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HomeMy WebLinkAboutOSTDS NEWSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: (Port St Lucie Properties, Inc.)
PROPERTY ADDRESS: TBD Cassia Dr Fort Pierce, FL 34982
LOT: 6 BLOCK: 86 SUBDIVISION: Indian River Fstates
PROPERTY ID #: '14r)2-61 r?-04Fcf3..non_r1
PERMIT #:56-SF-2421120
APPLICATION # : AP 1764958
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1705803
[SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR TAX ID NUMBER]
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION
381.0065, F.S., AND CHAPTER 64E-6, E.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 [ 1,050 ] GALLONS / GPD Sentic CAPACITY
A [ ] GALLONS / GPD NIA CAPACITY
N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ]
D [ 667 ] SQUARE FEET SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [XI MOUND [ ]
I CONFIGURATION: [ ] TRENCH [X] BED [ ]
N
F LOCATION OF BENCHMARK: NID NW OF PROP BY MAILBOX
I ELEVATION OF PROPOSED SYSTEM SITE [ 5.00 ][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 7.00 ][ INCHES FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT
L
D
O
T
H
E
R
L xmQulrtmD: t3U.UU] INCHES EXCAVATION REQUIRED: [ ] INCHES
e system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated Flow of
0 gpd.
SPECIFICATIONS BY: Matthew S Vajanyi TITLE'Fd Environmental Specialist I
APPROVED BY: ITLE: Environmental Specialist I St. Lucie CHD
Matthew S Vajanyi
DATE ISSUED: 12/16/2021 EXPIRATION DATE: 06/16/2023
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 AP1764958 SE1622104
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
`t as H
HEALTH'
5150 NW Milner Dr Port Saint Lucie, FL 34983
PAYING ON: s:56-SF-2421120 BILL DOCa:56-BID-5701578 CONSTRUCTION APPLICATION N: AP1764958
RECEIVED FROM: Alexander J. Piazza PSM, In_ c
PAYMENT FORM: CREDIT CARD 000925 AMOUNT PAID: $ 5
PAYMENT DATE: 11/18/2018/2021
MAIL TO: (Port St Lucie Properties, Inc.)
FACILITY NAME : _
PROPERTY LOCATION:
TBD Cassia Dr
Fort Pierce, FL 34982
6
Lot:
Block: 86
Property ID: 3402-610-0466-000-0
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
133 - OSTDS Construction Reinspection
RECEIVED BY: WhighamJL
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
AUDIT CONTROL NO. 56-PID-5368785
STATE OF FLORIDA
DEPARTMENT OF HEALTH
t'f1 ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
PERMIT NO.
DATE PAID:
FEE PAID: 5qr�
RECEIPT #:
[,/] New System [ ] Existing System [ ] Holdin
g an [ ] Innovative
[ ] Repair [ ] Abandonment [ ] Temporary [ ]
APPLICANT: Port St Lucie Properties, Inc
AGENT: Alexander J. Piazza PSM, Inc. TELEPHONE:
MAILING ADDRESS: 619 SW Biltmore Street, Port St. Lucie, Florida 34983
772-340-7770
-------------------------------------------------------------- —-------------------------------------------
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: 6 BLOCK: 86 SUBDIVISION: Indian River Estates Unit 9 PLATTED: 1957
PROPERTY ID #
3402-610-0466-000-0
ZONING: R I/M OR EQUIVALENT: [ No ]
PROPERTY SIZE: 0.23 ACRES WATER SUPPLY: [ ] PRIVATE PUBLIC [�<=2000GPD [ ]>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [ No ] DISTANCE TO SEWER: FT
PROPERTY ADDRESS: TBD Cassia Drive, Fort Pierce, FL 34982
DIRECTIONS TO PROPERTY: SEE MAP
BUILDING INFORMATION [�/] RESIDENTIAL [ ] COMMERCIAL
Unit Type of No. of Building Commercial/Institutional System Design
No Establishment Bedrooms Area SgPt Table 1, Chapter 64E-6, FAC
1 RESIDENCE 4 15799
2
3
4
[ ] Floor/Equipment Drains [,i] Other (Specify) GARBAGE GRINDERS/DISPOSALS
°Tak,l .1�e,Al=.,� PIMA
Alexander J Piazza _
S IGNATURE : DATE: 11-09-21
DH 4015, 08/09 (Obsoletes previous editions which may not be used)
Incorporated 64E-6.001, FAC Page 1 of 4
STATE OF FLORIDA APPLICATION # AP1764958
DEPARTMENT OF HEALTH
PERMIT # 56-SF-2421120
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATION DOCUMENT # SE1622104
APPLICANT: port St Lucie Properties, Inc.
CONTRACTOR / AGENT: Alexander J. Piazza PSM, Inc
LOT: 6
BLOCK: $$
sUBDIv1s1oN:
Indian River
Estates
ID#:3402-610-0466-000-0
TO BE COMPLETED BY ENGINEER,
REGISTRATION NUMBER AND SIGN AND
HEALTH DEPARTMENT
SEAL EACH PAGE OF
EMPLOYEE, OR OTHER QUALIFIED PERSON, ENGINEERS MUST PROVIDE
SUBMITTAL. COMPLETE ALL ITEMS,
PROPERTY SIZE CONFORMS TO SITE PLAN: [X ]YES [ ]NO NET USABLE AREA AVAILABLE: 0.23 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 575,01 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 1000,00 SQFT UNOBSTRUCTED AREA REQUIRED: 1000,00 SQFT
BENCHMARK/REFERENCE POINT LOCATION:
ELEVATION OF PROPOSED SYSTEM SITE 5.00 [ INCHES / FT ] [ABOVE / BELOW ] eENCeMARR/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: FT DITCHES/SWALES: FT NORMALLY WET: [ ]YES [ ]NO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON -POTABLE: FT
BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 25 FT
SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]NOJ
10 YEAR FLOOD ELEVATION FOR SITE: FT[ MEL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD
Rl1TT. ORr1FTT.F. TNFTIRMATTIIU RTTF. T
USDA SOIL SERIES:
Munsell #/Color Texture Depth
10YR 4/1 Sand 0 To 10
1 OYR 211 Sand 10 To 19
10YR 3/1 Sand 14 To 19
10YR 4/1 Sand 19 To 30
10YR 511 Sand 24 To 30
10YR 6/1 Sand 30 To 36
1 OYR 2/1 Spodic Material 36 To 42
REFUSAL Refusal 42 To 72
/ BELOW 7
Rl)TT, DRr1FTT.F. TNFYIRMATT(1N RTTF. 9
VSDA SOIL SERIES:
Munsell #/Color
/ BELOW 7
Rl)TT, DRr1FTT.F. TNFYIRMATT(1N RTTF. 9
VSDA SOIL SERIES:
Munsell #/Color
Texture
Depth
10YR 211
Sand
0 To 10
10YR 3/1
Sand
10 To 24
10YR 411
Sand
15 To 24
10YR 5/1
Sand
24 To 30
10YR 6/1
Sand
24 To 30
10YR 211
Spodic Material
30 To 43
REFUSAL
Refusal
43 To 72
OBSERVED WATER TABLE: 30.00
INCHES ['ABOVE
EXISTING GRADE
TYPE:
[ PERCHED / APPARENT
ESTIMATED WET SEASON WATER TABLE
ELEVATION: 14
INCHES [ABOVE
/ SELOW ]
EXISTING GRADE
HIGH WATER TABLE VEGETATION:
[ ]YES EX ]NO
MOTTLING: [XI YES
[ ]NO
DEPTH: 14,00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.60 DEPTH OF EXCAVATION:
DRAINFIELD CONFIGURATION: [ ] TRENCH [X ] BED [ ] OTHER (SPECIFY)
7 REMARKS/ADDITIONAL CRITERIA
iWT determined
using USDA WSS
and soil borings.
10YR311 stripping in a 10YR211
matrix > 10 % with diffuse boundaries starting
14" in 5B1. SB1
6" below BM. SB2
5" below BM.
SITE EVALUATED BY:
VaJanyi, Matthew (TtN�ir�d(antal Specialist I) (Florltla Department of Health In S
DH 4015, OB/09 (Obeolatae previous editions which may not be uaed) Inoorporaked: 69E-6.001, FAC
INCHES
DATE: 12/15/2021
Page 3 of 4
AP1784958 EID2421120
INCHES
DATE: 12/15/2021
Page 3 of 4
AP1784958 EID2421120
APPLICANT'S NAME:
Port St. Lucie Properties, Inc.
LEGAL DESCRIPTION: Lot 6, Block 86, Indian River Estates Unit 9 (PB 10, PG 74)
'ItPd,SJD SEFT11�Zll �11�J�'Q:�NJGk;
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-of4ay 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 the property 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 SURVEYOROR ENGINEER.
wyiuirysg�e�eyue.ana.ri>bna
Alexander) Piazza ��;�`a„���9�»��a14
CERTIFIED BY:
FLORIDA PROFESSIONAL NO.: 0 6330
BATE: 11/09/21 JOB NO.: 21-8211
dots/f'orms/seplics/SepticApppPage207 _
Page 4 of 4
Michelle Franklin, CFA m- Saint Lucie County Property Appraiser -- All rights reserved.
Property Identification
Site Address: CASSIA DR Parcel ID:3402-610-0466- Account#: 134091 Sec/Town/Range:l2/36S/40E
000-0 Map ID: 34/12S Zoning: RS-4 Count
Use Type: 0000 Jurisdiction: Saint Lucie
County
Ownership Legal Description
Andy M Cordeiro INDIAN RIVER ESTATES -UNIT 09- BLK 86 LOT 6 (MAP
210 Trotter RD Apt 407 34/12S) (OR 2011-1565)
South Weymouth, MA 02190
Current Values Historical Values 3-year
Just/Market: $20,900 Assessed: $93641 Year Just/Market Assessed Exemptions Taxable
Exemptions: $0 Taxable: $%641 2021 $20,900 $%641 $0 $92641
2020 $14,400 $8,765 $0 $8,765
2019 $11,700 $7,969 $0 $7,969
Date
07-02-2004
04-07-2004
06-11-2003
View:
Year Built: N/A
Primary Wall:
Bedrooms: 0
Full Baths: 0
Half Baths: 0
Sale History
Book/Page Sale Code Deed Grantor
2011 / 1565 XX00 WD Adams Carol J
1942 / 2860 XX00 WD Diamonds & Passion Ent Inc
I733 / 2227 XX00 WD Hakes Sally J
Primary Building Information
Finished Area of this building: 0 SF
Gross Sketched Area: 0 SF
Roof Cover:
Frame:
Story Height:
Heated %: N/A%
Sprinkled %: 0%
Exterior Data
Roof Structure:
Grade:
No. Units: 0
Interior Data
Electric:
Heat Type:
Heat Fuel:
Building Type:
Effective Year: N/A
Secondary Wall:
Primary Int Wall:
Avg Hgt/Floor: 0
Primary Floors:
Total Areas
Finished/Under Air
(SF):
Gross Sketched Area
(SF):
Land Size (acres):
Land Size (SF):
Total Building Count:
Special
Features
and Yard
Items
Type
Qty
Units
Year Blt
All information is believed to be correct a[ this time, but is subject to change and is provided without any warranty.
© Copyright 2021 Saint Lucie County Property Appraiser. All rights reserved.
Price
$36,000
$24,900
$15,000
0]
6:
REFERENCE POINT: NID NW OF PROPERTY BY MAILBOX