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HomeMy WebLinkAboutApplication For Construction Permita� °A. STATE OF FLORIDA ' DEPARTMENT OF HEALTH �l ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: [}`] New System [ ] Existing System [ ] Holding Tank [ ] Repair [ ] Abandonment [ ] Temporary APPLICANT: [�y�l� Cr 0Xopewl-1-0 PERMIT NO. DATE PAID: 03-2.'7-2- FEE PAID: 454 2 L RECEIPT #: Q' Q ZD [ ] Innovative AGENT: LfZLr�/�l �2l1?� c r'�SiG�iAj E' lW TELEPHONE: 77z, ..3Vkl'" ��4115e-', , MAILING ADDRESS: eEL=IAK 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 REQUESTINGCONSIDERATIONOF STATUTORY GRANDFATHER.PROVISIONS--_— PROPERTY INFORMATION / LOT : 23 d BLOCK: % SUBDIVISION:. SGCr Jj;1!%% ltil ;c��+/S PLATTED; PROPERTY ID #: ��IOS�^ ( )1- C�"�DU3 C•'(:�G)STZONING: tZS 'q I/M OR EQUIVALENT: [ Y / N PROPERTY SIZE: 0,3�3 ACRES WATER SUPPLY: [ ] PRIVATE PUBLIC [ ]<=2000GPD [,<]>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? ( Y DISTANCE TO SEWER: >>,GG0 FT T PROPERTY ADDRESS: DIRECTIONS TO PROPERTY; 6c') / � {� Grp t�j � 1, F~L ' �i!/a Div 1 All') )n;140 , I �r �10 �F'(�t1�L(� -17V Al/ 4'iu BUILDING INFORMATION [ A RESIDENTIAL [ ] COMMERCIAL Unit Type of No. of Building Commercial/Institutional System Design No Establishment Bedrooms Area Sqft Table 1, Chapter•64E-6, FAC 1 7li�l G`��i 2 3 4 �prnunn,r .`'^•, YL-- — � [ ] Floor/Equipment Drains [ ] Other (S '• 5209°�r.G'_ DATE:/C% 0 SIGNATURE: —fL�G-il��© �: G�air��Ti�lZ�' //LG��'�G�%�;, r�1 •�' `,gip'/�, DH 4015, 08/09 (Obsoletes previous e i�ions-1-RAch may not be:3xsed) page 1 of 4 Incorporated 64E-6.001, FAC = % STATE OF - �p�• FLOR,DA Z'0'L A Z96179ZZa13 LV90179WV 6 3o E ebea OK3 1I00.9-31,9 :pagezodsoou= (pasn aq you Kent gDTgM �xotgipa snoinasd saga7[osg0) 60/80 'SIOD Ha (H11V3H 1V.LN3WNOM1AN3) (Illasp-loads 1e;uawu0tlAu3 :alai) yeile •weJ6u! 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NOILIWOoaxl azlaoaa 'Ilos aA9N / 'ISNI ] Sa :xOlSVAa'Ia ails [ aASN / 'ISM ] Sa :ails wa xomvm'Ia wo'Ia uvax oT [oN[x ] sax[ ] i.ommo'Ia xeax of ONE x ] sax[ ] i.9xlaoo73 imat5aua OS somms ails Sa 09 : SaxI'I Ealym WISVSOa Sa 9. : SzNlrl x1vaao2Ia Sa 9 : SNOlsecNaw Oxiazlna ma : aZeFlioa-lox S3 9L : ZIYAlUcT Sa : zsn aaSINIl'I ma :OIZgna : STIHM ON[x] sax[ ] :LSM xTIWWOx Za :sarnms/saHosla ma 001, :xasvA aoeaxns. saumvaa JNIMO'IZOa aHm Os HamsAs associo is aHS xoua aaxi` Limivrq aS Nvo HoI n xovumas xammix aHs sNxoa aoNaxaaau/xx oxae [ Mo'I39 / Iaeoae ] [ 1A / ISHHONI ] 00'0 ails Liassxs aasodO'dd a0 xOlMVAWIa xOIjV3OI SNIOa 3Jxa2iaaa2i/xHecu3oxaa sass 00.0001, :aaulnaau vane aasonxsseoNn sass 00.009t, :a'Isezlene vane aasonuxsgom 11 awv/aaO om I do auoe/aao om ] xea xaa sxoTlvO- 1,0'096 :Maly aoVMas aazluOHsne [ z arises-�aHso / tazses-saoNaalsau ] xea xaa SmOTM OOb :Mo'ia aJKMzs aamwzISSa zeSOs Sauna Wo : a'Ise'IIVAY vadv wmvsn Sam ON[ ] Sax[ x ] : wV7d ails Os sNWOMOO 3zls xSxadolad sYT3sx TIe 3Sa'Ia bD *aV.111MMS aO Hove HOVa =S aNV NOIS MY ZI3HWnN NOl1VH1SIDHa,, 3alAo-aa Lism smaNIJNa ,•NOsxaa =aITdIIa uaHSo uo 'aaxoaam immuwaaa HmavEx luaaxl9x3 xe aasazaKoo ae- os 9-000-E000-1,09-90tlz : #al suepieE) puelunS :NolslAlasns L L9969 LEIS # mmmooa Z96t,9ZZ-JS-99 # almaa LP90179LdV # NOILIVOM&W 1 out qea ug ul lieu aas •W8 911S xoo'Ie y E : aO I oul saaeloossy v einauane-1 :a,Naoa / xosovusNoo seivadad along *IS alod : sNeolzaae KdISV0I.3I0aaS' AIHSSIs ate M01X inUTAM ails xmisaS rivsoasia cxv zl muvaus ammas axisNo HIrWSH ao sHHNr uvaaa varaoz3 ao ssyss a Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 4005 Avenue T Parcel ID: 2405-601-0003- Account #: 18368 Sec/Town/Range: 05/35S/40E 000-5 Map ID: 24/05N Zoning: RS-4 Count Use Type: 0000 Jurisdiction: Saint Lucie County Ownership Legal' Description Patricia Avant SUNLAND GARDENS BLK 1 LOTS 3 AND 4(0.38 AC) OR 1920 N 49th-St 3315-2741) Fort Pierce, FL 34947 Current Values Historical Values 3-year Just/Market: $6,800 Assessed: $6,800 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $6,800 2020 $6,800 $6,800 $0 $6,800 2019 $9,400 $6,521 $0 - $6,521 2018 i$7,400 $5,929 $0 $5,929 Date 08-01-2011 09-05-2000 09-01-1975 View: Year Built: N/A Primary Wall: Bedrooms: 0 Full Baths: 0 Half Baths: 0 Sale History Book/Page Sale Code Deed Grantor 3315 / 2741 0205 WD Williams,Jimmy L 1293 / 1492 XX02 QC Williams,Jimmy L 0244 / 0692 XX00 CV Primary Building Information Finished Area'of this building: 0 SF Gross Sketched Area: 0 SF Exterior Data Price $20,000 $100 $12,600 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/UnderAir 0 (SF): Gross Sketched Area 0 (SF): Land Size (acres): 0.38 Land Size (SF): 16,552.8 Total Building Count: 1 Special Features and Yard Items Type 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.. © Copyright 2021 Saint Lucie County Property Appraiser. 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