HomeMy WebLinkAboutD.O.H. PAPPERWORKSCANNED
BY
St. Lucie County
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
APPLICATION FOR CONSTRUCTION PERMIT
PERMIT NO. C7 '
DATE PAID: i S
FEE PAID:
RECEIPT #:
APPLICATION FOR:
[ ] New System [✓] Existing System ( ] Holding Tank [ ] Innovative
( ( Repair [ ] Abandonment I ] Temporary --[ I
APPLICANT: Johnnie C. & Katherine LOSter
AGENT: K.R.K. Enterprises Inc c/o Kyle D. Kelly Contractor TELEPHONE: 772.464.7323
MAILING ADDRESS: P.O. Box 13571_ Fort Pierce, FL 34979-3571
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: 10M&B BLOCK: B SUBDIVISION: Fort Pierce Gardens PLATTED: 7
PROPERTY ID•#: 2321-501-0022-000-0 ZONING: SF I/M OR EQUIVALENT: [ Y / O 1
PROPERTY SIZE: 2.3 ACRES WATER SUPPLY: [✓] PRIVATE PUBLIC [ ]<=2000GPD [ 1>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y / O 1 DISTANCE TO SEWER: >100 FT
PROPERTY ADDRESS: 10750 Heil Road Fort Pierce FL 34945
DIRECTIONS TO PROPERTY: See attached and . off S. FFA Road
BUILDING INFORMATION
Unit Type of
No Establishment
1
2
3
4
SFD
[ ✓ ] RESIDENTIAL [ 1 COMMERCIAL
No. of Building Commercial/Institutional System Design
Bedrooms Area Sq£t Table 1 Chapter 64E-6 FAC _
4 3088 400 GPD
11�0 1191fl nm Ame6
(3 1n Mu( hax>e, I a� 10
[ ] Floor/Equipment Drains ( ]
SIGNATURE:
28Jan2020
DH 4015, 08/09 (Obsoletes previous editions which may not be used)
Incorporated 64E-6.001, FAC Page 1 of 4
STATE OF FLORIDA PERMIT #
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
EXISTING SYSTEM AND SYSTEM REPAIR EVALUATION
APPLICANT: Johnnie C. & Katherine Luster
CONTRACTOR / AGENT: K.R.K. Enterprises, Inc. C/o Kyle D. Kelly, Contractor
LOT: 10M&B BLOCK: B SUBDIV: Fort Pierce Gardens ID#: 2321-501-0022-000-0
TO BE COMPLETED BY FLORIDA REGISTERED ENGINEER, DEPARTMENT EMPLOYEE, SEPTIC TANK CONTRACTOR OR
OTHER CERTIFIED PERSON. SIGN AND SEAL ALL SUBMITTED DOCUMENTS. COMPLETE ALL APPLICABLE ITEMS.
COMPLETE TANK CERTIFICATION BELOW OR NOTE IN REMARKS WHY THE TANKS CANNOT BE CERTIFIED.
EXISTING TANK INFORMATION
[ 1250 ] GALLONS SEPTIC TANK/GPD ATU LEGEND :SST028-015-06DMATERLAL: CONCRETE BAFFLED:[Y /kV
[ ] GALLONS SEPTIC TANK/GPD ATU LEGEND:MATERIAL: BAFFLED:[Y / NI
[ ] GALLONS GREASE INTERCEPTOR LEGEND: MATERIAL:
[ ] GALLONS DOSING TANK LEGEND: MATERIAL: -- - # PUMPS:[ l
I CERTIFY THAT THE LISTED TANKS WERE PUMPED ON 283an2020 BY
Jose W/ KRK , HAVE
THE VOLUMES SPECIFIED AS DETERMINED BY L MENSIO / FILLING / LEGEND 1, ARE FREE OF OBSERVABLE
DEFECTS EAKS, AND HAVE A I DS DEFLECTION DEV / OUTLET FILTER DEVICE ] INSTALLED.
K.R.K. ENTERPRISES, INC. 283AN2020
DATE
SIGMATUIUF LICENSED CONTRACTOR BUSINESS NAME
EXISTING DRAINFIELD INFORMATION
[ 744 ] SQUARE FEET PRIMARY DRAINFIELD SYSTEM NO. OF TRENCHES [BED] DIMENSIONS: 62 X 12
[ ] SQUARE FEET SYSTEM NO. OF TRENCHES [ ] DIMENSIONS: X
TYPE OF SYSTEM: [ ] STANDARD [ ✓] FILLED [ ]'MOUND I 1
CONFIGURATION: [ ] TRENCH [✓] BED [ 7
DESIGN: [✓ ] HEADER [ ] D-BOX CV] GRAVITY SYSTEM [ 1
ELEVATION OF BOTTOM OF DRAINFIELD IN RELATION TO EXISTING GRADE 22
SYSTEM FAILURE AND REPAIR INFORMATION
DOSED SYSTEM
INCHES [ ABOVE 1<391NI
[ 10/12/061 SYSTEM INSTALLATION DATE TYPE OF WASTE [,/] DOMESTIC I ] COMMERCIAL
[ 400 ] GPD ESTIMATED SEWAGE FLOW BASED ON [ ] METERED WATER (✓ ] TABLE 1, 64E-6, FAC
SITE [ ] DRAINAGE STRUCTURES [✓ I POOL
CONDITIONS: [ I SLOPING PROPERTY [ 1
NATURE OF [ ] HYDRAULIC OVERLOAD
FAILURE: ( ] DRAINAGE / RUN OFF
FAILURE [ 1 SEWAGE ON GROUND
SYMPTOM: [ I PLUMBING BACKUP
REMARKS/ADDITIONAL CRITERIA EXi
C
6
r
[ ] PATIO / DECK [ ] PARKING
[ ] SOILS [ ] MAINTENANCE
[ ] ROOTS [ ] WATER TABLE
[ 1 TANK [ ] D BOX/HEADER
[✓7 N/A
OSTDS is an infiltrator.Chamb
[ I SYSTEM DAMAGE
[ ✓ I N/A
[ ] DRAINFIELD
TITLE/LICENSE
PRES/SR0931151
DATE:283an2020
SUBMITTED BY: KYLE D. KELLY
DH 4015, OS/09 (ObsOletes Previ s
tions which may not be
used)
Page 4 of 4
Incorporated 64E-6.001, FAC
SCANNED
BY
St, Lucie County
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
APPLICATION FOR CONSTRUCTION PERMIT
DATE PAID:
DATE PS '
FEE PAID: /.3d� UREA.
RECEIPT #:
APPLICATION FOR:
[ I New System [.✓] Existing System [ ] Holding Tank [ ) Innovative
[ I Repair [ ] Abandonment 1 ] Temporary [ 1
APPLICANT: Johnnie C. & Katherine Luster -►qZ S/9^:D3-a Cp
AGENT: K.R.K. Enterprises Inc c/o Kyle D. Kelly, contractor TELEPHONE: 772.464.7323
MAILING ADDRESS: P.O. BOX 13571 Fort Pierce FL 34979-3571
TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MOST 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/DDT/YY) IF REQUESTING CONSIDERATION OF STATUTORY GRANDFATHER PROVISIONS.
t
PROPERTY
LOT: 10M&e BLOCK: B _ SUBDIVISION: Fort Pierce Gardens _ PLATTED:
PROPERTY ID #:: 2321-501-0022-000-0 .ZONING: SF. I/MOR EQUIVALENT: [ Y
PROPERTY SIZE' 2.3 ACRES -WATER SUPPLY: [✓I. PRIVATE PUBLIC [ ]<=2000GPD I 1>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? I Y./ ON ] DISTANCE To SEWER: >100 FT
PROPERTY ADDRESS: 10750 Heil Road Fort Pierce FL 34945
DIRECTIONS TOiPROPERTY: See attached man offs FFA Road
BUILDING INFORMATION [✓I RESIDENTIAL I I COMMERCIAL
Unit Type of No. of Building Commercial/Institutional System Design
n..Jl�.... nro Ta1+1 e � _ Chanter 64E-6. PAC
—No—Estabii.-ahment S4�- - - - - - - -
1
SFD 4 3089 400 GPD
2 do 35drmm AMeA
3 - (S in nak hFntse� i n� ')
4
[ ] Floor/Equipment Drains I I Othl3e/7(Specify)
SIGNATURE.: / V�f—DATE • 28Jan202O
DN 4015, 08/09 (Obsoletes previous editions which may not be used)
Zncorporated,64E-6.001, FAC Page 1 0£ 4
i
STATE OF FLORIDA PERMIT # _
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
EXISTING SYSTEM AND SYSTEM REPAIR EVALUATION
APPLICANT: Johnnie C. & Katherine Luster
CONTRACTOR / AGENT: K.R.K. Enterprises, Inc. C/o Kyle D. Kelly, Contractor
LOT: IWO BLOCK: B SUBDIV: Fort Pierce Gardens ID#: 2321-501-0022-000-0
TO BE COMPLETED BY FLORIDA REGISTERED ENGINEER, DEPARTMENT EMPLOYEE, SEPTIC TANK CONTRACTOR OR
OTHER CERTIFIED .PERSON. SIGN AND SEAL ALL SUBMITTED DOCUMENTS. COMPLETE ALL APPLICABLE ITEMS.
COMPLETE TANK CERTIFICATION BELOW OR NOTE IN REMARKS WHY THETANKSCANNOT BE CERTIFIED.
EXISTING TANK INFORMATION
[ 1250 ] GALLONS -SEPTIC TANK/GPD ATU LEGEND:SST028-015-06DMATERIAL: CONCRETE BAFFLED: EY
FrED:[Y /
[ ] GALLONS SEPTIC TANK/GPD ATU LEGEND: MATERIAL'
I 7 GALLONS GREASE INTERCEPTOR LEGEND: MATERIAL'
[ ] GALLONS DOSING TANK LEGEND" MATERIAL: # PUMPS:[ ]
I CERTIFY THAT TIM LISTED TANKS WERE :PUMPED ON 287an2020 BY HAVE
Jose W/ KRK ,
THE. VOLUMES SPECIFIED AS DETERMINED BY [ MENSIo / FILLING / LEGEND I, ARE FREE. OF OBSERVABLE
DEFECTS O EAKS,- AND HAVE A [. US DEFLECTION D / OUTLET FILTER DEVICE ] INSTALLED.
/�K.R.K. ENTERPRISES, INC. 283AN2020
---=---- DATE
3TGNATLTRE"OF L1[:15nD6L a.varinn�.a„R BUSINESS NAME
EXISTING DRAINFIELD INFORMATION
[ 744 ] SQUARE. FEET PRIMARY DRAINFZELD SYSTEM NO. OF TRENCHES [BED] DIMENSIONS: 62 X 12
[ ] SQUARE FEET SYSTEM NO. OF TRENCHES [ I. DIMENSIONS: X
TYPE OF SYSTEM: I[ ] STANDARD [✓I FILLED [ ] MOUND L 7
CONFIGURATION: ![ I TRENCH [✓I BED [ I _
DESIGN: ;[,/] HEADER [ I D-BOX [✓ I GRAVITY SYSTEM [ 7 DISYSTEM
ELEVATION OF BOTTOM OF DRAINFIELD IN RELATION TO EXISTING GRADE 22 . DOSED INCHES [ ABOVE—
SYSTEM FAILURE AND REPAIR INFORMATION
[ 10/12/06] SYSTEM INSTALLATION DATE
[ 400 ] GPD ESTIMATED SEWAGE FLOW BASED ON
TYPE OF WASTE [✓I DOMESTIC [ ] COMMERCIAL
[ ] METERED WATER [✓ ] TABLE 1, 64E-6, FAC
SITE [ I; DRAINAGE STRUCTURES [✓I POOL [ 1 PATIO / DECK [ I PARKING
CONDITIONS: [ r
NATURE OF
[
I
HYDRAULIC OVERLOAD
FAILURE:
[
I
DRAINAGE / RUN OFF
FAILURE
[
]SEWAGE
ON GROUND
SYMPTOM:
[
I
PLUMBING BACKUP
REMARKS/ADDITIONAL
1.250-4al Concretc
[ ] SOILS I I MAINTENANCE
C I ROOTS [ I WATER TABLE
{ ] TANK [ 7 D BOX/HEADER
[✓I N/A
ncT c is nn Tnfiltrator Chamb
SUBMITTED BY: XYLED..KELLY
DH 4015, 08/09 [Obsoletes Previ s tions which may not
incorporated 64E-6.001, FAC
I ] SYSTEM DAMAGE
[ ✓7 N/A
[ ] DRAINFIELD
DATE:28Jan2020
Page 4 of 4
Michelle Franklin, CFA — Saint Lucie County Property Appraiser —A(I rights reserved.
Property Identification
Site Address: 10750 HEIL RD
Sec/Town/Range: 21 /35 S/39E
Map ID:23/21N
Zoning: AG-2.5 - C
Ownership
Johnnie CLuster
Katherine Luster
10750 Heil RD
Fort Pierce, FL 34945
Legal Description
FT PIERCE GARDENS OF 21-35-39 BLK B LOT 10-LESS W 6332 FT
AND LESS E 86.66 Fr -LESS RD. R/W- (2:30 AC)
Current values
JustlMarket Value: - $502,400
Assessed Value: $420,130
Exemptions: $50.000
Taxable Value: S370,130
Property taxes are subject to change upon
change of ownership.
• Past taxes are not a reliable projection of future taxes.
• The sale ofa7,pmperty will prompt the removal of all
exemptions, assessment caps,. and special
classifications.
Taxes for this parcel:" SLC Tax Collector's Office
Download TRIM for this parcel:- Download PDF
Sale History
Date Book/Page Sale Deed Grantor
Code
e --
Apr 4, 2002 U 19! 0775 XX00 WD
Aug26, -1998 1168/0596 XXoi WD
Aug 1, 1988 0602/ 1606 XX00 CV
View:
Building Type: HA+
Grade: A+
Story Height:I Story
Parcel ID: 2321-501.0022-000-0
Account #: 14001
Use Type: OI00
Jurisdiction: Saint Lucie County
Total Areas
Finished/UnderAir (SF):.
3,088
Gross Sketched Area (SF):
7,404
Land Size (acres):
2.3
Land Size (SF):
100,188
Building Information (1 of 2)
Finished Area:. Z836 SF -
Gross Sketched Area. 5.274 SF
Exterior Data
Roof Cover. Metal
Year Built: 2006
Effective Year: 20D6
No. Units: I
Price
Roof Structure: Hip
Frame:
Primary Wall: CB Stucco
Secondary Wall:
Interior Data
Bedrooms:4 Electric: MAXIMUM Primary Int Wall:
Full Baths:4 Heat Type: FrcdHotAir Avg Hgt/Floor.0
Half Baths: 1
AIC °/a: 1001/6
Heat Fuel: ELEC
Heated %: 1000/6
Primary Floors: Wood Laminat
Sprinkled %: N!A%
Sketch Area Legend
Sub
Description Arco
Fin.
Perimeter
Area
Area
BAS
BASEAREA 060
2836
278
GAA
Garage Attached Average
0
86
NVSE
Screen Enclosure for Sketch Only (Valued in 1328
0
ISO
SFYI)
OPAH
Open Barth -Attached .High 264
0
76
SPAH
Screen Porch AttachedHigh 386
0
96
Building information (2 of2)
Finished Area 252 SF
Gross Sketched Area: Z130 SF
Exterior Data
View:
Roof Cover Metal
Roof Structure: Gable
Building Type: t GAR
Year Built:2006
Frame:
Grade: DG+
Effective Year.. 2006
primary Wall: CB Stucco
i
Story Height: 2 Story
No. Units: I
Secondary Wall: Frm Stucco
Interior Data
Bedrooms: I
Electric: MAXIMUM
Primary Int Wall:
Full Baths: I
Heat Type:.FrcdHotAir
Avg .HgNFloor.0
Half Baths: 1
Heat Fuel:
Primary Floors:
A/C %: 100%
Heated %: %
Sprinkled %: 0%
Sketch Area Legend
SubArca Description
Area Fin. Area Perimeter
GDA
Garage Detached Average
UBS
UPPER BASE AREA/+I
URAL
Utility Room Attached Low
WDK
WOOD DECK
0 336
�52 252 64
246 0 82
32 0 24
Special Features and Yard Items
Type
Qty Units
Year Bit
RESTOOLAVG
1 380
I 948
2006
2006
POOL DK-GOOD
I 1328
2006
POOL ENC-AVG
1 3800
2006
Ddv-Concret
1 3500
2006
Driv-Concret
Current Values Breakdown
Building: t
$364,400
Land: $138,000
Just/Market:
Ag Credit:
Save Our Homes or
10% Cap:
Assessed:
Exemption(s): '
Taxable:
Start Year
2013
Year
$502.400
s0
S82,270
current Year Values
Current Year Exemption Value Breakdown
Tax
Grant Code Description
Amount
Year
Year
2019
2019 0500 Homestead
S25,000
Exemption
2019
2019 0550 Homestead
$25,000
Exemption ever
50.000
$420,130
S50,600
$370,130
Current Year Special Assessment Breakdown
AssessCode
Units Description Amount
0054
2.3 North SL Lucie Water Management $40.25
District
tal
This charged for
�ospecial ass ssments is rt I�ct a Special thc most cumeni lae scat mat eat and id be nformation is avaithis lable wwiiith the SLC C Tarot
Collector's 011ire .
Historical Values
Just7Market Assessed Exemptions Taxable
------ Caen 12A
17
S36350
SM-358
oU
Permits
Number
Issue Date
Description
Amount
Fee
C97-050409
Sep 12,1997
Residential New
$182,124
$182,124
C05021335
Jun9.2005
Construction
Residential New
$165.10i
$0
'C05041987
Construction
Jung; 2005�-�=---Gamge -- --.--
_ ___._S64,000
$16,993
so
-:-� ' $0
COSIO0199
C05100200
Jan 20, 2006
Jan20,2006
Pool
Enclosure
$7.996
$0
$0
C1410.0179
Get 13,2014
Air Conditioning
so
Only
Notice: This does not necessarily represent all the penniLs for this property.
Click Ole following link to check for additional permit data in Saint Lucie County
All infomtation is believed t 2correct at this 02 Saint Lucie Ca nttybut tProperty Appect to raiser. er. Ange ll rigis hts provided without any warranty.
PS gh
id