HomeMy WebLinkAboutD O H PAPERWORKt
4 Mission:
To protect, promote & improve the health
of all people in Florida through integrated
state, county & community efforts.
F.N
FILE
R Scott
Governor
CODV
Idrida
a to P lip, MD, MPH
HEALTHState
Surgeon General and Secretary
Vision: To be the Healthiest State in the Nation
Florida Department of Health in St. Lucie County
Conditions for Issuance of Water_Well_Permits
Effective July 24, 2017 SCANNED BY
St, Lucie County
• Contact the Florida Department of Health in Saint Lucie County (FDOH — St. Lucie)
prior to constructing or abandoning any well.
a. Call the FDOH — St. Lucie Well Line at 772-873-4936 or email
SLCDOH-WELLSt7a.FLHEALTH.GOV
b. Provide the following information:
i. Permit number
ii. Driller name
iii. Address
iv. Date and time to begin construction/abandonment
• A minimum of 24 hours' notice is required before constructing any public water supply
wells. Please call our main office at 772-873-4931 and speak with Environmental
Health Staff or provide notification by email to SLCDOH-WELLSCcDFLHEALTH.GOV
• Submit revisions to permit and/or site map and associated fee within 48 hours of well
construction or abandonment.
Florida Department of Health
St Lucie County • Division of Disease Control and Health Protection
Bureau of Environmental Health
5150 NW Milner Drive
Port St Lucie, FL 34983
PHONE: 772/873-4931 • FAX: 7721595-1306
FloridaHealth.gov
Accredited Health Department
Public Health Accreditation Board
11
1L
�i STATE OF FLORIDA PERMIT APPLICATION TO CONSTRUCT,
j REPAIR, MODIFY, OR ABANDON A WELL
it Rl'�sl�t ❑SOUIhW25t PLEM' FILLOUTALLAP, UGAV'LE FIELDS
f E! ❑ Northwest (`Denotes Required Fields 1 here Applicable)
DSL Johns River
South Florida IDewnrer viellconhnlmgs respnnuldr fprro.ilp'thy
This lannanl rorvrurdhq ihepermimppli.d.,, faith,
vo„cot-a.�- 17 Suwannee River oyyroµtalcJelrnnkdauJwrllylvLereayylicnhle.
❑ DEP
❑ Delegated Authority (If Applicable)
Permit+ No:5lo-SF-lglgys
No. 59-29174
Stlpulafions Required (See Attached)
Quad No, Delineation No.
UP Application No.
MAXIMILIAN CLEMONS 1202 PARKLAND BOULEVARD, FORT PIERCE, FL 34982 772-418-6644
"Well Location -Address, Road Name or Number, City
3.3409-505-0022-0004 17
`Parcel ID No. (PIN) or Alternate Key (Gird. One) Lot Block Unit
4.09 36S 40E ST LUCIE LONE PINE S/D Check if 62-524:❑ Yes ❑ No
'Section or Land Grant •TDwnship ;Range *County Subdivision
5. Scott's Drilling, Inc. 11213 772-489-6117 scottsdrilling@bellsouth.net
'Water Well Contractor 'License Number 'Telephone Number E-mail Address
6.5014 Palm Drive Fort Pierce FL 34982
"Water Well Contractors Address City State ZIP
7. "Type of Work: Q Construction ❑ Repair ❑ lviodificatlon❑ Abandonment '
8. 'Number of Proposed Wells ONE 'Reason for Repair. Nodiricavon.ur Abandolvnent
9. 'Specify Intended Use(s) of Wallis): p t�tt •may. r7
Landscape litigation ❑ Agricultural Irrigation ❑ Site Investigations IlJ^L<il�l Ill L
Bottled WLit'ater Supply Recreation Area Irrigation ❑ Livestock ❑ Monitoring
Public Water Supply (Limited Use/DOH) ❑ Nursery Irrigation ❑ Test
Public Water Supply (Community or Non-Community/DEP)❑ Commercialtlndustrial ❑ Earth -Coupled Geothermal F E B 5 2019
Class I Injection ❑ Golf Course Irrigation H�Ij HVAC Supply
L
HVAC Return
Class V Injection: ❑ Recharge ❑ Commercialllndustrial Disposal ❑ Aquifer Storage and Recovery 0
if7NDrama e
Remediation: ❑ Recovery❑ AirSparge ❑ Other (Describe) D a Hntn�,S,yytGc U e you�nh
Iher (Descrbe) NOI �Pi tW AtT
10." stance from Septic System if 5200 ft. Ibb 11. Facility Description 12. Estimated Start Date
^ .'Estimated Well Depth 120 ft. "Estimated Casing Depth 100 ft. Primary Casing Diameter 2 in. Open Hole: From To ft.
14. Estimated Screen Interval: From 100 To 120 g.
15.^Primary Casing Material: Black Steel Galvanized ,� PVC Stainless Steel
Not Cased Other:
'16. Secondary Casing: Telescope Casing Liner Surtace Casing Diameter in.
17. Secondary Casing Material: Black Steel Galvanized PVC Stainless Steel Other
18."IMethod of Construction, Repair, or Abandonment: Auger Cable Tool Jetted Rotary Sonic
Combination (Two or More Methods) Hand Driven (Well Point Sand Point) Hydrau i�Direct Push)
Horizontal Drilling Plugged by Approved Method Other (Desodbe)
19. Proposed Grouting Interval for the Pdmary, Secondary, and Additional Casing:
From o To 100 Seal Material ( Bentonil Neal Cemen Other )
From To Seal Material ( Bentonite Neat Cement Other )
From To Seal Material ( Bentonite Neat Cement Other )
From To Seal Material ( Bentonite Neat Cement Other )
20. Indicate total number of existing wells on site List number of existing unused wells on site
21.1s this well or any existing, well or waterwithdr I on the owners contiguous propertyy covered under a Consumptive)Water Use Permit (CUPNWP)
or CUPfAUP Applicalion: Yes No If yes, complete the following: CUPMIUP No. District Well ID No.
22. Latitude Longitude
23. Data Obtained From: GPS Map Survey Datum: _NAD 27 _NAD 83 _WGS 84
Lurchymlliry lM1Ullvip wnmlyl:M, Ne ypliwLlo ml[n oITiIIC JO, FIorlJa gtlnen:4ahiev Cole eM lholn vmler lo[ 4lhal l um µ...... fµepmp[1.y. mar llminkrmatlon photld[d lase..." that l um—ar. olnhy
nu:e lmzMl armliAtialredrah0[pemhiplrn[etlad,4cbe[n uvAllboe4lalnal phior lv [ammmcemmz ole¢Y ,c[penciLllia Uhtt4=Qr,th[u:II. FIadL-SVovidela aaatal"wpopnly oaoalrr µied h: m.Icedly Vmll and n.. uCkn. Ihvµer oorury UcnnU in(m,nation.v.p.vh aanl.jf lw lcacmaa.. µell e2 d 0on9mlfu llrc a.:'nvr, lluilµ[!n!armatirn providcJNaanulq antllh"Ilpave Nlametl llm mx.[r nl ldr
mryrhprmalLmn oµulcduvl.elplcmlacal9avmm,only,l(eppll[,ildo, l;caw bpmvihavN n:apomhbl011ec m[Ukd:J�ove.O:mnwn:enbly aponfih9pvlzmndo(IN: N21Owpek9akdgmhcriryvcrn^ conml U epMl µe hy11vaPanM, dory aVncvmplNan alµv caw4lh[dm.rcpahr, motlilcu IV Wo vrcll ut"Jhningµ m Im4n, rtpep, moJdoalloa oreWudemnml vuµvrized Ly Uu; pelmll. abandu1µmiZ[tl hY this pOnM,ar µe P[rTteryifallM,vAitlhM[rocaua lircl, v''ar ' / ,
11213 //[4 // �
•Signature of Contractor 'License No. 'Signature of .. _ r Agent ���((( ua'e
Approval Granted By Issue C 11 e than Dale Hydrologist Approval
Fee Recelved $ Receipt No. Check No. lmpa¢
THIS PERMIT IS NOT VALID UNTIL PROPERLY SIGNED BY AN AUTHORIZED OFFICER OR REPRESENTATIVE OF THE WMD OR DELEGATED AUTHORITY. THE
PERMIT SHALL BE AVAILABLE AT THE WELL SITE DURING ALL CONSTRUCTION, REPAIR, MODIFICATION, OR ABANDONMENT ACTIVITIES.
DEP Fomh: 62-532.900(1) Incorporated in 62-532.400(1), F,A.C. Effecdive Date: October 7, 2010 Pane 1 of 2
TERMINAL -- _ �-�
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RADIUS=65.00'
RADIUS=155.00' o PGGE55
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TRANSFORMER
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(LB6852)
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FIN. ELEV. _
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(MITCHELL)
S 89.41'31" E 91.
ZCOMMON
8'
REA, INGRESS, EGRESS, UTI Y AND
DRAINAGE EASEMENT
(25' WI
15' +— WIDE DITCH
PropaM Card
Page 1 of 1
Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved
Property Identification
Site Address: 1405 Lone Parcel ID: 3409-505-0022- Account #: 166422 Sec/rown/Range:
Pine DR
000-4 09/36S/40E
Map ID: 34/09N
Zoning: PUD - CO Use Type: 0000 Jurisdiction: Saint Lucie
County
Ownership
Legal Description
Maximilian Clemens-
- - LONE-PINESUBDI-VISION (PB 51-21) LOT- 1-7- - — - - -
Kristelle Alie Clemons
1202 Parkland BLVD
-
Fort Pierce, FL 34982
Current Values Historical Values 3-year
Just/Market: $30,000
Assessed: $18,519 Year Just/Market Assessed Exemptions Taxable
Exemptions: $0
Taxable: $18,519 2018 $30,000 $18,519 $0 S18,519
2017 $26,400 $16,836 $0 $16,836
2016 $19,600 $15,306 $0 $15,306
-
Sale History
Date
Book/Page Sale Code Deed Grantor Price
07-27-2018
4169 / 1553 0001 WD Ryley Winston A $20,000
11-24-2010
3248 / 2945 0116 QC Ryley Winston A $100
04-27-2010
3192 / 1145 0001 WD Raymond Investments Properties $20,000
Primary Building Information
Finished Area of this building: 0 SF
Gross Area of this building: 0 SF
-
Exterior Data
View:
Roof Cover: Roof Structure: Building Type:
Year Built: N/A
Frame: Grade: Effective Year: 2014
Primary Wall:
Story Height: No. Units: 0 Secondary Wall:
Interior Data
Bedrooms: 0
A/C %: 0% Electric: Primary Int Wall:
Full Baths: 0
Heated %: N/A% Heat Type: Avg Hgt/Floor: 0
Half Baths: 0
Sprinkled %: 0% Heat Fuel: Primary Floors:
y a ,Yw s
7 t£ � Total Areas
j
O+. Finished/UnderAir 0
(SF):
- I,LrL/1
Gross Area (SF): 0
Land Size (acres): 0.38
Land Size (SF): 16,553
Total Building Count: I
Type
Special Features and Yard Items
Qty Units YearBlt
This information is believed to be correct at this time but it is subject to change and is not warranted.
0 Copyright 2019 Saint Lucie County Property Appraiser. All rights reserved.
ttps://www.paslc.org/RECard/ 2/4/2019
FORK R405-2017 FILE
FLORIDA ENERGY EFFICIENCY CODE FOR BUIL I O STRUCTION
Florida Department of Business and Professional Regulation - Residential Performance Method
Project Name: 1405 Lone Pine Dr
Builder Name:
Street: 1405 Lone Pine Dr.
Permit Office: St Lucie
City, State, Zip: Fort Pierce , FL , 34982
Permit Number:
Owner: Max & Alie Clemons
Jurisdiction: 611000
Design Location: FL, ST LUCIE_CO_INTL
County:: St. Lucie (Florida Climate Zone 2 )
1. New construction or existing New (From Plans)
9. Wall Types (3485.0 sgft.)
Insulation Area
2. Single family or multiple family Single-family
a. Concrete Block - Int Insul, Exterior
R=4.0 1785.ZZ ffF
b. Frame -Wood, Exterior
R=19.0 1485.30 ilz
3. Number of units, if multiple family 1
c. Frame - Wood, Adjacent
11=13.0 214.67 1`12
4. Number of Bedrooms 4
d. N/A
R= ft-
10. Ceiling Types (2257.0 sgft.)
Insulation Area
5. Is this a worst case? No
a. Roof Deck (Unvented)
R=20.0 2257.00 ft'
6. Conditioned floor area above grade (W) 3579
b. N/A
R= ft2
Conditioned floor area below grade (ft') 0
c. WA
R= ft
11. Ducts
R ft'
7. Windows(338.0 sgft.) Description Area
a. Sup: Attic, Ret: Attic, AH: Garage
6 357.9
a. U-Factor. Dbl, U=0.34 270.00 ft-
b. Sup: Attic, Ret: Attic, AH: Garage
6 150
SHGC: SHGC=0.21
b. U-Factor: ON, U=0.33 40.00 ft'
12. Cooling systems
kBtu/hr Efficiency
SHGC: SHGC=0.17
a. Central Unit
36.4 SEER:17.00
b. Central Unit
18.4 SEER:17.00
c. U-Factor. Dbl, U=027 16.00 fF
SHGC: SHGC=0.17
13. Heating systems
kBtulhr Efficiency
d. U-Factor: other (see details) 12.00 ft'
a. Electric Strip Heat
34.0 COP:1.00
SHGC: other (see details)
b. Electric Strip Heat
16.0 COP:1.00
Area Weighted Average Overhang Depth: 4.154 ft.
• Area Weighted Average SHGC: 0.203
14. Hot water systems
a. Propane Tankless
Cap: 1 gallons
8. Floor Types (2257.0 sgft.) Insulation Area
EF: 0.590
a. Slab -On -Grade Edge Insulation R=0.0 2257.00 H'
b. Conservation features
b. NIA R= If
None
c. NIA R= fF
15. Credits
CF. Pstat
Glass/Floor Area: 0.094 Total Proposed Modified Loads: 100.13
PASS
Total Baseline Loads: 101.55
1 hereby certify that the plans and specifications covered by
Review of the plans and
SplTe
this calculation are in compliance ' h the Florida Energy
specifications covered by this
OF'ClUME
1 , _ 0
Code.
calculation indicates compliance
r
+6
with the Florida Energy Code.
uuo'• :••`°„ �O
PREPARED BY:
Before construction is completed
DATE:
this building will be inspected for
compliance with Section 553.908
Cd
0y-
R
I hereby certify that this b ilding, as d . ned is in compliance
Florida Statutes.
COD
with the Florida Energy de.
WE
OWNER/AGENT:
BUILDING OFFICIAL:
DATE: �' - -
DATE:
- Compliance requires certification by the air handler unit manufacturer that the air handler enclosure qualifies as
certified factory -sealed in accordance with R403.3.2.1.
- Compliance requires an Air Barrier and Insulation Inspection Checklist in accordance with R402.4.1.1 and this project requires an
envelope leakage test report with envelope leakage no greater than 5.00 ACH50 (R402.4.1.2).
11I7r2018 10:29 AM EnergyGauge® USA- FlaRes2017 Section R405.4.1 Compliant Software Page 1 of 5
FORM R405-2017
PROJECT
Title:
1405 Lone Pine Or
Bedrooms: 4
Address Type:
Street Address
Building Type:
User
Conditioned Area: 3579
Lot #
Owner Name:
Max & Alie Clemons
Total Stories: 2
Block/Subdivision:
# of Units:
1
Worst Case: No
PlatBook:
Builder Name:
Rotate Angle: 0
Street
1405 Lone Pine Dr.
Permit Office:
St Lucie
Cross Ventilation:
County:
St. Lucie
Jurisdiction:
611000
Whole House Fan:
City, State, Zip:
Fort Pierce ,
Family Type:
Single-family
FL, 34982
New/Ebsting:
New (From Plans)
_.Comment:
-- - - -
- - - - - - -
- --
-
-
CLIMATE
/
Design Temp
Ind Design Temp Heating
Design Daily Temp
V Design Location
TMY Site 97.5 % 2.5 %
Winter
Summer Degree Days Moisture
Range
FL, ST_LUCIE_CO_INTL FL_VERO_BEACH_MUNI 39 90
70
75 299
58
Medium
BLOCKS
Number
Name
Area Volume
1
Blockl
2257 21215.8
2
Block2
1322 10576
SPACES
Number
Name
Area Volume Kitchen Occupants
Bedrooms
Infil ID Finished Cooled
Heated
1
Main
2257 21215.8 Yes 4
3
1 Yes
Yes
Yes
2
2nd Floor
1322 10576 No 1
1
1 Yes
Yes
Yes
FLOORS
#
Floor Type
Space Perimeter R-Value
Area
Tile Wood
Carpet
1 Slab -On -Grade Edge Insulatio Main 212 ft 0
2257 ft'
—
0 0
1
ROOF
/
Roof Gable Roof
Solar
SA Emitt
Emitt Deck
Pitch
V #
Type
Materials Area Area Color
Absor.
Tested
Tested Insul.
(deg)
1
Hip
Metal 2713 ft' 0 ft' Unfinishe
0.35
No 0.4
No 20
33.7
ATTIC
#
Type
Ventilation Vent Ratio (1 in)
Area
RBS IRCC
1
Full attic
Unvented 0 2257 ft'
N N
11/7/2018 10:29 AM EnergyGaugeO USA- FlaRes2017 Section R405A.1 Compliant Software Page 2 of 5
FORM R405-2017
CEILING
#
Ceiling Type
Space
R-Value
Ins Type
Area
Framing Frac Truss Type
1
Under Attic (Unvented)
Main
0
Blown
935 ft'
0.16
Wood
2
Under Attic (Unvented)
2nd Floor
0
Blown
1322 If
0.16
Wood
WALLS
Adjacent
Cavity
Width Height
Sheathing Framing
Solar
Below
Space
1
N
Exterior
Concrete Block - Int Insul
Main
4
34
9 9
4
324.3 ft'
0
0.75
0
2
N
Garage
Frame - Wood
Main
13
23
9
4
214.7 fF
0
0.75
0
3
W
Exterior
Concrete Block - Int Insul
Main
4
50
9
4
466.7 ft'
0
0.75
0
4
S
Exterior
Concrete Block- Int Insul
Main
4
28
9
4
261.3 ft'
0
0.75
0
5
S
Exterior
Concrete Block - Int Insul
Main
4
29
6 9
4
275.3 fF
0
0.75
0
6
SW
Exterior
Concrete Block - Int Insul
Main
4
8
9
4
74.7 ft2
0
0.75
0
7
E
Exterior
Concrete Block - Int Insul
Main
4
41
9
4
382.7 ft'
0
0.75
0
8
N
Exterior
Frame -Wood
2nd Floor
19
57
10 8
462.7 ft'
0
0.75
0
9
W
Exterior
Frame -Wood
Main
19
35
8
280.0 ft'
0
0.75
0
_ 10
S
Exterior
Frame - Wood
Main
19
57
10 8
462.7 ft2
0
0.75
0
11
E
Exterior
Frame -Wood
Main
19
35
8
280.0 ft'
0
0.75
0
DOORS
#
Omt
Door Type
Space
Storms
U-Value
Width
Height
Area
Ft
In
Ft In
1
N
Insulated
Main
None
.4
3
8
24 ft2
2
N
Wood
Main
None
.21
2
8
6 8
17.8
fF
WINDOWS
Orientation shown is the entered, Proposed orientation.
Wall
Overhang
V
#
Omt ID
Frame Panes
NFRC
U-Factor
SHGC
Imp
Area
Depth
Separation
Int Shade
Screening
1
N 1
Vinyl Low-E Double
Yes
0.34
0.21
Y
30.0 ft2
12 ft 0 in
1 ft 0 in
None
None
2
N i
Vinyl Low-E Double
Yes
0.27
0.17
Y
16.0 ft'
12 ft 0 in
1 ft 0 in
None
None
3
W 3
Vinyl Low-E Double
Yes
0.33
0.19
Y
6.0 ft2
0 ft 0 in
0 ft 0 in
None
None
4
W 3
Vinyl Low-E Double
Yes
0.34
0.21
Y
9.0 fF
0 It 0 in
0 It 0 in
None
None
5
W 3
Vinyl Low-E Double
Yes
0.34
0.21
Y
15.0 ft2
0 ft 0 in
0 ft 0 in
None
None
6
W 3
Vinyl Low-E Double
Yes
0.34
0.21
Y
30.0 ft2
0 ft 0 in
0 It 0 in
None
None
_
7
S 4
Vinyl Low-E Double
Yes
0.34
0.21
N
30.0 ft'
2 ft 0 in
1 ft 0 in
None
None
6
S 5
Vinyl Low-E Double
Yes
0.34
0.21
Y
36.0 ft'
2 ft 0 in
1 ft 0 in
None
None
9
SW 6
Vinyl Low-E Double
Yes
0.33
0.17
Y
40.0 ft2
12 ft 0 in
1 ft 0 in
None
None
10
SW 6
Vinyl Low-E Double
Yes
0.34
0.21
Y
18.0 fF
12 ft 0 in
1 ft 0 in
None
None
11
E 7
Vinyl Low-E Double
Yes
0.34
0.21
Y
30.0 ft'
0 It 0 in
0 ft 0 in
None
None
12
E 7
Vinyl Low-E Double
Yes
0.33
0.19
Y
6.0 If
0 ft 0 in
0 ft 0 in
None
None
13
N 8
Vinyl Low-E Double
Yes
0.34
0.21
Y
12.0 W
2 ft 0 in
0 It 6 in
None
None
14
W 9
Vinyl Low-E Double
Yes
0.34
0.21
Y
30.0 ft'
0 It 0 in
0 ft 0 in
None
None
15
E 11
Vinyl Low-E Double
Yes
0.34
0.21
Y
30.0 fN
0 ft 0 in
0 ft 0 in
None
None
1117=18 10:29 AM EnergyGauge® USA - FlaRes2017 Section R405.4.1 Compliant Software Page 3 of 5
FORM R405-2017
GARAGE
#
Floor Area Ceiling Area
Exposed Wall Perimeter Avg. Wall Height Exposed Wall Insulation
1
644 ft'
644 ft'
79 it 9.4 ft 1
INFILTRATION
# Scope
Method
SLA
CFM 50 ELA EgLA ACH ACH 50
1 Wholehouse
Proposed ACH(50)
.000282
2649.3 145.44 273.53 .2606 5
HEATING SYSTEM
#
System Type
Subtype
Efficiency Capacity Block
Ducts
_ 1
2
Electric Slip Heat/
Electric Strip Heat/
None
None
COPA 34 kBtulhr 1
COP:1 16 kBtu/hr 2
sys#1
sys#2
COOLING SYSTEM
#
System Type
Subtype
Efficiency Capacity Air Flow SHR Block
Ducts
1
2
Central UntU
Central Unit/
None
None
SEER: 17 36.4 kBhdhr 1092 cfm 0.75 1
SEER: 17 18.4 kBtu/hr 552 cfm 0.75 2
sys#1
sys#2
HOT WATER SYSTEM
#
System Type SubType
Location
EF Cap Use SetPnt Conservation
1
Propane Tankless
Garage
0.59 1 gal 70 gal 120 deg None
SOLAR HOT WATER SYSTEM
FSEC
Cert # Company Name
Collector Storage
System Model # Collector Model # Area Volume
FEF
None
None
ft'
DUCTS
/
V #
—Supply—
Location R-Value Area
—Return Air CFM 25 CFM25
Location Area Leakage Type Handler TOT OUT QN RLF
HVAC#
Heat Cool
1
2
Attic 6 357.9 it
Attic 6 150 ft'
Attic
Attic
89.475 f Default Leakage Garage (Default) (Default)
50 ft' Default Leakage Garage (Default) (Default)
1 1
2 2
11/7/2018 10:29 AM EnergyGauge® USA - FlaRes2017 Section R405.4.1 Compliant Software Page 4 of 5
FORM R405-2017
TEMPERATURES
Programablejj'Thermostatt:
C[ei]ling Fans:
Heating [X] Jan
]JY
Feb
Mar
f j
[ ] f
[
] Mey
]
4X] Jun
Jul
�X]
I 1 Aug
rX]
i ]Sep
[ ]
L Oct Oct
Nov
Dec
Venting [[ 11 Jan
[ ) Feb
L 1
X Mar
[X)
I
1
[ 1 Jun
111 Jul
[ 11 Aug
[[[ 1Sep
lxl
X
Thermostat Schedule:
HERS 2006
Reference
Hours
Schedule Type
1
2
3
4
5
6
7
8
9
10
11
12
Cooling(WD)
AM
78
78
78
78
78
78
78
78
80
80
80
80
PM
80
80
78
78
78
78
78
78
78
78
78
78
Cooling-(WEH)-
- AM
78
78
78
78
78
78-
78
78
78
-78
78
78
PM
78
78
78
78
78
78
78
78
78
78
78
78
Heating (WO)
AM
66
66
66
66
66
68
68
68
68
68
68
68
PM
68
68
68
68
68
68
68
68
68
68
66
66
Heating (WEH)
AM
66
66
66
66
66
68
68
68
68
68
68
68
PM
68
68
68
68
68
68
68
68
68
68
66
66
1 V712018 10:29 AM EnergyGauge® USA- FlaRes2017 Section R405.4.1 Compliant Software Page 5 of 5
FORM R405-2017 Envelope Leakage Test Report Performance
FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
Envelope Leakage Test Report
Performance Method
Project Name:
1405 Lone Pine Dr
Builder Name:
Street:
1405 Lone Pine Dr.
Permit Office: St Lucie
City, State, Zlp:
Fort Pierce, FL, 34982
Permit Number:
Design Location:
FL, ST LUCIE_CO_INTL _
Jurisdiction: 611000 _
Cond. Floor Area::
3579 sq.ft.
Cond. Volume: 31792 cu ft.
Envelope Leakage Test Results Leakage Characteristics
Regression Data:
C: n: R:
Single or Multi Point Test Data
HOUSE PRESSURE
FLOW:
1
Pa
cfm
2
Pa
cfm
3
Pa
Crm
4
Pa
cfm
5
Pa
Cfm
6
Pa
Cfm
Required ACH(50) from
FORM R405-2017 :
Tested ACH(50) `:
`Tested leakage must be less than or equal to the
required ACH(50) shown on Form R405-2017 for
this building. If the tested ACH(50) is less than 3
the building must have a mechanical ventilation
system.
R402.4.1.2 Testing. The building or dwelling unit shall be tested and verified as having an air leakage rate of not exceeding 7 air changes per hour in
Climate Zones 1 and 2 ... Testing shall be conducted with a blower door at a pressure of 0.2 inches w.g. (50 Pascals). Testing shall be conducted by either
individuals as defined in Section 553.993(5) or (7), Florida Statutes or individuals licensed as set forth in Section 489.105(3)(0, (g), or (i) or an approved
third party. A written report of the results of the test shall be signed by the party conducting the test and provided to the code official. Testing shall be
'performed at any time after creation of all penetrations of the building thermal envelope.
During testing:
1. Exterior windows and doors, fireplace and stove doors shall be closed, but not sealed, beyond the intended weatherstripping or other
infiltration control measures;
2. Dampers including exhaust, intake, makeup air, backdraft and flue dampers shall be closed, but not sealed beyond intended infiltration
control measures;
3. Interior doors, if installed at the time of the test, shall be open;
4. Exterior doors for continuous ventilation systems and heat recovery ventilators shall be closed and sealed;
5. Heating and cooling systems, if installed at the time of the test, shall be turned off; and
6. Supply and return registers, if installed at the time of the test, shall be fully open.
I hereby certify that the above envelope leakage
performance results demonstrate compliance
with Florida Energy Code requirements in
accordance with Section R402.4.1.2.
SIGNATURE:
PRINTED NAME:
DATE:
Testing shall be conducted by either
individuals as defined in Section
553.993(5) or (7), Florida Statutes or
individuals licensed as set forth in
Section 489.105(3)(0, (g), or (i) or an
approved third party. A written report of
the results of the test shall be signed
by the third party conducting the test
and provided to the code official.
BUILDING OFFICIAL:
DATE:
1117@01810:30 AM EnergyGauge® USA- FlaRes2017 - Section R405.4.1 Compliant Software Page 1 of 1
FORM R405-2017
ENERGY PERFORMANCE LEVEL (EPL)
DISPLAY CARD
ESTIMATED ENERGY PERFORMANCE INDEX* = 99
The lower the EnergyPerformance Index, the more efficient the home.
1. New construction or existing
2. Single family or multiple family
3. Number of units, if multiple family
4. Number of Bedrooms
5. Is this a worst case?
6. Conditioned floor area (ft')
7. Windows"
Description
a. U-Factor:
Dbi, U=0.34
SHGC:
SHGC=0.21
b. U-Factor:
Dbl, U=0.33
SHGC:
SHGC=0.17
c. U-Factor:
Dbl, U=0.27
SHGC:
SHGC=0.17
d. U-Factor:
other (see details)
SHGC:
other (see details)
Area Weighted Average Overhang Depth:
Area Weighted Average SHGC:
S. Floor Types
a. Slab -On -Grade Edge Insulation
b. N/A
c. WA
1405 Lone Pine Dr., Fort Pierce, FL, 34982
New (From Plans) 9. Wall Types
Single-family a. Concrete Block -Int Insul, Exterior
b. Frame -Wood, Exterior
1 c. Frame - Wood, Adjacent
A d. N/A
No
3579
Area
270.00 ft'
40.00 ft'
16.00 ft'
12.00 ft'
4.154 ft.
0.203
Insulation Area
R=0.0 2257.00 fN
R= fF
R= ft'
10. Ceiling Types
a. Roof Deck (Unvented)
b. N/A
c. WA
11. Duds
a. Sup: Attic, Ret Attic, AH: Garage
b. Sup: Attic, Ret: Attic, AH: Garage
12. Cooling systems
a. Central Unit
b. Central Unit
13. Heating systems
a. Electric Strip Heat
b. Electric Strip Heat
14. Hot water systems
a. Propane
b. Conservation features
None
15. Credits
I certify that this home has complied with the Florida Energy Efficiency Code for Building
Construction through the above energy saving features which will be installed (or exceeded)
in this home before final inspection. Otherwise, a new EPL Display Card will be completed
based on installed Code'comoliant features.
Builder Signature: Z. Date: R- I I -- I "i
Address of New Home: #4 5- L_04ta AVJL 6� City/FL Zip: ' '
eir
Insulation
R=4.0
R=19.0
R=13.0
R=
Insulation
R=20.0
R--
R=
Area
1785.00 ft'
1485.30 ft'
214.67 ft'
ft'
Area
2257.00 ft'
ft'
ft'
R ft'
6 357.9
6 150
kBtulhr Efficiency
36.4 SEER:17.00
18A SEER:17.00
kBtu1hr Efficiency
34.0 COP:1.00
16.0 COP:1.00
Cap: 1 gallons
EF: 0.59
CF, Patel
'Note: This is not a Building Energy Rating. If your Index is below 70, your home may qualify for energy efficient
mortgage (EEM) incentives if you obtain a Florida EnergyGauge Rating. Email EnergyGauge tech support at
techsupport@energygauge.com or see the EnergyGauge web site at energygauge.com for information and a list of
certified Raters. For information about the Florida Building Code, Energy Conservation, contact the Florida Building
Commission's support staff.
"Label required by Section R303.1.3 of the Florida Building Code, Energy Conservation, if not DEFAULT.
11f72018 10:30 AM EnergyGauge® USA - FlaRes2017 - Section R405.4.1 Compliant Software Page 1 of 1
��rr,, ,,��PERMIT #: 56-SF-1 918453
' STATE OF FLORIDA FILE C0 nVCATION #. AP1394076
DEPARTMENT OF HEALTH ATE PAID:
ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID:
SYSTEM
RECEIPT #:
DOCUMENT #: PR1201351
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: Maximilian Clemons
PROPERTY ADDRESS: 1405 Lone Pine Dr Fort Pierce, FL 34982
LOT: 17 BLOCK: SUBDIVISION: Lone Pine
PROPERTY ID #: 3409-505-0022-000-4 [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 SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS,
WHICH SERVED AS A BASIS FOR ISSUANCE OF 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 Septic new CAPACITY
A [ ] 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 [ 500 ] SQUARE FEET Drainfield new SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [X] MOUND [ ]
I CONFIGURATION: [X] TRENCH [ ] BED [ ]
N
F 'LOCATION OF BENCHMARK: Site BM. NID CL of Rd. center Of property
I ELEVATION OF PROPOSED SYSTEM SITE [ 1.00.1r INCHES FT ][ ABOV
E BOTTOM OF DRAINFIELD TO BE [ 5.00 ] [ INCHES FT ] [ ABOV
L
D
0
T
H
E
R
BELOW] BENCHMARK/REFERENCE POINT
BELOW]BENCHMARK/REFERENCE POINT
REQUIRED: LLL.UV] INCHES EXCAVATION REQUIRED: r J 11V6....
system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of
9pd-
SPECIFICATIONS
BY: Brian J ram
TITLE: Environmental Specialist
II
APPROVED BY:
LE: Environmental Specialist II
St. Lucie CHO
Brian J I ram
DATE ISSUED:
02/05/201
EXPIRATION DATE:
08/05/2020
DH 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 "1394076 SE1150617
NOTICE OF RIGHTS
A party whose substantial interest is affected by this order may petition for an
'administrative hearing pursuant to sections 120.569 and 120.57, Florida Statutes. Such
proceedings are governed by Rule 28-106, Florida Administrative Code. A petition for
administrative hearing must be in writing and must 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 required 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.
St. Lucie County Health Department
HEE'iALTH 5150 NW Milner Dr Port Saint Lucie, FL 34983
,
PAYING ON: PERMIT It. 56-SF-1918453 BILLooc#:56-BID-4075409 CONSTRUCTION APPLICATION#:AP1396097
RECEIVED FROM: ASHTON SEPTIC TANKS, INC. AMOUNT PAID: $ 25.00
PAYMENT FORM: CREDIT CARD PAYMENT DATE: 02/04/2019
MAIL TO: Maximilian Clemons
FACILITY NAME:
PROPERTY LOCATION:
• 1405 Lone Pine or
Fort Pierce, FL 34982
17
Lot:
Property ID: 3409-505-0022-000-4
EXPLANATION or DESCRIPTION:
-1 - OSTDS Revision
Block:
QUANTITY FEE
1 $ 25.00
RECEIVED BY: MontanezNM
a
AUDIT CONTROL NO. 56-PID-3853646
ff ALTH
PAYING ON:
RECEIVED FROM
PAYMENT FORM:
St. Lucie County Health Department
5150 NW Milner Dr Port Saint Lucie, FL 34983
PERMITtt 56-SF-1918453 BILL DOG o-56-BID-4069206 CONSTRUCTION APPLICATION#: AP1394076
ASHTON SEPTIC TANKS, INC. (Resist AMOUNT PAID: $ 515.00
CREDIT CARD PAYMENT DATE: 01/23/2019
MAIL TO:- Maximilian Clemons
FACILITY NAME:
PROPERTY LOCATION:
1405 Lone Pine or
Fort Pieroe, FL 34982
17
Lot:
Property ID: 3409-505-0022-000-4
EXPLANATION or DESCRIPTION:
Block:
QUANTITY FEE
128 - OSTDS Construction System Inspection Research Fee
1
$
5.00
-1 - Surcharge (All)
1
$
15.00
-1 - OSTDS New Permit Surcharge
1
$
100.00
-1 - OSTDS Construction Application and Plan Review,New
1
$
100.00
123 - OSTDS Construction Site Evaluation
1
$
115.00
126 - OSTDS Construction Permit (New or Mod, Amendment)
1
$
55.00
127 - OSTDS Construction System Inspection
1
$
75.00
133 - OSTDS Construction Reinspection
1
$
50.00
RECEIVED BY: MontanezNM AUDIT CONTROL NO. 56-PID-3847527
1 �''iiE ��• IVO . � Ind' •oN/\/
STATE OF FLORIDA PERMIT NO. 6t!46S
? DEPARTMENT OF HEALTH DATE PAID:
i 1•a� ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: CC $t�5,pp
SYSTEM RECEIPT ]k:
a"=p APPLICATION FOR CONSTRUCTION PERMIT
ABP ICATION FOR:
[ New System [ ] Existing System [ ] Holding Tank I] Innovative
[ ] Repair A [ ] Abandonment [ ] Temporary ] wof t 0 to
APPLICANT:J'L
AGENT: K TELEPHONE
MAILING ADDRESS: V 119(2 cQl„w�QtAX kp �"na Pl e j,.. ;�L 1,4'Z
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.
PROPERTY INFORMATION p
LOT: BLOCK: — SUBDIVISION: Z(9n P, P�i� e, PLATTED: -r Qo
PROPERTY ID 0: ZONING: I/M OR EQUIVALENT: [ Y / N ]
PROPERTY SIZE: ngb ACRES WATER SUPPLY: [ ] PRIVATE PUBLIC [A]<=2000GPD [ 1>2000GPD
IS SEWER AVAILABLE jAS PER 3881.0065, �JFS? [ Y/
PROPERTY ADDRESS: / � „C 7, P. f /i1 P / )/\
DIRECTIONS TO PROPERTY:
BUILDING 1NFORMATION
Unit Type of
NO Establishment /
2
3
4
[ ] Floor/E
SIGNATURE: x
[,
DISTANCE TO SEWER: -0-14--FT
L
[ xI RESIDENTIAL [ ] COMMERCIAL
No. of Building Commercial/Institutional System Design
Bedrooms Area Sqft Table 1, Chapter 64E-6 FAC -
f�C
--���
)C./ Other (Specify)
jo� ,!!
DATE:'\ �I
,
DR 4015, 08/09 (Obsoletes previous editions which may not be used)
Incorporated 64E-6.001, FAC
Page 1 of 4
STATE OF FLORIDA APPLICATION # AP1394076
DEPARTMENT OF HEALTH PERMIT # 56-SF-1918453
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT # SE1150617
SITE EVALUATION AND SYSTEM SPECIFICATION
APPLICANT: Maximilian Clemons
CONTRACTOR / AGENT: ASHTON SEPTIC TANKS, INC.
LOT: 17 BLOCK:
SUBDIVISION: Lone Pine ID#:3409-505-0022-000-4
TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEERS MUST PROVIDE
REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS.
PROPERTY SIZE CONFORMS TO SITE PLAN: [X]YES [ ]NO NET USABLE AREA AVAILABLE: 0.38 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 950.00 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 860.00 SQFT UNOBSTRUCTED AREA REQUIRED: '750.00 SQFT
POINT LOCATION:
ELEVATION OF PROPOSED SYSTEM SITE . 1.00 [ INCHES / FT ] [ ABOVE / BELOW ] BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: FT DITCHES/SWALES: FT NORMALLY WET: [ ]YES [X]NO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON -POTABLE: 98 FT
BUILDING FOUNDATIONS: 5
SITE SUBJECT TO FREQUENT FLOODING?
10 YEAR FLOOD ELEVATION FOR SITE:
SOIL PROFILE INFORMATION SITE 1
FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 29 FT
[ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]NO]
FT [ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD
enrr. nnnu+Tr.c Tuannvnmrnu ermc 9
USDA SOIL SERIES:Nettles sand
Munsell #/Color Texture
Depth
10YR 4/2
Fine Sand
0 To 10
1 OYR 3/1
Sand
10 To 16
10YR 5/3
Fine Sand
16 To 29
10YR 5/2
Fine Sand
19 To 43
1 OYR 32
Fine Sand
43 To 48
1 OYR 3/4
Fine Sand
48 To 52
10YR 4/2
Loamy Fine Sand
52 To 72
USDA SOIL SERIES:Nettles sand
Munsell #/Color Texture
Depth
1 OYR 4/2
Sand
0 To 10
10YR 4/1
Sand
10 To 28
10YR 611
Sand
24 To 33
1 OYR 52
Sand
33 To 45
10YR 3/3
Sand
45 To 55
10YR 512
Loamy Fine Sand
55 To 72
OBSERVED WATER TABLE: 50.00 INCHES [ ABOVE / BEE] EXISTING GRADE TYPE:
ESTIMATED WET SEASON WATER TABLE ELEVATION: 20 INCHES [ ABOVE / BELOW ]
HIGH WATER TABLE VEGETATION: [X]YES [ ]NO MOTTLING: [X]YES [ ]NO
[ PERCHED / APPARENT ]
EXISTING GRADE
DEPTH: 20.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Fine Sand/0.80 DEPTH OF EXCAVATION:
DRAINFIELD CONFIGURATION: [X ] TRENCH [ ] BED [ ] OTHER (SPECIFY)
r- REMARKS/ADDITIONAL CRITERIA
WSWT determined using USDA WSS and soil borings.
10YR5/2 stripping in 10YR513 matrix >10% with diffuse boundaries starting at 20" in SB7.
SB1 1" above BM. SB2 0" abo p BM.
SITE EVALUATED BY:
Ingram, Brian (T e: Environmental Specialist II) (ENVIRONMENTAL HEALTH)
DH 4015, 08/09 (Obsoletes previous editions wh ch may not be used) Incorporated: 64E-6.001, FAC
INCHES
DATE: 01 /28/2019
Page 3 of 4
AP139407G EID1918453 v 1.0.2
r _ T STATE OF FLORIDA PERMIT It.
�ry DEPARTMENT OF HEALTH
1'p•• ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
1
SITE EVALUATION AND SYSTEM SPECIFICATIONS
APPLICA
�N
(T
- "
LOT: / "/
BLOCK: SUBDIVISION:
AGENT:x
PROPERTY ID q! : [ SecSoiVTownship/Parce[ No. or Tax IDNumber ]
TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE,OR OTHER QUALIFIED PERSON. ENGINEERS
KUST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS_
PROPERTY SIZE CONFORMS TO SITE P [�q YES [ ] NO NET USABLE AREA AVAILABLE: s33 ACRES
TOTAL ESTIMATED SEWAGE FLOW: D GALLONS PER DAY [RESIDENCES-TABLET/OTHER-TABLE2 I
AIITHORIZED SEWAGE FLOW: GALLONS PER DAY
-[ 1500 GPD/ACRE OR 2500 GPDgRE
UNOBSTRUCTED AREA AVAILABLE;SQFT 0Q: ]
SQFT'
BENCHMARK/REFERENCE POINT LOCATION: n JJ �&4.`4 IYLIll Le, = ,o6 vD,
CLEVATION OF PROPOSED SYSTEM SITE I'5 11Nr-!ES/FT I [AB. OVE/BELOW] B CHMARIC/REFERENCE POINT
THE MINIMUM*SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM. TO THE FOLLOWING FEATURES
SURFACE WATER: �FT DITCHES/SWALES:14FT - NO Y WET? [ I YES JK NO
WELLS: PUBLIC:_Q�FT LIMITED USE: FT PRIVATE: T NON -POTABLE: FT
BUILDING FOUNDATIONS: Z(2 FT P OP INES: ZQ FT POTABLE WATER LINES:, -FT
SITE SUBO)CT TO FREQUENT FLOODING: [ ] YES [K] NO 10 YEAR FLOODING? [ I YES I I NO
10 )MAR FLOOD ELEVATION FOR SITE: FT MSL/NGVD SITE ELEVATION: FT MSL/NGVD
SOIL PROFILE INFORMATION SITE 1
MUNSELL #/COLOR TEXTURE DEPTH
TO
TO
TO
TO
TO
TO
TO
TO
TO
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 [ABOVE/BELOW '] EXISTING GRADE. TYPE: [PERCHED /APPARENT ]
ESTIMATED NET SEASON WATER TABLE ELEVATION: INCHES [.ABOVE/BELOW ] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ] YES ]<] NO MOTTLING: [ 1 YES [ ]-NO DEPTH: INCHES
SOIL. TEXTURE/LOADING RATE FOR SYSTEM SIZING:' DEPTH OF EXCAVATION: INCHES
DRAINFIELD CONFIGURATION: [ ) TRENCH _ [ ] BE� ]_,O TIER (SPECIFY)
SITE EVALUATED
DATE:
off 4015, 12/11 (Obsoletes previous editions which may not be used) incorporated: 64E-6.001, FAC Page 3 of 4
Property Card,
Page 1 of 1
Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved.
Property Identification
Site Address: 1405 Lone Parcel ID: 3409-505-0022- Account #: 166422 Sec/rown/Range:
Pine DR 000-4 09/36S/40E
Map ID: 34/09N Zoning: PUD - CO Use Type: 0000 Jurisdiction: Saint Lucie
County
Ownership Legal Description
_Maximilian Clemons LONE PINE SUBDIVISION-(PB 51-21)-LOT 17
Kristelle Alie Clemons
1202 Parkland BLVD
Fort Pierce, FL 34982
Current Values Historical Values 3-year
Just/Market: $30,000 Assessed: $18,519 Year Just/Market Assessed Exemptions Taxable
Exemptions: $0 Taxable: $18,519 2018 $30,000 $18,519 $0 $18,519
2017 $26,400 $16,836 $0 $16,836
2016 $19,600 $15,306 $0 $15,306
Date
07-27-2018
11-24-2010
04-27-20I0
View:
Year Built: N/A
Primary Wall:
Bedrooms: 0
Full Baths: 0
Half Baths: 0
Sale History
Book/Page
Sale Code Deed Grantor
4169 / 1553
0001 WD Ryley Winston A
3248/2945
0116 QC Ryley Winston A
3192 / 1145
0001 WD Raymond Investments Properties
Primary Building Information
Finished Area of this building: 0 SF
Gross Area of this building: 0 SF
Exterior Data
Type
Price
$20,000
$100
$20,000
Roof Cover:
Roof Structure:
Building Type:
Frame:
Grade:
Effective Year: 2014
Story Height:
No. Units: 0
Secondary Wall:
Interior Data
A/C %: 0%
Electric:
Primary Int Wall:
Heated %: N/A%
Heat Type:
Avg Hgt/Floor: 0
Sprinkled %: 0%
Heat Fuel:
Primary Floors:
Total Areas
0/
Finished/Under Air 0
(SF):
t I1;ClV'dj�J ie
Gross Area (SF): 0
Land Size (acres): 0.38
Land Size (SF): 16,553
Total Building Count: I
Special Features and Yard Items
Qty Units YearBlt
This information is believed to be correct at this time but it is subject to change and is not warranted.
0 Copyright 2019 Saint Lucie County Property Appraiser. All rights reserved.
ttps://www.paslc.org/RECard/ 1/23/2019
Michelle Franklin, CFA- Saint Lucie County PropertyAppraiser
January25, 2019 1:2 257
0 0.0175 0.035 0.07 mi
0.03 0.06 0.12 km
Thls information is deemed to be correct at this tine but it is subject to change and is rot warranted.
[NE
�. STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR: „
Wtll ipermv; Rod 59-2a11'i
PERMIT NO. 6-SF- -`I 53
DATE PAID: t I Z
FEE PAID:
RECEIPT #:
New System [ ] Existing System `p Holding Tank [ ] Innovative
[ ] Repair L ] Abandonment .-I Temporary [ ]
APPLICANT: I`6XlVA i
AGENT:
TELEPHONE: / /2'�1fp -qa1-1
MAILING ADDRESS: 3-lip 61.00hey- 'T-7r P;rkce , rS 3`i9'f5
TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED
BY A PERSON LICENSED PURSUANT TO 489.105(3)(m) OR 489.552, FLORIDA STATUTES. IT IS THE
APPLICANT'S RESPONSIBILITY TO PROVIDE DOCUMENTATION OF THE DATE THE LOT WAS CREATED OR
PLATTED (MM/DD/YY) IF REQUESTING CONSIDERATION OF STATUTORY GRANDFATHER PROVISIONS.
PROPERTY INFORMATION LOT: l� BLOCK: SUBDIVISION: A01lyp 1 fJ �'to
)e PLATTED:
PROPERTY ID #: 54Q - 5d5 ZONINq:
'PROPERTY SIZE: Ua$ ACRES WATER SUPPIyXy [] �P$ITE
IS SEWER AVAILABLE AS PER 381 .,Ob65,S?
PROPERTY ADDRESS: NOS,
DIRECTIONS TO PROPERTY:
I/M OR EQUIVALENT: [ Y / N ]
PUBLIC [ x]G=2000GPD [ 1>2000GPD
DISTANCE TO SEWER: FT
34l$a..
BUILDING INFORMATION [><f RESIDENTIAL [ ] COMMERCIAL
Unit Type of No. of Building Commercial/Institutional System Design
No Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC
2
3
4
[ ] Floor/Equipment Drains
SIGNATURE: __ -M
If
DH 4015, 08/ 9 (Obsoletes previous editions which may not be used)
Incorporat 64E-6.001, FAC
DATE:
Page 1 of 4
2 21'3TN
2A 2VN
Custom Soil Resource Report
p Soil Map
a
2r 21'3TN
2 2l'37N
555m 565130 %140 5551.0 5551E0 43120 555190 565190
3
a
Map Sale: 1:587►pdntedwA pedmt(8.5 x1V)dieeLMelee;N 0 5 10 11 30
A D
MapprcjecbDn:Web Hamer Cameramdnates:WCS84 Edge da: UlM Zane 17N WG584
6
Custom Soil Resource Report
St. Lucie County, Florida
25—Nettles and Oldsmar sands
Map Unit Setting
National map unit symbol: ljpvl
Mean annual precipitation: 49_to 58 inches
Mean annual air temperature: 70 to 77 degrees F
Frost -free period: 350 to 365 days
Farmland classification: Farmland of unique importance
Map Unit Composition
Nettles and similar soils: 40 percent
Oldsmar and similar soils: 40 percent
Minor components: 20 percent
Estimates are based on observations, descriptions, and transacts of the mapunit.
Description of Nettles
Setting
Landform: Flatwoods on marine terraces
Landform position (three-dimensional): Talf
Down -slope shape: Linear
Across -slope shape: Linear
Parent material: Sandy and loamy marine deposits
Typical profile
A - 0 to 8 inches: sand
E - 8 to 33 inches: sand
Bhf - 33 to 39 inches: sand
Bh2 - 39 to 55 inches: sand
Btg - 55 to 80 inches: fine sandy loam
Properties and qualities
Slope: 0 to 2 percent
Depth to restrictive feature: 31 to 50 inches to ortstein
Natural drainage class: Poorly drained
Runoff class. High
Capacity of the most limiting layer to transmit water (Ksat): Moderately low to
moderately high (0.06 to 0.20 in/hr)
Depth to water table: About 6 to 18 inches
Frequency of flooding: None
Frequencyofponding: None
Salinity, maximum in profile: Nonsaline to very slightly saline (0.0 to 2.0
mmhos/cm)
Sodium adsorption ratio, maximum in profile: 4.0
Available water storage in profile: Very low (about 1.6 inches)
Interpretive groups
Land capability classification (irrigated): None specified
Land capability classification (nonirrigated): 4w
Hydrologic Soil Group: CID
Forage suitability group: Sandy soils on flats of mesic or hydre lowlands
(G156BC141FL)
Hydric soil rating: No
10
Custom Soil Resource Report
Description of Oldsmar
Setting
Landform: Flatwoods on marine terraces
Landform position (three-dimensional): Talf
Down -slope shape: Convex
Across -slope shape: Linear
Parent material: Sandy and loamy marine deposits
Typical profile
A - 0 to 5 inches: sand
E - 5 to 32 inches., sand
Bh - 32 to 42 inches., sand
Btg - 42 to 80 inches: fine sandy loam
Properties and qualities
Slope: 0 to 2 percent
Depth to restrictive feature: More than 80 inches
Natural drainage class., Poorly drained
Runoff class: High
Capacity of the most limiting layer to transmit water (Ksat): Moderately low to
moderately high (0.06 to 0.20 in/hr)
Depth to water table: About 6 to 18 inches
Frequency of flooding: None
Frequency of ponding: None
Salinity, maximum in profile: Nonsaline to very slightly saline (0.0 to 2.0
mmhos/cm)
Sodium adsorption ratio, maximum in profile: 4.0
Available water storage in profile: Low (about 4.9 inches)
Interpretive groups
Land capability classification (irrigated): None specified
Land capability classification (noninigated): 4w
Hydrologic Soil Group: A/D
Forage suitability group: Sandy soils on flats of mesic or hydric lowlands
(G156BC141FL)
Hydric soil rating. No
Minor Components
Ankona
Percent of map unit., 4 percent
Landform: Flatwoods on marine terraces
Landform position (three-dimensional): Talf
Down -slope shape: Convex
Across -slope shape: Linear
Hydric soil rating: No
Pineda
Percent of map unit. 4 percent
Landform: Drainageways on marine terraces, flats on marine terraces
Landform position (three-dimensional): Dip
Down -slope shape: Linear
Across -slope shape: Concave
Hydric soil rating: Yes
11
J
STATE or FLORIDA
DISPARTblum OF ElEALTH
WHITE SEMM TREAMIM AND D3ZPO9AL,SrSTE14
CONSTRUCTION INSPECTION AND F=Al APPROVAL
APPLICANT:
PwFERT%Az)DRzss.v 14.06LqnePlnaDr FortPlerce.F134982
LOT:. 17 RLOCB;-.
L060 Fine ID#
qoq- C) 17z/
�=ox #:AP139407-6
ap.M= o: 56-SF-fM
DOCUMENT 4
DATE, PAID
FEE P&
Rucat0t
CHECKED [XI ITEMS ARE NOT IN COMPLIANCE WITH STATUTE. OR RUM AND MOST BE, CORRECTED, - , --
TANK INSTALLATION
1. (4)
TAM SIZE, [If 1090.00.. [21
I i(Q21
TANK MATERIAL Polypropylene-
1 1631
OUTLET- DEVICE
ELF 'N
I 1psl
OUTLET' FILTER POW& PL-68
1 (061
LEGEND 1. 70A43AfD 2.
1 rl"I
WATERTIGHT'
Ift"l,
LEVEL
(001.
zzMll TO LID
DHILUMELD INSTALLATION
Wol
AREA EXII 679.2 lzi SQFT
1111
ZZSTRXBU7!1014 BOX -SEADEB x
.j Eilf
!smiaER OF, DR.Anmims t 6.00 2,
I E131
DRAnMIN& SEPARATION
XNE SLOPE
I E-151
):IgPTH OF COVER
7 [103
tLE t FA�aOlJt I BELOW TER. 7.00_
Ll E171
SYSTEM LOCATION
(IS!,
DOSING PUMPS,
3 r191i
AqGPZGAVZ arzt:
J Izoi
AGGREGATE zXcEssriz PINES
I rzIl
AGOIREGATE:DEFTH
FILL / 7EXCAVATION MATERIAL
t I
EXZJ
FILL AMOUNT
E 1
[233
FILL TEXTURE
E I
E243
EXCAVATION DEPTH
'I
128j
AREA. REPLACED
I
t26-1
REPLACEMENT MATERIAL
Comtwezit-%: Cotments ate d-h iaacria z-
CONSTAUCTION E APPROVED / DI SAPPROVED A =
SETBACKS'.
4271
SURFACE WRIER
FT
1281
DITCHES
Fal
VVI
PRIVATE: VMT243
pot
PUBLIC WELLS
E111
IRRIGATION WELLS 91
FT
t,Ul
POTATq& WATER 32
Fm
(as)
BUILDING rouNbAnous
r34j
PROPERTY LINES 5,
72
r3a1
OTHER
FT
FILLED I momm SYSTEM
063.
- bp=wlmw COVER
p71
SHOULDERS
081
SLOPES
C391
STABILIZATION 04/2712026
Ab"00NAL ]:NFOpmTIlQlf
[401 UNOBSTRUCTED:AREA
[411 STORMWATER RUNOFF
jt42j ALARMS-
[41f MAIWEb"CEAGRKEMENT
r07 SOIwrN0' AREA
[4.51: LOCATION POTMURMS WITH SITE PLAN
[4.01, FINAL -SITE. GRADING
[411 CONTRACTOR MICHAELWSTUHR (ASHTO
c4s1 OTHER VITRATOR dtflcM Flos E4WEP
ABANDONMENT
1 [7491! TANK:PUMPED
E I EPOI TANK CRUSHED 6, FILLED
=pz. SYSTEM I �'t DISAPPROVED 1: st
EmlmMOntalSpoclaust tJISraft (FNVIRO
MxpL=attiao of ViQlatipfison f6jaowir4 Pa"
D'A 4916, 00/09 (Ob.70;lptes all _previous: editionS which way -got pq lased)
Incoxpozated: 64X-6.003f VAC
r;H Papbase v'1.04: 01414479, C101918453
CeD DATE: J2/03/2619
CED DATE; 01)27/2020
Page 2 of 3
The ,system JS Sized for 3 bedroom vM11
be(froofftl fora
flfter, and: 600 long BED OF installed, Flo vialatibm, system ok to cover. Confractor notified by phone. Needs f1hat
OOK thigafm) Well f"SPOOUonCsetliack, mound system,. and floal site grading.,
RD 4 , 02:61 08109 (Obsoletes all previous- editions which maynot hs� used?
Incorporated: 64E-6.003, 'PAC Page 2 of 3
EH Datakase v,,LOA AP1394076