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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