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HomeMy WebLinkAboutSEPTIC ABANDONMENT PERMITSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS Abandonment APPLICANT: (SFWM PROPERTY ADDRESS: 27101 Okeechobee Rd Fort Pierce, FL 34945 LOT: BLOCK: PROPERTY ID #: 3114-111-0001-000-7 SUBDIVISION: PERMIT #:56-SF-2277735 APPLICATION #: AP1660281 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1551659 [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 [ A [ N [ K [ ] GALLONS / GPD ] GALLONS / GPD ] GALLONS GREASE INTERCEPTOR CAPACITY ] GALLONS DOSING TANK CAPACITY [ D [ ] SQUARE FEET R [ ] SQUARE FEET A TYPE SYSTEM: [ ] STANDARD I CONFIGURATION: [ ] TRENCH N F LOCATION OF BENCHMARK: I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D E O T H E R CAPACITY CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ SYSTEM SYSTEM [ ] FILLED [] MOUND [ ] BED [ ] ][ABOVE/BELOW] BENCHMARK/REFERENCE POINT ][ABOVE/BELOW] BENCHMARK/REFERENCE POINT ILL REQUIRED: t U.UU ] INCHES EXCAVATION REQUIRED: L J 1Nctir:a Have the tank abandoned in accordance with the following procedures:(a) The tank shall be pumped out.(b) The bottom of the tank shall be opened or ruptured, or the entire tank collapsed so as to prevent the tank from retaining water, and(c) The tank shall be filled with clean sand or other suitable material, and completely covered with soil. Have the system inspected by the health department after it has been pumped and ruptured but before it is filled with sand and covered. SPECIFICATIONS BY: TITLE: APPROVED BY://�; TITLE: Environmental Specialist III Brian J Pram DATE ISSUED: 05/03/2021 EXPIRATION DATE: DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC 111 St. Lucie CHD 08/01 /2021 Page 1 of 3 v 1.1.4 AP1660261 SE-1 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. PAYING ON: RECEIVED FROM PAYMENT FORM: MAIL TO: (SFWMD) St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 #: 56-SF-2277735 BILL DOC #:56-BID-5277211 CONSTRUCTION APPLICATION #: AP1660281 DPS AMOUNT PAID: $ 95.00 CREDIT CARD 003185 PAYMENT DATE: 05/03/2021 FACILITY NAME: PROPERTY LOCATION: 27101 Okeechobee Rd Fort Pierce, FL 34945 Lot: Block: Property ID: 3114-111-0001-000-7 EXPLANATION or DESCRIPTION: 134 - OSTDS Construction Abandonment Permit and Inspecti -1 - Surcharge (All) QUANTITY FEE 1 $ 50.00 1 $ 45.00 RECEIVED BY: AdamsC AUDIT CONTROL NO. 56-PID-4960192 ctt PERMIT NO. STATE OF FLORIDA DATE PAID: DEPARTMENT OF HEALTH FEE PAID: C 'ug ONSITE SEWAGE TREATMENT AND DISPOSAL RECEIPT SYSTEM °" APPLICA.TION FOR CONSTRUCTION PERMIT APPLICATION FOR: Holding Tank [ ] Innovative [ ] Ne0 System [ ] Existing System L ] [ ] Repair [�/] Abandonment [ 1 Temporary C 1 APPLICANT TELEPHONE : AGENT. Q ® 33,a t NAILING ADDRESS:- UCTED TO BECOMPLETEDBY APPLICANT -OR APPLICANTS S AUJTHOR�1�552�NFLOFtIDATSMjS TATUTES.BEITOISTTTI-M' BY A PERSON LICEITSED PURSUANT TO 459.105(3) (m) OR gg APPLICANT'S RESPONSIBILITY TO PROVIDE DOCUL-MNTATION OF THE DATE THE LOT WAS CREATED OR PLATTED- (I4r,1/DD/YY}-IF'-REQUESTTXG COSNSIDEFtAT=ORi-OP-STATDTOFETr-G%ANi3FATg3-PRQVISIQNB=====-__ PROPERTY INFORMATION PLATTED: LOT: BLOCK. SUBDIVISION: PROPERTY ID # : A//- ®00 / �®��- ZONING: 1 " � I/M OR EQUIVALENT: [ Y / N ] PROPERTY SIZE: d�Y® ACRES WATER SUPPLY: E� I PRIVATE PUBLIC [ ] <.=ZOOOGPD [ 1>2000GPD DISTANCE TO SEWEit: FT IS SEWER AVAILABLE AS PER 381.0065, FS? [ y of PROPERTY ADDRESS- A O /®0 � Ot'-/�e &e• 4' OW ,� Tr f e e el,�-� �V ' - DIRECTIONS TO PROPERTY: '59t `� 0 /.z Bi�lo�<..�i 41� � ® L A BUILDING INFOP0ATION AT RESIDENTIAL [ ) COMMERCIAL Unit Type of No, of Building Commercial /Institutional System Design No Establishment Bedrooms Area Sgft Table 1, Cha ter 64E-6, FAC �� ff�2 Asa®�jon 2 3 4 [ ] Floor/Egr,xip:e:ent V=ains SIGNATURE: lee [ 7 Other (Specify) DH 4015, 08109 (Obsoletes previous editions which ay not be used) Incorporated 64E-6.001t FAC lam.�d� DATE: B Page 1 of 4 1 ? , 3 : � .,.p,tr Y � y,� mar �•,°t;... ���x�ya �y � �. a f'r��y �5v ik �� • .r��M���-.•4 � _`�`i < { •„ F r Y' L �' ,� � a A -. s rn k3 s e _ Y rt�t `. K s s,ae► � 1 .`• # t �» 'i"�c ��`+� '�, r , g ` •-,j 'y.T7r ;tx .c1n; �" Y _.^.? r F.. n r t {,nj1t,;. •. �L.Y {,y '�$_ } + ,r"Al �,;. ✓f� i t: ''k _"iY "i,_. ,7i„x G ,rj i°��{,_ ..� ✓;g� r.)� k - i. ?� ..rt, *' . 1"�' i 3 _�•f ''s.. ti �i'pi r e ar r� 9.a ,fir r r 3 d sT- �,�r�i�:p r .,`,, s x ,.� y,•'e}' r r ..+, � � f r 4"R dr��E .3���� _ ��-��r � r � yY t 7 y p ^���•�� y' 1 •.ram �x .3w • :-; r � • _ � 'i1 - r 1i� Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 27101 Parcel 1D: 3114-111-0001- Account #: 35016 Sec/Town/Range: 14/36S/37E OKEECHOBEE RD 000-7 Map ID: 31/13X Zoning: AG-5 Count Use Type: 6999 Jurisdiction: Saint Lucie County Ownership Legal Description South Florida Water Mgmt Dist 14 36 37 ALL -LESS W 1110 FT- (513.35 AC) 3301 Gun Club RD West Palm Beach, FL 33406 Current Values Historical Values 3-year Just/Market: $1,962,559 Assessed: $220,978 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $220,978 2020 $1,962,559 $220,978 $0 $220,978 2019 $1,965,259 $223,678 $0 $223,678 2018 $1,667,879 $218,559 $0 $218,559 Sale History Date Book/Page Sale Code Deed Grantor 06-02-2020 4428 / 2902 0318 WD Rebecca Eaves Inc 12-01-1984 0451 / 2952 XX02 CV 09-01-1978 0294 / 0802 XX01 CV Primary Building Information Finished Area of this building: 1,569 SF Gross Sketched Area: 2,531 SF Exterior Data View: Roof Cover: Fibrglss Shg Roof Structure: Hip Year Built: 2005 Frame: Grade: C Primary Wall: CB Stucco Story Height: 1 Story No. Units: 1 Bedrooms: 0 Full Baths: 2 Half Baths: 0 Interior Data A/C %: 100% Electric: MAXIMUM Heated %: 100% Heat Type: FrcdHotAir Sprinkled %: 0% Heat Fuel: ELEC �1 Total Areas Price $100 $1,001,600 $0 Building Type: HC Effective Year: 2005 Secondary Wall: Primary Int Wall: Avg Hgt/Floor: 0 Primary Floors: Carpet Finished/Under Air 1,569 (SF): Gross Sketched Area 4,052 (SF): Land Size (acres): 513.35 Land Size (SF): 22,361,526 Total Building Count: 2 Special Features and Yard Items Type Qty Units Year Blt RES POOL AVG 1 200 2005 POOL DK-AVG 1 762 2005 Driv-Concret 1 720 2005 UTILITY GOOD 1 360 2005 All information is believed to be correct at this time, but is subject to change and is provided without any warranty. © Copyright 2021 Saint Lucie County Property Appraiser. All rights reserved.