203 Hidden Lake Dr; 17-2474; AC CHANGEOUTWA
AUG.14 201T
Bv:
I
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 119 Jy% Documented
Construction Value:. °O o0 Job
Address: 610,3 [•dc o.c..'AtL—• '!s,"AprZJA . Historic District: Yes No Parcel
ID: I o &03 05-0 4 0 0 0 oo 0 1 U Residential ® Commercial Type
of Work: New Addition Alteration Repair Demo Change of Use Move Description
of Work: QnG•^ a_ d v S qS} aH.1 Plan
Review Contact Person: D-e a U Title: Phone:
Fax: Email: Property
Owner Information Name
gcnzry ,tom Street:
203 tilt "n - City,
State Zip:%TeA 3`133 Phone:
Resident
of property? : Contractor
Information Name
ZA& A% 1141 5' Phone: 3 Sa —Spa---Lf?a fo Street:
t1600 Fax: City,
State Zip: u r""i- State License No.: t-4t-1 d l 64e s Name:
Street:
City,
St, Zip: Bonding
Company: Address:
Architect/
Engineer Information Phone:
Fax:
E-
mail: Mortgage
Lender: Address:
WARNING
TO OWNER: YOUR FAILURE. TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED
AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
Application
is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced
prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in
this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces,
boilers, beaters, tanks, and air conditioners, etc. F11C
105-1 Shall be inscribed with the date ol'application and the code in elTect as ofthat date: S'" Edition (2014) Florida Building Code Revised:
June 30, 2015 Permit Application I I 1 0 1 01
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be
found in the public records of this county, and there may be additional permits required from other governmental entities such as water
management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required
in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal.
The actual construction value xill be figured based on the current [CC Valuation Table in effect at the time the hermit is issued, in
accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value,
credit will be applied to your permit fees when the permit is issued.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
ignature of OwmerfAgent Date Signarurc of Contractor/Agent Date
rroaucca lu t ype or W rroauceu tL
s Nam
N k ?-Iq- VnIurida
Date is
Personally Known to Me or Type
of ID BELOW
IS FOR OFFICE USE ONLY Permits
Required. Building Q . Electrical Q Mechanical ..f ' Plumbing0 Gras Roof.[] Construction
Type: Total
Sq Ft of Bldg, Occupancy
Use: Min.
Occupancy Load: New
Construction: Electric - # of Amps Fire
Sprinkler Permit: Yes 0 No # of Heads APPROVALS:
ZONING: ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Flood
Zone: of
Stories: Plumbing - #
of Fixtures Fire
Alarm Permit: Yes Q No 0" WASTE
WATER: BUILDING:
Revised:
Jane 30, 2015 Permit Application
SCPA Parcel View: 10-20-30-504-0000-0010 Page 1 of 2
JId
Johow, CFA 0*1 PIP
Serwcx6
oou m: Fl.o tion Parcel
information Property
Record Card Parcel:
10-20-30-504-0000-0010 Owner:
HANSON NORMAN L Property
Address: 203 HIDDEN LAKE DR SANFORD, FL 32773 Parcel
10-20-30-504-0000-0010 Owner
HANSON NORMAN L Property
Address 203 HIDDEN LAKE DR SANFORD, FL 32773 Mailing
8005 BELLS CAMPGROUND RD POWELL, TN 37849- Subdivision
Name RAMBLEWOOD UNIT 2 Tax
District S1-SANFORD DOR
Use Code 01-SINGLE FAMILY Exemptions
I
Seminole County GIS I
Value Summary 2017
Working Values
2016
Certified Values
Valuation
Method Cost/Market ; Cost/Market Number
of Buildings 1 1 Depreciated
Bldg Value 98,901 M $
90,
256 600
1 $600 DepreciatedEXFTValueLand
Value (Market) 23,000 $21,000 Land
Value Ag Just/
Market Value " 122,501 111,856 Portability
Adj Save
Our Homes Adj 0 0 Amendment
1 Adj 0 0 P&
G Adj 0 0 Assessed
Value 122,501 111,856 Tax
Amount without SOH: $2,242.23 2016
Tax Bill Amount $2,242.23 Tax
Estimator Save
Our Homes Savings: $0.00 Does
NOT INCLUDE Non Ad Valorem Assessments http://
parceldetail.scpafl.org/ParcelDeta.ilInfo.aspx?PID= 1020305 0400000010 8/14/2017
SCPA Parcel View: 10-20-30-504-0000-0010 Page 2 of 2
Description Year Built Units Value New Cost
FIREPLACE 1 112/1/1981 I 1 I $600 1$1,500
http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=10203050400000010 8/14/2017
Date: 08/12/2017
Q-Five Air & Heat Number: P- 1042
11600 Grace Lane
Clermont Florida. 34711
352) 552-4226 - Dean Quandt
FL State License Number: CAC 1818415 Pry osal
Name: Kimberlee Franks Nol M Qh Hanson Writer: Form Writer
Address: 203 Hidden Lake Dr System Type: Split
City: Sanford Brand Name: Goodman
State: Florida Refrigerant: 410a
Zip Code: 32733 Tonnage: 3
Phone: 321-296-5176 Location: Garage
Email: I kmberlee@selfastrealt .com Alignment: I Vertical
Equipment List
Description Model Number Series Brand SEER Width Warranty Qty Cost
Condensing Unit
Air Handler
Heat Kit
GSX140361K
ARUF37C14A
8 KW
Goodman
Goodman
Goodman
14
14
10
10
10
1
1
1
1 2,909.25
Equipment Notel Sub Total
Equipment Note2 Tax
Equipment Note3 Total Materials
2 909.25
290.93
3 200.18
Labor Cost
10 YEAR WARRANTY ON GOODMAN EQUIPMENT
1 YEAR WARRANTY ON LABOR AND SMALL PARTS
Total Bid $3,200.18
Three Thousand Two Hundred US Dollars and El hteen Cents
Proposal Notel
Proposal Note2
Proposal Note3
Q-Five Air & Heat, highly appreciates the opportunity to provide this proposal. We are looking forward to hearing from you.
If you have any questions please call us at (352) 552-4226
By signing this proposal, I do agree with the terms and conditions stated in the above.
YMMa4'1 I 1
Signature Page: 1 of 1
q 11-17
Date: