HomeMy WebLinkAbout21-3032City of Zephyrhills
5335 Eighth Street
Zephyrhills, FL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
BGR-003032-2021
Issue Date: 10/14/2021
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
accordance wit City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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City of Zephyrhills
5335 81h St
Zephyrhilis Fl. 33542
(813) 780-0020
ROOFING INSPECTION AFFIDAVIT
Permit No.. L Y& --a
W
a
licensed under Chapter 468, Florida Statutes as a(n):
Contractor V"Erigineer Architect Building Inspector_
License No.
On or about did personally inspect the:
Check: Roof Deck Nailing VDry in Flashing and Drip edge V111"
Check which was used: 30# felt— Peel and Stick vZother (List)
Based upon that examination, I have determined the installation was done according to the Hurricane
Mitigation Retrofit Manual (Based on Section 553.844, Flea jjda Statutes),
M
Notary Public State of Florida
T-T-TT-T—y T'T'T"T T T
Notary Public State of Floid
rida
Goorgens Eleanor Comte's
My Commission HH 13514
Expires W2712025
American Land Title Association Final ALTXSettlement StatemerA-Caah
Adopted 05-01-2015
Hillsborough Title III, LUC
ALTAUniversal ID: Lit')
�J �\
183U2H|ghx�oudaPreserve pkvvy \
Suib*11O
| Tampa, FL33Q47
File No./Esu/owNo.:
NTL21-100823
Print Date 8Time:
September 30.2021 11:28AM
Officer:
JennoMonnie
Settlement Location:
183U2HighwoodsPreserve Pkwy'Suite 110
Tampa, FL33G47
Property Address:
38S0GPiedmont Avenue
ZephyMhiUo.FL33640
Buyer
Marilyn Fernandez
30U481U1hAve
ZephyrhiUa'FL33542
Seller:
James FBrinkley, III
38GUSPiedmont Avenue
ZephynhiUs.FL3354O
Lender:
Settlement Date : September 3O.3O21
Disbursement Date September 30.2O21
Seller Description Buyer
�it
Credit
Debit
Credit
Financial
215,000.00
Sale Price of Property
215,000.00
20A3
Solid Waste
20.13
09/30/21-12/31/21
639.73
County Taxes
639.73
01/01/21-09/30/21
Title Charges & Escrow/Settlment Charges
Closing Fee (Buyer) to Hillsbol-OLIgh Title 111,
275.00
LLC
395.00
Closing Fee (Seller) to Hillsborough Title III,
LLC
150.00
Title Search Fee to Network Transaction
Solutions
1,150.001
Owner's Title Insurance to HI'llsborough Title 111,
Copyright 2015American Land Title Association File #NTL21-Nos23/9a
Seller
Description Bu er
Debit
Credit
Debit
Credit
Title Charges & Escrow/Settlment Charges
(continued)
LLC
Coverage: $215,000.00
Premium: $1,150.00
Commissions
5,375.00
Listing Agent's Commission to Keller Williams
Realty New Tampa
5,375.00
Selling Agent's Commission to Dade City
Realty
Government Recording & Transfer Charges
Recording Fees to NTS Recording Account
35.50
31.50
NOT One And The Same to NTS Recording
Account
1,505,00
Doc Stamps to NTS Recording Account
31.50
Affdavit to NTS Recording Account
Miscellaneous
E-Recording Fee (Buyer) to NTS Recording
Account
3.50
137.50
Lien Search Fee to Network Transaction
Solutions
22.50
F-
Tech Fee (Secure Portal/Digital File Storage) fie
Premier Data Services
22,50
Seller
Buyer
Debit
---
Credit
—
Debit
Credit
14,812.73
215,020.13
Subtotals
215,356.63
1,639.73
—
Due from Buyer
213,716.90
200,207.40
Due to Seller
215,020.13
215,020.13
Totals
215,356.63
215,3�5663
')Olr A-i- I -A T41. A--;,+;-,
Acknowledgement
VVe/|have carefully reviewed the ALTASettlement Statement and find |ttobeatrue and accurate statement ofall receipts and
disbursements made onmyaccount urbymeinthis transaction and further certify that | have received acopy ofthe ALTA
Settlement Statement. We/I authorize Hillsborough Title 111, LLC to cause the funds to be disbursed in accordance with this
Buyer
Marilyn Fernandez
Seller
James F. Brinkley, III
JennaK4onnie
Escrow Officer
��m201mAmerican Land Title Association File #NTL21-100923/98