACE NOL
3- 14 GALE STAPLES 0 12" a/c
3 - 16D (Si'.0.1351 0 16- a/.
4. SOLE PLATE TO JOIST OR BLOCKING 0
4 - YA.131' NAILS 0 16' a/c
BRACED .41 PANELS
BRACED COAL PANEL
4 - Y 14 GAGE STAPLES 0 167 0%
2 - 16d (3$'A.162j
5. TOP PULE TO STUD
3 - Y.0.131, WAS
END NAIL
] - S' N ME STARES
4 - Bd COMMON (W.D.I311
1 - !"A.1l1" NVLS
TOE -NHL
3 - 3' 14 LAZE STAPLES
6. STUD TO SOLE RATE
2 -16d COCOON (3YA 1621
3 - Y.0.151" NAILS
END KUL
3 - 3' 14 Oka STAPLES
16d (3S"A.USj 0 24' o/a
7. DOUBLE STUDS
310.131 TUNS 0 B" o/c
FIFE COAL
3" 14 VlA STAPLES 0 8" a/c
I6d (S6S9.155j 0 IS- a/c
3"0.I3I" RAMS D 12- o/c
7iPIOE FACE NAL
3" 14 CAPE STAPLES 0 IY o%
S. DOUBLE TOP PLATES
8 -16d COMMON (W.0.1621
12 - J'A.131' COALB
LAP SPLICE
12 - J' 14 WE STAPLES
3 - Sd COMMON ()rA.1311
S. BLDCINO BETWEEN J°6R OR TRUSSES
J - 3.0.131' WAS
TOE-KUL
TO TOP RATE
] - ]• 14 TALE STAPLES
2 _ 16d (W.0.1621
10. 70P RATES LAPS AND WrERSECDDNS
3 - YA.131' KALB
FACE KUL
3 - 3' 14 GALE STAPLES
II. ON➢NUOUS WADER (2) PIECES
8 -16d COMMON (3YO.1621
16- 0/1 ALONG TOGA
12. COK NVOUS KCADER TO STUD
4 -ad OONMOL4 (iY'A.IJ17
TOE -COAL
16d OV 0.135j 0 N' 0/c
0 24' a/c
13. %XT-UP CORNER STUDS
]'A.131' WAS 0 16, o/,
0 I6' ./c
Y 14 ME STAPLES 0 16- a/c
0 IV o%
20d (4"A.1921 0 Jr a/c3'.0.131'
NNS 0 24' a/.
FACE MOIL 0 TOP d: BOTTOM STAMERE°
3" 14 ME STAPLES 0 24- o%
ON OPP. STIES
14. DOUBLE TOP PANES
2 -20d COMMON (4'A.1921
3 - 3A.131" KAULS
FACE NVL 0 ENDS AND AT EACH SPLICE
3 - Y 14 GAGE STARES
3 - 16d COMMON (W.0.1621
IS. JOIST TO BAND JOIST
4 - 310.131' NAILS
FACE KUL
4 - 3" 14 ME STARES
Jr AND LESS SeJ
a OOOO STRUCTURAL PANELS AND PARTICLE
2r.0.1 I NW
BOARD SUBFL°DR, BOOT AND WALL
0"", 16 Me
SHEATHING (TO FRAMING)
li'y' To ?, Be OR
SINGLE FLOOR (COMBIRADON
2' 16 "IT
SUBLLOOR-LNDERUYYNENT ID FNA106)
Be
%7 TO 1' 10} OR 88
Dr To IY.'
P
o Q SITELd
O
J
ST. LUCIE COUNTY
INDRIO ROAD
(NOT TO SCALE)
PROJECT DESIGN DATA
JIR6dC?ION. .
54nllu"CwuF -
COOE
PROJECir4NE
PRDaEMTAmREss
FBG202p m ECsm
mrllP"•
d4mDal.mAnFo"Pb,.a AtaA9e1
ARL"iEGiElKia:ER
PaM WMN He
R6NGTEfM]RY
1
lEMl BltpA31E44T
415'P
TOTAL SQFf: 640 SQFT
POINTS OF EGRESS: (3) DOORS
Min. Plywood Decking Requirements 170
Exp. B Risk Cat II
Min Plywood Th icknes
19/32"
Min.Nail
2-1(2"W.131" IRS
Spaceing Edge/Field
4" O.CJ6" O.C.
Manufacturer. EZ Portable Buildings, Inc. (MFT11604) Plan Number. Gable-2017 RI
LOCATION MAP MODIFIED TO MEET RISK CATAGORY 11 REQUIERMENT OF THE 2020 FBCR 7TH ED.
C&C Va,d Wall Wind Pressures
170 B Risk Cat. I1 H<15 Ft.
Zone 4 Interior
Zone 5 Exterior
A) 10 SF = +25.6 / -27.7
E) 10 SF = +25.6 / -34.3
B) 20 SF = +24.4 / -26.6
F) 20 SF = +24A / -31.9
C) 50 SF = +22.9 / -25.1
G) 50 SF = +22.9 / -28.9
D)100SF=+10.0 / -23.9
H)100SF= +10.0 / -26.6
E)500 SF = +10.0 / -10.0
1 1)500 SF = +10.0 / -10.0
Garage Door (Min. 2'-0" from comer)
J) 9'x7' +22.6 / -25.6
1 K)16'xT +10.0 / -24.1
SHOE FLOOR (cCUS RUI
SURFTOOR-UN'OENLAYLOT TO FRAMING)
>
Y, AND LESS 6d
'S: TO I• BJ
Ui TO I" 1pd1OR8.A
A' OR LESS
I. w.anw-4vsM.N me (eo-lN•alo4•m UL'ml>.i a nve Llm'm�'m )6'nMa'1 xa.
4 -St Nc 1 x� ,C� l �n�+1 f ftg
'"'1"' Lu` Uu"`Y
Environmental Health
Plan Approved for Constru
17. 299. 6,EEL 6pPNG (10 iRAM91G)
"� °:ed uMAMP� �
N0. II GALE ROOFDND NAB Site
' 18. FIBERBOARD SHUTICK0
6d COMMON. KUL (2"A.113j
NO 16 GLESTAR
QGAGE
Su
ersedes AII'Previous Site PIS
x0. n ROOFING I1Vl'
N4 COLM SA (2K-'0.1]Ij f1CTn_
NO 16 °ALE STARE
7i SG -SF 22%72Fi5 R wAu if
Date: Zoe/ _
Reviewer:
for
m � �
I
I '
TrdlSrerse F` LDngtdnal
411)Bi.IDA M
O
U °"
Bue^ P
ZY2^
00�•ED
NW Lm
I4CJNV
Otl'jTN`
U °
W 0¢=J
°uh m
6'WmmP
J n�3edl
°aLAaD
Q Rim N
a
u- L
s
LL
N
0
X H d
Wok0 °
O
2 N]
c x
m °
)-
rt e
x
1° Na
° o u
U0 S
a °C
cAS� 4
DATE
aC/AE
aDB _
SHEET
C1
tY sAEETs
FDOH in St. Lucie County
Environmental '.Health
Site Plan Approved for Construction
Supersedes All Previous Site Plans for
OSTDS #5G-5f-ZZ17us & well # 55-3t359
Date: 3 t ,=zo Z I a,,;
Reviewer:
,:EY•
CLOSET
b
MASTER BEDRM
BEDRM
4
LIVING/KITCHEN
®
o�
BATH
0 0
CLOSET
/
-------------------------------------------------------------
L________________________________^_______________^_^_______^______
FLOOR PLAN
005 SCALE: 3/4" = 1'-0' A/R:N/A
=m
U mom° a
ZQ?^ P
WFpzumram
�
.5T R
U
J
W nao�
�WmmP
M" m
o-a
Q 4=m w
d o
u �
f
N �
0
P
� g 6
X � u
W p m
o s
= s
Z $
o�
pu z �n
NQ - Y Nm
z. a p tlp
oC u 5n
O
MlE
SG,E
St060tlam
9EE,
005
9,EEfs
Mission:
To protect, promote & improve the health
of all people in Florida through integrated
state, county & community efforts.
f.
HEALTH
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(a),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-WELLSCaD-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: 772871-5360
StLucieCountyHealth.com
STATE OF FLORIDA PERMITAPPLICATION R) t O?2ISTRUCT,
REPAIR, MODIFY, OR ABANDON A WELL
64 rsfE ��
6I 7outhwest PLEASE FILL OUrALL.APPLICABLE FIEUIS
0
�g r z`
Northwest ('Denotes Required Fields Where Applicable)
C'St. Johns River
"
771e wnior wall euntraaln rs respont:rbfo ear vmpiedrrp
qSouth
:
Florida Mir roam anq fonvardbla the ponnrr apptfoadon 10 Iho
$uwannee River app+uprkile derollaled aurhatity where appircaaro.
�O+awvet4u`++
DDEP
O Delegated Authority (If Applicable)
,...� J..
'Owl Na o f Corporation . �. c. Adc�- ....+_._�C.}_it_y
�.,.. _ .._...
2.
-
'Weicello Add ass, Roil Nalne or N fn r 'ity
"Narce�to,(PIN)orAltem < y CIr e) 00 _ .
4.
"Section or Land Grant °Township Range aunty Subdivisior
411
'Water Well Contractor �, r �a q f� � "License Number 'Telephone IN nbe
,V, 72L H YLj1, t5
No.
59-31359
...................._........ ......_....._. __,_._..._
Unique. ID
Stipulations Required (See Altscluld)
Ound No.
UP Application No._
Stater `LIP _ "ic�lepliono Number
Block- Unit
" """'-,} 1. Checit if 82N; _ Yes -I !Jo
7. "typo of Work: ,- Construction :RnpZir ^`Modifioatiarl „ ., .,, Abnndonment
8. 'Number of Proposed Wells ___J_,_ _,__ _„ 'Roanon for R palr, Modlfil: tiara, o r�j (;n rp
9. *Specify Intended Use(s) of Weli(s): ��.I-
_XDomestic —.Landscape Irrigation _Agricultural Irrigation —.Site Investigation
--Bottled Water Supply _,_.Recreation Area Irrigation , LlvostoCic __Monitoring
Public Water Supply (Limited Use/DOH) Nursery Irrigation �7osl
Public Water Supply (Community or Nan CommunityfQCP) ~-- -Commerciallindustrial -Earth-Coupled Geotherm:
Course Irrigation _,_- HVAC Supply
_____Class I Injection -HVAC Return
Class V Injection: -_,,,_Recharge Commercialfinduatrial Disposal , ^ Nquifer Storage and Recovery... ,_,DrainageFDI
Remediation: --Recovery Recovery Air Sparge ___Othor'(ocscribu) ENVI
CB 1 5 21021
in St Lucie County
N�iNi�t�;e►d�>"Lr
_.._._.___..._..(Nam, Notaxtypd,oNnu.nnr nnntuudlyn,9(renpurmutx,0,autnnruy)
10,'Distance from Septio System it =200 ft, 11. Facility Description _ 12. Estimated Merl Date _
13,'Estimated Well Dept4o _„ it. "EgtimatodCasing Depth. . � 1 it, -Primary Casing Diameter._.. _�^in. peon Mole: From _TaiL
14. Estimated Screen interval: Fro-F.ft,
15.'Primary Casing Material: ...-.-Black Steel -.__-_-_ --- Galvanizer) _XPVC Stainless Steel
Not Cased Other:_
16. Secondary Casing: Telescope Casing Liner Surface Casing Diameter . in. ^
17. Secondary Casing Material: 8laetc Steel Galvanizec) PVC Stainless Steel _Other
18 "Method of Construction, Repair, or Abandonment: _-_ _ _Auger Cable Tool -_ Jett. Rotary Sonic
_Combination (Two or More Methods) __ Hand Driven (Well Point, Sand Point) _ H raulic Point (Direct Push)
,.,____Horizontal Drilling _---Plugged by Approved Mothod
19. Proposed Qp outing In val for the Primary, Secondary, and Additional Casing:
From_ TaM_Seal Material (Bentonite_ Neat Cemor.L Other__,_
Material
From To Seat Material (Bentonite,____Neat Cement,_,___ Thar ,_,,,_,.„-__,-„ __„-.) +
From To Seal Material (_Flentonlle Neal GementOlher� } s:_-
20. Indicate total number of existing wells on site _Y List number of existing unused wells on site e
21.'Is this well or any existing well or water withdrawal on the owner's contkluous property covered under a C,onsumntivelWater Use Permit (CUPANUP)
or CUPNVUF' Application? Yes VD
No If yes. complete the following: CUPIWUP No. ___- _-,_ District Well ID No. _
22. Laliiude._-__ Longitude
23. DatA Obtained From: GPS _ Map __.,__Survey _ u ` Datum: NAD 2 % NAD 83 WGS 84
t Iwarhy randy loll I u111 tardy valh Inn arvil"AMn nrND nr 1414 da, RAW. AtMunlAmltvn Cntu. a lilt Ih.11 n Wnlnr I "Alldr Illal l ram um twill r nrlhn Mupndy, DW th-9 mtdluo lltowind of W7 NAIA. and IKnI DAI ahem of my
.unp,mwtry amllrmlrnrJwru Tarn.11,ilnpPdnd. Iron hr,nil ut,ri imnhlAmxd onnr lu U,tnm+Mtnninm of ad' ro•pnmhddm under Chdrdor 37S,Flom Stsudnr.I6M01tVn Wp.VFdy Martontivdvuli,rr, itonfrythll 104,
;n llfut ✓.u1. I hwontamly thol oil D11011n0W P oytJnd hi lhls 411"loll rO d,Yuralo And ",of land Wn,wn 0.0 DllonI Iv In. uanff, Ind th.l.Wollmho+, rym'idad.A 4=1015. nod port l havn ndnrAWn IN w n at DI Itu" ^
nW.o 'y ,q;puval our, VOW fudw'd Wab, w haul pwumm":s. d ur''.nlr+'bla I uwou hls w ;JA a wad rudpuns,udbua iu +luturl uborn. 0mlef rdmwilu to D4dvnMJ pmswmd rat linvollo rxMiplod Auttonly Uwoui �.J.-
miuloonruDwlin4WOislddtybtoln:10dAyseAu,MIPIL ID11deto(10011"llpLrepior.ir,01416tul.tlr 10am milo11N DIt'r o op Irolhhtutibb,utowndDrmiAntuup)ondudbylnidpxrnul.
dlimilcunmd uuDWnled ty I1119 pordDL or Uw OMNI. 0APKIWA, rdmmorw'utteura foal.
IF
"Sin ur of contractor "IF iapiso No. `'8klnattJre of caner 1 r g t 'Date
Approval Granted By _ Isstio Dale / Z i Expiration Date Jam. OlogistApproval
IldllalS
Fee Received S _ _.� . _ ._.. ._ Receipt No. _ r w _ Chock No.
THIS PERMIT IS NOT VALID UNTIL PROPERLY SIGNED BY AN AUTHORIZi 13 OPFICER OR REPRESIENTATIVE OF THE WMD OR oELEGATED AUTHORITY. THE
PERMIT SHALL SE AVAILABLE AT THE WELL SITE DURING ALL CONSTRUCTION. REPAIR, MODIFICATION. OR AaANDONMENTACTIVITIES.
DFP Form: G2-537..900(1) h7rorporatod in 62-532.400(1), H.A.C. Effenlive D3trt: DrEobor 7, 2Dl0 Pago 1 of 2
SECTIONR]DI
MNIMUM RDOM AREAS
0.TOI.IMNmum u••.
WtiNd• roam Ndl haw •Soar •ru PI ml Ina
ih•n 7b pu«• Net (0.3 m21.
Eu•Pmn: Kithena.
R I,tUwnlmum dimembna.
—)In•none .W b•rNlbu Nen)NN 1213e
mml in uY hadwnbl tl'vnnabn.
E vbn:Klt—
I2OSJ floomuee.
EwN drmpnp unit ahaP hrva elb•alorn room bat sMA Am nollna Nan 12P aptun fast of mt
loaran•.OKNrhebiN6N toarm ahel luw •mlKoareroa olnot kaa then )D aflu•n bat
Eseppon: KRAena u• notnauiad b G otaedninum /oor erta.
vd'rrlT@nwtl vpnarwwwa �w�d iMNnmw >. Y«P: mT.w.v^a .«•wrriw�«wss.rrrymdm
R30t.3WghlaltM on nanam. TM"^","<"'w.«....�..aa.>.mva..w.ye.�.y mma.er«..m.�m.aa.�oa»m.P •.+e.�.
PoreomafA man wbtdogrN adNp meeeur'uq �.ern.»•.aa>w�bw.»�m4«r«.a..+wqm..r..laamagr@ma.�a.«a»b.ww.e.r..,v
Nu1MnSMl(152t rtml NeNmdedlNp wdvey v�@mmn4N. vnnwc«�mi�anv�,w�vw�.v>.n «vw�oa �ew.d.avpna.v vrwawvaa»vnv
menutlnp Nathan Tln1 F213I mm1Aan+tlr• n@mM a� ��«.ew•..•�v.w«b�anonr»»avndwr.•.ovglnvew. s«temo.wmub
/nNhetl eo»mm. rwalraaalara •lulnat be ..... ..w...n. .a.o..a »«
W mide,ed as conNbuWp b tl,e minimum rcqu4ed
rtadtvM• •na br tl1a1 room.
SEm 6FWE59
Npvwre wa. v �m.«a ao�>v b ma�a.m w «du l«m.n d>p� wr vwa a mn.wa «e u�m.vucwe o-n a w10-ai •m rvma rr >P� ewN,mm a pvnon a ew ewrry b ra
mwrr�'E�«aw.m.ab...d�...ww'.a.>Pw.«>wf«.e+-N.a.«.«aa.«4..w...m.dm�4..a�.,,ar.,w.n,en•n.e.w�...�.«a......wu«a..amr.ww
A.mfwe.r�Paapam rbpmdnmPwmht wf»»,wn,.nnrd..ub, vwlm»NNa...>ee.nwbpdwe.«rmmwe@..awen.or.reaa>wa.ar»
nvwwbvwprw.n t.«v4wvnamembv Ea.>vow.woe.w.aNv..nw. avnbw«f.a«alNwualowwd.bravvvabw»wve«n
E.vpex BW.gswraw wNn�vMvwndwr.rtwvae bw bmtrwm.mvv«d rprmyn.ewes. ry r.asmw>bvw am�»4Nvm wabw».n.a+ameem.
»�4Mvpamor�m m�wara«m>wmam.l»wwnd•ae w.qw ,n«o.emmv.a E..r �Sws»wre�nnana�v4«m.vx bwa>I«.nM maw.>e bav anger
atnwr.Maoo-a•mav»d'm wfva wv.•Veunwwolb,awaww+dP o-�ama. w
F>vpm: [ewo-bbnv.wv.nmww•w,laevq wmvonw4nw�•am.nw•r.<nlw. • rmror'vr
WA:vmlvu d mf�n� p�roeawaufbnu�mwm«HR«»>1@nne b.nevnb>vvdnrunva
Fop�mn:l»»«a v mP»w..rwawe. vw»�v rmvaunrY.raw Pwnm edvrwmparnaevwMf.
w.w..nwa»egvrtv> wn.Pnrgvr«vP«ram.uvmtdP«>.wywv» pe,•e.a.m.emab P»r qm
SECT � ww
v a.yv w a Ed•a e.. W m n. w..a. d imr rwn.w rw. vm...wv. b.a. r»m»aw q «wrn.q tpn.q. vmn« q..e
a,negno.emHawaw>nw Nabntaemn�.n-mvwma.E..m.r,.�.v.r»ne.,.o.a>wa..a�.n
a..fN. barb..,a.�.,,Ewa...�I.m«a.w,e�.«w.d e.,,E.P�.>. rw�.«wa.ra,«r»N•«.aaa..a..eYm".d.w..
,w.aw,,.,,«r�"'».•.ndbw]... wr»,nmaa..n.dewwn.e.po
unOm4 ZwE6)vme. rCbla orw�+iw..NeaYemvnv.mw.wwatl•durebq
mpwvraevuPw.ewwvpa»4apd.agw�u+v>w»mmyowpv� vrw.vevn4ryu.un..wnnmwr»4um mr
f«try�an.M e✓wn>vearenarw,wvdew•W..mva.<wnvnl..xnwe.wnarrwrvr.a..nmiviamm«p.wvw..«..waxw.. e.bub.a.avmd
»mnp mMb.wvenrbvauemaupr.�w�a.n�arwr.rv�.vngmalrwry«mm bb.u. ry.vbvi.rupaed to wv.wl»pma«.
e.wm o-rane.«e...b.wa...du4.wora ebda.e..t»a«.xvNv.I»r.,.enter.w.l�wf»a�wa«err....v...u.�.em.�ad.k.n�v.�e.rr«bva.,a
W Wow Protluol Pppord Subnbal
In,l.a v1 SeMVia ]ehf D1AN Sna4•Mq WNvw
�xrware twlYavNMYHL Yea Appmrn l«»•wnabe F'aa�efevvmo�.v >Mra.>i +r
«pnp•al PnNtvnr: ref rN rN: ,§roes a. ra ?v.E. ibnea v.E. T])e9 Cmatm»
wN•q' rm mYtbA Rvauct FvwCen bcvrt t�amMmA•l �rtanY: ��
s err w aesga Peafuc, ar eMtautm mawcae�ra teaw[` Im.wme�mai Nwnv. ru
DCORP—I-t APP,ovISUb
ATTACHMENT DETAIL
ZZet].6 cee•Nae ptnl Else-»npee Poor w[
6'-e•opapue VS a W. 3N[N Door
1. ANCHOR ANALYSIS FOR LOADING CONDITKINS PREPARED.SIGNED AND SEALED BY
ROBEITA LOMAS. PE
Umb of Va•r
CerlMlun•n Agency CeHKicab
WITH THE LOWEST RE. IFASTENER RAND FROM THE DIFFERENT
(FLORIApproved /B
tvru••NMvnx,Yn Apgavee tvr weawNe
NVMbru tmpaa MaNbnn r»
yr>,:+)�>Si^ r o1 .vm
Ouauq aunne. Cpnenv]hpinfbn rob
FASTEOA
FASTENERS BEING CONNERS ANALERED FOR USE. JAMB. HEAD, AND
NO
THRESHOLD FASTENERS AIt4- O FOR UfJITCALVOE
Paalpn Praavun:.)P/•)p
DNnr. EeWeW la uwbb.mbm edoama m,ne Pratla
06/]tV3p)S
bablNtbn tm,nelbm
.
IlP WOOD SCREWS OR I/A' TAPCONS. APHYSK;ALSHIIA MUST BE PLACED W SHIM
WmrN apes. wclgp [w v dl;rZv,
w»n«eaaum rcpurarema dv rot ef[eee ,K eeagnpmvaef
»vv By:M 11 rr...n
veraktl By: tYtbnal Accme•atema Wiularmm 4ettme Deed
TAPHANCMOfl
SPACE N.
LOGTION. TPPCON EDGE DISTANCE MW 21(L.WOOD GCflEW EDGE DISTANCE MIN ]/
Ntr0.3'-0•ae'•Cnoa ntMnlfl[e. WINnNgct mb,arceb
rtAvwa.Iwntarc avttt[M Mtcm rc[mAurea. XC Pwr.W-
FIOTtl tar detaEc.
ay lMepeM<m Tnw vent':
p•lu•tbn Pelmr«
Flnpa aT♦ • eeef
Creetee Ey lMepe rty: Yez
P,
2- THE WOOD SCREW SINGLE SNEAK DESIGN VALVES COME
FSUAENOA FOR
ERN RIVE AND AC ME OF 1-1 12 MINIMUM EMHmMEW. HE
TAPOON MUST ACHIEVE MINIMUM EMBEDMENTOF 1 -I / X.
I
I
I
I
ELEVATION 21.50 FEET (NAND B6) Ip
m
a
m
1�
Im
-----------------------(
I I
I � I
I I
I I
I I
LOT 9
s I I
I I
I I
I I
I I
I I
I I
I' I
PROPOSED 1 STORY
WOOD FRAME RESIDENCE
I ON CONC. FOUNDATION I
PROPOSED F.F.E. 23.60 FEET
--------r-------------- ------- ---------------
I
I ; I
WASP 0 T 8
I
I 16-0' I I
I
I ; I
I I I
1
DRIVEWAY —_ — b
s I e o I
I ; I
SELBACKUNE I
Ir-------------
I i I
I SFPTICSYSTEM
SIZETBD i SEPRCTANK
— _ — — — L — — — — — — J — — — — — — — —
PHOPEflttUNE '
LOT 5
rl-"\ PLOT PLAN
SP SCALE: 3/I6- = V-0- A/R:N/A
PEVISiCNS BY
]Gi 9ID AT
i
@Q m
U mW- a
aa- P
Z m
Q
D
� NWfPr
L34-
J aQWWLL
w
3 m
¢wmmP
0j3¢V1
cum Gtm.
Q 4am N
EL
f -
ad
o �
m
o _
v
X
iD
w a
O S
= o
Z �
xBy
aN IS n tlo
2G IS P
O O O
u? P P -
OE e • un
ud �
I CIO
LL
W,E tR•11.21
[AAVM
StWDdmn
SP
EH } S
St. Lucie County Health Department
HEALTH 5150 NW Milner Dr Port Saint Lucie, FL 34983
PAYING ON: #: 13ILL DOC #:56-BID-5134554
RECEIVED FROM: Amerian Drillinq 2411 AMOUNT PAID: $ 115.00
PAYMENT FORM: CREDIT CARD 031011 PAYMENT DATE: 12/29/2020
MAIL TO: Amerian Drilling 2411
405 SW 2nd St
Okeechobee FL 34974
FACILITY NAME: Amerian Drillinq 2411
PROPERTY LOCATION:
405 SW 2nd St
Okeechobee FL 34974
Lot: Block:
Property ID:
• EXPLANATION or DESCRIPTION:
-1 - Well Construction
QUANTITY FEE
1 $ 115.00
RECEIVED BY: AdamsC AUDIT CONTROL NO. 56-PID-4837723
Note: 59-31359 5406 Deleon Ave