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HomeMy WebLinkAboutSewage & Water Well Approval0 'lL-))'?,0agg3' STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM PERMIT #:56-SF-2248059 APPLICATION # : qP 1635575 DATE PAID: FEE PAID: RECEIPT #: RECEIVED DOCUMENT #: PR1524102 APR -1 1011 CONSTRUCTION PERMIT FOR: OSTDS New Permitting Department APPLICANT: (WJHFL LLD) St. Luria Count;! PROPERTY ADDRESS: 7106 Paso Robles Blvd Fort Pierce, FL 34951 LOT: 4 BLOCK: 104 SUBDIVISION: Lakewood Park PROPERTY ID #: 1301-611-0071-000-1 [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, 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 [ 1,050 ] GALLONS / GPD Sentic new CAPACITY A [ ] GALLONS / GPD N/A CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANEZ 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: EXI TRENCH [ ] BED [ ] N F LOCATION OF BENCHMARK: Centerline of Rd at the W property line I ELEVATION OF PROPOSED.SYSTEM SITE [ 8.00 ][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 8.00 ][ INCHES FT ][ABOVE BELOW] BENCHMARK/REFERENCE POINT L D FILL REQUIRED: [34.001 INCHES EXCAVATION REQUIRED: [ 20.00] INCHES The system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of 400 gpd. T H E I R /� _ - P \ i01PI SPECIFICATIONS BY: V Ian P Moo TITLE.' CEHP 1 -2072 APPROVED BY: TITLE: Environmental Specialist III Brian J ngram — DATE ISSUED: 03/30/201VI EXPIRATION DATE: DE 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC St. Lucie CHD 09/30/2022 Page 1 of 3 v 1.1.4 AP1635575 SE1491416 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 fling 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 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: #:56-SF-2248059 BILL DOC#:56-BID-5194840 CONSTRUCTION APPLICATION #: AP1635575 RECEIVED FROM: Reliable Septic & Service AMOUNT PAID: $ 430.00 PAYMENT FORM: CHECK 009631 PAYMENT DATE: 03/05/2021 MAIL TO: (WJHFL LLC) FACILITY NAME: PROPERTY LOCATION: 7106 Paso Robles Blvd Fort Pierce, FL 34951 Lot: 4 Block: 104 Property ID: 1301-611-0071-000-1 EXPLANATION or DESCRIPTION: QUANTITY FEE 128- OSTDS Construction System Inspection Research Fee 1 $ 5.00 -1 - Surcharge (All) -1 - OSTDS New Permit Surcharge -1 - OSTDS Construction Application and Plan Review,New 126 - OSTDS Construction Permit (New or Mod, Amendment) 127 - OSTDS Construction System Inspection 133 - OSTDS Construction Reinspection 1 $ 45.00 1 $ 100.00 1 $ 100.00 1 . $ 55.00 1 $ 75.00 1 $ 50.00 RECEIVED BY: AdamsC Note: With Well #59-31625 AUDIT CONTROL NO. 56-PID-4899079 IAJ tlF� STATE OF FLORIDA DEPARTMENT OF HEALTH aI ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT APPLICATION.FOR: PERMIT DATE PAID: Z� FEE PAID: RECEIPT # : C,-f--AC;\j 62 [✓] New System [ ] Existing System [ ] Holding Tank [ ] Innovative [ ] Repair [ ] Abandonment [ ] Temporary [ ] APPLICANT: WJHFL LLC AGENT: Reliable Treasure Coast Services Indian River MAILING ADDRESS: P.O. Box 1116 Vero Beach, FL 32961 TELEPHONE: 772-562-4242 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: 4 BLOCK: 104 SUBDIVISI �ILA�K�EWOO�DP�AR�%'6IT9 PLATTED: Pre-72 PROPERTY ID #[ : 1301-611-0071-000-1 ZONING: RS-4 I/M OR EQUIVALENT: [ No Ej ] PROPERTY SIZE: .23 ACRES WATER SUPPLY: [&i] PRIVATE PUBLIC [ ]<=2000GPD [ ]>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ No E] ] DISTANCE TO SEWER: N/A FT PROPERTY ADDRESS: 7106 PASO ROBLES BLVD, FORT PIERCE FLORIDA 34951 DIRECTIONS TO PROPERTY: 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 Single Family Residence 4 1449 2 3 4 [ ] Floor/Equipment Drains [ ] Other (Specify) SIGNATURE: DATE: 12/17/20 DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, PAC Page 1 of 4 i E STATE OF FLORIDA PERMIT # . 5&,Se 2 Utkd % DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM Wes. SITE EVALUATION AND SYSTEM SPECIFICATIONS APPLICANT: WJHFL LLC AGENT: Reliable Treasure Coast Services Indian River Septic LOT: 4 BLOCK: 104 SUBDIVISION: LAKEWOOD PARK -UNIT 9 PROPERTY ID # : 1301-611-0071-000-1 [Tax ID Number 01 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: .27 ACRES TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [RESIDENCES -TABLE 1 LEI AUTHORIZED SEWAGE FLOW: 405 GALLONS PER DAY 11500 GPD/ACRE all UNOBSTRUCTED AREA AVAILABLE: •750 SQFT UNOBSTRUCTED AREA REQUIRED: 750 SQFT BENCHMARK/REFERENCE POINT LOCATION: Centerline of Road at the West Provert ELEVATION OF PROPOSED SYSTEM SITE IS 8 [ INCHES El] [BELOW POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: N/A FT DITCHES/SWALES:25 FT NORMALLY WET? [ [ YES [✓] NO WELLS: PUBLIC: N/A FT LIMITED USE: N/A FT PRIVATE:75 FT NON -POTABLE: N/A FT BUILDING FOUNDATI FT PROPERTY LINES:5 FT POTABLE WATER LINES:25 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 MUNSELL #/COLOR TEXTURE DEPTH 10YR 3/1 FS 0 TO 8 10YR 511 S 8 TO 17 1 OYR 611 S 8 TO 17 10YR 316 FS 17 TO 26 1 OYR 5/4 FS 26 TO 38 Refusal R 38 TO TO TO TO USDA SOIL SERIES: Lawnwood FS Like SOIL PROFILE INFORMATION SITE 9 MUNSELL #/COLOR TEXTURE DEPTH 1OYR 3/1 FS 0 TO 9 10YR 511 S 9 TO 16 10YR 6/1. S 9 TO 16 1 OYR 2/2 Spodic 16 TO 20 10YR 3/6 FS 20 TO 27 1 OYR 514 FS 27 TO 42 Refusal (a,42 TO TO TO USDA SOIL SERIES: Lawnwood FS Like OBSERVED WATER TABLE:19 INCHES [BELOW Ell] EXISTING GRADE. TYPE:[APPAMw E] ESTIMATED WET SEASON WATER TABLE ELEVATION:8 INCHES [.BELOW [Eli EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ] YES [✓] NO MOTTLING: [✓] YES [ ] NO DEPTH:8 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING:Sand/.8 DEPTH OF EXCAVATION:20 INCHES DRAINFIELD CONFIGURATION: [✓] TRENCH [ ] BED [ ] OTHER (SPECIFY) REMARKS/ ADDITIONAL CRITERIA: SHS determined by>10% 10YR 6/1 stripping in a 10YR 511-matrix at 8 inches in site 1. Refusal due to saturation in both sites_ ariott or unimoacted road right of way(.04 acres) to net S1: T8 S2: 318 SITE EVALUATED BY: Ian Moore C.E.H.P. 19-2072 C%��� DATE • 2/1/21 DH 4015, 08/04 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4 56. sF•zz'f%S1 g01 - 3 I Gz6 Michelle Franklin, CFA -= Saint Lucie County Property Appraiser --All rights reserved. Property Identification Site Address: 7106 PASO Parcel ID: 1301-611-0071- Account #: 2475 Sec/Town/Range: 01/34S/39E ROBLES BLVD 000-1 Map ID: 13/0IN Zoning: RS-4 Count Use Type: 0000 Jurisdiction: Saint Lucie County Ownership Legal Description WJHFL LLC LAKEWOOD PARK -UNIT 9- BLK 104 LOT 4 (MAP 13/0IN) WJH LLC 3091 Governors Lake DR Ste 300 Norcross, GA 30071 Current Values Historical Values 3-year Just/Market: $10,400 Assessed: $7,586 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $7,586 2020 $10,400 $7,586 $0 $7,586 2019 $8,200 $6,897 $0 $6,897 2018 $7,900 $6,270 $0 $6,270 Sale History Date Book/Page Sale Code Deed Grantor Price 10-28-2020 4502 / 1766 0001 TR Roberts (TR) Gary W $18,900 10-17-2005 2422 / 1707 XX02 WD Roberts Gary W $100 04-21-2004 1947 / 2322 XX00 WD Mace Stanley A $6,800 Primary Building Information Finished Area of this building: 0 SF Gross Sketched Area: 0 SF Exterior Data View: Roof Cover: Roof Structure: Building Type: Year Built: N/A Frame: Grade: Effective Year: N/A Primary Wall: Story Height: No. Units: 0 Secondary Wall: Interior Data Bedrooms: 0 A/C %: 0% Electric: Primary Int Wall: Full Baths: 0 Heated %: N/A% Heat Type: Avg Hgt/Floor: 0 Half Baths: 0 Sprinkled %: 0% Heat Fuel: Primary Floors: I Total Areas < < Finished/Under Air 0 (SF): Gross Sketched Area 0 -?tii,j;'„ Land Size (acres): 0.23 Land Size (SF): 10,125 Total Building Count: 1 Type Special Features and Yard Items Qty Units Year Bit All information is believed to be correct at this time, but is subject to change and is provided without any warranty. 0 Copyright 2021 Saint Lucie County Property Appraiser. All rights reserved. 3811449 (1402 BLK) GROUP 2 III I� 3r•I1re Z CENTURY GRP2 SHEET LIST B Sheet Numbef Sheet Neme GRPE GRP2 0.4 SLABPENETRATICNSELEV'B' PLUMBING d I.OMETRIC9 PLAN ELEV'0' GRP21.0 PROOUCTAPPROVAL GRP21$ FLOOR PLAN89' 6RP22.3 ELEVATIONS'.' GRP22.4 ELEVATIONS•B'S72 GRP23.3 ROOFPLAN'0' GRP2 3.4 ROOF P%B' 5-12 GRP24.0 WATERINTRUSIONOETAILS GRP24.OA EKTERIOR TRIM DETAILS GRP24.3 SECTIONSELEV'B'0'S•1 GRP24.4 SECTIONS EIEV'2 GRP26.1 INTERIOR ELEVATIONS - GRP262 OPTIONAL COVERED PA710 GRP2 82 ELECTRICAL 6 FLOORING ELEV'e' STRUCNRAL DESIGN PAGES FOLLOW VOLUDESCHEOULE Name Volume CF 1ST FLOOR 10742.8 G2nd total 10742.8 COVER SHEET GRP2 - ELEV 'B' - AREA Name AM. HEATED 1ST FLOORI 1449 SF 1449 SF UNHEATED GARAGE 4185E s CPT COV PATIO 100 SF m PORCH 84 SF 602 SF UNOER 7-0 1/4 ROOF 2051 SF GRP2 - ELEV 'B' - AREA I? (STUD) Name A ea 1ST FLOOR 13465F 1346 SF M14 � 7 II REVISION LOG REV. DESCAIPION DRAWN BY DATE 2.00 ADDED 5:12 ROOF OPTION; REMOVED CEILING FANS IN SECONDARY BEDROOMS; REMOVED 1/2 HOT OUTLETS JAH 10128/19 201 REVISED FLOOR BREAKS ON FIRST FLOOR TO SNOW CARPET IN BEDROOMS ONLY. ADDED WINDOW TRIM TO SIDE ELEVATIONS WITH 6:12 ROOF OPTION FOR CITY OF PALM COAST JHM 01/07I20 2.02 REPLACED RANGE "DOD WITH MICROWAVE JHM I 03'D6120 I INSULATION VALUES COMPONENT VAWE SLAB MR- SAREMINIMUM. I u-VALUE.ARE MA)UMUMS 4 FDOH in St. Lucie County Environmental'Health 4� ------ s3' 9/1LL10IIRR I it II 1 mm- 11 I I 1 SQGSLIO II II I I u n U I I II 4 I I 1 1 7-8314 2•r 2-r 6'-101R' 17.131 I 6'3Irr I. 1 =� ' -1 ••.. .�I ',.:..; :,..i i, ! I'HAIE � n r.r-.-.r_—r,..l I f, .... 1 V0673OUH , ! l ! I Ty`5 Ew, I ' 1 Yl1C ' y 1..'•+ It 1eF�.y�r i fFG Irr� l� I 11tNW11BTFJH ' ��r,.�I I i IOT.PS 'I I I I J 11'31f4'�} 2� G � II F I; I I II I I II I I I ii I I !I 1 1 I II I II i 1 I 11 I ' -zvr I I' Isar 1 ' I II U1f07frdJI,11 I I II A1NTdh'R7,hS I LT �I R,OROROD6 I I I 1 I n r, r 2•P ,S3' 1' 4'4P 173• 3r-112' 1••117 N O MORE HOMELESS MONEY W H 3111 GOVERNORS LAKE DR Q SURE300 Q NORCROSS, GA 30D71 F-' PHONE: 336-282-3606 WIALICOMP Z O Q K O Z 'ir7 C Z x p Q co . a C= W Z LAJ O m z � N x e .}.I Z O G G � O F 9 O E3 z a m O Z M $ n a w u c 0 3 a w PLAN # / ORIENTATION cr 1402BLR/LH SERIES NAME: = Site Plan Approved for .Construction 23 DIAMOND SUSPENETRATIONS ELEV P. Supersedes All Previous Site Plans for 1I4'=iTAT22'X34'LAY0UT es PLAN NAME: IF--I'VAT11'XIPLAW 3811449 OSTDS # %-Sr - 4,4 tbS j & Well #$'_ Date: 3u LAST REVISION 2.02 Reviewer: V SHEET# GRP2 01 r - , Ron DeSantis Mission: Governor .. To protect, promote & improve the health of all people in Florida through integrated state, county & community efforts. W Scott A. Rivkees, MD HEALTHState Surgeon General Vision: To be the Healthiest State in the Nation 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-WELLSO,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-WELLSCa-)-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 Mlner Drive • Port St Lucie, FL 34983 - Public Health Accreditation Board PHONE: 772/462-3800 • FAX: 7721871-5360 StLucieCountyHealth.com STATE OF FLORIDA PERrVIIT'APPLICATION To COP,S'i RUCT, REPAIR, MODIFY, OR ABANDON A WELL Permit No. _ -31625 �rttsar 4d�4J kt'Southwest " . LiNorthwest . St. Johns River PLEASE Flld OUTAt.LAPpI.ICAtiLEFIELn3 Florida Unique ID ("Denotes Required Fields Where Applicable) permit Stipulations Required (Sae Attached) v )Zuth Florida 171e water well rentracrru rs rureornWating ` Suwannee River .1'J�Oti ptS� 0 DEP resporryilrlo - — — this form and talwording the permit bpolloutlan to the 624524 Quad No. Dellnealfon No, ar1 PPJrinld delaNatad sulhodly where uppircnvlo. —^ 1. PAN l7Delegated Authority WApplicable) CUUP Application No. "owner, Lo el amo i V rporatfcn---��--Address Ct V -- v1 r� 11_�1 y Y `Slate ZIP ��°rplaph�no Number • � 2. v 1 �a I 'Wei. dress Road Name or e — { . ' , _ Y 1 "Parcel ID No, (PIN) or Alternate I<s (CI tele�je) 4. "Section � � � (` , �L R � � Block e1 (� }� Unit V of t Bnd Grant 'township "Range 'Count !�-•"'"-� "' " ' - "''� h Y Subdivision � eck if 62- 4: Y�e/s� �yjJ}o,� 5 'Water Water Well Contractor •LicenseeNNumibKk r Yor� ,, t�.tt,�{+��� i t to trtLi� Well Contractor e elophone Number a E mail Address 6.'�!^�t(lanlll..r�ti-.J 7. 'Type or Work: x- Conateuolion -Ro air�ie1e LII' p —Modification Abnndonmeni 8. "Number of Proposed Wells ��Ronson fpr Ftcnni , Modlileaiian, oiAbnrWanill0(11 "—'-_,__ _ ._� ...__.. 9, 'Specify Intended Uses) of Well(s): st" o Domestic Landscape Irrigation Agricultural Irrigation —Site Investigation& D 11- U UOVL Bottled Water Supply _Recreation Area Irrigation _Livestock —Monitoring Public Water Supply (Limited Use/DOH) ---Nursery Irrigation test Public Water Supply (Community or Non-Comrnunity/DCP)----CommRrclaillndustriat . Earth -Coupled Geothermal _Class I Injection -___.Golf Course Irrigation HVAC Supply MAR 3 0 2021 __HVAC Return Class V Injection: _Recharge _,_,-_Commercial/Industrial Disposal Aquifer Storage and Recovery-,_•, Drainage Remedietion: _Recovery Air Sparge .;_Other (ocscribo) FD H 1nc8t1k.VdWQoun1 Not paloa e!w Is aru pioneered Ilya given pormltllne htENV 10,`Dlstanca from Septic System � If s200 H. f ` 1 11. Facility Description 12, Estimated Start Dale 13 'Estimated Well Deplh I irft, *Estimated Casing Depth , � ft, 'Primary Casing Diameter _ _ in. Open Hole: From To R. 14. Estimated Screen Interval: FromToi Ltt. 15.`Primary Casing Material: —slack Steal Galvanized _PVC Stainless Steel Not Cased - Other._ 16. Secondary Casing: Telescope Casing Liner Surface Casing Diameter , in. �— 17. SecondaryCesing Material: 1318ck Steel Galvanized PVC Stainless Steel Other 18.'Mathod of Construction, Repair, or Abandonment: -_____Auger Cable Tool Jetted Z7%tary _—Sonic Combination (Two or More Methods) • Hand Driven (.Well Point, Sand Point) _____Hydraulic Point (Direct Push) _._-_._HOdzontal DNIIng __.—Plugged by Approved Method __ ether tao�uloo� 4 -- 19. ProposedulitE ng t(tterval for the Primary, Secondary, and Additional Casing: From Tc ?<I) Seal Material ( Banfonito_, V_Neat Cement Other_ yW) Front �,,,_-To,_•,,,�,- _Seal Material Ll3ontoiiita ,w Neat Cement - Omer From To_ _Seal Material -' =) From .. To �... Seal Material (Bentonite Neat Cement •' dither 20. Indicale total number of e*9r!9 wells on site List nutnberof existln9 unused wells on site _ 21.`ls this well or any existing well or water withdrawal on the owner's contiguous properly covered under. a Consumptive/Water Use Permit (CUPIWUP) or CUP/WUP Application? Yes .�No If yes, complete the following: CUPIWUP No.____� _ District Well ID No, 22. Latttudo __ Longitude 23, Dati Obtained From: GPS Map. ---!-survey •Dalumt NAD 27 NAD B3 WGS BA e bnrcJty rer4ly �y I � cnntrly twG. inn npphcgb.i futon nlTian iU, Ftnrrcl,, /vinuNrainllve C•+klh.nM oral n wmar , rMJr Itwl rn,e aq nunrrnl ine aKpMy, qLt! uw nfamubm an,Vrind W aauuoa. Ertl 114u I qm ervnm nl nq can 'Dan u+NlMlma»tanP�+�Y. llnoodwl, IWn o4NnMwAt tin 0020.ned M+u lOYMmnncMtAM n1 Rro7 rmfMnWidliP�lndlf ClAryNar 37A: FioeM 641M1ea. to mMWA er Canttrurgpt.I(uMW07(W�laot aDu1lw01d�1fgaYldgd At inn aied6,(rutlb a4Wre{U artd ewllwul Wlnul YWa � PropadyMWIJn N�q WNI;n,lcodlfY lh111 net na'..,y0 'mlGan mlwrfatlnr,a, gIJ(V, I1r 1ar,W pwmm�Mn(7. ,I fP^ni lOf IIN 0"If, Innllh9 Sdaleiatmn IIMVAoda QUWale.ails eql l wn Mtaevd via ewllar ai 6w I to W9whW. I Wyua lu urav4ro u wa0 MNturrnhgibgq Jtl slWud abare. b,yo.nZhSer,lyb aUewvy parsaNwl W Una YrMo utlNdo{rsloti Auawnly ue:usu eIlAllu unrgiwo'll Gw oisulet> Iin aa.Unys altar cwnWagon ul lhu uunuWcpon. reygv; n,etAGia4wt er to die wall Jll�r.ddNM}vW{ep j�ryl, raylm,mmiiVoiGud, or uUaItonal"I auNGna40MrNW carnal. dealuwunwt urGarwWh Ihiq mt6t auw WeM wyiruhwr, ttdtidierar al•CwuBm - Approval Grdnled By,� Fe Received t+ 7_Receipt No. THIS PERMIT IS NOT VALID UNTIL PROPERLY SIGNED BY AN ALIT Issue D114 �� Expiratipa Date Check No. OR REPRESENTATIVE OFYHE WMD OR st Approval InlOnis AUTHORITY. THE DFP Form: 62-532:900(1I incorporated in 62-t537..400('I ). F.A.C. E1forllvc Datc: O tobor 7, 201 o Pape 1 of 2 SITE PLAN LOT 10 OT,9 FFE—"24.25' FFE'-24.41' LOT 8 NO WELL I 40 WELL IMPROVED WITHIN 75 NO WELL WlTtifN .75' i WITHIN 75' ;, NB9°51'52"E(M),, `75.00 P&M. SIR "LB 7821' • `. ; ` _' 10:0 D:ll: Et-- _ v ch PROP J� • WELL 40 ,' LOT 4 C : £ BLOCK 1.04 p \3,x3' CONC Ito ;C+!Ji 26.02' �. LOT 3 ''�'' ° x FFE-23.68 LOT 5 PROPOSE[3' FFE-23.57' RESIDENCE 750SO.. FT. FFE: XX.XX uNoBSTRUCTE _ 4 REA. �. (SUBJECT TO - x M SEPTIC PERMIT) M G w.4.0'w I O 1 is 92' 20.9' °- ' � 2.2' i i SW 0 SIR . 5/8" 'FfR 5/8" FIR�J2L,� 1s.o ;;"LB 721" — .. .... _ 273.71'(M) — _. .... N89 51'52" (M) 75.00'(P&M) 12"x18" CMP "x — — "-' 273.40'(P) 12"x18" CMPlom 70.00' ,P/W (P) PASO ROBLES BOULEVARD 1 FGEND & ARRR MAMONs PSM = PROFESSIONAL SURVEYOR do MODEL: LOT SIZE: 1449—B LH 10.400 SQ. FTFT. 2.14 =GROUND ELEVATION MAPPER► LB LICENSED BUSINESS BOUNDARY SURVEY CERTIFI TO• PROPERTY ADDR SG: R PROPOSED DRAINAGE = LS =LICENSED SURVEYOR FND ®FOUND "R CENTURY COMPLETE 7106 PASO ROBLES BOULEVARD ARROW 2 j Q PROPOSED ELEVATION SET = SET IR E]='NAIL ROD [dc CAP) && FORT PIERCE. FL r.r .. = PROPOSED 12'Xi8• N D = NAIL � DISK CORRUGATED METAL PIPI DWCONCRETE MONUMENT SURVEYOR'S DW = DRIVEWAY SW SIDEWALK EC CONCRETE ND S 1. BASIS OF BEARING : THE SOUTHERLY LINE OF LOT 4 BLOCK 104 LAKEWOOD PARK, UNIT S','AS RECORDED IN PLAT BOOK 11, PAGES K-270. PUBLIC 1 HEREBY CERTIFY THAT THIS SURVEY TRUE AND 'CORRECT TO THE BEST MY KNOWLEDGE, AND THAT THIS SURM EP a PAVEMENT R/PJ =RIGHT % WAY RECORDS OF SAINT LUCIE COUNTY COUNTY FLORIDA. AS BEING NB9 51'52'E AS A MEASURED MEETS THE STANDARDS OF PRACTICE .' Q AIR CONDITIONER (3.5'x3.5' PAD) O.E. m DRAINAGE EASEMEI t 2, DATE OF FIELD SURVEY: 11/12/2020. REQUIRED BY CHAPTER SJ-11 FLORII BOARD OF LAND SURVEYORS PURSUA! U.E. UTILITYEASEMENT ' TO SECTION 472 027 FLORIDA STATUTE WBF m WOOD BOARD FENCE CLF CHAIN LINK FENCE SIGADDITIONS NGI PAARTYO OR PARTIIES ISOPROHIBITEDAWITHOUT WRITTEN BY OTHER OFATNHE E WVF_a VINYL FENCE SIGNING SURVEYOR f3 PLATWHIT = MEASURED 4. PROPERTY LINES SHOULD NOT BE ESTABLISHED USING FENCE OR BUILDING TIES. (9 t8H m CLEANOUT WATER S. NO UNDERGROUND. INSTALLATIONS OR IMPROVEMENTS INCLUDING BUT N07 LIMITED T0, :BURIED UTILITIES, FOt1NDATIONS METER AND FOOTERS WERE LOCATED. ® =CABLE RISER 6. 8ASED UPON MY REVIEW OF THE 'FLOOD INSURANCE RATE MAP' OF SAINT LUCIE 4 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 7106 PASO Parcel ID: 1301-611-0071- Account #: 2475 Sec/Town/Range: 01/34S/39E ROBLES BLVD 000-1 Map ID: 13/01N Zoning: RS-4 Count Use Type: 0000 Jurisdiction: Saint Lucie County Ownership Legal Description WJHFL LLC LAKEWOOD PARK -UNIT 9- BLK 104 LOT 4 (MAP 13/0IN) WJH LLC 3091 Governors Lake DR Ste 300 Norcross, GA 30071 Current Values Historical Values 3-year Just/Market: $10,400 Assessed: $7,586 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $7,586 2020 $10,400 $7,586 $0 $7,586 2019 $8,200 $6,897 $0 $6,897 2018 $7,900 $6,270 $0 $6,270 Sale History Date Book/Page Sale Code Deed Grantor 10-28-2020 4502 / 1766 0001 TR Roberts (TR) Gary W 10-17-2005 2422 / 1707 XX02 WD Roberts Gary W 04-21-2004 1947 / 2322 XX00 WD Mace Stanley A Primary Building Information Finished Area of this building: 0 SF Gross Sketched Area: 0 SF Exterior Data View: Roof Cover: Roof Structure: Year Built: N/A Frame: Grade: Primary Wall: Story Height: No. Units: 0 Interior Data Bedrooms: 0 A/C %: 0% Electric: Full Baths: 0 Heated %: N/A% Heat Type: Half Baths: 0 Sprinkled %: 0% Heat Fuel: Type Price $18,900 $100 $6,800 Building Type: Effective Year: N/A Secondary Wall: Primary Int Wall: Avg Hgt/Floor: 0 Primary Floors: Total Areas Finished/Under Air 0 (SF): Gross Sketched Area 0 �. ' , _ (SF): Land Size (acres): 0.23 Land Size (SF): 10,125 Total Building Count: 1 Special Features and Yard'Items Qty Units Year Bit 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. a _ `a St. Lucie County Health Department H5150 NW Milner Dr Port Saint Lucie, FL 34983 ALTH PAYING ON: #: BILL Doc #:56-BID-5194854 RECEIVED FROM: American Drillinq 2411 AMOUNT PAID: $ 115.00 PAYMENT FORM: CREDIT CARD 021913 PAYMENT DATE: 03/05/2021 MAIL TO: American Drilling -2411 405 SW 2nd St Okeechobee FL 34974 FACILITY NAME: American Drilling 2411 PROPERTY LOCATION: 405 SW 2nd St Okeechobee FL 34974 Lot: Block: Property ID: EXPLANATION or DESCRIPTION: QUANTITY -1 - Well Construction 1 $ FEE 115.00 RECEIVED BY: AdamsC Note: 59-31625 - 7106 Paso Robles Blvd I AUDIT CONTROL NO. 56-PID-4899094 3811449 (1402 BLK) GROUP 2 COVER SHEET GRP2 SHEET LIST B Sheet Number Shea) Name GRP202 GRP20.4 SLAB PENETRATIONS ELEV'B' PLUMBING R ISOMETRICS PLAN ELEV'B' GRP21.O PRODUCTAPPROVAL GRP21.2 FLOOR PLANS'B' GRP2 2.3 ELEVATIONS 9' GRP224 ELEVATIONS W 5-72 GRP23.3 ROOF PLAN'B' GRP2 3.4 ROOF PLAN'B' &12 GRP24.0 WATER INTRUSION DETAILS GRP24.OA EXTERIOR TRIM DETAILS GRP24.3 SECTIONS ELEV'S' GRP24.4 SECTIONS ELEV-65.12 GRP25.1 INTERIOR ELEVATIONS GRP25.2 OPTIONAL COVERED PATIO GRP262 ELECTRICAL B FLOORING ELEV'B' STRUCTURAL DESIGN PAGES FOLLOW VOLUIlESCHEDULE Neme VaWma OF 1STFLOOR 10742.E Greed IGIe1 10742.8 GRP2 - ELEV 'B' - AREA Name Rae HEATED 1ST FLOOR 1449 SF 1449 SF UNHEATED G4RAGE "SF OPT COV PATIO I M SF PoRCHI 54 SF 802 SF UNDER ROOF 205, SF GRP2 -ELEV'B'-AREA (STUD) Name I A— ISTFLOGRI 1346 SF 1346 SF REVISION LOG REV. DESCRIPTION DRAWN BY DATE 2.00 ADDED 5:12 ROOF OPTION; REMOVED CEILING FANS IN SECONDARY BEDROOMS; REMOVED 112 HOT OUTLETS JAH 10128'19 201 REVISED FLOOR BREAKS ON FIRST FLOOR TO SHOW CARPET IN BEDROOMS ONLY. ADDED WINDOW TRIM TO SIDE ELEVATIONS WITH 5:12 ROOF OPTION FOR CITY OF PALM COAST JHM 01102120 2.02 REPLACED RANGE HOOD WITH MICROWAVE JHM 03/OBI20 INSULATION VALUES COMPONENT I VALUE SLAB R-O WINDOWS SHGCA27 0.0.35 WALL -WOOD FRAME R-13 WALL-CMUIRADIANTBARRIER R-6 ATTIC I R-30 R-VALUES ARE MINIMUMS 'VALUES ARE MAXIMUMS FDOH in St. Lucie County Environmental 'Health Site Plan Approved for Construction Supersedes All Previous Site Plans for OSTDS #5G St-22. S & Well # 51— 3/4s Date: a Reviewer: 2-011, EFW 19.1112'�T4Y�_14'•2 - - - - - - II II maw. �ONII II II II I 9E10911➢ I I I I I II 1 U II I h 23314• 2-7' 2S 6.101W 12-, 3' 8317 I� III II,, ) IIITORA 'I�L �°� Ise g �i.-ru�-�nr__—_--_II I - tr I � NAF21B11R6fW � II IW1Vf II � I`--J II N Ir--�f II w �-= 1 I I gg� I R1X I AAIWDNIFJII �I.L_�` f' -- ... 1 I1007P � I _ Iy, ] zI � II 111, _—JL___JL____J 4, II _I JkII I II I I II I I II I I n I I I 1 I I II I I II I I II I 1 11 I I I 1 I ' II II I II II 1 I I 1 1 -21? I 16-11• I II I I II 1 M036BLA65 ' I II BNMALSIPM ' ' 1 LT I I I NICBI�TO6 I ' I I � 1 I IL I L_ r J -- J 2.1• 19.7 T 4'4T ,23• 3r-, I? r-112' 1 SLAB PENETRATIONS ELEVV IfV=17AT22'XXLAYOUT UP IVAT VX Ir LAYOUT L ENTURY HOME • LESS 3091 GOVERNORS LANE DR SUTTE300 NORCROSS, GA 30071 PHONE: 336-292.3606 m Q wrn a a mu 0 � do C M 0 E al f m S Gt 1LAN # / ORIENTATION 1402 BLKI LH SERIES NAME: DIAMOND PLAN NAME: 3811449 LAST REVISION 22.02 GRP2 0.2 LEGAL DESCRIPTION LOT 4, BLOCK 104, ;u u� LAKEWOOD PARK, UNIT 9, i 1= AS RECORDED IN PLAT BOOK 11, PAGE 27A-27D, SURVEY PUBLIC RECORDS OF SAINT LUCIE COUNTY COUNTY, FLORIDA. CONSULTANTS /ri►1 SITE PLA� O AII, F]ELD LOT 10 , "rFEi,24.25' NO WELL WITHIN,75' SIR 5/8'`,_ "LB 7821 QL (D �. * r Cn Wch W ((DD D -0 -n sl1� D0= 7 T 3 C+Sr x 0 D OFF -23.68 N> 'a0 M(D�� � R. -7 90 N O 5 Co co (q n CD n i' O O 0 O dy 0 ' I x W CA DRP;IIJFsELO O ..... --------- WI 273.71'(M) 2"x18" FM P 273.40'(P) x� LEGEND & ABBREVIATIONS PSM = PROFESSIONAL SURVEYOR & MAPPER LB = LICENSED BUSINESS LS = LICENSED SURVEYOR FND = FOUND SET = SET "LB 7821" IR[C]= IRON ROD [& CAP] NJJD = NAIL & DISK CMON= CONCRETE MONUMENT DW = DRIVEWAY SW = SIDEWALK EC = CONCRETE EP = PAVEMENT R/W = RIGHT-OF-WAY DRNAGEISTS'x3.5' F AIEAEMEN U.E. = UTILITY EASEMENT WBF = WOOD BOARD FENCE CLF = CHAIN LINK FENCE WVF = WHITE VINYL FENCE (P) = PLAT M = MEASURED 0 = CLEANOUT ® = WATER METER ® = CABLE RISER ® = TELEPHONE RISER ® = ELECTRIC RISER c� = POWER POLE Q = WELL ®S = SANITARY SEWER MANHOLE OE —W— OVERHEAD ELECTRIC WATER PIPE CABLE 0 15 30 1 INCH = 30 FEET JOB NUMBER 20-09-137 � Dlr,rarlELO � .................. _...... ....... ... ........ ....... I DI<nIN(`IEL LET 9 LOT 8 FFE'-24.443' IMPROVED WO WELL NO WELL WITHIN 75' WITHIN 75' vN89051'5f2"E(M),,,75.00'(P&M) �,5P IR 5/8° -- ci--------- X rj �I W i O1 PROP WELL Xrt LOT 4 3'x3' BLOCK 104 ^� O i �ONC 371' 26.03' X y i LOT 5 PROPOSD� FFE-23.5T RESSD�NCE RY 750SQ. FT. ��' UNOBSTRUCTE FFE:23.20' AREA / L f L Xy co w4.0'w i O I 11.91' 20.9' a: 2.3' I I 00 0 lop > t-CONC —�--1 `L) p SW I- U o 0 I''ROPOSED I ;)i;tdN'r IELG Z x \ DR ,.IiJFIE D I s:,. c' yz --._ _ — �._........I SIR ....5/8.:.'...... ......... ........ ........ —: 16.0' �� r,,,LB 7�21 N89 51'52" (M) 75.00'(P&M) 12_x18" CMP x -- Xre — x PASO ROBLES BOULEVARD SITE BM SNL - EL: 21.49' MODEL: LOT SIZE: X 23.4 = GROUND ELEVATION 1449—B LH 10,400 SQ. FT. = PROPOSED DRAINAGE BOUNDARY SURVEY CERTIFIED TO: PROPERTY ADDRESS: ARROW CENTURY COMPLETE 7106 PASO ROBLES BOULEVARD 23.4 = PROPOSED ELEVATION FORT PIERCE, FL = PROPOSED 12"X18" CORRUGATED METAL PIPE SURVEYOR'S NOTES 1. BASIS OF BEARING - THE SOUTHERLY LINE OF LOT 4 BLOCK 104, LAKEWOOD PARK, UNIT 9,AS RECORDED IN PLAT BOOK 11, PAGES bA-27D, PUBLIC RECORDS OF SAINT LUCIE COUNTY COUNTY, FLORIDA, AS BEING N89-51.52"E AS A MEASURED 2. DATE OF FIELD SURVEY: 11/12/2020; REVISED SEPTIC 2020 3. ADDITIONS OR DELETIONS TO SURVEY MAPS OR REPORTS HAN THE SIGNING PARTY OR PARTIES IS PROHIBITED WITHOUT WRITTEN CO E-- SIGNING SURVEYOR. 4. PROPERTY LINES SHOULD NOT BE ESTABLISHED USING FENCE OR BUILDING TIES. 5. NO UNDERGROUND INSTALLATIONS OR IMPROVEMENTS INCLUDING BUT NOT LIMITED TO, BURIED UTILITIES, FOUNDATIONS AND FOOTERS WERE LOCATED. 6. BASED UPON MY REVIEW OF THE "FLOOD INSURANCE RATE MAP" OF SAINT LUCIE COUNTY, FLORIDA, COMMUNITY PANEL N0.1211100070J, EFFECTIVE DATE 2/16/2012, THIS PROPERTY IS LOCATED WITHIN FLOOD ZONE "X", DEFINED AS AREAS DETERMINED TO BE OUTSIDE OF THE 0.2% ANNUAL CHANCE FLOODPLAIN. 7. NO INSTRUMENTS OF RECORD REFLECTING OWNERSHIP OR ENCUMBRANCES WERE PROVIDED, EXCEPT AS NOTED, NOR DID THIS SURVEYOR ABSTRACT THESE LANDS. B. SURVEY FILE !NUMBER: 20-09-137 9. ELEVATIONS SHOWN HEREON ARE BASED ON THE NORTH AMERICAN VERTICAL DATUM OF 1988 ! (NAVD88), AND MORE SPECIFICALLY TO THE FLORIDA PERMANENT REFERENCE NETWORK (FPRN) CONTINUOUSLY OPERATING REFERENCE STATIONS (CORS) FLFR, STEW & FLFD. I HEREBY CERTIFY THAT THIS SURVEY IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE, AND THAT THIS SURVEY MEETS THE STANDARDS OF PRACTICE AS REQUIRED BY CHAPTER 5J-17 FLORIDA BOARD OF LAND SURVEYORS PURSUANT TO SECTION 472.027 FLORIDA STATUTES. "DUSTIN W HOLLOWAY, P.S.M. LS 6676 H&H SURVEY CONSULTANTS, LLC LB 7821 NOT VAUD WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR DATE OF SURVEY.- Jan 12 2021 031 W Broadway, Suite 1001, Oviedo, FL 32765 www.hnhsurvey.com 407.542.49771