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HomeMy WebLinkAboutAPPROVED Heath Dept approvalSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Paul Bobo PROPERTY ADDRESS: 4955 S Indian River Dr Fort Pierce, FL 34982 LOT: 2 BLOCK: PROPERTY ID #: 2436-702-0002-000-4 SUBDIVISION: ,]. AlbertFisher PERMIT #:56-SF-2246166 APPLICATION #: AP1634183 DATE PAID: FEE PAID: RECEIPT # : DOCUMENT #: PR1562677 [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 SeDtic new CAPACITY A ( ] GALLONS / GPD N/A CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ] D [ 667 ] SQUARE FEET Draintield new SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [XI STANDARD [ ] FILLED [ ] MOUND [ ] I CONFIGURATION: [ ] TRENCH [XI BED [ ] N F LOCATION of BENCHMARK: SET I.R.&C., across IRD, N PL extended E I ELEVATION OF PROPOSED SYSTEM SITE [ 26.00]I INCHES FT ]I ABOVE BELOW]BENCHMARA/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 4.00 ][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT L D E 0 T H E R ku;yU-LF'Nu: L U.Uu I INCHES EXCAVATION REQUIRED: [ Ib.UU ] INCHES system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of gpd. SPECIFICATIONS BY: Brian J ,8 n ram TITLE: �Environmental Specialist III APPROVED BY: TITLE: Environmental Specialist III St. Lucie CHD Brian J Ingram DATE ISSUED: 05/0612021 EXPIRATION DATE: 11/06/2022 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 AP1634183 SE1519'760 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. HEALTH PAYING ON: RECEIVED FROM PAYMENT FORM: MAIL TO: Paul Bobo St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 #: 56-SF-2246166 BILL DOC #:56-BID-5191542 CONSTRUCTION APPLICATION #: AP1634183 Pace 2000, Inc AMOUNT PAID: $ 545.00 CHECK 7943 PAYMENT DATE: 03/01/2021 FACILITY NAME: PROPERTY LOCATION: 4955 S Indian River Dr Fort Pierce, FL 34982 2 Lot: Block: Property ID: 2436-702-0002-000-4 EXPLANATION or DESCRIPTION: 128 - OSTDS Construction System Inspection Research Fee -1 - Surcharge (All) -1 - OSTDS New Permit Surcharge -1 - OSTDS Construction Application and Plan Review,New 123 - OSTDS Construction Site Evaluation 126 - OSTDS Construction Permit (New or Mod, Amendment) 127 - OSTDS Construction System Inspection 133 - OSTDS Construction Reinspection 1 1 1 1 1 1 1 1 QUANTITY FEE $ 5.00 $ 45.00 $ 100.00 $ 100.00 $ 115.00 $ 55.00 $ 75.00 $ 50.00 RECEIVED BY: AdamsC AUDIT CONTROL NO. 56-PID-4895674 Note: With Well - App coming from Down the Hale. VILE T7i rQ lErt %y ` ,, a., z FLORIDA PE MIT NO "� 6- LA �� ` DEPARTMUI NT Or FM- TH D� ATE PAID: 01�SITE SEWA.C�E RUM MENT RM DISPOSRL FEE, PAID: ssT Jt� APPLICATION FOR CONSTRUCTION PERMIT A,PPLIC1-1,TION FOR: [�] New System [ ] Existting system- [ ] Holding TaDk [ ] Innovative Repair I ] AbandORM2nt [ ] Temporary [ ] APP1,10WT: AGENT �-772r-! 72� MAILING ADDRESS:k �nnct ` 3`i 3 F TO 133 CON[PI TED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. —SYSTEMS —MUST BE CONSTRUCTED 1. By A. PERSON LICENSED PURSUANT TO 4B9.105(3) (m) OR 489.552, FLORIDA STATU'TL:S- IT IS THE .APPLICANTr S RESPONSIBILITY TO PROVIDE DOCUbm, NTA.TIOIIT OF THE- DATE THE LOT WAS CREATED OR I?LATTED (Ivkl/DD/YY.) IF REQUESTING CONSIDERATION OF STATUTORY GRAI=ATHUR PROVISIONS_ PROPERTY INFORMATION � -- —_-—_--------._-- ___-�------_---___-- LOT: BLOCK: �1- SUf3DTVTSI0I3: "6- U � PLATTED - PROPERTY PROPERTY SD If "� tlJ(f f .'ZONING: I/M OR EQUIW\�NT: [ Y N ] PROPERTY SIZE: C/ A.CPXS WATER ,SUPPLY. [ j PRTVATE PUBLIC [ ]K�2000GPD [ 1>20000PD IS SEWER AVAILABLE. AS RER 301.0065, FS? [ Y PROPERTY ADDRESS: DIRPC`L'IaNS 'TO PROPF'.RTY: 5 BUILD 149 INF'ORI�IAT I ON unit Type of 7:To r.s1 ablj_shm2zxt DISTANCE TO SEW.CP : tAj [ ] RESIDENTLAL [ ] COMMERCIAL No, of Building Commercial/Institutional System Design Bedrooms Area Saf—t Table 1, ChijRter 64E-6, l?AC 4 I �i if SIGNATURE: Dki 4015, 00% 09 (Obsoletes previ-ous editions which may, not be used) Izxao pora.ted 64E-C - 001, F'AC �4. DATE : � 2 2 2O Pages 1 o_E 4 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: Paul Bobo CONTRACTOR / AGENT: Pace 2000,Inc LOT: 2 BLOCK: SUBDIVISION: J. Albert Fisher ID#,2436-702-0002-000-4 APPLICATION # AP1634183 PERMIT # 56-SF-2246166 DOCUMENT # SE1519760 TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEERS MUST PROVIDE REGISTRATION NA-BER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. PROPERTY SIZE CONFORMS TO SITE PLAN: [X]YES [ ]NO NET USABLE AREA AVAILABLE: 0.83 ACRES TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 1245.01GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 1250.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1000.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: SET I.R.&C., across IRD, N PL extended E ELEVATION OF PROPOSED SYSTEM SITE 26.00 [ INCHES / FT I [ ABOVE / BELOW ] BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: 75 FT DITCHES/SWALES: FT NORMALLY WET: [ ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 75 FT NON -POTABLE: FT BUILDING FOUNDATIONS: cj FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 40 FT SITE SUBJECT TO FREQUENT FLOODING? 10 YEAR FLOOD ELEVATION FOR SITE: SOIL PROFTT.R TNVORMATTM CTTF 1 [ ]YES EX ]NO 10 YEAR FLOODING? [ ]YES IX]NO] FT [ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD USDA SOIL SERIES: Munsell #/Color Texture Depth 1OYR 311 Fill - Loamy Fine Sand 0 To 16 1 OYR 6/1 Sand 16 To 24 1 OYR 811 Sand 24 To 60 7.5YR 416 Sand 51 To 72 1 OYR 4/3 Sand 60 To 72 SOIL PROFILE INFORMATION SITE 2 USDA SOIL SERIES: Munsell #/Color Texture Depth 1 OYR 4/3 Sand 0 TO 9 10YR 513 Sand 9 To 29 1 OYR 8/1 Sand 29 To 45 10YR 516 Sand 45 To 72 OBSERVED WATER TABLE: 72.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 72 INCHES [ ABOVE / BELOW ] EXISTING, GRADE; HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [ ]YES [XINO DEPTH: INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand10.60 DEPTH OF EXCAVATION: 16 INCHES DRAINFIELD CONFIGURATION: [ ] TRENCH [X ] BED [ ] OTHER (SPECIFY) REMARKS/ADDITIONAL CRITERIA WSWT determined using USDA WSS, soil borings, and topographical observations. No WSWT indicators observed. WSWT determined to be below 72" in both SBs. S31 26" above BM. SB2 21" ab ve BMA SITE EVALUATED BY: DATE: 05/06/2021 kngram, Brian Ti le: Environmental Specialist III) (ENVIRONMENTAL HEALTH) DU 4015, 08/09 (Obsoletes Previous editions ich may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4 AP1634183 FID2246166 v 1.0.2 STATE OF FLORIDA PERMIT It DEPARTMENT OF HEALTH /Y ousiTE sr,,N .CE TREATMENT AND 17ISpoSA.L SYSTEM SITE EVALUATION AND SYSTE�3 SPECIFICATIONS ICATIQNS haul bob POU- .AGENT j l�- ^ T,- BI,OC1{: SUBDIVISxO1\i: 0PE1-'ZT in '-702o.0002"" 1ScctioiVTowlxshii)/Parcc1 No. or Tax ID Number m I Tt7:8P COMPLETED By Eur-imEm, 1iGALTH DEPARTMENT ENPLOYEE,OR OTHER QUALIFIED PERSON. ENGINEERS MiTST' PRO -VIDE REGIS'I`Rp'-PION NUI'MLR- AND 3IGN 21N7J SEAL EACH PAGD OF SUBMITTAL. CQ3XZPiE Il I1T,T: ZTE US, - PROPERTY SIZE CONrORMS TO SITE P I1TV: ( J YESZ I NO ZM T US,FaBLE AREA AVAILARLE : AC7LE s TOTAL ESTIMATED sEWAGI FLOW: c1 GALLONS PER D.Ax [ RESIDENCES -TABLE I/OT11E1Z-1F]I3Lr 2 .P.NOPSRIUED SET�RE vAI G1�LLONS PER DAB' [1500 GPD/�S,CRS OR 2500 GILD/ACRE ' CINOF]STRi3C'1'ED Ak2E�1, A.VAILABL7; _ -� ;i. c � SQ1T UNOBSTRUQTED AREA REQUIRED: 600 5QFT 73I€sN.CH1�SATZkC/REFGRNCE POINT LOCATION: �1,t- OF PROPOSED SYSTEM SITC IS t1NC[1ESIFT } IAl/13FLOw] BENc1ty11LRIC/RIa 1, RENCE POTJrI THE ACE. W T SE iACIi WI�ICFi Czjl•7 DE MAINTAINED FROM THE PROPOSED SYSTEM TO Ti1E FOLLOWING FEATURES S:CI t&�10E. TrilAi�sR. ti0 1- F'T DITCHES/SWA.LLS: /�� i7 s FT NO LY TriiE T? [ ] YE S [ ] NO WET LS : FUk31,IC : p(? FT L CMTTED USE : () U FT PRIVATE = — BUILDING FOUNDATIC)ITS � t7 FT NON —POTABLE : _; . FS FT PROPERTY LI1QE S : - �(� F'T POTABLE WATER LINE, S : �i F 2 ;:. S1 SUBIECT TO FREQUENT FLOODING: NO IO YEAR.FLOODI7�TG7 [ ] XES X7 NO 1� YEAR FLOOD ELEVATION FOR SITE: T MSL/NGVD SITE ELEVATION-- ) T 1vrSL/k7CVD SOIL PROFIII� INFORMATION SITE 1 MUNSELL ]F/COLOR TEXTURL DEPTH ,..: TO TO y. TO TO z TO TO TO TO TO i, USDA SOIL SERIES: '{ OBSERYED WATER TABLZ' : ' o/i e- INCHES [ABOVE/BELOW `. E.. m' D WET S1; i. ASON WATER T..I1HTE ELEVATION: 1 IGH WATER TABLE VEGETATION: [ ] YE S � NO .r :- ;,.;,., i -. i SUIT :;`IEkTURE/LOADING RA,M, FOR SYSTEM SIZING: 1 D€t�1N£`IELD CONFIGURATION: I 1 TRENCH [ ] T3ED RF15At')�S/AnDITIONAL CRITERTA: T'.-.-- SI_T ` EVALUATED BY � 1Ji� �1015,,i2/xl (Obsoletes Previous editions which may not ba Used} ��%J/2 SOIL PROFILE ZN1='ORMATION gTTR. 7 MUNSI LL # /COLOR TE.-< T.'UkZ]s DEPTH TO TO TO TO TO TO TO TO USDA SOIL SERIES- `] EXISTING GRADE _ TYPE: [ 1'I'RCr1CDIAPPA(tENT I _ INCHES [.,A130VE1 BELOW I EXISTING GTtAIT)3 MOTTLING: [ ] yu s A NO DEPTU; INCHES DEPTH OF EXCAVATIOM: I 7 OTMI R (SPECIFY) J` lncorporafed: 64E-6.UT1, FAC IJ.21.TE INCITE 7 of 4 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 4955 S Parcel ID: 2436-702-0002- Account #: 33886 Sec/Town/Range: 36/35S/40E INDIAN RIVER DR 000-4 Map ID: 24/36S Zoning: Residentia Use Type: 0000 Jurisdiction: Saint Lucie County Ownership Legal Description Christopher Blaine Bohan Significant Historical Resource Per Resolution 08-186 (OR 3007- Diane Dobrow Bohan 2160) J ALBERT FISHERS PROPERTY 36 35 40 SLY 175.5 FT 66 Jameson RD OF LOT 2-LESS W 50 FT AND LESS RD R/W- (3) (OR 4235- Newland, NC 28657 1739) Current Values Historical Values 3-year Just/Market: S 170,100 Assessed: $170,100 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $170,.100 2026 $170,100 $170,100 $0 $170,100 2019 $225,000 $179,850 $0 $179,850 2018 $163,500 $163,500 $0 $163,500 Date 02-19-2019 04-19-2017 06-I3-2016 View: Year Built: N/A Primary Wall: Bedrooms: 0 Full Baths: 0 Half Baths: 0 Book/Page 4235 / 1739 3989 / 2660 3879 / 1338 Type Roof Cover: Frame: Story Height: Sale History Sale Code Deed Grantor 0001 WD Denton John F 0001 WD Finance LLC 0111 TD Wika James 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 A/C %: 0% Electric: Heated %: N/A% Heat Type: Sprinkled %: 0% Heat Fuel: Price $197,000 $189,000 $147,600 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): 0.83 Land Size (SF): 35,991 Total Building Count: 1 Special Features and Yard Items 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 2021 Saint Lucie County Property Appraiser. All rights reserved.