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HomeMy WebLinkAboutMODIFICATION TO A SINGLE RESIDENCEMission: To protect, promote &improvethe health of all people in Ftoridat mugh integrated state, aunty&oormu*efforts. David Green 143 Dusk Way Fort Pierce, FL 34945 HEALTH Vision: To be the Healthiest State In the Nation February 15, 2018 RE: Modification to a Single Family Residence - No Bedroom Addition Application Document Number: AP1329068 Centrax Permit Number: 56-SF-1823566 143 Dusk Way Fort Pierce, FL 34945 Lot: 19&20 Block: A Subdivision: Tropical Acres Dear Applicant, Rick Scott Governor Celeste Philip, MDR MPH State Surgeon General and Secretary GGANNED BY St Lude Ca This will acknowledge receipt of a floor plan and site plan on 02/15/2018 for the use of the existing onsite sewage treatment and disposal system located on the above referenced property. This office has reviewed and verified the floor plan and site plan you submitted, for the proposed remodeling addition or modification to your single-family home. Based on the information you provided, the Health Department concludes: 1. the proposed remodeling addition or modification is not adding a bedroom; and 2. it does not appear to cover any part of the existing system or encroach on the required setback or unobstructed area. 3. No existing system inspection or evaluation and assessment, or modification, replacement, or upgrade authorization is required. Because an inspection or evaluation of the existing septic system was not conducted, the Department cannot attest to the existing system's current condition, size, or adequacy to serve the proposed use. You may request a voluntary inspection and assessment of your system from a licensed septic tank contractor or plumber, or a person certified under section 381.0101, Florida Statutes. If you have any questions, please call our office at (772) 873-4931. Sincerely, Brian Ingram Environmental Specialist II Department of Health in St. Lucie County Florida Department of Health www.fforldahoalth.gov In St. Lucie County • 5150 NW Milner Drive • Port Saint Lucie, Florida TWITTER:HealthyFLA 34983 FACESOOK:FLDepartmentofHealth PHONE: (772) 8734931 1 YOUTUBE: fldoh of HEATH PAYING ON: RECEIVED FROM PAYMENT FORM: MAIL TO; David Green St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 PERMIT #: 56-SF-1823566 BILL Doc #:56-BID-3672643 CONSTRUCTION APPLICATION #: AP1329058 David Green AMOUNT PAID: $ 35.00 CREDIT CARD PAYMENT DATE: 02/15/2018 FACILITY NAME: PROPERTY LOCATION: 143 Dusk Way Fort Pierce, FL 34945 19&20 Lot: Property ID. 2308-601-0019-000-2 EXPLANATION or DESCRIPTION: 139 - OSTDS Application Approval Existing, No Insp A Block: QUANTITY FEE 1 $ 35.00 RECEIVED BY: WhighamJL AUDIT CONTROL NO. 56-PID-3483113 T 4 A STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM •��°" '` APPLICATION FOR CONSTRUCTION PERMIT PERMIT NO. DATE PAID: FEE PAID: RECEIPT #: APPLICATION FOR: [ ] New System [ ] Existing System [ ] Holding Tank [ 7 Innovative [ ] Repair [ ] Abandonment [ ] Temporary [ ,/ ] Plan Review APPLICANT: t/ )q l/ 1 CJ1 &(e-e-A.1 AGENT: TELEPHONE: MAILING ADDRESS: 47 busK y, TO B2" 7 COMPLETED BY APPLICANT OR APPLICANT'S AUTHOREDIZAGENT. 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. ===aaa==aaaa=aaaaaaccaaa=acc=cccccacaacccc=cc=cca=ccc=ccc=ccc=cca=ccc=cc==vacacc=c==ccc==� PROPERTY INFORMATION �j LOT: O BLOCK: A SUBDIVISION: �(opici1 diCCA S PLATTED: PROPERTY ID #: �3Oi-J V (�D! ` ©0��'000�-�ONING: &- .5 I/M OR EQUIVALENT: [ Y/N ] PROPERTY SIZE: ACRES WATER SUPPLY: [f/l PRIVATE PUBLIC [ ]<=2000GPD [ ]>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y N ) ] DISTANCE -TO SEWER: 4—FT PROPERTY ADDRESS: I LI J z u S'c DIRECTIONS TO PROPERTY: _ 6Ccan,QP, owu e— Ln L "�-o CD Q SVC W WL R :6 %rAJ BUILDING INFORMATION [ ] RESIDENTIAL [ ] COMMERCIAL Unit Type of No. of Building Commercial/Institutional System Design No Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6, PAC 2 3 4 [ ] Floor/Equipment Drains [ ] Other (Specify) 14 SIGNATURE: DATE: DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC Page 1 of 4