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HomeMy WebLinkAboutD O H PAPERWORKSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
SCANNED
BY
evlucieft*
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: John Wiswell
PROPERTY ADDRESS: TBD Dyer Rd Port Saint Lucie FL 34952
PERMIT #:56-SF-1985616
APPLICATION #:AP1430610
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1253366
LOT: 12 BLOCK: 2 SUBDIVISION: St. Lucie Gardens
PROPERTY ID #: 3414-501-1412-150-2 [SECTION, TOWNSHIP, RANGE, PARCEL NUt4BER3
[OR TAR 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 NULLAND 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
[ 900 ] GALLONS / GPD Septic new
CAPACITY
A
I ] GALLONS / GPD N/A
CAPACITY
.N
[ ] GALLONS GREASE INTERCEPTOR CAPACITY
[MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
%
[ ] GALLONS DOSING TANK CAPACITY [
]GALLONS @[ ]DOSES PER 24 HRS #Pumps
- D [ 334 ] SQUARE FEET Drainfield new SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED p:] MOUND
I CONFIGURATION: [ ] TRENCH [X] BED [ ]
N
F LOCATION OF BENCHMARK: Yellow Capped IR in median near SW DroDerh
I
comer.
I ELEVATION OF PROPOSED SYSTEM SITE [ 8.00 ][ INCHES FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 13.001r INCHES FT IABOVE BELOW] BENCHMARK/REFERENCE POINT
L
D
O
T
H
E
R
a �y Uui u: [Z3.00] INCHES EXCAVATION REQUIRED: [ 59.001 INCHES
The system is sized for 1 bedrooms with a maximum occupancy of 2 persons (2 per bedroom), for a total estimated flow of
100 gpd.
SPECIFICATIONS BY: Brian J I am TITLE:
Environmental Specialist II
APPROVED BY: tn+ kw — TITLE: Environmental Specialist II St. Lucie CHD
Brian J Ing
DATE ISSUED: 09/20/2019 EXPIRATION DATE: 03/20/2021
Dri 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 AB1430610 SE1202363
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
5150 NW Milner Dr Port Saint Lucie, FL 34983
PAYING ON: n:56-SF-1985616 BILL DOC m56-BID-4372106 CONSTRUCTION APPLICATIONk:AP1430610
RECEIVED FROM: John Wiswell AMOUNT PAID: $ 660.00
PAYMENT FORM: CREDIT CARD 83028E PAYMENT DATE: 08/26/2019
MAIL TO: John Wiswell
FACILITY NAME:
PROPERTY LOCATION:
TBD Dyer Rd
Port Saint Lucie, FL 34952
Lott
Property ID:
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 - OSTDS Construction System Inspection
133 - OSTDS Construction Reinspection
-1 - Well Construction
QUANTITY
FEE
1
$
5.00
1
$
45.00
1
$
100.00
1
$
100.00
1
$
115.00
1
$
55.00
1
$
75.00
1
$
50.00
1
$
115.00
RECEIVED BY: MontanezNM AUDIT CONTROL NO. 56-PID-4076104
STATE OF FLORIDA
2 DEPARTMENT OF HEALTH
Q ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
[ ] New System
[ ] Existing System [ ] Holding Tank
[ ] Repair [ ] Abandonment [ ] Temporary
APPLICANT: ©�� ]� Wl,ekAll I1
AGENT:
MAILING ADDRESS:
WELL No. 5q-aAaoa
PERMIT NO. SIP-SF-]99961W
DATE PAID: 512ulkCI
FEE PAID:
RECEIPT #: orA
[ l Innovative
[ 7
TELEPHONE, ;? Y96-// 7 1
TO BE COMPLETED By APPLICANT
BY A PERSON LICENSED PURSUANT
OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED
TO 489.105(3)(in) OR 489.552, FLORIDA STATUTES. IT IS
APPLICANT'S RESPONSIBILITY TO
PLATTED- (MM/DD/YY) IF REQUESTING
THE
PROVIDE DOCUMENTATION OF THE DATE THE LOT WAS CREATED OR
CONSIDERATION OF STATUTORY GRANDFATHER PROVISIONS.
PROPERTY INFORMATION
LOT: _1 BLOCK: SUBDIVISION: 5+ L[iu� %a d
n 5 PLATTED:
PROPERTY ID #: 3q1 L/, -0I I q1
z 15-0 7 ZONING: Rey •5 I/M
OR EQUIVALENT: [ Y/N ]
PROPERTY SIZE: _1.39 ACRES WATER SUPPLY: [v PRIVATE PUBLIC [ ]<=2000GPD [ 1>2000GPD
' IS SEWER AVAILABLE AS PER 381..0065,
FS? [ Y/0] DISTANCE TO SEWER: T
PROPERTY ADDRESS: �'u
eB d
'
1
DIRECTIIOONS TO PROPERTY: L1c�
'1-�-� ,Q
J
Let �f
l / h,
4vrnf
r
BUILDING INFORMATION [x]RESIDENTIAL ` /[ ] COMMERCIAL
Unit Type of No. of Building Commercial/Institutional System Design
No Establishment Bedrooms Area S�g)ft Table 1, Chapter 64E-6 FAC
1
2
3
4
[ ] Floor/Equipment Drains [ ] Other (Specify)
\//O� SIGNATURE: DATE: —C ` (l
—4
DH 4015, 08/09 (Obsoletes previous editions which may not be used)
Incorporated 4E-6.0.01, FAC Page 1 of 4
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATION
APPLICANT: John Wiswell
CONTRACTOR / AGENT:
LOT: 12
BLOCK: 2
SUBDIVISION: St. Lucie Gardens ID#: 3414-501-1412-150-2
APPLICATION # AP1430610
PERMIT # 56-SF-1985616
DOCUMENT # SE1202363
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: 131 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 100 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 1965.01 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 2000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 250.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION: Yellow
ELEVATION OF PROPOSED SYSTEM SITE 8.00
Ilan near SW property comer.
FT ] [ ABOVE / BELOW ] BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: 100 FT DITCHES/SWALES: 40 FT NORMALLY WET: I ]YES [X]NO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 100 FT NON -POTABLE: FT
BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 59 FT
SITE SUBJECT TO FREQUENT FLOODING?
10 YEAR FLOOD ELEVATION FOR SITE:
SOIL PROPIT.P. TNPnnw hLm e
[ ]YES EX ]NO 10 YEAR FLOODING? [ ]YES . [X]NO]
_FT [ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD
USDA SOIL SERIES:Wabasso fine sand
Munseli WColor Texture
Depth
10YR 512
Sand
0 To 5
1 OYR 6/2
Sand
5 To 30
10YR 7/2
Sand
20 To 33
10YR 22
Spodic Material
33 To 57
1 OYR 4/4
Sand '
57 To 67
10YR 513
Loamy Fine Sand
67 To 72
SOIL PROPTT.R TN nRMam . c
USDA SOIL SERIES:Wabasso fine sand
Munsell #/Color Texture
Depth
1 OYR 5/2
Fine Sand
0 To 6
1OYR 6/2
Sand
6 To 29
1 OYR 7/2
Sand
19 To 33
1 OYR 2/1
Spodic Material
33 To 59
10YR 4/3
Sand
59 To 66
1 OYR 52
Loamy Fine Sand
66 To 72
OBSERVED WATER TABLE: 31.00 INCHES [ ABOVE
ESTIMATED WET SEASON WATER TABLE ELEVATION:
/ BELOW ] EXISTING GRADE TYPE:
19 INCHES [ ABOVE / BELOW ]
[ PERCHED / APPARENT ]
EXISTING GRADE
HIGH WATER TABLE VEGETATION: [X]YES [
]NO MOTTLING:
[X]YES [ ]NO
DEPTH: 19.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING:
DRAINFIELD CONFIGURATION: [XI TRENCH [
Sand/0.80
DEPTH OF EXCAVATION: 59 INCHES
(SPECIFY)
] BED [ ] OTHER
- REMARKS/ADDITIONAL CRITERIA
WSWT determined using USDA WES and soil borings.
1 5YR7/2 stripping in 1OYR6/2 matrix >10% with diffuse boundaries starting at 19" in SB2.
S131 and S132 8" above SM. I
SITE EVALUATED BY: _ _ - DATE: 09/16/2019
Ingram, Brian (Title: Envl nmental Specialist 11) (ENVIRONMENTAL HEALTH)
DH 4015, 08/09 (Obsolete- Previous editions which not be used) Incorporated: 64E-6.001, FAC Page 3 of 4
AP1430610 EID1985616 v 1.0.2
e
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Custom Soil Resource Report
St. Lucie County, Florida
SO—Waveland and Immokalee fine sands
Map Unit Setting
National map unit symbol: 1jpwd
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
Waveland and similar soils. 44 percent
Immokalee and similar soils: 44 percent
Minor components: 12 percent
Estimates are based on observations, descriptions, and transects of the mapunit.
Description of Waveland
Setting
Landform: Flatwoods on marine terraces
Landform position (three-dimensional): Taff
Down -slope shape: Convex
Across -slope shape: Linear
Parent material: Sandy marine deposits
Typical profile
A - 0 to 4 inches: fine
sand
Eg - 4 to 32 inches: sand
Bh1 - 32 to 40 inches:
loamy sand
Bh2 - 40 to 53 inches.
sand
Cgi - 53 to 66 inches.
sand
C92 - 66 to 80 inches,
sand
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
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 0.8 inches)
Interpretive groups
Land capability classification (irrigated): None specified
Land capability classification'(nonirrigated): 4w
Hydrologic Soil Group: CID
13
Custom Soil Resource Report
Forage suitability group: Sandy soils on flats of mesic or hydric lowlands
(G156BC141 FL)
Hydric soil rating: No
Description of Immokalee
Setting
Landform: Flatwoods on marine terraces
Landform position (three-dimensional): Talf
Down -slope shape: Convex
Across -slope shape: Linear
Parent material. Sandy marine deposits
Typical profile
A - 0 to 6 inches: fine sand
E - 6 to 35 inches: fine sand
Bh - 35 to 54 inches: fine sand
Cg - 54 to 72 inches. fine sand
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 high to
high (0.57 to 1.98 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 5.3 inches)
Interpretive groups
Land capability classification (irrigated): None specified
Land capability classification (nonirrigated): 4w
Hydrologic Soil Group: B/D
Forage suitability group: Sandy soils on flats of mesic or hydric lowlands
(G156BC141FL)
Hydric soil rating: No
Minor Components
Jonathan
Percent of map unit: 3 percent
Landform: Knolls on marine terraces, ridges on marine terraces
Landform position (three-dimensional): Interfluve
Down -slope shape: Convex
Across -slope shape: Linear
Hydric soil rating: No
Salerno
Percent of map unit. 3 percent
Landform: Flatwoods on marine terraces
Landform position (three-dimensional): Talf
Down -slope shape: Convex
14
Custom Soil Resource Report
Across -slope shape: Linear
Hydric soil rating: No
Lawnwood
Percent of map unit: 3 percent
Landform: Marine terraces on flatwoods
Landform position (three-dimensional): Talf
Down -slope shape: Linear
Across -slope shape: Linear
Hydric soil rating: No
Electra
Percent of map unit: 3 percent
Landform: Rises on marine terraces, knolls on marine terraces
Landform position (three-dimensional): Interfluve
Down -slope shape: Convex
Across -slope shape: Linear
Hydric soil rating: No
15
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Mission:
To prated, promote 8 improve the health
of all people in Florida through integrated
state, county 8 community efforts.
Vision: To be the Healthiest State in the Nation
Ron DeSantis
Governor
SCANNED
sf. Lucie Cone,
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
Provide the following information:
is Permit number
ii. Driller name
iii. Address
iv. Date and rtime 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-WELLSaFLHEALTH 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: 772/595-1306
FloridaHealth.gov
Accredited Health Department
Public Health Accreditation Board
STATE OF FLORIDA PERMIT APPLICATION TO CONSTRUCT,
REPAIR, MODIFY, OR ABANDON A WELL
❑Southwest PLEASE FILL OUT ALL APPLICABLE FIELDS
❑ Northwest ('Denotes Required Fields Where Applicable)
0 $l, Johns River
Duth Florida fiewpturvePmnnpaor4rerypmbfe lorcmnpktlng
th7proan ❑Suwannee River opproprlpateddelEgateddmagmrhhoedprye whereaRptpagdmoeWlep the
D DEP
❑ Delegated Authority (If Applicable)
nb . 5u-5F-
No.
Unique ID
itipulations Required (See Attached)
Quad No. Dellneation No.
UP Application No.
1. John & Lisa Wswell 77 NE South Wamer Drive Jensen Beach, R 34957
772-486-1149
'Owner, Legal Name if Corporation 'Address
-City 'Slate
'7JP Telephone Number
2. Dyer Road/Parcel Id #3414-501-1412-150-2
'Well Location- Address, Road Name or Number, City
3.3414-501-1412-150-2
12
'Parcel ID No. (PIN) or Alternate Key (Circle One)
Lot
Block Unit
4.25 36S 40E St Lucie
St Lucie Gardens
Check if 62-5240 Yes ✓❑ No
`Section or Land Grant *Township 'Range 'County
Subdivision
5. James Paul Tyson - 11352
954-818-4269 downthehole@att.net -
'Water Well Contractor 'License Number
'Telephone Number
E-mall Address
B. PO BOX 881496
Port St. Lucie
FI 34988
'Water Well Contractor's Address
City
State ZIP
7. 'Type of Work: ✓❑ Construction ❑ Repair ❑ Modification❑ Abandonment
8. `Number of Proposed Wells 1
9. 'Specify Intended Use(s) of Well(s):
•ReawnWRepay. Madi tdor.orAbendurmant
e
p
Domestic
Bottled Water Supply B Recreation Area irrigation
Livestock Ilydgation
❑
Siteitminggations
Monitoring
�� OW
Public Water Supply (Limited Use/DOH)
❑ Nursery Irrigation
❑
Test
Public Water5upply(Community or Non-Community/DEP)❑, CommemialAndustdal
Earth-Coupled Geothermal
SEP 2 0 2019
Class I Injection
❑ Golf Course Irrigation
HVAC Supply
LI HVAC Return
'lass V Injection: ❑ Recharge ❑ CommerciaUlndustrial Disposal ❑ Aquifer Storage and Recovery ❑ "mina"
iemediation: ❑ Recovery ❑ Air Sparge ❑ Other
(Dw albe)
OH In St Lude COD
n Other (Deemba)
'Cistance from Septic System if 5 200 ft, r 0� 11. Facility Description r-roposeu mesleence 12. Estimated Start Date H0rv'
'Estimated Well Depth 120 ft. 'Estimated Casing Depth 100 ft. Primary Casing Diameter 2 in. Open Hole: From=To=R
Estimated Screen Interval: From 100 To 120 ft,
'Primary Casing Material: . Black Steel Galvanized ��2 Stainless Steel
Not Cased Other.
Secondary Casing: Telescope Casing Liner Surface Casing Diameter in.
Secondary Casing Material: Black Steel Galvanized PVC Stainless Steel
I8.'Method of ConsWction. Repair, or Abandonment: Auger Cable Tool Jetted to Sonic
Combination (Two or More Methods) Hand Driven (Well Point, Sand Point) Hydraulic Point (Direct Push)
Horizontal Drilling Plugged by Approved Method Other (Desalbe}
19. Propo"sed Grouting Interval for the Primary, Secondary, and Add ' d ee%gg:, -
From 0 To 95 Seal Material ( Bentonite �t�' Other 1
From To Seal Material ( Bentonile Neat Cement Other 1
From To Seal Material ( Bentonhe Neat Cement Other 1
From To Seal Material ( Bentonite Neal Cement Other 1
20. Indicate total number of existing wells an site 0 List number of existing unused wells on site 0
21.1s this well or any existing well orwaterwith n the owner's contiguous proper�ftwy covered under a Consumptive/Water Use Permit (CUPANUP)
or CUPIWUP Application? Yes fyes, complete the following: CUPAAIUP No. District Well ID No.
22. Latitude Longitude
23. Data Obtained From: GPS Map Survey Datum: NAD 27 NAD 83 WGS 84
I hceby aNry Nvll�parnrtrytyx+A by NpOmbleNwalTitleaa, Fimide adlimtlfeadve dedl, IlW matawamr Icatlt/tl,all embepxnralba poperty.mrtmae,rombamprMMdbeaweb, old mml ern mare elmy
usepemila Wlclb Herat'' pamJLnne,dad.Mebemarabe alltinedpdabmmmeaemW elW ImpMWltieaak,eWp4,a1]. FbMaShOtlne.bme6deNprprppe,ryalpedp abwpe; a,ICWnaWlam
mmWWm.IfaPar ceRtrmmaa bimnutlmptnvldedmatla appllnamhewreleaMdutlWaabin NeaRNrpr Qa om,er. tlutba Fbrmadanpmid.d hemaab.aMdutlMm Woemadga aw,erdlpm
necvaaryapprmdeammM ledp,W.pbb.alOW ae+mmeaa,Ilepppnbk.IgmbamaaaaN ncpu,vaSEmMeWdabwe.Ow,ermaeMbaGOMnppenmlW eltldcYeAla DabpabdAumMe ectm
mmpktlm rePaM1bme WaiQp 4�b Jedeya aderw�le9m alma [abEYdlm,fppa4.modiE4am.a bmevellaie da6pihe NlabUmen.rapenrmd�r[aam,v WMmmeNa,dlMiadby NpPem T.
11352�/ /
'License Na. •Si Lure of Owner or Agent
Approval Granted By p Issue Dale 7 lu f7 Expiation Date
Foe Received S / Receipt No. Check No.
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'Date
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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.
SHEET 1 OF 2 SURVEY SKETCH ------------ SURVEY NOT COMPLETE WITHOUT ALL SHEETS
MAP OF BOUNDARY SURVEY PREPARED FOR JOHN D. WISWELL AND LIST A. WISWELL
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FIR 1/2' a DIRT ROADWAY BEARING
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THE SOUTH 165' OF THE
NORTH 495 FEET
OF LO 12, BLOCK 2
FIR 1/2
(NO ID) y� �y�n' Fl(NO ID) y�y
Michelle Franklin, CFA-- Saint Lucie County Property Appraiser — All rights reserved.
Property Identification
Site Address: DyerRD Parcel ID:3414-501-1412- Account #: 41202 Scclrown/Range:25/36S/40E
I50-2 Map ID: 34/25N Zoning: RM-5 PSL
Use Type:0000 Jurisdiction: Saint Lucie
County
Ownership Legal Description
John DWsll
Lisa AWiswewell ST LUCIE GARDENS 2536 40 BLK 2 S 165 FT OF N 495 FT
OF LOT 12 (1.31 AC) (MAP 34/25N)
77 NE South Warner DR
Jensen Beach, FL 34957
Current Values Historical Values 3-year
Just/Market: $36,900 Assessed: $26,500 Year Just/Market Assessed Exemptions Taxable
Exemptions: $0 Taxable: $26,500 2018 $36,900 $26:500 $0 $26,500
2017 $27,600 $24,091 $0 $24,091
Sale History
Date
Book/Page
Sale Code Deed Grantor
04-18-2019
12-06-2000
4259 / 1900
1348 / 2936
0001 WD Camarotti Juan
06-12-2000
1308 / 1118
XX00 WD Jacob Aaron Corp
XX03 WD Lake Lucie Estates Inc
Primary Building Information
Finished Area of this building: 0 SF
Gross Sketched Area: 0 SF
Exterior Data
View:
Roof Cover
Roof Structure:
Year Built NIA
Frame:
Grade:
Primary Wall:
Story Height:
No. Units: 0
Interior Data
Bedrooms: 0
A/C %: 0%
Electric:
Full Baths: 0
Heated %: N/A% Heat Type: '
Half Baths: 0
Sprinkled %: 0% Heat Fuel:
Type
Total Areas
Building Type:
Effective Year: N/A
Secondary Wall:
Primary Int Wall:
Avg Hgt/Floor. 0
Primary Floors:
Finished/UnderAir
(SF):
Gross Sketched Area
(SF):
Land Size (acres):
Land Size (SF):
Total Building Count:
Special Features and Yard Items
Qty Units Year Bit
Price
$47,500
S14,000
$7,400
0
0
1.31
57,063.6
1
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.
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Environmental Health
Site Plan Approved for Construction
Supersedes All Previous Site Plans for
OSTDS #66-SF- SG/robe Well #52,1, oZ•
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