HomeMy WebLinkAboutSeptic & Well Waterp
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PERMIT #:56-SF-2212164
STATE OF FLORIDA APPLICATION #: AP1606377
DEPARTMENT OF HEALTH DATE PAID:
ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID:
SYSTEM
RECEIPT #:
I JI �T Oc NT #: PR1614152
71
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: Cesar & Marcella Martinez
PROPERTY ADDRESS:
LOT:
17650 Orange Ave Fort Pierce, FL 34945
BLOCK: SUBDIVISION:
PROPERTY ID #: 2211-131-0001-000-4 [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 Drainfield new SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [X] MOUND
I CONFIGURATION: [ ] TRENCH [X] BED [I
1y
M
F LOCATION OF BENCHMARK: Orange painted Nail in N side Of tree, SW of system
I ELEVATION OF PROPOSED SYSTEM SITE [ 27.001 INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 17.001 INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D
0
T
H
E
R
REQUIRED: [ Lt$.UU] INCHES EXCAVATION REQUIRED: t '1 /.UU J IM;k ;S
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 In TITLE:
Environmental Specialist III
APPROVED BY: / TITLE: Environmental Specialist III St. Lucie CHD
Brian J Inv .
DATE ISSUED: 02/10/2021 V EXPIRATION DATE: 08/10/2022
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 AP1606377 SE1481814
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.
FORTUNE
HEALTH
PAYING ON:
RECEIVED FROM:
PAYMENT FORM:
St. Lucie County Health Department
5150 NW Milner Dr Port Saint Lucie, 'FL 34983
#: 56-SF-2212164 BILL DOG #:56-BID-5123900 CONSTRUCTION APPLICATION #: AP1606377
Alexander J Piazza AMOUNT PAID: $ 660.00
CREDIT CARD 000369 PAYMENT DATE: 12/10/2020
MAIL TO: Cesar & Marcella Martinez
FACILITY NAME:
PROPERTY LOCATION:
17650 Orange Ave
Fort Pierce, FL 34945
Lot: Block:
Property ID: 2211-131-0001-000-4
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 - Well Construction
ST. Lucie County, Permitting
QUANTITY
FEE
1
$
5.00
1
$
45.00
1
$
100.00
1
$
100.00
1
$
115.00
1
$
55.00
1
$
75.00
1
$
50.00
1
$
115.00
RECEIVED BY: AdamsC AUDIT CONTROL NO. 56-PID-4826470
Note: 17650 Orange Ave
r %,�. RECEIVED -# ;L-I C 3 r lJ �0 r(
c� STATE OF FLORIDA MAR 11 1011PERMIT NO.
} Y r DEPARTMENT OF HEALTH Permitting DzpartmerIPATE PAID:
' ONSITE SEWAGE TREATMENT AND DISPOSASI.Lucie County FEE PAID:
SYSTEM RECEIPT #:
APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
[V/] New System [ ] Existing System [ ] Holding Tank [ ] Innovative
[ ] Repair [ ] Abandonment [ ] Temporary [ ]
APPLICANT:
AGENT:
MAILING ADDRESS:
CESAR & MARCELLA MARTINEZ
Alexander J. Piazza PSM, Inc. TELEPHONE:
619 SW Biltmore Street, Port St. Lucie, Florida 34983
772-340-7770
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: - BLOCK:
PROPERTY ID #:
- SUBDIVISION:
PLATTED: na
2211-131-0001-000-4 ZONING: R I/M OR EQUIVALENT: [ No ]
PROPERTY SIZE: 76.476 ACRES WATER SUPPLY: [�/] PRIVATE PUBLIC [ ]<=2000GPD [ ]>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [ No ] DISTANCE TO SEWER: FT
PROPERTY ADDRESS: 17650 Orange Avenue, Fort Pierce, Florida 34945
DIRECTIONS TO PROPERTY: SEE MAP
BUILDING INFORMATION
Unit Type of
No Establishment
1 RESIDENCE
2
3
4
[,,(] RESIDENTIAL [ ] COMMERCIAL
No. of Building Commercial/Institutional System Design
Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC
3 3,037
[ ] Floor/Equipment Drains [ ,/ ] Other (Specify) GARBAGE GRINDERS / DISPOSALS
DigiAly signed by Al—dce i Pfa
Alexander J Piazza } W-US,o=UreFIIutM,ou=A01410D0000017256C21F43000167FA,rn=Nexand S
ri - 12-01-20
SIGNATURE : % `Dem:z020.1x.0111:492"500� 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 PERMIT # .
DEPARTMENT OF HEALTH
" ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATIONS
APPLICANT: CESAR & MARCELLA MARTINEZ AGENT: Alexander J. Piazza PSM, Inc.
LOT: - BLOCK: - SUBDIVISION: -
PROPERTY ID # : 2211-131-0001-000-4 [ Tax ID Number. l
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: 76.476 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 667 GALLONS PER DAY [RESIDENCES -TABLE 1/OTTHER-TABLE2 . ]
AUTHORIZED SEWAGE FLOW: GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 1000 SQFT UNOBSTRUCTED AREA REQUIRED: 1000 SQFT
BENCHMARK/REFERENCE POINT LOCATION:
ELEVATION OF PROPOSED SYSTEM SITE IS34 [INCHES/FT ] [ABOVE/BELOW] BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: 100 FT DITCHES/SWALES : 15 FT NORMALLY WET? [ ,J YES NO
WELLS: PUBLIC:200 FT LIMITED USE:100 FT PRIVATE:75 FT NON-POTABLE:100 FT
BUILDING FOUNDATIONS:5 FT PROPERTY LINES:10 FT POTABLE WATER LINES: FT
SITE SUBJECT TO FREQUENT FLOODING: [ ] YES [✓] NO
10 YEAR FLOOD ELEVATION FOR SITE: FT MSL/NGVD
b'U1L YliUr'1LZ 1Nk'UhM&X1UN b3ITZ 1
MUNSELL #/COLOR TEXTURE DEPTH
TO
TO
TO
TO
TO
TO
TO
TO
TO
USDA SOIL SERIES:
10 YEAR FLOODING? [ ] YES J✓] NO
SITE ELEVATION: FT MSL/NGVD
SOIL PROFILE INFORMATION SITE 2
MUNSELL #/COLOR TEXTURE DEPTH
TO
TO
TO
TO
TO
TO
TO
TO
TO
USDA SOIL SERIES:
OBSERVED WATER TABLE:40+ INCHES [BELOW EXISTING GRADE. TYPE:[ PERCHED/ APPARENT ]
ESTIMATED.WET SEASON WATER TABLE ELEVATION: INCHES ABOVE BELOW ] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ] YES [ ] NO MOTTLING: [ ] YES [ ] NO DEPTH: INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: DEPTH OF EXCAVATION: INCHES
DRAINFIELD CONFIGURATION: [,/] TRENCH [' ] BED [ ] OTHER (SPECIFY)
REMARKS/ADDITIONAL CRITERIA:
Alexander J Piazza a uiguanyvgneo oyniexanoeun
j,,_.DN: c=US, m—Una�liated, ou=q0'
SITE EVALUATED BY: to ]020d 201P 1A8:06
DATE: 12-01-20
D8 4015, 12/11 (obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4
APPLICANT'S NAME:CESAR & MARCELLA MARTINEZ
LEGAL DESCRIPTION:. S 1/2 of NE 1/4 of Section11, Township 35 S, Range 38 E.
.
• I certify that there steno potable private wells within 75' feet of the:available area for the
proposed septic. system; that there are ho non -potable wells within 50 feet of the available area'
for the proposed septic system,. that there are no wells within 25 feet of a pesticide -treated
building foundation; that the; are no public wells- that -serve less .than 25,people or, less than
15: homes: or businesses within 100- feet of the proposed septic system, .that there are no public
wells that serve more than 25 people or more than 15 homes or businesses within 200 feet of
the. proposed septic system, that the water line from the water meter or well, to the structure is'
at least 10 feet from' the available area for the proposed septic system unless the plans show
the line to.'be double sleeved,that there is not a gravity sewer line, low pressure sewer line or
vacuum sewage .line in a public easement or right-�of--way .that abuts the property, that there
-are no lakes, streams wetlands, or surface water within75'.feet of the available area for the
proposed septic system unless the property was,created-prior. to 1972, that the septic system is
proposed on the. side of the lot farthest from surface water, :that all private wells; septic
systems and surface water on adjacent or contiguous land within 75 feet of the applicant's lot
are shown on the site plan; that all public wells within 200 feet -of the applicant's lot are
shown on the site plan; and that the location of building or residences,. swimming pools,
recorded easements, paved areas. or driveways, sidewalks, the general slope of the property,
filled areas, drainage features, and surface waters such as lakes, ponds; streams, canals,' or
wetlands are shown on the applicants lot.
The natural grade elevation in the area of the. proposed septic system and. the benchmark must
be shown on the site plan. Please locate. the benchmark within 200, feet of the proposed septic
system.
- - �. - _ .. - - ' f'Dlgltalyslgned by AlevanderJ Dlaae
Alexander J P i azzaf °" ^' u ;aD0°000�0 SfiC12F43000167F0.
�' !
NOTE:. MUST BE CERTIFIED BY.A FLORIDA CERTIFIED BY: - � Date:102012.0111:4750-05'00'
REGISTERED SURVEYOR OR ENGINEER. FLORIDA PROFESSIONAL NO 6330
DATE: 12/01 /20 JOB NO.: 20-5691
docs/ forms/septics/5epticAppp Page207
ar„� •t 5 ' . Ron DeSantis
Mission:t�c`ilE 1
To protect, promote & improve the health ?;;y Governor
of all people in Florida through integrated . `r " "
state, county & community efforts. 1 Scott A. Rivgeon G MD
HEALTHState Surgeon General
Vision: To be the Healthiest State in the Nation
Florida Department of Health in St. Lucie qoury,,, 0
Conditions for Issuance of Water Well P tEl�t!Co�un,erR,rttrr,9
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-WELLS(o)-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-WELLS(c�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 Milner Drive • Port St Lucie, FL 34983 Public Health Accreditation Board
PHONE: 772/462-3800 • FAX: 7721871-5360
StL ucieCountyHealth.com
STATE OF FLORIDA PERMIT APPLICATION TO CONSTRUCT,
REPAIR, MO DAM OR AiAhoib[4 A WILL
OSDUthWeSt PLEASE FILL OUT ALL, APPuCABLEFIELDS
QNorthwest ';'Denotes Required Fields Where Appli
t, Johns River
outh Florida 7hewefefwellcantrad6fisresponslbfefprcomp!Ming
this form endforvidrding tka permirdppkaflan to the
40wannee Rivet apprnprlafadelegnledorrtliodtywhereapptfCa6le
❑DEP
1i Delegated Authority of Applicable)
1, Cesar & Marceia Martinez 17650 Orange Avenue Ft.
00
Unique.ID _ -_ 59 — -
Stlpuiationa Required (See Attached)
Quad No, Delineation No.
UP Application No.
2.17650 Orange Avenue Ft. Pierce FI 34945 rvunmr3r
*Well'Location Address, Road Name orNumber, City
3.2211-131-0.001-000-4
"Parcel ID No. (PIN) o? Alternate Key (Circle One) Lot Block Unit
4.11 35S 3$E St Lucie Check if 62-5240 Yes 0 No
`Sectlon or Land Grant "Township Range `County Subdivision
5, James. Paul Tyson 11352 954-818-426g downthehole@att.net
*W ter Well Contractor "License Number *Telephone Number E-mail Address
e. PO BOX 881496 Port St. Lucie FI 34988
`Water Well Contractor's Address City State ZIP
7, °Type of Work: construction ❑ ,Repair ❑ Modiflcatlon❑ Abandonment
8. *Number of Proposed Wells 1
"Reason forkepatr, fn i Iken
4r,
9 *Specify'Intended'Use(s) of Well(s):
omestic Landscape Irrigation Agricultural irrigation
Bottled Water Supply B Recreation Area Irrigation Livestock ❑
Site Investigations
Monitoring
Public Water Supply (Limited UseIDOH) Nursery Irrigation ❑
Public Water Supply
Test
F E B 10 2021
(Community orNori-CommunityfDEP) Commerciallindustrlal
Class I injection Golf 'Course Irri ation
9..
Earth -Coupled Geothermal
HVAC Supply
wvAc: Return "lass V Injection: ❑ Recharge ❑ CommerclalMdustriai Disposal [] Aquifer Storage and Recovery ❑ Drainag,�F
OH in St Lucie Cour
temediation: ❑ Recovery ❑ Air Sparge ❑ Other (Desamo)
tN
_IRO o RA
Other, (Descitte)
iHEgj
0 "Distance from Septic Systemdf :5 200: ft., ' 11. Facility Description . QSL _!'f)Ce
12. Estimated Start Date
3PEsUmated WeitDepth 120 ft °Estimated•Casing Depth. 1.0.0 ft. Primary Casing Diameter 2 In. Open Hole: From —" 10 "" tY,
4. Estimated Screen Interval: From 100 To 120 ft.
5. Primary Casing Material: Black Steel Galvanized Stainless Steel
,Not Cased Other:
16: Secondary Casing: Telescope Casing Liner Surface Casing Diameter im
17. Secondary Casing Material: Black Steel Galvanized PVC Stainless Steel Other
18 ?Method of Construction, Repair, or Abandonment: Auger Cable Tool Jetted Sonic
Combination (Two or More Methods) Hand Driven (Well Point, Sand Point) Hydra lit (Direst Push)
Horizontal Drilling Plugged by Approved Method Other (Describe)
19. ProposedGrouting Interval for the Primary, Secondary, and Additional sing:
From n To 95 Peal_Materiai ( Bentonite t Other
From To Seal Material ( Bentonite Neat Cement Other
From To Seal Material ( Bentonite Neat Cement Other
From: To Seat Material( 'Bentonite Neat Cement Other_ 1
20. Indicate total number of existing Well; on site 0 List number of existing unused wells on site. 0
214a this well or,any:exlWn .well or.water wirl.tude-
III the owner's contiguous pro pertv.covered under ConsumptivelVlfater Use. Permit(CUPIVVUP)
or CUPIWUP Applicatio3 Yesf yes; complete the following: CLfP=11 No, District Well 10 No.
22. Latitude on
23.
Data Obtained From: GPS Map Survey Datum:. NAD 27 NAD 83 iNGS 84
eretryel or G1,ctivdlcom ftarop wlatho appllcabta rules orTlde 40, flarida AdMnisVativo Cod' and that a vrate, Icediry lhallam tlro ovmowflhe proparcy, thatero'tnrormetlen ptovidedla aetitro}e, and thetlam gwiue army
corrinhl echarggp211tolrnaeilarfrhaotieen orviti ba obtained prWrto eommeuomepforvia0 rotponsflr�ittes undot,Ohepter379, Flodilat,taluwoto liu+lnteb,w repery abndn tliar, lelam
tythateptnfoimatienpprrJvldedlnlhia•sppifcationLraaewateeMlhattvnllahta4n Thee®eh!(erthaswner.Ihelthofnformallon roHded4decuiate,upiidpwtrhwalnr
neeeasary approval from etlur.roilarAdato,orloaat ea4emtoants, if opp9coblo; I earea is provide a%vaA p, - atmadthotiwner.ofNatr
corny!eilonreparftoiheWept2lvrithin30dn-off"co toeponsihllitteaeesratedabova Owns:eanrepytoatlovdngpsrtonde1af11Sv11�'ADoreelaaggatedAuMadiyaoeeas
M. mplatbn a{y„eoin4uetlon, rapa[i, medlEeatlan; er to tha vtcllepo dudnpthe'ecnelmalien+upak maill@tatlort.'arabandu�menl euthwiadby edapertnR:-
atiendanmenl a"ulhoika0 by 1N� penNt, or the,pdmd axplNtlgn: whkbever secure tlrsL'
�z
> x Ke'� n fr "r r .•` _ r- 11352 ifs l .r r
"Signature of Contractor a = --- •r' 1
License No. ture Signaof-Owner or Ag %' 1 e
Dete
Appropal Granted By i . _
�"^~ IssueDale tyi Exptratron Dais iQ ��HydrotogistApproval
Fee Received S_Recetpt'No, Check No, Wit[.
THIS PERMIT IS NOT VALID UNTIL PROPERLY SIGNED BY AN AUTHORIZED OFFICER OR REPRESENTATIVE OF THE WMD OR DELEGATED AUTHORITY, THE
PERMIT SHALL BE, AVAILABLE AT THE WELL SITE DURING ALL CONSTRUCTION, REPAIR,,MODIFICATION,, OR ABANDONMENT ACTIVITIES,
DEP Forrni's2432:900(1) Ineorporated in 62-5324o0(1), F.A.C. Effective Date: October 7, 2010
Pace 1 of 2
D
D
Permit No.
SOUTHWEST FLORIDA WATER MANAGEMENT DISTRICT
2379 BROAD STREET, BROOKSVILLE, FL 34604-6899
PHONE: (352) 796-7211 or (800) 423-1476
VVM.SWFWMD.STATE. FL.US
ST. JOHNS RIVER WATER MANAGEMENT DISTRICT
4649'REID STREET, PALATKA; FL 32178-1429
PHONE: (386) 3264506
WWW:SJRWMb.COM
NORTHWEST FLORIDA WATER MANAGEMENT DISTRICT
152 WATER MANAGEMENT DR.,. HAVANA, FL.32333-4712
(U.S. Highway 96, 10 miles west of Tallahassee)
PHONE: (850) 539-5999
V /VW.NWFWMD.STATE.FL:US
SOUTNTLORIDA WATER MANAGEMENT DISTRICT
P.O. BOX 24680
3301 GUN CLUB ROAD
WEST-,PALM'BEACH, FL 33416-4680
PHONE:, (561);686-8800
vwvw SFWMD:GOV
SUWANNEE RIVER WATER MANAGEMENT DISTRICT
9225 CR 49
LIVE OAK, FL 32060
PHONE: (•386) 362-1001 _or (800) 226-1066 (Florida only)
WWW MYSUWANNEERIVER.00M
Comments:
" General Si> d'Map';of Prti,t osed Welliocatioie
S
; r` Itj
L � G
IdenUfV`knbm roads. and, landmarks. Giva distances.frorrl.all reference points or structures, sep9c systems sanitary hazards, and contamination spumes, iP.applicable,
DEP Form 62=532.900(9) `Incorporatedli 62=532.400(1), F.A.C. Effective Date: October 7, 2010 "` Fage'2 of 2
Michelle Franklin., CFA -- Saint -Lucie County Property Appraiser --All :rights reserved,
Property Identification
Site Address:17b50 Parcel ID: 2211-i31=0001- Account#:12464 Seefrown/Range:ld/35S/38E
ORANGE AVE. 000-4 Map ID: 22/1l X Zoning: AG-5 Count.
Use Type: 6900 Jurisdiction: -Saint Lucie
County
ownership
Legal Description
Cesar Martinez
1135 38 S 1/2.OF NE 1/4-LESS S 52 FT AND E 53.5 FT FOR
Marcela Martinez
CANAL RS/W (76A6 AC)
' 17650 Orange AVE
Fort Pierce, FL 34945
Current Values
Historical Values 3-year
JustflMarket: $307,369 Assessed:
$244,400 Year Just/Market Assessed
Exemptions Taxable
Exemptions: $0
Taxable:
$244,400 2020 $307,369 $244,400
$0 $244,400
2019 $295,069 $23.2,100
$0 $232,100
2018 S373,170 $263,400
$0 $263,400
Sale History
Date
Book/Page
Salo -Code Deed Grantor
Price
03-03-2020
4392 / 2018
0001 WD Davis Jr Robert H
$515,000
64-04-2002
1512 / 2663
XX01 PR McCann (EST) James J
$342,000
11-10-1089
0663 /7797
XX00 WD Edsall Nancy
$580,000
Primary BuildingInforrmation
Finished'Area of this building: 432 SF
GrowSketchedArea: 432 SF
Exterior Data
View:
Roof Cover:
Roof Structure:
Building Type: MHH
Year Built: 2003
Frame:
Grade:.MANH
Effective Year. 2003
Primary Wall:
Story Height: l Story 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
HalfBaths: 0
Sprinkled %: 0% Heat Fuel:
Primary Floors:
Total Areas
Finished/UnderAir
432
(SF):
Gross Sketched Area
432
(SO:,
Land Size (acres):
76A6
Land Size (SF):
3;330,597.6
Total. Building Count:
1
Special Features and Yard Items.
Type 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 2020 Saint Lucie County Property Appraiser. All.rights reserved.
,<< St. Lucie County Health Department
POWW 5150 NW Milner Dr Port Saint Lucie, FL 34983
HEALTH
PAYING ON: #: BILL DOC #:56-BID-5151443
RECEIVED FROM: James Paul Tvson 11352 AMOUNT PAID: $ 805.00
PAYMENT FORM: CREDIT CARD 078652 PAYMENT DATE: 01/12/2021
MAIL TO: James Paul Tyson 11352
Port Saint Lucie FL 34988
FACILITY NAME: James Paul Tyson 11352
PROPERTY LOCATION:
Port Saint Lucie FL 34988
Lot:
Property ID: _
-1 - Well Construction
EXPLANATION or DESCRIPTION:
Block:
QUANTITY
7
FEE
$ 805.00
RECEIVED BY: AdamsC AUDIT CONTROL NO. 56-PID-4855404