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