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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