The URL can be used to link to this page

Home My WebLink AboutAPPROVED FDOH PermitSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: (Port St. Lucie Properties, Inc) PROPERTY ADDRESS: 5708 Tangelo Dr Fort Pierce, FL 34932 LOT: 7 BLOCK: 77 SUBDIVISION: Indian River Esfates PERMIT #:56-SF-2420132 APPLICATION # : AP 1764302 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR17O57O5 PROPERTY ID #: 3402-610-0192-000-8 [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 Seofc New CAPACITY A [ ] GALLONS / GPD N/A 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 Drainfield New SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [x] 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 [ 17,00][ iNCHES FT ][ABOVE BELOW]BENCHMARK/REFERENCE POINT L D F 0 T H E R REQUIRED: [3U.uu] INCHES EXCAVATION REQUIRED: [ ] INCHES 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 Matt ew 5 Vaja DATE ISSUED: 12/16/2021 EXPIRATION DATE: DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC v 1,1,4 AP1764302 SE1622009 St. Lucie CHD 06/16/2023 Page 1 of 3 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 d Vui!I"01 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: #:56-SF-2420132 6ILLDOC#:56-BID-5699513 CONSTRUCTION APPLICATION #: AP1764302 RECEIVED FROM: Alexander J. Piazza PSM, Inc AMOUNT PAID: $ 545,00 PAYMENT FORM: CREDIT CARD 001003 PAYMENT DATE: 11/16/2021 MAIL TO: (Port St. Lucie Properties, Inc) FACILITY NAME PROPERTY LOCATION: 5708 Tangelo or Fort Pierce, FL 34982 Lot: 7 Block: 77 Property ID: 3402-610-0192-000-8 EXPLANATION or DESCRIPTION: QUANTITY FEE 128 - OSTDS Construction System Inspection Research Fee 1 $ 5,00 -1 - Surcharge (All) 1 $ 45,00 -1 - OSTDS New Permit Surcharge 1 $ 100,00 -1 - OSTDS Construction Application and Plan Review,New 1 $ 100.00 123 - OSTDS Construction Site Evaluation 1 $ 115,00 126 - OSTDS Construction Permit (New or Mod, Amendment) 1 $ 55,00 127 - OSTDS Construction System Inspection 1 $ 75.00 133 - OSTDS Construction Reinspection 1 $ 50,00 RECEIVED BY: WhiphamJL AUDIT CONTROL NO. 56-PID-5366767 � e 9,. STATE OF FLORIDA 4 s DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: New System [ ] Existing System [ ] Holding Tank [ ] Repair [ ] Abandonment [ ] Temporary APPLICANT: Port St. Lucie Properties, Inc. FEE PERMIT NO. DATE PAID: �5 PAID: RECEIPT #: [ ] Innovative 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 SE 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: 7 BLOCK: PROPERTY ID #: 77 SUBDIVISION: Indian River Estates Unit 9 PLATTED: 1958 3402-610-0192-000-8 ZONING: R I/M OR/EQUIVALENT: [ No ] V 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: 5708 Tangelo Drive, Fort Pierce, FL 34982 DIRECTIONS TO PROPERTY: SEE MAP BUILDING INFORMATION Unit Type of No Establishment 1 RESIDENCE 2 3 GI [ ✓ ] RESIDENTIAL [ ] COMMERCIAL No. of Building Commercial/Institutional System Design Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC 4 yeaa `l9`j [ ] Floor/Equipment Drains [�/] Other (Specify) GARBAGE GRINDERS/DISPOSALS DlWlallynp� by Alexander J Piazza SIGNATURE : o.�r a0.�.o,.o_ �:.9.�o.wn° DATE DH 4015, 08/09 (Obsoletes previous editions which may not be used) Cncorporated 64E-6.001, FAC 9-02-21 Page 1 of 4 STATE OF FLORIDA APPLICATION # AP1764302 DEPARTMENT OF HEALTH PERMIT # 56-SF-2420132 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION DOCUMENT # SE1622009 APPLICANT: port St. Lucie Properties, Inc coNTRAcxoR /AGENT: AlexanderJ. Piazza PSM, Inc LOT: 7 BLOCK: 77 SUBDIVISION: Indian River Estates ID#: 3402-610-0192-000-8 TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE, OR OTHER QUALIFIED PERSON, ENGINEERS MOST 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-TABLEI / 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: NID NW OF PROP BY MAILBOX ELEVATION OF PROPOSED SYSTEM SITE 5.00 [ 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: FT NORMALLY WET: [ ]YES [ ]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON -POTABLE: FT BUILDING FOUNDATIONS: 7 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 30 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 SITE 1 SOIL PROFTT.F. TNPMATTnM RTTF. 9 USDA SOIL SERIE9: Munsell #/Color Texture Depth 10YR 7/1 Sand 0 To 35 1 OYR 8/1 Sand 12 To 35 10YR 2/1 Spodic Material 35 To 48 10YR 4/3 Fine Sand 48 To 66 1 OYR 211 Fine Sand 66 To 72 USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 6/1 Sand 0 TO 18 10YR 7/1 Sand 12 To 36 10YR 8/1 Sand 18 To 36 tOYR 2/1 Spodic Material 36 To 48 7.5YR 2.5/2 Fine Sand 48 To 54 10YR 2/1 Spodic Material 54 To 60 REFUSAL Hardpan 60 To 72 OBSERVED WATER TABLE: 36.00 USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 6/1 Sand 0 TO 18 10YR 7/1 Sand 12 To 36 10YR 8/1 Sand 18 To 36 tOYR 2/1 Spodic Material 36 To 48 7.5YR 2.5/2 Fine Sand 48 To 54 10YR 2/1 Spodic Material 54 To 60 REFUSAL Hardpan 60 To 72 OBSERVED WATER TABLE: 36.00 OBSERVED WATER TABLE: 36.00 INCHES [ABOVE EXISTING GRADE TYPE: [ PERCHED / APPARENT ] E8TIMATED WET SEA80N WATER TABLE ELEVATION: 12 INCHES [ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES IX ]NO MOTTLING: [X IYES [ ]NO DEPTH: 12,00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Send/0.60 DEPTH OF EXCAVATION: iWT determined using USDA WSS and soil borings. 10YR811 stripping in a 10YR7/7 matrix > 10% with diffuse boundaries starting 12" In 561. S81 5" above BM. SB2 3"above BM, fusel due to hardpan @ 60" in SB2. SITE EVALUATED BY: VaJanyi, Matthew (Title: DH d015, OB/09 (Obaoletea previous editions whioh �pifienyT143'pecialist I) (Florida Department of Health in S not ba used) Incorporated: 64E-6. 001, FAC INCHES DATE: 12/15/2021 Pages 3 of 4 AP1764302 E102420132 APPLICANT'S NAME: Port St. Lucie Properties, Inc. LEGAL DESCRIPTION: Lot 7, Block 77, Indian River Estates Unit 9 (PB 10,PG 74) In 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-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 FCORIDA REGISTERED SURVEYOR OR ENGINEER. ogi�aiy�gne p.nkumeri eiav, Alexander) Piazza a�,;aJ��'��=9yE=��a==a CERTIFIED BY: FLORIDA PROFESSIONAL NO.: 6330 A DATE: 09/02/21 JOB NO.: 21-7820 dots/Yorms/septics/SepticApppPage207 Page 4 of 4 nUttetty kd(u Page i of 1 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 5708 Parcel ID: 3402-610-0192- Account #: 38342 Sec/Town/Range: TANGELO DR 000-8 11/36S/40E Map ID: 34/IIN Zoning: RS-4 Count Use Type: 0000 Jurisdiction: Saint Lucie County Ownership Legal Description Port St Lucie Properties Inc INDIAN RIVER ESTATES -UNIT 09- BLK 77 LOT 7 MAP 201 SW Port St Lucie BLVD Ste 103 34/1 IN) Port St Lucie, FL 34984 Current Values Historical Values 3-year Just/Market: $20,900 Assessed: $9,641 Year JusUMarket Assessed Exemptions Taxable Exemptions: $0 Taxable: $93641 2021 $2%900 $9,641 $0 $%641 2020 $14,400 $8,765 $0 $8,765 2019 $11,700 $7,969 $0 $7,969 Date 0&25-2021 0&29-2003 0348-1993 View: Year Built: N/A Primary Wall: Bedrooms: 0 Full Baths: 0 Half Baths: 0 Sale History Book/Page Sale Code Deed Grantor 4673 / 1935 0001 WD Martin Larry C 1789 / 0397 XX00 WD Bunten Maxine C 0833 / 0257 XX00 CV Rae Jeffrey M Primary Building Information Finished Area of this building: 0 SF Gross Sketched Area: 0 SF Roof Cover: Frame: Story Height: Heated Sprinkled %: 0% Exterior Data Roof Structure: Grade: No. Units: 0 Interior Data Electric: Heat Type: Heat Fuel: Total Areas Price $45,000 $ I6,200 $11,300 Building Type: Effective Year: N/A Secondary Wall: Primary Int Wall: Avg Hgt/Floor: 0 Primary Floors: Finished/Under 0 (SF): Gross Sketched Area 0 (SF): Land Size (acres): 0.23 Land Size (SF): 10,000 Total Building Count: 1 Special Features and Yard Items Type Qty Units Year BI[ 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. hops://www. paslc.gov/RECa rd/ i 1/16/2021