HomeMy WebLinkAbout15-16341 , CITY OF ZEPHYRHILLS
r 5335-8TH STREET
(sss)�so-oo20 16 41
FENCE PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16341 Address: 5520 20TH ST
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCE/NEW Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 12-26-21-0020-00300-0050
Improv. Cost: 640.00 OWNER INFORMATION
Date Issued: 6/05/2015 Name: WES MANAGMENT LLC
Total Fees: 45.00 Address: 5520 20TH ST
Amount Paid: 45.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/05/2015 Phone: (813)312-1298
Work Desc: INSTALL WOOD FENCE 6 'X 120 '
CONTRACTOR S APPLICATION FEES
HOMEOWNER FENCE 45.00
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Ins ections Re uired
FINAL
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d) work not ready for
inspection when called e) permit not posted on job site� plans not at job site g) work not accessible.
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, state agencies or federal agencies.
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
Compl lans, Specifications and Fee Must Accompany Application.
All w shall be pertormed in accordance with City Codes and Ordinances
CO CTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
a�saao•oo2o City of Zephyrhills Permit Application Fax-813-780-0021
. Building Departrnent .
e
Date Received;, .- .=.- ,��'�^_..� Y- ;..�.y� ---� Phone Contact for Permittfn ��""�'�
._ ��t :. , , � r � --�3��-�Z�
O'wner's Fiame� � '.•t�V��'�" �I � ��`!� �--�� t-� Owner Phone Number �
Owner,' .Address ��$0� ��'��' ��'x �I N(� '� (�. p,Nner Phone Number ��-�-�' � d����
� . ., _ .
�,.�e�'+ � - � �r.� � �
Fee Slmplo Tltleholdar IVame v`��~S ' ''' ��������'�' Owner Rhone Number ��
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� - .1 �
Fee Simple Titleholder Address ���'U� ����"" ��'�t�'��} �d�-� (�-��-��� �G'��"'��"��--
JOB ApDRESS '..3'��0~2 C� ra�r9�� �rl ' � i-F H 1 L� .S }'"t.. ✓9'3$Zf LqT# �
SUBDIVISlON j t!�(C'� �,.-1��s �.b17 PARCEL ID# `2-- "'o�U `"' c��"'O 0 ca`�� - ClL}.`3�� -� bt$St�
(OBTA4NED FR01N PROPEEiTY TAX NO7ICE}
WQRK PROPQSEQ NEw coNSTe ADDJALT [� SIGN Q Q DEMO�ISN
e ' INSTALL 8 REPHIR
PROPOSED USE Q SFR Q COMM �' OTHER r'�=
TYPE OF CONSTRUCTIQN. Q BLOCK [_] FRAME Q STEEL �J
4=�r.sGG -��-�-- l� l'�'�a�� {^
dESCR1P'i7dN OF WORK D C�-� �'e�--�- ��'� "
BUILDlNG SlZE CY � SQ F04TAGE Z/�" �� HEtGHT C� ���
QBUILDING � �cL..� VAIUATiON OF TOTAL COt�lSTRUCTION
'tZJ
QELECTRICAL ($ —� RMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
�--
[�PWMBING �� �`t ,
' 'l
[�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION '�
QGAS Q ROOFING [,� SPECIAI.TY Q OTHER
FINISHED FLQOR ELEVATIONS FLOOD ZONE AREA QYEB NO
� -
BUILDER ;7 � ,j co�p,arnr �i�G/ 1���'����/ 1f��/�S' ^
SIGNATURE REGISTERED Y( N FEE CURRE� Y/N
Address License# �� �
ELECTRICIAN CONIpANY
SIGNAT'URE REGISTERED Y/ N FE@ CURRE� Y/N
Address Llcense# � �
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address i.icense# �^ --�
MECHANIGAL COMPANIf -
SIGNATURE REGISTERED Y/ N �e�cuw�en Y/N
Address� �.icanse# � �
OTHER COMPANY
StGNATURE REGISTEftED Y/ N . FEE CURREA Y/N
Address (.lcense# � �
RESiDENTIAL Attach(2)Plof Plans;(2}sets af Building Plans;(1)set of Energy�Forms;R-O-W Perinit for new construction,
Minlmum•ten(1.0)working days after.submittai date. Required ansite,Gonstructian Plans,Stormwater Plans w/Siit Fence installed,
Sanitary Factlities.&1.dumpste�Slte Worlc Rermit for subdivislonsJtarge projec#s
CdMMERC1Al. Attach(3)complete sets"of Building Plans plus a Ufe Safety Page;{i)set of Energy Forrns.R-O-W Permit for new consUuction.
Minimum#en{10)working days after submittal date. Required onsite,ConsVUCtlan Plans,Stormwater Plans w/S(It Fence installed,
Sanitary Fac]tiUes&i dumpster.Site Work Permit far ail new pro)ects.All cammerciai requlrements must meat compl}ance
SIGN PERMIT Attach"(2)sets of Eriginee�ed�P.lans. � .
"'*PROPERTY SURVEY required for all NEW wnstrucdan. l
Directlons: �
Fitl out application completely.
Owner 8 Contractor sign back af applicadon,notarized
!f aver 52500,a Notice af Commencement is required. (AtC upgrades over#7500}
i
i " Agent(for the�contraator)or Power of Attomey(for the owner)would be someone wfth notarized letter from owner authadz�ng same
DVER THE COUNTER PERMITTING {Front of App!lcatiaR Only)
Reroofs ff shingles Sewerrs Service Upgrades A/G Fences(Piot/�urvey/Footage)
Driveways-Not over Counter if on publfc roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned under.stands°�that this.p�tmit.may be.sub)ect to"deed"restrictlons"
which may be:more:r.est�ictive=th�n County regulatlons. �The und'ersigned assumes responsitiility for compllance with any
appHcable deed restrictions. �
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONS181LITIES: If the owner has hired a contractor or
contractors to undertake work, they may be requir�d,to be<Ilcensed In accordance.wtth state.and•local regulations. If the
cont�actor is not Ilcensed as required by law, both the owner and cont�actor may be cited for a misdemeanor vtolation
under state law. If the owner or Intended�contractor are-uncertaln as to what Iicensing.requlre�nents may apply�for-the
intended work, they are advised to contact the Pasco County Bullding Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has htred a cmnt�actor or contractors. he is advised to have the contractor(s) sign
portions of the "contractor Block° of thls application for which they wilt be responsible. If you, as.the owner sfgn as the
contractor, that may be an Indication that he Is not.properly Iicensed and is not entl8ed to permitting privileges in Pasco
County.
TRANSPORTATION.IMPACTIUTILITIES IMPAC7 AND RESOU�tCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and.Recourse Recove.ry.Fees may apply to the constructlon of new buildings, change of
use in existing buildings, or.expansion•of-exi§tin�g`buildings, as speclfied in Pasco County Ordinance number 89-07 and
90-07, as amended. The undetsigned also understands, that.such fees�..as�may be�.due; will.be identified at the time of
permitting. It Is further understood that Tra�sportation Impact Fees and`Resource Recorrery�Fees must be paid prior to
recetving a "certiflcate of occupancy" or flnal powec release. :If�.the project does not in�olve a certiftcate of occupancy or
_�fiaal_power-eelease,-tfi�-fees-must-be-paid-prior ta=permtt=lssuance:F�rthermore,,if-Pasao County INatertSewer Impact
fees are due, they�must be-paid prior to permit-Issuance-In accordance with applicable Pasco�.County ordinances.
CONSTRUCTION LIEPI LAW(Chapter 713� Florltla Statutes�as amended): If valuadon of work is$2,500.00 or more, I
certify that I, the applicant, have.been provlded with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide° prepared by the Florida Departmenf of Agric.ulture and Consumer Affairs. If the appl(cant Is someone
other than the°owner", I certify that I have.obtained a copy;of the above.described document=and.promise in,good faith to
deliver it to the°owner"�prior to�commencement:
CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify.that all the Inf.ormation In this appltcatlon is accurate and that all work
will�be done in compliance with all applicable laws regulattng construction, zoning and�-land development. Appitcatlon (s
hereby made to obtatn .a permit to do work.and Installation as Indlcated. °I certffy that no work or Installation has
commenced prior to issuance of a perm(t and th�t all work will be performed to meet standards of all laws regula�ing
construct(on, County and City codes, zoning regulations, and land development regulations�in the jurisdlction. ( aiso �
certify that 1 understand that the regulations of other government agencies may apply�to the intended work, and that it is ��
my responsibility to identify�what.actions I must tak�.to be,in:.compliance: S,uch agencles include but are.not Ifmited to: �I
- Depa�tment of Environmental Protection-Cypress.Bayheads, Wetland Areas and Ern(ronmentally Sensitive '
Lands,WaterNVastewater Treatment.
- Southwest Florida Water Management� .District-Wells, Cypress. Bay_heads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawails, Docks, Navigable Waterways.
- Department of Health � Rehabilitative Serv(ces/Environmental Health Unit Well.s, Wastewater:Treatment,
Septtc Tanks. ,
- US Environmental Protectlon Agency-Asbestos abatement. , ,
- Federal Avlat(on Authority-Runways.
I understand that the following.restrictlons apply to tV�e use of flll:�
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the fiil material is to be used in Flood Zone. "A", it. is understaod that a drainage plan addressing a
°compensating volume" will be submitted at time of permitting wh(ch is prepared by a professional engineer
Iicensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A� in�connection�with.a�permitted buflding using stem wall
construction, i certiry that fill•:wall=b.e used oniy.to.flll the area wtthin the�stem•wall. ��,;.s,
- If fiil materlal Is to be used in any area, I �certify that .use of such'flll will not adversely �i�s�t adjacent
p�operties. If use of flll is found to adv�rsely_:�ffect adJaeent�=properties,.the owner may be clted for violating
the conditions of the building,permit is�ued�under the°attached�permit application, for:lots_less than one (1)
acre which are elevated by flll, an engln�ered drainage pian is required.. .
If I am the AGENT FOR THE OWNER, I;>promise in good faith to Inform the owner of�the permitttng condit(ons set.forth in
this affidavtt�prior to commencir�g:c4nsttuction. I understand that a-separate permit may be requtred for electrical work,
plumbing, signs, wells, pools; air Conditioning,.gas, or�othec install�tions nol.speciflcally included in.the application. .A
permit issued shall be construed to be a'Iicense to p�oceed with the�work and not as.authority to..violate,cancel, alter, or
set aside any provisions of�the technical cod�s; nor shaii 0ssuance�of a.permit.pcevent the Bulldirig Oiflcial from thereafter
requfring a correction af eITOrs in.plans, constn�ction or violatlons of any codes. Every permlt issued shall become invalid
unless the work�authorized 6y such permit:is-commenced•withfn siX months of permlt issuance, or tf work authorized by
the permtt Is suspended or.abandoned for a:perfod of�six(8)�months.after the time the�work Is commenced. An extenslon
may be requested, in wciting, from the Buflding,Offlcial for a period=not to exceed ninety�(90) days and�will demonstrate
justifiable cause for.the extenslor�. If work ceases for ninety(90)consecutive days,..the Job is considered aba�doned.
WARNING TO OWNER: YOUR FAILURE.TO,REC.ORD A.MOTIGE:OF�COMMENCEMEN7.MAY°RESULT IN YOUR
PAYING TWICE;FOR:IMPROVEMENTS-TOYOUR�:PR�OPERTY.„IF-YO.U��IN�END�'TO�OBTAIN�FIN�ANEING,'C�NSULT
WIT Y UR D �O_ AN A O NEY OR�� CO f:' OUR= �C °O .� �' E CE
FLORIDA JURAT(F.S..t17.03 - " • �
OWNER OR AOENT CONTRACTOR
Subscribed and swom to(or aRi e )b s Subscribed and'swom to(or aflirmedpbefot�e me'fFii�
by -bY
VYho islare personally known to.me or hasR�aye produced Who Is/are personalty knovm:ta me:or h,asihave�produced •
� as IdenBficatlqn. as IdendBcaUon.
I � -
Notery Public Notary Public
Co sslon No. � Commisslon.No.
;�'�:+.r6,� JOEL E.B •
:� :__ Commfssion#FF 137073
Name of Notary � �d 6x� @9 , Name of Notary lyped,pdnted or stamped
��'�R��°.•`�` BondedTNu Troy Fain Insurence 800385-7019 '�
� i
12-26-21-0020-00300-0050 � Pasco County Property Appraiser Page 1 of 1 �
:. '
Mike Wells Pasco County Property Appraiser
Data Current as Of: Weekly Archive - Saturday, May 30, 2015
Parcel ID 12-26-21-0020-00300-0050 (Card: 001 of 001)
Classification 01 - Single Family
Mailing Address Property Value
NATIONSTAR MORTGAGE LLC Ag Land $0
350 HIGHLAND DR Land $10,575
LEWISVILLE TX 75067-4177
Physical Address Building $69,153
5520 20TH ST Extra Features $225
ZEPHYRHILLS FL 33542-4548
Le4al Descriotion (First 4 Lines) )ust Value $79,953
YINGLINGS ADDITION TO
ZEPHYRHILLS PB 2 PG 16 NORTH Assessed (Non-School Amendment 1) $72,361
11.75 FT OF LOT 4 BLOCK 3 LESS
WEST 15 FT THEREOF;&LOT 5
7urisdiction Non-School Taxable Value $72,361
Citv of Zephvrhills School District Taxable Value $79,953
Warning: A significant taxable value increase may occur when sold
Click here for details and info. regarding the posting of exemptions
Land Detail (Card: 001 of 001) �
_ Line_j_ Use IDescription�Zoning_� Units `Type ; _ Price�Cond,ition Value
1 � 0100 j SFR� OOR2 � 5,875.00 � SF ; $1.80 � 1.00 < $10,575
Additional Land Information
__.,.....__. --T`"---'-._--___._-__---- '-----
---�---- --'__----- i �� FEMA � __ � i
Acres � 0.13 ; Tax Area � 30ZH i Code � ,Residential Code; ZHLGLP3
i I !
Buildina Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1994 Stories 1.0
Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 Concrete or Cinder Block
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Drywall Interior Wall 2 None •
Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air- Ducted
A/C Central Baths 1.0
_ ,Line __��Description I Sq. Feet � Repl. Cost New _
----____-- 1 —��-� �--__— BAS � T 1,404 ^---� �^ $76,953
- ---- -- -- -----
2 i FGR ' 240 '-------J- $5,262
--_._____.___3___�._______�_------__.FOP---------� -_�_________-$----___._i--_.____..-.--- --.�_—
j $110
___ __Extra Features Card: 001 of 001
----�____ -- - --� -- ---�-----_____. _
--___ �.—� —_ . _.,.
Line � � Description Year Units Value
--- --- —�- - — �--- ---�---
1 � DWC � 1994 � 140 � $225
Sales Historv
Previous Owner: BRUGNONE CASSANDRA YORK
___ '-_-__.._��_"__ -____ _ '__""___ �__"__`_____�T
___Month/Year_# Book/Page__ _�____ __Type �DOR Code I Condition ( Amount
- � �.. ---t---- —_____- --- —
,02/2015T ; 9156 / 1831 Certificate of Title � ^ 12 ' Improved � $50,500
_ ��__.—____ � �
----.�._
03/2010 i 8297 / 0649 ' --r-----___�.�__�� _
Probate (Civil) � 11 � Improved T $0
---.—._________�_ _ ___I ________.____.__..___.__�_�—------.---!--_____..___----'--__ ___
12/1994 � 3374 / 1195 � Warranty Deed ; ; Improved ; 500
$54,
` _ _. - - - - - _ - .
http://www.appraiser.pascogov.com/search/parcel.aspx?parce1=2126120020003000050 6/5/2015
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A. Settlement Statement U.S.DepartmentoiHousing
and Urban Development OMB Approval No.2502-0265
B.rype of Loan
1.l7 FHA 2.❑ RHS 3.O Conv.Unlns, e.Fle Number 7.Loan IJumber 8.Mortgage Insurance Case Number
� 4.O VA 5.❑ Conv.lns. TG158391
C.Note: This form is tumished to give you a statement of actual sat�ement casts.Amaunts paid to and by lhe settlement agent are shown.Items
marked°(p,o.c.)°were peid outside lhe dosing;they are shown here for Infarmation purposes and are not InGuded In the toWls.
D.Name end Address of Barrower E.Name and Address of Seller F.Name and Address af Lender
WE5 MANAGEMENT,LLC,a Flo�ida NatlonslarMartgage LLC
lJmlted Ua61Aty Comparry 8850 Cypress Waters Bivd.
29B04 Cedar Waxwing DAve CoppeIl,1X 75063
Wesley Chapel,FL 3354b
G.Property Location H.Settlement Agent
5520 20Ui S4 TYLER A.GOLD,PA
Zephyrhlls,FL 33542 1250 5 Pine Island Rd,A450,Planta4on,FL 33324
Place of SetUement 1.Settlament Date �
7250 S PINE ISLAND ROAD 05129/15
SUffE 450 (854)565-5577
PLANTATION,FL 33324 05l28115
J.SUMMARY OF BORROWER'S TRANSACTION: K.SUMMARY OF SELLER'5 TRANSACTION:
100. GROSS AMOUNT DUE FROM BORROWER 400. GROSS AMOUNT DUE TO SELLER
101. Controcl salas r(ce 88 725.00 401. Conlract sales rTce BB 725,00
102. Personal ro e 402. Personal ro eA
103. Settlement char es to borrower Iine 1400 382.00 403.
104. 404.
105. 405.
Ad ustments for Items ald b seller in advance Ad ustrnents for Items ald b seller In advanee
108. CI Itown laxes l0 406. Ci ftown laxes to
707. Coun taxes l0 407. Coun taxes to
108. Assessments to 408. Auessments to
109. 409.
110. 470.
111. 411.
112. 412.
120. GROSS AMOUNT DUE FROM BORROWER 69107.OD 420. GROSS AMOUNT DUE TO SELLER 88 725.00
200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER 500. REOUCTIONS IN AMOUNT TO SELLER
201. Deposll of eamest money 3 000.00 501. Excess Deposft(see instructions)
202. Princfpal amount of new loan(s) 502. Settlement charges to seller(Ilne 7400) 13 088.08
203. Existing loan(s)taken sub)ect to 503. Existing loans taken subJect to
204. 504. Payoff of flrst martgage loan
205. 505. PayoB of ceco�d mortgage loan
206. 506.
207. 507.
208. 508.
209. FJ�RLY CLOSING INCENTIVE 500.00 509, EARLY CLOSING INCENTIVE 500.00
Ad ustments for Items un ald h seller Ad ustments for Items un ald b seller
210. CI /towntaxes l0 510. Cf /towntaxes to
211. Coun taxes 01lO7 to 05/29 591.58 511. Coun taxes 07/01 l0 05/29 591.59
212. Assessments to 512. Assessments to
213. 513.
214. 514.
215. 515.
i 218. 518.
217. 517.
218. 518.
219. 519.
220. T07AL PAID BY!FOR BORROWER 4 091.59 520. T07AL REDUCTION AMOUNT DUE SELLER 14179.65
300. CASH AT SETTLEMENT FROM OR TO BORROWER 600. CASH AT SETTLEMENT TO OR FROM 5ELLER
301. Gross amount due from barrower Iina 120 89107.00 601. Gross amount due to seller lina 420 88 725.00
302. Less amounts ald b/for borrowef line 220 4 091.59 802. Less reduction amount due to sellef fine 520 14179.65
, 303. CASH FROM BORROWER 85075.41 803. CASH TO SELLER T4545.35
, SUBSTITUTE FORM 1099 SELLER STATEMENT The Informatlon contalned hereln Is ImpoAant tax In(omtallon and is baing fu�niahed to the Intamal Revenue Service.If you ere requl�ed to file e tetum,e nagligance
panally or other eanetion will be imposed an you if lhls(tem is required to be reported and the IRS delertnlnes that It has not baen feported.The Contrect Sales Pr1ea described on Line 407 ebove constitutes the Grou
Proceeds of lhls transaclfon.
SELLER INSTRUCTIONS; To determine I(you have to report lhe sala or exchange of your primery resldance on your lax raWm,see lha Schedule D(Form 1040)InsWctions.If the real estate was not your primary
resldance,complete the applicable paAs o(Form 4797,Form 6252,and/or Schedule D(Fortn 1040).
You are requlred by law to provide lhe settlement agent with your cortect taxpayer itlenlificatfon numbe�. If you do not pravida your correct laxpayer ldantificaGon number,you may be subJact to dvil or criminal penaltles
Imposad by lew.Undar penalties of peryury,I certify that the number shown on this slatement is my carrect laxpayer identification numbef.
Orr2&2015 at 2:54 PM form HUD-1(3186)ref Handbook 4305.2
I.S.DEPARTMENT OF NOUSING AND URBAN DEVELOPMENT SETTLEMENT STATEMENT PAGE 2
1.SE7'LLEfWENT CHARGES: File Number.TG759391 PAID FROM PAID FROM
700. TOTAL SALES/BROKER'S COMMISSION based on rice S 84 500.00 = 2 773.75 BORROWER'S SELLER'S
FUNDSAT FUNDSAT
Divlslon oi commission Iine 700 es follows: SETTLEMENT SETTLEMENT
701. S 1 328.75 to CHARLES RUTENBERG REAL7Y INC.-150 E uator Fee
702. S 845.00 to Peo les Cholce Real
703. Commisslon aid at SetUement 2173.75
704. Out oi State Refertal Fee HSSS 1 690.00
800. ITEMS PAYABLE IN CONNECTION WITH LOAN P.O.C.
801. Loan Ori (natlon Fee °/a
802. Loan Dis�unt °k
803. A ralsal Fee ta
804. Credit Re ort to
805. Lender's Ins ectlon Fea to
806. Mt .Ins.A IicaGan Fee to
807. Assum tion Fee to
808.
809.
810.
811.
812.
813.
814.
875.
900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE
901. Interest from to S !da
802. Mort a e Insurenee Premfum to
903. Hazard Insurance Premium .to
904.
905.
000. RESERVES DEPOSITED WITH LENDER FOR
001. Hazard Insurance mo. S /mo.
002. Mort a e Insuranee mo. $ !mo.
003. Ci ro e taxes mo. S !mo.
004. Coun ro e taxes mo. $ !mo.
005. AnnualAsseasments mo. S /mo.
008. mo. 5 /mo.
007. mo. $ /mo.
008. A re ate Reserva for Hazard/Flood Ins Ci lCount
10fl. T(TLE CHARGES �
101. Serilement or closin tee to TYLER A GOID PA. 300.00 1 050.00
702. Abstract or tWe seareh to TITI.E 365 275.00
703. Ti�e exeminadon to
104. Title fnsurance binder to
705. Document re aratlon to
108. No fees to
107. Attome s fees lo
nGudes ebove item No:
108. Title Insuranee to 'fYLER A.GOLD P.A.IWestcor Land TiUe Ins 510.60
mctudes above kem No:
109. Lenders covera e
110. Owner's eavera e 88 725.00-510.60
111. POLICY SURCHARGE TITLE 365 3.28
112. MuniG al L1enlfex Searoh RELIABLE LIEN SEARCH 140.00
113, TiRE UPDA7E FEE TfRE 365 75.00
200. GOVERNMENT RECORDING AND TRANSFER CHARGES
201. Recordin fees Deed 5 27.00 •Mort a e$ Releases$ 27.00
202. Ci /coun lstam s Deed$ �Mort a e S
203. State tax/stam a Deed S 621.60 ;Mart a a S 621.60
204. Intan ible Tax Deed S �Mort a e$
205.
300. ADDITIONALSETTLEMENTCHARGES
301. Surve to
302, Pest ina ection to
303. B er's Premlum Homeseard�.com 4 225.00
304. Coo raGn Bmker Fee SOLUTIONSTAR REALTY SERVICES LLC 1 056.25
305. FEDERAL EXPRESS dee 7YLER A.GOLD PA. 11.00
308. COUREIR FEE T(LER A GOLD P.A 20.00
307. DI ital Slora e Fee ROI SYSTEMS 1NC. 35.00
308. UTILITY BALANCE CffY OF 2EPHYRHILLS 1 258.58
400. enter on lines 103 and 502 Sectfons J and 382.00 13 088.06
iave cerefully reviewed the HUD-1 SetUement Stetemant and to the bast of my knowledge and belief,it is e true and axurdte statement of all receipts and disbursements made on my account or by me in this
��y/�ection.I er ecrti�fy-�thye�t I_hauv-e-r,e,c�eiv�ed a capy�th��e��IFjI -1J�$g tt�le�m�en�t S�tateme L
I�'e�-��9� 1 v�fWLL� LlI.Yo �^�d'C4t�vnM ��Z���Jr
�L��}�A,=�m A�ri l-lo� ���'"""� SP2`i�IS
ie HUD-1 Seltlemenl Statement which I have prepared is a We and ecwrate eccount of this Vansaction. I have pused or will cause the funds to ba disbursed in accordance with th(s statement.
'-----.^ .^^,^•• inrm HI II�1 l�/AR1 mi Handhnnk 4305 2 i
- I
U.S.DEF�ARTMENT OF HOUSING AND URBAN DEVELOPMENT SETTIEMENT STATEMENT PAGE 2
L.SETTLEMENT CHARGES: File Number.TG759391 PAID FROM PAID FROM
700. TOTAL SALESIBROKER'S COMMISSION based on rlca 84 500.00 2 173.75 BORROWER'S SELLER'S
FUNDS AT FUNDS AT
Dlvisfan of commission Ifne 700 as follows; SETfLEMENT SETTLEMENT
701. 7 328.75 lo CHARLES RUTENBERG REALTY INC.-150 E atar Fee
' 702. 8 845.00 to Peo les Cholce Real
703. Commission ald at Settlemenl 2173.75
� 704. Out af State Refertal Fee HSSS 1 690.00
� B00. ITEMS PAYABLE IN CONNECTION WITH LOAN P.O.C.
801. Loan Orl inaqan Fee °�
802. Loan Dlscaunt %
' 803. A raisel Fee to
804. Credlt Re ort lo
805. Lender's Ins ectlon Fee lo
808. Mt .Ins.A Ilcadon Fee to
807. Assum tian Fee to
809.
809.
810.
811.�
812.
873.
e�a.
815.
800. ITEMS REOUIRED BY LENDER TO BE PAID IN ADVANCE
901. Interest from lo S /da
902. Mart a e Insurance Premium to
803. Hazard Insurance Premium .to
904.
905.
1000. RESERVES DEPOSITED WITH LENDER FOR
1001. Hazard Insurance mo. 5 /mo.
1002. Mort a e Insurance mo. 5 /mo.
1003. Cit ro e texes mo. $ /mo.
10D4. Coun ro eA taxes ma. $ /mo.
1005. MnualAssessments mo. $ Imo.
1008, mo. $ I mo. I
1007. mo. S I mo.
1008. A re ate Reserve for Hazard/Flaod Ins CI lCount
1100. TITLE CHARGES
1101, Setllement or closln fee to TYIER A.GOLD P.A. 300.00 1 050.00
7702. Abstract or Utle search to TI'RE 385 275.00
1103. TiOe exeminatlan to
1104. Title Insurance binder to
1105. Document re aretion lo
1108. Nota fees to
1107. Attome s Tees to
Includes abave Item No:
11oB. Title insurance to TYLER A GOLD P.A./Westcor Land TIDa Ins 510.60'
ncludes above Item No:
1108. Lenders covera e
1110. Owner's covera e BB 725.00-510.60
1171. POLICY SURCHARGE TffLE 365 3.28
7112. MunIG al lJen/Tax Search RELIABLE LIEN SEARCH 140.00
1113. TfRE UPDATE FEE TITLE 365 75.00
1200. GOVERNMENT RECORDING AND TRANSFER CHARGES
1201. Recordln (ees Deed$ 27.00 Mort a e$ •Releases 27.00
1202. Cit/wun /stam s Deed S •Mort a e S
1203. Slate ta�dstam s Deed$ 621.60 •Mort a a$ 621.60
1204. Inlan Ible Tax Deed$ •Mort a e$
1205.
1300. ADDITIONAL SETTLEMENT CHARGES
1301. Surve lo
1302. Pest Ins ection lo
1303. B ersPremium Homesearch.com 4225.00
1304. Coo eratin Broker Fee SOLUTIONSTAR REALIY SERVICES LLC 1 05625
1305. FEDERAL EXPRESS deed TYLER A.GOLD PA. 11.00
1306. COUREIR FEE TfLER A.GOLD PA. 20.00
t307. DI Ilal Stora e Fae ROI SYSTEMS INC. 35.00
f 308. UTILITY BALANCE CITY OF ZEPHYRHILLS 1 256.58
1400. enter on Ilnes 103 and 502 Sections J and 382.00 13 088.08
hava carafully reviewed the HUD-1 Sattlemant Stetamant end to the bast oi my edge and beliaf,II Is e true and accurate statament of all racaipts and dfsbursements made on my account or by me I�fhts
ransadion.I furthe�certify that I hava recelvad a wpy of the FIUD-7 e ment- taterti nt
:
`'GLGE'y -1� 5/28/15
fha HUD-1 Setllemanl Stalement which I have repa and accurate account of Ihis transadion. I have caused or will cause lhe funds to be dlsbursed in eccordanca with this statemenL
05-2B-2015 at 2:54 PM fortn HUD-i(3l88)ref Handbook 4305.2