HomeMy WebLinkAboutD.O.H. PAPPERWORKMission:
To protect, promote & inpromthe health
of all people in Floddathrough integrated
state, oxvdy & oxmunity efforts.
Vision: To be the Healthiest State in the Nation
October 08, 2019
Jamie McNair SCANNED
4216 Rose Lane BY
Port Saint Lucie, FL 34986 St. LUCie COUnty
RE: Modification to a Single Family Residence - No Bedroom Addition
Application Document Number: AP1447175
Centrax Permit Number: 56-SF-2006523
4216 Rose Lane
Port Saint Lucie, FL 34986
Dear Applicant,
Ron DeSantts
Governor
Roof! A. Kh400., UD
State Surgeon General
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This will acknowledge receipt of a floor plan and site plan on 10/08/2019 for the use of the existing
onsite sewage treatment and disposal system located on the above referenced property. County
building department referred the property owner to FDOH SLC for a no objection letter A side wall has
been added to the carport. No other building modification. No bedroom added. The building
modification will not effect the building area.
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 that the proposed remodeling addition or modification is not adding a
bedroom and that it does not appear to cover any part of the existing system or encroach on the
required setback or unobstructed area., 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) 873-4931.
Florida U.parhnwd of H"M
in St. Lucie County • 5150 NW Milner Drive • Port Saint Lucie, Florida
34983
PHONE: (772) 87341931
Sincerely,
Brian Ingram
Environmental Specialist II
Department of Health in St. Lucie County
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TWITTER:HealthyFLA
FACEBOOK:FLDepartmentofHealth
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STATE
OF FLORIDA
�1l(0sas
PERMIT NO. -0 O 3
t
:
DEPARTMENT OF HEALTH
DATE PAID: 161- G - 610
ONSITE
SEWAGE TREATMENT AND
DISPOSAL FEE PAID: *55 ce—
'
SYSTEM
RECEIPT #: ()JgAl2-
APPLICATION FOR CONSTRUCTION
PERMIT
APPLICATION FOR:
[ ] New System
T' Existing System
[ ] Holding Tank [ ] Innovative
[ 1 Repair
[ ] Abandomnent
[ ] Temporary [ �/ ] Plan Review
APPLICANT:
�Q� Vh
F C A-) P i t
AGENT:
TELEPHONE: M.7- [/9`6
MAILING ADDRESS: ��
`� C
( RIB S L ASV C.
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: 19 /7y3BLOCK: SUBDIVISION: PLATTED:
PROPERTY ID #: aol'f 39'-_3yl'-00D 8 ZONING: qoI I/M OR EQUIVALENT: [ Y/N 1
PROPERTY SIZE: earl ACRES WATER SUPPLY: LN] PRIVATE PUBLIC [ ]<=2000GPD [ 1>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [,�Y//N ] DISTANCE TO SEWER: FT
PROPERTY ADDRESS: �-iu % RO S E Law F
DIRECTIONS TO PROPERTY: 3 — I -3 13ej % AA A
BUILDING INFORMATION
Unit Type of
No Establishment
1 5jtG[E $�n.�,,.1�/
2
3
4
[ 1 Floor/Equipment Drains
SIGNATURE:
C
[ rJ RESIDENTIAL
[ ] COMMERCIAL
No. of Building Commercial/Institutional System Design
Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC
4021
ar
o�z,d 0-AQ ova+
[ ] Other (Specify) r1 G
DATE:
DH 4015, 8/09 (Obsoletes previous editions which may not be used)
Incorpo at
64E-6.001, FAC Page 1 of 4
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FA
110'
FDOH in St. Lucie County
Environmental Health
Septic System Appears Adequate
For Proposed Construction 5G_.7�a5a?
This Approval Does Not Guarantee
Parfnrrdnce of the ,System 77
Reviewer:
119'
C
St. Lucie County Health Department
5150 NW Milner Dr Port Saint Lucie, FL 34983
PAYING ON: #:56-SF-2006523 BILL DOC #:56-BID-4454733 CONSTRUCTION APPLICATION #:AP1447175
RECEIVED FROM: Jamie McNair AMOUNT PAID: $ 35.00
PAYMENT FORM: CREDIT CARD 079212 PAYMENT DATE: 10/08/2019
MAIL TO: Jamie McNair
FACILITY NAME:
PROPERTY LOCATION:
4216 Rose Ln
Port Saint Lucie, FL 34986
Lot: Block:
Property ID: 2434-341-0008-010-6
EXPLANATION or DESCRIPTION:
139 - OSTDS Application Approval Existing, No Insp
RECEIVED BY: MontanezNM
1
QUANTITY FEE
$ 35.00
AUDIT CONTROL NO. 56-PID-4193131