HomeMy WebLinkAboutAPPROVED Well & Septic HD Approved Plan - 7702 Deer Park AveSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: (434 21 st Street LLC)
PROPERTY ADDRESS: 7702 Deer Park Ave Fort Pierce, FL 34951
LOT: 13 BLOCK: 45
PROPERTY ID #: 1301-605-0135-000-9
SUBDIVISION: Lakewood Park
PERMIT #:56-SF-2240275
APPLICATION #: AP1629778
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1523824
[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 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 [ 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: NID, CL of Rd, W PL extended S
W
I ELEVATION OF PROPOSED SYSTEM SITE [ 1.00 ][ INCHES FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 6.00 ][ INCHES FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT
L
D F
O
T
H
E
R
ILL REQUIRED: [23.UU] INCHES EXCAVATION REQUIRED: [ ] INCHES
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of
300 gpd.
SPECIFICATIONS BY: Brian J In am TITLE:
APPROVED BY
Environmental Specialist III
TITLE: Environmental Specialist III St. Lucie
Brian J gram
DATE ISSUED: 03/29/20 EXPIRATION DATE:
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
09/29/2022
CHD
Page 1 of 3
v 1.1.4 AP1629778 SE1488647
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.
STATE OF FLORIDA PERMIT APPLICATION TO CONSTRUCT,
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St. Lucie County Health Department
5150 NW Milner Dr Port Saint Lucie, FL 34983
HEALTH
PAYING ON: #:56-SF-2240275 BILL DOC #:56-BID-5180793 CONSTRUCTION APPLICATION*:AP1629778
RECEIVED FROM: Pedro Quilada AMOUNT PAID: $ 660.00
PAYMENT FORM: CREDIT CARD 05845J PAYMENT DATE: 02/11/2021
MAIL TO: (434 21st Street LLC)
FACILITY NAME:
PROPERTY LOCATION:
7702 Deer Park Ave
Fort Pierce, FL 34951
13 45
Lot: Block:
Property ID: 1301-605-0135-000-9
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
-1 - Well Construction
1
$
115.00
RECEIVED BY: WhighamJL AUDIT CONTROL NO. 56-PID-4884228
Note: 59-31523
STATE OF FLORIDA PERMIT NO. U-�S
DEPARTMENT OF HEALTH DATE PAID:
ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: ��loh�
SYSTEM RECEIPT # :
"1 APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
New System [ ] Existing System [ ] Holding Tank ( ] Innovative
[ ] Repair [ ] Abandonment [ ] Temporary [ ]
APPLICANT: 434 21ST STREET LLC
AGENT: Pedro Quijada TELEPHONE:954-850-0618
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: 13 BLOCK: 45 SUBDIVISION: LAKEWOOD PARK -UNIT 5 PLATTED:
PROPERTY ID #: 1301-605-0135-000-9 ZONING: RS-4 I/M OR EQUIVALENT: r V_
PROPERTY SIZE: 0.35 ACRES WATER SUPPLY: [f] PRIVATE PUBLIC [ ]<=2000GPD [ ]>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [_,X�s �D DISTANCE TO SEWER: FT
PROPERTY ADDRESS: 7702 Deer Park Ave, Fort Pierce FL 34951
DIRECTIONS TO PROPERTY: See attached lot location.
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 3 22a N/A
2 holval F FP
3
4
[ j Floor/Equipment Drains [ j 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 # AP1629778
DEPARTMENT OF HEALTH PERMIT # 56-SF-2240275
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATION DOCUMENT # SE1488647
APPLICANT: 434 21 st Street LLC
CONTRACTOR / AGENT: Pedro Quijada
LOT: 13 BLOCK: 45
SUBDIVISION: Lakewood Park ID#: 1301-605-0135-000-9
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: 0.35 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 525.00 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: NID, CL of Rd, W PL extended S
ELEVATION OF PROPOSED SYSTEM SITE 1.00 [ INCHE]/ FT ] [I
/ BELOW ] BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED
SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: FT
DITCHES/SWALES: 15
FT NORMALLY WET: [ ]YES
[X]NO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 75 FT NON -POTABLE:
FT
BUILDING FOUNDATIONS: 5 FT
PROPERTY LINES:
5 FT POTABLE WATER LINES:
60 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
ROTT.
PROPTT.F. TMPORMATTOM RTTF. 9
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
10YR 4/1
Sand
0 To 9
10YR 5/1
Sand
9 To 31
10YR 6/1
Sand
19 To 31
10YR 5/4
Fine Sand
31 To 42
10YR 5/2
Sandy Clay Loam
42 To 72
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
10YR 4/1
Sand
0 To 14
10YR 5/2
Sand
14 To 34
10YR 6/1
Sand
20 To 34
10YR 4/4
Sand
34 To 45
10YR 5/2
Sandy Clay
45 To 72
OBSERVED WATER TABLE: 67.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ]
ESTIMATED WET SEASON WATER TABLE ELEVATION: 19 INCHES [ ABOVE / BELOW ] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 19.00 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 a 10YR511 matrix >10% with diffuse boundaries starting at 19" in SB1.
S131 1" above BM. S132 0" above._ w
SITE EVALUATED BY:
Ingram, Brian itle: Environmental Specialist III) (ENVIRONMENTAL HEALTH)
DH 4015, 08/09 (Obsoletes previous editions ich may not be used) Incorporated: 64E-6.001, FAC
AP1629778 EID2240275
DATE: 03/08/2021
Page 3 of 4
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Property Card
Page 1 of 1
:%-5r-2-Z-q°2-7S 55f=3(52-3
Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved.
Property Identification
Site Address: 7702 DEER Parcel ID: 1301-605-0135- Account #: 1176 Sec/Town/Range:
PARK AVE 000-9 11/34S/39E
Map ID: 13/1 IN Zoning: RS-4 Count Use Type: 0000 Jurisdiction: Saint Lucie
County
Ownership Legal Description
434 31st Street LLC LAKEWOOD PARK -UNIT 5- BLK 45 LOT13 (MAP 13/11N)
9111 E Bay Harbor DR Apt 6F
Bay Harbor Islands, FL 33154
Current Values Historical Values 3-year
Just/Market: $12,400 Assessed: $12,400 Year Just/Market
Assessed
Exemptions
Taxable
Exemptions: $0 Taxable: $12,400 2020 $12,400
$12,400
$0
$12,400
2019 $12,500
$12,500
$0
$12,500
2018 $11,900
$11,900
$0
$11,900
Sale History
Date
Book/Page
Sale Code Deed Grantor
Price
07-29-2019
4305/0870
0001 WD Phan Mong
$13,000
05-11-2017
3997 / 1865
0116 WD Ferry Jr James E
$2,300
05-11-2017
3997 / 1865
0116 WD Phan Mong
$2,300
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
Full Baths: 0
Half Baths: 0
Type
A/C %: 0% Electric: Primary Int Wall:
Heated %: N/A% Heat Type: Avg Hgt/Floor: 0
Sprinkled %: 0% Heat Fuel: Primary Floors:
Total Areas
Finished/Under Air 0
(SF):
Gross Sketched Area 0
(SF):
Land Size (acres): 0.35
Land Size (SF): 15,065
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.
https://www.paslc.org/RECard/ 3/29/2021