HomeMy WebLinkAboutAPPROVED Health Dept PermitSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR. OSTDS New
APPLICANT: (Port St. Lucie Properties)
PROPERTY ADDRESS: 5702 Hickory Dr Fort Pierce, FL 34982
LOT: 04 BLOCK: 64
PROPERTY ID # : 3402-609-0442-000-2
SUBDIVISION: Indian River Estates
PERMIT #:56-SF-2424014
APPLICATION #:AP1766995
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1703252
[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 [ 1,050 ] GALLONS / GPD Septic New 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 1 SQUARE FEE:
R [ ] SQUARE FEE'
A TYPE SYSTEM: [ ]
I CONFIGURATION: [ ]
N
Drainfield New SYSTEM
N/A SYSTEM
STANDARD ( ] FILLED [x] MOUND [ ]
TRENCH (XI BED [ ]
F LOCATION OF BENCHMARK: NAIL IN RED SODA CAN TAB W OF PROP
I ELEVATION OF PROPOSED SYSTEM SITE [ 7.00 ] [ TNCHES FT ] [ABOVE BELOW ]BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 19.001 INCHES FT ][ABOVE BELOW] BENCHMARK/REFERENCE POINT
L
D F
0
T
H
E
R
'ILL REQUIRED: [ 3U.UU] INCHES EXCAVATION REQUIRED: L J limukiLb
007
he system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of
gpd.
SPECIFICATIONS BY: Matthew S Vajanyi TITLE: Environmental Specialist I
APPROVED BY: TITLE: Environmental Specialist I
atthss S Va i.
DATE ISSUED: 12/06/2021 EXPIRATION DATE:
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
St. Lucie CHD
06/06/2023
Page 1 of 3
v 1.1.4 AP1766995 SE1619608
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 2&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.
TI1E
Fes• STATE OF FLORIDA
,} DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
(,(I New System [ ] Existing System [ ] Holding Tank
[ ] Repair [ ] Abandonment [ ] Temporary
APPLICANT: Port St. Lucie
PERMIT
DATE PAID:
FEE PAID: ..Y'
RECEIPT #:
[ ] Innovative
[ 1
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: 4 BLOCK:
PROPERTY ID #:
64 SUBDIVISION: Indian River EstatesUnit8 PLATTED: 1956
3402-609-0442-000-2 ZONING: R 2/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 : 5702 Hickory Drive, Fort Pierce, FL 34982
DIRECTIONS TO PROPERTY: SEE MAP
BUILDING INFORMATION [✓]
Unit Type of
No Establishment
1 RESIDENCE
2
f1
[ ] COMMERCIAL
No. of Building Commercial/Institutional System Design
Bedrooms Area Sgft Table 1, Chapter 64E-6, FAC
4 1,839
[ ] Floor/Equipment Drains [�/] Other (Specify) GARBAGE GRINDERS/DISPOSALS
SIGNATURE, Alexander J Piazza ;m„ e�,a, °"°°°"-"`--`"""°'fi"."T"""°"" DATE: 5-20-21
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 # AP1766995
DEPARTMENT OF HEALTH PERMIT # 56-SF-2424014
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT # SE1619608
SITE EVALUATION AND SYSTEM SPECIFICATION
APPLICANT: Port St. Lucie Properties
CONTRACTOR / AGENT: Alexander J Piazza PSM Inc.
LOT: 04 BLOCK: 64
SUBDIVISION: Indian River Estates ID#: 3402-609-0442-000-2
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: 0,23 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: NAIL IN R
ELEVATION OF PROPOSED SYSTEM SITE 7,00
N TAB W OF PROP
SODA CA
FT ] [ABOVE I/ BELOW ] HENCHMARK/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: 5 FT
SITE SUBJECT TO FREQUENT FLOODING?
10 YEAR FLOOD ELEVATION FOR SITE:
10 YEAR FLOODING? [ ]YES [X]NOj
]YES [X ]NO
FT [ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD
VUSDA SOIL SERIES:
Munsell #/Color Texture
VUSDA SOIL SERIES:
Munsell #/Color Texture
Depth
10YR 6/1
Sand
0 To 33
10YR 6/1
Sand
12 To 33
10YR 211
Spodic Material
33 To 39
REFUSAL
Refusal
39 To 72
eUSDA SOIL SERIES:
Munsell #/Color Texture
Depth
10YR 511
Sand
0 To 31
10YR 6/1
Sand
16 To 31
10YR 2/1
Spodic Material
31 To 38
10YR 2/1
Sand
38 To 47
tOYR 5/3
Sand
47 To 72
OBSERVED WATER TABLE: 32,00 INCHES [ABOVE / BELOW ] EXISTING GRADE TYPE;
ESTIMATED WET SEASON WATER TABLE ELEVATION: 12 INCHES [ ABOVE / ]
HIGH WATER TABLE VEGETATION: [ ]YES [X INO MOTTLING: [X]YES [ ]NO
BELOW
[ PERCHED APPARENT
/
1
EXISTING GRADE
DEPTH: 12,00 INCHES
SOIL TEXTURE7LOADING RATE FOR -SYSTEM —SIZING: Sand/0:60 BEPTH—OF—EXCAVATLON•
DRAINFIELD CONFIGURATION: [ ] TRENCH [X] BED [ ] OTHER (SPECIFY)
r REMARKS/ADDITIONAL CRITERIA
WSWT determined using USDA WSS and soil borings. 10YR611 stripping in a 10YR511 matrix> 10% with diffuse boundaries starting
at 12" In S81. SB1 7" above BM. SB2 8" above BM.
SITE EVALUATED BY:
7 Vajanyl, Matthew
DH 4015, 0E/09 (Obsoletes previous editions
�n�ntal Specialist 0 (Florida Department of Health in S
may not be used) Incorporated: 64E-6.001, FAC
INCHES
DATE: 12/02/2021
Page 3 of 9
AP1766995 EID2424014
APPLICANT'S NAME: Port St, Lucie Properties, Inc.
LEGAL DESCRIPTION: Lot 4, Block 64, Indian River Estates Unit 8 (PB 101 PG 73)
PROPOSED SEP77c ,--dim2`SIT"J�'MFORIM T ON,
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 watei 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 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 SURVEYOR OR ENGINEER.
�n.Mb�a ^A��amivdva
CERTIFIED BY:
FLORIDA PROFESSIONAL NO,: �6330
DATE: 05/20/21 10B NO.: 21-7170
dot5/Fortes/septics/5epticApppPage207
Michelle Franklin, CFA-- Saint Lucie County Property Appraiser -- All rights reserved.
Property Identification
Site Address:5702 Parcel ID:3402-609-0442- Account#:37958 Sec/Town/Range:ll/36S/40E
HICKORY DR 000-2 Map to: 34/11N Zoning: RS-4 Count
Use Type: 0000 Jurisdiction: Saint Lucie
County
Ownership Legal Description
AGP HOMES LLC INDIAN RIVER ESTATES-UNIT--08- BLK 64 LOT 4 (MAP
4196 Merchant PLZ # 607 34/11N)
Woodbridge, VA 22192
Current Values Historical Values 3-year
Just/Market: $20,900 Assessed: $20,900 Year
Just/Market
Assessed
Exemptions
Taxable
Exemptions: $0 Taxable: $20,900 2021
$20,900
$20,900
$0
$20s900
2020
$149400
$12,870
$0
$12,870
2019
$119700
$11,700
$0
$11,700
Date Book/Page
12-09-2020 4521/1239
05-24-2018 4137/2060
03-22-2018 4113/0227
View: Roof Cover:
Year Built: N/A Frame:
Primary Wall: Story Height:
Bedrooms: 0
Full Baths: 0
Half Baths: 0
Sale History
Sale Code Deed Grantor Price
0001 WD Springman (TR) Michael E $24,900
0111 QC Springman Michael E $ I00
0001 WD Rodrigues Albano F $20,000
Primary Building Information
Finished Area of this building: 0 SF
Gross Sketched Area: 0 SF
Heated %: N/A%
Sprinkled %: 0%
Exterior Data
Roof Structure:
Grade:
No. Units: 0
Interior Data
Electric:
Heat Type:
Heat Fuel:
aMca.rar rca our ca a��u raw ncru�
Type Qty Units Year Blt
Building Type:
Effective Year: N/A
Secondary Wall:
Primary Int Wall:
Avg Hgt/Floor: 0
Primary Floors:
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. All rights reserved,