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HomeMy WebLinkAboutD O H PAPERWORKra STATE OF FLORIDA DEPARTMENT OF HEALTH PERMIT #:56-SF-1934801 APPLICATION #:AP1404753 DATE PAID: ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: SYSTEM RECEIVES RE"PT #: Doc NT #: PR1213387 MAY 31 2019 SCANED (MV CONSTRUCTION PERMIT FOR: OSTDS New ST. Lucie County, Permitting - -- - -- APPLICANT: (Wade Jurney Homes LLC) Stlueie Coft-- PROPERTY ADDRESS: 7105 Brookline Ave Fort Pierce, FL 34951 LOT: 26 BLOCK: 106 SUBDIVISION: Lakewood Park PROPERTY ID #: 1301-611-0131_000-0 [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 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 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 0[ ]DOSES PER 24 HRS #Pumps [ D [ 500 ] SQUARE FEET R [ I SQUARE FEET A TYPE SYSTEM: [ ] I CONFIGURATION: [x] N F LOCATION OF BENCHMARK: Drainfield new SYSTEM N/A SYSTEM STANDARD [XI FILLED [ ] MOUND TRENCH [ ] BED [ ] site BM#2 I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D I 0 T H E R S side of Brookline, E [ 6.00 ] [ INCHE [ 3.00 ] [ INCHE line extended N FT I [I ABOVE BELOW] BENCHMARK/REFERENCE POINT FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT ILL NEQDSBED: t-ID.UU] INCHES EXCAVATION REQUIRED: t 9D.DDI INUN b The system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of 400 gpd. SPECIFLCATIONS BY- _Brian J Ing TITLE: Environmental Specialist II APPROVED BY: ✓�TLE: Environmental Specialist II St. Lucie CED Brian J Ing m DATE ISSUED: 04/24/2019 EXPIRATION DATE: 10/24/2020 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 69E-6.003, FAC Page 1 of 3 v 1.1.4 AP1404753 SE1162984 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 ROM 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: #:56-SF-1934801 BILL ooc#:56-BID-4111277 CONSTRUCTION APPLICATION#: AP1404763 RECEIVED FROM: Wade Jurney Homes, LLC AMOUNT PAID: $ 515.00 PAYMENT FORM: CHECK 29048 PAYMENT DATE: 03/2212019 MAIL TO: (Wade Jurney Homes, LLC) FACILITY NAME : PROPERTY LOCATION: 7105 Brookline Ave Fort Pierce, FL 34951 Lot: 26 Block: 106 Property ID: 1301-611-0131-000-0 EXPLANATION or DESCRIPTION: 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-3888743 i STATE OF FLORIDA DEPARTMENT PERMIT NO. b SF ~ IL3�(�0� OF HEALTH DATE PAID: 3 ar2, • ; �-' -71a ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: `PSIS GK-a-�iOy$ SYSTEM RECEIPT #: 7.It]c�p APPLICATION FOR CONSTRUCTION PERMIT • APPLICATION SOR: New System [ I Existing System [ ] -Holding Tank [ ]—Innovative___ C ] Repair [ ] Abandonment [ ] Temporary [ ] APPLICANT: ;:. ,� :- •' �._. C �''d" \_ �'1.t'�,'ti�i'• AGENT: -' i<:i_`; c( �) \ '� .,� "S�. ��:.� TELEPHONE: _I %. ` .Lf S) .) MAILING ADDRESS: TO BE COMPLETED BY APPLICANT OR APPLICANT'S ADTHeRIZED AGENI\�: SYSTEMS MUST BE CONSTRUCTED BY A PERSON LICENSED PURSUANT TO 489.105(3)(m) OR 409. 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: i-'j— SUBDIVIS'ION: L Ci*f�G'L 2„l.0 .t�l 1,l �., \ V, PLATTED: PROPERTY ID #; 13Ql-/0u-()(�(-CDOo-C) ZONING: I/M OR EQUIVALENT: ( YIN ] PROPERTY SIZE: 1L_ ACRES WATER SUPPLY: [,y,] PRIVATE PUBLIC [ ]<=200DG$D [ ]>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ YALl ��] DISTANCE TO SEWER: / FT PROPERTY ADDRESS: 71QS —? D(� je) DIRECTIONS TO PROPERTY: t¢'O OOc�y cx 7 BUILDING INFORMATION Unit Type of No Establishment 2 [X] RESIDENTIAL No. of Building Bedrooms Ar'eaahSgfft T 3 4 '] Floor/Equipment Drains [ ] Other (Specify) SIGNATURE��...\i`.... > :.. . [ 1 COMMERCIAL Commercial/Institutional System Design Table 1, Chapter 54E-6, FAC DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, VAC DATE.: 1 Page 1 of 4 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: Wade CONTRACTOR / AGENT: LOT: 26 LLC Wade Jurnev Homes. LLC BLOCK: 106 SUBDIVISION: Lakewood Park ID#: 1301-611-0131-000-0 APPLICATION # AP1404753 PERMIT # 56-SF-1934801 DOCUMENT # SE1162984 TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEERS LNST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. PROPERTY SIZE CONFORMS TO SITE PLAN: EX ]YES [ ]NO NET USABLE AREA AVAILABLE: 0.27 ACRES TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES-TABLEI / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 407.00 GALLONS PER DAY [ 1500 GPD/ACRE I OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 1000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: site BM#2 NID S side of Brookline, E property line extended N ELEVATION OF PROPOSED SYSTEM SITE 6.00 [[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: 15 FT NORMALLY NET: [ ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 75 FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 50 FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]NO] 10 YEAR FLOOD ELEVATION FOR SITE: FT [ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD SOIL PROFILE INFORMATION SITE 1 SOIL PROFILE INFORMATION SITE 2 USDA SOIL SERIES:Lawnwood sand Munsell #/Color Texture Depth 10YR 4/1 Sand 0 TO 9 10YR 5/1 Sand 9 To 35 1 OYR 6/1 Sand 28 To 39 10YR 211 Spodic Material 39 To 45 10YR 3/3 Sand- 45 To 52 1 OYR 414 Sand 52 To 60 1 OYR 712 Sand - 60 To 72 USDA SOIL SERIES:Lawnwood sand Munsell #/Color Texture Depth 1 OYR 4/1 Sand 0 TO 9 1 OYR 5/1 Sand 9 To 34 10YR 6/1 Sand 27 To 35 10YR 2/2 Spodic Material 35 To 44 7.5YR 4/3 Sand 44 To 61 1 OYR 4/4 Sand 61 To 72 OBSERVED WATER TABLE: 63.00 INCHES I ABOVE / BELOW ) EXISTING GRADE TYPE: [ PERCHED / APPARENT ) ESTIMATED WET SEASON WATER TABLE ELEVATION: 27 INCHES I ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES IX]NO MOTTLING: IX IYES [ ]NO DEPTH: 27.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.80 DEPTH OF EXCAVATION: 45 INCHES DRAINFIELD CONFIGURATION: IX] TRENCH [ ] BED [ ] OTHER (SPECIFY) REMARKS ADDITIONAL CRITERIA WSWT determined using USDA WSS and soil borings. 10YR611 stripping In 10YR5/1 matrix >10% with diffuse boundaries starting at 27" in SB2. S61 7" above BM. SB2 6" above SM. /] SITE EVALUATED BY: Ingram, Brian (Title: r vironmental Specialist II) (ENVIRONMEN IAL Ne Llrlj DB 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC DATE: 04/05/2019 Page 3 of 4 AP1404763 EID1934801 v 1.0.2 Property Card Page 1 of 1 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address:7105 Parcel ID: 1301-611-013 1 - Account li:2530 Sec/Town/Range: BROOKLINE AVE 000-0 01/34S/39E Map ID: 13101N Zoning: RS-4 Use Type: 0000 Jurisdiction: Saint Lucie County Ownership Legal Description WJH LLC LAKEWOOD PARK -UNIT 9- BLK 106 LOT 26 (MAP WJHFL LLC 13/0IN) 3300 Battleground AVE Ste 230 Greensboro, NC 27410-2490 Current Values Historical Values 3-year Just/Market: $8,000 Assessed: $6,279 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $6,279 2018 $8,000 $6,279 $0 $6,279 2017 $5,800 $5,709 $0 $5,709 2016 $5,400 $5,190 $0 $5,190 Date 08-28-2018 02-15-2006 01-25-2006 View: Year Built: N/A Primary Wall: Bedrooms: 0 Full Baths: 0 Half Baths: 0 Sale History Book/Page Sale Code Deed Grantor 4177 / 2010 0001 WD Randall (TR) Stephany S 2493 / 0334 XX02 WD Shumway Robert M 2479 / 1198 XX02 QC Shumway Robert M Primary Building Information Finished Area of this building: 0 SF Gross Sketched Area: 0 SF Roof Cover: Frame: Story Height: A/C %: 0% Heated %: N/A% Sprinkled %: 0% Exterior Data Roof Structure: Grade: No. Units: 0 Interior Data Electric: Heat Type: Heat Fuel: Total Areas Price $12,000 $100 $100 Building Type: Effective Year: 2014 Secondary Wall: Primary Int Wall: Avg Hgt/Floor: 0 Primary Floors: Finished/Under Air 0 (SF): Gross Sketched Area 0 (SF): Land Size (acres): 0.24 Land Size (SF): 10,500 Total Building Count: I Special Features and Yard Items Type Qty Units Year Bit This information is believed to be correct at this time but it is subject to change and is not warranted. © Copyright 2019 Saint Lucie County Property Appraiser. All rights reserved. ttps://www.paste.org/RECard/ 3/22/2019 SOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY FILE 0 4477910 OR BOOK 4177 PAGE 2010, Recorded 09/06/2018 02:46:15 PM Doc Tax: $84.00 P iaresl.hyiinA relidhto: Annette Giardina Haber Attorney At Law Jones, Haber & Railings 1633 Southeast 47thTerrace -- Cape Coral, FL 33904 239-542-0700 File Number; 41286 Above This Line for Recording Warranty Deed This %riaray Deed made of the Rdherl M. Slu rawi o R r cuo?a, grantor, ape W,111 LM ; al1eWWArc limited liability company, authorized to transact buslns:#as led Iiebdity company In Florida ar WJHFL LLC, a Florida foreign limited liability company whose post Is 3300 Battleground Avenue, Ste, 101, Greensboro, NC 27410, grantee: (wtimcyrc sued Iluem the I--'911rart'sad'grmue' include aft 0e panics to this Imwmenl and the heirs, legal swesmaslirn, end avigm of iadivRapb, and ihrsacccuart and ufrlphrarcarpdiailhri; lusts end Gush:.) Witnesseth, that said grantor, for and in consideration of the sum of TEN AND 1,1O1100 DOLLARS ($I0.00) and other good and valuable considerations to said grantor In hand paid by said grantee, the receipt whereof is hereby atkiiosglgdgdd, has granted, bargained, and sold to the said-gnintee, and grantees heirs anif assigns Forever, the following described tend, situate, lying and being in Saint Lucie Coun[s�, Florida Wivit: Lot 26, Block 106 LAKEWOOD PARK -UNIT 9, a subdivision according to the map or plat thereof, as recorded in Plat Book 11, Pager 27A thru 2713 of the Public Records of St. Lucie County, Florida. Parcel Identi0cation Number. 1301-611-0131.000-0 The subject property is not the homestead of the Grantor, nor contiguous thereto. The property is unimproved land. Together with all the tenements, heredilaments and appurtenances thereto belonging or in anywise appertaining. To Have 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 stn .P. IS; that the granter has _goad r%nhrtfrtty and lawedl aul to sell and cdnvey said land; that the grantor hereby fully warran.r; thz tide to said land end will dc,Fend the same agalnsi the lawful 'c(,igis. of all persons whomsoever; and that said land is free of all encumbrances, except taxes Accruing subsequent to December 31, 2017. In Witness Whereof, grantor has hereunto set grantor's hand and seat the day and year first above written. Signed, scaled and delivered in our presence: �rtirls5�p(��r�me� Sh�J�a Witness Name: State of Maryland County of Oorf�a{tthg� pka: &13ll.'1*11,dAIy",ndTLm The foregoing instrument was acknowledged before me this Z$ day of August, 2018 by Slcphany S. Randall, Individually and di rrusicoyftlic Roberi fwL Shumway Revocable Trust dated May 25, 2005, who Lj Is personally known or IXj has produced a driver's license as ideniiticuion. _ (Notary Sea]) / Nplpry Puhllp —i-- JUAN1 A. RCI UEZ Nelary Pub Monipomery Gnlrry a turytann bly Commlrnlan Expires Apr.722, 2D19 Printed Name: -Sd Pn) My Commission Expires: 06\arL\10V\ DaubloTlmea C" RECEIVED Mission: M� °s -`.% R DeSantis '"' Governor To prated, promote &improve the health MAY 9 12 � I9 of all pbople In Florida through integrated `y- state, county &communityefforis. HEALTH sr. Lucie County, PerrNtting 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 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-WELLSaFLHEALTH.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-WELLS(D)FLHEALTH.GOV • Submit revisions to permit and/or site map and associated fee within 48 hours of well construction or abandonment. Florida Department of Health SL 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: 772/595-1306 FloridaHealth.gov Accredited Health Department Public Health Accreditation Board 2. STATE OF FLORIDA PERMIT APPLICATION TO CONSTRUCT, REPAIR, MODIFY, OR ABANDON A WELL ❑Southwest PLEASE FILL OUTALLAPPLI BLE FIELDS , ❑ Northwest ("Denotes Required Fields an Appllcehle) ❑SL Johns River m South Florida Thewanvwdicon&naortr vp dbierormmp)edng thbtmmand fanvurdrngrhepermirappamdonto the ❑SUWBMe6 River El DEP appraprbtederegGtedauthalrytvLemappfl bra ODelegate d Authority (if Applicable) LLC/ WJHFL, LLC 3300 Name or SV4T►r- MO. S(v-SF-19B4801 Permit No. 59-29354 Florida Unique ID Permit Stipulations Required (See Attached) Quad No. Dellneellon No. Suite 230 Greensboro, NC 27410-2490 u. ,VYI -Or I-U10r-uuu-u 28 106 9 'Parcel ID No. (PIN) or Alternate Key (Circle One) Lot Block Unit 4.01 34S 39E ST LUCIE LAKEWOOD PARK Check If62-5240 Yes[] No ;Section or Land Grant °Township -Range "County Subdivision 5. Scott'S Drilling Inc 11213 772-489.6117 scoitsddiling@beilsouth.net "Water Well Contractor "License Number 'Telephone Number E-mail Address 6.5014 Palm Drive *Water Well Contractor's Address 7. "Type of Work: []✓ Construction [] Repair 0 Modification[] 8. "Number of Proposed Wells ONE 9. 'Specify Intended Use(s) of Well(s): ✓ D Fort Pierce FL 34982 City State ZIP Abandonment •ReasonfcrRepalr, atoestic Landscape Irrigation® Agricultural Irrigation ® � Site Investigations Bottled Water Supply ® Recreation Area Irigaton livestock Monitoring Public Water Supply (Limited UsaID01-0 Nursery irrigation Test Public Water Supply (Community or Non-CommunitylDEP)Commerciaglndustdal Earth -Coupled Geothermal Class I Infection Golf Course Irrigation HVAC Supply HVAC Return;lass V Infection: © Recharge Commercialfindustrial Disposal ❑ Aquifer Star-, and Recovery[] Drainage temediagon:E] Recovery[] Air Sparge Other (oescebe) ] Other (Daserpte) /'Distance from Septic System if 5 200 R. 11. Facility Descri( ?Estimated Well Depth 120 ft *Estimated Casing Depth 100 R, Estimated Screen Interval: From 100 To 120 g, APR 2 4 2019 in St Lucie 12. Estimated Start Dale Primary Casing Diameter 2 In, Open Hole: From_To _ft. 6.'Pdmary Casing Material: Black Steel Galvanized ✓ PVC Stainless Steel Nat Cased Other. 6. Secondary Casing: Telescope Casing Liner Surface Casing Diameter in. Secondary Casing Material: Black Steel Galvanized PVC Stainless Steel '18.-Method of Construction, Repair, or Abandonment: Auger Cable Tool Jetted ✓ Rata-w Sonic Combination (Two or More Methods) Hand Driven (Well Point, Sand Point) Hydraulic Point (Direct Push) Horizontal Drilling Plugged by Approved Method Other (Decibel 19. Proposed posedo routing Interval for the Primary, Secondary, and AddiBana_ I Casing: fora To too Seal Material( Bentogr d y Neat C_@ment-- Other_ 1 Fmm To Seal Material ( Bentonite' Neat Cement Other 1 From To Seal Material ( Bentonite Neat Cement Other_ 1 From To Seal Material ( Bentonite Neat Cement Other ) 20. Indicate total number of existing wells on site _ 0 List number of exlsting unused wells on site 10 21 -Is this well or any existin well or water the owners contiguous ppropertyy covered under a Consumptive/Water Use Permit (CUPNVUP) or CUPANUP Applicatlon� Yes ✓ No es, complete Hie followliig: CUP/WUP No. District Well ID No. 22. Latitude Longitude 23, Data Obtained From: GPS Approval Granted By Fee Received $ Map Survey 1121Z `Ucense No. Datum: _NAD 27 _NAD 83 Expiration Date Check No. WGS 84 ,aaa, oM a.Y I era nvme o I my radon eh wet: a, I eeisha�rf vekrwmsdd,a evmeratAeb KHU a OekpAed huDto� ars dzedeY'hm PtlmC. 'Date Hydrologist Approval Inbbk 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. MAP OF SURVEY BOUNDARY SURVEY OF LOT 26, BLOCK 106, LAKEWOOD PARK, UNIT NO. 9, according to the plat thereof as recorded in Plat Book 11, Pages 27, 27A-27D, of the Public Records of St. Lucie County, Florida. (Contains 0.24 acres) SET N/D SET N/D SITE BENCHMARK 1 21.19 SITE BENCHMARK 2 5,4 q per\ EL=21.26 EL=21.34 WELL ACROSS STREET OUT OF RANGE 21.45 oil_ BROOKLIAVENUE 2'.29 £T S2 21.17 (70' PUBLIC R/W) 2i.25 4N 20't ASPHALT ROAD ol� 12'CMP E. INVERT 1964,•' N l,ti ' 19.65 EL=19.6��_56.2• 9�MAL SWAL 69'57'02' AL♦— SWALi— 75.28'{N FlR 1/2- AT NW caRNER� 9'56'21 E . 75.00 LOT 29 FIR 1/2' S 89'57'02' E 21,99 BEARING BASIS 225.00'(P) 224.74'(M) x 22.81 x 25.0 22.26 v+ PROPOSED ; PROPOSED PLAS' I—p17.0' 16- CON C DRIVE TUBING I"' Y 25'6�i , EM LOT 27 BLOCK 106 RESIDENCE FF = 23.02 WELL OUT OF RANGE 22.86 nCD O � O 22.87 Z: 22.71 PROPOSES T RESIDENCE/ 1402-B / z 22.96 . /36.46' / PROPOSED 30 CONC PAD / LOT 26 BLOCK 106 x 22.69VACANT) 19.76 FIR 1/2' 22.26 1 O i v Cn, 21.9P 15I SL J 21.1.59 z �_ _ R 10 UBD 3 ED CD o O r O� En N < 21.89 1.98 LOT 25 BLOCK 106 VACANT NO WELLS NE BLOCK CORNER LOT 16 12'CMP W. INVERT EL-20.29 Yroperty k ara 5(D-SF (g398�1 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser —All rights reserved. Property Identification Site Address:7105 Parcel ID:1301-611-0131- Account #: 2530 Sec/Town/Range: BROOKLINE AVE 000-0 01/34S/39E Map ID: 13/01N Zoning: RS4 Use Type: 0000 Jurisdiction: Saint Lucie County Ownership WJH LLC WJHFL LLC 3300 Battleground AVE Ste 230 Greensboro, NC 27410-2490 Legal Description LAKEWOOD PARK -UNIT 9- BLK 106 LOT 26 (MAP 13/01N) Current Values Historical Values 3-year Just/Market: $8,000 Assessed: $6,279 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $6,279 2018 $8,000 $6,279 $0 $6,279 2017 $5,800 $5,709 $0 $5,709 • 2016 $5,400 $5,190 $0 $5,190 Date 08-28-2018 02-15-2006 01-25-2006 View: Year Built: N/A Primary Wall: Bedrooms: 0 Full Baths: 0 Half Baths: 0 Sale History Book/Page Sale Code Deed Grantor Price 4177/2010 0001 WD Randall (TR) Stephany S $12,000 2493 / 0334 XX02 WD Shumway Robert M $100 2479 / 1198 XX02 QC Shumway Robert M $100 Primary Building Information Finished Area of this building: 0. SF Gross Sketched Area: 0 SF Exterior Data 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 Inf Wall: Heated %: N/A% Heat Type: Avg Hgt/Floor: 0 Sprinkled %: 0% Heat Fuel: Primary Floors: Total Areas .. Finished/UnderAir 0 (SF): Gross Sketched Area 0 •_, _ .. (SF): Land Size (acres): 0.24 vmx-s Land Size (SF): 10,500 Total Building Count: I Special Features and Yard Items Type Qty Units Year Bit This information is believed to be correct at this time but it is subject to change and is not warranted. © Copyright 2019 Saint Lucie County Property Appraiser. All rights reserved. rage I or I ttps://www.paslc.org/RECard/ 3/22/2019