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HomeMy WebLinkAboutHD PERMITSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR OSTDS New APPLICANT: Nicolas & Misty Khoury PROPERTY ADDRESS: 1408 Lone Pine Dr Fort Pierce, FL 34982 LOT: 09 BLOCK: PROPERTY ID #: 3409-505-0014-000-5 SUBDIVISION: Lone Pine PERMIT #:56-SF-2353027 APPLICATION # : AP 1715611 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT # : PR1650459 [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 [ 1,200 ] 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 [ 767 ] 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: PAINTED NID S OF PROPERTY CL OF RD. LB7025 I ELEVATION OF PROPOSED SYSTEM SITE [ 7.00 ][ INCHES FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 14.001[ INCHES FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT L D E O T H E R ILL REQUIRED: [25.00] INCHES EXCAVATION REQUIRED: [ 1 1Nunris The system is sized for 5 bedrooms with a maximum occupancy of 10 persons (2 per bedroom), for a total estimated flow of 460 gpd. SPECIFICATIONS BY: Matthew S Vajanyi TITLE: Environmental Specialist I APPROVED BY: TITLE: Environmental Specialist I Hattffew S V DATE ISSUED: 10/04/2021 EXPIRATION DATE: DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC SE1596915 St. Lucie CHD 04/04/2023 Page 1 of 3 v 1.1.4 AP1715611 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. STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: Nicolas & Misty Khoury CONTRACTOR / AGENT: Homecrete Homes Inc - Robert Cenk LOT: 09 BLOCK: SUBDIVISION: Lone Pine ID#: 3409-505-0014-000-5 APPLICATION # AP1715611 PERMIT # 56-SF-2353027 DOCUMENT # SE1596915 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: [X]YES [ ]NO NET USABLE AREA AVAILABLE: 0.42 ACRES TOTAL ESTIMATED SEWAGE FLOW: 460 GALLONS PER DAY [ RESIDENCES-TABLEI / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 1049.99 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 1200.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1150.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: PAINTED NID S OF PROPERTY CL OF RD. LB7025 ELEVATION OF PROPOSED SYSTEM SITE 7.00 [ INCHES / FT ] [ ABOVE / BELOW ] 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: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 10 FT POTABLE WATER LINES: FT SITE SUBJECT TO FREQUENT FLOODING? 10 YEAR FLOOD ELEVATION FOR SITE: e^YT nOe%VITT V TWVnDMn TTnM CTTr 1 [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]NO] FT [ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD USDA SOIL SERIES: Munsell #/Color Texture Depth 1 OYR 3/2 Fill - Loamy Sand 0 To 3 10YR 5/1 Fill - Loamy Sand 3 To 9 1 OY 5/1 Fill - Loamy Sand 3 To 9 10YR 5/1 Fill - Sandy Loam 3 To 9 10YR 6/8 Fill - Loamy Sand 6 To 9 1 OYR 2/1 Sand 9 To 15 10YR 4/1 Sand 15 To 36 1 OYR 511 Sand 15 To 36 10YR 2/1 Spodic Material 36 To 44 REFUSAL Refusal 44 To 72 ­nnMrm7/1Ar eTMW '7 USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 3/2 Loamy Sand 0 To 3 10Y 6/1 Loamy Sand 3 To 12 10YR 5/1 Loamy Sand 6 To 12 10YR 3/1 Sand 12 To 17 1 OYR 4/1 Sand 17 To 26 10YR 5/1 Sand 17 To 37 REFUSAL Refusal 37 To 72 OBSERVED WATER TABLE: 20.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 17 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [ ]NO MOTTLING: [X]YES [ ]NO DEPTH: 17.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING DRAINFIELD CONFIGURATION: [ ] TRENCH 7 REMARKS/ADDITIONAL CRITERIA [ X ] BED Sand/0.60 DEPTH OF EXCAVATION: [ ] OTHER (SPECIFY) 3WT determined using USDA WSS and soil borings. 10YR5/1 stripping in a 10YR4/1 matrix > 10% with diffuse boundaries starting 17" in SB2. SB1 5" above BM. S132 7" above BM. SITE EVALUATED BY: Vajanyi, Matthew (Title: E ronme Specialist 1) (Florida Department of Health in S DH 4015, 08/09 (Obsoletes previous editions which may be used) Incorporated: 64E-6.001, FAC AP1715611 EID2353027 INCHES DATE: 09/24/2021 Page 3 of 4 v 1.0.2 St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: #: 56-SF-2353027 BILL DOC #:56-BID-5546034 CONSTRUCTION APPLICATION #: AP1715611 RECEIVED FROM: Homecrete Homes Inc - Robert Cenk AMOUNT PAID: $ 545.00 PAYMENT FORM: CREDIT CARD 06394G PAYMENT DATE: 08/20/2021 MAIL TO: Nicolas & Misty Khoury FACILITY NAME: PROPERTY LOCATION: 1408 Lone Pine Dr Fort Pierce, FL 34982 09 Lot: Property ID: 3409-505-0014-000-5 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 123 - OSTDS Construction Site Evaluation 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 $ 115.00 1 $ 55.00 1 $ 75.00 1 $ 50.00 RECEIVED BY: AdamsC AUDIT CONTROL NO. 56-PID5171484 __w T STATE OF FLORIDA �-q DEPARTMENT OF HEALTH LF ONSITE SEWAGE TREATMENT AND DISPOSAL °•;, SYSTEM ."�=�� APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: PERMIT NO. DATE PAID :_ �- FEE PAID: z,54 RECEIPT #: ef.L C: :-5rNL7 New System [ ] Existing System [ ] Holding Tank [ ] Innovative [ ] Repair [ ] Abandonment [ ] Temporary [ ] APPLICANT: KHOURY, NICOLAS & MISTY AGENT: HOMECRETE HOMES INC / ROBERT CENK MAILING ADDRESS: 9773 SW SANTA MONICA DR, PALM CITY FL 34990 TELEPHONE: 772-873-6707 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: 9 BLOCK: SUBDIVISION: LONE PINE SUBDIVISION PROPERTY ID # : 3409-505-0014-000-5 PROPERTY SIZE: .42 ACRES WATER SUPPLY: [ PLATTED: 12/14/20': ZONING: PLAN th I/M OR EQQUIVALENT: [ No ] ] PRIVATE PUBLIC [j,/- 2000GPD [ 1>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ No ] DISTANCE TO SEWER: FT PROPERTY ADDRESS: 1408 LONE PINE DR, FT PIERCE FL 34982 DIRECTIONS TO PROPERTY: TAKE W MIDWAY RD TO S CITRUS AVE, TRAVEL SOUTH ON S CITRUS A MAKE RIGHT ONTO LONE PINE DR; PROPERTY ON RIGHT SIDE OF RD, 4TH LOT FROM END OF CULDESAC BUILDING INFORMATION Unit Type of No Establishment 1 RESIDENTIAL E W 4 [y/] RESIDENTIAL [ ] COMMERCIAL No. of Building Commercial/Institutional System Design Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC 6 3212 [ ] Floor/4��p*nt Dyainp [ ] Other (Specify) J SIGNATURE: DATE: DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC Page 1 of 4 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 1408 Lone Pine Parcel ID: 3409-505-0014- Account #: 166414 Sec/Town/Range: 09/36S/40E DR 000-5 Map ID: 34/09N Zoning: Planned Un Use Type: 0000 Jurisdiction: Saint Lucie County Ownership Legal Description Nicolas Khoury LONE PINE SUBDIVISION (PB 51-21) LOT 9 Misty Khoury 9773 SW Santa Monica DR Palm City, FL 34990 Current Values Historical Values 3-year Just/Market: $57,100 Assessed: $24,647 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $24,647 2021 $57,100 $24,647 $0 $24,647 2020 $41,800 $22,407 $0 $22,407 2019 $36,000 $20,370 $0 $20,370 Sale History Date Book/Page Sale Code Deed Grantor Price 04-12-2021 4594 / 1051 0001 WD James -Walker Tiffany $82,000 06-22-2012 3407 / 0642 0001 WD Oceans Four Development Corp $11,000 05-14-2003 1714 / 2681 XX00 WD Taylor Eleanor R $240,000 Primary Building Information Finished Area of this building: 0 SF Gross Sketched Area: 0 SF Exterior Data View: Roof Cover: Roof Stricture: Building Type: Year Built: N/A Frame: Grade: Effective Year: N/A 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 Finished/Under Air 0 (SF): Gross Sketched Area 0 (SF): Land Size (acres): 0.42 Land Size (SF): 18,373 Total Building Count: 1 Special Features and Yard Items Type Qty Units Year Blt 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. REFERENCE POINT: PAINTED NID S OF PROPERTY CL OF RD. LB7025