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I
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION PERMIT
CONSTRUCTION PERMIT FOR�- OSTDS Holding Tank
APPLICANT: (Felix Associates of Florida, Inc.)
PROPERTY ADDRESS:
LOT t
6GANNED
BY
';t Lucie County
6375 S US I Hwy Port Saint Lucie, FL 34952
BLOCK:
SUBDIVISION:
PERMIT #:56-SF-1613901
APPLICATION #:AP1193685
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT#: PR979115
PROPERTY ID [SECTION, TOWNSHIP, RANGE, PARCEL HUMBER3
[OR TAX 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 PERFORIMNCE FOR ANY SPECIFIC PERIOD OF TIM. ANY CHANGE IN MATERIAL FACTS,
WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICA14T TO MODIFY T;r
PERMIT APPLICATION. SUCH 140DIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND 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
T 1
300 3
GALLONS GPD Holdinq
CAPACITY
A I
I
GALLONS GPD
CAPACITY
N E
3
GALLONS GREASE INTERCEPTOR CAPACITY
(MAYMMUM CAPACITY SINGLE TANK: 1250 GAT ONS]
K 1
3
GALLONS DOSING TANK CAPACITY I
I GALLONS @1 ]DOSES PER 24 MR #Pumpz I
D I SQUARE FEET
R I SQUARE FEET
A TYPE SYSTE24: STANDARD
I CONFIGURATION: TRENCH
N
F LOCATION OF BENCHM11RE:
I ELEVATION OF PROPOSED SYSTEM SITE
SYSTEM
SYSTEM
FILLED MOUND
BED
I
E BOTTOM OF DRKINFIR TO BE
L
D FILL REQUIRED: 1 0.00 1 INCHES EXCA
0 IService agreement with All Star Toilets one time per week
T
R
E
R
[ ABOVE BELOW I BENCHMARK/REFERENCL POINT
I ABOVE BELOW I BERCHMRRK/REFERENCE POINT
: I I INCHES
SPECIFICATIONS BY: ,.,Tacob K K±rct�!= TITLE: EnvironHental Specialist I
APPROVED BY: TITLE: Environmental Specialist I St. Lucie CHD
Jaceb K M�z�n�
DATE ISSUED: 06/25f2015 EXPIRATION DATE: 10/23/2015
DR 4016, 08/09 (Obsoletes a3.1 Previous editions which may not be used)
Incorpozated: 64E-6.003, PAC Page I
1.1.4 �1193685 SE-1
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 # A02, Tallahassee, Florida 32399-1703. The
Agency Clerk's facsimile number is 850-410-1448.
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 Cierk-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 Dist(ict Court. The notice must be filed within 30
days of rendition of the final order.
6122/2015 4:26 PM Sales Receipt #9288
Store: 1
REPRINTED
St Lucie County Health Department
5150 NW Mliner Drive
Fort St Lucie, FL 34983
Environmental Health Division
772-873-4931
][am 0
Qty price Ext Price
.007f'
*OSTDS County Sur
20
1 $100.00
$100.00 T
Holding Tank APPlic!
21
1 $55.00
$55.00 T
Holding Tank Permit
18
1 $75.00
$75M T
Holding (Porablerre
—gub,iotal:
$245.00
Local Sales Ta�
0 % Tax*
� $0.00
RECEIPTTOTAL:
$245.00
Check: $245.00 29252
New Holding Tank Permit
Felix Assoc. of FL.. Inc
6375 S US Hwy 1
PSL. FL. 34952
Thank You & Have a Good Day!
9288