HomeMy WebLinkAbouthealth department Ron DeSantis
Mission:
Governor
To prated,prarote&iaprmethe health
of all people in Florida tt ra*integrated 711655
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state,ootrty&comnnity effats. ,r 65 ti a Joseph A Ladnpo,MD,PhD
HEALTHState Surgeon General
Vision:To be the Healthiest State in the Nation
RECEIVED November 10,2021
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Michael Widner s.L urzia PaW)r;
4871 Jorgensen Road ?erri!(iro
Fort Pierce, FL 34981
i
RE:Modification to a Single.Family Residence-No Bedroom Addition
Application Document Number: AP1763094,-
Centrax Permit Number: 56-SF 2418423 ^ ' euh 4871 Jorgensen Road
Fort Pierce,FL 34981
Lot: 84 Block: Subdivision:White City
Dear Applicant,
I
This will acknowledge receipt of a floor plan and site plan on 11/09/2021 for the use of the existing
onsite sewage treatment and disposal system located on the above referenced property.
This office has reviewed and verified the floor plan and site plan you submitted,for the proposed
remodeling addition or modification to your single-family home. Based on the information you provided,
the Health Department concludes:
1. the proposed remodeling addition or modification is not adding a bedroom; and
2. it does not appear to cover any part of the existing system or encroach on the required setback
or unobstructed area.
3. No existing system inspection or evaluation and assessment, or modification, replacement, or
upgrade authorization is required.
Because an inspection or evaluation of the existing septic system was not conducted,the Department
cannot attest to the existing system's current condition, size,or adequacy to serve the proposed use.
You may request a voluntary inspection and assessment of your system from a licensed septic tank
contractor or plumber,or a person certified under section 381.0101, Florida Statutes.
If you have any questions, please call our office at(772)873-4931.
Sincerely,
Brian Ingram
Environmental Specialist III
Department of Health in St. Lucie County
Florida Department of Health wwwdioddahonith.gov
in St.Lucie County•5150 NW Milner Drive•Port Saint Lucie,Florida TWITTER:HealthyFLA
34983 FACEBOOKFLDepartmentofHealth
PHONE: (772)873-4931 YOUTUBE:fldoh
} 'r St. Lucie County Health Department
WOE 5150 NW Milner Dr Port Saint Lucie, FL 34983
HEALTH
PAYING ON: #:56-SF-2418423 BILL ooc#:56-BID-5675157 CONSTRUCTION APPLICATION#:AP1763094
RECEIVED FROM: Michael Widner AMOUNT PAID: $ 35.00
PAYMENT FORM: CASH PAYMENT DATE: 11/09/2021
MAIL TO: Michael Widner
FACILITY NAME :
I
PROPERTY LOCATION:
4871 Jorgensen Rd
Fort Pierce, FL 34981
Lot: 84 Block:
Property ID: 3403-502-0147-040-1
EXPLANATION or DESCRIPTION: QUANTITY FEE
139- OSTDS Application Approval Existing, No Insp 1 $ 35.00
RECEIVED BY: AdamsC AUDIT CONTROL NO. 56-PID-5342171
I
STATE OF FLORIDA PERMIT NO,.
`. DEPARTMENT OF HEALTH DATE PAID:
p ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID:
SYSTEM RECEIPT #: i
�°°"` APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
[ J New System [ ] Existing System [ ] Holding Tank [ ] Innovative
[ ] Repair [ ] Abandonment [ ] Temporary
APPLICANT: ku/ 3 f�
AGENT: TELEPHONE: 77�` 05--- 677
MAILING ADDRESS: � �>� (�� J / �Ci�
TO BE COMPLETED BY APPLICANT OR APPLICANTfS 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: i�� BLOCK: SUBDIVISION: - ry PLATTED:
PROPERTY ID #: 3Ka�=`j�Q, �����7/� o ZONING: I/M OR EQUIVALENT: [ Y / N ]
PROPERTY SIZE: �= ACRES WATER SUPPLY: [ ] PRIVATE PUBLIC [ ]<=2000GPD [ 1>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [ YION DISTANCE TO SEWER: FT
PROPERTY ADDRESS:
`�/ '!G-. '(� �r �lc�t�G--
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DIRECTIONS TO PROPERTY: `% %� -t)
,
BUILDING INFORMATION RESIDENTIAL, [ ] COMMERCIAL
Unit Type of No. of Building Commercial/Institutional System Design
No Establishment Bedrooms Area Sqft Tabled, Chapter 64E-6, FAC
1
2
3
4
[ ] Floor/Equipment�DDrrains [ ] Other (Specify)
SIGNATURE:
6' ! / '/v✓--/���� 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:4871 Parcel ID:3403-502-0147- Account#:39124 Sec/Town/Range:05/36S/40E
JORGENSEN RD 040-1 Map ID:34/05N Zoning:AR-1 Count
Use Type:0100 Jurisdiction:Saint Lucie
County
Ownership Legal Description
Michael J Widner WHITE CITY S/D 05 36 40 S 50 FT OF N 464.83 FT OF E
Jennifer Widner 348.83 FT LOT 84 AND W 310 FT LOT 84-LESS N 223.74 FT
4871 Jorgensen RD AND LESS S 202.97 FT-(2.24 AC)(OR 4037-873)
Fort Pierce,FL 34981-5036
Current Values Historical Values 3-year
Just/Market: $322,200 Assessed: $242,344 Year Just/Market Assessed Exemptions Taxable
Exemptions: $50,000 Taxable: $192,344 2021 $322,200 $242,344 $50,000 $192,344
2020 $297,600 $238,999 $50,000 $188,999
2019 $290,600 $233,626 $50,000 $183,626
Sale History
Date Book/Page Sale Code Deed Grantor Price
08-28-2017 4037/0873 0001 WD Breakwater Properties LLC $350,000
08-11-2015 3777/1509 0130 WD Mulvey Shannon $240,000
08-I1-2015 3777/1509 0130 WD Mulvey Jeremy $240,000
Primary Building Information
Finished Area of this building:3,186 SF
Gross Sketched Area:6,427 SF
Exterior Data
View: Roof Cover:Metal Roof Structure:Gable Building Type:HC+
Year Built: 1990 Frame: Grade:C+ Effective Year: 1990
Primary Wall:Wood/Sheath Story Height:3 Story No.Units: I Secondary Wall:
Interior Data
Bedrooms:6 A/C%: 100% Electric:MAXIMUM Primary Int Wall:
Full Baths:2 Heated%: 100% Heat Type:FrcdHotAir Avg Hgt/Floor:0
Half Baths: 1 Sprinkled%:0% Heat Fuel:ELEC Primary Floors:Carpet
a Total Areas
Finished/Under Air 3,186
(SF):
4 4 Gross Sketched Area 8,677
Y Land Size(acres): 2.24
Land Size(SF): 97,574
Total Building Count: 2
Special Features and Yard Items
Type Qty Units Year Bit
Driv-Concret 1 800 1990
RES POOL AVG 1 392 1992
POOL DK-AVG 1 2099 1992
VINYLFENCET 1 150 1999
Proposed Garage
�xistily�pesidence
0 0 � 0 Nardlela
0 0 0 �� Siding
0
fast elevation
E;xistinq fesidence
IZ"
Hardlelap 5ldirq— -0"C.—Td
South elevation
PRODUCT APPROVAL SUBMITTAL AFFIDAVIT
OPENING SCHEDULE:SWING DOORS,OVERHEAD DOORS,SIDING DOORS,FIXED GLASS,WINDOWS&SKYLIGHTS
FL#ORMIAMI- PRODUCT MODEL MANUF. GLASS ATTACHMENT METHOD BUILDING DESIGN PRODUCTDESIGN
DADE DESCRIPTION PRESSURE PRESSURE
FL-5891.2 Fiberglass Smooth Star Therma Tru None #10 WS w/1-1/2"Emb @ 14"O.C.& -44 8 +50/-50
Door within 4"of Corners
NOA 15-0122.03 Hardie lap Artisan Lap James Hardie N/A #SxV Long Ribbed Bugle Head @ 6° -44 8 92
O.C.Parimeter$12"O.C.Field
FL-5587.1 Garage Door 9700/9510 Wind Safe N/A 5/16"xl-5/8"Lags @ 2,26",48",72" -26.0 -30.8
NOA 17-0406.06 Hardie Soffit Fiber Cement Soffit James Hardie N/A 2"Shank Nails @ 4"O.C.All Studs -44.8 -70
5-V CRIMP,26 #9-15 w/Sealing Washers@ 8"O.C.,
FL-14520 GA JA Taylor Inc. N/A N/A 5/16"Min Embedment -78.7 -129
Proposed Garage
Id
Nardlelap Sidlnq — ®® ®® �
noun
RECEIVED
W���s �lev�ion
St. Lucie County
Pnrmittinr
FDOH in St. Lucie County
F,nvironmental Health
Site Plan Approved for Construction ��� a
Supersedes All Previous Site Plans for `moo`, �..,o�
OSTDS#t&br 8 2 &Well# _ 0 7 a7 Q r o
Date: 1 G W2,1 _ ,
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Revower: ; x • P °
i/ per- _ LO,--
Islo
°
Torsion Block
w/ 1/2" x 5-I/2" cc)
°
2 x 6 P.f. Puck w/ 1/4" x 2-1/2" #
�aqs @ 12" O,C, 5taggered
2 x 6 P.f. Puck w/ 1/2" x 5-I/2" Lags & Fender Washers
@ 18" O,C,
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Garage boor Buck Petal NTS