HomeMy WebLinkAboutLETTER-MODIFICATION TO AN APPLICATIONE
SCANNED
Mission:
To protect, p aTde Wnpmve the health : -
of41 p"ein Floridathrnugh integrated
state, county&&miui*eftts.
I� HEALTH
Vision: To bete Heait)uestStafeih the Won
Jeffery Miller
107 Sheridan Lane
Jensen Beach, FL 34957
RE: Modification'to.a .
Application Document i
-Centrax Permit Number:
107 Sheridan Lane
Jensen Beach, FL 34957
Dear Applicant,
April .13, 2018
RECEIVED
APR 2 0 2018
i
ST.`,Lucie County, Permitting
'amity Residence No Bedroom Addition
56-SF-I
Rick Scot!
Govemor
Celeste Phlllpi MD, MPH
Siate Sutgeat General and Secretary.
This will acknowledge receipt of a floor plan and site plan on '04/13/2018 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 single4amily home. Based on :the information you provided,
the Health Department concludes:.
1. :the proposed remodeling addition or modification is hot 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,
Dianna May
Environmental Specialist I
Florida Depardnoni of HeaMb wwwMarldaboaltlr.yov
in St. Lucie County - 5150 NW Milner Drive - Port Saint Lucie, Florida TWITTER:HealthyFLA
34983 FACEBOOK:FLDepartmentofHealth
PHONE: (772) 873-4931 YOUTUBE: ildoh
St. Lucid, County Health Department
51.50 NW Milner Dr Port Saint Lucie, FL 34,983
I
PAYIN6,ON: PERMIT#: 56-SF-I 839258 1'31LL DOC #-58-8113-31
RECEIVED FROM: Jeffery Wet
PAYMENT FORM: CREDIT CARD
MAIL70. jefftey Millet
PRECE VED
P
FAR 0
sT. Lucie county, Permitting
e1qg
FACILITY NAME
PROPERTY LOCATION:
-10.7 Sheridan Ln
Jensen Beach, FL 349W
Lot: .
Property ID:
10-.000-4
EXPLANATION or DESCRI
139 - OSTDS Application Approval Existing, No Insp
Block:,
q7 CONSTRUCTION APPLICATION #.; AP1339229
AMOUNT PAID: $.35.00
PAYMENT DATE: 04/13/2018
QUANTITY FEE
35.00
RECEIVED BY: VanceMH AUDIT CONTROL NO. 56-PID-3514003
r
RECEIVED
APR, 20 L418
ST. LU * ty, Permitting I
STATE OF FLORIDA
r DEPARVkffiNT OF HEALTH
p QNSI. SEWAGE TREATMENT AND DISPOSAL
WS SYSTER
APPT,ICATION FOR CONS. ITRUC'i'IQN PERMIT
APPLICATION 'FOR':
PERMIT .NO.
-DATE PAID:
FEE PAID:
RECEIPT #• (!�
[ ] New System j,(] Existing System [ ] Holding Tank [ ] innovative
[ ] Repair [ ] Abandonment [ ] Temporary [ ✓ ] PLAN: REVIEW
I
AP.PLICANTc - L�'-z V"y 43 LA
AGENT:
MAILING ADDRESS:
(,+
-k-COG', __111rzW
TELEPHONE:(79_Z) S-2 9 ' 6 J S_
�cH. FC :31-J 9-S-,7-
TO BE .COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED
BY A PERSON LICENSED PURSUANT TO 489,105(3).(vt) OR 489.562, FLORIDA STATUTES. IT IS THE
APPLICANT'S. RESPONSIBILITY TO PROVIDE DOCUMENTATION OF THE DATE THE LOT WAS CREATE
p OR
PLATTED (MM/DD/YY) IF REQUESTING' CONSIDERATION OF STATUTORY GRANDFATHER PROVISIONS.
PROPERTY INFORMATION
LOT': BLOCK:
SUBDIVISION: I
PLATTED:
PROPERTY ID 4: 11 ,/ Co
,-1 `3' o - oo f rO - D" (_1( ZONING: R F5_Z I/M OR EQUIVALENT:
[ Y /:N ]
���
I
PROPERTY SIZE::
ACRES WATER SUPPLY: ] PRIVATE PUBLIC [ '1<=20.O0GPD [
1>2006GPD
IS SEWER AVAILABLE AS
PER 381.00,65., FS? [ Y ]
DISTANCE TO SEWER:
FT
PROPERTY ADDRESS:
, U '56-L1f1..� 0A- J L�-[�J
C ( jC 0� n �L
j y J s
DIRECTIONS TO PROPERTY: �_A'_-5t OSU WALTOCU,
4VQ1
�AWP—
�R ice- y F
, A e,i L O- 0 rj S2 (? `�yC �il2
L , (-�
o ;,,)
`J _11i (oC WeyM 0"S �e-� o�Zs�
GOMMERCiAL
BUILDING INFORMATION [ 'RESIDENTIAL'. rJZG ���
[ ]
Unit Type of No. of Building Commercial/Institutional System Design
No Establishment Bedrooms Area St3ft 'Table 1, Chapter 64E-6, FAC
1 S F fL 3 a 1 o NO k—OLUVK Qorn
2
3
4
[ ] Floor/Equipment Drains [ ] Other (Specify)
SIGNATURE: DATE:
DH 4015, 08/09 (Obsoletes previous editions which may not be used)
Incorporated 64E-6.001, FAC Page 1 of 4
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FDOH in St. Lude County
o N a)Environmental Health
H ® Septic System Appears Adequate
U For Proposed. Construction 123125g
w This Approval Does Not Guarantee
Performance of :the System.
Reviewer:
..: ..
httn-1/wtneanacirorallmana�katrhncle4oMh/177l19�447 197071 i inn `-
FD.OH in St. Lucie. County
Environmental Health
SepticSystem Appears Adequate
For Proposed. Construction "2S8
This Approval Qoes Not Guarantee
Performance of the System
Reviewer:
T
K
LJ
Ill
<L
( ftp. nt
(fiom Survey)
Legai,. Rescriptlon
-�J1 t e � � � h
Situ Da�Ca ��
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by.CI 5urveying:- Projact
dl
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om a.
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Site AreaCovcrage
Macu'
5xistiii6a4 propo ed. coh9truction 4.481 SF
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OveralE 91to M460 SF -
t
Q
U
'Percentage of eoveragc 5.4 Y.
(maxlmum allowOla 207.)
A"i
Sheet
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of ,