Loading...
HomeMy WebLinkAboutAPPROVED FDOH Permit PERMIT #: 56-SF-242'1110 �k STATE OF FLORIDA APPLICATION #:AP1764951 E7 rr •b DEPARTMENT OF HEALTH DATE PAID: ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: �u SYSTEM 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 391.0065, 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 [ 900 ] GALLONS / GPD Sentic 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 NIA 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 [ 11.00 ] [ INCHES FT ] [ ABOVE BE LOW]BENCHMARK/REFERENCE POINT L D FILL REQUIRED: [ 33.001 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 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: ITLE: Environmental Specialist I St. Lucie CHD Matthew $ ajany' 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. \ ; J«Zy �^ � _- �����y . \ REFERENCE POI mo » 7 PROEM