HomeMy WebLinkAboutConstruction Permit 01-12-2014PERMIT #:
STATE OF FLORIDA 56-SF-1415149
DEPARTMENT OF HEALTH APPLICATION #: AP1074730
ONSITE SEWAGE TREATMENT AND DISPOSAL DATE PAID:
SYSTEM
FEE PAID:
CONSTRUCTION PERMIT
RECEIPT #:
DOCUMENT #: PR879962
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: Joseph Wand Sondra Jaksch
PROPERTY ADDRESS: 4640 Arcadia Ave ; Fort Pierce, FL 34946
LOT: 6 BLOCK: 17 SUBDIVISION: Indrlo
PROPERTY ID #: 1416-601-0060-000-3 [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, F.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 [ 900 ] GALLONS / GPD Septic CAPACITY
A [ ] GALLONS /'GPD N/A CAPACITY
N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS 0[ ]DOSES PER 24 HRS #Pumps [ ]
D [ 334 ] SQUARE FEET SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [7c] STANDARD [ ] FILLED [ ] MOUND [ ]
I CONFIGURATION: [ ] TRENCH [g] BED [ ]
N
F LOCATION OF BENCHMARK: EXISTING GRADE
I ELEVATION OF PROPOSED SYSTEM SITE [ 0.00 ][ INCHES FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 30.001 INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D'FILL REQUIRED: [ 0.001 INCHES EXCAVATION REQUIRED: [ ] INCHES
O
T
H
E
R
licensed contractor installing the system is responsible for installing the minimum category of tank in accordance
s. 64E-6.013(3)(0, FAC.
SPECIFICATIONS
BY: Andrew R G
TITLE: Environmental Specialist
II
APPROVED BY:
IMJTLE:
Environmental Specialist II
St. Lucie CHD
James Dun an
DATE ISSUED:
07/12/2012
EXPIRATION DATE:
01/12/2014
DH 4016, 08/09
(Obsoletes all previous
editions which may not be used)
Incorporated:
64E-6.003, FAC
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