HomeMy WebLinkAboutAPPLICATION SEWAGE DISPOSAL - WARRANTY DEEDi
Application/Permit
.No'. County Health Department
A"-4, DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES
1.
•'� DIVISION OF HEALTH
Application and Permit
of.
Individual Sewage Disposal Facilities
Section I - Instructions:
1. Percolation test data, soil pro- 5. Indicate name and date of
file and water table elevation recording of subdivision. If
information must be attached. not recorded, attach metes and
(Note: Test must be made at bounds description.
proposed location of system). 6. Complete the following infor-
2. Existing building and proposed mation section.
buildings on lot must be shown
and drawn to scale at their Notes:
location or proposed location. 1. Not valid if sewer is available.
(Use block.on this sheet or 2. Individual well must be 75 feet
attach plot plan). from any part of system.
3. Proposed location of septic 3. Call b 61-5350 and give
tank^must be shown on plan. this office a 24-hour notice
4. Any pond or stream areas must when ready for inspection.
be indicated on the plan.
Section II -Information:
1. 'Property Address (Street & House No.) PinPtrPP T)riye
Lot 17 Block35 Subdivision Indite
Date Recorded 4 ii - 6 Directions to Join East on White Cit^ R . North.
on Buchannan as on Gregory, North on Pinetree, 650, lot on right
2. Owner or Builder Dennis an .or
P.O. Address 3 o• 22ndity _.Fort Pierce, .Fla _
3. Specifications
Tank Drainfield
Scale 1" = 50'
Gals. ft. of 6" clay tile
or 5" perforated
(Rear)
_ plastic drain in a
THIS PERM;T
3' trench or
4O064 Gals. ft. ft. 4" drain
EXP1nES ONE (l)
yEAREROMDATE OE1&aUANCE
z
of clay r,,
.
or 4" perforated
plastic drain in an
0
t VOID if
0
rn
18" trench
m
Well or septic
is installed
N
4. House to be constructed:
n
in a Ioca'ion
than
LPRIOR
ct
B
Check one: FHA
-
m m
o �•
area Permi't!.
HEALTH
N m
a.
VA Conventional
m
-MEP
nor
o
ROVAL REQUIREMENT
m o
This is to certify that the project
Nr
DRAIN FIELD
In
rt
described in this application, and as
TO BE INSTALLED
WITHIN
detailed by the plans and specifica-
THE SPECIFIED FILLED
AREA.
o'
tions and attachments will be con-
a
SCAN
E
structed in accordance with state
J�(�
B
,..
• requirements.
arm/
.a 3ga St
Lucie
County,
Applicant: T)pT)nis, gi qndford
(Front)
- Please Print " _.
F
(Name
.of; St,reet or. State Road)'
'
signature: Q,Q, `
Date - FehUary-
17, 1978
DO NOT
BELOW THIS .LINE , *
.WRITE
Section. III -,_Application Approval & Construction
Authorization ,
Installation subjecti td -following special conditions:?--^ ",, •i'h2:.f`O�_.
I'�"AwSk`�c1nY0 i\F �r-'�Y1;1�.A'PRLrJi'�°iiS���„C1
1 q
GJ�n7����CfOl. iw�
_ ,
The above signed appli t'on has been
found to
be'in;dompliance with Chapter
17 13;
Flori "'dministr i mode, and construction
is hereby approve'd,:subject
to the
above s cifica d nditions'.
. $yd County
Health
Dept ,- 'Date?''
Sectio - Final Construction Approval
" Co struction of installation approved:
Yes No
y:{
y
'Date: .. ., .. By:
^
;,
FHA No. - - VA No.
TEMPORARY
r
SAN-
g28
-
.'REV . 7/1/73.
,r..
�,.� ,�
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WARRANTY DEED KUAMOO FORM Ot
INDIVID. TO INDIVID t - r
This Warranty Deed tirade the /,3 11,�A day of �� A. D. by
JOSEPIi H. COLVILLE and AMY H. COLVILLE, his wife U
hereinafter called the grantor, to S /
\ S
DENNIS A. BLANDFORD and :'ATRICIA BLANDFORD cl
mhose. postoffice address is 303 S. 22nd Street - Fort Pierce, Fla. 33450
hereinafter called Ilse grantee:
(Wherever u,ed herein Ih. term, ",,auto," and "gramr<" include all the parries no this instrument and
the heirs, h,,al repre.evan,es and aai,os of indkiduals, and the .successors and assigns of corporation.)
itnesseth: That the grantor, for and in consideration of the Sant of 's 10.00 and other
valuable considerations, receipt whereof is hereby acknowledged, hereby grants. bargains, sells, aliens• re -
raises, releases, conveys anti confirms unto the grantee, all that certain land situate in St. Lucie
County. I-lorida, viz:
LOT # 17, BLOCK 35, INDIAN Ri:VZR FSTATi?S, Unit Four,
According to the Plat thereof as recorded in Plat Boos 10,
Page 49 of the Public Records of St. Lucie County, Florida
DOCUMENTARY- --------- ---
ATF �F i
�` ors FLgRI A SURTAX= .UMfNTAPy ORiJAj
_ .,STAMP T! "a
Of REY'cNUc ixa—•�
m cn I 'DEeF7• ,lAli17'78. P9 0 Y. - j = Jd'VJ)'T8 1 135:. sM1 Jof 0
. i
9EYENUE 10(i30 }'z 11\\� 0 y
n N'
Together will, all the tenements, hereditaments and appurtenances thereto belonging or in any-
wise appertaining. .
To 14aue and to Hold, the same in fee simple forever.
And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land
in fee simple: that the grantor has good right and lawful authority to -sell and convey said [arid; that the
grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of
oil. persons whomsoever; and that said land is free of all encumbrances, except taxes accruing subsequent
to December 31. 19 77.
n
,Subject to restrictions, covenants, and easements of record;
zoning and other regulatory ordinances.
In Witness Whereof, the said grantor has signed and sealed these presents the day and year
(test above written.
i ne seated and deliver, our presence: ................
�'
D 1 ,
....
CLV 1,
Al' ....
SPACE aEEOW FOR RECORDERS USE
STATE OF Florida —
COUNTY OF St. Lucie
I HEREBY CERTIFY that on this day, before me, an officer duly
authorized in the State aforesaid and in the County aforesaid to take
acknowledgments, personally appeared
'.'J,gseph H. Colville and Amy H. Colville,
his wife
me',h4i;3wn to by the parson S described in and who executed the
fopcgoiq� instrument and wn0 acknowledged before me that they
executed the same.
_3 WITNESS my hand and official sat .in the County and
"Sta last 'aforesaid' this- �� day of
iIy Commission expires //u a .....
This /ns/rutngnt prepared by: Jos�ph I -I. Colvi-1.1e`- -tti
�4ddress . P.O.aBo c 422
Jensen ;Beath, F1�':': `
' It
330378
FILED AND REC080F0
�2 Q` S7.LUeER OJTRAP A
cI.
J ROCE,i PO;
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ClcR:t :iCUITCC-URT$;
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IrIEO_____--_
SCANNb
.. -BY
St Lucie County
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