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HomeMy WebLinkAboutOSTDS NEWUGANNED
STATE OF FLORIDA BY
DEPARTMENT OF HEALTH LOCI@ COU
ONSITE SEWAGE TREATMENT AND DISPO A-L
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: Milissa Journet (Associated Homes Inc.
PROPERTY ADDRESS: 5105 Palmetto Dr Fort PIE
LOT: 32-33 BLOCK: 5
PROPERTY ID #: 3402-606-0029-000-2
L 34982
PERMIT #:56-SF-1831275
APPLICATION # : AP 1334109
DATE PAID: `
RECEIVED
APR 2 62018 Doc
ST. Lucie Canty, Rermltting
Indian River Estates
PAID:
PT #:
NT #: PR1099991
[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. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE
SATISFACTORY PERFORMANCE FOR ANY SPECIFIIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS,
WHICH SERVED AS A BASIS FOR ISSUANCE �IOF 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 [ 1,050 ] GALLONS / GPD SeDtid new CAPACITY
A [ J 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 [ 667 ] SQUARE FEET Drainfield new SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD [x] FILLED [] MOUND [ ]
I CONFIGURATION: [ ] TRENCH [X] BEDI [ ]
N
F LOCATION OF BENCHMARK: site BM orange painted X CL of rd center of property.
I ELEVATION OF PROPOSED SYSTEM SITE [ 4.00 ][INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 5p ][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: 117.00] INCHES EXCAVATION REQUIRED: [ 62.00] INCHES
The system is sized for 4 bedrooms w Ih a.l�a_xlmum occupancy of 8 persons (2 per bedroom), for a total estimated flow of
0 400 gpd.
T The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with
H s. 64E-6.013(3)(9, FAC. I
E
R
SPECIFICATIONS BY: Brian J Ingr" TITLE: Environmental Specialist II
APPROVED BY. 'e'c ITLE: Environmental Specialist II St. Lucie CHD
Brian J Ingra
DATE ISSUED: 03/28/2018 EXPIRATION DATE: 09/28/2019
DR 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 AP1334109 Sr.1070528
A party whose substantial interest is
administrative hearing pursuant to sections 1
proceedings are governed by Rule 28-106, F
administrative hearing must be in writing and
acted by this order may petition for an
.569 and 120.57, Florida Statutes. Such
ida Administrative Code. A petition for
ust 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 iequired 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
i
`'GO
HEALTH
PAYING ON: PERMIT#:564
RECEIVED FROM: Atlantic Lan
PAYMENT FORM: CHECK 36
St. Lucie Coi' my Health Department
5150 NW Milner Dr Port Saint Lucie, FL 34983
CONSTRUCTION APPLICATION #: AP1334109
AMOUNT PAID: $ 515.00
PAYMENT DATE: 03/16/2018
MAIL TO: Milissa Journet (Associated Homes Inc.) VJ'&al
�
enemy
FACILITY NAME:
PROPERTY LOCATION:
5105 Palmetto Dr
Fort Pierce, FL 34982
32-33
1 nt-
Property ID. 3402-606-0029-000-2
EXPLANATION or D
N:
5
Block:
128 - OSTDS Construction System Inspection Research Fee
-1 - Surcharge (All)
-1 - OSTDS New Permit Surcharge
-1 - OSTDS Construction Application and Plan Review I New
123 - OSTDS Construction Site Evaluation
126 - OSTDS Construction Permit (New or Mod, Amendment)
127 - OSTDS Construction System Inspection
I
133 - OSTDS Construction Reinspection
I
i
i
I
i
RECEIVED BY: VanceMH
Note: Associate Homes Inc Jeremy
QUANTITY
1
1
1
1
1
1
1
1
AUDIT CONTROL NO. 56-PID-3498701
FFF
5.00
15.00
100.00
100.00
115.00
55.00
75.00
50.00
dF
STATE OF FLORIDA
DEPARTMENT OF HEALTH
P ONSITE SEWAGE TREATMENT AND DISPOSAL
'.M SYSTEM
APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR: i
PERMIT NO66-.S8%d �X� ��73
DATE PAID:
FEE PAID:
RECEIPT #: i
C1C.:31o'�(v b
[v/] New System [ ] Existing System [ ] Holding Tank [ ] Innovative
[ ] Repair [ ] Abandonment I [ ] Temporary [ ]
APPLICANT: Associated Homes Inc. / Journet '
ae,
I
AGENT: Atlantic Land Designs of the TC
MAILING ADDRESS: PO Box 1421 Jensen Beach F1 34 958 Email - ALD5543@gmail.com
772-3984290
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.
_ _ = _ = a = _ = = _ = _ , _ = a = = _ = a = = = = = = = _ = = = = = _ _= op c cc a c =
PROPERTY INFORMATION
LOT: 32-33 BLOCK: 5 SUBDIVISION: Indian River EstatesU-5 PLATTED: 1956
PROPERTY ID # : 3402-606-0029-000-2
PROPERTY SIZE: 0.91 ACRES WATER SUP
ZONING: RS-3 I/M OR EQUIVALENT: [ No ]
[ ] PRIVATE PUBLIC [ i ] <=2000GPD [ -'] >2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [ No ] DISTANCE TO SEWER: FT
PROPERTY ADDRESS: 5105 Palmetto Drive Fort Pierce Florida 34982
DIRECTIONS TO PROPERTY:
- is second in West side of road jus
BUILDING INFORMATION
Unit Type of
NO Establishment
1 Residential Home
2
3
4
road East of US 1 to Palmetto Drive, South on Palmetto to Bradley Street
South of house #51
[ ] Floor/Equipment Drains
SIGNATURE:
DH 4015, 08/03�(Ob oletes p:
Incorporated 64E--6.001, FAC_
[✓] RESIDENTIAL [ ] COMMERCIAL
No. of ; Building Commercial/Institutional System Design
Bedrooms AreaSgft Table 1, Chapter 64E-6, FAC
4 I ,2,876aStotal
�1-AAA
[ ] Other (Specify)
I
DATE: 3/15/18
i
editions which may not be used)
Page 1 of 4
I
I
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT
SITE EVALUATION AND SYS
APPLICANT: Milissa Journet (Associatec
CONTRACTOR / AGENT: Atlantic Land
LOT: 32-33
Homes Inc.
n
DISPOSAL SYSTEM
SPECIFICATION
5
APPLICATION # AP1334109
PERMIT # 56-SF-1831275 _
DOCUMENT # SE1070528
SUBDIVISION: Indian River Estates ID# 3402-606-0029-000-2
TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT! EMPLOYEE, OR OTHER QUALIFIED PERSON
REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OFiSUBMITTAL. COMPLETE ALL ITEMS.
ENGINEERS MUST PROVIDE
PROPERTY SIZE CONFORMS TO SITE PLAN: [X]YES [ ]NO NET USABLE AREA AVAILABLE: 0.91 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES -TABLE! / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 2275.02 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 1000.00 SOFT UNOBSTRUCTED AREA REQUIRED: 1000.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION: Site
ELEVATION OF PROPOSED SYSTEM SITE 4.(
,d X CL of rd center of
[FINCHES] / FT ] [ ABOVE /
BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: FT DITCHES/SWALES: 15 FT NORMALLY WET: [ ]YES [X]NO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON -POTABLE: FT
BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 1 FT POTABLE WATER LINES: 30 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 I SOIL PROFILE INFORMATION SITE 2
a
USDA SOIL SERIES:Waveland fine sand
Munsell #/Color Texture
Depth
1 OYR 4/1
Fine Sand
0 To! 19
1 OYR 5/1
Fine Sand
19 To 29
1 OYR 6/1
Fine Sand
24 To 37
1OYR 2/1
Spodic Material
37 To 47
7.5YR 3/2
Spodic Material
47 To 62
10YR 4/2
Sand
62 To 72
I
I
I
Munsell #/Color
Texture
Depth
1 OYR 5/1
Sand
0 To 27
1 OYR 6/1
Sand
25 To 34
1 OYR 2/1
Spodic Material
34 To 45
10YR 3/2
Spodic Material
45 To 61
1OYR 5/2
Sand
61 To 72
OBSERVED WATER TABLE: 72.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ]
ESTIMATED WET SEASON WATER TABLE ELEVATION:! 25 INCHES [ ABOVE / BELOW ] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 25.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Fine Sand/0.60 DEPTH OF EXCAVATION: 62 INCHES
DRAINFIELD CONFIGURATION: [ ] TRENCH I [X] BED [ ] OTHER (SPECIFY)
REMARKS/ADDITIONAL CRITERIA
WSWT determined using USDA WSS and soil borings.,
1OYR611 stripping in 10YR5/1 matrix >10% with diffuse,' starting at 25" In SB1.
/i
SITE EVALUATED BY:
Ingram, Brian (Title: Vvironmental Specialist II) (ENVIRUNMEN IAL HtAL 1 H)
DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC
i
AP1334109 EID1831275
DATE: 03/23/2018
Page 3 of 4
v 1.0.2
STATE OF FLORIDA PERMIT #.s6'$I'' I�'37S
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATIONS
APPLICANT: A.5,o�cic,� P Now ✓ A �/J,) '/ f ' I � AGENT: /���s+�'� lc. � �w�� �f 5'��l�rS d
LOT: :4L-� r3 BLOCK: �J SUBDIVISION:��/G('/C l�r.G?✓��zii �"j
PROPERTY ID #:�f O'Lr(U�ty jJ0_0 600 r [Section/Township/Parcel No. or Tax ID Number]
i
TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE,OR OTHER QUALIFIED PERSON. ENGINEERS
MUST PROVIDE REGISTRATION NUMBER AND SIGNIAND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS.
PROPERTY SIZE CONFORMS TO SITE PLAN: ] YES [ ] NO NET USABLE AREA AVAILABLE: 0,� ACRES
TOTAL ESTIMATED SEWAGE FLOW: I GALLONS PER DAY [RESIDENCES -TABLE 1/3THER-TABLE2]
AUTHORIZED-S-EWA,GE-FLOW-: GALLONS PER DAY [1500 GPD/ACRE OR 2500 GPD/ACRE]
UNOBSTRUCTED AREA AVAILABLE: SQFT UNOBSTRUCTED AREA REQUIRED: SQFT
BENCHMARK/REFERENCE POINT LOCATION: I bji - & ]-O.-Aj
ELEVATION OF PROPOSED SYSTEM SITE IS [INCHES/FT] [ABOVE/BELOW] BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PPPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: 100 FT DITCHES/SWALES: /<7 _FT NORMALLY WET? [ ] YES [':;19 NO
WELLS: PUBLIC: 1-ff'4 FT LIMITED USE:I/ 70 FT PRIVATE: -74— FT NON -POTABLE: �V FT
BUILDING FOUNDATIONS: 17 FT PROPERTY LINES: // FT POTABLE WATER LINES: „ate' FT
SITE SUBJECT TO FREQUENT FLOODING: [ ] YES [Al NO 10 YEAR FLOODING? [ ] YES Dyl 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
t0
TO
iTO
PTO
TO
PTO
iTO
USDA SOIL SERIES:
SOIL PROFILE INFORMATION SITE 2
MUNSELL #/COLOR TEXTURE DEPTH
TO
TO
TO
TO
TO
TO
TO
TO
TO
USDA SOIL SERIES:
OBSERVED WATER TABLE: INCHES I[ABOVE / BELOW] EXISTING GRADE. TYPE:[PERCHED / APPARENT]
ESTIMATED WET SEASON WATER TABLE ELEVATION- INCHES [ABOVE / BELOW] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ] YESI [ ] NO MOTTLING: [ ] YES [ ] NO DEPTH: INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM ISIZING: DEPTH OF EXCAVATION: INCHES
DRAINFIELD CONFIGURATION: [ ] TRENCH, [ ] BED [ ] OTHER (SPECIFY)
REMARKS/ADDITIONAL CRITERIA: j
I
SITE EVALUATED BY:
DATE:
DH 4015, 08109 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 3 Of 4
roperty Card
� (0 'sr__ / K?l Z
Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved.
Prope Ity Identification
Site Address: 5105
Parcel ID: 3402-606-0029- Account #: 36890
Sec/ I own/Range:
PALMETTO DR
000-2 i
02/36S/40E
Map ID: 34/02S
Zoning: RS-3 I Use Type: 0000
Jurisdiction: Saint Lucie
I
County
ownership
!Legal Description
Milissa L Joumet
INDIAN RIVER ESTATES -UNIT 5-BLK 5 LOTS 32 AND 33
M 1 DR
(MAP 34/02S) (OR 4082-449)
5900 yrt e
Fort Pierce, FL 34982-8613
Current Values
Just/Market: $28,700 Assessed:
Exemptions: $0 Taxable:
rage i of I
I
Historical Values 3-year
Year
$28,270 �2017
Just/Market
Assessed Exemptions
Taxable
$28,270
$28,700
$28,270 $0
$28,270
12016
$25,700
$25,700 $0
$25,700
! 2015
$25,700
$25,520 $0
$25,520
I ! Sale History
Date
Book/Page
Sale Code Deed Grantor
12-23-2017
4082 / 0449
0001� WD Hoo Lincoln
06-18-2013
3529 / 2703
01111 QC Easy,Lyn
07-02-2002
1551 / 0169
XX i0 WD Wells,Ralph
Primary Building Information
Finished Area of this building: 0 SF
Gross Area of this building: 0 SF
Exterior Data
View:
Roof Cover:
I Roof Structure:
Year Built: N/A
Frame:
Grade:
Primary Wall:
Story Height: I No. Units: 0
i Interior Data
Bedrooms: 0
Full Baths: 0
Half Baths: 0
A/C %: 0% I
Electric:
Heated %: N/A%-
Heat Type:
Sprinkled %: 00/0
I
i
Heat Fuel:
Price
$37,500
$100
$17,500
Building Type:
Effective Year: 2014
Secondary Wall:
Primary Int Wall:
Avg Hgt/Floor: 0
Primary Floors:
'
Total Areas
Finished/Under Air
0
(SF):
iI't t, t
Gross Area (SF):
0
Land Size (acres):
0.91
f U! `
Land Size (SF):
39,600
Total Building Count:
I
Special Features and Yard Items
Type Qty Units Year Blt
This information is believed to be correct at this time but it is subject to change and is not warranted.
© Copyright 20'18 Saint Lucie County Property Appraiser. All rights reserved.
ittp://www.paslc.org/RECard/ i 3/16/2011
ABBREVIATIONS:
SET = Set 5/8" iron rebor Ph
yello* cap marked "PSM 554
FD=Found 5/8" Iron Rebor
RR O.W. = Right of Way
M= Meosured
P=Volue as platted
C=Value as calculated
R= Radius of curve
L = Length of curve
D= Delta of Curve
FFE=Finished Floor Elev tion
OH--OH--OH-= Over Head Fires
X--X--X-= Chain Link Fence
�o- = Plastic Fence
0--0--0-= Wood Fence
CONC. = Concrete
C.P.= Concrete Pad
Cov.= Covered
I_. FPL Transformer Pad
= I er Deter
® = ootwe r Pole
® = Electric.Box
® = Utility Box
4D = Well
= Drainage Proposed
and Existing
N/ E Y
LEGAL DESCRIPTION:
(Supplied by Client)
Lots 32 & 33 in Block 5 of
INDIAN RIVER ESTATES
UNIT 5
according to the plat thereof
as recorded in Plot Book 10
page 58
of the Public Records of
St. Lucie County, Florida.
1. Unless otherwise noted only platted easements
are shown hereon.
2. All Lot dimensions shown ore per plot unless
otherwise shorn.
3. No underground utilities or improvements Were
located unless otherwise shown.
4. This site lies Within Flood Insurance Rate MaF
Zone X Map# 12111CO277 J Dated. 2-16-12
5. Flood Zone sho*n hereon is an interpretotion
by the surveyor and is provided as a courtesy.
The flood zone should be verified by a
determination agency.
6. Bearings sho*n hereon are based on the Center
line of PALMETTO DR as being N00'00'00"E
according to the Plat described hereon.
7. P.U.D.E. denotes Public Utilities and Drainage
Easement.
B. The accuracy of this survey is premised on tht
expected use of the survey. The expected use /
purpose of this survey is mortgage financing.
Accuracy = 1 foot in 7,500 feet or better.
9. Additions or Deletions to this survey map by
other than the signing surveyor is prohibited
*ithout *ritten consent.
PROPOSED PLOT PLAN
(OuBJEdT To doNTRAdTok HEALTH DEPT.. AND BuiLDINd DEPT. APPROVAL) LOTS 30 & 31 BLOCK 5
ALL ELEVATIONS smoj HEREON ARE BASED ON AN ASSUMED DATUM FFE = 11,90
ND WELL WITHIN 75 OF NEW SEPTIC
0
0
CV
to
LLJ F
L�J W i
z
Of C)
LLJ
W
O
az o
z O
z o
Z
FD IRON
PIPE N90000'00"E o.
300.00
O
o
203.67' a
U C
38A0'
a
0
U
80'
O �j co
W = 0
4
$ ��
C
O "�
=
J
6 �
N 4)
LOT 32 BLOCK 5 _ _ _ _
n
— — — —
g'
' — —
\p5 LOT 33 BLOCK 5 203.6T C L-
RECEIVED
APR 2 6 2018
ST, Lucle County, Permitting
f
� -F.F.E. lDICA FOR PERMITTNG PU DSES
ACTUAL F.F.E. TO�jPEEi HEALTH DEPARTMENT CRITERIA
= 9 Q N ' o° ?. 1 C N
ow
.LL
a
CO = CO-
co Q�
O o oC
M
�a
0
0
M nj
FD IR
o PROPOSED
S
�cs SEPTIC
TANK\�
L-J
4.6 I 'y
I
IN
6.0' �+
I
I
111.00'
OI O
NO WELL WITHN 75' 01' NEW SEPTIC
LOTS 34 & 35 BLOCK 5
FIFE = 11.40
40.00'
PROPOSED 16'
DRIVEWAY
PIPE
FD IRON
PIPE
,P;14� —,
O
0
CV
0� k19p6
LLJ
in
�g
z �
ELW
X P1 -
o
tm
� nI O
l—
< CW
W J
WI Q
I o-
5105 PALMETTO DRIVE
Cert i tied to: ilissa L. Journet / Associated Homes, Inc.
Center State Bank
Ally Parker Broyyn Title Insurance Agency
Old Republic Notional Title Insurance Company
�
SCALE: 1 "=40
Atlantic Land Desi g nS
of the Treasure Coast, LB7468
7m NE Jensen Beach Blvd. Jensen Beach, FL 34957
Mailing Address:
P.O. Box 1421 Jensen Beach, FL 34958
ALD5543@gmaii.com 772 398-4290
@g � �
DATE 3 12 18
/ /
1 hereby certify that the survey sho*n hereon is true and correct
and is based on actual measeurements token 'in the, field. This
survey meets the Minimum Technical Standards of Chapter 5J-17
Florida administrative code. '`M cEs'Ro
LERTIF7 �q TF
.Digitally signed by James A.Cesiro
James A. DN:cn=JamesA.CeslrOJr., PSM 5543
o=Atlantic Land Design, ou,
I O �LD5543@gmail.com,c=U a n
* Date: 2018.04.2309:21:29-04'00' p STATE OF y
LID WI HO TAN AUTHENTICATED ELECTRONIC P LORIOP
SeIGNATURE A UTHENTICATED ELECTRONIC SEAL aF° SURVE'O¢
DRAIN: SW\JC
-
3/12/18
PLOT PLAN
4/23/18.
1 VOVE HOUSE TO 40' FRONT SETBACK
LAST FIELD DATE :3/9/18