HomeMy WebLinkAboutAPPROVED HEALTH PERMITSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: (Groza Builders)
PROPERTY ADDRESS: 5602 Silver Oak Dr Fort Pierce, FL 34982
LOT: 21 & 22 BLOCK: 23
PROPERTY ID # : 3402-607-0289
SUBDIVISION: Indian River Estates
PERMIT #:56-SF-2296069
APPLICATION #: AP1666408
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT # : PRI578568
[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 Septic 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 Drainfield new SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [X] MOUND
I CONFIGURATION: [ ] TRENCH [X] BED [ ]
N
F LOCATION OF BENCHMARK: CL Of rd @ south PL
I ELEVATION OF PROPOSED SYSTEM SITE [ 2.00 ][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 10.00][ INCHES FT ][ ABOVE BELOW]BENCHMARK/REFERENCE POINT
L
D F
O
T
H
E
R
1LL ru'%2Ut1'.ra: L JU.UU] INCHES EXCAVATION REQUIRED: [ ] INCHES
e system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of
F0 gpd.
SPECIFICATIONS BY: Brian Davi TITLE: Master Septic Tank Contractor
APPROVED BY: TITLE: Environmental Specialist III Stlnria
Brian J In ram
DATE ISSUED: 06/04/2021 EXPIRATION DATE:
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 AP1666408 SE1535401
12/04/2022
CHD
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
5150 NW Milner Dr Port Saint Lucie, FL 34983
PAYING ON: #: 56-SF-2296069 BJLL HOC #:56-BID-5324692 CONSTRUCTION APPLICATION #: AP1666408
RECEIVED FROM: Brian Davis Septic _ AMOUNT PAID: $ 430.00 _
PAYMENT FORM: CREDIT CARD 010558 PAYMENT DATE: 05/26/2021
MAIL TO: (Groza Builders)
FACILITY NAME:
PROPERTY LOCATION:
5602 Silver Oak Dr
Fort Pierce, FL 34982
21 & 22 23
Lot: Block:
Property ID: 3402-607-0289
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
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-5000174�_ ��_
9STATE OF FLORIDA PERMIT NO.
DEPARTMENT OF HEALTH - DATE PAID: D�
ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID:
, SYSTEM
WE RECEIPT #:
APPLICATION FOR CONSTRUCTION PERMIT
AP N-3-
[X ] New Syst [ ] Existing System [ ] Holding Tank [ ] Innovative
[ ] Repair [ l Abandonment ( ] Temporary [ ]
APPLICANT: Randee D Ryan
AGENT: Brian Davis Septic & Backhoe Services
TELEPHONE: 772.571. 8200
MAILING ADDRESS: P.0 Box 99, Felismere, FL 32948
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: 21&22BLOCK: 23 SUBDIVISION: Indian River Estates PLATTED:
PROPERTY ID #: 3402-607-0289-000-5
ZONING: R
I/M OR EQUIVALENT:
[ Y /)
PROPERTY SIZE: 0.76 ACRES WATER SUPPLY:
[ ] PRIVATE
�i/]<=2000GPD
[
]>2000GPD
IS SEWER AVAILABI.E As PER 381.0065, FS? [ Y
/�N ]
DISTANCE TO SEWER:
Zce--C�T
PROPERTY ADDRESS: 5667�-Silver Oak Dr
DIRECTIONS TO PROPERTY:
BUILDING INFORMATION
[XI RESIDENTIAL
I ] COMMERCIAL
Unit Type of
No. of
Building
Commercial/Institutional System Design
No Establishment
Bedrooms
Area Sqft
Table 1, Chapter 64E-6, FAC
1 House
9
1,956
2
3
4
I ] Floor/Equipment Drains I ] Other (Specify)
SIGNATURE: DATE: ?/
DH 4015, 08/09 (Obsoletes previous editions which may not be used)
Incorporated 64E-6.001, FAC Page 1 of 4
{ltE
STATE OF FLORIDA
' DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATIONS
APPLICANT: Randee D Ryan /� /-a-_/3u(qt-I�AGBrian
ENT:
20&22
PERMIT #.
Davis Septic & Backhoe
LOT: BLOCK. 23 SUBDIVISION; Indian River Estates Unit 06
PROPERTY ID #: 3402-607-0289-000-5 [Section/Township/Parcel No. or Tax ID Number]
TO BE COMPLETED BY ENGINEER, HEALTH DEPARTEMENT EMPLOYEE,OR OTHER QUALIFIED PERSON. ENGINNEERS
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: r -7
TOTAL ESTIMATED SEWAGE FLOW: L (� ACRES
GALLONS PER DAY SIDE S-T 1/ R-TABLE2]
AUTHORIZED SEWAGE FLOW: / (ICJ GALLONS PER DAY [1500 GPD ACRE OR 50O GPD
UNOBSTRUCTED AREA AVAILABLE: ! ( SOFT UNOBSTRUCTED AREA REQUIRED: too( QFT
BENCHMARK/REFERENCE POINT LOCATION: \ u-- 5Gi4 �(F
ELEVATION OF PROPOSED SYSTEM SITE IS [INC /FT] [ABOVE/ {LO�W NCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER:
�FT DITCHES/SWALES: '2i 7 FT NO Y WET?
[ 7 YES [ NO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON -POTABLE: fly'- FT
BUILDING FOUNDATIONS: FT PROPERTY LINES:-7FT POTABLE WATER LINES:_777 FT
SITE SUBJECT TO FREQUENT FLOODING: [ ] YqS [,,'�] NO
10 YEAR FLOOD ELEVATION FOR SITE: ir-- FT MSL/NGVD
7 If , /, 73 n'
ORMATION SITE 1 /" "' /
TEXTURE DEPTH
S U TOTZ--
Z TO
5 Z TO
,5 TO:/
rz <iTO O
TO
/_42 O
-- Z__ S To
TO
USDA SOIL SERIES: '5
SOIL
10 YEAR FLOODING? to'YES VJ NO
SITE ELEVATION: T MSL/NGVD
TEXTURE DEPTH
TO (
TO
/q TO
77-- TOiv
To 3
C' S 61 TO
TO
TO
USDA SOIL SERIES: .✓p ,�-�
OBSERVED WATER TABLE: y INCHES [ABOVE j�B�_� EXISTING GRADE. TYPE�: �RCHED APPAAEN
ESTIMATED WET SEASON WATER TABLE ELEVATION: / INCHES [ABOVE / e EXISTING GRADE
HIGH 'WATER TABLE VEGETATION: [ ] YES % - NO MOTTLING: [ YES [ ] NO DEPTH: / Z--INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: 6 DEPTH OF EXCAVATION: INCHES
DRAINFIELD CONFIGURATION: [ ] TREK [� BED [ ] OTHER (SPE IFY)
REMARKS/ADDITIONAL CRITERIA: 4 �-L��✓ is (���/ )�f, n a 7
SITE EVALUATED 13Y:__/5;� 6 4"k-, iu Vl 5/" GO
DATE: r Z
D8 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4
Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved.
Property Identification
Site Address: 5602 SILVER
Parcel ID: 3402-607-0289- Account #: 154706 Sec/Town/Range: 11/36S/40E
OAK DR
000-5 Map ID: 34/11N Zoning: RS-3 - Cou
Use Type: 0000
Jurisdiction: Saint Lucie
County
Ownership
Legal Description
Brian N Briggs Sr
Christina Briggs
INDIAN RIVER ESTATES -UNIT 06-BLK 23 S 22 FT OF LOT
20 AND ALL OF LOT 21 AND N 22 FT OF LOT 22 (MAP
4800 Silver Oak DR
34/11N)
Fort Pierce, FL 34982
Current Values Historical Values 3-year
Just/Market: $37,400 Assessed: $31,477 Year Just/Market
Assessed
Exemptions
Taxable
Exemptions: $0 Taxable: $31,477 2020 $37,400
$31,477
$0
$31,477
2019 $32,700
$28,616
$0
$28,616
2018 $29,900
$26,015
$0
$26,015
Date
01-25-2021
09-09-2011
01-03-2006
View:
Year Built: N/A
Primary Wall:
Bedrooms: 0
Full Baths: 0
Half Baths: 0
Book/Page
4545 / 2475
3332 / 0764
2453 / 0795
Type
Roof Cover:
Frame:
Story Height:
Sale History
Sale Code Deed Grantor
0001 WD Ryan Randee D
0001 WD Machen Robert
XX01 WD Brown Joseph
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
$75,000
$20,000
$140,000
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): 0.76
Land Size (SF): 33,000
Total Building Count: I
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.
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