HomeMy WebLinkAboutAPPLICATION SEWAGE DISPOSAL - WARRANTY DEEDt �4
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�DEPART%F.NT11D1r1JM1k Sd AND ZAARatncfrM, SM"CES
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Application and Permit'`
of
Indivdual;Sewage°Disposal Facilities
ST .GG/C/� "County Health Department.
•Section:I - instructions:.
1. Percolation test data, soil pro-
, file an
'd`.:water'table elevation "
,•` .information must 'be attached`..
(Note: Test must -be made at
:,-,proposed 'location-- of system) .
2.'Exksting building`and,proposed
buildings on.lot must"be shown
and drawn to scale.at•their
location or proposed location.
(Use block on this sheet or
attach 'plot plan).
3. Proposed location of septic tank
must be shown on plan.
4. :,ny pond or stream areas must be
indicated on the plan.
15'.. Indicate:'name-and date -of plat
of subdivision. If not platted,
attach metes and bounds description.
6. Complete the following infor-
mation section.
Notes:
1. Not valid if sewer is available_
2. Individual well must be 75 feet
from any part of system_
3. Call G/- S3�"O and give
this office a 24-hour notice
when ready for inspection.
Section II - Information:
1. Property Address (Street & House No.)
LotBlock 6 z_Subdivision -Z.
Date Platted /5?s7 Directions tojJ
2. Owner or Builder_
P.O. Address,,fi1t 8oX 99xCity r.
Septic tank system to be installed by:
e:�oo,eE
3. Specifications:
__7S p gallon tank with
�asquare feet of z
drainfield with at least B.
4"'inside diameter -pipe. o
4. House to be'constructed:
Check one: FHA
VA . ✓ Conventional
This.is to certify that the
project described in this
application, and as detailed
by the plans and specifica-
tions and attachments wiil be
constructed in accordance with
state requir--eem�ments.p
Applicant: ./IW 76i1/
Please Print
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SCANNED
Scale 1" = 50' BY
St Lucie County
(Rear)
THIS PERMIT EXPIRES ONE (1)
NEAR FROM DATE OF. ISSUANCE
Permit VOID if well or septic
system is installed in a location
other than area permitted.
PRIOR HEALTH DEPARTMENT
. APPROVAL REQUIRED
DRAINFIELD TO BE INSTALLED
WITHIN IHE SPECIFIED. MUD -
AREA.
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(Name of Street o State Road)
Date:Z�
********************** DO NOT WRITE BELOW THIS LINE ********************
Section III - Application Approval & Construction Authorization
XIn to iat on sub ect o ollow ng 1 onditions:
Th' above signe application ha-.- ound to be in mpliance .
with Chapter 1OD-6, Fiorid i't ative Code, and construction
is hereby approved, subje t t�ie ove specifications and conditions.
By: Coen, Health Dept. Date
Section IV - Final Construction Approval
Construction of installation approved: Yes No
Date: By=
FHA Nn- VA No.
SAN 428
REV, 3/75
TC-2600
WARRANTY DEED
INDIVID. TO INDIVID
This barranty Heed made IIIe I )��
RAMCO FORM Of
day of March A. D. 1978 by
DEL REED BERGESON and SHREEN Jr BERGESON, his wife
hereinafter called the grantor, to
' rry
DENNIS R. MC MAHON and EILEEN E. MC MAHON, his 4
whose posloffice address is 1104 Apple Street - Fort P , Florida 33450
hereinafter called the grandee: -
IWhrrccrr uaed herein thr arms "erann,r" and "¢ranive" include all the pectins to Ibis nvmment and
fin' he Lrira. Ir¢al rryre•n,mtiar> and aaiem of indi,id..A, and the >urerasors and a•si¢ns or eo porati...)
1I1J�tnesSeth: That Illy grantor. for and in ransideration of the sum of $ 10.00 and other
Valuahle considerations, receipt whereof is hereby ack'nomledged. hereby grants, bargains, sells, aliens, re-
mises, releases, conveys and confirms unto the grandee, all that certain land situate in St. Lucie
County. Florida, viz:
Lot 29, Block 67, INDIAN RIVER ESTATES UNIT 8, according
to the Plat thereof as recorded in Plat Book 10, Page 73
of the Public Records 'of St. Lucie County, Florida.
Subject to Easements'and Restrictions of Record,
Subject to Taxes for the year 1978'and subsequent ,years.
Together with all the tenements, hereditaments and appurtenances thereto belonging or in any-
wise appertaining.
TO Have and to 410ldr 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 land; that the
grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of
all persons whomsoever; and that said land.is free of all encumbrances, except lazes accruing subsequent
to December 31, 1977
SCANNED
BY
St Lucie!County
In Witness Whereof, the said grantor has signed and sealed these presents the, day and Iyear
first above written.
Signed, sealed and delivered in o resence: yD J y�
• L� .LB'L"f�Gtt
STATE OF - VIDAHO
COUNTY OF a ( u SS / h
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
DEL REED'BERGESON & SHREEN J. BERGESON, h/w
to me known to be the person S described in and who executed the
foregoing instrument and they +acknowledged before, me that they
executed the sme.
WITNESS my'hand and ;official seal to the County and
\ State last aforesaid this ✓ day of
Marc A. D./1978
............. ....... V ....... (� . . ��.`
1 hrs /nslruurenl prepared by:
/i efw'113
��q�
ANITA M. LO PRESTI
Thls InstrumOnt Was prapared fiy:
Addres owmp!e Tu!e &Abstract 1307 0kenrhobee Road. Fort Pleres, Florlds 33450
` 'es a necessary Incident, to the fulfillment of conditlons'wntalmd In a tllll
Insurance commitment issued Int. it