HomeMy WebLinkAboutLETTER-MODIFICATION OF A SINGLE RESODENCEMission:
To pr, ect, promote & irrprove the health
of all le in Roridathrough integrated
state coolly&amTu ityefforts.
HEALTH
i 1 Vision: To be the FleatthlestState inthe Nation
August 08, 2018
Jas n Harris, All About Septic Services
69># SE Polynesian Avenue
Polk, Saint Lucie, FL 34983
II•I Modification to a Single Family Residence - No Bedroom Addition
ilication Document Number: AP1358811
trax Permit Number: 56-SF-1846322
cl
96 Deanna Lane
!, Pierce, FL 34946
Applicant,
Rick Scott
Governor
Celeste Philip, MD, MPH
State Surgeon General and Secretary
GOANNIM
BY
fit, Ira
will acknowledge receipt of a floor plan and site plan on 08/08/2018 for the use of the existing
e sewage treatment and disposal system located on the above referenced property.
s office has reviewed and verified the floor plan and site plan you submitted, for the proposed
odeling addition or modification to your single-family home. Based on the information you provided,
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.
4 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.
Yd,u 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.
FlII
dilda Department of Health
i4t. Lucie County • 5150 NW Milner Drive • Port Saint Lucie, Florida
E: (772) 873-4931
Sincerely,
Brian Ingram
Environmental Specialist II
Department of Health in St. Lucie County
www.florldshoalth.gov
TWITTER:HealthyFLA
FACEBOOK:FLDepartmentofHealth
YOUTUBE:fldoh
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STATE OF FLORIDA PERMIT :NO.j, ] �—
DEPARTMENT OF' HEALTH DATE PAID.:
ONSITE "SRWAGE TREATMENT AND DI,S'POSAL FEE PAID,:
SYSTEM - ' RECEIPT #': .� /. /
' APPLICATION Pop, CONSTRUCTION PERMIT
APPLICA.;ION FOR,
] Ne Sys'tem: [ ]. Exi.ating System [ ] Holding Tank [ ] Innovative
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[ ] RePai•r [ ] Abandonment C ] 'Temporary. [ f ]. Flan leview
P,PI�"L:ICAN� s �� ��"►�I%,� S AGENT: G �P�tiu G� PLG TELEPHONE 5 �� O O I Q
MAILI.NG :DRESS:
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TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHOR=ZED. AGENT. 3STms MUST BE CONSTRUCTED
AY A ON LICEN98b PURSUANT TO 48S 105. (3) (m.- OR A89.552, FLORIDA STATUTES.. IT .IS THE
APPI,ICE 11. S RESPONS'I8IL=TY TO PROV±DE ..DOCUMENTATION OF THE "DATE THE LOT WAS` CREATED: OR
PI,ATTEiM/DD/YY) IF REQUESTING CONSIDERATION OF'STATUTORY GRANDFATHER PROVISIORS.
PROPERTY IINPORMAT10it
LOT: 10:rbCR; SUBDIVISION: e /�JrL,�,- I�il ('rv' PLATTED::
PROPER,TX I (' 7U� 0019 ev 5 � �•N
D .# : ZONING;: L/1K OR EQUI`tALENT:, [" Y/1 N } ]
PROPERTY ! ' •IZ.E: � � ACRES WATER •SUPPLY: [ ] PRIVATE PUBLIC [x] <=20.0,*0G.PD [' ] >2000GPD
ro. SEWER VAILABLE AS PER 3-81.0065, FS? [ Y/6?l DISTANCE TO SEWER.: FT
PROPERTY'
• DRESS:. ' / -/ o VZA �/i.�- �A�yC Q . ��I� 3q
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B I4FORMATION [ AE,S,IDENTTAL [ ] CQMMERCIA]u
uftit. T.yp. of No of. Building C.ommerc al Inst3putlonal System Design
Nci ... Es.td li.s:hment Bedrooms :Area .$qft Vable. Z, Chapter. 64E:-6,2QQ RID
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[ ] Flooi/E.e�upment ains [ ] Other (Specify)
S:TGNATURE+. I
_ . _.. DATE.::. � ..... !
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DH 101'5, 0'it /09 kobsolobes• prev'iciiis editions which may ,not be:used).
Ixncorvoratea G4' 5..0'0-1, .FAC Page 1 of 4-
it. Lucie County
mental Health
i Appears Adequate
instruction(4Z
Does Not Guarantee
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