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Home My WebLink AboutD O H PAPERWORKSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM PERMIT ii: 56-SF-1 991658 APPLICATION #:AP1434385 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #:PR1254356 SPA NED CONSTRUCTION PERMIT FOR: OSTDS New GAN By APPLICANT: (Synergy Homes, LLC) St Lucie Gauniy P;OPBRTY ADDRESS: 12192 Riverbend Trce Port Saint Lucie, FL 34953 LOT: 2 PROPERTY ID #: BLOCK: 4422-502-0006-000-1 SUBDIVISION: Bay St. Lucie [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS or 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 1 GALLONS GPD Septic new CAPACITY A I GALLONS GPD N/A CAPACITY N I GALLONS GREASE INTERCEPTOR CAPACITY (MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K I GALLONS DOSING TANK CAPACITY I ]GALLONS U ]DOSES PER 24 HRS #Pumps C * E 500 1 SQUARE FEE� * [ I SQUARE FEE! * TYPE SYSTEM: I I I CONFIGURATION: 1XI N F LOCATION OF BENCHMARK: Drainfield new SYSTEM NIA SYSTEM STANDARD EXI FILLED I I 14OUND TRENCH I BED I I I ELEVATION OF PROPOSED SYSTEM SITE E.�90TTOM OF DRAINFIELD TO BE L D E 0 T H E R 'Y'. CL of Riverbend Rd, East end of median 1 9.00 1 [1 INCHES FT I [I ABOVE BELOW I BENCHMARK/REFERENCE POINT FT I E ABOVE /� BENCHMARK/REFERENCE POINT 1.00 ][FINCHES ELL REQUIRED: E d.UU I INCHES EXCAVATION RNQUIRLD: L j The system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of 40D gpd. SPECIFICATIONS BY: Brian J Ingra3-7 TITLE: Environmental Specialist II 5�-� TIE: Environmental Specialist 11 APPROVED BY: Brian J I DATE ISSUED: 09/2712019 EXPIRATION DATE: DH 4016t 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC St. Lucie CHO 03/27/2021 Page 1 of 3 v 1. 1. 4 AP1434385 SE1203376 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 th6-Court of Appeal in the appropriate District Court. The notice must be flied within 30 days of rendition of the final order. St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: #.56-SF-1991658 BILL Dc)c#,56-BID-4419295 CONSTRUCTION APPLICATION #: AP1434365 RECEIVED FROM: Deanne Johnson AMOUNT PAID: $545.00 PAYMENT FORM: CREDIT CARD 01248G PAYMENT DATE: 09/19/2019 MAIL TO: (Synergy Homes, LLC) FACILITY NAME: PROPERTY LOCATION: 12192 Riverbend Trce Port Saint Lucie, FL 34953 2 Lot: Property ID: 4422-502-0006-000-1 EXPLANATION or DESCRIPTION: Block: 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 - OSTIDS Construction System Inspection '133 - OSTDS Construction Reinspection QUANTITY FEE $ 5.00 $ 45.00 $ 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-4143533 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT PERm,T NO. 50-5F - I cf I �foS DATE PAID: q (ci FEE PAID: RECEIPT #: APPLICATION FOR: y' New Sys tem Existing System Holding Tank Innovative [. Repair Abandonment Temporary APPLICANT: :5,�,PDcq� �A(N-rvp-� I.,C AGENT: TELEPHONE: MAILING ADDRESS: 5qq3c� TSL.\A�$ , rpal. v-, C�r cv-, 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: Q_ 13LOCK: 'N JA SUBDIVISION: PLATTED: PROPERTY ID #: qLA_,�� - i�SC�� , 0(:�� 6-CM I ZONING: A -A - I I/M OP. EQUIVALENT: C Ye I PROPERTY SIZE: i , I �, ACRES WATER SUPPLY: ErJ PRIVATE PUBLIC [ I <=2000GPD E I >2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ YQ)] DISTANCE TO SEWER:hLLA—FT PROPERTY ADDRESS: DIRECTIONS TO PROPERTY: BUILDING INFORMATION DC RESIDENTIAL E 3 COMMERCIAL Unit Type of No. of Building -Commercial /ins titutional System Design No Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC 3 @ 7)(z \n�cv�! f I - Gof x--\ j Floor/Equipment: Drains Other (Specify) SIGNATURE: \WYYQV�� DATE: IC4 DH 4015, 08109 (Obsoletes-Previous editions which may not be used) Incorporated 64E-6.001, FAC Page I of 4 STATE 6F FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: CONTRACTOR / AGENT: LOT: 2 --s, LLC Deanne Johnson BLOCK: SUBDIVISION: Bay St. Lucie ID#: 4422-502-0006-000- APPLICATION # AP1434385 PERMIT # 56-SF-1991658 DOCUMENT # SE1203376 TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEERS MUST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PACE OF SUBMITTAL. COMPLETE ALL ITEMS. PROPERTY SIZE CONFORMS TO SITE PLAN: EX ]YES E ]NO NET USABLE AREA AVAILABLE: 1.16 ACRES TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY RESIDENCES -TAB OTHER -TABLE 2 AUTHORIZED SEWAGE FLOW: 2900.02 GALLONS PER DAY 1500 GPD/ACRE OR UNOBSTRUCTED AREA AVAILABLE: 1001.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1000.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: Orange paint "Y', CL of Riverbend Rd, East end of median ELEVATION OF PROPOSED SYSTEM SITE 9.00 [LjjCHEd/ FT I [FABOV�j/ BELOW I BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: 130 FT DITCHES/SWALES: FT NORMALLY WET: [ ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 10 FT SITE SUBJECT TO FREQUENT FLOODING? C ]YES EX ]NO 10 YEAR FLOODING? [ ]YES [XINO] 10 YEAR FLOOD ELEVATION FOR SITE: FT [ MSL / NGVD I SITE ELEVATION: FT MSL / NGVD Q�7T. DV�WTT.V T�nn��TnM QTMV I ROTL PROFILE INFORMATION SITE 2 USDA SOIL SERIES:Hobe samd. Munsell #/Color Texture Depth 10YR 513 Fill - Fine Sand 0 To 5 10YR 6/1 Fine Sand 5 TO 19 10YR 711 Fine Sand 19 To 46 I CYR 8/1 Fine Sand 34 To 72 USDA SOIL SERIES:H.be sd Munsell #/Color Texture Depth 1 CYR 5/3 Fill - Fine Sand OTo6 1 CYR 6/1 Fine Sand 6 To 22 1 CYR 7/1 Fine Sand 22 To 48 1 CYR 811 Fine Sand 38 To 72 OBSERVED WATER TABLE: 72.00 INCHES E ABOVE Eill EXISTING GRADE TYPE: E PERCHED / I ESTIMATED WET SEASON WATER TABLE ELEVATION: 34 INCHES E ABOVE / E��] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [XIYES C ]NO DEPTH: 34.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Fine Sand/0.80 DEPTH OF EXCAVATION: DRAINFIELD CONFIGURATION: I X I TRENCH E I BED OTHER (SPECIFY) IREMARKS/ADDITIONAL CRITERIA WSZ determined using USDA WSS and soil bori ngs. C CY 811 stripping in 10YR711 matrix >10% with diffuse boundaries starring at 34" in SBI. ivs Ell 9" above RP. SB2 7" above RP. SITE EVALUATED BY: Ingrain, Brian (Title: Ed fronmental Specialist 11) (ENVIRONMENTAL HEALTH) 7 DE 4015, 08/09 (Obsoletes previous editions which rVy not be used) Incorporated: 64E-6.001, FAC INCHES DATE: 09/2312019 Page 3 of 4 AP1434385 EID1991658 v 1.0.2 Property (�ard ragFT-UrT Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property identification Site Address: 12192 Parcel ID: 4422-502-0006- Account#: 118685 Sec/Town/Range: Riverbend TRCE 000-1 22/37SI40E Map ID: 44122N Zoning: AR-1 Count Use Type: 0000 Jurisdiction: Saint Lucie County ownership Legal Description Christopher M Taraba BAY ST LUCIE LOT 2 (MAP 44/22N) 672 SW McCall RD Port St Lucie, FL 34953 Current Values Historical Values 3-year JustfMarket: $169,500 Assessed: $169,500 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $169,500 2019 $169,500 $169,500 $0 $169,500 2018 $182,100 $166,650 $0 $166,650 2017 $151,500 $151,500 $0 $151,500 Sale History Date Book/Page Sale Code Deed Grantor Price 11-19-2018 4206/0287 0001 WD Curtis (TR) Stephen W $200,000 05-16-2011 3296/1667 0111 QC Curtis Stephen W $100 07-27-1998 1162/2150 XX0 1 WD Stephen W Curtis $100 Primary Building Information Finished Area of this building: 0 SF Gross Sketched Area: 0 SF View: Year Built: NIA Primary Wall: Bedrooms: 0 Full Baths: 0 Half Baths: 0 Roof Cover: Frame: Story Height: A/C %: 0% Heated %: NIA% Sprinkled %: 0% Exterior Data Roof Structure: Grade: No. Units: 0 Interior Data Electric: Heat Type: Heat Fuel: Building Type: Effective Year: N/A Secondary Wall: Primary Int Wall: Avg Hgt/Floor: 0 Primary Floors: TotalAreas Finished/Under Air 0 (SF): Gross Sketched Area 0 (SF): Land Size (acres): 1.16 Land Size (SF): 50,660 Total Building Count: I Special Features and Yard Items Type Qty 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. https://pasic-dev.org/RECard/ 9/19/2019 DocuSign Envelope ID: CAE7BE7F-D6F3-4EIS-A20A-OlDl7A8FE176 City of Port St. Lucie Building Department Property Owner's Aff - idavit For Owners of Property Who Are Contracting To Have a Dwelling Constructed Name of Owners: CHRISTOPHER M. TARABA. Owner's Current Address: 672 SW MCCALL ROAD Street PORT SAINT LUCIE, F 34953 City State I Zip Address ofProperty 0 RIVERBEND TER, PORT SAINT LUCIE 34953 Le.aal Description BAY ST LUCIE LOT 2 (MAP 44/22N) Parcel ID (if available) 4422-502-0006-000-1 Name of Contractor Synergy Homes, LLC Address of Contractor 1610 Yarmouth AVE. Wellington, FL 33414-8995 Contractor License No. CBC 1254289 14138 State of Fl. Lic 9 City of PSI 9 We (1), affirm that we, (I), own the above property and have contracted with, and fully authorize the above contractor to apply for and obtain all required buildin.a permit(s). rDoCuSigned by: c�Ksvplkq k. Ti E�YfdiFff -Owner Signature of Owner Sworn and Subscribed before ine thisLfk day of AULW-20_&. The above is personal lyknown to me or has produced NIA ��J As identification. Number Nflh — Exp. Date NJ I A Witness ____.�Notary Si.-natuiA State oe, 3/05tv near Bay Saint Lucie — Port Saint Lucie I of I 99 Custom Soil Resource Report St. Lucie County, Florida 17—Hobe sand, 0 to 5 percent slopes I Map Unit Setting National map unit symbol: ljpvb Elevation: 20 to 200 feet 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: Not prime farmland Map Unit Composition Hobe and similarsoils. 85 percent Minor components: 15 percent Estimates are based on observations, descriptions, and transects of the mapunit. Description of Hobe Setting Landform: Knolls on marine terraces, ridges on marine terraces Landform position (three-dimensional): Interfluve 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 55 inches: sand Bh - 55 to 65 inches: sand Btg - 65 to 80 inches: sandy loam Properties and qualities Slope: 0 to 5 percent Depth to restrictive feature: More than 80 inches Natural drainage class., Somewhat excessively drained Runoff class: Negligible Capacity of the most limiting layer to transmit water (Ksat): Moderately high to high (0.57 to 1.98 in/hr) Depth to water table: About 60 to 72 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: Very low (about 2.5 inches) Interpretive groups Land capability classification (irrigated): None specified Land capability classification (noninrigated): 6s Hydrologic Soil Group: A Forage suitability group: Sandy soils on rises, knolls, and ridges of mesic uplands (G156BC121FL) Hydric so# rating: No 10 Custom Soil Resource Report Minor Components Electra Percent of map unit., 5 percent Landform: Knolls on marine terraces, rises on marine terraces Landform position (three-dimensional): Interfluve Down -slope shape: Convex Across -slope shape: Linear Hydric soil rating: No Jonathan Percent of map unit., 5 percent Landform: Ridges on marine terraces, knolls on marine terraces Landform position (three-dimensional): Interfluve Down -slope shape: Convex Across -slope shape: Linear -Hydric soil rating: No Pendarvis Percent of map unit., 5 percent Landform: Knolls on marine terraces, rises on marine terraces Landform position (three-dimensional): Interfluve Down -slope shape: Convex Across -slope shape: Linear Hydric soil rating: No 40—Samsula muck, frequently ponded, 0 to 1 percent slopes Map Unit Setting National map unit symbol., 2tzw9 Elevation: 0 to 250 feet Mean annual precipitation: 44 to 63 inches Mean annual air temperature: 68 to 77 degrees F Frost -free period: 335 to 365 days Farmland classification: Not prime farmland Map Unit Composition Samsula and similar soils: 85 percent Minor components: 15 percent Estimates are based on observations, descriptions, and transects of the mapunit. Description of Samsula Setting Landform: Depressions on marine terraces Landform position (three-dimensional): Tread, dip Down -slope shape: Concave Across -slope shape: Concave Parent material: Herbaceous organic material over sandy marine deposits 11 Custom Soil Resource Report Typical profile Oa I - 0 to 24 inches: muck Oa2 - 24 to 32 inches. muck Cgl - 32 to 35 inches: sand Cg2 - 35 to 44 inches: sand Cg3 - 44 to 80 inches: sand Properties and qualities Slope: 0 to I percent Depth to restrictive feature: More than 80 inches Natural drainage class., Very poorly drained Runoff class: Negligible Capacity of the most limiting layer to transmit water (Ksat): High to very high (5.95 to 19.98 in/hr) Depth to water table: About 0 to 6 inches Frequency of flooding: None Frequency ofponding.- Frequent Salinity, maximum in profile: Nonsallne 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 high (about 13.9 inches) Interpretive groups Land capability classification (irrigated): None specified Land capability classification (nonirrigated): 7w Hydrologic Soil Group: A/D Forage suitability group: Organic soils in depressions and on flood plains (G155XI3645FL) Othervegetative classification: Freshwater Marshes and Ponds (R155XY010FL) Hydric so# rating: Yes Minor Components Myakka Percent of map unit 3 percent Landform: Depressions on marine terraces Landform position (three-dimensional): Tread, dip Down -slope shape: Concave, linear Across -slope shape: Concave, linear Other vegetative classification: Freshwater Marshes and Ponds (R155XY010FL) Hydric soil rating., Yes Kaliga Percent of map unit., 3 percent Landform: Depressions on flatwoods on marine terraces Landform position (three-dimensional): Tread, talf, dip Down -slope shape: Linear, concave Across -slope shape: Concave, linear Other vegetative classification: Freshwater Marshes and Ponds (R155XY010FL) Hydric soil rating: Yes Basinger Percent of map u j nit., 3 percent Landform: Depressions on marine terraces Landform position (three-dimensional): Tread, dip Down -slope shape: Concave, linear 12 Custom Soil Resource Report Across -slope shape: Concave, linear Hydric soil rating: Yes Anclote Percent of map unit., 2 percent Landform: Depressions on marine terraces Landform position (three-dimensional): Tread, dip Down -slope shape: Convex, concave Across -slope shape: Linear, concave Hydric soil rating: Yes Floridana Percent of map unit., 2 percent Landform: Depressions on marine terraces Landform position (three-dimensional): Tread, dip Down -slope shape: Linear, concave Across -slope shape: Linear, concave Other vegetative classification: Freshwater Marshes and Hydric soil rating: Yes Sanibel Percent of map unit., 2 percent Landform: Depressions on marine terraces Landform position (three-dimensional): Tread, dip Down -slope shape: Linear, concave Across -slope shape: Concave Hydric soil rating: Yes 99—Water Map Unit Composition Water 100 percent Estimates are based on observations, Ponds(RI55XY010FL) descriptions, and transacts of the mapunit. 13 Saint Lucie County Property Appraiser September 23, 2019 1:9,028 0 370 740 1,480 ft 0 112.5 225 450 m Soumes: Esrl. HERE, Gamin, USES, Internnap. INCREMEW P. NRCan. Earl Japan, METI, Esd China (Hong Kong), Earl Konen. Esd (Thailand).