HomeMy WebLinkAboutOSTDS ABONDONMENTI A Lil
STATE OF FLORIDA
DEPARTMENT OF HEALTH,
ONSITE SEWAGE TREATME
CONSTRUCTION PERMIT
i /
CONSTRUCTION PERMIT FOR: OSTDS
APPLICANT: Cathrine Ray
PROPERTY ADDRESS: 485 Bridlewood I
LOT: 2 BLOCK: E
PROPERTY ID #: 2310-801-0050-000-2
AND DISPOSAL SYSTEM
Fort Pierce, FL 34945
PERMIT #: 66-SF-I 663199
APPLICATION #:AP1219613
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT#: PR1001001
SUBDIVISION: Dolran
[SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR TAX ID NUMBER]
SYSTEM MUST BE CONSTRUCTED JIN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION
381.0065, F.S., AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE
I IN MATERIAL FACTS,
SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE
WHICH SERVED AS A 13ASIS FOR/ ISSUANCE OF THIS PERbffT, REQUIRE THE APPLICANT TO MODIFY THE
PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID.
i
ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL,
STATE, OR LOCAL PERM[ITTING REQUIE I LED FOR DEVELOPMENT OF THIS PROPERTY.
I
SYSTEM DESIGN AND
T 750 1 GALLONS GPD septic tank CAPACITY
A GALLONS GPD CAPACITY
N GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
i
K GALLONS DOSING TANK CAPACITY ]GALLONS @[ ]DOSES PER 24 HRS #Pumps E
D I SQUARE FEET SYSTEM
R ] SQUARE FEET SYSTEM
A TYPE SYSTEM: STANDARD FILLED E I MOUND E
I CONFIGURATION: TRENCH BED I
N
F LOCATION OF BENCHMARK:
I ELEVATION OF PROPOSED SYS ITE 31 ABOVE/ BELOW I BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE 1[ ABOVE/ BELOW I BENCHMARWREFERENCE POINT
L
* FILL REQUIRED: f U0 INCHES EXCAVATION REQUIRED: INCHES
Have the tank abandoned in accordance with the following procedures:(a) The tank shall be pumped out.(b) The bottom
* of the tank shall be opened o r' ruptured, or the entire tank collapsed so as to prevent the tank from retaining water, and(c)
T The tank shall be filled with c I lean sand or other suitable material, and completely covered with soil.Have the system
inspected by the health department after it has been pumped and ruptured but before it is filled with sand and coye�qd.
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SPECIFICATIONS BY: MICHAEL W STUHR TIA: Registered Septic Tank Contractor
APPROVED BY: TITLE: Environmental Specialist I St. Lucie CHD
Brian J Vigram
DATE ISSUED: 01/13/2016 EXPIRATION DATE: 04/13/2016
DH 4016r 08/09 (Obsoletes all previous editions which may not be used) of 3
Incorporated: 64E-6,;003, PAC a
v 1.1.4 AP1219613 SE-� ILE COPI
Planning & Development Services Department
0 Building & Code Regulations Division
lm9m*mommlml 1
. .. ..... 2300 Virginia� i Avenue, Fort Pierce, FL 34982 — (772) 462-1553
Certification for Design Load Compliance
Project Name: SARAH& RALPH RAY
Project Address: 485 BRIDLEWOOD ROAD
Permit #: Occd pancy Type: R3 —Construction Type: VB
INSTRUCTIONS FOR USE:
* This certification must be completed, signecl,�ancl sealed by the design professional of record.
I r commercial with all permit applications involving the following:
* Submit (2) copies for residential, (3) copies fd,
e New Residences (single or multi-fam ly)
o Residential Addition
• Any accessory structure requiring a b I uIlding permit
• Any non-residential structure. I .
* Note: Form not required for interior renovation I s provided that no exterior structural elements are affected and
I
certain minor building permits at the discretion of the local building official. Contact the # above for questions.
DESIGN PARAMETERS AND ASSUMPTIONS USED: 1(complete all that apply)
1. DESIGN CODE: Florida Buildinci Code Fifth Edition with 20 N/A supplements using ASCE 7-10
2. Structure Designed as (check one): X EncId ; sed Partially Enclosed —Open
3. Risk Category: _11 X 11 111 — IV Exposure Category: _13 —C —D
4. Design Wind Velocity 124 mph X ASD LRFD End Zone Width: 4'-0" ft
S. Mean Roof Height �15' ft iRoof Pitch: 5 :12 Parapet: /A ft
6. Components & Cladding Design Pressures Used: jPSF, based on 10sqft @ 15'MRH, clearly label on all plan openings):
+21.2/ +21.2/ +21!2/ +36.8/ +36.8/
Zone 1: -33.6 Zone 2: -58.6 , Zone 3: -86.6 Zone 4:40.0 Zone 5:49.3 Garage: N/A
7. Design Loads: Floor: 40 PSF Roof/Dead': 17 PSF Roof/Live: 20 Balcony: N/A PSF
Dock: N/A PSF Deck: N/A PSF Stairs: N/A PSF Fence: N/A PSF Railings: N/A PSF
8. Were Shear Walls Considered For Structure? X 'Yes _Not Applicable Explain Why Not:
9. Is A Continuous Load Path provided?. X Yes Not Applicable Explain Why Not:
10. Design Soil Bearing Pressure: 2000 PSF Soil Test Reports Submitted? Yes
DESIGN PROFESSIONAL CERTIFICATION STATEMENT:
I certify that, to the best of my knowledge and belief, he attached plans & specifications have been designed to
comply with the applicable structural portions of the building codes currently adopted and enforced by St. Lucie
County. I also certify that structural elements depicted i on these plans provide adequate resistance to the design
forces specified:
Signature, D�td,-a 9;-al
Revised 07/25/2014
ROBERTF.,SONBERG
Print Name
RA #6280
Cert # & Co. Cert Auth.
ROBERT F. SONBERG ARCHITECT
113 BENT TREE DRIVE, PALM BEACH GAJJQ �S,&60RIOA
Company Nam e & Address
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