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Home My WebLink AboutHealth Dept. PermitSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTD$ NOW APPLICANT: (Port St. Lucie Properties) PROPERTY ADDRESS: 4910 Myrtle Dr Fort Pierce, FL 34982 PERMIT #:56-SF-2353248 APPLICATION #:AP1715770 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1672879 Lom: 13 BLocx: 43 suaoivlsioN: Indian River Estates [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] PROPERTY ID #: 3402-608-0157-000-4 [OR TAX ID NUMBER] SYSTEM MUST HE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION 381,0065, F.S., SATISFACTORY AND CHAPTER 64E-61 F.A.C. PERFORMANCE FOR ANY SPECIFIC DEPARTMENT APPROVAL OF SYSTEM DOES PERIOD OF TIME. ANY CHANGE IN NOT GUARANTEE 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 SPECIFICATLONS T [ 900 ] GALLONS / GPD Septic 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 FEE' R [ ] SQUARE FEE' A TYPE SYSTEM: [ ] I CONFIGURATION: [ ] N SYSTEM DrainSeld NeW [�J/A SYSTEM STANDARD [ ] FILLED [x] TRENCH [x] BED [ ] MOUND I 1 F LocamioN of BENCHMARK: PAINTED NID EDGE OF RD NW OF PROPERTY Abu I ELEVATION OF PROPOSED SYSTEM SITE [ 2.00 It INCHES FT ][ ABOVE VE BELOW BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 10,001 INCHES FT ][ BELOW]BENCHMARK/REFERENCE POINT L D FILL REQUIRED: [30.00] INCHES EXCAVATION REQUIRED: [ 30.001 INCHES The system is sized far 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 0 300 gpd. T Must exCavate out all unsuitable soil. H E R SPECIFICATIONS BY; Matthew S Vajanyi TITLE: Environmental Specialist I APPROVED BY: TITLE: Environmental Specialist I St. LUCIe CHD fatthew S Va} nyi DATE ISSUED: 10/08/2021 / EXPIRATION DATE: 04/08/2023 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.A nP1715770 SE1609307 v 1. 1.A nP1715770 SE1609307 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 850413-8743. 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 APPLICATION # AP1716770 DEPARTMENT OF HEALTH PERMIT # 56-SF-2353248 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT # SE1609307 SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: Part St. Lucie Prope ties CONTRACTOR / AGENT: Alexander Piazza LOT: 13 BLOCK: 43 SUBDIVISION: Indian River Estates ID#: 3402-608-0157-000-4 TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE, OA 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: IX IYES [ ]NO NET USABLE AREA AVAILABLE: 0,23 ACRES TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES-TABLEI / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 575,01 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 760,00 SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT BENCHMARK/REFERENCE POINT LocamlON: PAINTED NID EDGE OF RD NW OF PRC ELEVATION OF PROPOSED SYSTEM SITE 2,00 [ INCHES / FT I [ ABOVE / BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: FT DITCHES/SWALES: FT NORMALLY WET: [ ]YES [ ]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON -POTABLE: 75 FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: FT SITE SUBJECT TO FREQUENT FLOODING? 10 YEAR FLOOD ELEVATION FOR SITE: 0 YEAR FLOODING? ]YES X]NO) USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 5/2 Sand 0 Tog 10YR 3/3 Sand 9 To 28 1 OYR 4/3 Sand 12 To 28 I OYR 7/1 Sand 28 To 50 10YR 3/1 Sand 50 To 52 REFUSAL Refusal 52 To 72 CTTF. i USDA SOIL SERIES: Munsell #/Color CTTF. i USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 5/2 Sand 0 To 9 10YR 3/3 Sand 9 To 16 10YR 413 Sand 12 To 16 10YR 2/1 Spodic Material 16 To 30 10YR 411 Sand 30 To 41 10YR 7/1 Sand 41 To 52 REFUSAL Refusal 52 To 72 OBSERVED WATER TABLE: 40.00 INCHES L ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT 1 ESTIMATED WET SEASON WATER TABLE ELEVATION: 12 INCHES [ ABOVE / BELOW] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [ ]NO MOTTLING: [X]YES [ ]NO DEPTH: 12,00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.60 DEPTH OF EXCAVATION: 30 INCHES DRAINFIELD CONFIGURATION: [ ] TRENCH [XI BED [ ] OTHER (SPECIFY) Ir REMiRICS/ADDITIONAL CRITERIA IWSWT determined using USDA WSS and soil borings. 10YR413 stripping in a 10YR313 matrix> 10% with diffuse boundaries starting at 12" in SB2. SB1 7" below SM. SB2 2" below SM. DATE: SITE EVALUATED BY: DH 4015� OB/09 (Obsoletes previous editions environmental Specialist I) (Florida Department of Health In S may not be used) Incorporated: 64E-6.001� FAC 10/07/2021 Page 3 of 4 AP1715770 EID2353248 �T STATE OF FLORIDA \} DEPARTMENT OF HEALTH 4 t/? ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM °•" APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: New System [ ] Existing System [ ] Holding Tank [ ] Repair [ ] Abandonment [ ] Temporary APPLICANT: Port St. Lucie Properties, Inc. PERMIT NO. JF Z-�`:Y37 ('fb DATE PAID: FEE PAID: RECEIPT #: CXSI �J [ ] Innovative [ ] AGENT: Alexander J. Piazza PSM, Inc. TELEPHONE: MAILING ADDRESS: 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: 13 BLOCK: 43 SUBDIVISION: Indian River Estates Unit? PLATTED: 1956 PROPERTY ID #: 3402-608-0157-000-4 ZONING: R I/M OR EQUIVALENT: L No ] PROPERTY SIZE: 0.23 ACRES WATER SUPPLY: [ ] PRIVATE PUBLIC [ �<=2000GPD [ ]>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ No ] DISTANCE TO SEWER: FT PROPERTY ADDRESS : 4910 Myrtle Drive, Fort Pierce, Florida 34982 DIRECTIONS TO PROPERTY: SEE MAP 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 I RESIDENCE 3 %306 2 3 4 [ ] Floor/Equipment Drains [j/] Other (Specify) GARBAGE GRINDERS/DISPOSALS oa,ll[AMW ",mu,odrr, SIGNATURE: Alexander J Piazza - `� "'"W"01"'"1MXMXg1"`-'"'""'""""'"'m°" DATE: 6-10-21 DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC Page 1 0£ 4 APPLICANT'S Nt1D'iE: Port St. Lucie Properties, Inc. LEGAL DESCRIPTION: Lot 13, Block 43, Indian Riyer Estates Unit 7 (PB 10, PG 75) PI��P�SJ�"D S�J�'�t'��Z'�1��J��1�'��:R��J I certify that there are no potable private wells within 75 feet of the available area for the proposed septic system, that there are no non -potable wells within SO feet of the available area for the proposed septic system,. that there are no wells within 25 feet of apesticide-treated building foundation; that there are no public wells that serve less than 25 people or less than 15 homes or businesses within l00 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 fine to be double sleeved,. that there is not a gravity sewer line, low pressure sewer line or vacuum sewage line in a public easement orright-of--way that abuts the property, that there are no lakes, strearrls, wetlands, or surface water within 75 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. NOTE: MUST BE CER'�'IF'IED BY A FLORIDA REGISTERED sURVEYOR�OR ENGINEER. pgu�iM �kreaM�rwri vpru Alexander J Piazza °" ��"_� u.,�, �� a,�a CERTIFIED BY: FLORIDA PROFESSIONAL NO.: �G330 DATE: 06/10/21 JOB NO.: 21-7429 docsl forms/septics/SepticApppPage207 Page 4 of 4 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser --All rights reserved. Property Identification Site Address: TBD Parcel to: 3402-608-0157- Account #: 37257 Sec/Town/Range: 02/36S/40E 0004 Map ID: 34/02N Zoning: RS-4 Count Use Type: 0000 Jurisdiction: Saint Lucie County Ownership Legal Description Carl O Jorgensen INDIAN RIVER ESTATES -UNIT 07- BLK 43 LOT 13 (MAP Adeline L Jorgensen 34/02N) 23 Austin DR Edgewater, MD 21037 Current Values Historical Values 3-year Just/Market: $20,900 Assessed: $9,641 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $9,641 2021 $20,900 $%641 $0 $95641 2020 $149400 $8,765 $0 $8,765 2019 $11,700 $7,969 $0 $7,969 Sale History Date Book/Page Sale Code Deed Grantor 05-14-2021 4614 / 1944 0001 WD Skomal Paul 03-27-2008 2957 / 0620 XX00 WD Chambers Sandra L 12-06-2002 1626 / 0405 XX01 CA Winters (EST( Charles F Primary Building Information Finished Area of this building: 0 SF Gross Sketched Area: 0 SF Exterior Data View: Roof Cover: Roof Structure: Year Built: N/A Frame: Grade: Primary Wall: Story Height: No. Units: 0 Interior Data Bedrooms: 0 A/C %: 0% Electric: Full Baths: 0 Heated %: N/A% Heat Type: Half Baths: 0 Sprinkled %: 0% Heat Fuel: Type Price $50,000 $13,000 $0 Building Type: Effective Year: N/A Secondary Wall: Primary Int Watl: Avg Hgt/Floor: 0 Primary Floors: Total Areas Finished/UnderAir 0 (SF): Gross Sketched Area 0 (SF): Land Size (acres): 0,23 Land Size (SF): 105000 Total Building Count: 1 Special Features and Yard Items Qty Units YearBlt 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. I 1. F p }" �1 REFERENCE POINT: PAINTED NID EDGE OF RD NW OF PROPERTY