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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. 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