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HomeMy WebLinkAboutHealth Department Septic Approval _ ' I
PERMIT #:56-SF-1737263
�n STATE OF FLORIDA APPLICATION #:AP1296623
DEPARTMENT OF HEALTH DATE PAID
ONSITE SEWAGE TREATMENT AND DISPOSAL
FEE PAID•
SYSTEM
RECEIPT #:
DOCUMENT #.PR1066951
CONSTRUCTION PERMIT FOR: OSTDS Repair
APPLICANT: (DRMAGEE LLC)
PROPERTY ADDRESS: 119 Vndale'Ave Fort Pierce, FL 34951
LOT: 9 BLOCK: 3 SUBDIVISION: Bel-Aire Estates
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PROPERTY ID #: 1312-701-0050-000-8 [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 existing CAPACITY
A [ 0 ] GALLONS / GPD CAPACITY
N [ 0 ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS. @[ ]DOSES PER 24 HRS #Pumps [ ]
D [ 375 ] SQUARE FEET Drainfield SYSTEM
R [ 0 ] SQUARE FEET SYSTEM I
A TYPE SYSTEM: [X] STANDARD [ ] FILLED [ I MOUND [ ]
I CONFIGURATION: [X] TRENCH [ ] BED [ ]
N
F LOCATION OF BENCHMARK: top Of tank inlet pipe g@ tank
I ELEVATION OF.PROPOSED SYSTEM SITE [ 4.00 ] INCHES FT ] [ ABOVE BELOW]BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 12.00 ] [ INCHES FT ] [ABOVE BELOW BENb HMARK/REFERENCE POINT
L
D FILL REQUIRED: [ 2.00] 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.
T Required drainfield area based on rule 64E-6.015(6)(c)2.
H Install a new drainfield to achieve Drainfield size requirement.
The licensed contractor installing the system is responsible for installing the minimum category of tank iyn accordance with
E s.64E-6.013(3)(0, FAC. —
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SPECIFICATIONS BY) Adam T Knutobn TITLE:
APPROVED BY: /� ..-------TITLE: Env. Sup 11 St. Lucie CHD
Victor Faconti
DATE ISSUED: 06/27/2017 EXPIRATION DATE: 09/25/2017
DH 4016, 08/09 (Obsoletes all previous editions which may not be used
Incorporated: 64E-6.003, FAC Page 1 of 3
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NOTICE OF RIGHTS
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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
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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.
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St. Lucie County Health Department
'n 5150 NW Milner Dr Port Saint Lucie, FL 34983
HFALTH
PAYING ON: PERMIT#:56-SF-1737263 BILL DOC#:56-BID-3456174- CONSTRUCTION APPLICATION#:AP1296623
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RECEIVED FROM: Reliable Treasure Coast Services Indian AMOUNT PAID: I $200.00
PAYMENT FORM: CREDIT CARD PAYMENT DATE:; 06/27/2017
MAIL TO: (DRMAGEE LLC)
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FACILITY NAME :
PROPERTY LOCATION:
119 Vindale Ave
Fort Pierce, FL 34951
Lot: 9 Block: 3
Property ID: 1312-701-0050-000-8
EXPLANATION or DESCRIPTION: QUANTITY FEE
127- OSTDS Construction System Inspection 1 $ 75.00
129-OSTDS Construction Permit(Repair) 1 $ 55.00
130- OSTDS Construction System Inspection Training Cent 1 $ 5.00
131 -OSTDS Construction Application & Existing System E 1 $ 50.00
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-1 -Surcharge (All) 1 $ 15.00
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RECEIVED BY: FacontiVA AUDIT CONTROL NO. 56-PID-3286152
a
STATE OF FLORIDA PERMIT NO.
DEPARTMIWT- O :EFALTH DATE PAID: '�
F
r ONSXTE SEWAGE. TFZATMENT AND DISPOSAL FEE PAID:
SYSTEM RECEIPT
APBLICATION FoR CONSTRUCTION PERMIT
APPLICATION:FOR:
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[ New System. [ ] Existing Systpp [ ] Holding Tank Innovati
Repair [ ] Abandonment' [ ] Temporary Wt.
PLI,CANT:
AGENT:. REi:TAALE TREASURE COAST,SERYICES.iND1A:�f'R[VE.._
?T[C TELEPHONE: 772-562-4242
NXiLZNG ADDRESS:: PO Box 11I6,Vero Beach,.FL 32961
m
TO BE COMPLETED BY APPLI¢ANT OR AFPLIC-MT'S AUTHORIZED AGENT. SYSTEMS MST HE OONSMUCTED
HY A PERSON LICENSED PURSUANT TO. 489.10.5(3) W OR 489.552, PLORIDA STATUTES,. IT .IS THE
APPLZCANT''S RESP.ONSIH=I.ITY TO PROVIDE DOCUMENTATION OP THE DATE THE LOT WAS CREATED OR
PLATTED (MN/DD/YY). ,IF REQUE8TT7IG Coss RATION OF STATUTORY GRANDFA!MR PROVISIONS.
PROPERTY INFORMATION
TOT: SI,QCFC: sti'HDIVISION:. f�CL+�11` LS' P3�FiTTED:
PROPERTY Io 1 3-A - /01 '"0050-DOD-6 ZONINo:9M)4 I/;M OR EQUIVAI+ENT: [ IN' I
.03
PROPERTY SIZE: + Aq ACRES :WATER SUPPLY:t/N
PRIVATE puBLIC ,Ar4f•�=2.000GPD ( 7?2000GPn
is WrM'R AVAILABLO AS: PER 361.0065, FS? [ ) DISTANCE TO SEWER: �_FT
PROPERTY ADDRESS,: V j n3 D/ 1-� A l�ot' P►62I ., FL.
DIRECTIOXS TO PROPERTY: X-Street: Locate 4. /Requested:.
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BUILDING INFORMATION COMMERCIAL
Unit Type of_ No. of Building Commercial/Institutional System.Design
NO Establishment Bedrooms Area Mt Table 1, Chapter 64E-61 me
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2.
3
4:
Floor/Equi,pmen . Drains [ ] Ot r (Specify)
'sIdNATORE:
HATE,'
DH 4415r 08/09 (Qb'soletes previous 'edition which:may net be used).
Incorporated 64E-6.061, E'AG P.aga 3 of d
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STATE rF FLORIDA �•' r. ., I
DEPARTMENT OF E[EAT TH
ONSITE SEWMGE TPYXTMMT ,AND DISPOSAL SYSTEM
SITE EVAL 3ATION mpD SYSTEM SPECIFIC-'-IONS
S Reliable'Treasue bast Services
AFPLICBI�TT: ' AGgd-T: Indian River S-ptic
LOT: _ BI,OCk: ✓ SUBDIVISION:, .
R?20PERTY ID , : � ` 70/ 0 `ml €3.ecci.on/To-,rmzh. p/aarcei_ No. or Tax ID N=i e
rl
TO. BE COMPLETED.aY ENG114FER, REAL TH DEPARTEv WT ,M PLOYE.7,OR OTR_wR QLTALIFI7sB PERSC)A7
kUS:T`'PROV,IDE.M_TSTRATIQN R'U M :Ab-6 SIGN AM_ .SEAL EACH P_AGz OF'Sum ITTAL.' .COM- PLETE AT.T T'I'EN1S.
NO .ST US AREPROPSRTX $TIE CONFORMS TQ SITE PLT?N: TOES) . QJ ACRES
TQTAI. ESTIN&TED SEWAGE FIiOWtSLZ7 GAM- ONS PER DAY ENCES-Tin 2/OTHER-TABLE21
AUTHORIZED SEkPiGE • ,0€:. j OR 2500r GPDfAcn}
UNOBSTRUCTED AREA .BW-1-LABLE: SQFT W08STRTjC B SGPT
aEiv clx x r .Pours LOCem-1:aw: . ik tifht7
ELEVATT-ON OP PROPOSED SYST1°-M SIVE is /�j_ S: M * '� Q m
� / } t /EE_,OTh7] BE�1C �TCJ , 'P01YT
MINI IItd SETBACK ;iF�3IQ CAN 3E 2srPSf��`E'An1EgB��TN1E_ PROPOSED SYSTE<�- -AO THE _F'OLLO'7ING 2TURES
TSL `M
SUIiFAl TER: "' FT DITCHES j FTNORW.IVf YE �]• O CIS t i�
WELL$'E .PUBLIC. :FT ZL2TEO IISE:" .� FT P.TSiP s: �
BUILD±NG FOUNDATIONS.: Fm PR{3a�?`Y T,Ifts �L WATER. .
a
SIi� StmjEm To MQumq FLOODMgG: r ] Yn.S j'X No 10 YQEAR .Loom- c—? I j YES �3 No
1.0 YFAR FLOOD ELEVA ION OR `SITE-: FT M'SL/NGVD VAT_T02T: T PSSL/P7GV
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SOIL 'BROFILE.Ib�FO � SITE 1 SOIT� �FT _O TION ST_T-: 2 .
MONSEI.Y, VCOLOR TEXTS DEPTS ++ 3�NSELL.fir/COLOR mur RE D�PTS 1
J ' TO 10itoy& 3 , � o
TO 3 K �c
h Arm 157T To ( y
A 1441
h Z TO TO Z y ` q� . � Tom.
To r �S�c.. 7.
To
trsnA soz v sxs: G SERI�s.
osswm c?Am TABL-M.- rams [.e'?SPITs }, �_rSTING GRAMS. 2'XPE: iP amm
83TIIED WET SEASON i�A'i'ER 'AB?E ELESTATI033: . . INCHES [_a,80 / . j EXTST2g7C GRfDE
HIGH Vmm TABLE VEGETATION: ( ] YES �.Na MOTTLM: [� YES [! 1 -NO DEPTH�' �uidms.
SOXX TEXTURX/LOJDING. RA.! -. FOR SYSTEM S••ZING. DEPTH O. VC—AVATION:. . ?'I6CEES
DRATNF1F4M C0rr1GORXT1C4T: f J BED (. 7 Off; (sPBC3: i
RE s/AD OVAL c a ul.: n, . a. `c .x (E ; n
t 1 rK.c1C," tA
SITE S,Y.AL�3ATED $Y: 7'�- DATE � �f
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Property Card { Page 1 of 1
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Michelle Franklin, CFA--Saint Lucie County Property Appraiser--All rights reserved.
Property Identification
Site Address: 119 Parcel ID: 1312-701-0050- Account#:4368 Sec/Town/Range:
VINDALE AVE 000-8 12/34S/39E
Map ID: 13/12S Zoning:RMH-5 Use Type:0000 Jurisdiction:Saint Lucie
County
Ownership Legal Description
DRMCGEE LLC BEL-AIRE ESTATES BLK 3 LOT 9(OR 3843-894)
598 Palomar St
Fort Pierce,FL 34951
Current Values Historical Values 3'-year
Just/Market: $8,800 Assessed: $8,800 Year Just/Market Assessed !Exemptions Taxable
Exemptions: $0 Taxable: $8,800 2016 $8,806 $8,806 fl $0 $8,800
2015 $8,800 $8,800; $0 $8,800
2014 $8,800 $8,800. $0 $8,800
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Sale History ,
Date Book/Page Sale Code Deed Grantor Price
02-29-2016 3843/0894 0205 WD Barnes John W { $35,000
11-01-1987 0563/1409 XX01 CV i $0
10-01-1987 0563/1411 XX00 CV $7,000
Primary Building Information
Finished Area of this building:0 SF
Gross Area of this building:0 SF
Exterior Data
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View: Roof Cover: Roof Structure: Building Type:
Year Built:N/A Frame: Grade: Effective Year:2014
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
Half Baths:0 Sprinkled%:0% Heat Fuel: Primary Floors:
Total Areas a
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,)i' Finished/Under Air 0
(SF):}1
'Gross Area(SF): 0
land Size(acres): 0.24
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Land Size(SF): 10,560
Total Building Count: 1
Special Features and Yard Items
Type Qty Units Year Bit
CHAINLINK 6' 1 162 1971
CONCRETE LOW 1 310 1971
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This information is believed to be correct at this time but it is subject to change and is not warranted.
©Copyright 2017 Saint Lucie County Property Appraiser.All rights reserved.
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http://www.paslc.org/RECard/ 6/27/2017
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( FDOH in St. Lucie County
J.� Environmental-Health
Site Plan Approved for Construction ¢
Supersedes All,Previous Site Plans for
OSTDS # � ��—� &Well #
Date: q 1;` 17
Reviewer: f .,
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