HomeMy WebLinkAboutOSTDS NEWIT #: 56-SF-1826035
i� PPLI 4TION #
STATE OF FLORIDA et _.:' ry"a 6 AP1330665
DEPARTMENT OF HEALTH DATE PAID:
ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID:
SYSTEM RECEIPT #:
DOCUMENT #: PR1096281
BY
CONSTRUCTION PERMIT FOR: OSTDS New t p P id-10 V'nl11*U
APPLICANT: Rosario
PROPERTY ADDRESS: 5604 Seagrape Dr Fort Pierce, FLi 34982
LOT: 18 BLOCK: 54
PROPERTY ID #: 3402-609-0076-000-5
SION: Indian River Estates
[SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR TAX ID NUMBER]
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION
381.0065, F.S., AND CHAPTER 64E-6, F.A.C.11 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 EXEMPTI THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL,
STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY.
SYSTEM DESIGN AND SPECIFICATIONS
I
T [ 900 ] GALLONS / GPD SeDtiC-new CAPACITY
A [ ] GALLONS / GPD N/A CAPACITY
N [ J GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ]
D [ 500 ] SQUARE FEET Drainfield new I SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [XI MOUND [ ]
I CONFIGURATION: [ ] TRENCH [XI BED! [ ]
N
F LOCATION OF BENCHMARK: Orange painted BM X CL of rd, center of property
I ELEVATION OF PROPOSED SYSTEM SITE [ 12.001r INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ i;VooI[ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D 1
0
T
H
E
R
'ILL REQUIRED: [ LU.UU] INCHES EXCAVATION REQUIRhW: I J iivcnZD
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.
The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with
s. 64E-6.013(3)(f), FAC.
SPECIFICATIONS BY: Brian J Ingrwe-2 TITLE: Environmental Specialist II
APPROVED BY: TITLE: Environmental Specialist II St. Lucie CHD
Brian J Zngra
DATE ISSUED: 03/02/2018 r EXPIRATION DATE: 09/02/2019
DR 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC I Page 1 of 3
v 1.1.4 AP1330665 SE1.066935
' I
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 mustibe received by the Agency Clerk for the
Department, within twenty-one (21) days from the 'receipt of this older. 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 alternatives 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.
i
St. Lucie County Health Department
Wb` d2 5150 NW Milner Dr Port Saint Lucie, FL 34983
HEALTH
PAYING ON: PERMIT#: 56-SF-1826035 BILL DOC,#:56-BID-3677167 CONSTRUCTION APPLICATION M AP1330665
RECEIVED FROM: Alexander,J. Piazza PSM, Inc AMOUNT PAID: $ 515.00
PAYMENT FORM: CHECK 1383 PAYMENT DATE: 02/26/2018
MAIL TO: Rosario Reyes
I
i
FACILITY NAME:
PROPERTY LOCATION:
5604 Seagrape Dr
Fort Pierce, FL 34982
I
Lot: 18 I Block: 54
i
Property ID: 3402-609-0076-000-5
EXPLANATION or DESCRIPTION:
QUANTITY
FEE
128 - OSTDS Construction System Inspection Research Fee
1
$
5.00
I
-1 - Surcharge, (All)
1
$
15.00
-1 - OSTDS New Permit Surcharge
1
$
100.00
-1 - OSTDS Construction Application and Plan Review,New
1
$
100.00
123 - OSTDS Construction'Site Evaluation
I
1
$
115.00
126 - OSTDS Construction Permit (New or Mod, Amendment)
1
$
55.00
I
127 - OSTDS Construction System Inspection
1
$
75.00
133 - OSTDS Construction Reinspection
1
$
50.00
RECEIVED BY: WhighamJL AUDIT CONTROL NO. 56-PID-3488057
'roperty.Card , . Page 1 of
t �
�GIL<
Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved.
Property Identification
Site Address: 5604
Parcel ID: 3402-609-0076- Account #: 37644 Sec/Town/Range:
SEAGRAPE DR
000-5 11/36S/40E
Map ID: 34/11N
Zoning: RS-4 Use Type: 0000 Jurisdiction: Saint Lucie
County
Ownership
Legal Description
Rosario Reyes
INDIAN RIVER ESTATES-UNIT-08- BLK 54 LOT 18 (MAP
2947 Riverside DR Apt 230 34/11N) (OR 3996-1814)
Coral Springs, FL 33065-5574
Current Values Historical Values 3-year
Just/Market:
Assessed: Year ;Just/Market Assessed Exemptions Taxable
Exemptions:
Taxable:
Sale History
Date
Book/Page Sale Code Deed Grantor Price
05-06-2017
3996 / 1814 0001 WD Center of The Univ Enterprises $9,500
03-09-2004
1916 / 2752 XX00 WD Lay ,Michael J $19,500
09-08-2003
1796 / 2833 XX00 WD Landco Investment Corp, $15,000
I
Primary Building Information
Finished Area; of this building: 0 SF
Gross Area of this building: 0 SF
Exterior Data
View:
Roof Cover: Roof Structure: Building Type:
Year Built: N/A
Frame: Grade: Effective Year: 2014
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 %: 0% Heat Fuel: Primary Floors:
Total Areas
Finished/Under Air 0
r,` + (SF):
x
Gross Area (SF): 0
r
Land Size (acres): 0.23
t Land Size (SF): 10,000
Total Building,Count: 1
Special Features and Yard Items
Type Qty Units Year Blt
r
This information is believed to be correct at this time but it is subject to change and is not warranted.
OO Copyright 2018 Saint Lucie County Property Appraiser. All rights reserved.
ttp://www.paslc.org/RECard/ I 1 2/26/2018
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
APPLICATION FOR CONSTRUCTION PERMIT
I
APPLICATION FOR:
PERMIT NO.
DATE PAID:
FEE PAID:
RECEIPT #:
New System [ ] Existing System j [ ] Holding Tank [ ] Innovative
[ ] Repair [ ] Abandonment [ ] Temporary [ ]
APPLICANT: Rosario Reyes
AGENT: Alexander J. Piazza PSM, Inc.
MAILING ADDRESS: 619 SW Biltmore Street, Port St. Lucie, Florida 34983
TELEPHONE: 772-340-7770
TO BE COMPLETED BY APPLICANT OR APPLICANT'SiAUTHORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED
BY A PERSON LICENSED PURSUANT TO 489.105(3)I(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:
18 BLOCK: 54 SUBDIVISION: Indian River Estates Unit 8 PLATTED: 1958
PROPERTY ID #: 3402-609-0076-000-5 1 ZONING: R I/M OR EQUIVALENT: [ No
PROPERTY SIZE: 0,230 ACRES WATER SUPPLY: [ ] PRIVATE PUBLIC [ vlf<=2000GPD [ ]>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [ No ] DISTANCE TO SEWER: YT
PROPERTY ADDRESS: 5604 Seagrape Drive, Fort Pierce, Florida 34982
DIRECTIONS TO PROPERTY: SEE MAP
i
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
1 RESIDENCE 3 1,376
2
3
4
[ ] Floor/Equipment Drains [ ✓ ] other (Specify) GARBAGE GRINDERS / DISPOSALS
Vz:"e, Al� y DATE: 2-02-18
SIGNATURE: /i
DH 4015, 08/09 (Obsoletes previous edition's which may not be used)
Incorporated 64E-6.001, FAC Page 1 of 4
a
vb o� STATE OF FLORIDA
PERMIT #
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND I DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATIONS
APPLICANT: Rosario Reyes AGENT: Alexander J. Piazza PSM, Inc.
LOT: 18 BLOCK: 54 SUBDIVISION: Indian River Estates Unit 8
PROPERTY ID #: 3
[ Tax ID Number
TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE,OR OTHER QUALIFIED PERSON. ENGINEERS
MUST PROVIDE REGISTRATION NUMBER AND SIGN ANDISEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS.
PROPERTY SIZE CONFORMS TO SITE PLAN: [✓] YES [ ] NO NET USABLE AREA AVAILABLE: ACRES
TOTAL ESTIMATED SEWAGE FLOW: 500 GALLONS PER DAY [RESIDENCES -TABLE 1/OTHER-TABLE2 ]
AUTHORIZED SEWAGE FLOW: GALLONS PER DAY [1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 750 SQFT UNOBSTRUCTED\AREA REQUIRED: 750 SQFT
BENCHMARK/REFERENCE POINT LOCATION:
ELEVATION OF PROPOSED SYSTEM SITE IS 34 [INCHES/FT ] [ABOVE/BELOW] BENCHMARK/REFERENCE POINT
I
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER:100 FT I DITCHES/SWALES:15 FT NORMALLY WET? [ [ YES [,/] NO
WELLS: PUBLIC: 200 FT LIMITED USE : 100 ! FT PRIVATE: 75 FT NON —POTABLE: 100 FT
BUILDING FOUNDATIONS:5 FT PROPERTY LINES:10 FT POTABLE WATER LINES: FT
SITE SUBJECT TO FREQUENT FLOODING: [ ] YES NO 10 YEAR FLOODING? [ ] YES [,/] NO
10 YEAR FLOOD ELEVATION FOR SITE: FT MSL/NGVD SITE ELEVATION: FT MSL/NGVD
SOIL PROFILE INFORMATION SITE 1
MUNSELL #/COLOR TEXTURE DEPTH
TO
TO
TO
TO
TO
TO
TO
TO
TO
USDA SOIL SERIES:
anTT. AROFTLE TNFORMATION SITE 2
MUNSELL #/COLOR TEXTURE DEPTH
TO '
TO
TO
TO
TO
TO
I
USDA SOIL SERIES:
TO
TO
TO
OBSERVED WATER TABLE:40+ INCHES [BELOW q EXISTING GRADE. TYPE: [PERCHED/ APPARENT ]
ESTIMATED WET SEASON WATER TABLE ELEVATION:! INCHES ABOVE BELOW ] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ] YES [ ] NO MOTTLING: [ 1 YES [ ] NO DEPTH: INCHE:
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: DEPTH OF EXCAVATION: INCHE:
DRAINFIELD CONFIGURATION: [�/] TRENCH [ ] BED ] OTHER (SPECIFY)
REMARKS/ADDITIONAL CRITERIA:
i
SITE EVALUATED BY:
DH 4015, 12/11 (Obsoletes previous edi
which may not -'be used) incorporated: 64E-6.001, FAC
DATE:
2-02-18
Page 3 of
APPLICANT'S NAIME:
Rosario Reyes
LEGAL DESCRIPTION: Lot 18, Block 54, Indian River Estates Unit 8
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 arej 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-of-way 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.
NOTE: MUST BE CERTIFIED BY A FLORIDA
REGISTERED SURVEYOR OR ENGINEER.,
CERTIFIED BY:
FLORIDA PROFESSION NO.:�'�
DATE: 02/02/18 , JOB/5a.: " 18-3528
docs/ Fortes/septics/SepticAppp Page207