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Home My WebLink About15-16389 * CITY OF ZEPHYRHILLS ' S335-8TH STREET ' �sis��8o-oozo 1638 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 16389 Address: 38832 B AVE Permit Type: RE-ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: MOORES FIRST ADDITION Est. Value: Parcel Number: 14-26-21-0010-02700-0011 Improv. Cost: 6,800.00 OWNER INFORMATION Date Issued: 6/23/2015 Name: CROOK IRL F. Total Fees: 105.00 Address: 38832 B AVE Amount Paid: 105.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/23/2015 Phone: (813)469-0909 Work Desc: REROOF METAL CONTRACTOR S APPLICATION FEES CAPS ONE CONSTRU TI REROOF RESIDENT 105.00 �� r / ��/ 1 `� s�� '�` � S �— c S � �� Ins ections Re uired DRY N ROOF INSP TAPE JOINTS ROOF INS� 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. "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing,consult with your lender or an attorney before recording your notice of commencement." Complete Plans,Specifications Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFO C.O. � RACTOR SIGNAT r PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER �zs-7eaoozo City of Zephyrhills Permit AppEicatian Fax 813-78Q-0021 ; Building Department Date Received � Phane•Cantact forPermittfn � 3SZ �6 - 7b s3 Owner's Name Owner Phone Number Owner's Address dwner Phone Fiumber � `- � Fee Sfmple Titleholder Name � � Gwner Phane Number � � Fee S1mple Tf!lehoider Address ' JOB ADDRESS � (/G• _ L07# �_� SUBDNISION �� PARCEL Ib# - �O� -C� (OBTAINED FROM PROPER'iY TAX NOTICE) WORK PROFOSED NEW CONSTR ADD/A�T � SIGN Q Q DEMALISH � e iNSTAR.L 8 REPRIR , PROPQSED USE- Q SFR Q COMM � OTHEFt TYPE L1F CQNSTR!lCTION Q Bl.00K Q FRAME Q S'TEEL Q � DEBCRIPTION OF WORK ^./�' BUILDING SIZE � � F TAGE G7O HEIGHT �_,_� QSUI�DING $ VALUATION OF TOTAL CQNSTRUCTION QELECTRICAL �6� AMP SERVtCE Q PROGRESS ENERGY Q W.R.E.C. [�PLUMSING $ +G`��,,,/� � C,�� l �+�'- 1� OMECHANICAL $ VRLUATION 4F MEGNANICAt�tNSTAlIATiON ��5� �� OGAS L] ROOFING Q SPECIALTY �] OTHER � �� F{IUISH�Q FLOOR ELEVATlONS FLOOD ZONE AREA QYES Af0 BUI�DER COMPANY . , SlGNATURE r�cESTER�o- Y/ N �E CURREh Y t N Address L`fcense# I I ,� EIECTRICIAN COMPANY SIGNATURE �EC�sTet�eo Y 1 N FEE CURREh Y!N Address License# �� I PIUMBER � Ct}MFANY SIGNATURE REGiSTERED Y 1 N FEE CURREP Y!N Address License# � � MECH/WICAL COMPANY SIGNATURE R��s7ett�o Y/ N FEE GURREf� Y/N Address License# �� OTHER ,'�� COMPANY � £? t.? !`'l� SIGNATURE REGISTERED /`N FEE CURREA Y i(V Address �e '�J?� Ucense# ��i /_� .� �''0 � � RESlDENTU4� Attach 2 Flot Plans;.2 sets_of;Bulldin "Plar�s; 1 set of Ene Parms;R-O-W Permlt for new construct3on, � ) � ) 9 { } r9Y. t. Minimum.ten(1Q)•working;days after.submlthal date. Required onsite,Construction Plans;Stormwater Plans w!Silt Fence instailed, Sanitary Fac3fitles.&:1 dumpste.r,Site Work:P.ermit for subdivisionsAarge-projects ' COMMERCl/�t. Attach{3}compiete sets of Buiirling Pians plus a Life Safety Page;{i)set of Energy Forms.R-Q W Permit far new consiruc�on. Minimurn ten{1q)warking days'after submittal date, Requfred onsite,ConstruoBon Plans,Stormwater Plans w!Siit Fence tnskalled, Santtary Facllities&1 dumpster.Site Work Permit for atl new projects:Ali commercial requlrements must meet compllance " SIGN P�RMIT Attach{2)sets of Engineered Plans.�.:: � , . ""•PRQPERTY SURVEY required foral!NEW construcBon. pirectians: � ' ` ,~� FIII aut applicaUon completely. ,� � �° ' Owner 8�Contractor sign back of applCcatlon,notarizet�_,� � ; "; �y,` If aver 52500,a Notice of Commenaement is requi'red:.=(AlC�apgradas aver;675d0) :-.��..,,,;�,-...1._,..., " Agent(for ttie cantrector}orPower�of Attomey(for,the owner):wouid be someone with notarized letter from owner authorizing same OVER THE COUFlTER RERMI'�TiNG°'l��" (�ronf of Appiioafion Qn1Yj.-•;; . � Reraofs 1f shingles Sewer& Service Upgiades'A+tG•;;...Ferices{Piot(SurveyiFootage) � ; ::,�� :..,. ...,:, '.....,.� ,. , �:� , �.,.::- +R.:a-sst.�.,•.-t-.�_.vr.t.._�_�v.:: Driveways-Not over Counte�if'on pu�iifc roadways..needs ROW N0T10E O�DEEO RESTRICTIONS: T�e undersigned under�tands:th�t.tMs.pecmit.may.be�subJeat toh"deed",restrtcliqns" � _ , which may 6e4rnore�ces#�t�tive�th�n Co��tty�'�eg�Eafl�ns.``The�ur�der"slgned�assumes°�espor�sitiili#y far�cori�pliance with ariy . ., appAcable deed restrictions. • UNE.lCEMSED GONTRACT{JRS�AND Ct?NTR.AGTOR RESPONSlBILiTlES: �tf the owner has•hir.ed a con#raator or contracfors to undertake work, they may be requlred:_to.be;ltcensed in accardance.with state.and•local regulations. If the = - contractor Is not I(censed as required=by law� both the owner and�conuactor•may be�clfed-for a��misdemeanar vlolatton under state Iaw. If fhe owner ar fntended�contrac#or are�unce�tain as #o wha# licensing.requirements,rnay appty:��for'the ° intended wark, they are advised to contact the Pasco County Bullding Inspection Divislan—Licensing 8ection at 727-847- 8008. Fu�#hermore, ff the owner tias hited a cantracto� vr aontractors, he is advlsec! to have #he contractor�s) sign � portions of the "contractor Biack° of this appilcatian for which they, wlll be.r�sponsibie. .If you, as.#he own'er�s(gn�as the ` eontractor, that may be an indication that he Is not.properly Iicansed and Is not entltled to permitting privlleges in Pasco County. � ' � ' TRANSPORTATIQN IMPACTIUTILITiES�IMPACT ANb�RESOURCE RECOVERY��FEES: The undersigned unders#ands that TransportatEon Impact Fees and Recararse Recave.ry.Fees m�y�,apply.to#he construc#ion of new bufidings,,change of � - � use in existing buildings, or>expar�sion>of�existin�'�buildings, as specffied.in pasco Caunty Ordinance number 89-07 and 90-OT� as amended. �he undetsigned also:understands; th�lt.suah fees;as;may��tie�due;,wlli�be ldentlfied at the time of - "" permitting. It is further understood that Transportation Impacf Fees and Ftesource Recovery�fees mus# be pald prior to rece�v(ng a °certi�cate af occupancy" or flnal-power.release. :If the project does not involve.a certificate af occupancy or final pawe� retease; the fees mu�t_b� p�id pcior to perm# lssuance. F��thermare;if Pasco.County 1Natef/Sewer lmpact fees are due, they�must.be-paid'prior to permif�lssuanca-In accordance with appllcabie Pasco Coun#y ordlnances. GQNSTRUCTION LlEN l.AW(Chapter 713, Fior�cla Statutes�as amended}: If valuation of work is$2,500.00 OT ti1p1'@; ! certify that I, #he appticant, have.been provtded with. a capy of the "FloPida �Construction:-Lien Lauw–Homeowner's Proteation Guide" prepared by the Florida Departmenf of Agrfculture and GonsumerAffalrs. !f the app!lcant is someone o#her than the°owner", 1 cer#ify that I h�ve..obtained a copy.of,the.above.described�lbcument-and.pramise in,good faith to , deliver It to the'owne�"prior�to�commencement: , GON7'RACTOR'SlOWNER'S APFIDAVIT: 1 ce�tifiy,that all_th�,lnf.ormatlon tn thls appllcatEon Is accurate and that ali work will�be done in campiiance with all appNcabie laws regulating constructlon, zoning and land develapment. Appl(catian is hereby made to obtain .a permit to do wark.,and installatlon as ind[ceted:�� I eertfty that no work�:or tnstaltation has commenced priar #o Issuance of a permit and that.alt wark will be pertarmed to meet standards of atl iaws reguiating- construction, County and City codes, zoning regulatians, and land developQnent tegulations�in the jurisdictfon. I also certiiy that 1 u�derstand #hat_the regulat�ans of other government agencles m�y�apply�to the tntended work, and that it is my responsibility to iderl#iry�what.actions I must take.to besin..corrlpliance:_S.uch agencles include but are.nat Iimited to: - Depattmeni'of�Ettivlronmentai�ProtecttorrCypress'Bayheads, W�tland Areas and Enviranmentatly Sensitive Lands,Water/Wastewater Trea#men#. - Southwest Fiorida Water Management� :D[strict-Wells, Cypress.� Bayheads; Wetiand Areas� Altering Wa#ercourses. - Army Corps af Englneers�-Seawalls, Docks, Navigable Waterways. - Department of Health S Ret�abif3EaEive Services/Environmentaf �leatth llnit Well.s, Wastewater�Trea#ment, Septic Tanks. . - US Environmental Protectlon Agency-Asbestos abatement. - Federa!Av€atton Authority-Runways. � I understand that the follriwing restrictions apply to the use of flll:• - Use of fill ls nat atlowed In Flood 2one"V"uniess expressly petrnttted. - if the fi(I material Is to be used_,in �Flood Zone "A", it. ts understood that a drainage plan addressing a ucompensaking volume" wiA be submltted at time of permifting wh�ch fs prepared by a professfana! engfneer iicensed by#he State af Florida. - If the flll materlal is to be used (n=Flood Zane "A" in�ca�nec#ion�with.a permitted building using stem walt � construction, l ce�tlfy that fill:wl#1-be used only.ta fill the area wlthln#he�s#em�wall. - If flll materlal is #o be used in any area, I cerkify that use of:such flll will not adversely affect adJacent propertles, if use of f�li fs faund to adversely:�ffect adJaser�t-propgrtie�,.the awnef may be cfted for vlotattng the conditions of the b�itding�:permit issued�under the attached p�rmit applicatian, for lots tess than one (1) acre which are elevated by flll�an engineeced drainage�plan Is�equlred. . If 1 am the AGENT fOR THE ClWNER, 1;rpramise In good faith to inform the or+vner af�the permifting conditions set forth in this affidavik prior to commencing construction. I understand that a�separate permit may be requtred for elect�ical wark, plumbingT signs, weits, poals; atr condittoning,.g�s, �r other InstafEatEans no�.�pec�icatly Irtcluded�in.fhe application. A permit Issued shatl be canstcued to be a'Iicense to p�oaeed wikh the work and not as:authorHy to,violate�.asncel, alter, or , set aslde any provistons of the technical codes;�nar shall Issuance�af a.permit.prevent the BuUdlrig C?#flcla!from thereafter requtrEng a cor�ection.af errars#n.ptans; construction or vlalations af any codes. Every permit tssued shat{become invalid unless the wrork authoriaed.by such permit��{s-commenced•within sGc months of�permit issuanae, or if work authorized by the permi#Is suspended�or.abandoned far a:periad of s�C{6}monEF�s:after the tlme the�wark ts cornmen�ed. An extensEon may be requested, in wriking, irom.the Bullding,Official for a peNod�not to.exceed ninety(90) days a�d will demonstrat� __ _ _ - ]ustt�ab�e c�use for.�the exterrsioe�. !f work�ceases�for nine�y(9Q}c�ris.ecutive day.s�=t#�e��o��is considered aba�daned. WARNING TO OWNER: YOUR.FAILURE�TO.,REC.ORD A.NOTIGE:OF�COAfIMENCEMENT�MAY�RESULT IN YQUR PAYtNG TWICE Ft3R IMPROVENiEfi�ITS�Tfl YOUR-PRt}PERTY IF YOU,It±�TE�1D�'T `QBTAIN��fINRt�C1NG;�Gt?NSULT WIT URLEND A►N TTO NEY� FORE COR�1 �:� OU � 'O �� ' � E T� FLORIDA JURAT{F.S.,117.03) , " _ OWNER OR AGiENT CONTRACTO Subscrlbed and swom ta(or aHirmed)before me lhls Stibscribad a ' m� (o ed)� e'fhis. �Y �Y Who islare persanaliy known ta.me or haslhave produced Who Is/are p.ersonal yknouim lo me or s/have produced as Identlflcatlon. as Idend�caNan. Notaty PubtEc . � Notary Publlc „��,,, Commisslon Na. Comm lo o. ,,°�'�jy ••, �OEL E.BAC.ON :*. s.: o �ss�on ;�; Ar: ExpiPes June 29,2018 Name of Notary typed,printed or stamped Name of Plotary typ or roy n nswence8pp385.70f9 Capstone Enterprises , �- � � .[� : � P.O. Box 343 lacoochee, Florida 33537 (352) 206-7653 . , - #CCC1328898 #CGC1513497 caqstoneconstructioni@vahoo.com - Work Performed At: Irl F.Crook � _ - : . _ . - . -_ _- � - - . , . 38832 B Avenue" � . . . - - -- - ; � � � -- � � Zephryhills, Florida 33542 .� .-` " -- . ' � � ' , ` _ - . �„-:- - ` ` Mary 813-469-0909 Irl 813-469-9681 6/17/2015 YOUR WORK.ORDER NO.:'� '�; ;� ` . -, ; OUR BID.NO:', � �- -- ' - __: � � � • • •• • • •• � Remove existing shingles/install updated underlayment.30#felt.--�_ ` ' � -- - = � - : � - , � , Replace.existing shingles witFi S/9 metal roofing =,�_ . _.. - - = = _- ` � . _�-. . - . - �� _-_ • - - i _ :=�.. - _. . .,-� _ � . ..,. .. .� _ ' .' - _ : " '� .. ' 4`,. ,• I - - ". _ �r _: _ . Renail all decking up.to code and replaee_all rotten wood.--�`- (Replace all,rotten�wood,.decking and fachia boardj' - � - . .- _ � - , . . - , , - , . .. . � , _ .. ... : - - Replace all valley metal: : - � -� - _ - � = - � . � _ - , ' -_ _ - . - - - -- - - - - Replace e�ve drip.� � � - . -� _ :-.-" _ . -_ ; -- _ .. _ �L ��_ . � _: '. ___ . .. � ` - ' . -- - ___ __ . ,." _ - .:_ _, �Q�� LE 1 �r� -- ' Replace aII Vent boots: � _ --_ � �-_ � --_ - - .. � � - c ' - G �-�� , -. - - - - �- . : - - _� "-- _ _ - . " , - _ . ._ _ _ ,S.- - - --- - - - . -_ � - . ._.. ., ,. - _ . :. ,�. . . - _ .. . . _ , , _. ..-_ . . - _ - � ` - � -- , Replace riclge vent if used. . . .:. . . _ . . -_ - - .. _� _� _ _ . _ - �_ - -- _ ,� -_ . . _ - - - _-- Remove all debris from premises: , - .- : � = � _ �- '° � . _ _ -� _; � - : - � - - - - -_ -.. - -, � . - ° - � - - - . =0 = �' '. . _� Write,all�paperuirork and permit"s_as.needed.- -- _ _. _ � _ � -= � � �y -' =- - _ _ - - - , _ - , ; _ _ _- _:_ . - . � C� - - . Color/ Uanilla _ - - : ° � � - - - - = • � Amount_ $6,800.00 � � - - • - . � � - _- -- _ _ - -" `'ROA� .-`- "_$3;800.00 --;- - � _�-_ �, Remove gutters �� . . . - - -- . - _-- . . _ ` - � Balance,_., � - `_" - _ - �-_ - ' -- All Material is guaranteed to be as specified,and the above work was performed in accordance with the drawings and specifications for the above work and was completed in substantial workmanlike manner for the agreed sum of . Dollars($` )• This is a ❑ Partial� Full invoice due and payable by: Date in accordance with our � Agreement ❑ Proposal No. Dated - Month Day Year .._ - � _�S/�o ` Q v�la � �.-�=i��--�- . � � �.. ��.�`� � � - �e.rr��` ',`. �� , � oi . -' �,',� �,�, � City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: l�APSTo N i= CO N ST(�U GT!0 A� Date Received: �v — ( � — �S Site: 38 g J 2- /� �v r Permit Type: I�LR.DOF /VI�TA L I Approved w/no comments:❑ Approved w/the below comments: Denied w/the below comments: ❑ � � �L°� e7 � c.c.- -c. . v This co ent sheet shall be ke t with h p t e permit andlor plans. � � _. , ; �v�� Kalvin S 'tzer s Examiner Date �on a r an meowner � (Required en comments are present) + , - -__+.L' Y • _ - 1 � M�TAL �YSTEMS 1NC. DAiVSCO � EIYGINEERING,LLC P.O:BOX 3400 5912 Fq'hine PIacO - AF�po 0eaC4 FL'33ST2 , . Samvel A CYeenEe�G.PE : Iroruf.1.Be�sac4� . Ttnry H.Hymh,PE . aa�n s.snen.� - Product Evaluation Report for 29 Ga�+'RIB panels over 15132" Plywood � ' � Florida Product Approvai#6508.3-R2 ' Cat+egory: Roofing Subcategory: Metal Roofi�g Comptiance Method: Florida Department of Busine�s and Pfofessional Regulat+on for Statewide Acceptance per Rule 9N-�.005 method 9(d). ' Enaineer Evaluator: Samuef A.Greenberg, P.E.#3�4245 r � P.O. Box 3400 ��d��,�, t,.w"�,. b � - Apo11o8each, FL33572 . �,:p��,. �y�;;�,�,�s-;��;.s-<�.�� , ".��iJLB c�,.,+.;{"`y?.f.'''n:�`F",$,'A- __ .._..-'-- - �• - Validator. • Andrew Lovenstein, P.E. . Florida Structural Engineering, Inc. Ph: 813-917-9594 . . . .�,:.►itfiir(;,,, '4��` ';t.�� ="r"�''"��- 5 ,�- J�g� �ti� �y4/�°�Cj1F i �` f��'��.r � .. t:,=4- -•. b" � �+,�' •.�-� r � ':�, - ^�i_ 4�.`1f;-� : r. _Y �. ' - �y` ::.). 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Address/Phone/Email 3301 Paul Buchman Hwy Plant City, FL 33565 ' (813) 752-7088 atfabcutting@hotmail.com Authorized Signature Steve Waller atfabcutting@hotmail.com Technical Representative ' Address/Phone/Email Quality Assurance Representative Address/Phone/Email II Category Roofing Subcategory Metal Roofing Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer �� Evaluation Report-Hardcopy Received Florida Engineer or Architect Name who Samuel A. Greenberg developed the Evaluation Report Florida License PE-34245 Quality Assurance Entity Keystone Certifications,Inc. - Quality Assurance Contract Expiration Date 05/28/2014 Validated By Andrew Lovenstein, P.E. Vafidation Checklist-Hardcopy Received Certificate of Independence FL6508 R2 COI 320858 FL6508 R2 COI Letter of Certification.odf Referenced Standard and Year(of Standard) Standard Year Florida Building Code 2010 UL1847 2004 UL 580 2006 Equivalence of Product Standards Certified By Florida Licensed Professional Engineer or Architect FL6508 R2 Equiv 320858 FL6508 R2 Letter of Eauivalencv.pdf http://floridabuilding.org/pr/pr app_dtl.aspx?param=wGEVXQwtDyubsyUdumBSkdQCK.., 2/11/2013 , r � �f"� � . I II .A' DANSCO � Product Manufacturer: � ENGiNEERING,uc : Metal Systems Inc. Po.eox aaoo : 3301 Paul Buchman HWY 5912 Fortu�re Piace �'�'B��''�3� : Plant City, FL 33585 Samuel A Greenberg.PE � Product Description: ' Irvvin J.Be�on,PE � 29 Ga.� 36' Coverage, 3/" Tall Rib, non-structural metal roof panei over min. 15/32" : Plywood. Thuy H.Huymh,PE : panel Roliformer. MRS Metal Rollforming Systems 13906 N. Newport HWY Ad-arsh B.Shah,PE Mead, Washington 99021 Compliance Statement: The product as described in this report has demonstrated compliance with the Florida Building Code 2010, Sections 9504.3.2. Documentation Supporting the Compliance SYatement: The product has been tes#ed in accordance with: • UL 580/ UL 1897 by Force Engineering &Testing • TAS 125 • Test Report 129-0475T-08D& 129-0475T 08E A) Fastener Spacing at 24° O.C. B) Fastener Spacing at 12" O.C. Limitations and Conditions of use for NON-HVHZ: Maximum Roo#Component Uplift Pressure: 144.58 psf (ultimate wind pressure) @ 2'-Onn O.C. Fastener Spacing 243.33 psf (uttimate wind pressure) @ 1'-0°° O.C. Fastener Spacing , Panel Material Standards: 29 Ga., 0.0145" material thickness, Grade 80. Panel Material shall comply with FBC 2010, Section 1507.4.3 Panel Clip Fasteners: #10-16/8 HWH Woodgrip @ 24" O.C. @ 9"-9"-9"-9" Fastener Pattem min. %4� Penetration into plywood. #9-15 HVVH Wo�dgrip @ 12"O.C. @ 6.5"-2.5"-6.5"- 2.5"-6.5"-2.5"-6.5„ Fastener Pattem min. Panel Side laps shall be fastened together. w/ 1/4-14 x 7/8° Lap Tek w/sealer washer @ 24" O.C. Fasteners must be Corrosion resistance per FBC 2010, Section 1507.4. p.813.645.0166 J f.81 3 645.9698 � wwtia.danscoengineering.com � , � . � ' llf�inimum Roof Slope: 2:12. Minimum Slop shall cornply with FB 2010, sectian 1507.4.2 and Manufacturers recommendations. i Substrate Descriptian: Min. 15/32" Plywaod Deck designed by others � Vapor Barrier: 30�#Asphai#Saturated arganic#elt paper in � compliance with ASTM D226, Type I or type II. � Roof Panel Fire Rating: Panel has a Class B fire expasure rating in ; accordance with FBC Section '1505.3 withau# � added an additional fire barrier. j Design Procedure: � Based on the dimensians af the structure, apprapriate and wind loads are defermined using Chapter 16 of the FBC 2010 for roof cladding wind loads. These component � wind toads€or roaf cladding are compared ta the a(lowable pressure lis#ed above. The design professional shall select the appropriate erection details to reference in his drawings for proper fastener attacfiment to his sfnactuce and analyae the panel fasteners � for pullout and pullover. Support decking &framing must be in compfiance with �BC 2010 Chapter 22 tor Steet, Chapter 23#ar Woad and Chapter 1 S for s#rctctural toading. lnstallation Requeremen#s: Install the panel system according to the manufacturer's installation instruction. Quality Assurance�ntity: Keystone Certificatians, 1nc: FBG#QUA9824 Cert'�f'icate of Independence. See uploaded attachment Authorized Representative: Samuel A. Greenb�rg, P.E.#34245 . p 813 645 0166 � f $9 3.645.9698 J www.dansaoengineering.com f �� a 'il��ie�:Ti��4E k:_'u':�:�n::�.. � '��:iµ�..:�� OOteiL�GD vi[YItA �V'��..' !�� "`"`"°"s`°°`u` �NU.TM� DANSCO ",�" �� i r}�.�ry�wr.�.e,n., eca+eeiwo.uc �' {t�:w« A �� wr.��rn�atl.e. �J4 \ so I�.°H&'9$ `vx.u/nr R.nwn an. �1�+� �ETAL + nu mn*uc�au � imIGL OE1ag SYS'fG�15� VA[LCY NC. „>a. ..�..,nema-ena: io-ie.�-Vr ma�./w*r. .+x'o.c �„�„��r a� oaeu w�o na[crru If f r !+� I{Y r qI w2 tRU u:0. \�u.w.�.uriw.aasv.ru 7olra C S v'�^i� ux iap�•v�.woc ew oao¢oum we swa+ � a �?s � a o� � _ Ha+t.��i i7 o.101a / I tn�i rmn�n „�mr e rt�Y ne•ru�n�m� v000�naro� : O g � .�n• ��3r�_.vr �1�_ .g_,�u� ��M�,x I � S �a I '�' '� �'P�S'J��.L.P�INLS � c'$ 1.......�_.�,,,n� � � i�o-�e.�-ih'i t�mwKl B PCR CIWA bC (pp�({)p On11 Gi1CV�I outsoE aowx ; t/�-14%7/B TO t � I O9'0.G, - PAN[L �,�yR J0�FEU OR ORiCR � }f0-IB�1-1/!'NMN�/Nu�M� � !PF1t P/J!R[ND ,70J f6T RaDE 0.oSU7E — — • +/2'k J/]2'WL SE4ltl � COUBtE BFAD 1KC SWLp YOH,IS/37'0.1MYAD SUB. 4Rl.15/52'PITWOf)�SUB. y��,p��l��mN, IALI !J,l� tYPIChL DE�N� ia r�•rn��rovwca� �� '��}3F �E wrmxwus e.di .� o-��"�� r�Y. J tG�;• G -,` x i u«�v�� =:F i •e. '�� _..q;� �'cu F�+eu: W.� eEV¢ry ouremc wr Twu x000 awoanc �u�� ' � �_• aowac �o-��.i-i/Y��u.eaa. � . %'�1'. S� ?';U'.�' �rwha+P)vu eµa i �.�$ r\ ,,`� ,/�-,�:v/e m i �O,k i ,_ L , ��, rnxa,� a ua pm TYPICAL�DEIAILS a� J�!/ rSSI�. b� �s • 1 rt 161�u,1��. ao/Far J �xeniuimuRnow za+. �/1'x]/=!'GP[SW[R wneaau � 41N.18/J2'PLIW00 5119. uwHm �MNIOT. TYPICAL DETAILS 2.3 ll�P. �lorida Building Code Online Page 1 of 1 •-y. � �� „�'"�;3�'�'�,:.:,::r.;Y.: r • -rs 7� �;;,;''s'•"a' -•�;.:r�!� t� .T';'.Ar �• � �?' ?r7 �^`r�a,�,�' .Mr ��_=::4�EF3:a i�.tr�. :�;, ,,.-,��`�'�4�` 's �t ,- Y��:.. � .;�. t'i{:ii �ll•.�.0�x ia 4�'••'y'��.^� 4 ,q ..-. p.. _3-.`' .�.j, ,�' �T�� r.•��' -� ��:�' �� '` � u:s:t��;:i'��++�c- �,��. ,,�...�.� �: �.�*�..,. ' ,;��.-.-�.,z. Y. ,. .. •-'ll �+ �' �;�d�s.-•:,�x ��"�.�� (��{•%t��t � • ��Y�:::S��.t.�itn '`n:� �;,` �� _�'��° �'��.�r: �t � � t >. ;:�vc��,..-.:.=�_.�� •�' �: s � fy:-�k�r ``�d' �, g,,.I• �� . r�-y}��y�{!�r}►�I /�R�}�� z,�.<,�,4-=F;''7:t��" �.�>'?�kR3+5:r '7�1:�w�'A.� 53' � t'�,'.,h�,:-,:.�r_... `:F J �:Si4rE�:4cA'v,:::!�'�:�.5-v:_3. i.. . �.�_+.� -.. �Le.ii.•••-. "` "�x!"�,FIRL'.ili]1��167:'AL'ee787:dfY i.�1r,i,�f1 i��;;,rn;�r BCiS Home Log[n User Reqlstrotion �Hot ToD��s Submlt Surcharga -Stats 8 Facts ��cations fBC StaH BCIS Site Map Links �Seard� Busiries (�� Profess��a� `: ,+ Product Approval �uSER:PUb6CUSCr Regufation Product Aooroval Menu>Rod�tt or �oii atton 5earcR>AppllWtlon Ll�t G;i,id>':?w'..�'-...":£%�3'�':1�:5*_'i ��,r�= .+a:�•N�� Search Criterfa ReRne Search; (!'•�'•��v,;it �r��q--�� ! �1::-�..:tr.,. <.��3.a.�+, Code Version 2010 FL# ALL Appllcatlon Type ALL Product Manufacturer IKO Industrles,Ltdf Category RooflngSubcategory AsphaltShingles ± IApplicatlon 5tatus ALL Compllance Method ALL � Quality Assurance Entity ALL Quallry Assurance Entlty Contract ExplredALl �Product Model,Number or NameALL Product Pescriptlon ALL Approved for use In HVHZ ALL Approved for use outslde HVHZ A�L � IImpact Resistan[ ALL Deslgn Pressure ALL � :Other ALL , f-'- --_--' '-'--_'-"-"---""—'------------'---'---''-----'-'-----'-'--' -' '_ i �Search Reaults-Appllcations FLJ� T e Ma ufacture Validated g Status Fu006-R7 Editorial Change IKO IndusMes,ttd Locke 8owden Approved" ' i Category:Roofing (334)300-1600 Subcate or :As halt Shln les �FL15550-R4 Editorial Change IKO Industrles,Ltd LotkeB�wden Approved' H- Category:Rooflng {334)3D0-1800 Subcate o :As halt Shln les .FL16174-R1 Revlsion IKO Industrles,Lid Zachary R, Prlest, P.E. Approved �Hi r CatC�ory:Rooflng (813)480-3421 Subcate o :As halt Shin les I•ADproved by DBPR.Approvals by D9PIt shall be►Ewtewed anC ratifieC by the POC ard/or the Commission if necasary. _______ � `--•---�••-°—�----•---- Cmtad Us::x940 Martb Monroe Street.Tallahassee FL 32399 Phone:850-4B7-1B24 TF�e State o�Flwida Is an ANEEO employu.CoovriaAt 20D7-2013 State of Floride.::P�iv�a Stetement::Aaessibi6tv Statement::stefund Statement UnQer Florida lew,email addresses ere pu6lic rernrds.U you do not want your e-mail addras released tn response to a pudic-rccads rcqu�t,do not senE electronit mail to this entity.lnsteaA,contact tAe olflce hy pAone or by traditlaial malL if you have any questions,please cmtaa 850.�87.1395. •Porsuant N Sectlon 455.275(1),Florlda Statutes,effe[tive Odober 1,2012,Ilcensees IicenseG under Chapter 455,F.S.must provide tha DeDartrnent with an emall adQras H they have one.The emalls D�oWded may be usad►or o(ticial oommunic�tion witn the licensee.Mcwever email aEOresses are public recor0•If you do not wish to suppty a personal address,please provide the oepartment wRh an emall address whlch can be made availaDle to the public. To determine if ynu are a licensee under Chapter 455,F.S.,please cikk here. aroduct�pproval Accepts: �� KCCllfll5'.•��i�t� � • , ��---� � � ' ' . . . ,��. �:n;'• -C,•� ,;4a- ' I , ,' .. . , o' : ' I . � • -•• . .. • ..' . , . .. � , . 1. ��. ��• ,� '. •�•�, • I• ' • I :♦ � �l'J. � � • . .' ' .. • ,ti r. • a i , ' ��.� �',� �:.�� C��►,�' . ��:��'�'�. ,�� . �,�- - . . . . . . . ;. . . ;.. . � � .� . , � . .Y , �_ . . �'�� E�f . �l� . , . . �: ,' � ' � �-- � �_ : _.� " � - � . _ : �►-.. � . ' � . ��.�� . i .' . . - . . . . . _ . . � . . -_« . ; � -.- . '' ,. . L�:� �>. . . .� . . � �:�:�_..::�-V�'�S . � . :ti � ; 0 1 8 � • ! � 'i' ' � ' .��-'�� . � f ' • ' I • • ' �. - � . ..,.,_ , . I y - ' : ' - - ; . - �.�:�. _ -�..,.�� :,�.�, � �,� - . � t �: � . � .� . � . .�v . - , • , : , . . � . . - . � � � 4 • I - ; _. '1�' , . � �� , �� , .� ��:��_� .. . � . � . �M . . . � . . . , .t. . . -{ - . _ . - ' -�� . . � . . � � - . . . � .. , . � � - � � ■ r � • � � } � � . � . . . . .` �.�� . �� . •� � . � 1 ' ' '+ • ' . i . . � ; � • . . , ; . :�F,��, : : .� � � �: � � o i - �: -� � s � , �:�;..... .._ �` _ � . ; , . . � . � . ; � �?� ; - �;� - � i�+�3'�'t� �� 6��l��.fi�!�':�� . . • c- 1 ' 4 , . ' •r-.. ' ' . ' ' . j � • - , • . . • ' • . ' '., , •� . , - , � , _ . .. ' . i • . � . , • i i. - , . . • i � - i . . � . . , , . , 'rlorida Building Code Online ra�G` "1 ` ► , . , Sections from the Code Product Approval Method Method 1 Option D Date Submitted 07/26/2012 Date Validated 07/31/2012 Date Pending FBC Approval OS/09/2012 Date Approved 10/09/2012 Summary of Products FL# Model,Number or Name Description 6508.1 PBR 26 Ga. PBR over 15/32" Plywood Non HVNZ I LimiLs of Use Installation Instructions Approved for use in HVHZ:No FL6508 R2 II 320858 FL6508 1 R2 Installation Drawinqs.odf Approved for use outside HVH2:Yes Verified By: Samuel A.Greenberg,P.E.34245 Impact Resistant:N/A Created by Independent Third Party:Yes Design Pressure:+N/A/-94.58PSF Evaluation Reports pther:-94.58 psf @ 2'-0"O.C. Fastener FL6508 R2 AE 320858 FL6508 1 RZ Enqineerina Evaluation.adf Spacing.Install per manufacturers details Not FL6508 R2 AE 320858 FL6508 1 R2 Load Table.odf for use in HVHZ 2ones. Created by Inde endent Third Pa :Yes 6508.2 Rib 26 Ga.3/a°Rib over 15/32"PI ood Non HVHZ Limits of Use Installation Instructions Approved for use in HVH2: No FL6508 R2 II 320858 FL6508 2 R2 Instaliation Drawinas.qdf Approved for use outside HVHZ:Yes Verified By: Samuel A. Greenberg, P.E.34245 Impact Resistant:N/A Created by Independent Third Party:Yes Design Pressure:+N/A/-243:3PSF Evaluation Reports Other:-144.58psf @ 2'-0"O.C.Fastener FL6508 R2 AE 320858 FL6508 2 R2 Enqineerinq Evaluation.ndf Pattern Type A-24333 psf @ 1'-0°O.C. FL6508 R2 AE 320858 FL6508 2 R2 Load Table.pdf Fastener Pattern Type B.Install per Created by Independent Third Party:Yes manufacturers details. Non for use in HVHZ 2ones. 6508.3 Rib 29 Ga.3/a°Rib over 15/32"Plywood Non HVHZ Limits of Use Installation Instructions � Approved for use in HVHZ:No FL6508 R2 II 320858 FL6508 3 R2 Installation Drawinqs.pdf Approved for use outside HVH2:Yes Verified By: Samuel A. Greenberg, P.E.34245 I Impact Resistant: N/A Created by Independent Third Party:Yes Design Pressure:+N/A/-243.3PSF Evaluation Reports Other:-144.58 psf @ 2'-0°O.C. Fastener FL6508 RZ AE 320858 FL6508 3 R2 Enqineerina Evaluation.odf Pattern TypeA-243.33 psf @ 1'-0°O.C. FL6508 R2 AE 320858 FL6508 3 R2 Load Table.�df Fastener Pattern Type B.Install per Created by Independent 7t�ird Party:Yes manufacturers details. Not for use in HVHZ Zones. Back Next Gonmct Us::1940 North Nbnrce Street.Tallahafsee R 32399 Phone:850-�}87-1824 The State of Florida Is an AA/EEO employer.�Q vo rlaht,�Q�7-2010 StnDe of Fiorfda.::Privecv Statement::AecessiblliN StaOemen[::Re(und Ste[emen[ Under Florida law,emafl addresses are pu611c records.If you do not went your e-mell address released in response to a publlo-records request,do no[ send electronlc mail h�thk entity.Instead,contact the offlce by phone or by traditlonal mafl.If you have any questloru,please contact 850.487.1395. �PUrsuant m Secdon 455.275(1),Florlda Stetutrs,effectfve Ocoobet 1,2012,Ilcensees Ilcensed under Chapoer 455,F.S.must provlde tfie Departrnen[ with en ematl address It they have one.The emalls provlded mey be used for offlcial communlcatlon with the Ilcensee.However emall addresses are publlc retord.If you Qo nat wlsh Lo supply e personal address,please provlde the Department wlth an emell address whkh tan be made available tn tha publle. To determine if you are a Ilcensee under ChapGer�55,F.S.,please cllck here Produtt Approvel Aceeptm: �-"� �� sccuriti+u:i�an'� http://floridabuilding.org/pr/pr app_dtl.aspx?param=wGEVXQwtDqubsyiJdumBSkdQCK... 2/11/2013 Y� , t ':c�!�?. n}yiv�°u_i P�:iS_a ..: �� Sy'��'1�� In�a ��`'� . _.. ._ . . ' Doa�m�w�i 3301 PAUL BUCHMA�I HWY � ��`° PLA�T ClTY, FL 33565 ��kL SY� , � I��. .:>n>m. , . ��..,�».+-.«. . , fAST��Plmn�T1F•�T f<e� 3/4�� R1B 26 Ga: ' ... , r r , • � '� • -- - ��.__ � . . .� ---- --�--� - - - -- - ----- -� c..�� a c; BUILDINGS HAVINCp A ROOF MEAIJ HEIGHT;�0'-0"�ROOF SLOPE:�%12'=6"/12" \'��o-��•�•��+'�'�� • .� ��k , ' GABLE ROOF WIND SPfEDS'UP TO•180 MPH ULTItv1ATE WIND SPEED,•EXP C,RISK N < �.j CATEG9RY II.BASED ON FlORIDA Bl11lDItJG COD�2010 asm+a.a+*mx,m�t�r�r aa ' • , ii � +t: z•r. �vr t.. t�h' :v^ *v= :t' '.y 9 o.S I J/6"RIB 26'GA,FASTENER SPACING �---�---�� S �' d �8 WNOfPEED20NE •N7NOSP�DIONE �W��_��,��v � :w* f/SI6ti:P. SVlS1:AlE U2101d5MIH(UITIAM7q Id5101BCMPH1UlTIMA10 ._.._. .. .. _.. . ._ . '_"_._......_...._. ....,... .... .... ... ..._. ..__ ...._.._._.__"__"_""'.__._'�___.—' ' .._ . ' '_ ".'. ._. . ...._.._.__..._..._._...... .. .,. -�- _ .. ONCFNTERSPACWG O.�'CENf625PACING =pxQ2 !�'T . rewu iONEI 016I6 IS/JTILY 2�'TYPEA 2�•fYPFA I I^�e wi� uwno. "'�' "��'_�_"_'�r"_�_'r . , i � i � 20NE3 p1416 15/9T.PlY 2rTYpEA 12'R4EB i qygy ; l��'��'�. �� "�� _�f� — IONER tli0.16 '7S/M"PlY 12TYPflB 12'iY7E8 _�_._�______�_��__�___________� . ' • � � . ""�20N0Y , �b , 1. PANELDESCRIP710N:3/d"RIB.26GA..36",COVERAGE. �---...- -------_----,_—�, Note:anwuon(alhaenncemtossc�memN�nanwichn� • — I�e0u0�npof40%oftlieineanlalgAtdmoAOf.�M'dfeVerB ��a�uw 2 PANEL ROLLFORMER:#10-1•6 X 1-1/7'HWH WOOD./^iRIP, emnpr,�hwever,(d)amrcibekssWne�Na11!Gdp�e • 3. PANELFASTENERMRS,METALROLLFORMINGSYSTEM. ZotrEO Een m�^�^+�W�ofUrobv➢Qmqa7het �;�g't7w`,�"�z,'S""'j�.r, 4. MAXIMUM A�LOWABLE PANEI UPLIFT PRESSURF 144.58 PSF(ULTIMATE WIND PRE°SURE) t� ��, PSF Q 24"FASTENER PA77ERN TYPE A,243.33 PSF(ULTIMATE WIND PRFSSUREj @ 1';�� • '� '�'�••;•�,-•�-' " � �� O:C:'FASTENER"pA1TERN'TYPE`6�PRESSUREB;45ED'ONOL"58070C1"997TESTIHG. :��'w"��{' 5. PLYWOOD DECKING:MIN,15/32"THICK.B-C,d-PLY. PLYWOOD MUSJ 6E DESIG��ED IN lNDEX OF DRAWINGS '� �r' "�� ACCOROANCE WITH FBC 2010 = ;.+,:. . 12 La'WOt6Ca.PR00UCT�lPNO�A�..` ~ ,,� '�! 1,• ' u �w�roa te a.oera�s a secnaes��0 ' �,? :,� ,� ' � '"-!iia.i �+ �� q• Mv, v^q"°�'•:. �, sxrz��udiM�no +i: ,� w. j e.niuwo-, N.�. ��. o..w�., an.rte o- �.L S / A. Settlement Statement U.S.Department of Housing and OMB ApAroval No.2502-0265 Urban Development B.Type of Loan 1. ❑FHA 2.Q FmHA 3.Q Conv.UninS. 6.Fle Number: 7.Loan Number: 8.Nbrkqage Insurance Case Number. 4. VA 5.❑Conv.lns. CHAU-34533 C.Note: This form is fumished to give you a statement of actual settfement costs.Amounts paid to and by the settlement agent are shown.Items marked'(p.o.a)'we�e paid outside ihe dosing;they are shovm here for infortnational purposes and are not included in the totais. D.Name�Address of BortowEr: E.Name 8 Address of Seller: F.Narne 8�Address of Lender. IRL F.CROOK JPMORGAN CHASE BANK,N.A. CASH 4853 97TH ST. 1400 EAST NEWPORT CENTER DRIVE ZEPHYRHILLS,FL 33542 DEERFIELD BEACH,F�33aaz ��99�� k ►o � a�s� I G.Property Location: H.Settlement Agent 38832 B AVE BAY NATIONAL TITLE COMPANY ZEPHYRHILLS,FL 33542 (PASCO) 13577 FEATHER SOUND DR.,,#250,CLEARWATER,FL 33762 (727)449-8733 � Place Of Settlement I.Seitleme�Date/Disbursement Date 13577 FEATHER SOUND DR.,,#250, 6/1612015 / 6/16/2015 � CLEARWATER,FL 33762 J.Summary of Borrowers 7ransaction K.Summary of Seilers Transaction 100.Gross Amount Due From Borrower 400.Gross Amount Due To Seller 101.Contract sales price $33,360.00 401.Contract sales price $33,360.00 102.Personal Property 402.Personal Property 103,Settlement Charges to Borrower line 1400) $340.00 403. � 104. 404. 105. 405. Adjustments for items aid b seller in advance Adjustments for items paid by seller in advance 106.Cityftown taxes 406.City/town taxes 107.County taxes 407.Counry taxes 108.Assessments 408.Assessments 109. 409. 110. 410. i 111. 411. 112. 412. 120.Gross Amount Due From Borrower $33,700.00 420.Gross Amount Dae To 5eller $33,360.00 ' 200.Amounts Paid By Or In Behalf Of Borrower 500.Reductions In Amount Due To Seller � 201.Deposit or Eamest Money $2,500.00 501.Excess deposit(see instructions) 202.Principal amount of new loan 502.Settlement Charges to Seller(line 1400) $6,058.17 203.Existing loan taken subject to 503.Existing loan(s)taken sub'ect to 204. 504.Payoff of firsE mor�qage loan 205. 505.Payoff of second morkqage loan 206. 506. 207. 507. 208. 508. 209. 509, Adjustments for items unpaid by seller Adjustments for items unpaid by seller 210.Cityltown taxes 510.Cityltown taxes 211.County taxes 1I112015 to 6/16/2015 @$517.38IYear $235.30 511.County taxes 1I1/2015 to 6/1612015 @$517.38/Year $235.30 212.Assessments 512.Assessmenfs 213. 513. 214 514 215. 515. 216. 516. 217. 517. 218. 518. 219. 519. 220.Total Paid By1For Borrower $2;735.30 520.Total Reduction Amount Due 5eller $6,293.47 300.Cash At Settlement FromfTo Borrower 600.Cash At Seftlement TolFrom Seller � 301.Gross Amount Due From Borrower(line 120) $33,700.00 601.Gross Amount Due To Seller pine 420) $33,360.00 302.Less Amounts Paid BylFor Bortower(line 220) $2,735.30 602.Less Deduction in Amt Due To Seller(line 520 $6,293.47 303.Cash 0✓From ❑To Borrower $30,964.70 603.Cash Q✓To ❑From Selfer $27,066.53 P,13�ror�ted�e�ar��nal at cl�sing. Loan Number. File Number. CHAU�4533 Page 1 of 2 , L.Settlement Charges 700.Total SaleslBroker's Commission Division of Commission ine 700)as follows: Paid From Paid From 701.$1,000.00 to The Pro e Sho Borrowers Funds Sellers Funds P �Y P at Se�lement at Settlemer�t 702.$1,000.00 to Kay Stevens Realty,LLC 703.Commission paid at Se�Jement $2,000.00 704. 800.Items Pa ble In Connection With Loan 801.Loan Origination Fee 802.Loan Discount 803.Appraisal Fee 804.Credit Report 805.Lenders Inspection Fee 806.Morfgage Insurance Application Fee 807.Rssumption•Fee 900.Items Required By LenderTo Be Paid In Advance 901.interest 902.Mor�qage lnsurance Premium 903.Hazard Insurance Premium 9000.Reserves De osited With Lender 1001.Hazard insurance 1002.Mor�qage insurance 1003.City property taxes 1004.County property faxes 1005.Annuai assessments 1008.Aggregate accounting adjustment 1100.Title Charges 1101.Settlement or ciosing fee to Bay Nabonal T�le Company $300.00 $506.00 1102.AbsUact or title search to Clear Search Solutions $276.00 1103.Title examination li 1104.Title insurance binder 1105.Document prepara6on 1106.Notary fees 1107.Attome�'s fees (includes above item numbers:) 1108.Title Insurance to Ba National Title Company $192.05 (indudes above item numbers: 1109.Lenders covera e$0.00 Premium$0.00 to Bay National Ti�e Company 1110.Owners coverage$33,360.00 Premium$192.05 to Bay NaGonal T�le Company � 1113.Florida Underwriting Surcharge to Fidelity National Title insurance Company $3.28 � 7200.Govemment Recordin and Transfer Char es - 1201.Recording fees:Deed$35.50;Mor�qage;Release; $35.50 1202.County tax/stamps:Deed;Mortgage; 1203.State tax/stamps:Deed$233.SO;Morkqage; $233.60 1204.City taxlstamps:Deed;Mor�qage; 1205.Simplifile R-Recording to Sim Ifile $4.50 1300.Additional Settlement Cha es 13�1.Survey 1302.Pestinspection 1304.B ers Premium to Auction.com,INC. $2,500.00 $2,500.00 1305.Lien Searoh to NTIS $120.00 $120.00 1306.2014 Real Estate Taxes to Pasco County Tax Collector$496.68(POC$496.68 by JPMorgan Chase Bank,N.A.) 1307.Final U61ity Balance Acxount No.033557-001 to City of Zephyrhiils,FL$143.14 $143.14 1308.Final Utility Balance Account No.036418-000 to City of Zephyrhills,FL $63.90 $83.90 � 1400.Total Settlement Charges(enter on line 103,Section J and 502,Sec6on K) $340.00 $6,058.17 I have carefuly reviewed ffie HUD-1 Seitlement Statement and to the bestof my knovAedge and belief it is true and accurate statementof all receipt�a1�d'a�u�`�me�atle��a��n�or�`y;me�this bansaction. 1 furiher cwtify ihat I have received a copy of the HUD-1 SetUement Statement BORROWERS SELLERS � �; C�i�.��--� � c�I�l�a (RL F.CROOK JPMORGAN CHASE NK N.A ��4�iN�lSfil�t:� ,- The HU0.1 SettlementStatement u+�ich I have prepared is a true and accurate account of ihis transaction.I have caused or I will cause the funds to be disbursed in accordanae with ihis shatement SettlementAgent � Date �� 6/1612015 LAUREN SHACKTON WARNING:It 5 a cmne to knowingly make false statements to the Unifed States on this or any other similaz fortn.Penaities upon conviction can include a fine and inprisonment For defails see;Title t8 U.S.Code Section 1001 and Section 1010 Loan Number. File Number. CHAU�34533 Page 2 of 2