HomeMy WebLinkAboutAPPROVED FDOH Permit PERMIT # : 56-SF -2421110
STATE OF FLORIDA APPLICATION # : AP1764951
DEPARTMENT OF HEALTH DATE PAID :
+u; i°5 ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID :
'u t.
SYSTEM
• �4 RECEIPT # :
``° "� ' DOCUMENT # : PR1704127
CONSTRUCTION PERMIT FOR : OSTDS New
APPLICANT : (Port St Lucie Properties, Inc.)
PROPERTY ADDRESS : 5113 Sunset Blvd Fort Pierce, FL 34982
LOT : 30 BLOCK : 52 SUBDIVISION : Indian River Estates
PROPERTY ID # : 3402-608-0470-000-4 [ 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- 61 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 Seotic 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 [ 600 ] 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 SE OF PROP
I ELEVATION OF PROPOSED SYSTEM SITE [ 4.00 ] [ INCHES FT ] [ ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 11 .001 [ INCHES FT ] [ ABOVE BELOW ] BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED : [ 33,00] INCHES EXCAVATION REQUIRED : [ ] INCHES
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom) , for a total estimated flow of
0 300 gpd.
T
H Well located across street was not indicated on site plan.
5112 Sunset BLVD water serviced by SLC.
E 5200 Sunset BLVD water NOT serviced by SLC.
R
SPECIFICATIONS BY : Matthew S Vajanyi TITLE : Environmental Specialist I
APPROVED BY : o� ITLE : Environmental Specialist I St. Lucie CHD
Matthew 8 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 AP1764951 SE1620519
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.
STATE ME T OF HE PERMIT ID :
DEPARTMENT OF HEALTH DATE PAID : 11 1�
ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID :
SYSTEM RECEIPT # :
APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR :
[ v/ ] New System [ ] Existing System [ ] Holding Tank [ ] Innovative
[ ] Repair [ ] Abandonment [ ] Temporary [ ]
APPLICANT : Port St. Lucie Properties, Inc.
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 : 30 BLOCK : 52 SUBDIVISION : Indian River Estates Unit 7 PLATTED : 1956
PROPERTY ID # : 3402-608-0470-000-4 ZONING : R I /M OR` EQUIVALENT : [ No ]
PROPERTY SIZE : 0.23 ACRES WATER SUPPLY : [ PRIVATE PUBLIC [ t/f<=2000GPD [ ] >2000GPD
IS SEWER AVAILABLE AS PER 381 . 00651 FS? [ No ] DISTANCE TO SEWER : FT
PROPERTY ADDRESS : 5113 Sunset Boulevard, Fort Pierce, FL 34982
DIRECTIONS TO PROPERTY : SEE MAP
BUILDING INFORMATION IVI RESIDENTIAL [ ] COMMERCIAL
Unit Type of No . of Building Commercial/ Institutional System Design
No Establishment Bedrooms Area Sqft Table 1 , Chapter 64E - 6 , FAC
1 RESIDENCE 3 13481
2
3
4
[ ] Floor/Equipment Drains [ ,/ ] Other ( Specify) GARBAGE GRINDERS / DISPOSALS
Alexander J Piazza " �"`� H
SIGNATURE : DATE : 8-26-21
DH 4015 , 08 /09 (Obsoletes previous editions which may not be used)
Incorporated 64E - 6 . 001 , FAC Page 1 of 4
F STATE OF FLORIDA APPLICATION # AP1764951
DEPARTMENT OF HEALTH PERMIT # 56-SF-2421110
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
DOCUMENT If SE1620519
.�' SITE EVALUATION AND SYSTEM SPECIFICATION
. rycoD q.C1�"r .
APPLICANT : Port St Lucie Properties, Inc,
CONTRACTOR / AGENT : Alexander J. Piazza PSM, Inc
LOT : 30 BLOCK : 52
SUBDIVISION : Indian River Estates ID# : 3402-608-0470-000-4
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 : 300 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 : 750,00 SQFT UNOBSTRUCTED AREA REQUIRED : 750,00 SQFT
BENCHMARK/REFERENCE POINT LOCATION : NID SE OF PROP
ELEVATION OF PROPOSED SYSTEM SITE 4,00 [ 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 : 6 FT PROPERTY LINES : 5 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
SOIL PROFILE INFORMATION SITE 1 SOIL PROFILE INFORMATION SITE 2
USDA SOIL SERIES : USDA SOIL SERIES :
Munsell #/Color Texture Depth Munsell #/Color Texture Depth
1 OYR 5/1 Sand 0 To 23 1 OYR 5/1 Sand 0 To 20
1 OYR 6/1 Sand 12 To 23 1OYR 6/1 Sand 9 To 36
1 OYR 7/1 Sand 23 To 33 1OYR 711 Sand 20 To 36
I OYR 2/1 Spodic Material 33 To 40 1OYR 2/1 Spodic Material 36 To 40
REFUSAL Refusal 40 To 72 REFUSAL Refusal 40 To 72
OBSERVED WATER TABLE : 23,00 INCHES [ ABOVE / HELOW ] EXISTING GRADE TYPE : [ PERCHED / APPARENT ]
ESTIMATED WET SEASON WATER TABLE ELEVATION : 9 INCHES [ ABOVE / HELOW ] EXISTING GRADE
HIGH WATER TABLE VEGETATION : [ ] YES IX ] NO MOTTLING : [ X IYES [ ] NO DEPTH : 9,00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING : Sand/0.60 DEPTH OF EXCAVATION : INCHES
DRAINFIELD CONFIGURATION : [ ] TRENCH ( XI BED [ ] OTHER ( SPECIFY)
REMARKS /ADDITIONAL CRITERIA
WSWT determined using USDA WSS and soil borings. 10YR611 stripping in a 10YR5/1 matrix > 10% with diffuse boundaries starting
at 9" in SB2. SB1 4" below BM. SB2 4" below BM.
SITE EVALUATED BY : DATE : 12/08/2021
Va]anyi, Matthew (T t50ronmental Specialist 1) (Florida Department of Health In S
DE 4015 , 08/09 (Obsolates previous editions which may not be used) Incorporated : 64E-6 . 001 , FAC Page 3 Of 4
AP1764951 EID2421110 v 1 .0 .2
APPLICANT'S NAME : Port St. Lucie Properties, Inc.
LEGAL DESCRIPTION : Lot 30 , Block 52, Indian Riyer Estates Unit 7 (PB 101PG 75)
-PR, OPOSED SEPTIC SYSTEM SITE INFORM.4 TIQN
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-of4ay 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.
Alexander Piazza W, t ,'
NOTE: MUST BE CERTIFIED BY A FLORIDA CERTIFIED BY:
Wird REGISTERED SURVEYOR OR ENGINEER. FLORIDA PROFESSIONAL NO.: 6330 �6
DATE: 08/26/21 JOB NO. : 21 -7815
dots/1'orms/septics/SepticApppPage207
Page 4 of 4
Michelle Franklin , CFA -- Saint Lucie County Property Appraiser -- AII rights reserved .
Property Identification
Site Address: 5113 SUNSET Parcel ID: 3402-608-0470- Account #: 37549 Sec/Town/Range: 02/36S/40E
BLVD 000-4 Map ID: 34/02S Zoning: RS4 Count
Use Type: 0000 Jurisdiction: Saint Lucie
County
Ownership Legal Description
Jeans S Darden INDIAN RIVER ESTATES-UNIT 07- BLK 52 LOT 30 (MAP
4409 Pressler LN 34102S)
Foil Pierce, FL 34982
Current Values Historical Values 3-year
Just/Market: $20,900 Assessed: $ 14, 157 Year Just/Market Assessed Exemptions Taxable
Exemptions: $0 Taxable: $ 14, 157 2021 $20,900 $ 14,157 $0 $ 14, 157
2020 $ 14,400 $ 12,870 $0 $ 12,870
2019 $ 11 ,700 $ 11 ,700 $0 $ 11 ,700
Sale History
Date Book/Page Sale Code Deed Grantor Price
07-20-2018 4159 / 1998 0001 WD EokerRobert KOM
01-29-2013 . 3480 / 2357 0001 WD Devault Richard O $3,000
0443- 1990 0687 / 1375 XX01 WD Devault Karen $ 100
Primary Building Information
Finished Area of this building: 0 SF
Gross Sketched Area: 0 SF
Exterior Data
View: Roof Cover: Roof Structure: Building Type:
Year Built: N/A Frame: Grade: Effective Year: N/A
Primary Wall: Story Height: No. Units: 0 Secondary Wall:
Interior Data
Bedrooms: 0 A/C %: 0% Electric: Primary Int Wall:
Full Baths: 0 Heated %: N/A% Heat Type: Avg Hgt/Floor: 0
Half Baths: 0 Sprinkled %t 0% Heat Fuel: Primary Floors:
av N . Total Areas
o Finished/UnderAir 0
(SF):
Gross Sketched Area 0
r ;. Land Size (acres): 0,23
Land Size (SF): 103000
- - - - Total Building Count: I
Special Features and Yard Items
Type Qty Units Year Blt
I IF
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.
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