HomeMy WebLinkAboutD.O.H. PAPPERWORKMission:
To protst Fronde 8 irrimethe heath
dal people in Florida (hough integrated
state, county&o innunityelrons.
Carports Anywhere
PO BOX 776
Melbourne, FL 32901
ao. mso.m
Governor
i )R1t�'liA
'3xY Y i'' ��
Ecotl A. Rlvk..., MO
14FA7 `iPH
State Surgeon General
Vision: To betYe Healthiest Statein the Nation
October 25, 2019
RE: Modification to a Single Family Residence - No Bedroom Addition
Application Document Number: AP1449569 SCANNED
Centrax Permit Number: 56-SF-2010506 BY
343 Melton Drive
Fort Pierce, FL 34946 St. Lucie County
Lot: 1 Block: 5 Subdivision: Ruhiman
Dear Applicant,
This will acknowledge receipt of a floor plan and site plan on 10/22/2019 for the use of the existing
onsite sewage treatment and disposal system located on the above referenced property.
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:
1. the proposed remodeling addition.-br modification is not adding a bedroom; and
2. it does not appear to cover"any'part of the existing system or encroach on the required setback
or unobstructed area.
3. 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.
Sincerely,
�o f
Dianna May
Environmental Supervisor
Department of Health in St. Lucie County
rludd. C.p.rb..M a H..Ith r .lroddhwm.yw
in St. Lucie County • 5150 NW Miner Drive • Port Saint Lurie, Florida 14YITTER:HealthyFLA
34983 FACEBOOK:FLDepartmenloMeala-7WI
PHONE: (772)873-4931 YOUTUBE:9doh
St. Lucie County Health Department
5150 NW Milner Dr Port Saint Lucie, FL 34983
HEALTH
PAYING ON: #:56-SF-2010506 BILL ooc#:56-BID-4464474 CONSTRUCTION APPLICATION#: AP1449569
RECEIVED FROM: Carports Anywhere AMOUNT PAID: $ 35.00
PAYMENT FORM: CREDIT CARD 00214G PAYMENT DATE: 1012212019
MAIL TO: James Player
FACILITY NAME :
PROPERTY LOCATION:
343 Melton Dr
Fort Pierce, FL 34946
I
Lot:
Property ID: 3403-805-0085-OOD-6
EXPLANATION or DESCRIPTION:
139 - OSTDS Application Approval Existing, No Insp
5
Block:
QUANTITY FEE
1 $ 35.00
RECEIVED BY: VanceMH AUDIT CONTROL NO. 56-PID-4205515 /
dpre •P
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
APPLICATION FOR CONSTRUCTION PERMIT
PERK :T NO.-ZOIOSOr,D
DATE PAID: Iq ai2-fS
FEE 'AID:
RECE:PT #:
APPLICATION FOR:
[ ) New System [ ) Existing System [ ] Holding Tank [ ] Innovative
[ ] Repair `(' [ ] Abandoement [ ] Temporary [ t ] Plan Review
APPLICANT: JpnYYgIes Pl/��y� 7 (� j I -
AGENT: CAR U�' 5 ¢�{}' 1 & re TELEPH ME:. 352-j kp U - I +I w
MAILING ADDRESS:
TO HE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MOST BE CONSTRUCTED
BY A PERSON LICENSED PURSUANT TO 489.105(3)(m) OR 499.552, FLORIDA STA: UTES. IT IS THE
APPLICANT'S RESPONSIBILITY TO PROVIDE DOCUMENTATION OF THE DATE THE LO) WAS CREATED OR
PLATTED (MM/DD/YY) IF REQUESTING CONSIDERATION OF STATUTORY GRANDFATHEI PROVISIONS.
PROPERTY INFORMATION
LOT: I BLOCX: 5 SUBDIVISION: Ru h Lrr» n PLATTED;
PROPERTY ID #: 3` 003- $Dr-, - 0C8G-00b- CONING: I/M OR EQ' IVALENT: [ YIN 1
PROPERTY SIZE: .2.8 ACRES WATER SUPPLY: J ] PRIVATE PUBLIC [ ]<c2)00GPD [ 1>2000GPD
IS SEWER AVAILABLE ASPER 381.0065, FS7- :[ Yj' N 1 DISTANCE : O SEWER: (a.3 FT
I
PROPERTY ADDRESS: � 6 Me 1'{-o n }ter 'Fr} P i .ercz, MIND
DIRECTIONS TO PROPERTY: �- 'j;?�•t�; -
BUILDING INFORMATION f RESIDENTIAL [ ] COMMERCIAL
Unit Type of No. of
No Establishment Bedrooms
1 Z► x2(0 -G,
2 4wse- 72
3 Sh2cI
4
Building Commercial/Instituti mal System Design
Area Sgft Table 1, Chapter 64E 6, FAC
54hD , t&orAOQ, - NeW
l020 i }DUSK xls
[ 1 Floor/Equipment Drains [ ] Other (Specify)
Tom-- �Jv
9IGNATURS:
DR 4015, 08/09 (Obsoletes previous editions which may not be used)
Incorporated 64E-6.001, FAC
DATE lfll'_ 5 1 I
Page 1 of 4
ruvn In 01. L.ucle �,ounTy
Environmental Health
Septic System Appears Adequate
For Proposed Construction 5G SF-90lOS-%
-rkic An nnec AIf.V (_rr�ro..lee
.r.... L..rL+LL1LL.y.•
Performance -of -the -System— i
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ll_ ANCHOR DETAIL
. • PLAN VIEW
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- CONCRFIE SPLASH -GUARD RECESS
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MN. 2.500 PSI 4" CONCRETE SLAB WITH Yl.W.F. (OR FIBER j
SWINGING MESH) AND 12"xl2- REINFORCED FOOTER PERIMETER
DOOR ^'>
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v w CA-7 OF 4
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ruvly In 5t. Lucie County
Environmental Health
Septic System Appears Adequate
For Proposed Construction 5G SF-2alo506
This Approval Does Not Guarantee
Performance of the � System �_
Reviewer: Mud I
LOT 3 Block 5 (occuPlED)
—L 3
LOT 2 ---L;— —
a Remainder of Lot 2 (Not Included
Ie
N 00'30'00" E t,�"140.00'
N ,
d
CITE
.I I?P.CO FFISC f0.fi:5 n,'1N I .r•-r--, �.— -
,.c „r Ind
p m d; as I dI 26.00
ltiy :9 "ib` - 10'.20' M.IT-- Block 5 Lr' t vicinity Nap
------ a o SUED Ii)fln (IIOL To sea.)
xb I1 ry
N %: 26.00' HAJ' ^c5
> ^ M 5.D• "-------- -- LECAL OESCRIPION:
m r LOT 2 EDT I ... the mad 34 real .f LDT 2. BLOCK 5. RUHLMAR SUBDIVISION,
0 UsL e 1 LOT I RI �•1iYr`'I _ - $E$ I da --oceerfv,5 to Ua Plot Uaeat rcemdd kr Plot Daek 9, ul Pass W. or Us. P.Loe
r D m - BlLOT ock 15 ' LSeIIK}' }_. _ PN jORY t Records of St. Loofa CaentJ, Florida.
w
O ua y `a o xTw ................`.,a?.n_-GARAGE _.......__ I_ w LOT AREA: 12.250 5B. Ft.: 0.28 Acreath
ONE-STORY 1.
boo
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N • wnc e = RESIDENCE 12T' EMI emu9 p FFE=0.17 l Z Block CUP (OCCUPIED) SURVEYORS'
s O Sea and la v um o o no I
N w m C ________ ________�-._____._.____-_'-ISTREET ADDRESS: 343 Ql:ed l0 Lev N D'DlYDO' E. 6x
Read
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Zion Road. Fort Pierce, Florida 349
FFEe7 25 ba ;raa.e nl n.,l cdnimma ao.n PLOT SURVEYORS NOTES
01 Bearings sl 1 bawd an the south right I y inv of Mellon
n COISRED - ) 2. {'bitten T en3lono lake Pre"thneu over scaled dimanalena and dilletces are
aaeL9ElE PORDI - vi i cal la be ..led far eamWdlen wd/.r dasfpn purposed.
eRof
IYEfUy r CPIC 3. All dItta ese and bearings are as Gold measumd and cPs eanridanl .;lb
'PI and dosenpllan data unless olhendsa noted.
y 1. This dmbin9 is not valid natheat the signature and angin.l raised soul of d
26T 3o.a' 12D' , = J• I il¢ide li¢nual awn ,or & Mipper.
t... b : (J'l.De•E) S. Ina vurv.y I. based uaon o deseliia(Wn !ulnlzhed by (be eli,nl, !hero has U.
1 AFLL - bD 35 search of the pvNic mwNL done by Mile office, au
P � - — Ga PmFarl lies N need Zone 'x" o....led from the Notional Flood In, rrenca
'' N N 0o_ZS(V 0" E 140.00' {o —Di= PL— y op, community Penal iJumbcr t2tnCa2JJ J, .Im en efmatiw
LN= b• Fall Progran Rate le
.p -• (0.a k4', data of Fear.. I6, .
to -' ub 3 ), Tdd cvrwY la Pal `-'red by praftsslonal liability
BENCHMARKy kb, fJ' 6. Chy wale! & m.er are not .maid In this or
Regina Drive 9. IA Sreal (by Plot)(NAYO �) ar 9. this ,vr.......is the readrtd totlh. y a, the. In Ch. SJ-12051 (2) (b)
9' ELEVAl104=6.65 eased on Rs e.Ddeletl
tr (50' Right-of-way) 20' PDvamenl D' ti 10. No anden,,wed UINIle, ar hnprowmenM .Qe late". Onl.. amePalle N.hn.
_ SET PK tLVL b. G,�.bII. DevA1mL slosh, hero." wo based upon NAW 85.
co N 00'30'00' E 165.00' --12. This ptan Inrormallon to be varined by e.nlmater prior to e.nalrvcnan.
e" � CERTIFIED T0:
HAROLD PETER LOUPE & DONNA ELIZABETH LOUPE
LEGEND
I � _ Revised: Edit size of proposed garvga. YOB, 09-24-19.
SEPTEMBER 24. 2019
Data of Agnatura
CL = CENTBTUNE RI6Hi Or 11AY
EP . EUCEBACK OF
WtIC= SIOhDRETE
-r . SIGN
CURBPAVCMMT
B BACK OF CURB
pl MT,IIi POLE
FD•C = FOUND Sle WON RCO
Do - WATER VALVE
& CAP (UNNUMBERED)
= WATER METER
o flCo
FlR FOUND dot
- AIR CO4
A/C a FIR c04DIlICIJER PAD
(UNNUMBplE o)
NK FF15LE
IMF - cOOD
:Cos FOUND C
COl4CRiUTIOUR
Y,P - FENCE
ool L
FiONUMGNT (U )
- PLUSRMIN
OR MILEA
BENNETT
NILU.lohal
URUTY UNES
-0 a cD TT LINES
SANITARY
WATER
Prlorida nd U r & !
PJ a I PO POLE
2 = IR ATMENUi
H2o = 1REg11.lENT PAD
3lKl
Florida fl..t. 6]5i
POOD ANCHOR
. POLE ANCHOR
D MAM
La tla. J606
LB No. 09
fh PfU6T1LU FI.t%]N ELEVATION
- SPOT
sEaa � SPOT REVARDIa
Dole of Larval field ..rk:08/20/2019
Sennett
Bennelf Surraying, Inc.
107, Ju,d a court
Jupilel Period 33456
Wit 772MO,49A
md, baroat.."W'"haa ave
Boundary Surr.y
P^Pa'ad an the ardor o:
Flarold Potor loupe
Flele: JP HB
Job No.: 10-0716
Omwn: WH
Oa.:08/23/2019
So.l.s L_-20
ISho.ft 1 .r I