HomeMy WebLinkAboutD O H PAPERWORKs
Mission:
To Rdeci, p 0rn0be &MPvvethe health
or all people in Flwidathmugh integated
state, oxatyi1oxrmailye4orts
Ron Raymond
PO Box 12058
Fort Pierce, FL 34981
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Vision: To be the Healthiest statein the Nation
April 04, 2019
RE: Modification to a Single Family Residence - No Bedroom Addition
Application Document Number: AP1407033
Centrax Permit Number: 56-SF-1938394
2302 River Hammock Lane
Fort Pierce, FL 34981
Lot: 7 Block: Subdivision: River Hammock
Dear Applicant,
Ran eesanns
Governor
SCANNED
BY
St. Lucie County
This will acknowledge receipt of a floor plan and site plan on 04/04/2019 for the use of the existing
onsite sewage treatment and disposal system located on the above referenced property.
This office has reviewed and verified the floor plan and site plan you submitted, for the proposed
remodeling addition or modification to your single-family home. Based on the information you provided,
the 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.
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.
You 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) 8734931.
FWlft f1.y,ron.ut of ll an
in St. Lucie County - 5150 NW Milner Drive • Port Saint Lucie, Florida
34983
PHONE: (772) 8734931
Sincerely,
Dianna May
Environmental Supervisor
Department of Health in St. Lucie County
—AllarNrh-dow v
TWITTER:HealthyFLA
FACEBOOK:FLDepartmentofHealth
YOUTUBE: Bdoh
z.'
STATE OF FLORIDA
PERMIT NO. 56-sF-1g3$34y
DEPARTMENT OF HEALTH
DATE PAID: L 19
ONSITE SEWAGE TREATMENT AND DISPOSAL
FEE PP_ID: It ( L
SYSTEM
RECEIPT # : as wcr
APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
[ 7 New System [ ] Existing System [ ] Holding Tank [ ] innovative
[ ] Repair [ ] Abandonment [ I I Temporary [ �/ ] Plan Review
APPLICANT:,17�1Ani�I�CiL`.'-CJi� �3 AGENT: TELEPHONE: 1P)2-610-,upC�'
MAILING ADDRESS:
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: I BLOCK: SUBDIVISION: PLATTED:
PROPERTY ID #: _-3 I04- 7O Z, (X)37-cco-3 ZONING: I/M OR EQUIVALENT: [ Y/N ]
PROPERTY SIZE: 0.5 ACRES WATER, SUPPLY: [--'] PRIVATE PUBLIC [ ]<=2000C-PD [ 7>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y/N7 ]
DISTANCE TO SEWER: FT
PROPERTY ADDRESS: Z3cZ \L!�1` �i'V�A4V\�.JL �IV
;�;Ztl ?ke;?-6
[-( 3ggs
DIRECTIONS TO PROPERTY: (� \ `^j(;�r-Eel�ilt L�(,v�Y\
CS j z
j S I
�j�" `,1�
\\f;•;
BUILDING INFORMATION
Unit Type of
NO Establishment
2
3 95(,S °n. SP!R
4
[ v ] RESIDENTIAL [ ] COMMERCIAL
No, of Building Commercial/Institutional System Design
Bedrooms Area Soft Table 1, Chapter 64E-6, FAC
[ 7 Floor/Equipmen."r na [�1,j4j Other (Specify)
SIGNATURE:
?h(,'! n
jV0 9��coM. �. cT•..�Q 'F}��'1�
DH 4015, 08/09 (Obsolete previous editions Which may not be used)
Incorporated 64E-6.001, PAC
DATE:
Page 1 of 4
FDOH in St. Lucie County
Environmental Health
Septic System Appears Adequate
For Proposed Construction SrkSF±138394
This Approval Does Not Guarantee
Performance of the Systems--
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