HomeMy WebLinkAboutDOH PAPPERWORKI a
STATE OF FLORIDA
DEPARMONT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION PERMIT
0
UAININED
BY
CONSTRUCTION PER141T FOR: OSTDS Holding Tank St Lucie Countv
APPLICANT: (Felix Associates of Florida, Inc.)
PROPERTY ADDRESS: 6375 S US 1 Hwv Port Saint Lucie. FL 34952
LOT
PROPERTY ID #;
BLOCK:
SUBDIVISION:
PERMIT #: 56-SF-I 613901
APPLICATION #:AP1193685
DATE PAID:
FEE PAID:
RECEIPT #:
DOCU14ENT #: PR979115
[SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR TAX ID NUMBER]
SYSTEM 14UST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AM STANDARDS or SECTION
381.0065, F.S., AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE
SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS,
WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE
PERMIT APPLICATION. SUCH MODIFICATIONS 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 AM
T C
A C
300 1 GALLONS GPD Holdinq
I GALLONS GPD
I GALLONS GREASE INTERCEPTOR CAPACITY
I GALLONS DOSING TANK CAPACITY I
D I I SQUARE FEET
R r I SQUARE FEET
A TYPE SYSTE14: STANDARD
I CONFIGURATIONt TRENCH
N
F LOCATION OF BENCHMARK:
I ELEVATION OF PROPOSED SYSTEM SITE
E BOTTOM OF DRAINFIELD TO BE
L
D
0
T
H
E
R
CAPACITY
CAPACITY
[MAUXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
]GALLONS @E ]DOSES PER 24 HRS #Pumps I
SYSTEM
SYSTEM
FILLED MOUND I
BED
I C ABOVE / BELOW I BENCHMARK/REFERENCE POINT
I I ABOVE / BELOW I BENCHMARK/REFERENCE POINT
L U.UU J ��U�zb ��V"X�uv L j INUMES
agreement with All Star Toilets onetime per week
SPECIFICATIONS BY: Jacob K rirt�!= TITLE: Environniental Specialist I
APPROVED BY: TITLE: EnvIronmental Specialist I St. Lucie CHD
K ��ner
DATE ISSUED: 0a661;51201Z EXPIRATION DATE: 10/2312015
DE 4016, OB/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC Page 1
� 1.1.4 AP1193685 SE-1
I
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 Clerk 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 District Court. The notice must be filed within 30
days of rendition of the final order.
.-V �
PERMIT #: 56-SF-1 613901
STATE OF FLORIDA APPLICATION #:AP1193685
DEPART14ENT OF HEALTH DATE PAID:
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM FEE PAID
CONSTRUCTION PERMIT REC
CONSTRUCTION PERMIT FOR.' -
APPLICANT: (Felix Associa
OSTDS Holding Tank
of Florida,
PROPERTY ADDRESS: 6375 S US 1 Hwy Port Saint Lucie, FL 34952
LOT: BLOCK:
PROPERTY ID #;
SUBDIVISION:
EIPT
SCANf*ff PR979115
BY
St. Lude County
[SECTION, TOWNSHIP, RANGE, PARCEL NUMBOR3
[OR TAX ID NUMBER]
SYSTE14 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 PERFOPI-MHCE FOR ANY SPECIFIC
PERIOD OF TIME. ANY
CHANGE IN
MATERIAL FACTS,
WHICH SERVED AS A BASIS FOR ISSUANCE OF
THIS PERMIT, REQUIRE THE APPLICANT
TO MODIFY THE
PERMIT APPLICATION. SUCH MODIFICATIONS 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.
SYSTE14 DESIGN AND SPECIFICATIONS
T
A
N
300 1 GALLONS GPD Holdinq
GALLONS GPD
GALLONS GREASE INTERCEPTOR CAPACITY
GALLONS DOSING TANK CAPACITY I
D I SQUARE FEET
R I SQUARE FEET
A TYPE SYSTEM: STANDARD
I CONFIGURATION: TRENCH
N
F LOCATION OF BENCHM11RK:
I ELEVATION OF PROPOSED SYSTEM SITE
E BOTTOM OF DRAINFIELD TO BE
I
D
0
T
H
CAPACITY
CAPACITY
EMAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
]GALLONS @1 ]DOSES PER 24 HE #pumps E
SYSTEM
SYSTEM
FILLED MOUND I
BED
I [ ABOVE / BELOW ] BENCM4FRX/REFERRNCE POINT
I E ABOVE/ BELOW I BENCMGLRK/REFERMCE POINT
2 ... �'u: L U.UU I �nuH�b ZA�Vmx�uv �12u�: L I INUM45
agreement with All Star Toilets one Ume per week
I
SPECIFICATIONS BY: Jacob K Kir!!�n2r TITLE: Environmental Specialist I
APPROVED BY: I
TITLE-. Enviro=ental Specialist I St. Lucie CHD
DATE ISSUED: 06/2512015 EXPIRATION DATE: 10/23/2015
DH 4016, 08/09 (Obsolates all previous editions which nay not be used)
Incorporated: 64E-6.003, FAC Page 1
, 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 Clerk 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 District Court. The notice must be filed within 30
days of rendition of the final order.
6122/2015 4'26 PM Sales Receipt 992B8
Store: I
REPRINTED
St Lucie County Health Department
5150 NW Milner Drive
Port St Lucie, FL. 34983
Environmental Health Division
772-873-4931
Item 9
Oty
Price Ext Price
1
1
$15.00
$15.00 T
*OSTDS County Sur
20
1
$100.00
$100.00 T
Holding Tank Applief
21
1
$55.00
$55.00 T
Holding Tank Permit
18
1
$75.00
$75.00 T
Holding (Porlable/Te
Subtotal:
Local Sales Tax
0 % Tax
+$0.00
RECEIPTTOTAL: $245.00
Check: $245.00 29252
New Holding Tank Permit
FelIxAssoc. of FL., Inc
6375 S US Hwy 1
PSL, FL. 34952
Thank You & Have a Good Day!
9288
11
STATE OF FLORIDA
dEPARTMENT OF BUSINESS.& PROFESSIONAL REGULATION
'U"anseeftlardly
PICK SCOTT
Gavror
May 06, 2013
George Britton
Modspace-Miami
5000 N.W. 72nd Avenue
Miami, Ft 33166
— -- RE: Manufacturer CdmflcBIJQn,-!D MIT-6709, Explration-Date—May3j,zoin
Dew George Britton
It Is MY Pleasure to Inform you that ModSpace-Miaml, located at 5000 N.W. 72nd Avenue, Miami,
FL 33166, has been OPPrOvLd under the Manufactured Buildings Program, as provided for under
Chapter SS3, Part 1, Florida Statute% to manufacture Manufactured Buildings for Installation In
Florida.
Construction or modification an a manufactured building cannot beiln until the Third Patty Agency
has ipproved the plans In accordance with the current Florida Building Code. Your Third Party
Agency Is a contractor for the Department and has statutory authority and responsibilities that
must be met to maintain approved status. You may expect and demand quality plans review and
Inspectioris.
Each Code change will make your plan obsolete until they have been reviewed, approved and
Incicanno inn rnr-rnjiw-�
for plans review. Please ensure that your plans are in compliance and are Property posted an our
website- All site -related Installation issues are sublect to the local authority having Jurisdiction.
The Departmentfs contractor will make unannounced monitoring visits at least once each year. You
must grant complete access to your manufacturing facility and records to remain In compliance with
out cme tIon Is approved for three years from this date. You will receive a renewal notice by
Email generated by the ECS for online renewal. If you have questions
YOU May contact Me Or Leola B&kWn at 850-921-0956 or our FAX at BSO-414-843&
Please YISIt our websft at AdWAJQdQhUIWlI39L2O1 to see valuable Information on the Florida
Manufactured Buildings Program. A copy of this letter must accompany applications for local
building permits.
Sincerely,
.atrrv'f�(-o
Robert Lorenzo
Manufactured Buildings Program
2565 SHUMARD OAK BOULEVARD * TALLAHASSEE. FL 32399-2100
850-488-8466 (p) o aSD-921-0781 (f) 0 We b 5 1 1 a: �.dw.stats.fl.us