The URL can be used to link to this page

Home My WebLink AboutHealth PermitSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Daniesky Vega Garcia PROPERTY ADDRESS: 704 E Midway Rd Fort Pierce, FL 34982 LOT: 14 BLOCK: 34 PROPERTY ID # : 3402-605-0037-000-8 SUBDIVISION: Indian River Estates PERMIT #:56-SF-2410777 APPLICATION #: AP1757718 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT # : PR1704090 [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 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 IN SIDEWALK S OF PROP AW I ELEVATION OF PROPOSED SYSTEM SITE [ 2.00 ][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 12.00][ INCHES FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT L D F 0 T H E R REQUIRED: t ;JZ.UU] INCHES EXCAVATION KEQUIREW : L 1 L vunza 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 St. Lucie CHD Matthew S Vajany' DATE ISSUED: 12/09/2021 EXPIRATION DATE: 06/09/2023 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 AP1757718 SE1620472 91 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. HEALTH PAYING ON: RECEIVED FROM PAYMENT FORM: St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 #: 56-SF-2410777 BILL DOG #:56-BID-5656760 CONSTRUCTION APPLICATION #: AP1757718 Svnerqv Homes, LLC AMOUNT PAID: $ 545.00 CREDIT CARD 07738G PAYMENT DATE: 10/18/2021 MAIL TO: Daniesky Vega Garcia FACILITY NAME: PROPERTY LOCATION: 704 E Midway Rd Fort Pierce, FL 34982 Lot: 14 Block: 34 Property ID: 3402-605-0037-000-8 EXPLANATION or DESCRIPTION: QUANTITY FEE 128 - OSTDS Construction System Inspection Research Fee 1 $ 5.00 -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 1 $ 45.00 1 $ 100.00 1 $ 100.00 1 $ 115.00 1 $ 55.00 1 $ 75.00 1 $ 50.00 RECEIVED BY: AdamsC AUDIT CONTROL NO. 56-PID-5320758 *i St STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL .� SYSTEM APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: [V] New System [ ] Existing System [ ] Holding Tank [ ] Repair [ ] Abandonment [ ] Temporary APPLICANT: DANIESKY VEGA GARCIA AND DAIMARIS RODRIGUEZ PERMIT DATE PAID: I D �Z FEE PAID: 54G - RECEIPT #: [ ] Innovative AGENT • DEANNE JOHNSON, ON BEHALF OF SYNERGY HOMES, LLC. (GC #CBCO254289) TELEPHONE • 561-623-0476 MAILING ADDRESS: 3970 RCA BLVD., SUITE 7006, PALM BEACH GARDENS, FL 33410 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: 14 BLOCK: 34 SUBDIVISION: INDIAN RIVER ESTATES UNIT 4 PLATTED: 1996 PROPERTY ID #: 3402-605-0037-000-8 ZONING: RS I/M OR EQUIVALENT: [ NO ] PROPERTY SIZE: .54 ACRES WATER SUPPLY: [./] PRIVATE PUBLIC [ ]<=2000GPD [ ]>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ No ] DISTANCE TO SEWER: 999+ FT PROPERTY ADDRESS: 704 E. MIDWAY ROAD, FORT PIERCE, FL 34982 DIRECTIONS TO PROPERTY: BUILDING INFORMATION Unit Type of No Establishment 1 Single Family Homes 2 3 4 [ ] Floor/Equipment Drains SIGNATURE: [V] RESIDENTIAL [ ] COMMERCIAL No. of Building Commercial/Institutional System Design Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC 4 2418 Email: deannegsynergyhomesfl.com PERMIT 2108-0453 [ ] Other (Specify) N/A DATE: DH 4015, 08/09 (Obsoletes evious editions which may not be used) Incorporated 64E-6.001, FA Page 1 of 4 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: Daniesky Vega Garcia CONTRACTOR / AGENT: Synergy Homes, LLC LOT: 14 BLOCK: 34 SUBDIVISION: Indian River Estates ID#: 3402-605-0037-000-8 APPLICATION # AP1757718 PERMIT # 56-SF-2410777 DOCUMENT # SE1620472 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: 0.54 ACRES TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 809.99 GALLONS PER DAY [ 1500 GPD/ACRE I OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 1001.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1000.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: NID IN SIDEWALKS OF PROP ELEVATION OF PROPOSED SYSTEM SITE 2.00 [ INCHES / FT ] [ ABOVE / BEIAW ] BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: FT DITCHES/SWALES: 28 FT NORMALLY WET: [ ]YES [ ]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 78 FT NON -POTABLE: FT BUILDING FOUNDATIONS: 6 FT PROPERTY LINES: 10 FT POTABLE WATER LINES: 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 CATT_ DDALITT.W T1JWn10MATTATT eTmr• 1 ROIL PROFILE INFORMATION SITE 2 USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 5/1 Sand 0 To 24 1OYR 6/1 Sand 12 To 44 10YR 7/1 Sand 24 To 44 1OYR 2/1 Spodic Material 44 To 45 REFUSAL Refusal 45 To 72 USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 5/1 Sand 0 To 20 10YR 6/1 Sand 10 To 39 10YR 7/1 Sand 20 To 39 10YR 2/1 Spodic Material 39 To 42 REFUSAL Refusal 42 To 72 OBSERVED WATER TABLE: 24.00 INCHES [ ABOVE / BEIAW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 10 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES EX ]NO MOTTLING: [X]YES [ ]NO DEPTH: 10.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: DRAINFIELD CONFIGURATION: [ ] TRENCH [XI BED 7 REMARKS/ADDITIONAL CRITERIA Sand/0.60 DEPTH OF EXCAVATION: [ ] OTHER (SPECIFY) 3WT determined using USDA WSS and soil borings. 10YR6/1 stripping in a 10YR5/1 matrix > 10% with diffuse boundaries starting 10" in SB2. SB1 2" below BM. SB2 2" below BM. SITE EVALUATED BY: Vajanyi, Matthew (Ti(ro✓Enmental Specialist i) (Florida Department of Health in 5 DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC AP1757718 EID2410777 INCHES DATE: 12/08/2021 Page 3 of 4 v 1.0.2 DocuSign Envelope ID: A842474F-OB40-43B6-A149-4EE45039012F LETTER FROM PROPERTY OWNER GRANTING AUTHORIZATION TO ACT A COPY OF THIS LETTER MUST BE SUBMITTED FOR EACH PROPERTY OWNER INVOLVED DANIESKY VEGA GARCIA and I, DAIMARIS RODRIGUEZ , being duly sworn declare that I am the owner of the (PROPERTY OWNER) Deanne Johnson property involved in the application. I hereby grant of Synergy Homes to act on my behalf. I further declare that all statements, answers, and information herein submitted is in all respects true and correct to the best of my knowledge and belief. DoeuSiyned by: 5/11/2021 Signature Date 704 EAST MIDWAY ROAD PORT SAINT LUCIE, FL 34982 Address Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 704 E Parcel ID: 3402-605-0037- Account #: 36798 Sec/Town/Range: 02/36S/40E MIDWAY RD 000-8 Map ID: 34/02N Zoning: RS-2 - Cou Use Type: 0000 Jurisdiction: Saint Lucie County Ownership Legal Description Daniesky Vega Garcia INDIAN RIVER ESTATES -UNIT 04- BLK 34 LOT 14 (MAP Daimaris Rodriguez 34/02N) 900 SW 27th AVE 203 Miami, FL 33135 Current Values Historical Values 3-year Just/Market: $35,700 Assessed: $23,691 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $23,691 2021 $35,700 $23,691 $0 $23,691 2020 $21,800 $21,538 $0 $21,538 2019 $21,800 $19,580 $0 $19,580 Date 02-25-2021 03-03-2017 03-13-2014 View: Year Built: N/A Primary Wall: Bedrooms: 0 Full Baths: 0 Half Baths: 0 Book/Page 4567 / 0288 3970 / 1651 3613 / 1344 Type Roof Cover: Frame: Story Height Sale History Sale Code Deed Grantor 0001 WD DeCambre David 0001 WD Reyes Apolinar 0001 WD Ramsanan Lorraine Primary Building Information Finished Area of this building: 0 SF Gross Sketched Area: 0 SF Exterior Data Roof Structure: Grade: No. Units: 0 Interior Data A/C %: 0% Electric: Heated %: N/A% Heat Type: Sprinkled %: 0% Heat Fuel: Total Areas Building Type: Effective Year: N/A Secondary Wall: Primary Int Wall: Avg Hgt/Floor: 0 Primary Floors: Finished/Under Air (SF): Gross Sketched Area (SF): Land Size (acres): Land Size (SF): Total Building Count: Special Features and Yard Items Qty Units Year Blt Price $50,000 $20,500 $13,500 0 0 0.54 23,320 1 All information is believed to be correct at this time, but is subject to change and is provided without any warranty. 0 Copyright 2021 Saint Lucie County Property Appraiser. All rights reserved. REFERENCE POINT: NID IN SIDEWALK S OF PROPERTY