HomeMy WebLinkAbout15-16809 .
CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 168
• ELECTRICAL PERMIT
�� PERMIT INFORMATION • LOCATION INFORMATION -
Permit#:16809 Issued: 12/07/2015 Address: 5812 14TH ST
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 800.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 40.00 Date Paid: 12/07/2015 Parcel Number:
CONTRACTOR INFORMATION 'OWNER INFORMATION �
Name: WESLEY CHAPEL ELECTRIC LLC Name: KELLY J NELSON
Addr: 25678 INKWOOD PLACE (POBox 7297) Address: 5812 14TH ST
WESLEY CHAPEL, FL 33544 ZEPHYRHILLS, FL. 33542
Phone: (813)973-1141 Lic: Phone: (813)778-7577
Work Desc: ELECTRICAL PANEL UPGRADE
APPLICATION FEES - - -
ELECTRICAL FEE 40.00 � � �� � �
���r3
INSPECTIONS REQUIRED �
ROUGH ELECTRIC �7
CONSTRUCTION POLE I '2 - ` ��
PRE-METER
FINAL (�-`� -f .
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 may be additional restrictions applicable to this properly 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 and Fee Must Accompany Application. All work shall be pertormed in accordance with City
Codes and Ordinances.
CONT C OR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO -
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813aeo-ooao City of Zephyrhills Permit Application Fax 813-780-0021
.. Butiding Department
Date Recetved • Phoae�Contact for P�rmlttM f� t� _ [� Z,
Owner'a Name * E' � �S d� Owner Phone Nur�nber
Owner`s Address / � r'� •��' � !' Owner Phone Number � �
Fee Slmple Tltleholder:Name C�� /�'��'fo� Owner Phone Number '� �
Fee Simple Tltleholder Address J � �2 �� .� il r•//'"' �' �%�
JOB AQDRESS '2 � � '�'"" [ +j//�'��-�' � � 2 LOT# C��
(� SUBDIViSiQN � � PARCEL ID#
� W�RK PROPOSED , ' NEW"CQNSTR ` AS3D/ALT � SIGN NED FR�d-M PROPERTYT�7�ce)�EMOt.lSH
e. INSTALL. 8 REPAIR
FROP05E0=tlSE Q SFR Q COMM [� -QTIiER
TYPE OF CONSTRUCTION ^ � BLOCK ` [� FRAME 'C� � STEEL , C]
DESCRIPTION OF WORK E'Z�� t �Z t/ G��G� �
BUILDING SIZE �� � �w� $Q FOOTAGE . ;HEIGHT��� �
QBUt�DING $ .. a. '—J ..�.- ......_-. . ..,3•�. ._... ,. �. -
�/y'�1 I VALUA710Ai::G>F TOTAL COAlSTRUCTION '
��LL_..J -
`���LECTRICAL ���ce � AMP SERVICE r�� � PROGFtESS ENEFiGY Q W.R.E.C.
\
QPLUMSlNG � � g,$�`1
OMECHANtCA! $ VALUATIQN OF�MECFiANlCA�INSTJ�ILLAT101+1.
���
QGAS Q f200FiNG ,Q SPECIAI.TY �] OTHER �
FINISHED FLOOR ELEVATIONS �� FI.00D ZQNE AREA QYES NO
BUtLDER COMPANY , -
SIGNATURE REGISTERED Y/ N FeE cu�t�n Y/N
Address . , . License# � �
SIGNA UR� �f . `CbMPANY 1 �{�J� G'I G�C.. ���C�i��
� � REGISTERED Y/ N FEE CURRE� �N`
Addresa - .. � 1 License#.��.�3� � ����
FUJM�ER ' COMPANY - - � ,. - _ �
SIGNATURE' REGISTERED , X/.N, FEE CURRE�-•� �- " Y:/N.
Address - . , Ucense# � , . ��
MECHANtCAt:' . . - • COMPAFlY
SiGNATURE " � '� REGISTERED � Y/.N _ ,;,�eE cuw�En Y./:M
Address r • - � - . � " License# r . �
OTNEft : � � `{COMPANY
SIGNATURE � � ' ` ' RecisTEii�� � Y/ N.._ FeE cuRi�n Y/N
Address - ' � ` � ` license# �i �
RESlDENTIAi:,:,: Attach`(2),Ptot�Platis;�.{2)sets.ofBullifing�E?tans,{1}setof`Energy�Fo`rans;,F2=0-WPerrriltfor'newcansWct�on,;
,,,, , ,
� Mtnlmum;keny•10;workingxdays after"submlttal`date.�:Requlred onslte;;Construodon�Plans;Stortnwater"P1ens w/SIIt Fence lnstalletl,
..,. �..)
` �� Sanilary'FaclltUest&{1�dumpste_r,°51te•Wotic:Permitfor.subd(vislons�/large-pro)ects.... ".- : � �
COMMERCIAt. Attach(3}cbmplete sets'of Bu11�Sliig'Plaiis ptas a t.IfetSaftify Page;(1}si�t of Energy Fotms.R�O W Petmit for nev�+construction.
Minlmum ten(10)working deys'after submlttal date. Requlred onslte,Canstructlan Plans,Stormwater Plans w/SIIt Fence lnstalled,
Sanitary Facllidas&1 dumpster.Slte Wbrk Permlt for all new.proJects..All commerclal requfrements.must meet compllan+ce
S1GN PERMIT Attat�(2)sets otEngl.'neered=Flaiis.;, -.^ �. , _ .
'•""PROPERTY SURVEY regulred for all,NEW construcUon.
Dlreatlons: � . • . ,
Ffll out applicatlon completely.
Owner&Contractor stgn back of appltca@qn,nota�izad
If aver�2500,a Flotice af Commencemen#is requirsd. {A!C�Psgradea ov�p:67500)
'" Agent(for the contractor)or Power of Atkamey�(for tFie�owner)would be someone wlth�notarized letter from owner authodzing same
OVER TNE CC1UN'i'ER-FERMI'iTfNG� ---(Ftont-of�APPIlcatiomOniy};: ;-.,,w.....� � _ .. >
Reroof�ifshingles Sewers Ser,vice.Upgrades A'/C'", "`Fences:(,,P•,IoUSurvey/Foatage) ,�, � � � .�~ ,!;a .
. " ._-. ._ : r. ��' �,,: � ., . ,. . _ - t.,l't}' _ •�_ e�e '3': — • 'S+S. _ . -r- .,e
Drivewaya-Nat over Counter if on pubtic roadways:.ne"ecls'ROW ���; � ,,„, s;�,�;+. . ;,., _ '.,:,`,'
���i �.t .,: 'u ''��',��' ;Y ....r:. ,-.. ' ..'��.�-':,. _, . '- --. a - ;_ _ v
� .
` - .;.;
NOTiCE QF_DEEQ REST.RiCT1aNS: The underslgried undsr�#ands,;th�t:#h1s<��emlfkmay,.be,subJecfi to."deed"restrlc#ions" .. ,_. ..__.
which may�:be�more'-r.estir:ictive�thz�n County�reg�ilat(ons: The�-undersigned�assumes°responsibllttyi for'compllance witht ariy� " �
app#Icabie.deed restrlctlons, -.... :. ,: - :� : � _ ;� �.. ~
UNLICENSED��CONTRACTORS AND CONTRACTOR RESPON8tBIL1TMES: �-!f-#iie ornrner has��htced��a �contracfor or
cantractors to undertake wark; they may.b.e:ce�qulred:=.to-�b�-;Itcens'ed In.accordance.wtth state.and.�local:regulatlons:;�if�the==� �
cantractor Is not Ilcen'sed as��eqttlred=by Isw,�bo#ti'#he awner atid=cont�aQtcitzmay be�clted�for�a�Rntsdemeanor violatlan
under state Iaw. If the owner or Intended;.co,ntra�tor.are;wncertaln as to what Itcensing.requlrements�;may�;epp(y��for�tiae�- �� -
..,, .. , .
....
... ..
Entended work�they are silvlsed#o contact_ttie Pasca.County_Buliding;{nspe4tton Dlvlsloit-l:icensing Sectton at 727-847-
I 8009. Furttiermore, tf the ovimer has'tilred a con'ltactoi af confractors, he is advised to have�the contractar(s},.sign
parttons of the "conkrector.,8lock" nf thle apRllcatlon*for..which�they,_will.be:.�esponsible. i#:you,.as-.the.own'er sign°�as"the � '
contractar, tt�at�m�r,:be an indlcation thaf°#ie`#s rtot.propei3'y 11cet�"s`e��antl�ls✓rio#enti�ed`to permlt�ng privileges In Pasca
County., - . , . ' . .. , 4-, , .. . �
TRANSPORTATION�IMPACT/UT!!ITlES�lMPAC'�ANb-RESOU�tCE RECO'VERY�FEES;�The�under�lgned understands
that Trensportation Impact Fees�and.Reco.utse.Recovery.Fees ntiey�apply;to�ti�e_c+anstruatipn.of naw�bultdings,:�change��af`�°''' '='� °:� ��
use in existing buildings,�or�_expar�sian;�of��exisN�i�:�bulldings, as speclfled.in Pasco County Ordinance number 89-07 and
SO-o�. as amended,,w,The undersigned also;understands� t1i�t�such faes;;as;may�-tie:<due;;will�:�e tdentifled at thegtime�of;- �s.� ,'�
permitting. It is iurthier understood that Tra�sportatlon impact Fees and Resaucce:Recd�ery-�ees;must be paid prlor to �
�ece�ving a°ce�icate of occupancy"-or flnal�powe.r,~;�elease. :4f-Ehe.pra�ect.does:.not lrnoive4 a:�cert�Ec;ate of occuparicy ar��--�;..�:- � �
flnal power release;�the-.fees mu�r#6e paid,p�1ar to,,;permit issuance. F;��tk�ermore;�tf.Pasco;C,ounty�Water/Sewer-,Impaat� - .. r
fees are due�.lhey must.be:paid;prior#o.permit�issyance=ln�accordance witti�appltcable Pasco'County ardinances. • ;
CKfNSTRUCTI�N�CIEN'�LAW jCiiapter 713� Florlda Statutea�as�m�nded): if valua�on:of wark is$2,5DO.OD or more, !� - �t�
certify tHat I, �he �appllcant;��have•been proylded �with-�a�copy�of the:�"Florida� Canstructton� Llen,:.L'aw Homeawner's
Pratectlon Gaide° prepared by,tFie Floi�da Departmenf of AgrlcuEfure and Cons�mer-Affalrs. if the appllcant 1s someane . � � :
other than th�"ovmer", I certifjr:th�t.l-h�ve:.o�tained;a"copy;of..the�above�.des,cribed.tiocuiiient:and.:p.r.omise::in,good;faithto _. .
defiver It to..ihe..'owrset�''piioc=toacommericemerit;�. ` , . . . r .
COIVTRACTCIR'S/AWNER'S AFFIDAVIT: t.c.ectify:;th,et�all.the�,informatit�n:.i�t�thi�applica#ton is accurate.and that ali work
wil)�be done in campliance with all.appltcable�I`aws regulating constructlon, zpning and:land development. Application is
hereby made ta obtein.a.perm#t.toR:do.w��,_and£I�iatsllation �,s indE�efed::.:..:1� ce`rttfy that na wark=°or [nstatia#Eon has .
c�ammenced prior ta I'ssuance of a permif"and that':all work will be pertormed to meet.standards of all laws regulating- J ' ',
construc#lan� County a�nd C�ty cades, zoNng regulatlans, and fand development r.egula�ons�in the Jurtsdlctlon.--! al'so
certtfy that I unders#and that the�egula#ions of othe�government agencles mey�apply�to the lntended work, and fhat it is
my responsibllity to ldentlfy•what.�cttons I must�take.M be�l�>com�pliance�.S.uch.agencies include but are.not limtted to; � �
- Clepartment ai E�tvironmental�Protectiori=Cypress Bayhead'�, WeNand Areas and Environmentalty Sensittve ;
Lands,WaterlWastewater Treatment. � �
,. .
- Sauti�west Ftor�da V1►�ter Managemen� :E�isMct Well'sy Gypress. 8sy�eads,� Vltefiand" Areas, Alte�ng t
VII'atercaurses.
, - Army Corps af Eng(neers-5eawa#Is,Dacks, Navigable Waterways. ;
- Department af Hea{th;::&. Ret�abiil#ative,,ServlcesJEr�vironrnenfal,�F�ealth Unit:Well.s� Wasteurtater�Treafinent, � i
Septic Tanks. ` �� ' � ,
- US Envi�onmentai Protectian Agency-Asbestas aba#einent.
Federal Avlation�:Authority,;.Rurn�ays,. :
� !understand that the.foliowing:rest�tctlons apply t6 the use af flll: t
- Use of flil is not attowed in;Flood:2one"V"unless expressiy permitted.
- If the:�II matarial �is �to��be used:ln:-:flood Zone. "A", tt. is understood��that a dralnage plan addre�si�g a
°compensating valume"wll) be subr�ttted at#ime afspermitting wlilch is prepared by a professional engineer
Iicensed by the�State of Flafida:.- " ' "� � - - � .
- 1f th� flll material-is=to�bet used In Ffood �one 'A" in}connec�ion�w3th�a-�erirtitted bu11d1ng us3ng sfem wali,
� constructfon, i certify;.that flA�.tiraii=b.e used only.to.fill the area within the�s#em wall:
- If fl!! materla! Is to be used in�any area} 1 certify t#�at .use. of such flll wil) nat adversely afFect adJacent
' praperties. If use of filt Is found,to adversely.,�ffect ad)acent�•pra�perNes�,the awner may be cltad for vlatating ,
the cond�ions.of the b�liding'.permit Is"sued�under the attaciied permit appltcation, foe:lots less.than.one (1) ,
acre wi�ich ere elevated=�y flit,a�t engMeered dralreag��piar�is requlred. � . ..
If I am the AQENT�OR THE-OWNER, I;promise In.,good.fatth to Inforrn�the�awner of�the permitting conditlans set forth in
thls affidavtt'prlor to commeracing construotion. ! understeiid that.a-$�parate petmit may be requtred for eleotrlcal'work, _ o_
-��=3-�-
piumbing, signs, wells,.poats;. alr candifioning,�.gas� oc.other`. ins#ail�tions not,spec�icatty inciu�led�in.fhe�applfcation. ,A
permlt issued shall be construed to be��a�Hcense�to'piroceed wlth`tFie_virark anif�not-as:authoHty'to.vlolate,�cancel, alter, ar
set aslde any�ptovlslons of the technEcal cod�i�;�nor shall tssuance�of a.perml#.pcevent the Bultdirig C1�EIcla1 fi�om thereaftec
requlring a correction af,errors In,plans,constiuction,or vlolatlons of any codes. �very-p�etmit Issued"siiall become�invalid
unless the wark suthorized.by su+r.� permit:�s.co�nmenced wlth(n ssE�c�months of permlt (ssaance� or!f work autharized by
the permit is.suspended or,ebandoned�for:a:period;of�six-�)�inontFis:af#er the tlme the�work�is cammenced. An e�ctensian
. ... .
__may_be_r.equested, Ir�writing, frorr�tfie�'Ruilding.Off_Icial for a period`not�to�exceed�ninety�(90) days a�d_vi►ill�demanstra e _._� __
�ustifiab4e cause for�the e�ension: If work ceases:for nlnety{9a}cons.�cu#ive day.sr..the�ob�is cc�nsEdered aba�tdoned:
WARNING TO OWNER; YOU .AILEIRE.Tt�,R�CQttD.A..MClTIGE:QF��COMMENCEME{�T:.MAY�RESULT�tN��YOUR
PAYING TWICE;FOR�IMPR � MENT3 TO.YOUF�:.PItt�PER-TY:�I��YO.U�ii�"�'El�lp�''�TQ��JHTAIN��FII�i�1f�E1NG;�C.ON�ULT
WIT D � 0 �. OR� �' taU '� - � '
FI.ORIQA JURA?'(F:S:i17. �„ ... ` � " �` .
OWNER pR AO�NT� j � CONTRAGTO �
8ubscribed and swom ta(or a n» 6ef a me thts Sttbscribsd and'swom-#o{ f�rmed} efote me tti1�_t
by ,.ey... -
Wlio Islare personally knav�m to.me or;ha�lhave produced wlao.islare p.ersonalry�cnown to me.or nas/have�produced • -
aa id'en�RcaBon. as tden�Bcatton. �
7 / 1— f
�� f/"'�" Nofe Publtc . � . P
�Y Ndtery ublfc
Gommi an Na."`' C 1�ston.Na.
,,,,���.,,, ,;���,,, � •
`.xw•, JOELE.BACON ' � '••,
tVame af Notary typed, t�zlssion#FF 137Q73 Name af Na E}t: d;pr1 '
:H �o;; Expires June 29,20f8 ;� �o= Ex ires �37073
%�; �;,°.e` BondedTfwTroyFeinlnsuenceA00385�7019 �'�; kFqP•'• P June29,2018
� Rl rq„ � BondedTlw7ruyFanlnsurance6pp,qgg.74f9
, ��� A.Settlement Statement(HUD-1) OMBAppravalNo.25D2-0265
.
, B.Type of Loan
7.�X FHA 2� RH6 3,� CONV.UhINS. a�'�Q"�� 7.w.n N�miber, e.Nwtg.ge Imurv�ce c�e•NmnEer.
a.� Vq e.� CpNV.INS. ���4 20901610559D �83-8288822-702
C.NaN:Thia fortn Is fufiiehed to 91ve you a atatemertt W acf�l�ettlement costs.Artwur�pald tn anq bY fhe satllamont aBeM em ehawr�tmme malketl'(G.o.e.7"wero paltl outaide
tha doeln8�1�q aro albwn here for IMortnetlond purpoeea end ere not tnduded In the totde,
0.Neme 6 Adtlnat eT Bo�rvwer. E Narbe i Ad3eas W bdler. F.Nam�i Addrue ot Lvid�r
Kalty J.Neleon,e single woman Mlrenda L.Bums,a sin8ia woman Fi�st Gveranty MortBage Corporation
37608 Pidcets MIII Avenua 524 NW 22nd St,Apt 6 1900 Gatlows Road,Suite 800
Zephyrhills,Florida 33542 Miem1,Florida 33127 Tysona Comer,Virgtnta 22182
68 214�th Stre H'�`°°"� '"k
Zephyrhills,Floride 33542 Magpolla 7�tle Agency,LLC �December 4,2075 �
37851 Meridian Avenue
Pasw County,Florida Dade C1ty,Florida 33525 ` �
352�37�875 fax 352-437-4880 .
Pi�ce M8e1tl�m�:�
Magnofia T'�(e f�ency,LLC
37959 RAeridfan Avenua �
Dade Clly,F�ride 33526
Phone:(352)437�875
J. Summary of Borrower°s Transacdon � ' K. Summary of Seller's Transactlon
100.Grosa Amount Due From Borrower: 400.Gross Amount Due To Seller:
101. Contract Seles Price 99 800.OD 401. Contract Sates Price
102. Personal Pro e 402.' Personal Pro 99 900•00
109. SatHement Cha es to Borrower ine 140D 23 389.15 403.
Ad uefinants for lEeme pa�d Seller In Advance: Ad uatrnente for ltems pald b Seller in Advance:
106. C /Town 7s�ces 406. Ci /Town Taxes
107. Coun /Parish Texes 407. Coun /Parish Taxes
7�8. 2016 Assessments Dec 4 2015 thru Dec 31 201b 4.57 4pB. 2015 Assessrrients Dec 4 2016 thru pec 91 2015 4.57
1Q9. 2016 Taxes Dec 4 2015 thru Dec 39 2016 121.32 409. 2095 Taxes Dec4 z015 thru Dec 31 2015
110. 2016Assessmenfs b9.62 410. 2018Assessments �Z�'3z
12D. Oross pmount Due from Borrower: 123 74.68 420. Gross Amount Due to Seller. 58.52
100 085A1
200. Amoun��ald b or in Behalf of 6onower. 600. Reductiona in Amount bue to Seller:
201. De ostt or Eamest Mone 500.00 5D1. Exceae�e ask asa insWctions
202. Princi al Amount of New Loan 112 578,00 5D2. Settlement Cha es to Seller Line 140U
2D3. Exis6 Loan g taken sub'ect to 503. Extstln Loan s teken sub'ect to ��`�•63
204. Seller Cantribudon to euyer Closin8�8� 5,500.OD 504, 1y�j m Su Mcoast Sch ol F�edara C�redR�eh
Unton 47,464.7i
20.5. Ownera Title Policy CredR From Sefler Payoff of Sewnd Mortgage Loan to Georgia M.
574.43 505. Fogle 7rustee of the Dorothy S,Miiler 34,000,00
ypg, lrrevocable Trust FBO RCF
207, 506. Purchase Mone Mo e e
2pg, 507. Seller Canfribu6on to B r Clasin Casts 5 50p,OD
Ad'ustrneMs for Items Un id Seller. 5�• �ers TiHe Polf Credft From Seller 574.43
210. C' /Town Taxes Ad�strnerrta for items Un Id b Seller:
21l. Coun /Parish Texes 510. Ci /7own Tattes
Z�p, pSsessm@�� 5]1. Coun /ParishTexas
213. 592. Assessmenis
214. 519.
220. Tote1 Pald b /for 8orrower: 514,
��9 950.43 520. Total Reductlona in Amount Due Selier. 85,27d,77
900. Caeh at Sattlement Trom/to 8orrower.
3D1. Oross Amount due from Borrower line 720 600. Cash at SettlemeM to/6om Seiler.
302. Lees Amount Pald b/for Borrpwer Iine 22D 123 474.56 601. Gross Amount due to Seller Ifna 420 100 085.41
19160.43 802. Less Reductions Airiount due Seller line 520 86 74.77
303. Cesh From Borrower: S4,3?�i.13 603. Cesh To Seller.
;4,810.64
The Publfa Reporting Burden for this cellection ot lnformeyon ie estimated at 35 minutes per response for collecting,reviewing,and reporting the data,
This agancy may not colleet Ihls Informatfon,and you are not requlred to compfete this form,unless ft dfsplays e currenUy vaUd OMB aontro!num6er.
No cor�identlality Ls asaured;thta dlsGosure fe mandatcry.This!s designed to provide the parties to e RESPA covered}ransection with Infortnetion
dudng the setUement process,
i
Prevlous editions ere obsolete Pe9B,��4
HUD-1
December 3,2015 5:44 PM
,
Settiement Dats:Deeember 4,2U75 Loan Number.20101510559D File Number.15-09-04
L SettlamentChargas Paid from Pald from
• 70U. Tofal Sales/Broker's Commission:s4,995.D0 Borrower's Sellet's
Dlvlsion of Commlasion [ine?'00 ac follows Funds at Funds at
701. 2 497.50 W Centu 21 BIII N e Real Setttement SeClement
` 702. 2 497.60 to Centu 2i 87I e Real
703. Commission Peid at SeUlement 4 995.OD
800. 16ems P ble In Connectlon wMh Loan:
801. Our origination eharge (from GFE#1)
$9 D85.84
802. Your asdR or charge(points)tor the specfic interest rate chosen (irom GFE#2)
to Sueraz Homa 8 Flnence Co , 9 906.62
8D3. Your ad usted o inatlon cha es from GFE iiA 1 989.?2
804. Appra(se1 Fee �{�G}-��3�
fi Coester VMS a 5570.00 b Borrowe
8�5. CredR Re rt
BO6. Tex Service
807. Floo Certlfication from GFE�13 90.OD
806. Broker's Credlt Reporl + (ftom GFE#3)
to Suerez Home fbo Credk Pluc �31
900. Items fte uired b Lender to be Pald in Advance:
901. Dail interast cha e irom Dec 4 2015 to Jan 1 2016 14.6503/da for 28 de s from GFE#10 41021
902. Mor�qage Insurence Premlum (from GFE#3)
to artrner�t of HUD �9�20
803, Homeavmers Insurance for 1.00 years (from GFE#11)
W Securi Fist 1 044,00
1DOD.Reserves De osited wifh Lender.
7001. 1niHal depwlt for your escrpw account (frwn GFE#9)
to F(rst Guaran Mo a e Co raUon 967.36
1002. Homeowners Insurence 4 months $87.OD er month 348.Oo
10D3. Mo e elnsurance 77.82 ermonth
1004. Pro Taxes q months 154.84 er manth B18 38
170U,Tit1e Che es:
1101. TIUa services and lenders tltle insurance from GFE#4 629.87
1102. Se�lement or Closing Fee
to Me nolfe Titla en LLC 0.00 250.OD
1108• Owner's T@le Insurance{O!d Repuhlic NaUonal Title Insurance Company� (from GFE�5)
tn Ma nolte TNe en LLC 574.43
7104. Lenders TTtle Insurance(Old Republic Nafional Tftle Insurence Cprnpanyj
to Magnalia Tltle Ageney,LLC
- Lenders P�emfum $�57
- Endorsament B.1 S25.00
- Endoraement FL Fortn 8 566.30
110.5. Lender's TiUe Poll Limlf 112 576.00
1106. Owners T'e Aoli Limit 9 9DO.D0
1107. A ents Portion of the Tofel 7iGa Insurence Premium $528.01
1708. Undemrlters Portion of the Totel TRIe Insurance Premium 26 Z9
7109, l'Itle Search Fee
to Old Re ubfio Nationel Ti�e Insurance Com an 75.00
1110. State nf Florida Surcherge
to Old Re ubllc Nationei TiOe Insurance Com an
1111. Municipal Lien Search 3.28
tn S ine Llen Search Ina
1200.Govemment Reeordin end Trans/er Cha ea: 55.0�
1201. Govemment Recordln C es from GFE#7 �13.50
1202, Deed Si8.50 Mo e$95.0� Releases$D.00
1203. Trene(erTaxes fromGFE#8 g�g,p�
1204. C' /Coun tax/stam Qeed SO.OD Mo a e$D.00
1205. Siate tex/sMam Deed 699.30 Mo a e$394.�0
12D8. Intanglble Tex 699.30
to Clerk of the Cirouit Court $225.15
7 207. Other Tax 2
�208• Reoottling Fee Death Certiftcate o{Branda Sue Bums (from GFE#7)
to Ma nolia Tttle en LLC
1300.AddiUonal SottlemeM Cha es: 10.00
1301. Re uired servlces fhat ou can sh for
9302. Survey ft°mGFE�6 275.00
to Eddie P.Jenkins Surve in &Ma in Ina 275.D0
i3D3. Pest Ins dipn
130q.
c$0,00 b Selle
13D5. 2D'i5 Taxes
to Pasco Coun Tax Coflector
1306. Total Reh (14,753.8U-297.60-289D.00) 1 658.05
to Firs!Guaren Mo a e Co oreUon
1307. Inkiel Disbursement tn Frank Floaker 97.50 11 566.30
l308. Initlal Dtsbursement to AI Coton 880.00 297.50 •
2 690.00
140D. Tofal3ettlernenf Chergea(Enter on�line 103,Sectlon J and line 502,gection K) $23,388.15
57,745.83
Preubua edilions are obsolete Pege 2 of4
• HUD-�
December 3,2015 b:44 PM
Settlement peie:�ecember 4,2U15 Laan Humber.201D15105590 Fde Number.l5-09-04
Comparison of Good Falth EsUmate(GFE)and HUD Charges
Che�ges ThatCannotlnerease HUp Line No. Good Faith HUD
. Estlmate
Our ori inatbn che 8 #801 3 316.08 3 095.84
Your asdft ar cha e otnfs for fhe s ecfflc lnterest rete chosen #B02 -965.80 -1 108.62
Your ad usted ori InaGan eha es #B03 2 350.78 i 989.22
Trensfer taxea #12D3 1 307.25 619.25
Charges That In Total Cannot inereese More Than 709G HUD i.ine No. Good Fafth H�
Fstlmat�
Govemment Recorclin Che es #12D1 250.D0 113.50
A raisal Fee �804 450.00 570.OD
Flood Certificatlon #807 10.00 10.00
Broker's Credit Re ort #806 0.00 B8.31
Mo a e Insurance Premium #90 1 83620 1 936.20
Total 2 648.20 2 89B.07
Inctease bettveen GFE end HUD Char es 49.81 1.88°�
Chargea That Cen Chenge HUD Line No. �ood Fafth HUD
Initialde osittor ourescrowaccount ���
D inteisst che e(rom Dec 4 2015 to Jan 1 2018 14.6503/da for 28 de #�01 q24.6 410.21
Hameowners Insurance ' #903 7 04q,00 1,044.00
T7Ne services and lenders UUe(nsurance #1101 1 475.00 829.87
Owners77tlalnsurance #1103 800.D0 574.43
Surve #1302 250.00 275.00
L.oan Tertn�
Your Inldal Ioan emount Is $112 576.00
Your loan tertn Is 30 ers
Yourlpftlal 1Mereat rale(s 4.75%
' Your Initlal monthy amount owed for princlpal,interest,and y665.07 inGudes
arry mortgage Insurance fs [X j Pdncipal
[X]Interest
Can your Interest rate rise? X Mo e e Insurance
, [X]No. [ ]Yes,ft can rtse to a meximum of_�,6,The first chenge an71 ba on
and cen change agaln every afrer .Every
change dafe,your Interest rate can tncrease or deaease by_%.Over the llfe of
the loan,your Interest reta is guarantced to never be LOWER then��or
Even Ii ou make NIGHER than 96.
Y paymanfs on t1me,cen your loan bafance [X]No. � ]Yea,tt can risa to a me�dmum o{�
' dseT
Even If you make paymente on tlme,ean your monthly ,(X]No, [ )Yas,the f+rst]naease can be on and the monihfy emount
amount owed for princlpal,interest,and mcrigage 'owed can rtse to$ �
Insurance rtse7 The maxlmum It can aver rise to is S_
Dcea our loan have a re a errt ne� X No. Yes, our ma�dmum re a ant enatty is S
Wes your loan have e bailoon payment7 [X]No. [ ]Yes,you have a bellooe payment of b due In�yeers
Tote�mnnthfy amarnt ow¢d Inciuding escrow accourK on ,
payments [ 1 You do not have a monthly��payment for items,such es property taxes
and homeowners Inaurance.You must pey these ttems dlrectty youraeff.
[X]You have en edditlonal monthly eacrow payment of$24].84 thet results in a
total JnRlel monthty emount owad oi$9pg,91,This indudes pdncipal,IMerest,any
mortgege insurance end any ftems checked beloHr.
[X]P�perty taxes [ 1
[ 1 F�ood insurance
ate:IF you have eny questions about the Settlement Cherges and Loen Terms I s d'an this fortn,please contact your lendar.
Previous edfflons era obsolete Page 3 oi 4
HUD-1
Decembar 3,2015 5:44 PM �
- - �f
SaNlamer�t Qate:Decem6erd,2d15 Loan Numbar:20909b16559p Fte Number.l6-OS-04
S erx
lCaAy J.Netsan
� 37546 Pickets Ml(�Avenue
Ze h chtlls Florida 33542
Sellers
Miranda L.Bums
� 524 NW 22nd St Apf.8
Miaml Florida 93127
Pro Addresaee
6812 9dth Stueet
�e h hills Flodda 33542
!have carefudy revlewed the HUD-1 Se�lament Statemen4 ead to fhe best of my knowledge and belief,it Is a lrua and accurahe statement of all
� n9catpts and disbucsements made on my ac�aurrt or by me in ihts trsnsadlon. I furiher cartify that t fiave rec�ived a copy oi NUD-1 Settlement
' StaOemenL �
Borrrnvar. ����� Seller.
Kei{y,l.Neison Miranda i..Bums
I have reviewed the Glastng Disclosure,the sektlemant statement,tha lander'e ciosing Instructione and any end all othar torms relative to the escrow
furtds,inGuding arrydisciasure of tha Ftorfda U#e(nsurance prsmiums being paid,and I egree ta disburse the escrow funds in eccordance wlih the
tertns af this transecUon and Fiorida law.
SettlementAgent /�� l�+ �--��� pate: Decsmbar4,20ib
Mary t3.Ces
WARNING; It is e crime to knowingly mske ielee stetemants to the Unidad States pn thls or any other similariorm.Penaltias upon convlctian ran
laci�de s fine and impdsonment Fcr deWits aee'Ttttfs 18 U.S,Code Sec�ion 1001 and Section 7010.
�
Prevtous'editions are obsolafe page 4 flf q - NUD-�
December 3.2015 5:44 PM
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