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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: _ D z:k1-1 1 �___ __ Permit Number:
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> b o a E o - Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue,Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)4.62-1578
PERMIT APPLICATION FOR: cko
PROPOSED IMPROVEMENT LOCATION:
Address: 1030% &osb j �L , Poc-1, 34. 4v Ci:e. Tc 3Y 9 96, -- —
Property Tax ID#: 332-1 --�0a -00(fo - coo - Lot No.
Site Plan Name: Block No.
Project Name: ❑f r
DETAILED DESCRIPTION OF WORK:
s� 0V�- Z Ac- % '7+C01S — SY'sle-m±1- 1 •5_`Mti Ik .Sewf LV 14" 5kaj
e k carlc kt a-+ -54-ri am 1 'S 5-)Crv% a- 5 bt j S441'_ t L akC�
1-�C{ter ti 'M+ S'fr s
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit-check all that apply:
&Mechanical _Gas Tank _Gas Piping Shutters _Windows/Doors _ Pond
—Electric Plumbing _Sprinklers _Generator T Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor!
Cost of Construction:$ 00 •dD Utilities: —Sewer _Septic Building Height:
❑WNERAESSEE: CONTRACTOR:
Name C'14-r ocy- Name: '_�(J-m L5 IJ i'tViD Is
Address: !D ❑$ 6r05 Ld f t Company: sty 1%a1t'kQ%AV) *tU I D-A.
City: %?G( C;-e State:47Z Address:532 0U' @1"Cgn+*t 4_ Cam-- l]
Zip Code:3 11 Fax: City: ?-xi z�4• r�Ci� StatOfL
Phone No. O I— Sb--) --3q C D _ _ _ _ zip code: ;�Jq ti Fax.-Va 9N-- 3511
E-Mail: Phone No `n2.` 711 - Y5
Fill in fee simple Title Holder on next page if different E-Mail 1+40 e- Y"_ 0"C5 y(G-C Coc'}
from the Owner listed above) State or County License_CAC I% 2P QIf value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNERJENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Nat Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address.
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will,in all respects, perform the work
in accordance with the approved}clans,the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools, fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and p ted on the jobsite before the first inspection. If t d to obtain financing, consult
with lend me before commencin work or recordin ur No l of Commencement.
Signature of O ner seed ontractor as Agent for Owner Signature of C tra ❑r/ cen Holder
STATE OF FLORI A STATE OF FII.ORI r U�
COUNTY OF DF-� �'• LUCIQ COUNTY OF f S+• L
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization }�Physical Presence or Online Notarization
this I ) day of ,2021 by this_LL day of bCU0.fi 2021 by
�]a'mO's rhols `�"c�m as r�chot5
Name of person making statement. Name of person making statement.
Personally Known�_OR Produced Identification Personally Known_ - OR Produced Identification
Type of Identification Type of Identification
Produced Produce
(Signature of Notary ltl:1 (Signature of Notary
Notary Public State of Florida ef Notary Pubk State of Florida
ui
Commission Na. Sty rc� Q Jennifer I
339871 Commission No. My commis 3312871
w irxpires 0512W2023 Expkes OSQ912023
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Re_v. 5/15/20
This combination qualifies for a Federal Energy Efficiency Tax Credit when
placed in service between 111/2015 and 12/31/2020.
CERTIFIEDA z9*011
Certificate of Product Ratings
AHRI Certified Reference Number:201384173 Date:02-17-2021 Model Status:Active
Old AHRI Reference Number:8242074
AHRI Type:RCU-A-CB(Split System Air-Cooled Condensing Unit,Coil with Blower)
Series:GSX16
Outdoor Unit Brand Name:GOODMAN
Outdoor Unit Model Number (Condenser cr Single Package):GSX160181F'
Indoor Unit Model Number(Evaporator and/or Air Handler):ASPT25B14A'
Region: All(AK,AL,AR,AZ,CA,CO,CT,DC,DE,FL,GA.HI,ID,IL,IA,IN,KS,KY,LA,MA,MD,ME,MI,MN,MO,MS,
MT,INC,ND,NE,NH.NJ,NM,NV,NY,OH,OK,OR,PA,Rl,SC,SD,TN,TX,UT,VA,VT,WA,WV,WI,WY,U.S.
Territories)
Region Note: Central air conditioners manufactured prior to January 1,2015 are eligible to be installed in all regions
until June 30,2016.Beginning July 1,2016 central air conditioners can only be installed in regions)for
which they meet the regional efficiency requirement.
The manufacturer of this G00DMAN product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of AHRI 2101240 with Addendum 1,Performance Rating of Unitary Air-Conditioning
&Air-Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored,independent,third party testing:
Cooling Capacity(A2)-Single or High Stage(95F),btu :18000
SEER: 16.00
EER(A2)-Single or High Stage(95F) : 13.00
t"Active"Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale;OR new models that are being
marketed but are not yet being produced."Produclion Stopped"Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
selling or offering for sale.
2gtinci s that are actor oanied by WAS indicate a n involu nta re-rate. The new ou blished ratin is h n al n with the repo i .WA ratio .
DISCLAIMER
AHRI does not endorse the product(s)listed on this Certificate and makes no representations,warranties or guarantees as to,and assumes na responsibility for,
the product(s)fisted on this Certificate.AHRI expressly disclaims all liability far damages of any kind arising out of the use or performance of the product(s),or the
unauthorized alteration of data listed on this Certificate.Certified ratings are valid only for models and configurations listed in the
directory at evWw,ab rid lrectory.org.
TERMS AND CONDITIONS ,
This CertNcate and its contents are proprietary products of AHRI.This Certificate shall only be used for individual,personal and
confidential reference purposes.The contents of this Certificate may not,in whale or in part,be reproduced;copied;disseminated; On
ILI
entered Into a computerdatabase;or otherwise utilized,in any fort or manner or by any means,except for the user's individual,
personal and confidential reference. AIR-CONDITIONING,HEATING,
CERTIFICATE VERIFICATION &REFRIFFl3ATION INSTITUTE
The information for the model cited on this Certificate can be varified at www.nh rid I rectory.org,click an"Verify Certlflcate'link make life bett"I
and enter the AHRI Certified Reference Number and the date on which the certificate was Issued, _
which is listed above,and the Certificate No.,which Is listed at bottom right. 1325W455930072404
02021 Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.:
S -row
This combination qualifies for a Federal Energy Efficiency Tax Credit when
■ placed in service between 1/1/2015 and 12/31/2020.
1
Certificate of Product Ratings
AHRI Certified Reference Number:201299487 Date:02-17-2021 Model Status:Active
Old AHRI Reference Number:7984229
AHRI Type:RCt1-A-CB(Split System.Air-Cooled Condensing Unit,Coil with Blower)
Series:GSX16
Outdoor Unit Brand Name:GOODMAN
Outdoor Unit Model Number (Condenser or Single Package):GSX160601F"
Indoor Unit Model Number{Evaporator and/or Air Handler}:ASPT61 D14A'
Region: All(AK,AL,AR,AZ,CA,CO,CT,DC,DE,FL,GA,HI,10,IL,IA,IN,KS,KY,LA,MA,MO,ME,MI,MN,MO,MS,
MT,NC,ND,NE,NH,NJ,NM,NV,NY,OH,OK,OR,PA,Rl,SC,SD,TN,TX,UT,VA.VT,WA,WV,WI,WY,U.S.
Territories)
Region Note Central air conditioners manufactured prior to January 1,2015 are eligible to be installed in all regions
until June 30,2016.Beginning July 1,2016 central air conditioners can only be installed in region(s)for
which they meet the regional efficiency requirement,
The manufacturer of this GO0DMAN product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of AHRI 2101240 with Addendum 1,Performance Rating of Unitary Air-Conditioning
&Air-Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored,independent,third party testing:
Coaling Capacity(A2)-Single or High Stage(95F),btu :54000
SEER: 16.00
EER(A2)-Single or High Stage(95F) : 1100
T"Active"Model status are those that an AHRI Certification Program Particlparnt Is currently producing AND selling or offering for sale:OR new models that are being
marketed but are not yet being prod umd.`Production Stopped"Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
selling or offering for sale.
Ratings that are accomrr,nied_by WAS indicate an involunta re-rate. The new published rating is shown alon9�with the previous(i.e.WAS)ratina. r�
DISCLAIMER
AHRI does not endorse the products)listed on this Certificate and makes no representations,warranties a guarantees as to,and assumes no responsi bit Ity for,
the product(s)listed on this Certificate.AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s)T or the
unauthorized alteration Of data listed on this Certificate.Certified ratings are valid only far models and configurations listed in the
d€recto ry at rx a,w,a h r€d I rectar y.org,
TERMS AND CONDITIONS �
This CertiFlcate and itss contents are proprietary products of AHRI.This Cetttncate shall only be used fof Individual,personal anti
confidential reference purposes.The contents of this Certificate may not.in whole or in part,be reproduced;espied;disseminated; `. r
entered into a computer database;a otherwise utilized,in any form or manner a by any means,except for the user's individual,
personal and confidential reference. AIR-CONDMIONING,HEATING,
CERTIFICATE VERIFICATION &REFRIGERATION IN$TIRJTE
The information for the model cited on this certificate can be verified at www.ahriditoctory.org,click on'Verily Certificate'link we 1pake life better"
and enter the AHRI Certified Reference Number and the date an which the certificate was issued,
which is listed above,and the Certificate No.,which is listed at bottom right.
©2021 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: 132580456407770888
Michelle Franklin, CFA--Saint Lucie County PropertyAppraiser--All rights reserved.
Property Identification
Site Address: 10308 Crosby PL Use Type:0100
See/TownlRange:33'365'39F Account#: 142185
Parcel ID:3327-709-0040-000-1 Map ID:33127N
Jurisdiction:Saint Lucie County Zoning:Planned Un
Ownership
Ofer Orr
Beth Genya Orr
10308 Crosby-PL
Port St Lucie,FL 34996
Legal Description
POD 26 AT THE RESERVF PHASE If CYPRFSSPOINT LOT 85
Current Values
Just/Market Value: $386,900 1
Asse,sed Value: $386,900
Exemptions: 50 ? _
Taxable Value: $396.900
Total Areas
Property taxes are subject to change upon Finis hed/Under Air(SF): 2,897
change of ownership. Gross Sketched Area(SF): 5,382
■ Past taxes are not a reliable projection of future Land Size(acres): 0.25
taxes.
• The sale of a property will prompt the re moral of Land Size(SF): 10,912
all exemptions,assessment caps,and special
classifications.
Building Design Wind
Taxes for this parcel: SLC Tax Collector's Office Speed
Download TRIM for this parcel:Download PDF
Occupancy Category I II 1I1&IV
Speed 140 150 160
Sources;finks:
A11 information is believed to he correct at this time,but is subject to change and is provided without any warranty.
C,Copyright 2021 Saint Lucie County Property Appraiser.All tights reserved.