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HomeMy WebLinkAboutAPPROVED Well & Septic HD Approved Permit - 6903 Salerno Rd PERMIT #: 56-SF-2222897 } D STATE OF FLORIDA APPLICATION #:AP1614329 !, DEPARTMENT OF HEALTH DATE PAID: +�+ ; ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: t • SYSTEM �y RECEIPT #: 1Vu DOCUMENT #. PR1523790 CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: (Vida Nian LLC) PROPERTY ADDRESS: 6903 Salerno Rd Fort Pierce, FL 34951 LOT: 15 BLOCK: 126 SUBDIVISION: Lakewood Park PROPERTY ID #: 1301-612-0179-000-1 [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 [ 900 ] GALLONS / GPD Seotic 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 [ 500 ] 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: Site BM NID, CL of Rd I ELEVATION OF PROPOSED SYSTEM SITE [ 3.00 ] [ INCHES FT ] [ ABOVE BELOW BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 0.00 ] [ INCHES FT ] [ ABOVE BELOW]BENCHMARK/REFERENCE POINT L D FILL REQUIRED: [21.001 INCHES EXCAVATION REQUIRED: [ l INCHES The system is sized for 3 bedrooms with a maximum occupancy of 6 persons(2 per bedroom),for a total estimated flow of O 300 gpd. T H E R SPECIFICATIONS BY: Brian J Ingram TITLE: Environmental Specialist III A�� APPROVED BY: TITLE: Environmental Specialist III St. Lucie CHD Brian J I ram DATE ISSUED: 03/08/202 EXPIRATION DATE: 09/29/2022 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 AP1614329 SE1488214 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. S'rlATE OF FLOKIDA foldRl4rJ1'/�1't}LIGAriUW 1'(i!;"' - 16-J,c",,22,195 7 �i��'A�� MODIFY, t } 'I•.UG I; •�.+:�•y::.:,a:aeao �Yrrr.»..-. _ V�r 1 tali ABANDON� N AJ.. � 13 pN`lifeSj;���, ' J onnit No,.._. ._._.__.....59;314...:......_ 0 30uthwest�w. PlorirJa Unique ID-_•�_ __• 4" PLEASE FILL OUTAI l APPI ICAL1t.C'NEWS _ r•r l; -'firA I.;Northwest (`Denotes Re(!ui,'Od Fields Where Applicablo)�Porrnit Stipulations Royulrod(Soo Aftilcllod) ,lSt.Johns Rivor VrS.outh Florida 7hr,wulof lvutl contrtn:IN is lrupunslhro rol U0111ploff ly -....._..__.___.___._._._...,.__..__...,___,..__...�.___.____..... t 5uwanneu m Rivur thh;ro, and rmm,dlnr)the pc,rnlr nppl/clrooq ro Iho apn+upNlrfu uolu,latuu Ilutna rr whuro apAscnb/u, 62'524 Quad No. Drrllneallan Nn.__.•-_ L`JDEP =/ f=1 DuleyetUd AuthorityIF A IlcaUle CUPIWUP Application No. Uvmoi,Lequl IVarnr3'I 'or(�C)'aticn _._.__...._...,.....,.._...... - - dY `ZIP "'17,1epllnne Number 2, �� - -m ' _ L_. . Well _ovation Adcfrdss,Road Name or Vyglher, ry. "' C "Parcel IU iVo.(P11V)OI Lorna • - - y(Cur ne) I - Block Unil 4 .. .._..._.1Or_�....._._...- �+..�UG uection or Land Grrant Tolw1S Ip hangu "(,aunty ijbci��ivisAlOrl -'QL� eneck if G2-r 4; Y r` I (1 l `� a � , Water WeII Contractor _. ��( �`�-J r. r.I "License Number `,Telephone Number G-mail Address 6 _ `y- .._.. Water Well Contractor's Address '_., ... lnCity - 1� � II _ �7.`Typo of Work onotruclio Stale ynlr At,mldanm°nl I B."Number of Proposed VJnlls- _ 'Hannan rnr nl,nart, Mnnirtcnikm,ar AbiulAce,monl _—__-"'�-' '-'- p g."Specify Intended Uso(s)of WeII(s): a D Doll tic LaG � Di ;,- •. - Lan(Iscape lair+alien _ _Agricultural Ircic7ation Sift Investigation_,Uctll:;d Water Supply -.•.,_ROcrealion Aru;,Irrfgallorl _ Uivastocl< _- MOnflorirltl l� Public Wator Supply(Unified Use/D01-t) Nursery Irrigation _~Wrest F� --f--Public Wator Supply(Comn'Iunity or Non-Community/UL••P) -CommercirlVlndustrial _•.... .Earth-COUpled Geothermal t _ _ Golf(;olll'Sc1 Irrigation HVAC Supply PEAR 2 9 2021 —__C!ess I Injuclion .._..._. ...._ FIVAC Return Cl2Ss V Injection:--Rochar(3c _ Cbrnn,Ercifal/Indut:Irial Disposrtl,__-__Aquifer Sturago and Rocover i Remadialion; rocov(,ry _-,_-Air Sparge Olhur(Ucscrlm.l FD,OH in St Lucie Coun II _....__UIhOr(f7nxrrJln) (Non.nil n,l lypn wl' nr IhmIIl4U by ylvan punnullne mn1E rNV�a r t __..... -. . Aft JH _ 'Y'k�11�EA io.'Dlslancc'>from Su lir,Sr t.tan'1 If< _ P r' ?0o ft._ �� 11.FucGlty Description '12.Estimated Start Dato � 13.4 StimnturJ Well D<;pth `Eslirnalod Calsing Doplh ft. '17rima-y Casing Di,mcihar rn. Open Wole: From__•,__To_ it. 14.Estimatod Screen Interval:From lb /ail. -•-- .... V_ � l 15,'Prialary Casing Malorial: _•- glaek Steel •Galvanirerl PVC ........•Slwniosa Stool 16.Secondary Casing: •__Toluscopci CN;rinr.a Linclr 17.Secondary Cos(ng Material: _- ---------- -'---- i urface;Casing Diamatur•—^_•_in. i � l3faci(Slopl S_Galvanizu(I ___ PVC _ _Slainless Stool I �I'.'Method of Construction,Ropair,or Abandonment: _ Aug or Cable Tool __ ,tatted ,Rotary Sonic ^y y f Combinallon(Two or More Mothods) _ 1-land Driven(Vt1o11 Point,Sand Polnp __—H drauhc Point Direct l -+Horizontal Drilling y ( Puah) Il �1 I'IclS7tluo by APprovad Molhod Othor I000urlulrl 7 q1 g.ProposeU outim r t Val for the Primary, Secondary,and A(dllional Calllnrl: '^ _ Ii From 'fo __Seal Material(___--puntonite _ Noat Cement Uu,ur, From To, Seal ML,lerial Bontonite.,--._„Noal Comoril Other, From------ (- -_ I� Fron7----.--•-rO------ _Seal Material _---- _ .... ........__..___....) f'rorn__ Tb Seal Material(- -`swilonde Neat Cemonl.,, _^pfher._,_,-___•_ �� ) -- (--,t3erllnnilc�•Neal Cerneni_-_Qplef ) 20.Indicate total number of OA*Urlq wells on site_- _ -- r _. Llsi nurl,f)er of existing unuec(1 walla on site 21.1Is thiswell or any existing woll or water withdrawal on the ownur's conliguouS property coverad under a Consumptive/Wator Use Permit(CUI'/WUP) or CUP/WUFI Application?______Yes ->,%�_No if yes,complete the fullowin{l;CUPIWUP No. II 22.Latitude --•--_.._....___.,,. District Well IU No. 23.Dt,ta0bfainedFram:_ �GI'5 (ytap tude Survey Datum: NAU27 NAD83 WG5ti4 114velly ratify nlllwll C(uuPiy wdh Ulnaralcnpu n,alll of li011 tn,Flnlal.,/vinMl.lallfvn C..Ylu,Owl ln.11nnma. _-... —'-�-- itnlrnntUl,4nr+IlrmltnulnJ(pl nilniJ,11 nf11nINl,Ivlli n.lmlrlt lV,nll^nJKLnt1A Mn11J fYylvMnrAnlhnl r,l Wl•1� Ir^rl.ly lll.11 l.Wn UYl nlvllr rn Y•In^rlrl•,InfMnlnUhl NnvllOtl,O nfnwOlU.Oro lnnll nn,n•nUn nl^Ir CN711fUfllU1, 1 tOnnol CON ry Ulm n;lln rot"Iftn jurni,r.l1I 11 IIn,a)I lLc l.a I I O O GWwl U 614 U- la•I.NI\�Il,lll;a\r,n,L1fC T 373,FlVi,51,1hlia L.1111nnminrl lV pJnn4tly 011'llkl011 V,1 xMll;nl,If+INrV In 111 u11 _�nU�"W,1.y uN(I�YYJI r+un VlIIW rV(Iun11,Yl1IW W II I nUvrYl Ullllal5..+ ,';1,♦/�,r U it l+r,l.•Ilnl", V,n u,lt•N lul ll ,Inu11,4:,lUrOlO1.0 I,rnvMOA,n n(.LUIiIU..1n61n:11I r1.lYU N(Ulllbl Uf^IIWnOI NInn✓ w9 n U I"U.Ov,l"nUJ to ,vU J g 11 rlfU n.UN 4r,• ,wIIU IV 4�VWI•Y�V,1rfMM01 Of[illy VA10OIUI'Iwploo A011!(nlly UW40 Q LUn1U1 UnUnruUUlla lAlli by 1IOl lPyrol:I u uO,vor ioZiIUllu Ur IIIVlovot Qodw 1.tnrlllll,iAWriIIrIILV'l.Ur IV Ina lYUll U'NIJ III/!/rylyl(4CLnit.J UI,Inurllrll'11bon.Of al inuunnlnnr uuNnnJrAny In(Jpnlrtrr ub,mtl(nnrcnil lwmmnted 4y II�IJ Vurolil,«VIY uwmt uaCluWwl,nnlcllurar awuu!ut "SiprtaturotofConco .. .t11..t..It 9 }rrl r nr A dc.unsoo. au — Approwil Granled By ._.. , Issut,Date Z I 91 - - �- � �'!�_ [xpiration Darla /�Ti� 2� Hydrologist Approval i Fen Rocdlvotl b %d,lll Itaralpt No.--------- THI5 PLRN11T 15 NOT VALID UNTIL PROPErgLY SIGNED 13Y AN AUTHORIZED oFFICER UR RCPR[SEN'rATIVL'OF TI IE WMD OR DELEGATED AUTHORITY. THF. PERMIT SHALL l9G AVFJL.ABLF AT THE WELL.Sn'F DURING A_I.L CONS-rRUCTION,RFPAIIJ,MODIFICATION,OR ABANDONtMENTACTIVIT,FS. DFP FUrr1I:fit-02,000(1) h,corpora fad In 52.G32Aee(1).F.A.G. Eficrlive Dalr::OczoUar 7,7,010 ..r ParJo 1 of 2 St. Lucie County Health Department E1� Ca 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: #:56-SF-2222897 BILL DOC#:56-BID-5155808 CONSTRUCTION APPLICATION#:AP1614329 RECEIVED FROM: Pedro Quiiada AMOUNT PAID: $ 545.00 PAYMENT FORM: CREDIT CARD 034140 PAYMENT DATE: 01/20/2021 MAIL TO: (Vida Nian LLC) FACILITY NAME : PROPERTY LOCATION: 6903 Salerno Rd Fort Pierce, FL 34951 Lot: 15 Block: 126 Property ID: 1301-612-0179-000-1 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-4860201 STATEPERMIT OF FLORIDA T NO'� C�k I-Zjo DEPARTMENT OF HEALTH DATE PAID: ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: SYSTEM RECEIPT APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: New System Rxisting System Holding Tank Innovative Repair Abandonment Temporary APPLICANT. -VII)A NLNN LLC AGENT: Pedro Quijada TELEPHONE 954-8-50-0618 MAILING ADDRESS: 9111 E Bay Harbor Dr 6f,Miami FL 33154 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: 15 BLOCK- 126 SUBDIVISION: LAKEWOOD PARK-UMT 10 PLATTED: PROPERTY ID #: 1301-612-0179-OW] zoxiNG: RS-4 I/M OR EQUIVALENT: PROPERTY SIZE: 0.27 ACRES WATER SUPPLY: ] PRIVATE PUBLIC [ ]<=2000GPD [ ]>2000GPD �fb IS SEWER AVAILABLE AS PER 381.0065, FS? [ _yw DISTANCE TO SEWER: FT PROPERTY ADDRESS: 6903 Salemo Road,Fort Pierce FL 34951 DIRECTIONS TO PROPERTY: See aftwhed lot location. BUILDING INTOPMATION 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-Funily 3 _h2 N/A 2 3 ....... 4 Floor/Equipment Drains 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 STATE OF FLORIDA APPLICATION # AP1614329 DEPARTMENT OF HEALTH PERMIT # 56-SF-2222897 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM t 'fir DOCUMENT # SE1488214 SITE EVALUATION AND SYSTEM SPECIFICATION USA APPLICANT: Vida Nian LLC CONTRACTOR / AGENT: Pedro Quijada LOT: 15 BLOCK: 126 SUBDIVISION: Lakewood Park ID#: 1301-612-0179-000-1 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: 300 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: 750.00 SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: Site BM NID, CL of Rd ELEVATION OF PROPOSED SYSTEM SITE 3.00 [ INCHES / FT ] [ 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: 15 FT NORMALLY WET: [ ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 75 FT NON-POTABLE: 50 FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 62 FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X ]NO 10 YEAR FLOODING? [ ]YES [X]NO] 10 YEAR FLOOD ELEVATION FOR SITE: FT [ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD SOIL PROFILE INFORMATION SITE 1 SOIL PROFILE INFORMATION SITE 2 USDA SOIL SERIES: USDA SOIL SERIES: Munsell#/Color Texture Depth Munsell#/Color Texture Depth 1 OYR 5/2 Sand 0 To 14 1OYR 4/1 Loamy Sand 0 To 8 1OYR 4/2 Sand 14 To 19 1OYR 5/2 Sand 8 To 27 1OYR 5/2 Sand 19 To 34 1 OYR 6/2 Sand 21 To 39 1 OYR 6/2 Sand 23 To 34 1 OYR 4/2 Sand 39 To 41 1 OYR 7/2 Sand 34 To 50 1 OYR 2/2 Spodic Material 41 To 55 1 OYR 4/2 Sand 50 To 53 HOLE CAVING Refusal 55 To 72 1 OYR 3/2 Spodic Material 53 To 56 HOLE CAVING Refusal 56 To 72 OBSERVED WATER TABLE: 4.1.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 21 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X ]NO MOTTLING: [X ]YES [ ]NO DEPTH: 21.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.60 DEPTH OF EXCAVATION: INCHES DRAINFIELD CONFIGURATION: [ ] TRENCH [X ] BED [ ] OTHER (SPECIFY) REMARKS/ADDITIONAL CRITERIA WSWT determined using USDA WSS and soil borings. 10YR6/1 stripping in 10YR5/1 matrix>10%with Diffuse boundaries starting at 21"in SB2. S131 2"below BM. SB2 3"below BM. SITE EVALUATED BY: DATE: 03/08/2021 Ingram,B n(Title:Environmental Specialist III)(ENVIRONMENTAL HEALTH) DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4 AP1614329 EID2222897 v 1.0.2 Property Card Page 1 of 1 545r• 22z -" 7 Michelle Franklin, CFA-- Saint Lucie County Property Appraiser--All rights reserved. Property Identification Site Address: 6903 Parcel ID: 1301-612-0179- Account#:2928 Sec/Town/Range: SALERNO RD 000-1 01/34S/39E Map ID: 13/01 S Zoning:RS-4 Count Use Type:0000 Jurisdiction: Saint Lucie County Ownership Legal Description VIDA NIAN LLC LAKEWOOD PARK-UNIT 10-BLK 126 LOT 15(MAP 9111 BAY HARBOR DR 13/01 S) Miami,FL 33154 Current Values Historical Values 3-year Just/Market: $20,200 Assessed: $20,200 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $20,200 2020 $20,200 $20,200 $0 $20,200 2019 $15,200 $10,101 $0 $10,101 2018 $18,300 $9,183 $0 $9,183 Sale History Date Book/Page Sale Code Deed Grantor Price 12-04-2020 4525/2450 0001 WD 434 21st Street LLC $29,000 08-05-2019 4313/0714 0001 TR Matthews(TR)(EST)Catherine $27,000 03-03-2008 2953/ 1460 XXO1 QC Gergora George $100 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 IIalf Baths: 0 Sprinkled%:0% Heat Fuel: Primary Floors: Total Areas ' Finished/Under Air 0 (SF): Gross Sketched Area 0 (SF): 77 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 2021 Saint Lucie County Property Appraiser.All rights reserved. https://www.pasle.org/RECard/ 1/20/2021 C %a N R - • I V! 0 Y. {CD O D lT � V O CD D v m cn CD e � . w m P m e. .. .ir.. 3 P. o o F' m= i m CA O° N S 4P. o N O 3'N A Iz a_ # 0� o �m 3 mm L COO _ o Z �N a�