HomeMy WebLinkAboutHEALTH DEPT INFOMission:
To protect, promote & improve the health
of all people in Florida through integrated
state, county & community efforts.
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HEALTH
Vision: To be the Healthiest State in the Nation
Jason Harris (All About Septic Services Inc.)
Jason Harris
5808 Pinetree Drive
Fort Pierce, FL 34982
RE: Contingency Letter
Application Document No: AP1854792
Centrax Permit Number: 56-SF-2328950
OSTDS Number:
7803 Eden Rd
Fort Pierce, FL 34951
Lot:19
Block:24
June 28, 2022
Subdivision: Lakewood Park
Ron DeSantis
Governor
Joseph A. Ladapo, MD, PhD
State Surgeon General
Dear Applicant:
This will acknowledge receipt of an application dated 06/28/2022 for a permit to use an existing
onsite sewage treatment and disposal system located on the above referenced property.
From a review of your completed application, it has been determined your existing system is
adequate for the proposed use.
If you have any questions on this matter, please call our office at (772) 873-4905,
Sincerely,
4W�� 41---
Brian Ingram, Environmental Specialist III
Enclosures
cc:
Florida Department of Health www.FloridaHealth.gov
in ST. LUCIE COUNTY TWITTER:HealthyFLA
5150 NW Milner Dr, Port Saint Lucie, FL 34983 FACEBOOK:FLDepartmentofHealth
PHONE: (772) 873-4931 FAX: (772) 595-1306 1 YOUTUBE: fldoh
St. Lucie County Health Department
5150 NW Milner Dr Port Saint Lucie, FL 34983
6 nE— LT
PAYING ON: #:56-SF-2328950 BILL DOC #:56-BID-5953445 CONSTRUCTION APPLICATION #: AP1695593
RECEIVED FROM: All About Septic Services Inc. AMOUNT PAID: $ 35.00
PAYMENT FORM: CREDIT CARD 15153718 PAYMENT DATE: 06/28/2022
MAIL TO: Brian McGrath
FACILITY NAME:
PROPERTY LOCATION:
7803 Eden Rd
Fort Pierce, FL 34951
19
Lot:
Property ID: 1301-603-0221-000-3
EXPLANATION or DESCRIPTION:
139 - OSTDS Application Approval Existing, No Insp
24
Block:
L
QUANTITY FEE
$ 35.00
RECEIVED BY: AdamsC AUDIT CONTROL NO. 56-PID-5611117
ns STATE OF FLORIDA PERMIT NO Sr' Z5�v
i DEPARTMENT OF HEALTH DATE PAID:
y vp ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID:
SYSTEM RECEIPT #:
APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
[ J New System [✓J Existing System [ ] Holding Tank ( J Innovative
[ ] Repair [ J� Abandonment [ ] Temporary [ ]
APPLICANT: -% /► "�6 - - ,__
AGENT: -WZ�l ; J/tz> IS TELEPHONE: 7? 2 7S D/%Z-
MAILING ADDRESS: I3S��j ]�l. lR,�frti6F� -i�� �/w d /!fy h-
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: 0 BLOCK: Zy� SUBDIVISION: 44Wada ;tl- k- PLATTED:
PROPERTY ID #: !3" D/ ZONING: �S T _ I/M OR EQUIVALENT: [ Y / N J
PROPERTY SIZE: 1 7-3 ACRES WATER SUPPLY: [ ✓] PRIVATE PUBLIC [ ]<=2000GPD E 1>2000GPD
IS SEWER AVAILABLE AS PER 381.0065"!-
,/FS?C Y/N ] DISTANCE TO SEWER: FT
PROPERTY ADDRESS: %Q-3 �,U,tl�L D )'�Q7 {�/ QC>r f /�,p- 9/(p sl
_ p t`
DIRECTIONS TO PROPERTY: tee " JS W-24, A,�57- oAl �,urJ2/a_I�1� UL
410A _
'v e&l fair ? ats S�eb �U.2,cC �vP r- nil fry ¢IV
BUILDING INFORMATION [ ] RESIDENTIAL [ J COMMERCIAL
Unit Type of No. of Building Commercial/Institutional System Design
No Establishment Bedrooms Area Sqft Table 1, Chapter 64E--6, FAC
2
3
4
Floor/Equipment Drains [ ] Other (Specify)
SIGNATURE:
DH 4015, 08/09 (Obsoletes previous editions which may not be used)
Incorporated 64E-6.001, FAC
DATE: � /4,v
Page 1 of 4
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