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Home My WebLink About15-16697 � CITY OF ZEPHYRHILLS - 5335-8TH STREET �si3��so-oozo 166 7 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 16697 Address: 7144 ASHLAND DR 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: ALPHA VILLAGE Est. Value: Parcel Number: 35-25-21-0050-00000-0380 Improv. Cost: 5,800.00 OWNER INFORMATION Date Issued: 10/27/2015 Name: GAY DUSTIN & TIFFANY Total Fees: 65.00 Address: 4762 ELON CRES Amount Paid: 65.00 LAKELAND FL 33810-3713 Date Paid: 10/27/2015 Phone: 863-859-1491 Work Desc`. REROOF SHINGLE CONTRACTOR S APPLICATION FEES ROOF RANGER INC RER F RESIDENT A 65.00 r1 � J 1�..� � � Z ^ �� - � S Ins ections Re uired DRY IN ROOF INSP TAPE JOINTS ROOF INSP � FINAL L'��- 0 Y -1 S� i REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or first reinspection,whichever is greater,for each such subsequent reinspection. I, NOTICE: In addition to the requirements of this permit, there maybe 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 pertormed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. � �� NTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER �813aao-oo2o City of Zephyrhills Permit Application Fax-813aeo-oo7� � ' Bullding Qepartment � Date Received � Phone Contact far Permi#in - Owner's Name 4wner Phone Number �rc�-O� 7- t�"j l Owner's Address �� Owner Phone Numbsr � - ,� � I Fee Slmple Tltleholder Name r� • � Owner Phone Number �� , , Fee Simple Tltlaholder Address JOB AbDRESS /,j`1� T S �C� V� LOT# [� ,I l SUBDIVISION l 'i.�� PARCEL ID# 3'�°�`�" °��" 4�$�-�Da OD -.O 3�"� (QBTAINED FROM PROPERTY TAX NOTtCE) WORK PRBP{.1SED NEW CONSTR ADD/ALT � SIGN� � DEMOLISH INSTALL e REPAIR li PROPOSED tISE Q SFR � CQMM � OTF{ER ( i TYPE QF CONSTRUC170N Q BLOCK � Q FRAME � STEEL Q i ' pE3CRIPTION OF WORK C'� mD 2t� � �I �G�}-� �C U/ � (a�- "� ; � � BUiLDING S1ZE ��l��_..`J SQ F007AGE C� HEIGHT _„�_„� BUIl.DING $� �y�� '' � VALUATION OF TOTAI.CONSTRUCTION L .1--� QEIECTRICAL $ � AMP SERt/iCE Q PROGRESB ENERGY Q W.R.E.C. OPLUMBING � � �� MEGNANICAI �s-�. VALUATIQN OF MECHANICAL tNSTAE.LATION � ,y I QGAS Q ROOFiNG Q SPEClA�TY � OTHER FINISHED FLOOR ELEVATIQNS �� FLQOD ZQNE AREA QYE� NO BUtIDER � COMPANIf („� ' SIGNATURE �-� REGISTERED Y/ N FEE CURRE� Y/N Address L:icense# � � E�EC7'RtClAi11 .� COMPANY SIGNATURE REGISTERED Y/ N REE CURRE� Y/N Address License# �_ ` � , ..... PLUMBER COMPANY SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N Address License# � � � � , ,._ . „.. ,. I MECHANICAL - COMpAP1Y 1 SIGNATURE REGISTERED - Y/ N FEE CURRE� Y/N I Address Ucense# �_ � i OTHER COMPANY II SIGNATURE REGISTERED Y/ N . FEE CURRE� Y/N Address � � Llcense# � � RESILIENTIAt; Attaeh{2),Ptof P#ahs;(2}sets af:BuElding"Plans;{1)ssf of Energy�Farrns;R-0=W Permit far new constntcUon, Minimum;ten:(.1.0)woricing;days aftec.submittal date: Required onsite,Constiuc8on Plans,SMrtnwater Plans w/Spt Fence installed, Sanitary Facilitles,&.1.dumpster Stte Work�Permit for subdtvistonsllarge pro�eots C8NlMERCIAI. Attach{3j camplete sets of Bulidirig Plaris plus a Life Safety Page;(1}set of Energy Forms.R-O-W Permit#or new canshuction. Minimum ten(10)worldng days after submittal date. Required onsite,ConstrucNon Plans,Stormwater Plans w/Silt Fence installed, Sanitary FaciliBes 8+1 dumpster.$ite Work PermSt tor aH neiv projects.Ail cammetciai requlrements must meet compt3ance SIGN PERMIT Attach'(2)�sets of Eagineered Ptans.. ° ••«"PROPERTY SURVEY required for all NEW conshuctlon. . .. �. ( DirecNans: ' - -- . � FIII out applicatlon completely. � • � , � . Owner&Contractor slgn back of applicatlon,notarized ': .. '�� ', ct.,, ' r ,, , __; :s`° If over S2S00,a Notice of Commencement Is�required.: (NC upgrades'-over 57500) '. " ' � , '" Agent(for the contractor)o�Powe�of Attomay(tor the owner)wauld be someone with notarized letter from owner autho�izing same DVER THE COUNTER PERMi'i'TIF1G (�ront of Application OnIY) ._ . , '�``•": ` `"`�` `��.`�.``y :.,,,.�.,'� ` Reroofs if shingles Sewers �Service Upgrades,�AJG_;,:. �Fences•{Piaf/Survey/Footage) `'�' � � -«_._ .._ , � , :i,,= � Drlveways-Not over Counter If on:pubiic'roaduvays:.need`s�ROW., "�'� a; , ; '"_„ ; r�... . .u.�:i. ,. , - � . ., ,...,_...,r . .=A .. .: , ..,..-�t� . � - w..... ._.... . , ...,. I I NOTICE OF DEED RESTRICTIONS: The undersigned undergtands�:th�t_this,p�er:mit.may.be.subject,to,"deed"restrictions" � which may be�more�restcictive.=th�n Gounty-regulations.'--TNe undersigned'assumes`responsibility for'compliance with any � ' appiicable deed rest�ictlons. � , UNLIC@NSED CONTRACTORS -AND CONTRACTOR RESPONSIBIL-ITIES: -If the�ownerhas�~hiced a conhactor or contractors to undertake work, they may.be;cequired,_to<be�,licensed ln accordance.with state.and�local;regulattons: If the � i contractor is not Iicensed as�requlred'by lavir, both the owner and.-conUacto��may be-clted�for-a��misdemeanor vtolatlon under state law. If the owner or fntended�.contractor;are unceetain as to what Iicensing.requirements;may apply.::for�the intended work, they are advised to coritact the Pa�sco County Building;"Inspectton DI`v,Ision-Licensing Section at 727-847- _ 8009. Fu�thermore, If the owner Fias`Filred'a 'contracto� or contractors, he is advised to have the contractor(s), sign portions of the "contractor Block° of.this appllcation for..which they will be r.esponsible. If.you,.as..fhe owner sign�as'the contractor, that inay be an indicaflon that�he•is-not.properly Iicensed and�is'noY entitled to perrifiitting p�ivileges in Pasco County. ' TRANSPORTATION-IMPACTIUTILITIES-IMPACTAN6-RESOURCE RECOVERYFEES:�-The°undersigned understands that Transportation Impact Fees and.Recourse Recove.ry.Fees may��apply;to�the constructton of new_buildings,:change�of use in existing buildings, or,�expansionf.of�existin�:buildings� as speclfled in Pasco County Ordinance number 89-07 and 90-07, as amended., The undetsigned also�understands, thait.such fees,;as�may�be due„w,ill.�be identified at the.time-of= permittfng. tt Is furtF►er understood that Transportatlon Impact'Fees and�Resource Recouery Fees'�mu'st be pald prior 40 recetving a "certificate of occupancy" or flnaF-power.Gelease. :I�the project does not Involve-,a�certificafe of occupancy.or final power release, the fees.mu�t be paid prior to permit Issuance. F��thermore;�if Pasco County�llVatedSewer-Impact. • fees are due, they must-be-pald.prior to permiC:issuance�in accordance with applicable Pascv Coun�i-ordinances. I� CONSTRUCTION LIEN LAW(Chapter 713� Florlda§tatutes,aa amended): If valuatlon of work is$2,500.00.or more, I certify that,I, #he ,applicant,. have.been provided with a copy,of the "Florida Construction� Lien.Law—Homeowner's Protectfon Guide° prepared by the'Florida Departmenf of Agric.ulture and ConsumerAffairs. If the applicant is someone other than the"owner", I certify that I have.obtalned�a��copy.of the:above.described docuriient°and:p.r.omise in,good faith to ' deliver it to.the"ownec"�.prior�to�commencement:•`�- � � ' II CONTRACTOR'S/OWNER'S AFFIDAVIT: I.certify;,that all the,informationyln;this application is accurate and that all work ' will�be done in compliance with all applicable'laws regulafing�construction� zoning and•land development. Application is hereby�made to obtatn .a .permit to do. work,and installation as Indicafe.d:-:. 'I certify"tFiat no work�:or Installatton has commenced prlor to issuance�of��a permit and that�aIF°work w911 be pertormed�to meek standards of..all laws regulating- construction, County and City codes, zoNng regulatiQns� and land development regulations-in�the jurisdtction. I al'so ' certify that 1 understand that the regulations of other government agencies may-apply�to the intended work, and that it is my responsibility f`osidentify.what:act(ons I must take.to be,in:.corr�pliance: Such agencies include b�t��are.not Ilmfted to: ' - Department'of, Er�vlronmental=Protection-Cypress��ayhead�, �Wetland Areas and Env(ronmentally Sensitive Lands, WaterNVastewrater Treatment. , - Southwest Florida Water Management� .District-Wells, Cypress. `Bayheads; Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. - Department of Health��8 Rehabilitative Services/Environmenfal Health UnitWell.s� Wastewater�Treatment, Septic Tanks. , - US Environmental Protection Agency-Asbestos abatement. - Federal Avlation Authority-Runways. I understand that the following�restrictlons apply to the use of flll:� - � � - Use of fill is not allowed in Flood Zone"V"unless expressly permitted. - If the fill material is to be used: In �Flood Zone. "A", tt. Is understood that a drainage plan addresstng a °compensat(ng volume" will be submitted at time of petmitting which is prepared by a professfonal engineer Ilcensed by the State of Florlda. - If the fill material.is-to be used in Flood Zone °A° (n�connectlon�with.a�permitted building using stem wall construction., I ce�tify that flll�:viclll:be used only.to.flll the area within the�stem�wall. - If flll material Is to be used in any area, i certify that use. of such flll will not adversely affect adJacent properties. If use of flli is found to adversely:�ffect adJacent�propertle5,.the owner may be cited for vlolating the condi#ions of the building:permit Issued under the.at�ached permit application, for�lots less than one (1) acre which are elevated�by flll,an engtneered drainage plan is required. . If I am the AGENT FOR THE OV4INER, I;�promise In good fatth to Inform the owner of the permltt(ng condit(ons set forth in this affidavtt�prior to commer�cing constructlon. 1 understand thet a=separate perm(t may be requlred for electrical work, plumbing, signs, wells, pools; afr condltioning,.gas, or othec Install�ttons not.spec�ically included-in the application. .A permit Issued 5hall be construed to be a'Itcense to�p�oceed with the work and not as:authority to,violate� cancel, alter, or set aside any provisions of�the technical codes; nor shall issuance�of a.permtt.pcevent the Bulldirig Oificial from thereafter requiring a correction nf ercors In plans; consfructfon or violatlons of any codes. Every permit Issued shall become invalid unless the work authorized.by such perm(t�is.commenced�withfn �fac months of permit issuance, or If work authorized by the permit is suspended�or.abandoned for a:period of�six(H)monti�s.after the time the�wowk�is commenced: An extension may be requested, in wr(ting, from the Building.Offlcial for a pertod�not to exceed nine�ty(90) days and vulll demonstrate —justifiabie-cause for.-the=extensior�.-If wro�ic-ceases.for-ninety(90)consecutive-days;:th�job�is considered-aba�donec�: �J-- ----- WARNING TO OWNER: YOUR.FAILURE�TO.�REC.ORD A NOTIGE OF�COMMEMCEMENT MAY RESULT IN YOUR PAYING'TWICE,FOR IMPROV ENTS TO YOUE��:PROPERTY. IF°YO.U�I TEND`Ta�O � � N�•FIN�ANCtNG;�CONSUI.T WIT Y UR LEND A A RNEY FORE�. •ECORD �� OU ' O �C �'O > °' E �E � �NT� FLORIDA JURAT(F.S.1 7. ) ,� � ' - � j' � - � OWNER OR AOENT CONTRACTO -�� Subscribed and swo (or aHirtned)before me this Subscribed and' -to(ot a dpbefore me tFits by Who is/are perso II known to.me or has/have produced VYho.ls/are p.e ally knovm•to me,or-has/have•produced � as Identlflcatlpn. as IdenB�cation. � Notery Public � Notary Publlc Comml on No:,�. Commi n No. , �. , • ,�Y�.� . ��;^.. . .:ON � „�., Name of Notary ty ,pr�nted or stampad :#FF 137073 Name of Nota ' t '� .ne 29,2018 ;*; � ';4: Commission#FF 137073 . - royFainlnswairceR(„3i5•7ntu � %��. o;: Expires June 29,2��8 ._. . ...rw��av.�:�. .�.��,L '��,p��°,� BaMed Tlw Troy Fein Insurance 800.3a,$.7? - �� oU,t N ��y��'�' � ��'� ��''� Ci� t�o j O� ROOF RANGER INCORPORATED _, : , , - // P.O.BOx 3092,Spring Hill,FL 34611 �� ` ° '� ' � * 0�"�7°�� Insured and State License CCC 1325593 ,,, � " * joe@roofrangerinc.com '�° � j��iEN YOUR R44F IS Il�I D1�IGER...CA�,L `I'HE �40F �Ai�IGERI �ernando (352)593-0463 � *�� ,� * * `: * Pinellas (72'n452-86.45 � O: OSAL This AGREEMENT made this�day of 2015 and between Roof Ranger Inc.,hereinafter called the Contractor and � ��- hereinafter called the Owner. JOB ADDRES / � 7 Address�S� (q�� • Phone�fo3-�•�/'-��'� Cell �S� —070� ��`�� County�GS�O To t 1 � FIOI'iC�1 Zip Code��J /� SCOPE OF THE WORK �' I h!'C d..� ��t�G != I 1 �/�L 1�C"C- 0'Z'I C/�� The Contractor shall fumish all of the materials and perform all of the work listed below in writing. � J`]��'r,'1'1 t's�:'c� 6'?�c�`�° G�l-P s�';c^9 L{l '�?d.i 1 (3�,r t T • � ^ / � ,� L/��'�f/'t� //!ti'l�1�b1 Si�z 9� c�/�)Al°i.� � f'1 � .f� � r '� � I�f E� �� l ' � �, �� — �Q� I ca. ,� � c��^ � c.Sed� � " ►��" 'va� �t� '�'' 1 � C�A F F (�.90� � � �� ' L , iwo�� t �� Total$�J �� Contractor guarantees all wor ip'or od of ' `�' vears Deposit$ alance to be id upop-completion �/� �_% � / r q � ` Makecheckspayable to:RoofRanger,Inc �., '�''e 7jYYl.Q /�' `91Z,� ��U. ��I Ct �� 1 This Contract represents the entire and integcated agreement between the Owner and Contncror and supeisedes all prior negotiations...,representations or agreements,elther written or ornl. This conuact may be amended only by written instrument signed by Owner and Conhactor. 2.All work sball be completed in a worlananship like manner and in compliance with all building codes and other applicable laws.In the event that state,county or municipal codes or regulations require work not expressly set forth in this Contmct,and/or differing materially from that genernlly recognized as inherent in work of the character provided for in this Contract,as a condition for approval by such authority,any extra cost for Conhactor's labor and materials shall be the sole obligation of the Owner.Contrector shall notify Owner immediately upon leaming of such requirements. 3.This Contract shall be construed and the relationship of the parties detemilned 'm accordance with the]aws of the State of Florida including specifically Chapter 713.Florida Statues. Mechanics Lien Iaw,and in particulaz,Chapter 713.05,Florida Statutes,which provides that Contractor shall t�ave a lien on the real pmperty improved by the work for any money that is owed Contractor for labor,services,materials,or other items required by,or fiunished in accordance with this Conhact. 4.Should concealed or unknown conditions am an existing skuchse be at variance with conditions indicated in the description of the work to be performed,or should concealed or�own conditions in an existing swchue of an unusual nature,differing materially from those ordinarily encountered and genenlly cecognized as inherent work of the chazacter provided for in this Contract,be encountered,the Contract price shall be equitably adjusted upon notice thereof from the Contractor to the Owner. 5.IN NO EVENT,WfiETHER OCCASIONED BY A BREACH�'WARRANTY CONTAINED IN THIS AGREEMENT,OR BY ANY OTI-IER CAUSE,WHETI-IER BASED UPON,OR SOUNDING IN,CONTRACT,TORT,NEGLIGENCE,STRICT LIABILITY,WILLFUL AND WANTON CONDUCT,WARRANTY(EXPRESSED OR IMPLIED),OR OT HERWISE ARISING OUT OF,OR RELATING TO,TFIE W ORK AND SERVICES PERFORMED UNDER THIS AGREEMENT,OR OTHERWISE SHALL CONTRACTOR BE LIABLE FOR OR OBLIGATED IN ANY MANNER FOR SPECIAL CONSEQUENTIAL,OR INDIRECT DAMAGES,INCLUDING BY WAY OF EXAMPLE BUT NOT BY WAY OF LIMITATION, SUCH DAMAGES AS,DAMAGE TO INTERIOR,IASS OF USE,LOSS OF PROFITS,OR SUTTS BY THIItD PARTIES.WARRANTIES ARE ONLY FOR CUSTOMER SPECIFIED ON CONTRACT 6.Conuactor shall not be respons�ble for or liable for any damages to Owner if the Contrac[or is delayed at any time in the progress of tt�e work by any act of neglect of Owner,or by any sepazate contrnctor employed by the Owner,or by the changes ordered by Owner in the work, or by labor disputes,fire, unusual delay in transportation,adverse weather conditions, unavoidable casualties,or any causes beyond the Contractois connol,or by delay authorized by the Owner. 7.Any controversy or claim arising out of or relating to this contract,or the breach thereof,shall be settled by arbitration administered by tbe American Arbitration Association under iu Construction Indushy Arbitretion Rules,and judgment on the award rendered by the azbitrntor(s)may be entered in any co¢rthaving jurisdiction thereof. 8.Paymenu due and unpaid under the Contract shall beaz interest from the date payment is due at the rate of 18%per annum.If the Owner does not pay the Contrector the payments specified under this Conhact,the Contcactor may stop work until payment of the amount owing has been received.In such event,the contract price shall be increased by the amoimt of the Contractor's reasonable costs of sbutdown,delay,and start-up. 9.It shall be the sole obligation and responsibility of the Owner to determine the existence of any resuictions contained in deeds,subdivision or neighborhood rules and regulations which might relate to or restrict the improvements contemplated by this Contract.Contractor shall have no]iabiliry or responsbility for any such nonconformity to or with such restrictions or requ'uements.Contractor shall be entitled to payment&om Owner of all sums due hereunder nnhvitt�standing any injunction or prolubition against the work as a result of any violation of such restriction or requirements. 10.Due to the nature of tbe construction to be done at homeowners request,the Owner takes sole responsibility of any damage done to the driveway at job location. I1.All agreements contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,tomado and other necessary insucance.All guarantees/warianties can/will be voided if any water penetration enters from outside the work area as described in contract. 12. Contrector not responsible for any a'u condition damage or malfunctions. Reasonable caze will be taken in handling the air conditioning equipment. The above prices,specifications and condirions are satisfactory and hereby accepted.You are authorized to do the or as specified.I have read the Contract and un it lly. � C. � ---- � Gtistome �-> Authorized Signature � Date �L ` Date ��I� jr� � l _ - �' � ��. - /� �1�i� C .�� «we��a,e�ee.�:��.�t at ��a ��" ��'�"� � . . . . . -- -- - .. � 4.._..e �._._�.�_..._ _._"--I. .«. ' �^�-"__.-..�.�." _..'_� � . _ ' t ��`.Note:o�side he clos ng;t�hey a e hown here oe nformaGonai purpose end ara not nduded in the tate�s seltlement agant are shov�n ltems marked°(v o� �re � I L-.---------- �"'"" � � J"..�� ` �E Namo 6 Addrsas a1 Seller. 'F.N=me��s°f le�d�r. { �D.Name 6 Address ot Bortower, �The M.Faye Gore Revocable Living Trust and ;Flagstar Bank,F56 Dustin Gay '�ren B.Harvvell .5151 Corporate Drive 3 4762 Elon Crescent !7144 Ashland Drive Troy,Michigan 48098 E Lakeland,Floride 33810 ,Zephyrhilis,Florida 3354Q � , _ • - - i-------- ---------�.---- -- --,H.sen►.menc a�enr. - - - - -- -- --_ ' i.Settlemen�om: G.Pro{mrty Locatlar 'OIG Title 8 Escrow,LLC September 3Q.2015 �7144 Ashland Drive �5201 W Kenned Bivd. �Zephyrhills,Florida 33540 Y IAlpha Village Estate Phase 1,Pasco County, !Suite 510 ;Florida i Tampa,Florida 33609 ' �866-9&8-0019 fax:866_240-5638� T _ _ �""--�`"��.'��---'�T��-J-�--- - j Piaee ot Settkmant: � � OIG Title&Escrow,LLC � f 5201 W Kennedy Bivd.,Suite 510 ,Tampa,Florida 33609 ( ,Phone:(866)966-0019 ; ° ! � .__._....__-____._..�__�_._.. ._ J. Summary of Borrower's Transaction K. Summary of Seller's Transactton 100.Gross Amount Due From Borrower: _ � __ ,400._Gross Amount Due To Seller:_ . _. - - 95,9C10.00 101. Contract Sales Price ___ , _95_,900 00 401__Coniract Sales Price___ _ - - 102�Personal ProP� ._�� __� _--_��_.w._��-- ---��-.- , 402__Personal Property .-- _ --. 103. S_ett�lement Charges to Borrower(line 1400} __ _ _ 5 610.76_:,403.___. _� ..__ - --- - -- - - - 104__Payoff1_stMortgage --- - --- ._..__ .- -_- -------- :_404.- -- - - -- - - - --- 105. Excess Premium Princi�al Reduction___ ,,, ___. .__;_405. _„_ ___ _ _ ��__Adjustments for Items Paid by_Seiler in Adv_ance: _ .__,� �ustments for Items Paid by Seiler tn_Advance: . 106. Ci�l Town Taxes 406._City_/_Town Taxes _ _ 107_County%Parish Taxes_ ��__�__R___ _ _ _.�___; 4D7. Countx t Parish Taxes _ 108. Assessments 408 _Assessments_ � Speaal Districts Taxes Sep 30,2015 thru Dec � � Special Districts Te�ces Sep 30, 2015 thru Qec ��8Q 109. 15.80' 409. - ---31_2015_-- ----- ----- -- ----�-- - --- - ------- ' _ 31,2015 _120__Gross Amount_Due from Borrawe_r. _ __ m,_, ____ _101,526�56 fi 420__Gross Amount Due to Seller: 95,915.80 I ---------------------__ .____._ -----�-- - -_ . _ -- --- -- - 200_Amounts Paid_by or in,Behalf of Borrower. � 500. Reductions ln Amount Dua to 3eller. .f.__-�.r..�___ _ - 201,Deposit ar,Earnest Money, _ _ ~_��____ 1 OQ0.00, 501J Excess Deposit_jsee instructions) -- --- - --�.,___..� 202. PrinG�ai Amount_of New Loan _ .___,__, _____ 94�162.00�502. _Settlement Charges to Seller(Line 1400) 1,�34 HO 203,_Existing�Loan�(s�taken subject to. _ ___ __�_ __,� ' 503. Exisiin,g Loanjs�taken subject to _204._ Daily_interest'credit ,_ ___�.________ ��504.__P�off of First Morigage Loan .__,--- - 20b. Seller Credit for Closing_Costs`_ _ __ _,_.,_ _ _ __ 2 931.74' S05._Payoff of Second Mortgage Loan , _206._. Selier Credit for Owner"s Palicy _ _,.J_ ____ 551 A3,_506.__Put�chase Money Mortgage ?07. _____ ___ __ _ _ _ _ _ _ __ ____ _ _ _,_ _ ___ i 507. Seiler Credit for Closirtg Costs2693 48 2,931 7� _208,,,_.___ � ' b08. .Selle�.Credit for Owner's Policy_ 551 a3 _Adjustrnents_for items Unpaid�_Seltec _, ___ � Adjustments for Itsma Unpald by Ssiler: 210. City/Town Taxes_ _ 510 City/Town Taxes � 21� County/Parish Taxes Jan 1,2015 thru Sep 29, 524.39 511 G°unty!Parish Taxes Jan 1 2015 thru Sep 29, �2��S 2015 -- - -- -- -- - - - � • - -- 2015 212_Assessments_ ,_ _, _ ., 512 Assessments _220. Totaf Paid_by I for Borrower. _ 99,189.56. 520. _Total Reductiona in Amaunt Qua SNIo�: �A��,y� _300. Cash at Settlement from/to Borrawer: �600, Cash at Settfem:M to 1 frtxn*�alhr; _ 301 _ Gross Amount due frum Borrower(line 120) 101 526,56 601 Gross Amount due to Seller(Im��2p} 95,915 80 ,_302._Less Amount Paid by/fof Borrower{line 22Q), _ _ 99,189,56 642 (.eas Redudrons Amaunt due Se11cr(lane 5yp� 5 14�,Jg 303. Cash From Borrower. ;2,357.OU 603. Caah To Selisr. S$0,7.73.M The Public Reporting Burden for this aailection of 9nfrarmaUOn is esiimated at 35 rr�nutes per response for coiiecttng, neyi,ew�ng �r►d f�p�E�tM data.This agency may not colleci this informat�on,and you are nat required io complete th�s form,unlass it draplays a currentty vat�;�Wg Eprrt�� number No confidentiality is assured,this disclosute is mandatory This is designerd to prov�de lhe partias to a RESPA�rad tr�rr�i�n ri,it}� information during the settlement pracess --_____� _____._ ... .- - -- -- - - , - ' .. _ • 69 � Transfer taxes.-- -- - _ #1203 1,185 23 518 62 - -- -- - - - -- - -- -- - ----• -- ' . - ,;� , Charges That in Total Cannot Increase Mora Than 10'Io HUD Ltne No. GO°d�°� NUp Goyemment Recordin Cha_rt' s.__ �� --"-- - -�""` - � - -- - - `- _ . _ EsGrrsafs , �-_- �. #f209 232 50 713 50 — - -- - - - --- - ---- - . . . _lspraisal Fee___ - Tax 8ervice — ----- ---- -- ------ -- --- - - -- --- -- ---- - - - - #804 51d 00 510�30 -- - -- .._ �__ --. _ Flood Certifcatian � �� -- -----" `- �8� _ fi9 Ofl 5�.64 --- - -----_...-- - ----- — -- --- � -- -- ---- •-- - - - - --- -- -- - _#807 _ 5 75 5,75 Mortgage_Insurance Premium___ � --�-- "- � "- - - ---._. ----�- -- --- ,--. -____ _ .. . _ _ ._ . #902 _ _ 1.6f9.50' _ 161550 - - - ----�- _ Total 2,�36.75 _ _ Zt317.75 - -- -------- ---- --- --- --- --�- ---- _ --____---- _Incre:sebetwaenGFEandHUDGhar�es _ -l19.00 -4.D8'Ia , - - � --- ---• ---- ---- --- --- Charges That Can Change - -- - - - -- - -- ---- - - Good Fafth �� - - ' HUD Line No. �s�� HUp � Initial deQosit fo�our_escraw account � � - -�- " '� -- -- - ---- - #�Q�� - 9Qg�2 �4� 83 Daily interest-,NON_E„__ - -- --�--- - -------.•�- _Homeowner's Insurance .'_..___ _____ _-- ----__. -.------ -- _-w -- � - - �- #901 � 10 64 0 00 TiNe seniices,and lender's title insurance � � " - ' ' '--- - #�03 1 348 08 � - 1 348 00 _Owner's Title Insurance � --��__ — - ^-� _ - -.- , _ _ _ .__ #1101 984 98 97B d2 Surv_ey----- -- - --- -- - - —- ---- -�- --- - --- - - --- - #1103 53d 75 - 557 43 -- ---- - � - '- -- -- _ .- -. -- _ #1302_ 32S 00 325 GD oan Terms i -—---_..___.__ _ Yourinitiai_loan_amount_is__ _ �---- - "` "`� � -..__._. ..-.._. -- _ ;_594,162 00 � � ^ ' -- --_� . � ' Your loan term is __ _ "------ - _ - J ---- --- ---- - Your initfal interest rate la -�-- -- - - _ .30.years - � Your inittat monthly amouni owed for principal,(nterest,and �$521591 Includes - - � any mortga8e fnsurance ls #[X j Principal • I X]Interast an your Intereat rata riseY ~ - - - ---- - '.LX j Mortgage Insurance `on �No. [ j Yes.it can rise to a maximum ot °!�.�e f��„�N De � and can change again every 8n� Every change date,your interest rat�can increase or derrease py c�, (�� r the Ide of the loan,your interest rate is guaranteed to never ba L01�1�R fhan Fven if you make payments on Yime,can your loart balance "� °�0 or Hl_GHER than %, �se7 .(X]No. ( j Yes,it can rise to a maximum at 3 iven if you make payr�tents on time,can your monthly � � X - --- -- - - - rnount owed for principal,lntereat,and mort a e � �N0• � 1 Yes,fhe first inarease can be on and the mcmthiy surance risa? g g :amounf owed can rise to 3__, oes your loan have a prepryment penaltyl_ � -- - Th�maximum it can ever rise to is S ,. ( ea your loan have a bailoon payment7 � - - ��X j No. [ j_Yes,your maximum prepayment penalty is 5 � :(X j No. [ j Yes,you have a balloon paymenl of S_______dU8,n �tal monthiy amount owec►�fncluding escrow a�ccount •-years on , _ yments ( ]You do not have a monthfy escrow paymeni for items,such as propQrty �taxes and homeovrner's insurance,You must pay these rtems drrecfty ypUr�y [X j You have an additional monthly escrow payment a(5176 14 Ihat res�ifs�n a total IniUal monfhly amount owed oP g697.54 Tryis InGudes prmppal.�ntetesf arty mortgage Insurance and any ilems cfiecked below (X j Property taxes � � ( j Flood insurance � � :If you have any quesGons about the Sett)ement Charges end I.c a�Te ms isted on h s form,p{easetcontact your tender I omrrr�rrssrorrraro-e��nm - - ; - � s 800m11tems Payabi�in Connoctlon wlth Loan:_ (from GFE!�1): � 80'1' Our originatinn charge $2,589.�4; ; trom GFE#2?' 802. Your credit or charge(poinls)far the specific Interast rate chasen � 3,�4�a�5 i , - -- • �- (fram GFE#A) j. -859 89� 803. ,Your adf usted origination charges_ : - � {from C3FE tf 3) i 804 Appraisal Fee ; -; to Propefty Sci�nce(poc$510:00 by Borrower)_ , - � , 805,�_Credit Report .. _ - � - (irom GFE#3)' �9 0o f 808. Tex Servico to First Amerioan Tax RE _ - - - (frotn GFE#3) ; � 807. Flood Certifcation � 5.76; to First American Flood - ' , 900. items Required by Lender to bQ Paid in Advpnce: _ - - � (from GFE#10)i' � � 901,_Daily i�terest-NONE . _ - (from GFE#3); ' � 902. Mortgege Insurance Premium j 1,819.50� I to Dept_of HUD . - i - - - - �(from GFE#11); ! �803. Homeowner's Insurance �,348.00_: to Security First,lnsurance Company _ _ - ; h000.Reserves Deposited with Londer:_ - - - � � (from GFE#9)j 1001 Initial deposit for your escrow account 941.83' to Flagstar Bank,FSB - -' ` 1002_ Homeownec's_Insurance 3 months�5112.33 per month. _ _ _ _ , _3336.99, . 1003.._Mongege Insurance @$65,04 per month_ _ _ . - - - � '� 1004 Propetty Taxes 13 months @_$63.81,per month _ . . _ _ , $829,53�,_ _ ; 1099,_A99regate Ad1ustment -- - - - - - -- -- �-224.69� ' - 1100,Titie Charges:,__ _ _ , - _. _ ; - 978.42' 1101. Tiile senrices and lenders title insurance (from GFE#4) , - Search Fee to WFG National Title Insurance $85,00� � - 3rd Party Closing Fee to Empire Closings Corp. $15Q,00� - Title Policy Surcharge to WFG_National Title Insurance _ __ _ _ _�3,2$� - - -- , - 1102. Settlement or Closing Fee ; to.OIG Ttle 8,Escrow�LLC $375.00; _ � 375A0 _1_103._ Owners Title Insurance{WFG National Title Insurance) __ __ _ (from GFE#Sj! 551 43; 1104. Lender's Title Insurance(WFG National Title Insurance) � to OIG Title&Escrow,LLC � � - Lender's Premium 5250.00' . - Endorsement 8.1 $35.00'� _ _.--_.Endorsement_FL Form 9_ _._.___�.-- -___----... _.___----- ---_. ,. ._ ----- -- __ _ . _$80.14? _ : - _1105_Lender's Titie_Ro�icy_Limit�94,266.00__ ___,. „__ , _ _ _< < _ _ _ __ _...,_ . i. - 1106. _Owner's Titie Policy Limit S96�900.00_ _ __ ._ 1 J1107__�enYs Portion of the Total_T1Ue Insurance,Premium_to 01_G Title&Escrow,LLC_,. __$641 60�__ _ , _ Undervvnter's Portion of th�Total Title Insurance Premium to VVF�G National Tftle 1108. $274.97 j � Insuranc:e,�_ , ---- -- - - - - --� - -- �_�_ __--- - --- --- - ------- -- , --- - - 1200,Govemment Recording and Trgnsfar Charges: _ _ � - - - - --- - 1201. _Government Recording Charges ____ ___._ ,_ _ ___ � _ _ _.. (from GFE#7� ; _ 113.50 j _1202.__Deed$27,OQ , _ Mortgac�a$86,50 _ _ Releases�0.00__ _,._ _ _ _ _ 1203� Trenster Taxes _ _ __ ,__ _(from GFE#8);_ _ 518.02 t 1204. _City/County taxlstamps Deed 50.00 _� �__ Mortgage$0.00 _ ___ _ , � 1205.___State tax/stamps ___ Deed 5671.30 .__, __Mortgage$329.70. _ _ ._. 671.30 1206. lntangible Tax � ' to Clerk of the Circuit Court _ _ __ _ , __ , _ _ $188.32; � 1207. Other Tax 2 � ' � 1206. Record POA ^ � � � � � (from GFE#7) � . 18.5Q 1209. Record Trust Cert �� (from GFE#7)' � � - - - - : 10 00 _1300.Additional Sattlament Charges:_ _ _ 1301_L_Required services thatyou can shop for. __ _ _ , (trom GFE#6J 325,pp� 1802. Survey _ _ to Sur-Mite , , _ _ 5325.00 1303, Municipal lien Search � � . � ' to TOTAL TAX AND LIEN SFARCHES,LLC ' 1304. 2014 RE Taxes � � �a� _-_- ,(Poc 5735.06 by Seller� _ .. . . - - - 1400. Total Sattlement Charges(Enter on lina 103,SscUon J and line 502,S�ction Ki 55,61p.76 s�,��,sp � 7 i��a ��hlarul C)iw» i � - ' s, ;'s.'QPI]VNI1119�f`IUIlf1i� �a��1Q i . ,. .�. , < . .. ,.. .. . , a�. ,_..,�,..,� d ' m _, �, _ ..� _._ , _ , 1'�AlrtY A�irJr'4l�i4�! .� . - .. . ; :�aa fiiltl*n�1 C?nw ' � � „�M�hyrtlf(It�,I�IR�iI+A �'��1 i , i ,. s__ . ..__._ ._. .,. ., I n.v�anfuuy hW�►H�d�ha�h+Wl;k 1 Senl�mirn Si+�t�n�nt,wnd ra tt��t��o(my knvwl.�pa�nd i�l�f,h tr i trw�xntl+�curN��tst�nt r�C Nlt r�a�ipi�1�ntl Ui�bun�mint4 m#�d�on my raCOUnt pr by m�In thiu tr�n�ac►i4n I(urth�r a�rtify th�t I hNW ho�+wtl�ooPY oj��'�� i��em�n� t�,F..�..�' . f �', �f��" ..�-� �_r_. i��tmWMr .�"' 3�II�r. � � �, U��in �v �� M, �yt, orAr by vid �nval�,ws ttam�y-1n• �t �l�+ A dn� �.� �.�,�',�,.�-�� K 6.F�rw�fl,Ms 0- n+Nw 1lddreis Tt�Mt1(�.�I 5�lfl�nw�nt�t+�t�mrnt wtuoh I h�vr1 p�r{�nRd ia�i trtl#Mn�J aaourat+l a�Uttt Ot 1Rts t�1lnSl��tCOn, I h�v�C�usld tlf whi q�ti�!tf{t turlris tO tM d�abu°�wd in aacOrHNntr�with Ilu�r etat�m�ni S�►ttl�n�lrnl r�{,�nr t7ats: Sep4embK 3Q,?015 An�y Ft�IHpWtit VuARNING h is a qr�irrN Ic�k�xnvir�!y maka fa1N stat�n»nta to tM UNt�d Stat��on tiHa or any ah�r sin�l�r tom�.f�s�fu�a upan convicEfoc�can inotud!+�finM�ncf impnx�nn�nt. f�or d�t�wl�aaa Titl�h8 U.S,Ccxid aRCtfon 10Q1 and Siction 1010, cEfo i � � , a," . . "�;w ' - .. . . �,rous Mc911iW'tE 11[itY'8y�{ai� ,..... . . _ .._. ,..�; , _ .fi s, :.,,. . '� , , i Il�ill IIIII��161I1��i�il�l IIIII IIII�I�i��I�i�l ilflll�li II�I - ;=_ + ' 2015169330 Perrnit Number � RcPt:1721709 Rec: 10.00 t2S: 0.00 IT. 0.0@ Parce)IDNumber' --l�L}OL�- � 10/20/2015 L. K. , Dpty Clerk N Q T � � � Q F' G O NI M E N C E M E N '�' pAU�A s o`NEI�,Ph D PRSGO GLERK & t;d�iPTRO�IEi Skate of Florida __ __ i 10%2�0 K01�'1�2�.�1�m P�1 �� County of Pinellas - 6� i THE UNDERSIGNED hereby gives notice that improvements will be made to certain reai property, and in accordance with Section 713.13 pf the Fforitla Statutes,the foflowing information is provided in this NOT(CE OF COMMENCEMENT. 1.Description af property(Iegal descriptio ): ,s°r�,5-z� -(jp,ja °b08c�-03 a (� �. , �C�, G� 4' �' � a)Stree#�job}Address: f � � tU FC 2.General description af improvements: � �n,i ��-� 3.Owner Information or Lessee information if the Lessee contracted for the improvement: ' a}Name and address .�t�5`�7�2.� ��1� `7/��6t �G?r t`� �1��, �1�� Vr'l c��5, �L, 33L��t� b)Name and address of fee simple tifleholder(if different#han Owner listed abpve) c)Inteeest in praperty: ��/t.�� i 4.Contractor Informatian a7 Name and address: � QO� .r.r' G�� }_ t� n a tr2? 1 blI b)Telephone No,; _ 'r - Fax No.: optiona 5.Surety{if applicabls�,a y of the payment bond is attached} a)Name an�,d,� rd�ess: b)Tele �ne Na.: mount of Bond: $ .Lender a) e and address: )Telephane Na,; 7.Persons wit 'n the State af Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.93 a)7,,Florida Statutes: a) me and address: }Telephone Na,; Fau No.;(optional} 8.a.ln addi ' n to himself or herself,Owner designates of � to eive a copy of the�ienar's Notice as pravided in Secfian 713.13(1}{b},Fiorida Statutes. Phone Number af Person ar entity designated by Owner 9.Expiration date of notice of commencement(the expiration dafe may not be befare f�e campietion of consfrucfion end finai payment to fhe contractor,but will be 1 ear from the date of recordin unless a different date is s ecified : ,20 tNARN[NG TO OWNER: Ai�Y PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION flF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNpER CHAPTER 713, PART I,SECTION 713.13, FLORIDA STATUTES,ANp CAN RESULT IN YOUR PAYENG TWICE FOR 1MFR4VEMENTS TO YOlJR PROPERTY. A NOTICE OF COMMENCEMENT MtlST BE RECORDED AND POSTED QN THE JpB SITE BEFpRE THE FIRS7 INSpECTION. IF YQU IN7END TO 0B7AIN FINANCING, CONSULT WITH YOUR LENpER OR AN ATTORNEY BEFQRE GOMMENCING WQRK QR RECQRDlNG YOUR NQTIGE OF CQMMEiVCEMENT. ' Under pena(ty of perjury, I declare fhat I have read fhe foregoing notice of commencement and that th cts stated therein are true to the best of my k ! ge�td elief. ,_�/"� - � � � �n ( ignature� ner or Lesse ,or Own s ar Lessee's(Authorized O�cedDirector/PartnedManager) nnt Name and Provide Signatory's iUelOffice) The foregoing instrument v,� nowledged before tne this J S" day of �� -o�,��- ,20 1� �y �v��,�,��y� as �.va n�,.� ��'Pe of authority,e.g.officer,tn�stee,attomey in facf) �Qt ,3s (Name of Person) (type of authority,. e.g.officer,trustee,attorney In fact) �p� {name af party on behalf of whom instrument was executed�. G~Pe`�sonall Know Pro uced ID � � Y � C� t / �CTYPe of fD — , , -- ��Q�r��v"C�1'��lotary Signature J 0�-f �� Printname '�3c-� rYt�.� �,� o1�r ru,� �RENDA MARZANO r '��Y' * t�Y COMMISSI{�N#FF i95�95 * EXPIRES:April 2,2019 �j��OF�^�`QC �ndad ThN Budgst Natary Str+'xes . I "_ _ �- _`< �°; �---�-�-�--_ c°�,�� "�� ~� �"w��'�:-. ^w; � e�'.y-�'"y`_ �v e� � � ��.�,`��1�° F��!�IR.?3�,��5��'��o:��'!�� . o . �: .�� THIS IS TQ f;��i iF`{;` �A 1�a,� �'�''."�'��`'� � �- , F(yREL�C�IfrlG IStI rn�od „�` -°° � TP.UE�,;�1t�;,i�7��s�C�G'�ov!'a(=TI-�c G`OCUP�IEUT � • ��, �ye''"wr ON F!(_!=�� ;��ni l3�1t" ;�:`.=rORD IN�I f-iIS OFFICE ;,� �� / �.° � iNI�fNES;f�ry;�Ai�Jt7lai°�1DOF 1C! LS�r1LTHIS �;° ��``� 1,�`�h�' �":�:`�� a_D`i"�` aA�r oF � z d,� �,�• " �°�,� ' , �laULA�. O'NEi�, CLERI�&Cf.aiVfPTR� ��j'��; ' _-.M� ' ,'� LLER �� , L�� , �Y �- C� _ UTY CL��K