HomeMy WebLinkAboutAPPLICATION FOR CONSTRUCTION PERMITSCANNED
''rB�Y�
STATE & SQAU"ty
DEPARTMENT OF HEALTH
ONSITE S$AAGE TREATMENT AND
SYSTEM
ApPLICATION FOR CONSTRUCTIO
APPLICATION FOR:
C J New System C J Existing System.
[ 7 Repair [ ] Abandonment
APPLICANT:
AGENT:
MIN, SETBACK
PERMIT NO.
DATE PAID'
FEE PAID:
;IRECEIPT
#:
:
CInnovative
t 1 1v]
j
S
TELEPBONE:I '��/ L LkLk6
MAILING ADDRESS: S�`O ' vw � �4 le_
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 489.532, FLORIDA STATUTES. IT IS THE
APPLICANT'S'RESPONSMILITY 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: BLOCK: ` ` SUBDIVISION:�l',
^l 1JCR
PROPERTY ID #: ��2 �� -0�3 ` ZONING: I/M OR EQUIVALENT: I Y A2�3
PROPERTY SIZE: eACRES WATER SUPPLY: [ ] PRIVATE PUBLIC [>%- ]<=2000GPD [ 1>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? E Y- \ -DISTANCE TO SEWER: FT
PROPERTY ADDRESS: - (�\ \ �'�h�"`�\ B\Qc - �4-
DIRECTIONS TO PROPERTY:
c �� p-.kL4_Z) Q�ahk- �rJ seas ice\
BUILDING INFORMATION
Unit Type of
No Establishment
2
[RESIDENTIAL I ] COMMERCIAL
No, of Building Commercial/Institutional System Design
Bedrooms Area Sq£t Table 1, Chapter 64E-6, FAC
3
4
[ j Fl quipment Drains [ ] Other (Specify)
SIGNATURE.
DH 4015, 8/09 (Obsoletes previous editions which may not be used)
Incorporat 4E-6.001, FAC Page 1 of 4
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
EXISTING SYSTEM AND SYSTEM REPAIR EVALUATION
APPLICANT:
PERMIT #
CONTRACTOR / AGENT:
LA-7 �,I� t}�.yy�C 3�io2—klfg—p'2,gZ_
LOT: BLOCK: SOBDIV:
TO BE COMPLETED -HY M7nRIDA REGISTERED ENGINEER, DEPARTMENT-EMPS,LM, SEPTIC. TANK CONTRACTOR OR
OTHER CERTIFIED PERSON. SIGN AND SEAL ALL SUBMITTED DOCUMENTS. COMPLETE ALL APPLICABLE ITEMS.
COMPLETE TANK CERTIFICATION BELOW OR NOTE ffi REMARKS WHY THE TANKS CANNOT BE CERTIFIED.
EXISTINCv TANK INFORMATION -
[[ 0- CO ] GALLONS SEPTIC TANK/GPD ATU LEGEND: MATERIAL: Q�--J MQ�BAMM: CY / I
[ j GALLONS SEPTIC TANK/GPD ATU LEGEND: MATERIAL: BAFFLED:CY / N]
[ } GALLONS GREASE INTERCEPTOR LEGEND: MATERIAL:
[ ] GALLONS DOSING TANK LEGEND: MATERIAL: # PUMPS:[ ]
I CERTIFY THAT THE LISTED TANKS WERE PUMPED ON BY Pt Vtifix •SHAVE
THE VOLUMES SPECIFIED AS DETERMINED BY [ DIMENSIONS / FILLING /.LEGEND ], ARE FREE OF OBSERVABLE
VES:ECTS O AKS, AND HAVE A [ SOLIDS DE` CTION DEVICE / OU�LET FI�� DEVICE.] M �.
SqgmS USE OF LICENSED CONTRACTOR BUSINESS NAME `��j� . DATE
EXISTING DRAINFIELD INFORMATION
(- - ] SQUARE
FEET PRIMARY DRAINFIELD SYSTEM
NO. OF TRENCHES [ ]
DIMENSIONS: _
_X
[ ] SQUARE
FEET
SYSTEM
'�'
NO. OF Rs'N=S ( j
DD-fENSIONS':.
X
TYPE OF SYSTEM:
[ ] STANDARD
[
FILLED [
] MOUND [ ]
CONPIGUWIDN:
[ ] TRENCH
[
] BED
DESIGN:
[ ) HEADER
[
D—BOX [
I GRAVITY SYSTEM (
] DOSED SYSTEM
ELEVATION OF BOTTOM OF DRAINFIEID
,]
IN RELATION TO EXISTING GRADE _ T6
_ INCHES [ ARM
(!&W
SYSTEM FAILURE AND REPAIR INFORMATION
]
SYSTEM INSTALLATION DATE
TYPE
.,OLF WASTE ['\, DOMESTIC [ ] COMMERCIAL
[ q'6 I
GPD ESTIMATED SEWAGE FLOW BASED ON
[JF'METERED WATER
[XI TABLE 1, 64E-6, FAC
SITE
[ ] DRAINAGE STRUCTURES
[
] POOL
[
I PATIO / DECK
,[ I PARKING
_CONDITIONS:
[ I SLOPING PROPERTY
L
7
NATURE OF
[ ] HYDRAULIC OVERLOAD
[
] SOILS
_
] MAINTENANCE
[ ] SYSTEM DAMAGE
FAILURE:
[ ] DRAINAGE / RUN OFF
C
1 ROOTS
C
I WATER TABLE
]
FAILURE [ I SEWAGE ON GROUND
SYMPTOM: C .7 PLUMBING BACKUP
REMARKS/ADDITIONAL CRITERIA
C ] TANK
C I
[ ] D BOX/HEADER [ ] DRAINFIELD
SUBMITTED BY: C\ W T ""~ — TITLE/LICENSE l'�l (0 DATE: `1 �
DR 4015,.0e/0 (O soletes previous editions which may not be used)
Incorporated 6 .001, FAC _ Page 4 of 4
a
APPLICANT:
STATE OF FLORIDA APPLICATION # AP1267811
DEPARTMENT OF HEALTH PERMIT # 56-SF-1652555
ONSITE SEWAGE 'M PM TMENT AND DISPOSAL SYSTEM DOCUMENT # SE1009300
SITE EVALUATION AND SYSTEM SPECIFICATION
rtadns SOIanD
CONTRACTOR / AGENT: General Contractor
LOT: 7 BLOCK: 47
SUBDIVISION: Indian River Estates ID#:3402-608-0237-000-9
To BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEERS NUS]
PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACB PAGE OF SUBMITTAL. COMPLETE ALL ITEMS.
PROPERTY SIZE CONFORMS TO SITE PLAN: [X]YES I ]NO NET USABLE AREA AVAILABLE: 0.23 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 460 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 675.01 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 1150.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1150.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION:
of rd center
ELEVATION OF PROPOSED SYSTEM SITE
6.00 C[IN�/
FT I C ABOVE
/ BELOW I BERCHM1UWREPEHENCE POINT
THE bMMI M SETBACK WHICH CAN BE MAINTAINED
FROM THE PROPOSED SYSTEM TO
THE FOLLOWING FEATURES
SURFACE WATER: FT
DITCHES/SWALES:
15 FT
NORMALLY WET: C ]YES IX]NO
WELLS: PUBLIC: FT LIMITED USE: FT
PRIVATE:
FT NON -POTABLE: FT
BUILDING FOUNDATIONS: 5 FT
PROPERTY LINES:
5 FT
POTABLE WATER LINES: 40 FT
SITE SUBJECT TO FREQUENT FLOODING? I ]YES IX]NO 10 YEAR FLOODING? [ ]YES IXINO)
10 YEAR FLOOD ELEVATION FOR SITE: FT C MSL / NGVD I SITE ELEVATION: FT C MSL / NGVD
---r vnmrrw crm¢ 1 SOIL PROFILE INFORMATION SITE 2
USDA SOIL SERIES:Lawnwood sand
Munsell #/Color Texture
Depth
10YR 412
Fill - Sand
0 To 8
ICYR 411
Sand
8 To 25
1 OYR 511
Sand
25 To 42
1 OYR 611
Sand
42 To 49
10YR 211
Spodic Material
49 To 66
1 OYR 3/3
Sand
66 To 72
USDA SOIL SERIES:Lawnwood sand
Munsell #/Color Texture
Depth
IOYR412
FII - Sand
0TO 10
10YR 4/1
Sand
10 To 28
10YR 5/1
Sand
28 To 43
10YR 6/1
Sand
43 To 51
1 OYR 212
Spodic Material
51 To 66
10YR 313
Sand
66 To 72
OBSERVED WATER TABLE: 57.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE:
ESTIMATED WET SEASON WATER TABLE ELEVATION: 32 INCHES [ ABOVE / BELOW ]
HIGH WATER TABLE VEGETATION: I ]YES [X]NO MOTTLING: [X IYES I ]NO
[ PERCHED / APPARENT ]
EXISTING GRADE
DEPTH: 32.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.60 DEPTH OF EXCAVATION:
DRAINFIEED CONFIGURATION: [ ] TRENCH CX ] BED C ] OTHER (SPECIFY)
r REMARKS/ADDITIONAL CRITERIA
IT determined Using USDA WES and soil borings.•
1511 and 10YR611 stripping in 10YR511 matrix @ 32" in SB1.
8" above SM. SE210" above HIM Excavateoodic layer
SITE EVALUATED BY:
Ingram. 5K/n (TBIe: Environmental Specialist IQ (ENVIRONMENTAL HEALTHI
IS 4015, 08109 (Obauletea Pzevious ed1ti a which may not be used) Incorporated: 64E-6.001, PAC
AP1257811 EIDIES2555
66 INCHES
DATE: 09/29/2016
Page 3 of 4
v 1.02
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION PERMIT
CONSTRUCTION PERMIT FOR:
APPLICANT: Carlos Solano
PROPERTY ADDRESS:
LOT: 7
PROPERTY ID #:
OSTDS E)dsting Modification
4814 Sunset Blvd Fort Pierce, FL 34982
BLOCK: 47 SUBDIVISION: Indian River Estates
3402-608-0237-000-9
PERMIT #:56-SF-1652555
APPLICATION #:AP1257811
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1034226
[SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
IOR 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 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 AND SPECIFICATIONS
T [
1.050 ]
GALLONS / GPD Septic existinq
CAPACITY
A [
]
GALLONS / GPD N/A
CAPACITY
N [
]
GALLONS GREASE INTERCEPTOR CAPACITY
D-JAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [
]
GALLONS DOSING TANK CAPACITY [
]GALLONS @[ ]DOSES PER 24 NRS #Pumps I ]
D I 767 ] SQUARE FEET Drainfield new SYSTEM
R I ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [X] STANDARD I I FILLED [ ] MOUND
I CONFIGURATION: ( ] TRENCH [x] BED L 1
N
F LOCATION OF BENCHMARK: Orange spot crown of rd Center of property
I ELEVATION OF PROPOSED SYSTEM SITE L 8.00 ]I INCHES FP.
E BOTTOM OF DRAINFIELD TO BE
L
D
0
T
H
E
R
[ 12.00 ] I INCHES ET ] I
BELOW] BENCHMARK/REFERENCE POINT
BELOW h BENCHMARK/REFERENCE POINT
REQUIRE➢: [ U.UUJ INCHES EXCAVATIUN REQUIRE➢: L tU.UUJ 1NCHEE
system is sized for 5 bedrooms with a ma)dmum occupancy of 10 persons (2 per bedroom), for a total estimated flow
30 gpd.
Ong 1050 gal ST is within one tank size of required 1200 gal ST.
SPECIFICATIONS BY: B11en J I am
TITLE: Environmental Specialist II
APPROVED BY:
TITLE: Environmental Specialist II
St Lucia CED
llstien n9r.
DATE ISSUED:
09(30/2 6
EXPIRATION DATE:
0313012018
DR 4016, 08/09
(Obsoletes all previous
editions which may not be used)
Incorporated:
64E-6.003, FAC
Page 1 of 3
v 1.1.E
:.P1250011 SE1009300
BOARD OF COUNTY " a PLANNING &
COMMISSIONERS Ol l ! DEVELOPMENT
tr _ t-- SERVICES
Notice of Violation
St. Lucie County
Building and Code Regulation Division
12/22/2015
ANUPU HOLDINGS LLC
1804 SW BILTMORE ST
PORT ST LUCIE FL 34984
Case number: 86426
1. Pursuant to Article III of Chapter 1-2 of the Code of Ordinances of Saint Lucie County, Florida, you
are hereby notified that the following violations appear to exist on the property described below:
4814 SUNSET BLVD
FORT PIERCE FL 34982
Tax ID number:340260802370009
Legal description: Please see attached
Violation description: Please see attached
2. The violation must -be corrected by: 1/8/2016
3. Failure to correct the violation may result in the scheduling of a public hearing before the St. Lucie
County Code Enforcement Board. If the Board schedules a hearing, the Board is empowered to levy a
fine not to exceed $250.00 per day for -each day the violation continues past the date set for compliance.
A fine not to exceed $500.00-per day may be levied for a repeatviolation. The fine may become a lien
upon the real or personal property of the violator.
4. When you have corrected the violation(s)•or should you require any additional information regarding
this notice, please contact the St. Lucie County Building and Code Regulation Division at (772) 462-1571.
Monica Vargas Barrios
Code Compliance
Phone:(772) 462-1542 Fax:(772) 462-1148
Atencion: Documento,importante con respecto a sus derechos y responsabilidades.
Si usted no comprende ingles consiga traduccion inmediatamente.
2300 Virginia Avenue, Ft. Pierce, FL 34982
Building, and .Code'-Regulation:.(772) 462-1571 FAK(772) 462-5214
Violations found on case 86426
Ordinance
11.05.01 SLC LDC BUILDING AND SIGN PERMITS
Finding
PLEASE OBTAIN A PERMIT FOR ENCLOSING THE ALUMINUM PORCH INCLUDING THE NEW WINDOWS
AND ANY ELECTRICAL ALSO FOR THE WIRE,LATH OVER THE ENTIRE HOME.
Tuesdnv, December 22, 2015 Page.] of /