HomeMy WebLinkAboutD O H PAPERWORKSTATE OF FLORIDA
DEPARTMENT OF I]EALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
PERMIT #:56SF-1944584
APPLICATION #:AP1411081
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1225107
CONSTRUCTION PERMIT FOR: OSTDS New FILE COPY SCANNEDID
APPLICANT: Hector & Angelica Luna �� [if By
'noe-
PROPERTY ADDRESS: 1233 S Brocksmith Rd Fort Pierce. FL 34945
LOT:
BLOCK:
SUBDIVISION:
PROPERTY ID #: 2317-214-0004-000-4 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR TAX ID NUMBER]
SYSTEM MOST 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 PERNIT BEING MADE NULL AND VOID'.
ISSUANCE OF THIS PERMIT DOES NOT EAST "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 NIA CAPACITY
N I ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [ ] GALLONS DOSING TANK CAPACITY I ]GALLONS @[ ]DOSES PER 24 Has #Pumps [ ]
D [ 500 ] SQUARE FEET Drainfield new SYSTEM
R [ ] SQUARE FEET NIA SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED pc] MOUND I I
I CONFIGURATION: [x] TRENCH [ ] BED I ]
N
F LOCATION OF BENCHMARK: orange painted nail in fence post N of system
I ELEVATION OF PROPOSED SYSTEM SITE
E BOTTOM OF DRAINFIELD TO BE
L
D
O
T
H
E
R
[ 20.00 ] 11 INCHES ET ] [ ABOVE BELOW BENCHMARK/REFERENCE POINT
[ 12.00][ INCHES FT ][ABOVE EELOW BENCHMARK/REFERENCE POINT
system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of
gpd•
SPECIFICATIONS BY: - Brian J Iagrpfn TITLE' Environmental Specialist II
APPROVED BY: ITLE: Environmental.Specialist II St. Lucie Cao
Hrian J Zngra
DATE ISSUED: 05/06/2019 EXPIRATION DATE: 11/06/2020
DE 4016, 08/09 (Obsolates all previous editions which may not be used)
Incorporated: 64E-6.003, FAC Page 1 of 3
v 1.1.4 A21411081 SE1174606
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.
r St. Lucie County Health Department
F Of IN
HEALTH 5150 NW Milner Dr Port Saint Lucie, FL 34983
PAYING ON: #:56-SF-1944584 BILL Doc #:56-BID-4152146 CONSTRUCTION APPLICATION #: AP1411081
RECEIVED FROM: Hector & Angelica Luna AMOUNT PAID: $ 515.00
PAYMENT FORM: CREDIT CARD PAYMENT DATE: 04/26/2019
MAIL TO: Hector & Angelica Luna
FACILITY NAME
PROPERTY LOCATION:
1233 S Brocksmith Rd
Fort Pierce, FL 34945
-Block:--
Property ID: 2317-214-0004-000-4
EXPLANATION or DESCRIPTION:
128 - OSTDS Construction System Inspection Research Fee
-1 - Surcharge (All)
-1 - OSTDS New Permit Surcharge
-1 - OSTDS Construction Application and Plan Review,New
123 - OSTDS, Construction Site Evaluation
126 - OSTDS Construction Permit (New or Mod, Amendment)
127 - OSTDS Construction System Inspection
133 - OSTDS Construction Reinspection
QUANTITY FEE
1 $
5.00
1 $
15.00
1 $
100.00
1 $
100.00
1 $
115.00
1 $
55.00
1 $
75.00
1 $
50.00
RECEIVED BY: MontanezNM AUDIT CONTROL NO. 56-PID-3913949
i STATE OF FLORIDA
' DEPARTMENT OF HEALTH
Y'p ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
New System
[ j Repair
APPLICANT:
AGENT:
MAILING ADDRESS:
C ] Existing system
[ ] Abandonment
5r L In-n
5q-aALI('DIA -�
wsu- pcamir'n Wo .yy5`1-aA�LI((��LDs
PERMIT N0.5W- - Lq4%Sq
DATE PAID:
FEE PAID:
RECEIPT #:
[ ] Holding Tank C I Innovative
[ ] Temporary [ 7
ME
TELEPHONE: 7Z 2I lSi S�
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: BLOCK: SUBDIVISION:
PLATTED: --
PROPERTY ID #: , I -L`L -(Ji�� ^ ZONING:E) I/M OR EQUIVALENT: C Y/ J ]
PROPERTY SIZE. ? ACRES WATER SUPPLY: .[k] PRIVATE PUBLIC [ j<=20000PD [ 1>2000GPD
IS SEWER AVAILABLE ``AS PER 381.0`065, FS? [ Y& ] 7'�C DISTANCE
TOO ,rSEWER: *a- FT
PROPERTY ADDRESS: 1233 S. aroGK�x n(- 'h I V�j 1 • T U' �'(' (F I 3'CI
DIRECTIONS TO -PROPERTY:
BUILDING INFORMATION
Unit Type of
No Establishment
J. Sl
2
3
4
[-.� RESIDENTIAL [ 7 COMMERCIAL
No. of Building Commercial/Institutional System Design
Bedrooms ��(
A,rea� SSgft Table 1, Chapter 64E-6, FAC
*— "
[ ] Floor/Equipment Drains [ ] Other (Specify)
RVCe Fi1YIFi[{
DATE: A— 2'(0 9
DH 4015, 08109 (Obsoletes previous editions which may not be used)
Incorporated 64E-6.001, FAC Page 1 of 4
STATE OF FLORIDA APPLICATION # AP1411081
DEPARTMENT OF HEALTH PERMIT # 56-SF-1944584
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATION DOCUMENT # SE1174606
APPLICANT: Hector & Angelica Luna
CONTRACTOR / AGENT:
LOT:
BLOCK:
SUBDIVISION: ID#: 2317-214-0004-OOD-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: IX]YES [ ]NO NET USABLE AREA AVAILABLE: 4.75 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES-TABLEI / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW:
UNOBSTRUCTED AREA AVAILABLE:
BENCHMARK/REFERENCE POINT LOCATION:
7126.00 GALLONS PER DAY [ 1500 GPD/ACRE OR •. 2500 GPD/ACRE I
2000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1000.00 SQET
ELEVATION OF PROPOSED SYSTEM SITE 20.00
fence past N of cyst
/ FT ] [ ABOVE /
BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
-SURFACE-WATER: -- 100—_FT_— ---- -
— DITCHES/SWALES-:- -100 FT-
- -NORMALLY-WET:—[---]YES—
-I-X]NO--
WELLS: .PUBLIC: FT LIMITED USE: FT PRIVATE:
75 PT NON -POTABLE:
75 FT
BUILDING FOUNDATIONS: 5 FT
PROPERTY LINES: 5 FT
POTABLE WATER LINES:
70 FT
SITE SUBJECT TO FREQUENT FLOODING?
[ ]YES Ex ]NO
10 YEAR FLOODING? I ]YES
[X]NO]
10 YEAR FLOOD ELEVATION FOR SITE:
FT MSL / NGVD ] SITE ELEVATION: FT I MSL / NGVD
ROTT. PROFTLE INFORMATTON RTW.. 1
SOIL PROFILE
INFORMATION SITE 2
'
USDA SOIL SERIES:Pineda sand
Munsell #/Color Texture
Depth
1 OYR 4Y2
Sand
OTo 10
1OYR 5/3
Sand
10To 18
1 OYR 6/2
Sand
18 To 29
1 OYR 5/8
CMN/PRM RF
18 To 28
1 OYR 6/3
Sand
29 To 39
1 OYR 5/1
Sandy Clay Loam
39 To 51
1 OYR 42
Sand
51 To 72
USDA SOIL SERIES:Pineda send
Munsell #/Color Texture
Depth
1 OYR 4/3
Fine Sand
0 To 9
1 OYR 513
Fine Sand
9 TO 15
1 OYR 612
Fine Sand
15 To 25
7.5YR 518
CMN/PRM RF
16 To 25
1 OYR 6/4
Sand
25 To 37
1 OYR 4/1
Sandy Clay Loam
37 To 52
I OYR 42
Sand
52 To 72
OBSERVED WATER TABLE: 59.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ]
ESTIMATED WET SEASON WATER TARIM ELEVATION: 16' INCHES [ ABOVE / BELOW I EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: IX]YES I ]NO DEPTH: 16.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.80 DEPTH OF EXCAVATION: INCHES
DRAINFIELD CONFIGURATION: [X ] TRENCH [ 1 BED I ] OTHER (SPECIFY)
REMARKS/ADDITIONAL CRITERIA
WSWT determined using USDA WSS and soil borings.
7.5YR518 CMN PROM RF mottling in 10YR6/2 matrix: >2%starting at 16" in S132.
SH1 18" below BM. SH2 20" below SM.
SITE EVALUATED BY: DATE. 05/02/2019
Ingram, Brian e: Environmental Specialist 11) (ENVIRONMENTAL HEALTH)
DR 4015, 06/09 (Obsoletes previous editions 'ch may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4
AP1411081 EID1944584 v 1.0.2
Property Card tiySBy Page 1 of 1
5y-z9 ��q 5g ag u(,,5
Michelle Franklin, CFA —Saint Lucie County Property Appraiser — All rights reserved.
Property Identification
Site Address: 1233 S Parcel ID: 2317-214-0004- Account #: 13868 Sec/Town/Range:
BROCKSMITH RID 000-4 17/35S/39E
Map ID: 23/I7N Zoning: AG-5 Use Type: 9900 Jurisdiction: Saint Lucie
County
Ownership Legal Description
Hector Luna 17 35 39 N 1/2 OF SE I/4 OF NE 114 OF NW 1/4-LESS RD
Angelica Luna AND CANAL RS/W- (4.75 AC) (OR I702-1626)
5735 Briargate Ln
Fort Pierce, FL 34981
Current Values Historical Values 3-year
Just/Market: $60,900 Assessed: $60,900 Year
Just/Market
Assessed
Exemptions
Taxable
Exemptions: $0 Taxable: $60,900 2018
$60,900
$60,900
$0
$60,900
2017
$77,900
$72,618
$0
$72,618
2016
$72,200
$66,017 -
$0
$66,017
Sale History
Date
Book/Page Sale Code Deed Grantor
Price
04-25-2003
1702/1626 XX00 WD Vickers Lawrence
$50,000'
— _ _05-01-1985
— _0464 /-0668---XX00— --CV- — -
-
$36,000— --
02-01-1984
0424/0958 XX01 CV
$0
Primary Building Information
Finished Area of this building: 0 SF
Gross Sketched Area: 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°/u Heat Type:
Avg Hgt/Floor: 0
Half Baths: 0
Sprinkled %: 0% Heat Fuel:
Primary Floors:
Type
Total Areas
.:
Finished/UnderAir
0
%ih'Lt
Gross Sketched Area
0
VC':
(SF):
Land Size (acres):
4.75
Land Size (SF):
206,910
Total Building Count:
I
Special Features and Yard Items
Qty Units Year Bit
All information is believed to be correct at this time, but is subject to change and is provided without any warranty.
® Copyright 2019 Saint Lucie County Property Appraiser. All rights reserved.
ttps://paslc-dev.org/RECard/ 4/26/2019
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I
Custom Soil Resource Report
St. Lucie County, Florida
32—Pineda sand, 0 to 2 percent slopes
Map Unit Setting
National map unit symbol. 2x1 nb
Elevation: 0 to 100 feet
Mean annual precipitation: 47 to 58 inches
Mean annual air temperature: 70 to 77 degrees F
Frost -free period. 355 to 365 days
Farmland classification: Farmland of unique importance
Map Unit Composition
Pineda and similar soils: 85 percent
Minor components: 15 percent
Estimates are based on observations, descriptions, and transacts of the mapunit.
Description of Pineda
Setting
Landform: Drainageways on marine terraces, flats on marine terraces
Landfonnposition (three -dime_ nsi_onal) Tread, dip, tall _ __
Down -slope shape: Linear
Across -slope shape: Concave, linear
Parent material. Sandy and loamy marine deposits
Typical profile
A - 0 to 5 inches: sand
E- 5 to 19 inches: sand
Bw- 19 to 35inches: sand
Btg/E - 35 to 38 inches: sandy loam
Btg - 36 to 60 inches., sandy loam
Cg - 60 to 80 inches. loamy sand
Properties and qualities
Slope: 0 to 2 percent
Depth to restrictive feature: More than 80 inches
Watural drainage class: Poorly drained
Runoff class., Very 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 3 to 18 inches
Frequency of flooding: None
Frequency of ponding. None
Calcium carbonate, maximum in profile: 4 percent
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 4.6 inches)
Interpretive groups
Land capability classification (irrigated): None specified
Land capability classification (nonirrigated): 3w
Hydrologic Soil Group: C/D
10
Custom Soil Resource Report
Forage suitability group: Sandy over loamy soils on flats of hydric or mesic
lowlands (G155XB241 FL)
Other vegetative classification: Slough (R155XY011 FL)
Hydric soil rating: Yes
Minor Components
Malabar
Percent of map unit., 6 percent
Landform: — error in exists on —
Landform position (three-dimensional): Tread, dip, tall
Down -slope shape: Linear, concave
Across -slope shape: Linear, concave
Ecological site: Slough (R155XY011 FL)
Other vegetative classification: Slough (R155XY011 FL)
Hydric soil rating: Yes
Wabasso
Percent of map unit., 5 percent
Landform: Flatwoods on marine terraces
Landform position (three-dimensional): Tread, tall
Down -slope shape: Linear
Across -slope shape: Linear
- Other vegetative classification' South Florida Flatwoods (R155XY003FL)
Hydric soil rating: No
Valkaria
Percent of map unit.- 2 percent
Landform: Drainageways on flatwoods on marine terraces
Landform position (three-dimensional): Tread, dip, talf
Down -slope shape: Linear
Across -slope shape: Concave, linear
Other vegetative classification: Slough(R155XY011FL)
Hydric soil rating: Yes
Hallandale
Percent of map unit. 2 percent
Landform: Flatwoods on marine terraces
Landform position (three-dimensional): Tread, talf
Down -slope shape: Linear
Across -slope shape: Linear
Other vegetative classfcation: South Florida Flatwoods (R155XY003FL)
Hydric soil rating: Yes
11
Mission:
To protect promote 8 improve the health
of all. people in Florida throughiniegrated
state, iounty 8 community efforts.
14
HEALTH
Vision: To be the Healthiest State h the Nation
Florida Department of Health in St. Lucie County
Conditions for Issuance of Water Well Permits
Effective July 24. 2017
Ron DeSantis
Governor
• Contact the Florida Department of Health in Saint Lucie County (FDOH —St. Lucie)
prior to constructing or abandoning tiny well.
a. Call the FDOH —St. Lucie Well Line at 772-873-4936 or email
SLCDOH-WELLSCa)FLHEALTH.GOV
b, Provide the following'information:
-- i.—Permit-nu mber -- -- --- _- - - -
ii. Driller name
iii. Address
iv. Date and time to begin construction/abandonment
• A minimum. of 24 flours' 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 notification by email to SLCDOH-WELLS@FLHEALTH.GOV
• Submit revisions to permit and/or site map and associated fee within 48 hours of well
construction orabandonment.
Florida Department'ofHealth
St Lucie County! Division of Disease Control and Health Protection
Bureau, of Environmental Health
5150 NIN MilnecDrfve
Port St. Lucie, FL 34983
PHONE:.7.721873.4931
FlorldaHealth.gov
FAX: 772/595-1306
Accredited Health Department
Public Health Accreditation Board
1, Hector &
No . 6U-SF-komgbs4
STATE OF FLORIDA PERMIT APPLICATION TO CONSTRUCT,
REPAIR, MODIFY, OR ABANDON A WELL
Permit No. 59-29465
❑ Southwes4
P'Denol ILL OUT ALL APPLICABLE FIELDS
❑ Northwest ('Denotes Required Fields Where Applicable)
Florida Unique ID
Parma Stipulations Required (see Attached)
0 St Johns River
SYC^ef'outh Florida Thevaterwelicontmagdsrespan9hleforcompleting
thiffofm andforwarding iheppmarappDmflan to the
62-524 Quad No. Delineation No.
[]Suwannee River appmptioredelegotedouthodfywhereap➢lleable .
❑ DEP
CUPANUP AppllcationNo.
0 Delegated Authority (If Applicable)
Luna
or Number, City
3: L311-414-UUU4-Liuy 4
'Parcel ID No. (PIN) or Alternate Key (Clicks One) Lot Block Unit
4.17 35S 39E St Lucie Check if 62-524:0 Yes 21 No
'Section or Land Grant -township 'Range 'County Subdivision
6, James Paul Tyson 11352 954-8184269 downthehole@att.net
'Water Well Contractor - 'License Number `Telephone Number E-mail Address
6. PO BOX 881496 Port St, Lucie FI 34988
`Water Well Contractor's Address -- City State ZIP
7. 'Type of Work: ❑V Construction ❑ Repair ❑ Modification❑ Abandonment
8. 'Number of Proposed Wells 'Reeaan for Repak, Modlf�cellon ar Ale an =
9.,'Specify Intended Use(s !13\1� FD
Landscape Irrigation
I��- I
H
Agricultural Irrigation
Site Investigations
Bottled Water SupplyRecreation Area ingation
1Jvestock
Monitoring
Public Water Supply.(Limited Use/DOH)
❑
Nursery Irrigation
Test
- MAY 6
Public Water Supply. (Community or Non-Community/DEP)nr�
CommerclaUlndustrlal
Earth -Coupled Geothermal
Class I Injection
u
Golf Course Irrigation
HVAC Supply
HVAC Return
Gass V Injection: El Recharge ❑, Commercialllndustrial
Disposal ❑ Aquifer Storage and Recovery ❑ Drainage
,DOH In St Lu
iemedlatlon: ❑ Recovery ❑ Air Sparge, ❑ Other
loosened) _
r_
4
Other (Describe).
'Distance from Septic System if 5 200 ft. J .11. Facility Description Residence 12. Estimated Start Date no,tir
'Estimated Well Depth.(aO ft. 'Estimated Casing. Depth / i008. PdmaryCasing Diameter 2 In. Open Hole: From ---To —ft.
4. Estimated Screen Interval: From I Q.Q To Q0 ft. •- y
5:•Primary Casing Material: Black Steel Galvanized - Stainless Steel
Not Cased Other: _
6. Secondary Casing: Telescope Casing Liner Surface Casing Diameter In,
17: Sewnda y Casing Material: Black Steel Galvanized PVC Stainless Steel Other
18,'Mekhod of Construction, Repair, or Abandonment: Auger Cable Tool Jetted ''Rote Sonic
Combination (Two or More Methods) Hand Driven (Well Point, Sand Point) Hydraulic Point (Direct Push)
Horizontal Drilling Plugged by Approved Method Other cesodbe)
19. Proposed Grouting Interval for the Primary, Secondary, and AdditionaWasiDS:
From A To Seal Material ( Bentonite eat Came Other )
From - To Seal Material ( Bentonite - Be ement Other )
From To Seal Material ( Bentonite Neat Cement Other )
From To, Seal Material( Bentonite Neal Cement Other - 1
20. Indicate total number of existing wells on site List number of existing unused wells on site
21.1s thus well or arty existingg well or water w{ awe n the owners contiguous property covered under a ConsumptiveM/ater Use Permit (CUPMNP)
or CUPANUP Apprication7 Yes C ,/ No If yes, complete the following: CUPNW P No. District Well ID No.
22. Latitude. Leingltu`de,
23. Data Obtained From: GPS Map -Survey Datum: NAD 27NAD 83 _WGS 84
Inudr=rMen slit complyde Me appendorwas arvdG 4e. Floods AGmweVaae code, and Nat s Mae
pemNp eoedd,edmpe pame, If needed, hap been a, A 1. abdn[d pd., M mmmenpsmenl dfwe0
Icooler Ott me l am mma of Me p,opeM. eat Me lnfameden ro pdcaded le.me. Mid M[, r am awn. elm
Ie[ppneMStln umfo, paper a». Models as ot., to meNleln a, GmpedPbeMon eat neM and nRly eel Cam
oano`O,1 ,INrMcecardry Met a Wermadm pp m Wded In Weoppxadan u..It dNa, I v chino
ury serve from *Met foamed,vote. Metal baaemmenu, It applicable. I apes h pavtdo a wall
Psapan,1.,Neo+m,,. eat Me Wormed..Woddeduawnu, and Mal l Bove Mrxm<d ea...Id al,
neponsBadn es eLeaebwo. ew'Itch weanle,a aaowinppenorv,dolMiaVlMa are[IapaW Pr,Mnityaueea
carlpcWn npade Ns p'SWCW.Mn]O Np aNr nmpletloh cal MenmWNen,npalr: mdm[ceWn. er
to Me vrtpelM1 NonBMenmNepon. npaL,moNRepon. arabmdonmmi vuewfRdb/04 pemdL
W vdmmenl iUMWaeEby Mlapa,nu't a Ne permR 0ep4atlan, idew, a[aee Ns,
'•./�fi+^✓'\ �✓r,d�i..._,C_ 1.1352.
•Slgrlatore of Contractor /7 'License No.
'Signature of Owner or Agent 'Date
Approval Greeted By Issue Dal ( ( Expiration Dale,( 7 L—tiydrolaglst Approval
NNdv
Fee Received S Receipt No, Check No.
THIS PERMIT IS NOT VALID UNTIL PROPERLY SI NED BY AN AUTHORIZED OFFICER OR REPRESENTATIVE OF THE vVMD OR DELEGATED AUTHORITY, THE
PERMIT SHALL BE AVAILABLE AT THE WELL SITE DURING ALL CONSTRUCTION, REPAIR, MODIFICATION, OR ABANDONMENT ACTIVITIES.
NR=GW4RS TOB+)
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Michelle Franklin, CFA-- Saint Lucie County Property Appraiser --All rights reserved.
Property Identification
Site Address: 1233 S
Parcel ID: 2317-214-0004- Account #:13368
Sec/Town/Range: 17/35S/39E
BROCKSMrrH RD
0004 Map ID: 23/17N
Zoning: AG-5
Use Type: 9900 •
Jurisdiction: Saint Lucie
County
Ownership
Legal Description
Hector Luna
17 35 39 N I/2 OF SE 1/4 OF NE 1/4 OF NW 1/4-LESS RD AND
Angelica. Luna
CANAL RS/W- (4.75.AC) (OR 1702-1626)
5735 Briargate Ln
Fort Pierce, FL 34981
Current Values Historical Values 3-year
JustlMarket: $60,900
'Assessed: $60,900 Year Just/Market Assessed
Exemptions Taxable
Exemptions: $0
Taxable: $60,900 2018 $60,900 $60,900
$0 $60,900
$0 $72,618
••2017 $17,900 $72,618
2016 $72,200 $66,017
$0 $66,017
Sale History
Date
Book/Page SaleCodeDeed Grantor
Price
04-25-2003
170211626 'XX00- WD Vickers Lawrence
- $50,000
05-01-1985
0464/0668 XX00 CV
$36,000
02-01-1984
0424/0958 7CC01 Cv
so
Primary Building Information
Finished Area of this building: 0 SF
Gross Sketched Area: 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
SecondaryWall:
Interior Data.
Bedrooms: 0
A/C W 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:
Type
Total Areas
Finished/Under Air
0
(SF):
Gross Sketched Area
0
(SF):
Land Size (acres):
4.75
Land Size (SF):
206,910
Total Building Count:
1
Special Features and Yard Items
Qly units Year Blt
All information is believed to be correct at this time, but is subject to change and is provided without any warranty.
,0 Copyright 2019 Saint Lucie County Property Appraiser. All rights reserved.