Loading...
HomeMy WebLinkAboutApplication For Construction Permit�Sf►E Ste` o� STATE OF FLORIDA PERMIT NO. s _ � DEPARTMENT OF HEALTH DATE PAID ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: .T SYSTEM RECEIPT #: APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: [ ] New System Existing System [ ] Holding Tank [ ] Innovative [ ] Repair [ ] Abandonment [ ]] Temporary [ ] APPLICANT: S;?e � e 6j; j--/17/� r iCd9�� 4&; c, AGENT: 1AAf -79, '% r5 l6-7 TELEPHONE: 772 6W '16,qzj MAILING ADDRESS: �� 1V C Pm % e- A -7 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 Al jW �r-b 1,7Lf /_74 t9 LOT: BLOCK: SUBDIVISION: PLATTED: PROPERTY ID # : 2 4 ��� 0 �e4 . I y J? Jam% " �(�l'' ZONING: /M OR EQUIVALENT: [ Y / N ] PROPERTY SIZE: '� CRE WATER SUPPLY: [ ] PRIVATE PUBLIC [1/1 <=2000GPD [ 1>2000GPD IS SEWER AVAILABLE AS PER 381.00615,/FS? [ Yn / N ] DISTANCE TO SEWER: G� FT PROPERTY ADDRESS: DIRECTIONS TO PROPERTY: r�Iva,-;-,IV ell , & Z , - M' 12 / v?2 t I BUILDING INFORMATION [,/] RESIDENTIAL [ ] COMMERCIAL Unit Type of No Establishment 1 Ag - VA -a d 1; a--, 2 No. of Building Commercial/Institutional System Design Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC 3 4 �j Floor/Equip ai Other (Specify) SIGNATURE: DATE: / ' DH 4015, 08/09 bsolete revious editions which may not be used) Incorporated 64E-6.001, A Page 1 of 4 FLOOR —PLAN WAL TYPE LEGEND �p B . KEY NOTES E] +. artF ..0 x- M +nm +r � cAP DFrrtp oauuN DDsnxc mart �uL iinerrni+ m..De. w..we . .vm e4L (DPnc«a snF.E a rJ)rrrr Ir a4 u za snlDs o ON fuDC0.YWl; 2 TAC4 mauF StOaiglxD ON ­,ay6' D.G CfhMOR nµ+, IrnY. RTW TI DC — = NLw 2e1 STAG 1 Le 11 4'NDY, YAtL 0.'�C BAM T) aCCpNDDAIF TnL GG wTFAlei PMIRCN Po ET DDDR aIID PLWe�NG .. T .• X01L lwex KME •41 TO ♦I:CD—An TQ P�RT S CDStINCT .e' M TeI 11Ie.ED1 T+aEI AND TIB. M DP MJ L g NNa1R11GI HCII f/.tl 7x. STIDa iI/ 1/2' GYP, t0 DEDW1 SDF, P J WDtF 80 9AM SeF ArID SDD10 DCDrUTON w DAwIT. pAfUGE. ). fF�aTiDCT MYL tlM S.8 S1DDa W yr PDRPIF 00. BDM SelEa FDR fUNBw4 O I iW1DfPUlFGw ❑ 6.6TIDWNL PtNBDW I I r® 3 T®ne.�r,TDx_ r ® N epR O e De_�l� �ulaeve � Y r jLka B 0 YM -, ENTRrI ayq� •, D . t P .-rx--�si1 2 � re. jr�Kerlkn Bevntion I « e¢wmluRT A Al FFG UNU , , "Yam., ° RICHARD E. 6� � ATWOOD -0'Dnser DINING 1 Z GDw •D. I ® `' I ARCHRECT r ml BEDROOM 3 Graphic Designer r —T a ..wiw-- ° ee d 5<cum wx.w:Fw I trss LIC. 9 AR 0013444 BEDROOM - h 0 _ FI a•x,�.r , Y � rrtcNEN Fort Pkrc0. fl 34982 a.w 4 — tzs•:ltBtmaaal 514•: 407-304-0264 r BATHr LTi'17+5•r +BR m.9-tos x FL FL roede8 11�11B000m eta DlGstaTLY T' ENad 1 t DN rouser 1—ED _—_-1 �_— —•— •—_ remer I A h 4t FbaT � =T=---=- 2 a•xs+T eP FF\�,,,�,, ..F. h ..on+-N-2xaFl— h a°Ppm B0d^ Remodel for wDDm E= SIEVE FERREIRE . RESIDENCE a�mP+en ��N e , m I i h 1 New Fir a B•-2-bm B•-+B rlsn I H �x m17C suP 2-0' Z-0' Ckazm Pool I >0 FORT MIANWVDfWE MASTER13DRM s ex e.r. 1 FORT PBiC� FL 1T-]•xl sN�EYm1ii�UtmF➢� F \21d Fber '4 DPa DP«i U I LIVING PODN FxuTTa� —^ , ® BmI+VaNe, PEEWNL W �.� h O FDOH in St. Lucie County D per Environmental Health 4 1 LIVING BALCDNT' ,st & 2nd ,� rx+•.I. Septic System Appears Adequate T & 1fixiH' ® FLOOR �y'/�� g ® PLANS For P:.posed Constructione�C -(XQ Seating A 3.1 L_ 1/4• = +•-D- 0 2nd FLOOR PLAN This Approval Does Not Guarantee 1st FLOOR PLAN © ® ® ® A3.1 SCALE V4•ro (Va NALFs¢q Per p mance of A3., System SCALE ,_17-22 Us-ro we NnLFsa� D eD. .aD Reviewer: ��