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HomeMy WebLinkAboutApplication For Construction PermittH g STATE OF.FLORIDA DEPARTMENT OFF HEALTH -c. ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM •~`"°"g`1 APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: .�� New System .[ ] Existing System [ ] Holding Tank [VP-3 -Repair [ ] Abandonment [ ]. Temporary PERMIT NO.._�'._`�.': % > DATE PAID: J2 ZL . FEE PAID: 00, RECEIPT 4:4 [ ] Innovative [ 7 APPLICAN,TT: (� N u l etn i be r AGENT *'' •�7)�'1 1 (�{'� i G TELEPHONE: '•� %Z r z/ 4 ` 51W % MAILING ADDRESS : Cp L t.�� �A tA1� ,�+ p1� r f TO BECOMPLETEDBY APPLICANT OR APPLICANT''S' AUTHORIZED AGENT. SYSTEMS MUST BE;CONSTRUCTED BY A PERSON LICENSED PURSUANT TO 489.105 (3•) (m) OR 489.55'2,, FLORIDA STATUTES•. IT XS 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 11ff ``1J LOT: _ BLOCK: SUBDIVISION: % ay e,U neh,A ?oA( PLATTED: elm PROPERTY ID #: - �- -� ZONING: N "r_ I/M OR EQUIVALENT: [ Y & 7 PROPERTY SIZE: ,a-] ACRES WATER SUPPLY: [" J PRIVATE PUBLIC [�=2000GPD [ ],>(2000GPD 15 SEWER AVAILABLE AS PER 381.00'65,. FS? [ Y &N ] DISTANCE TO SEWER: PROPERTY ADDRESS: 5(7 3 rxr-, "9\c� DIRECTIONS TO PROPERTY: on`Gl W ct Wei OXI InCkriQWcA, Pdr+)r� On 1 ©r 'R arce 61voo ! am ccs� o� ��bo,S� �c�•. c� In � 0G\ .41c V ck-,, r � ma y Ions 0�0 BUILDING INFORMATION Unit Type of • No /Establishment � 1 2 3 4 [ ] Floor/Equipment Drains SIGNATURE: I' '%: �d_I.'1i W j[-',.-''RESIDENTIAL [ ] COMMERCIAL No. of Building Commercial/Institutional System Design Bedrooms Area Sqft Table 1, Chapter 64E-61 PAC [ ] Other (Specify) A 14 DATE : y 'n DH 4015, 08/0.9 (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: St Lucie Habitat for Humanity CONTRACTOR / AGENT: Ashton LOT: 11 BLOCK: 16 APPLICATION # AP1713922 PERMIT # 56-SF-2350633 DOCUMENT # SE1595984 SUBDIVISION: Lakewood Park ID#: 1301-602-0131-000-2 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: 0.27 ACRES TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 404.99 GALLONS PER DAY [ 1500 GPD/ACRE7 OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 803.00 SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: Site BM, Mag nail in N side of Rd(in paint, near W PL extended N 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: 15 FT NORMALLY WET: [ ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 75 FT NON -POTABLE: 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]NO] 10 YEAR FLOOD ELEVATION FOR SITE: FT[ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD SOIL PROFILE INFORMATION STTF. 1 RATT. DRr]FTT.F. TNFARMATTnV STTR 9 USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 5/1 Sand 0 To 15 1 GYR 6/1 Sand 5 To 15 10YR 6/4 Sand 15 To 18 10YR 2/1 Spodic Material 18 To 30 10YR 4/4 Fine Sand 30 To 39 HOLE CAVING Refusal 39 To 72 USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 5/1 Sand 0 TO 16 10YR 6/1 Sand 6 To 16 10YR 5/6 Sand 16 To 22 10YR 2/1 Spodic Material 22 To 30 10YR 3/2 Spodic Material 30 To 36 10YR 4/4 Fine Sand 36 To 43 HOLE CAVING Refusal 43 To 72 . OBSERVED WATER TABLE: 6.00 INCHES [ ABOVE / BELOW ] EXISTING'GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 5 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES EX ]NO MOTTLING: [X]YES [ ]NO DEPTH: 5.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.60 DEPTH OF EXCAVATION: 36 INCHES DRAINFIELD CONFIGURATION: [ ] TRENCH [X ] BED [ ] OTHER (SPECIFY) 7 REMARKS/ADDITIONAL CRITERIA IT determined using USDA WSS and soil borings. t 6M stripping in 10YR5/1 matrix >10% with diffuse boundaries starting at 5" in SB1. and SB2 7" below BM. , SITE EVALUATED BY: Ingram, Bria�(Title: Environmental Specialist III) (ENVIRONMENTAL HEALTH) DH 4015, 08/09 (Obsoletes previous edition which may not be used) Incorporated: 64E-6.001, FAC DATE: 09/20/2021 Page 3 of 4 AP1713922 EID2350633 v 1.0.2 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 7503 Sebastian Parcel ID: 1301-602-0131- Account #: 606 Sec/Town/Range: 11/34S/39E ' RD 000-2 Map ID: 13/11S Zoning: RS-4 Count Use Type: 0000 Jurisdiction: Saint Lucie r County Ownership Legal Description St Lucie Habitat for Humanity Inc LAKEWOOD PARK -UNIT 2- BLK 16 LOTI1 (MAP 13/11 S) 702 S 6th ST Fort Pierce, FL 34950 Current Values Historical Values 3-year Just/Market: $11,100 Assessed: $8,961 Year Just/Market Assessed Exemptions Taxable Exemptions:. $0 Taxable: $8,961 2020 $11,100 $8,961 $0 $8,961 2019 $9,800 $8,147 $0 $8,147 2018 $9,300 $7,407 $0 $7,407 Sale History Date Book/Page Sale Code Deed Grantor Price 05-20-2021 4616 / 2459 0117 WD Forte Frank $35,500 05-13-2004 1966 / 2563 XX00 WD Bremer Howard $25,000 11-22-2002 1619 / 0179 XX00 WD Rash Sr Robert L $7,000 Primary Building Information Finished Area of this building: 0 SF Gross Sketched Area: 0 SF Exterior Data View: Roof Cover: Roof Structure: 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: t =, Total Areas Finished/Under Air 0 (SF): Gross Sketched Area 0 (SF): Land Size (acres): 0.27 F Land Size (SF): 11,790 Total Building Count: 1 Type Special Features and Yard Items Qty Units Year BIt All information is believed to be correct at this time, but is subject to change and is provided without any warranty. Q Copyright 2021 Saint Lucie County Property Appraiser. All rights reserved. Is Ron DeSantis Mission: Governor To protect, promote & improve the health of all people in Florida through integrated state, aunty&communil�i nds. roved Scott A. Rivkees, MD KRONE l f= HEALTH State Surgeon General �} ( ;E Vision: To be the Healthiest State in the Nation - U C � 'ti as ;.! � :. 5t. Lucie �,oumv, Permitting Florida Department of Health in St. Lucie County Conditions for Issuance of Water Well Permits Effective July 24, 2017 • Contact the Florida Department of Health in Saint Lucie County (FDOH — St. Lucie) prior to constructing or abandoning any well. a. Call the FDOH — St. Lucie Well Line at 772-873-4936 or email S LCDOH-WELLS(a-)-FLH EALTH. GOV b. Provide the following information: i. Permit number ii. Driller name iii. Address iv. Date and time to begin construction/abandonment • A minimum of 24 hours' notice is required before constructing any public water supply wells. Please call our main office at 772-873-4931 and speak with Environmental Health Staff or provide notification by email to SLCDOH-WELLS(a)-FLHEALTH.GOV • Submit revisions to permit and/or site map within 48 hours of well construction or abandonment. Florida Department of Health -St Lucie County Division of Disease Control and Health Protection Bureau of Environmental Health Location: 3855 S US Highwayl, Fort Pierce, FL 34982 Mailing: 5160 NW Milner Drive, Port St. Lucie, FL 34983 Phone 772-873-4931 Fax 772-595-1306 FloridaHealth.gov Accredited Health Department Public Health Accreditation Board or o`bo OcPir'"ry�'' w <r . 0 a� '��ntal Pto� STATE OF FLORIDA PERMIT APPLICATION TO CONSTRUCT, REPAIR, MODIFY, ORABANDONAWELL Permit No. 55-32384 ❑ Southwest PLEASE FILL OUT ALL APPLICABLE FIELDS Flnrida Unique ID ❑ Northwest ( Denotes Required Fields Where Applicable) Permit Stipulations Required (See Attached) ❑ St. Johns River I The tvntr•r wcUcr.ntra .ore responsiblcfarrnmplr. hnn ❑South Florida th(sformandfonvnrdingrheiterinitapplicuriontothe I62-524 Quad N0. Delinealion No. ❑Suwannee River appropriate deMgutedou lzorityvnccreapplirnble. ❑ DEP ICUPANUP Application No. El Delegated Authority (If Applicable) I 1 Jalnt L.uUle naulLal. Iuf I-tur I'UL 0 ouI Ot. rurl. rIUFL;U rl_ o4you Tf2-577-at3t7 Owner, Legal Name if Corporation Address City State ZIP Telephone Number 2. 7503 Sebastian RD Well Location - Address. Road Name or Number, City 3. 1301.602-0131-000-2 116 2 'Parcel ID No. ❑ (PIN) or Alternate Key Lot Block Unit 4. Lakewood Park !�_, � LL-f. c.-t' i �-� I Check if 62-524: El Yes T&C, Section or Land Grant Township Range County Subdivision r r 5lLlCi t(LI�ItLIs(�lC'rri1LS ���L( 3 r12-�(0�-Z-Clle� �CsCeS-�CL�llei iLP/ILfI) (es" b•e Water Well Co tractor License Number Telephone Number E-mail Address 6. --thus [ r�- A t&_6[Jo 2�� � 1-" c-0 -7 C_ 3qc? -- t Water Well Contractors ddress City State ZIP 7. Type or Work: onstructio ❑ Repair ❑ Modification ❑ Abandonmerll S. Number of Proposed Wells Reason for Reoair, kiodification. or Abandonment 9. Sp , i€y Intended Use(s) of Well(s): L/rA-�\1 /;� PM0) %] omestic ❑ Landscape Irrigation El Agricultural Irrigation ❑ Site Investigations v ❑Bottled Water Supply ❑ Recreation Area Irrigation ❑ Livestock ❑ Monitoring ❑Public Water Supply (Limited Use/DOH) ❑ Nursery Irrigation ❑ Test ❑Public Water Supply (Community or Non-Community/DEP) ❑ Commercial/industrial ❑ Earth -Coupled Geothermal S E P 2 2 2021 ❑Class I Injection ❑ Golf Course Irrigation ❑ HVAC Supply ❑ HVAC Return Class V Injection: ❑ Recharge ❑Commercial/Industrial Disposal ❑Aquifer Storage and Recovery ❑ Drainage Remediation: ❑Recovery ❑AirSparge [I Other (Describe) DOHJM�§t lu Il vC011 ❑ Other (Describe) E 10. Distance from Septic System if <- 200 ft. '1 K 11. Facility Description I',.zS,,r4yn;,/ZA 12. Estimated Start Date 13. Estimated Well Depth 'q 0 fL Estimated Casing Depth_�6 ft. Primary Casing Diameter pi 2 n. Open Hole: From To ft. 14. Estimated Screen Interval: From `1.0 To c10 ft. 15. Primary Casing Material: ❑ Black Steel ❑Galvanized b4C []Stainless Steel ❑ Not Cased ❑ Other: 16. Secondary Casing: ❑Telescope Casing ❑ Liner ❑ Surface Casing Diameter in. 11. Secondary Casing Material: ❑ Black Steel ❑Galvani=ed ❑PVC []Stainless Steel ❑Other 18. Method of Construction, Repair, or Abandonment: ❑Auger ❑ Cable Tool Jetted bfCary ❑ Sonic ❑ Combination (Two or More Methods) ❑Hand Driven (Well Point. Sand Point) ❑ Hydraulic Point (Direct Push) ❑ Horizontal Drilling ❑ Plugged by Approved Method ❑Other (Daccribe) 19. Proposed Grouting Interval for the Primary, Secondary. and Additional Casing: From To Seal Material (❑Bentonite ❑Neat Cement ❑Other ) From .I0 Seal Material (❑Bentonite [heat Cement ❑Other ) From To Seal Material (❑Bentonite ❑Neat Cement ❑Other } From To Seal Material (❑Bentonite ❑Neat Cement ❑Other ) 20. Indicate total number of existing wells on site List number of existing unused wells on site 21. Is this well or any existing well or water vetthdr al on the owner's contiguous property covered under a Consumptive/Water Use Permit (CUP/WUP) or CUPlWUP Application? Yes —No IF yes, complete the following: CUPMIUP No. District Well ID No. 22. Latitude L ngiiude 23. Data Obtained From: ❑ GPS ❑ Mao ❑SLlrvey Datum:NAD 27 NAD 83 WGS 84 u,;rohy ourtify tent I;ull camnly a:Ct!Im:ipph::aClo roles d 11t1v •:0. Fipndn.ndn:inrstrafrv� r.!x1n. ,rat Ih;n :, ve+uI renty tryal I am the v.-Merot thr pmperty, !^..-.I :hc infomrmo, t-016! 1-s a xwaa,. a,n Inal I mr .r,,,vc of my uae pertnit <;r nairicmi rfchan)� oelndl, It Ile(.•ded, has been •veiit be ohlNnad {.'tier Io commemC_ .end at well rsponahtlitiG: my:nr Chdra.:r 373. Ftutid.: F.L;tutes. In mmnLvn a! P',=edY ammdrn hrsx+a: c:.1 carti!y :MI'I :.,+nsllUranr:. I bother ::fifl• lhal sll ir.tcmahcn p:ciideC In th15 mid Ilia:I :;,II ohl�n 7FC acL'll: Iaf IIIR I`ll:al, rfl it Ih9 mlCl:!Ip^.bn ^.fOV;d2e 15 arl.,Aa:L•, allri :hat I I::NCinle:rrlml Ihl• C1lilef C: Ihc, „noss:+ry anla:aal f n "21-,• Iednnl. state. pr hral gbvemn¢.•� if apprc'nv- I agr to p'n:,de a u,tll rt•vn::na:hilitov.es stahal aMtva. o—el consents lU all—tif; petscnrel of this, 1Y6:D rr• nnk.,latwl AuV,cnly :c:::s arnu:etinn n;r:on the t ra w:mn to days Ater <a,mnle:f I the: cl:nalnmheq re, nit. nwdltcaUnn, nr ru the —11 site Gr,:: the rb:L;lmaibe, rn;. •r, mndin- ii- r. al nmenl a,CWa.-J by Ibis nen,:it. .th:u,d,:m nnl a nr•c Ih's t:etmil onhe p.rnil ennir n. wirirnercynca,s, rsL i Snature o ract r License No. Signature of Owner or Agent Date SELOWTHISUNE FOR OFFICIAL USE ONLY Approval Granted By Issue Date_i %'_�i./ Expiration Date Z z "i 1 lydrologist Approval Fee Received S _ Receipt No. _ _ Check No. THIS PERMIT IS NOT VALID UNTIL PROP RL Y SIGNED BY AN AUTHORIZED OFFICER, OR REPRESENTATIVE OF THE WMD OR DELEGATED AUTHORITY. THE F'E'2NIIT SHALL BE AVAILABLE AT THE %JELL SITE DURING ALL CONSTRUCTION. REPAIR., NIODIFICATION. OR ABANDONPAENT ACTIVITIES. DEP Form: 62-532.500(f) Incorporated in 62-532.400(1). F.A.C. Effective Date: October 7, 2010 Paae -i ?f 2 so Pu 3(D 1 L� TH Ir BENCHMARK COUNTRY CLUB PRK)fY SET fAAG/O (70.00' PUBLIC RIGHT-OF-WAY) � ?• s ti F2(WOE ASPHALT) N: 11643'L 1' G7.8T� E: 95D318.33' a � • \`_ Oa 70:U0 Pi]BLIC RIC li'[-OI1'-1YAY) -6: Sas:Ta'1a"(c) (BEARING BASISf FND 1/2" IRC SET 5/8" IR/C (LB6790) (LB8098) Q a ';//20 j�•3•i' .VADE_ AS cIAL7 �'' �} S E B A S Ti;, I A N7 R :, 0 A D s60.D0(c)(P)� l� Flo unc%o iY• x L, 1 1L iPfRM CO21.58' I DR14.6 (] 13.3: AG PAD „ LOT 0 1 Q I r,t PROPOSED (VACANT) M 4 RESIDENCE FF-.: -- 21.59�� 41.33' W 12.85,E x 1 CO\C.8.G0'fO c GoRcl NPROP Eft WATER 0 Z LINE ( LOT 11 a 01 (VACANT' 8 L 0 C K 1 16. FND 5/8" IR/C - --- - - - - - — 0.59' E T n DiH7L�1($�-'3_�418 _-- -- - 5-CHMIJ-FENCE_ _ LOT 9 N LOT 12 (OCCUPIED) (OCCUPIED) STEEL FRAME tO FFE:23.59' SHED EL:22.86' I SEPTIC Ito FRONT BEYOND 75' (PS1.149/1) I ... ,. ST. LUCIE COUNTY. FLORIDA PXc) x.,Ab s ( _ VICINITY MAP �U ��( CRAPII[� scntc -�I — — _ — SET S/8" IR/C 360.00(C)(P) —�- -- — �D 15 �D NOSC:r1L) jF FHO 5/8" IRC I �—�� Ga- -I f (L(18090 1 1.) ((LS4971) 0.14' E 2 L 1-1. = a0 FL 27".09' PROPOSED �• 500 SQ. FT. SYMBOL & ABBREVIATION LEGEND: •/g DRAINFIELD ASPH ASPHALT IHv INVERT p.U. It U.E. PUBUC UMLRY AND _ 803 SO. FT. m RON PIPE DRAMA& EASEU.ENT t:N COSTRUCTED +''�``, .Y DDIL'iiGN4K (DV) Ilt WON ROIL R ,7ADIUS Q AREA (C) CALCULA-,EO LS UCEIISED SURVIVI R/Y/ RICHT-OF-WAY 11 CENIERUNE U7/C IRON ROU AND CAP D PROPERTY CORNER LOT 14 RF CHA'N LINK FENCE MAG/B MAC NAIL MAG GRAND RIGHT-CF-WAl' IIAII J (VACANT) CONC CONCRETE CCII7R0L (0) CEEB Q MAILBOX SIGN 27x08' r D.G. CEED BOOK NORTH AMF.R;CAN K 0.0 TOPOG—EC DATA (SOFT SUW'AC-3 EL.ALE4 ELEVATION NAVDB6 VERMCAL DATUM OF IOBB 7GPOGRApIBC DATA Y. D.CO LB LICENSED BUSINESS (HARD SURrAGE) C.R.O. OFFICIAL RECORDS BOCK �j '•- —.� (LO FIELD MEASURED CH'W OVER HEAD AIRES WV('i(( WATER VAL1L (AY) FINISHED FLOOR FF �' ELEVATION PACE ELEVATIOQ V(Xii!ORI110 AELL rARKER-KALLYI !TAIL & FND FO'JHO PN/0 DISK `! D, SO Fl. SQUARE FEET � %JOD POWER POLE P.O, rlAr eoox U ( GUY WIRE ANCIIOR (P) PLAT DATA tlY0RAu7 rsu sONAL uiFvcroIt R "AFT EK SURVEYORS NOTES AND REPORT: 1. NOT VAUD 'NIMCUT INC SIGHAIUHE AND THE RRIGNAL RAISED SEAL OF A FLORIDA UCENSED SURVEYOR AHJ FND_5/9' IR ,F/ //" MAPPER. ADDITIONS OR DELETIONS TO SURVEY MAPS OR RcPCR75, BY OTHER 1!IAN Mi- SICN7IG SURVEY" 15 KIRIOUT CGI7SENT OF THE SIGNING SURVF.YCR. --- --- --- --- (LB4942) PROHIBITED, 2. 1HE LASTGATE OF FIELD WORK WAS JULY 5, 2021. ti9 0.71' E GE 3. CURRENT DESCRIPTIONS SHOWN IIEREGN PROVIDED BY THE CLIENT AIID/CR IHEIR ANTS. LANDS SIIUN71 HEREON P MERE HOT ABSTRACTED BY THIS OFFICE FOR RICHT-OF-WAYS, RESERVATIONS. AGREEMENTS. AIID/CR EASEMENTS OF RECORD. SUCH 111FOHIZA11011 SHOULD DE CBTA:IIFD AND CONFIRMED BY 0111ERS DIROUGH APPROPRIATE TIME VERIFICATICIL - T. UNU•:RGROUND UILIMES, UTILITY SERYCES, FOUNDA1,10115 AND 114PROVEUENTS HERE NOT LOCATED AS A PART OF LOT 13 DUS SURVEY. o (OCCUPIED) 5. BEARINGS SHUAN HERCH ARE BASED UPON THE PLAT OF RECORD, AND ARE RELATIVE TO TIE LVIE LABELED 10 FIFE: 23.42' REJR0H AS (OENRWG BASIS). DISTANCES ARE III U.S. SURVEY FEET AND DECIIA.IL PARTS THEREOF. 6. ELEVATIONS S110611 HEREON ARE BASED UPON THE NCRTI AVE.RICAN VERTICAL DAIUM OF foss (ITA•A'U9). . SEPTIC IN FRONT 7. 111IS SIT-'. WAS SURVEYED UTILIZING IRIMBLE/SIRECIRA HARDWARE TOGETHER WITH SPECTRA SUMrY PRO BEYOND 75' REALMME FROCESS-14G AND WAS BASED ON TRIMBLE'S "VRS NOW NEl'AZRK AND/OR DIE FLORIDA PERUANEN7 REFERENCE NETWORK (0101). TIE PROCEDURES AND NETWORK DESIGN NEE15 THE GEOOETC ACCURACY STAIN ARDS AND SPEGFICA'RONS FOR USNG CPS RELATED POSITIONING AS KT fOR'GI BY DIE FEDERAL GEODETIC COHINtt COVNIT7EE IN DIE MOST CURRENT PUOUCATION Fllli OItO CK(1�1 L1�SLONr. FOR !IOR17011AI COUII!UL SURVEYS. 0. LEGAL DESCRIPTION B. IN 5014E INSTANCES, GRAPHIC REPRESENTATIONS AND SYLIHGLS SHOV i,I �FG! yEEEa1{6�g(I'CEHXItA 10 UORE CLEARLYILLUSTRATE 111E RELATIO::SIL' RETMEEH PHYSICAL IIAPROVF7.IEN1S%NF�W17.U�RENES.'11IE GIVENS ' OT 11, BLCCH 16. tArnVCCD PARK, UNIT NO. 2, ACCORDING TO THE PLAT IIIEREGF, RECOitDED IN PLAT BCCB 10. SHO➢RI _HALL CONTROL THE LCCAIICN, OF THE IMPROVEMENTS. 0`h;R TNE/5$ALFO 611UUFTfFSS•• PAGE 55, FUBL.0 RSWILIS OF ST. LUCIE COUNTY, 0. DUE PROPERTY LIES IN FLOOD -ZONE •X,' ACCORIINC TO FOAA FLQUD INSURANCE L AIAI' 12111CVJYOJ SITE PLAN NOTES COUNTY FINISHED FLO, CFPAR,f411T TO BE OSIERVIIIEO BY SARIT :UCIC PU9UC UTILITIES ARE NOT AVA4 VILE. EFFECIIVF. DATE F78RUARY IG• 2021. 10. REVISIONS SHORN HEREON DO NOT REPRESEUT AFIELD SURVEY UI'Ot IE' UNLESS DIHERYASE KOM'& z00 o V' F 6 � -j F. ig LL 'Lon �i € X W Q�� o0 11 J w7u N F- al ^ , c1 U u If Om a .'-1 CD Lo N rwl 0 w J >i ® NS B� K w? ( I I F LLI < Q� Joo tL LL U. LLI Q = ~ m D n�tnauo Q m W LU ~IL) m 0 F.: 11 O CC UL LL UHECKED BY: 14TO CRE'VY: G1 DA7E70512021 STATE CF FLORIDA RICRAE(: (.-m'7E'fT ItOF S' UN.,,L SJH !EY) A- Nb itfl('F-'({ �) SI(i`7 i( pq'(E: SHCET FLORIDA REGISTRATION #5556 •'�'•'(IY`'1(.:' 1 OF 1 N a r r Michelle Franklin, CFA --Saint Lucie County Property Appraiser --All rights reserved. Property Identification Site Address: 7503 Sebastian Parcel ID:1301-602-0131- Account #:606 Sec/Town/Range:11/34S/39E RD 000-2 Map ID: 13/11S Zoning: RS-4 Count Use Type: 0000 Jurisdiction: Saint Lucie County Ownership Legal Description St Lucie Habitat for Humanity Inc LAKEWOOD PARK -UNIT 2- BLK 16 LOT I (MAP 13/11S) 702 S 6th ST Fort Pierce, FL 34950 Current Values Historical Values 3-year Just/Market: $11,100 Assessed: $8,961 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $8,961 2020 $11,100 $8,961 $0 $8,961 2019 $9,800 $8,147 $0 $8,147 2018 $9,300 $7,407 $0 $7,407 Sale History Date Book/Page Sale Code Deed Grantor Price 05-20-2021 4616/2459 0117 WD Forte Frank $35,500 05-13-2004 1966 / 2563 XX00 WD Bremer Howard $25,000 11-22-2002 1619 / 0179 XX00 WD Rash Sr Robert L $7,000 Primary Building Information Finished Area of this building: 0 SF Gross Sketched Area: 0 SF Exterior Data View: Roof Cover: Roof Structure: 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): 0.27 Land Size (SF): 11,790 Total Building Count: 1 Type Special Features and Yard Items 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. HEALTH PAYING ON: RECEIVED FROM PAYMENT FORM: St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 #: 56-SF-2350633 BILL HOC #:56-BID-5523311 CONSTRUCTION APPLICATION #: AP1713922 Ashton AMOUNT PAID: $ 660.00 CREDIT CARD 012225 PAYMENT DATE: 08/12/2021 MAIL TO: (St Lucie Habitat for Humanity) FACILITY NAME: PROPERTY LOCATION: 7503 Sebastian Rd Fort Pierce, FL 34951 Lot: 11 Block: 16 Property ID: 1301-602-0131-000-2 EXPLANATION or DESCRIPTION: 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 v 133 - OSTDS Construction Reinspection ' -1 - Well Construction 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 1 $ 115.00 RECEIVED BY: AdamsC AUDIT CONTROL NO. 56-PID-5157096 Note: Well#59-32384 - 7503 Sebastian Rd