HomeMy WebLinkAboutSEPTIC PERMIT-HEALTHSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: (Groza Builders)
PROPERTY ADDRESS: 509 N 43rd St Fort Pierce, FL 34947
LOT:
BLOCK:
PROPERTY ID # : 24n7-1 12-nnn5-nnn-4
SUBDIVISION:
PERMIT #:56-SF-2310705
APPLICATION #: AP1679711
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT # . PR1583979
[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 J 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 [ 334 ] 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#1 @ East EOP N PL
I ELEVATION OF PROPOSED SYSTEM SITE [ 6.00 ][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 6.00 J[ INCHES FT ][ ABOVE BELOW]BENCHMARK/REFERENCE POINT
L
D F
O
T
H
E
R
K N:UU.Lk nZW : L JU.UU1 INCHES EXCAVATION REQUIRED: [ ] INCHES
system is sized for 2 bedrooms with a maximum occupancy of 4 persons (2 per bedroom), for a total estimated flow of
gpd.
SPECIFICATIONS BY: Brian Davis TITLE: Master Septic Tank Contractor
APPROVED BY: TITLE: Environmental Specialist III St. Lucie CHD
Brian J Ygram
DATE ISSUED: 06/30/202f EXPIRATION DATE: 12/30/2022
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
v 1.1.4 AP1679711 SE1538386
Page 1 of 3
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
°s 5150 NW Milner Dr Port Saint Lucie, FL 34983
HEALTH
PAYING ON: #: 56-SF-2310705 BILL OOC #:56-BID-5358004 CONSTRUCTION APPLICATION #: AP1679711
RECEIVED FROM: Brian Davis Septic AMOUNT PAID: $ 430.00
PAYMENT FORM: CREDIT CARD 071421 PAYMENT DATE: 06/10/2021
MAIL TO: (Groza Builders)
FACILITY NAME:
PROPERTY LOCATION:
509 N 43rd St
Fort Pierce, FL 34947
Lot
Property ID: 2407-112-0005-000-4
EXPLANATION or DESCRIPTION:
Block:
128 - OSTDS Construction System Inspection Research Fee
-1 - Surcharge (All)
-1 - OSTDS New Permit Surcharge
-1 - OSTDS Construction Application and Plan Review,New
126 - OSTDS Construction Permit (New or Mod, Amendment)
127 - OSTDS Construction System Inspection
133 - OSTDS Construction Reinspection
QUANTITY
FEE
1
$
5.00
1
$
45.00
1
$
100.00
1
$
100.00
1
$
55.00
1
$
75.00
1
$
50.00
RECEIVED BY: AdamsC AUDIT CONTROL NO. 56-PID-5041386
Note: Well#59-32157 ___
STATE OF FLORIDA
`. 5 _ PERMIT NO.
DEPARTMENT OF HEALTH DATE PAID:
ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: k
.� � �' SYSTEM -' „
RECEIPT #: 71%'�
APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
[ New System [ ] Existing System [ ] Holding Tank [ ] Innovative
[ ] Repair [ ] Abandonment [ ] Temporary C ]
APPLICANT: Frederick DOnghia
AGENT: Brian Davis Septic & Backhoe Services
TELEPHONE: 772.571. 8200
MAILING ADDRESS: 2.0 Box 99, Fellsmere, 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: N/A BLOCK: N/A SUBDIVISION: N/A
PLATTED: 12/t / -
PROPERTY ID #: 2407-112-0005-000-4 ZONING: R I/M OR EQUIVALENT: [ Y kt�,
PROPERTY SIZE: 0.4 ACRES WATERg1PRIVA
SUPPLY: [�/PUBLIC [ /]<=2000GPD [ 1>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y ✓/� DISTANCE TO SEWER: 0-<�FT
PROPERTY ADDRESS: 509 N 43rd St Fort Pierce FL 34947
DIRECTIONS TO PROPERTY. Merge on 95, Merge on Orange Ave, Turn L on N 39th St,
Turn L on-N 39th St,Turn L on N 39th St,Turn L on Metz er Rd,Take the 3rd
BUILDING INFORMATION [/]_ RESIDENTIAL [ ] COMMERCIAL
Unit Type of No. of Building Commercial/Institutional System Design
No Establishment Bedrooms Area Soft Table 1, Chapter 64E-6, FAC
1 House , p
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
es-w-
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND
SITE EVALUATION AND SYSTEM
APPLICANT:
Frederick Donghia
LOT: N/A BLOCK: N/A SUBDIVISION:
PROPERTY ID #: 2407-112-0005-000-4
PERMIT #.
DISPOSAL SYSTEM
SPECIFICATIONS
AGENT: Brian Davis Septic & Backhoe
N/A
[Section/Township/Parcel No or Tax ID Numb
• er]
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: -/ TOTAL ESTIMATED SEWAGE FLOW: Z,v� ACRES
AUTHORIZED SEWAGE FLOW: - GALLONS PER DAY [ S-3�,§LE--3/OTHER_TABLE2]
UNOBSTRUCTED AREA AVAILABLE: �—�LONS PER DAY [ R 2500..GPD ACRE]
TV (—SOFT UNOBSTRUCTED AREA REQUIRED: �gQgT
BENCHMARK/REFERENCE POINT LOCATION: 5 i /t
ELEVATION OF PROPOSED SYSTEM SITE IS (, [ N /FTj [ABOVE/ BENCFIIHP.RK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE OPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER:1 Yc� ET DITCHES,/rS 1, S: FT NORMALLY WET? [ ] YES
WELLS: PUBLIC: /- FT LIMITED USE: ��+ FT PRIVATE: `� z- C 6] NO
BUILDING FOUNDATIONS: FT NON -POTABLE: 6 FT
FT PROPERTY LINES:_ CO FT POTABLE WATER LINES: FT
SITE SUBJECT TO FREQUENT FLOODING: [ ] Y[j] NO 10 YEAR FLOODING?
10 YEAR FLOOD ELEVATION FOR SITE: F MSL/NGVD SITE ELEVATION: !iL` (FT MSI DJGVD
SOIL PROFILE INFORMATION SITE 1 r
MUNSELL #/COLOR TEXTURE DEPTH
10 6 v TO
U�t ---� — •� ( -Z- TO Z
vw z-TO 3z
Uli TO
s `( TCY 4-
3 6 ZsO 7 t.
TO
TO
USDA SOIL SERIES: <<�
SOIL PROFILE INFORMATION SITE 2
MUNSELL #/COLOR TEXTURE DEPTH
cJ TO
TO /
7 r /'7 o TO
TO
TO
v / (o(-(TO l
TO
USDA SOIL SERIES:
OBSERVED WATER TABLE: INCHES [ABOVE / LOW EXISTING GRADE. TYPE: [PF CHED / ESTIMATED WET SEASON WATER TABLE ELEVATION: qQgL�O ]
S [ABOVE
HIGH WATER TABLE VEGETATION: [ ] YES [��O MOTTLING: [%J\yES [/] NO DEPTH: Ha GRADE
NCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: [ DEPTH OF EXCAVATION- CID
DRAINFIELD CONFIGURATION: [ ] TRENCH/' [ -
REMARKS/ADDITIONAL CRITERIA: 5 � S
BED
rNCHEs
t (•S]PECIFY)
l / 1
SITE EVALUATED BY: `�%'�� �%�/� c7M,Gv %G(�JL`7 ✓ DATE: / L`
DH 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: 509 N 43rd ST Parcel ID: 2407-112-0005- Account #: 19792 Sec/Town/Range: 07/35S/40E
000-4 Map ID: 24/07N Zoning: RS-4 Count
Use Type: 0100 Jurisdiction: Saint Lucie
County
Ownership Legal Description
Frederick Donghia 7 35 40 S 140 FT OF N 310 FT OF E 125 FT OF W 225 FT OF
Mary Donghia NW 1/4 OF NE 1/4 OF NE 1/4 (15) (0.40 AC) (OR 3437-2444)
509 N 43rd st
Fort Pierce, FL 34947
Current Values Historical Values 3-year
Just/Market: $40,700 Assessed: $38,894 Year
Just/Market
Assessed
Exemptions
Taxable
Exemptions: $25,000 Taxable: $13,894 2020
$40,700
$38,894
$25,000
$13,894
2019
$76,100
$71,275
$46,275
$25,000
2018
$72,200
$69,947
$44,947
$25,000
Date
09-28-2012
08-22-2012
08-22-2012
View:
Year Built: 1958
Primary Wall: CB Stucco
Bedrooms: 2
Full Baths: 2
Half Baths: 0
Sale History
Book/Page
Sale Code Deed Grantor
3437 / 2444
0001 WD Barbare Donald L
3428 / 0082
0111 OA Barbare (EST) Mildred D
3428 / 0080
0111 PB Barbare (EST) Mildred D
Primary Building Information
Finished Area of this building: 1,318 SF
Gross Sketched Area: 2,197 SF
Roof Cover: Tar & Gravel
Frame:
Story Height: 1 Story
A/C %: 0%
Heated %: 0%
Sprinkled %: 0%
Y 9
Exterior Data
Roof Structure: Flat/Shed
Grade: D
No. Units: 1
Interior Data
Electric: AVERAGE
Heat Type:
Heat Fuel:
Total Areas
Price
$35,000
$0
$0
Building Type: HD
Effective Year: 1977
Secondary Wall:
Primary Int Wall:
Avg Hgt/Floor: 0
Primary Floors: A TL/CON
Finished/Under Air
1,318
(SF):
Gross Sketched Area
3,081
(SF):
Land Size (acres):
0.4
Land Size (SF):
17,424
Total Building Count:
2
Special Features and Yard Items
Type
Qty Units Year Blt
Driv-Concret
1 800 1958
WOOD FEN 6'
1 128 2012
CHAINLINK 4'
1 212 2016
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.