HomeMy WebLinkAboutApplication For Construction Permit�STATE OF FLORIDA
DEPARTMENT OF HEALTH
-a- ONSITE SEWAGE TREATMENT AND DISPOSAL
l' SYSTEM
APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
PERMIT- NO. 5�-SF-Al LL S,9
DATE PAID: �®
FEE PAID:
RECEIPT #:
[,(] New System [ ] Existing System [ ] Holding Tank [ ] Innovative
[ ] Repair [ ] Abandonment [ ] Temporary [ ]
APPLICANT: Port St. Lucie Properties, Inc.. 172P &2-& P 3176 -
AGENT: Alexander J. Piazza PSM, Inc. TELEPHONE: 772-340-7770
MAILING ADDRESS: 619 SW Biltmore Street, Port St. Lucie, Florida 34983
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: 5 BLOCK: 71 SUBDIVISION:
PROPERTY ID # : 3402-609-0683-000-3
Indian River Estates Unit 8 PLATTED: 1956
ZONING: R I/M OR EQUIVALENT: [ No ]
PROPERTY SIZE: 0.230 ACRES WATER SUPPLY: [Jol PRIVATE PUBLIC [V]<=2000GPD [ 1>2000GPD
IS SEWER AVAILABLE AS PER 381.0065 FS? [ No ] DISTANCE TO SEWER: FT
PROPERTY ADDRESS: 5912 Sunset Boulevard, Fort Pierce, FL 34982
DIRECTIONS TO PROPERTY: SEE MAP
BUILDING INFORMATION
Unit Type of
No Establishment
1 RESIDENCE
2
3
4
[V ] RESIDENTIAL [ ] COMMERCIAL
No. of Building Commercial/Institutional System Design
Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC
3 1,233
Floor/Equipment Drains Other (Specify) GARBAGE GRINDERS / DISPOSALS
SIGNATURE: Alexander J Piazza
o;yfixny,ipW ny nk...dnJ Pi—
,, US-mUmQ1i-',uu-AOW10000000]7276(Z2F43000167rA, rn-Al—de 2
WW 20200311ssxu -UW DATE:
8-31-20
DH 4015, 08/09 (Obsoletes previous editions which may not be used)
Incorporated 64E-6.001, FAC Page 1 of 4
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATION
APPLICANT: Port St. Lucie Properties, Inc
CONTRACTOR / AGENT: Alexander J. Piazza PSM, Inc
v
LOT: 5 BLOCK: 71
SUBDIVISION: Indian River Estates ID#: 3402-609-0683-000-3
APPLICATION # AP1583420
PERMIT # 56-SF-2184289
DOCUMENT # SE1454770
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: 0.23 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: 750.00 SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION: Site BM, pa
ELEVATION OF PROPOSED SYSTEM SITE 2.00 [
"X" CL of rd near center of
/ FT ] [I ABOVE I/ BELOW ] BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: FT
DITCHES/SWALES: 65 FT
NORMALLY WET: [ ]YES
[ ]NO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE:
FT NON -POTABLE:
50 FT
BUILDING FOUNDATIONS: 5 FT
PROPERTY LINES: 5 FT
POTABLE WATER LINES:
48 FT
SITE SUBJECT TO FREQUENT FLOODING?
[ ]YES [X]NO
10 YEAR FLOODING? [ ]YES
[X]N O]
10 YEAR FLOOD ELEVATION FOR SITE:
FT[ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD
SOIL PROFILE INFORMATION SITE 1
ROTL PRAFTT.F.
TN7nRMATTr]N ATW 9
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
1 OYR 3/1
Loamy Sand
0 To 9
1 OYR 5/1
Sand
9 To 29
1 OYR 6/1
Sand
17 To 38
1 OYR 2/2
Spodic Material
38 To 49
HOLE CAVING
Refusal
49 To 72
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
10YR 3/2
Loamy Sand
0 To 8
10YR 5/1
Sand
8 To 30
10YR 6/1
Sand
18 To 40
10YR 2/1
Spodic Material
40 To 50
HOLE CAVING
Refusal
50 To 72
OBSERVED WATER TABLE: 29.00 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 EX ]NO MOTTLING: [X]YES [ ]NO DEPTH: 17.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Loamy Sand/0.60 DEPTH OF EXCAVATION: INCHES
DRAINFIEMD CONFIGURATION: [ ] TRENCH [X ] BED [ ] OTHER (SPECIFY)
r REMARKS/ADDITIONAL CRITERIA -71
>WT determined using USDA WSS and soil borings.
(R6/1 stripping in 10YR5/1 matrix >10% with diffuse boundaries starting at 17" in SB1.
1 2" above BM. SB2 3" above BM. zi
SITE EVALUATED BY:
Ingram, Bria?Yltle: Environmental Specialist II) (ENVIRONMENTAL HEALTH)
DA 4015, 06/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC
DATE: 12/28/2020
Page 3 of 4
AP1583420 EID2184289 v 1.0.2
E
STATE OF FLORIDA PERMIT
DEPARTMENT OF HEALTH
L �b3 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
;��/�._6A• SITE EVALUATION AND SYSTEM SPECIFICATIONS
� b'.Z ai•M_
APPLICANT: Port St. Lucie Properties, Inc. AGENT: Alexander J. Piazza PSM, Inc.
ti
LOT: 5 BLOCK: 71 SUBDIVISION: Indian River Estates Unit 8
PROPERTY ID # : 3402-609-0683-000-3 [ Tax ID Number
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: [✓] YES [ ] NO NET USABLE AREA AVAILABLE: 0.230
TOTAL ESTIMATED SEWAGE FLOW: 500 GALLONS PER DAY [RESIDENCES -TABLE POTHER-TABLE2
AUTHORIZED SEWAGE FLOW: GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE
UNOBSTRUCTED AREA AVAILABLE: 750 SQFT UNOBSTRUCTED AREA REQUIRED: 750
ACRES
]
]
SQFT
BENCHMARK/REFERENCE POINT LOCATION:
ELEVATION OF PROPOSED SYSTEM SITE IS34 [INCHES/FT ] [ABOVE/BELOW'] BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER:100 FT DITCHES/SWALES:15 FT NORMALLY WET? [ YES [✓] NO
WELLS: PUBLIC:200 FT LIMITED USE:100 FT PRIVATE:75 FT NON—POTABLE:100 FT
BUILDING FOUNDATIONS:5 FT PROPERTY LINES:10 FT POTABLE WATER LINES: FT
SITE SUBJECT TO FREQUENT FLOODING: [ ] YES [✓] NO 10 YEAR FLOODING? [ ] YES [✓] NO
10 YEAR FLOOD ELEVATION FOR SITE: FT MSL/NGVD SITE ELEVATION: FT MSL/NGVD
SOIL PROFILE INFORMATION SITE 1
MUNSELL #/COLOR TEXTURE DEPTH
TO
TO
TO
TO
TO
TO
TO
TO
TO
USDA SOIL SERIES:
SOIL PROFILE INFORMATION SITE 2
MUNSELL #/COLOR TEXTURE DEPTH
TO
TO
TO
TO
TO
TO
TO
TO
TO
USDA SOIL SERIES:
OBSERVED WATER TABLE:40+ INCHES [BELOW T] EXISTING GRADE. TYPE:[ PERCHED/ APPARENT ]
ESTIMATED WET SEASON WATER TABLE ELEVATION: INCHES ABOVE BELOW ] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ] YES [ ] NO MOTTLING: [ ] YES [ ] NO DEPTH: INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING:
DRAINFIELD CONFIGURATION: [,(] TRENCH [ ] BED
REMARKS/ADDITIONAL CRITERIA:
DEPTH OF EXCAVATION:
[ ] OTHER (SPECIFY)
a Alexander J Piazza or%Rus o=w�irin�led,ou no
SITE EVALUATED BY • Dale.ne020de2020A83 15-51 1558:55 -04'00'
INCHES
DATE: 8-31-20
DH 4015, 12/11 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4
r
APPLICANT'S NAIME: Port St. Lucie Properties, Inc.
LEGAL DESCRIPTION: Lot 5, Block 71, Indian River Estates Unit 8 (PB 10, PG 73)
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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 50 feet of the available area
for the proposed septic system,. that there are no wells within 25 feet of a pesticide -treated
building foundation; that there are no public wells that serve less than 25 people or less than-
15 homes or businesses within.100 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 line to be double sleeved,that there is not a gravity sewer line, low pressure sewer line or
vacuum sewage line in a public easement or right -of --way that abuts the property, that there
are no lakes, streams, wetlands, or.surface water within 75 feet of the available area for the
proposed septic system unless theproperty 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 CERTIFIED BY A FLORIDA
REGISTERED SURVEYOR -OR ENGINEER.
D1g1WF/s1gr" by AM—WJ Plaw
s,=17Ff7000167FqiAIexander J Piazza =UUwHl`ecd
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CERTIFIED BY: Wte:202MM"15:5839.04°"
FLORIDA PROFESSIONAL NO.:
DATE: 08/31 /20 JOB WC .
6330
20-5905
docs/ forms/septics/SepticApppPage207
Property Card
'56-5F' 2,1 q ni
Page 1 of 1
Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved.
Property Identification
Site Address: 5912 SUNSET Parcel ID: 3402-609-0683- Account #: 38166 Sec/Town/Range:
BLVD 000-3 11/36S/40E
Map ID: 34/11 S Zoning: RS-4 Count Use Type: 0000 Jurisdiction: Saint Lucie
County
Ownership Legal Description
William C Shockley Jr INDIAN RIVER ESTATES-UNIT-08- BLK 71 LOT 5 (MAP
378 NW Stratford LN 34/11S)
Port St Lucie, FL 34983
Current Values Historical Values 3-year
Just/Market: $14,400 Assessed: $8,765 Year
Just/Market
Assessed
Exemptions
Taxable
Exemptions: $0 Taxable: $8,765 2020
$14,400
$8,765
$0
$8,765
2019
$11,700
$7,969
$0
$7,969
2018
$10,000
$7,245
$0
$7,245
Date
09-03-2020
09-28-2007
03-11-2004
View:
Year Built: N/A
Primary Wall:
Bedrooms: 0
Full Baths: 0
Half Baths: 0
Sale History
Book/Page
Sale Code Deed Grantor
4472 / 2549
0001 WD GOLIveia Nelio R
2887 / 1689
XX00 WD Cass Rory
1917 / 1141
XX00 WD Diamonds and Passion Ent Inc
Primary Building Information
Finished Area of this building: 0 SF
Gross Sketched Area: 0 SF
Exterior Data
Price
$27,000
$22,500
$24,000
Roof Cover:
Roof Structure:
Building Type:
Frame:
Grade:
Effective Year: N/A
Story Height:
No. Units: 0
Secondary Wall:
Interior Data
A/C %: 0%
Electric:
Primary Int Wall:
Heated %: N/A%
Heat Type:
Avg Hgt/Floor: 0
Sprinkled %: 0%
Heat Fuel:
Primary Floors:
Total Areas
Finished/Under Air 0
(SF):
Gross Sketched Area 0
(SF):
Land Size (acres): 0.23
Land Size (SF): 10,000
Total Building Count: 1
Special Features and Yard Items
Type Qty Units Year Blt
r
All information is believed to be correct at this time, but is subject to change and is provided without any warranty.
Copyright 2020 Saint Lucie County Property Appraiser. All rights reserved.
https://www.pasic.org/RECard/
10/8/2020
7/30/2020 5912 Sunset Blvd - Google Maps
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Soil Map —St. Lucie County, Florida
27° 21'23'N
27' 21' 21' N
566760 5581�J0 56M 568810 968820 568630 5mm 5�
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a, Map Smle: 1:558 if printed on A larl pe (11" x 8.5') sheet
'" Metels
N 0 5 10 20 30
Feet
0 25 50 100 150
Map pnmjeciion: Web Men-ahx Cmerwordinates: WGS84 Edge tics: UTM Zone 17N WGS84
USDA Natural Resources Web Soil Survey
Conservation Service National Cooperative Soil Survey
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Page 1 of 3
Soil Map --St. Lucie County, Florida
Map Unit Legend
Map Unit Symbol:
Map Unit Name '.
Acres in AO1
Percent of AO1 .
21
Lawnwood and Myakka sands
0.9
69.5%
50
Waveland and Immokalee fine
sands
0.4
30.5%
Totals for Area of Interest
1.3
100.0%
Natural Resources Web Soil Survey 11/16/2020
Conservation Service National Cooperative Soil Survey Page 3 of 3