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HomeMy WebLinkAboutHealtH Dept tNe STd STATE OF FLORIDA PERMIT rro. S y9 DEPARTMENT OF HEALTH DATE PAID: /o 02l ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: SYSTEM RECEIPT ,,. y boo wiT APPLICATION FOR CONSTRUCTION P1;RbSIT APPLICATION FOR: ( ] New System [ J Existing System [ ) Holding Tan3c [ } Innovative [ ] Repair / [ f J Abandonment ( ] Temporary [ ] APPLICANT- �( �i-�1�JIIr LiL p l YPV �7� AGENT: i /{�/� ff 9TELEPHONE: C MAILING ADDRESS: ------------------------------------------------------TO DE COMPLETED BY APPLICPNT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED BY A PERSON LICENSED PURSUANT TO 409.105(3) (m) OR 459.552, FLORIDA STATUTES. IT IS THE APPLICANT'S RESPONSIBILITY TO PROVIDE DOCURENTATION OF THE DATE THE LOT WAS CREATED OR PLATTED (T•ff,i/DD/Y-) IF REQUESTING CONSIDERATION OF STATUTORY GRANDFATHER PROVISIONS. PROPERTY INFORMATION LOT., -_1j_L(�(J BLOCK: L f— SUBDIVISION: �O�J C �/- 5/`/L `[�//f ' PLi:TTED: Imo— ( • tT`�- PROPERTY ID 4: I GI > " i _�r)n j � - k(��)•-.� ZONING:r.I'�l" I/M OR EQUIVALENT: [ YIN ] PROPERTY SIZE: {(Jf } ' ACRES WATER SUPPLY. [ ) PRIVATE PUBLIC [ ]<=2000GPD [ 1>2000GPD IS SEWER AVAILABLE AS /PER 381.0065, FS]]? [ Y I Nor ] DISTANCE TO SEWER: FT PROPERTY ADDRESS: DIRECTZOPIS TO PROPERTY: l�A fi? Cdr � ���,y� 13LTILDING INFORMATION ( ] RESIDENTIAL [ ] COMMERCIAL Unit Type of No. Of Building Commercial/Institut-ional System Design ITo Est-ablislunent Bedrooms Area Sc(ft Table 1, Chapter 64E-6, FAC 2 3 a [ ] Floor/L•'quipment Drains ( 1 Other (Specify) \� T—� Z S xGNATUR� �u'}�-�� � "�-j'�� DATE: 2( DH 4015, 00/09 (Obuoletes previous editions which may not be used) Incorporated 64E-6.001, r.AC Page 1 of 4 PERMIT #: 56-SF-2412149 WE APPLICATION #:AP1758666 STATE OF FLORIDA DEPARTMENT OF HEALTH DATE PAID c ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: SYSTEM RECEIPT #: WIL' DOCUMENT #: PR1675228 CONSTRUCTION PERMIT FOR: OSTDS Abandonment APPLICANT: William Linden PROPERTY ADDRESS: 2411 Atlantic Beach Blvd Fort Pierce, FL 34949 LOT: 9&10 BLOCK: 45 SUBDIVISION: Fort Pierce Shores [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] PROPERTY ID #: 1436-601-0071-000-5 [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 [ J GALLONS / GPD CAPACITY A [ ) GALLONS / GPD CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ) D ( J SQUARE FEET SYSTEM R [ ] SQUARE FEET SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [ ] MOUND [ ] I CONFIGURATION: [ ] TRENCH [ ] BED [ ) N F LOCATION OF BENCHMARK: I ELEVATION OF PROPOSED SYSTEM SITE [ J [ / ] [ ABOVE/BELOW]BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ ] [ / ] [ ABOVE/BELOW]BENCHMARK/REFERENCE POINT L D FILL REQUIRED: [ 0.001 INCHES EXCAVATION REQUIRED: [ ] INCHES PUMP OUT RECEIPT REQUIRED FOR FINAL APPROVAL. O Have the tank abandoned in accordance with the following procedures:(a)The tank shall be pumped out.(b)The bottom of T the tank shall be opened or ruptured, or the entire tank collapsed so as to prevent the tank from retaining water,and(c)The H tank shall be filled with clean sand or other suitable material, and completely covered with soii.Have the system inspected by the health department after it has been pumped and ruptured but before it is filled with sand and covered. E R SPECIFICATIONS BY: TITLE: APPROVED BY: TITLE: Environmental Specialist III St. Lucie CHD Brian J I am DATE ISSUED: 10/21/2021 0 EXPIRATION DATE: 01/19/2022 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 1 of 3 v 1.1.4 AP1750666 SE-1 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 -OFFF 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: # 56-SF-2412149 BILL DOC#:56-BID-5660601 CONSTRUCTION APPLICATION#:AP1758666 RECEIVED FROM: Harry Blue Builders, Inc. AMOUNT PAID: $ 95.00 PAYMENT FORM: CREDIT CARD 02165Z PAYMENT DATE: 10/21/2021 MAIL TO: William Linden FACILITY NAME : PROPERTY LOCATION: 2411 Atlantic Beach Blvd Fort Pierce, FL 34949 Lot: 9&10 Block: 45 Property ID: 1436-601-0071-000-5 EXPLANATION or DESCRIPTION: QUANTITY FEE -1 - Surcharge (All) 1 $ 45.00 134 - OSTDS Construction Abandonment Permit and Inspecti 1 $ 50.00 RECEIVED BY: WhighamJL AUDIT CONTROL NO. 56-PID-5324831 Property Card Page 1 of 1 Michelle Franklin, CFA--Saint Lucie County Property Appraiser--All rights reserved. Property Identification Site Address:2411 Parcel ID: 1436-601-0071- Account#: 12173 Sec/Town/Range: ATLANTIC BEACH BLVD 000-5 36/34S/40E Map ID: 14/36N Zoning:RS-4 Count Use Type:0100 Jurisdiction:Saint Lucie County Ownership Legal Description William A Linden FORT PIERCE SHORES-UNIT 1-BLK 4S 1/2 OF LOT 9 337 Plymouth AVE AND ALL LOT 10 Brightwaters,NY 11718 Current Values Historical Values 3-year Just/Market: $229,100 Assessed: $229,100 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $229,100 2021 $229,100 $229,100 $0 $229,100 2020 $206,900 $206,900 $0 $206,900 2019 $209,000 $172,706 $50,500 $122,206 Sale History Date Book/Page Sale Code Deed Grantor Price 01-17-2020 4371/1287 0111 QC Linden William A $0 11-10-2010 3244/1891 0114 WD Linden Adolf W $100 01-01-1900 $0 Primary Building Information Finished Area of this building:988 SF Gross Sketched Area: 1,884 SF Exterior Data View: Roof Cover:Dim Shingle Roof Structure:Gable Building Type:HC- Year Built: 1957 Frame: Grade:C- Effective Year: 1957 Primary Wall:CB Stucco Story Height: I Story No.Units: I Secondary Wall: Interior Data Bedrooms:2 A/C%: 100% Electric:MAXIMUM Primary Int Wall: Full Baths: I Heated%: 100% Heat Type:FrcdHotAir Avg Hgt/Floor:0 Half Baths:0 Sprinkled%:0% Heat Fuel:ELEC Primary Floors:Carpet Total Areas Finished/Under Air 988 (SF): Gross Sketched Area 1,884 (SF): A Land Size(acres): 0.31 Land Size(SF): 13,678 Total Building Count: I Special Features and Yard Items Type Qty Units Year Bit Driv-Concret 1 800 1957 UTILITY AVG 1 60 1999 VINYLFENCE6' 1 30 2006 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. https://www.pasic.gov/RECard/ 10/21/2021 11/10/2021 Feature Report \)3CIE C Saint Lucie County Property Appraiser tie < Michelle Franklin CFA Report generated:Wednesday,November 10,2021 Parcel Report d� m - °'n 4 O + O Parcel PARCELNO: 1436-601-0071-000-5 Property ID: 12173 Ownerl: William A Linden SiteAddress: 2411 ATLANTIC BEACH BLVD Owner Overview Ownerl: William A Linden PrimaryLandUse: 0100- SF Res Owner2: DistrictGroup: 0002 -Saint Lucie County Owner3: Subdivision: Fort Pierce Shores Unit 1 MailingAddress: 337 Plymouth AVE Brightwaters, Just/Market Value: $229,100 NY 11718-1409 FinishedArea: 988 Acres: 0.314 TotalArea: 13,678 Legal Description Legal Description: FORT PIERCE SHORES-UNIT 1- BLK 4S 1/2 OF LOT 9 AND ALL LOT 10 Value History Save Our Home OR 10% Just/Market Building Land SFYI Assessed Exemption County Cap Ag Year Value Value Value Value Value Amount Taxable Differential Credit 2021 $229,100 $68,900 $159,500 $700 $229,100 $0 $229,100 $0 $0 2020 $206,900 $60,000 $146,200 $700 $206,900 $0 $206,900 $0 $0 2019 $209,000 $62,100 $146,200 $700 $172,706 $50,500 $122,206 $36,294 $0 2018 $181,100 $47,200 $133,400 $500 $169,486 $50,500 $118,986 $11,614 $0 Tax Links Special Assessments SLC Tax Collector's Office taxes for this parcel Description Start Year Units Amount Download TRIM notice for this parcel County Solid Waste 2009 12 $276.14 https://pat.bhamaps.com/TabReport.aspx?appid=8c2O5c54407f4486855e54116cfd8390&PARCELN0=1436-601-0071-000-5 1/3 Saint Lucie County Property Appraiser 110 • > �`� F S �L i w s November 10, 2021 1:564 0 20 40 80 ft 0 5 10 20 m Sources. Esri, HERE, Garmin, USGS, Intennap, INCREMENT P, NRCan, Esri Japan, METI, Esri China (Hong Kong), Esri Korea, Esri (Thailand), VAW