HomeMy WebLinkAbout16-17521 ��
CITY OF ZEPHYRHILLS
-�' � 5335-8TH STREET
(813)780-0020 521
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17521 Address: 6848 STEPHENS PATH
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: STEPHENS GLEN PHASE TWO
Est. Value: Parcel Number: 03-26-21-0160-00000-0400
Improv. Cost: 11,600.00 OWNER INFORMATION
Date Issued: 6/28/2016 Name: WITAS, LINDA
Total Fees: 95.00 Address: 6848 STEPHENS PATH
Amount Paid: 95.00 ZEPHYRHILLS, FL 33542
Date Paid: 6/28/2016 Phone: 847-530-5413
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
FARRELL ROOFING INC REROOF RESIDENTIAL 95.00
, �
- Ins ections Re uired �
DRY IN ROOF INSP
TAPE JOINTS OOF NSP
FINAL
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.
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.
CONTRACTO NATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
e�s-�saoozo City of Zephyrhills Permit Application Fax-873-780.0021
� ; Building Department
�� ' '
Date Recelved phone ConWctfor Pertnittin
Owners Name Owner Phone Number — ��3
Owners Address Owner Phone Number
Fee Simple TiUeholder Name Owner Phone Number
Fee Simple Titleholder Address �I
, \,� JOB ADDRESS \ ' 1 LOT# [� I
�� ,, n y 3_ _ - - �OQ �'
V ` SUBDIVISION PARCEL IQ# '
� \ �� WORK PROPOSED NEW CONSTR �ADD/ALT � SIGN NED FR�OM PROPERTY T�nce)DEMOLISH
\ 11 �J INSTALL e REPAIR
�V
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK 1 i `� L
BUILDING SIZE SQ FOOTAGE� HEIGHT
QBUILDING $ I VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ ��!/ '
. � • �
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �_„��r
OGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ' ���
BUILDER �1� COMPANY
SIGNATURE � �`�� REGISTERED Y/ FEE C REN Y/N
Address ���p73 License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
PIUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllllllll
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new cansWction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Startnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsflarge projects
� COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1}set of Energy Fortns.R-O-W Permit for new construdion.
Minimum ten(10)working days after submittal date. Required onsite,ConsVuction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Fadlities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
•'•'PROPERTY SURVEY required(or all NEW construction.
...�T:–F� '��:��
DirecNons:'
Fill out application completely
Owner 8 Contractor sign back of application,notarized
" Ii over SZ500,a Notice of Commencement is required. (A/C upgrades over E7500)
•' Agent(for the contractor)or Power of Attomey(for the owner)would be someane with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public madways..needs ROW
r � ' NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block"of this application for which they will be responsible. If you, as the owner sign as the
contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County. i
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and ,
90-07, as amended. The undersigned also understands,that such fees, as may be due,will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
' receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or
final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide°prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant 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'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that aIl work will be performed to meet standards of all laws reguiating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I aiso
certify that I 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 take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WateNWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawails,Docks,Navigable Waterways. �
- Department of Health & Rehabiiitative Services/Environmental Health Unit-Welis, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- 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", it is understood that a drainage plan addressing a
"compensating volume"will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction,I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
the conditions of the building permit issued under the attached permit application,for lots less than one (1)
acre which are eievated by fill,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed 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 permit prevent the Building Official from thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
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 NOT CE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
�suib and swo o( i ed b �me th u scrib d and b o� affi n�r¢�g r�n�'
.�.�-� _��
is e rsona y o s/iave produced o i e personall own o e or a ave c�e d
entification. ��shl�fltilitation.
� Notary Public ✓ Notary Puhlic I
Commiss' n No.f r(/I�/I�� Commission No.
\/ ��lO Y
N y�A� Name of Not s ed
A
�� Notary pu61�5tat�01'plovlda , ,�
� �' ; Roy Shortt, a� ����Y Publlc State of Florlda .
a My Commission FF 015127 o Roy Shortt
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�oc�°&� Expires06/3012017
�B� MY Commiaalon FF 015127 ,
. . . � 4 . ' or v� ,EXpires 06/30/2017 ,
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06I15/2016 15:16 7277556712 THE UPS STORE 6294 PAGE 03/06
. .� OMB Approval No.2502-0265
����-'��s. A. Setttement atatement{HUD-4�
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L Q FHA 2.� RHS 3.❑X CONV.UN1fVS, �•FlIB Num6er: 7.Loan Numbor: 8.Mottpe�a Insvrance Case NUtnber.
a.� vA s.❑ co�sv �us. 16389A
C.Note:7111e farm is fumished to give you a ststement of�1�8�aeMement Goste.ArnounL psld ta and by Ihfl settlement agent are ehown,Items mariced"(p.q,C,)"wera peid
outeide the UoStng:they are shawa here for infomtatlonal putposas and ere nof ineluded in fhe tot8ls.
D.Name S Addrasa of euyar: , E.Nema&Addraes ot Botler."' F.tdams d.Addm:s ot�enaar.
LINDAwITAS MARLEN�A.WYNNE,a singlewoman CASH
15819 Cedar Elm Terracc MICHAEL J.WYNN�,a married man
Land O l.ekes,Florids 34638 8724 Cavel!1.$ne
Houston,7eX9s 77Q55
G.Praporry Locatton: H.gcittemsni Agont: 6 Setticrnont Data:
6848 Stephens Path Alpha-Omeg&Title Services, Inc. June 13,2016
Zephythllls,Flnrida 33542 1740 S.MacOill Ave.
Lot Ad,ST�PNEN'S GL�N AT StLVER C3AKS, Suite 300
PHASE TWO,Book 31,Page 150-151, Tampa,Florida 33�29
PASCO e.aunty,FlosiBa (813}254�i320 fax:($13)254-8991
• plaee dt 9ertlamon!
Alpha-omega Tfile Services, Inc.
1700 5.MaCt?i11 Avs.,Suite 340
Tampa, Ftorida 33629
' Phone:(813)25a1132o
J, Summary of�uyer's Tran�action K. Surnrnary of Seller's Transaction
:100-�Gros's:ArrlOUnt�Due:Fmri1•B.U'ec:'..': �'� •• ` � �� �•��� � :...400:'G'rass�At�od"nt'�u�'.To�Seller:::..�.. � ��
1Q1. Contract Sa{ Price 215 0.00 401. C ract Setes P ice 215 000.00�
'E02. Aersanal ro erE 402. Personal Pto
103. Settlem nt Cha es t0 Bu er line 14 791,B8 a 3. Realtof G it from Cyins M ri Holm 2 0 .00
�Ad'ust,'tfieh'ts' ai:(teiti&;Paiii�ti .'Selt'er'7ti�Ad'vah�e:� .., :•qd'ustmenfs�fb'r:�ffems:•Pald:•li'�S"'e'llee�.iri��1'dvan'ai�:; '
� .�906. Ci Town Taxe9 6. Cit J Tow Taxes
10 Coun /P Ta es 407. Co Parish T
108_ Asseea nta 40$. Assessments
NOA Faes pd(2u&Rsriy$9d6.'t8 3un 13,2016 HOA fees pd quarterty$146.�8.tun t3,2016
109. ���un 30 2 16 28•g1 409. thru n 30 2016 28.81
11Q SolicS V1laste paid in taxes$E2.00 Jun 13,2496 34 22 q�4 Solid Waste paid in taxes$82.00 Jun 93,2016 34.22
fhru Dae 31 2016 thru DeC 3'S 016
120. Gross Amount Due from Bu et: a15 864.$1 420. Oross AmOunt Due to SeUer: 217 073.13
. �, , -• . . . � . • �0 ��.in•A' ��Selle�:, • � �• . � .
:�00.:.Arnounts-Patti:b ,:�sr in�Behalf�of�Bu ei;-.•� • .:•50 .. Reductions m0unt,pue:to • •�• •
201. De osit or Eatnes Mone 5 OOp.00 501 Excess De osi see instructlon&
202. Princi al A unf of New I.oan 02. Seftlerttent har es to Seller Lins 1440 ' 16 367.28
203, Ex in Loan s take b'ect to 503. E.�c in Loan s take s b'ect ta
204. Daity interest credlt 504. Payoff of First Mortgage Loan to Wells Fargv �8,657.81
Home A11 a �
205. �Q5 Payoff of Second Mortgage Loan to SunCoast �773�a
Credit UniO
20H. 506. t'urchas�Mane Mo e e
207. ��� All proceeds to Marlene A.Wynne ta Merlene 113,443,39
A.W nne
' Ad�ustrne�ts tar�ltems.t�n aid�b' 3�tl�r.� � ' � •.Ad usttrieists.Eor�=lfetiis��Un aid�ti "Sellet:��•'.r.�,:: ' . . .
210. Cit 17ow Taxes �510. C Town Taxes
� 21,� Caunty/F'aris6 Taxes Jan 1,2016 thru Jun 12, g3�,01 51 t. Counfy/Perish Taxes Jan 1,2018 thru Jun 12, $31,�1
2016 2Q1 �
212, ssessments 12. Assessments
220. Total Paid b !fpr Bu er: 5 631.01 520. Total Reduetlons in Amaunt DU0 Seller: 217 073.13
. . . ....,-. .
.'90'0::.�a'sN•°ats�ttle'm�n't�.f�`oiii�'l::to'Bu er: '�. .. ��: �;::•. :• :: .. ... : .:6q0. •Cash�gi�Settfementto'l.from��e4er.. ;���••�.;•�,•.,� ...... •..:�:
3Q9. Gros mount due from 6 er line 920 215 B54.81 80 Gross Amount due el(er line 420 217 073.13 i
302. lass Amount PaId 6 lfo 8u er line 22fl 5 831.Ofi 60 Less Reductlans A nt due Seller Ilne 52� 217 073.13
3U3. Caeh�rpm Buyer: $210,023.80 603. GaSh From S�Iler: $0.00
7'hs Public Reporfing Butden fOr this co!lectiott Of i�#OPt'ttation is estimated at 35 m(nufes pst response for COUeCking,r�viswing,and t�porting the
dafa.Thi6 sgency may not caHec#th're information,and you st�not rBqUirad to comp(ete fF�ie foftri,antess it displays a currently va3ld QM8 cantro3
numb�r.No confidentialiky Is as&urod;this disclosure Is mandatory.This is designed to provide the parties to a RESPA coverad transaction wfth
iaforn*ak'son during the settlement proces8. * i
06/15/2016 15:16 7277556712 THE UPS STORE 6294 PAGE 05/e6
Seftlement Date:June 13,2016 File Numbet: 16399A
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��veri;lF yoa itl�lk0�payment9��fln tlme••:can�"o�i(lo�n�ba(#1i'C'e.;'•:� [X j No. ( j Yes,it c8n rlse to a maximum S
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;Eveh:tP.;yoy makeipdyrSiants•.on�tiiii9;,Cdn,you�rT1'o�thly���•,:,.::s;.;; j X�No. [ )Yes,the flrst increase cen be on and the monfhly
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•amounf'owed,fo'r,';'�t n'�IpaT;;lntetest;and�mortgal��,.,•;::•,, ;:_ ''•� amount owed can rise to
• `' � •`"-'""" ' " ; ',;�."',�. e maximum it can�ver rise to is$
-•'i'nsurance•ri�e7 "•'•• '�'`' '"'�"'' �� �
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�D'oes�"o'u'r_loa'n h'AVa. .: "'re a'm'enC� .e al"�-=�•'��.:t:':•'"`. '=��''""•� X No. Yes our maximum re a ment enal Is$ .
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bbes;�your.loall':h�a'y.a�a baltison,paymenn.:•� ; (X] I l Y P Ym
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:Total'rinonthl'�ainount�ov�!ed°Irfcluding eSGtow.d,ccoNrit �`�• �: [X]Yau do not have a moofhly escrow payment for items,such as propeRy
� y " " '� " ' ` ' ner's In
' • :paymettt� �•�- ' •• _' ,. � � �� , �� , •• . ' • taxes and homeow surance.You must pay these items dG'ectly yourself.
, • ,• •• ;',. �'�. ' . • , •• • ��, [ ]You hetre en additional monthly escrow payment of S that
�•. ..����'•� ;•.:,. .:.' :.:^.,,; .. • • hls Includes
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� ��'� `� �• ,. ,. , . ' , t,�any mortg ge nsuranceea d any Items che ked below:
�, , � �esults in a total i
• �"�` ,, , , , principel (ntefeS
. ., • �' , : , .. ' . ( J Property taxes ( )
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. �. , ._. ( ]Ffood insuranCe [ ]
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•�• . •• • �.�.�•�: .•-�:,. •• ' Ho owners insurence
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Note:If you have any questions about the Settlement Charges and Loen Terms listed on thls form,please Contact yaur lender.
* * I
e6/15/2016 15:16 7277556712 THE UPS STORE 6294 PAGE 04/66
Settiement Date:June 13,2016 File Numbe�: 16399A
L, Settlement Charges Pald from Paid from
...... ... .._. ... . ..:..... .. . ,. . . . • . . ,
'70'd:'''Tota1,S�.lAs./;Br�lser.'6�;Cori�.missibn::S:'f2,90Q:46.,.' • .. , ' ' . . ,
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��.-••Dlvision:.of:CdiTt� i siort':'Iln��y` `'•a'S�'fotl'0' ' ' - �• Fund9 et Funds at
. '701, 6 70 .00 to KeHer Wiiliams-N w'fam e � Settlemenf 8ettlement
7�2 6 200.0o to Labbancz Realty($3100.00 Payable to Roger Kleiner and$3100.00 payable to
Ashle Shlm
703, ommisslon P id at Settlement 12 900.
704. Admin Fee to Labbancz Re I 299.00
.:SOO:::Ite�l'i►s Pa able�irr.:�onn�ction with.ioari:•..� -�� •� G
.... . . : • .� . . . . . • _ . , , ...... .. . ,..
801. Our origination charge (from FE#1)
0,00
802. Your credit or charge(polnts)for the specific interest rate chosen (from GFE#2)
0.00
803. Yo r ad'usted o' ination ch s f GFE#A
804. �aisal Fee
805. Credit Re rt
06. Tax Se ice
� 807. Flood rtificatlon . . , . . .
.... .......... ......., . ,.;..... .. . ...,,.. .. ....... . .. . . . . • ..
.:.:.8'do;.',item§:Re"uired�ti'�;iL••ehd'er:to�.6'e'•Patd�ih�•Advarf'ce::: .. . .,,.,. . �.':•:.• ..,';:.:�'.:.� • •�°
.., ... . , . . ,...:.. ..�.. . .. . ... . .
901. Dail ' erest-IJO 4ram GFE 1
902, Mo a e Insuren Premium from GFE�3
903. Homeowner' nsurance from FE#11
.,1000:`}�esei've6:De'�osifetl:.withrLe"n'de'r.',•�.. .:::•:���•.... ,,. ;, • ;.�'• '' �.,::�:�':�•'."
. .... . .. . .:.. � •:•:... . . . . � . ..•., ,..•... . . .,.. .. . ., , ,. ... . . ,,..,. , ...._ . .
1001. Initiel a osit for our scrow accoun from GFE#9
100 Homeown ' nsurance
1003. a e Insur
' 1 4. Pra e xes
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;:.. . . ,,
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1101 T(tle services and lender�s title lnsurance (from GFE#4) � 254.50 109.00
- Title search to Alpha-Omega Tltle Seroices, Inc. $100.00
- E RECORDIN o AI ha-Ome Title E Recordin Account 1 50
1102. SetNement or Closing Fee
to AI ha-Ome a Title rvices Inc. 250.00 250.00
1103. Owner's Tii1e InSutance (from GFE#5)
to AI ha-O a Title Serv(C �nc. 1 150.00
9104. Lenders Title tnsurance �
- Lender's Pre ( m
' 1105. Lendel"6 i le Polic Llml
1106. O ners Title PoliC imit 215 000
11 7. A enYs Po 1 n of the 7otel Insurance P ium 805.00
1 . Undenrvrlte ortion of the al Title lnsu Premium 345.0
1109. T;tle Surcharge Stste of Florida
to O ublic IJatio I Title insuran m an -28
. . . .. . ._ ... .. ...... .. . . . , , . .. , ..... .
.. , .. . . . .
�1�oD::G'overnmentk�co'rilln ;�nd'7ranafer•:�ha�'es;�. � • • • � ' °: , � •• •��•• '>'' '
. • . . .. . . . . ..:. „ . •. .. • ...::..: .. . . ,. .. ... ,.. •
1201, G vernment Recordin Char es from GFE# 27.00
1 2. Deed 27.0 Mo e 0.00 Releases 0
12D3. 7rensferTaxes f rnGFE#8
1204, i /Coun fax/stam s Deed 0.00 M a e 0.00
205. State taX/6 m s D 1 505.00 Mort a e 0.00 1 505.00
1206. lnfen Ibl Tax
1207. Othe Tax 2
1208. Death Certificate Afffdavit (from GFE#7)
to AI ha-Ome Ti te E Recordln unt 10.00
1209 CMA Affldevit (from GFE 3F7)
to I h -Ome a Title E Re r in Account 10.00
.. . . „ .... . . ,
:�13od:�AdditlonaP.S'ettleinerif Cha "es: ' . •• • • ' '' ••' � '•� •• ' � � �
1301. e 'uired services tha c n sho for irom G t�
1302. 5urve � �
1303. Termite Ins c lon
1304, Home Warrant
1305. Lien Search
to PROP GtX 75 00
1306. Transf�r Fee
Fi►st Services 65.00
1307. Estoppel Fee II
to FifSt Servi s fbo AI ha Ome e 'I 355.00 ,
1308. 3rd quarter HOA Fee6 �
to Silver Oaks mmuni Assaciation 146.18 ',
:.' .. ` . . . .,.. . ;. .: ., .. . ... .,. . .. .. . . , . . :: .. . . '�..;,"-•.•:•;. •;:•. .• •
;1'A00.•�Tot�l'$etllerri'e,ntiCh�rgas:(Ente�:on Iirie:l;O3,;Sectlon•;I•and�lin�•602...Section'K) �' . . .,,..,, $.7.,81:.fi8;.'' $1�;36Y:28 ,
* * I
06115/2016 15:16 727�550712 TNE UPS STORE 6294 PAGE 06/06
Settlement Date:June t3,2o16 Flle Number: 16399A
��il ers� ' � ' . , • ,. .. .,. , . , � , ..
L1NQA WlTAS
158�$Ceder Efm Terracs
Land Lakes Flori 3AB38
:;� lleFs:�'. >'i•' ..,.; � . ... ::�;�;' - .�- • . .._. .. ... . .
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MARLENE A.WYNNE MlCMAEL J.WYNNE
$724 CaVeEt Lane 8724 Cavetl I.en9
Houston exas 'I7055 Ho fon 1'exas 7055
::P.rb__e`: ::Ad�dres's'e�': � �` :,.• . ..•. ,',.,.:.; ... . . .....
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6$48 Sfephens Peth
Z h rhills Florida 33542
I have carefuliy reviewed the HUb-'1 SettiemenE StatemBnE,and to the best af my knawledge and bellef,it is a true and aecurate statement of s11
recelpts and aisbursemenis made on my account or by me in this trarrsaction. i further certify that I have received a copy�f NUb-1 Setttement
Siatemsnt. Substltute For 1099 Selter Sta2emeCtY. The informatlon contained herein is importent tax informat�an and is being lurnlshed to the
Intefnal Revenue Service. lf you�fe raquired to file a return,a negtigence penalty or other sanction witl be imposed on you if fhls item is required to
be reported and the IRS determ'inas that it has not been reported.
Pursuani to Florida Adm9nfstrativa Gode 69d-186.0'to,the und�rsigned agrees snd understands that in otder ta rsduce the averal�casts of tltie
insurance and other senrtcss related hereto,that alt interest income,if any ea�ned an the dlsbursement account shalf be retalned by the�'itle
' ln9urence Agent.
�
° � _
8uyer. Setter. ��
Lt AWITAS MAR ENEA.WYNNE
Setler.
MICHAEL J.WYNNE
I have revlewed tha CIo91ng Disclosure,the settf�ment statement,the lender's closing instrucfions and any and all other forms relative to th�escrow
funds,including any disclo re of the Florida title insurance premiums being paid,and!egree to disburse the escrow fund5 fn eecordance with the
terms of this transacfion tida law.
SettlsmenE Agen#: � ��1c"�— Date. Juqe 13,2096
Bitl dulla
WARhtIN�: It�s a crime ta knowing�y meke#atse statements to tbe Un'sted States on this or any ather similar form,Penatfies�pon convlctiors can
include a fine and imprisonment, For detaifs see Title 18 U.S.Code Sectlon 1001 and Seetion 101p.
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. � e Fa��ell Roo�ng, Inc.
PO Box 776 Port Richey, FL 34673
� (727) 845-7663 phone (727) 845-7664 fax
' FarrellRoofing@aol.com
(� www.farrellroof.com
License#CCC1327707
June 15, 2016
To: City of Zephyrhills Building Department,
This letter is being written to provide authorization for the following agents to be able
to sign for and pick up pertnits on my behalf:
Tina Farrell
Gail Potter- Potter's Permits
Alicia Galatolo
Goose Galatolo
Shelby Farrell
If you have any questions or require any additional information please give me a call at 727-845-
� 7663.
Thank you,
Step Fa 11
Owner/President
.�.
� ,�,at v� Notaty�ublie 5taie o��1��d�' :
, �'��; Roy Shortt.
, , ' < My Commission FF 015127 �
.�pQF�,a�' ExPires06130f2017_ , q��
S
i iiiiie iiiii iiiii iiiii iiiii iiiii iiiii ui�i��iio������o������
; 2016100160
Permit Number Rcpt:1781893 Rec: 10.00
D5: 0.00 IT: 0.00
Parcel ID Number os-zs-zi-oiso-00000-oaoo 06/27/2016 L. K. , Dpty Clerk
N O T I C E O F C O M M E N C E M E N T PRULR S 0'NEIL,Ph D PASCO CLERK & COMPTROLLER
State of Florida -- ,.. 06/27/2016 04:14pm 1 of 1
County of Pinellas � � OR BK ���� P� ZZV 1 __ '
THE UNDERSIGNED hereby gives notice that improvements will be made to certain rea prope and in a rocc da cn e with Section 713.13 of the
Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT.
1.Description of property(Iegal description): o3-2s-21-o7so-00000-oaoo
a)Street(job)Address: 6848 STEPHENS PATH ZEPHYRHILLS FL 33542
2.General description of improvements: RERooF
3.Owner Information or Lessee information if the Lessee contracted for the improvement:
a)Name and address: LINDA WITAS 6848 STEPHENS PATH ZEPHYRHILLS FL 33542-0658
b)Name and address of fee simple titleholder(if different than Owner listed above)
c) Interest in property: owNER
4.Contractor Information
a)Name and address: FARRELL ROOFING INC PO BOX 776 PORT RICHEY FL 34673
b)Telephone No.: 727-s45-7ss3 Fax No.: (optional) 727-s45-7ss4 _
5.Surety(if applicable,a copy of the payment bond is attached)
a)Name and address: rv/A
b)Telephone No.: N/A '
c)Amount of Bond: $N/A
6.Lender �� . - �
a)Name and address: N/A - "
b)Telephone No.: N/A � � '
7.Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section
713.13(1j(a)7., Florida Statutes: � �
a)Name.and address: , N/A
b)Telephone No.: N/A � Fax No.:(optional) N/A
8.a.ln addition to himself or herself,Owner designates N/A of N/A
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
b)Phone Number of Person or entity designated by Owner: N!A
9.Expiration date of notice of commencement(the expiration date may not be before the completion of construction and final payment to the
contractor,but will be 1 ear from the date of recording unless a different date is specified : ,20
' WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE
I CONSIDERED IMPROPER PAYMENTS 11iJDER CHAPTER 713, PART I,SECTIOP1713.13, FLORIDA STATUTES,AND CAN RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON "
THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
� Under penalty of perjury, I declare that have read the foregoing notice of commencement and that the facts stated therein are true to the best of my
' knowledge and beiief. _ i J
l���itl,0,4- � �-�5
' (Sig e o ner or Lessee,or Ow ers or Lessee's(Authorized OfficedDirectodPartnedManager) (Print Name and Provide Signatory's TiUe/Office)
The foregoing instrument was acknowledged before me this /ST� day of �uti� ,20 16
by L/�/� /i(//T.,[�S 8S pw,�/E� (type of authority,e.g.officer,trustee,attomey in fact)
for - ��1-�c//EL S,CI�/�,�� �as /U c��4,�� �G�.t�L/C
�" ` (Name of Person) - (type of authority,..e.g.officer,trustee,attomey in fact)
for � (name of party on behalf of whom instrum t was executed). - -
Personally Known ❑ Produced ID '
Type of ID r/��G/ � Notary Signature /
��""� DANIEL SANABRIA Print na e ( � •
`�ti�1aY PV9l��.
;_°,,::.. ,�: Nbtary Fublic=Stale of F;orida
_•:'r�: •=My Comm. Ezpires Sep 10,2016
'`"�` �- `a� Commission#EE 833822
,'eO������ Bonded Through National Notary Assn.
/
���������
���° Gs�°
� °
ST�T��JF FLURIDA�,C0�3�TY�F�'A�Gfl � ', �
� ' � .
i HIS IS TO CERT(FY THAT THE FOREGOING IS F\ ,�Q�,�i
TRUE AND CORRECT COPY QF.THE DOCUMENT � � In�°� "O � _.
ON EIL�OR OF PUBLIC RECORD IN THIS OFFICE � �
WI7NES�'HANDANDOFFICIALSEALTHIS. ,� �� '• 1587 ` , .
�� —ffJ�Y OF 2 d I � •: o �O@ . . ,
�T�4TE OF��'��` .
pqUL�A .S O'NEIL, C RK&COMPTROLLER . � ,
BY (�li-u DEPUTY CLERK
�I