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Home My WebLink About13-13805 CITY OF ZEPHYRHILLS 5335-8TH STREET • (sis)�so-oo20 13805 FENCE PERMIT Permit Number: 13805 Address: 5123 5TH ST Permit Type: FENCE ZEPHYRHILLS, FL. Class of Work: FENCE/NEW Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-16400-0011 Improv. Cost: 1,500.00 Date Issued: 1/25/2013 Name: PHILLIPS, DAVID Total Fees: 55.00 0'.~~_�� Address: 5123 5TH ST Amount Paid: 5�:fl0 , ZEPHYRHILLS, . � 3 Date Paid: 1/25/20T3 cMl ' Phon : 813-�F - 511 Work Desc: INSTALLA ,,10 4F FRN 20FT TOT ' ,�-� HOMEOWNER FENCE 55.00 , �V1� � . � �a,��.s- � �;��c.�►1�ti°c�,r� ��` t�, REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80(2)(c)when extra inspection trips are necessary due to any one of the following reasons: a)wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections called d) work not ready for inspection when called e) permit not posted on job site� plans not at job site g)work not accessible. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. The payment of inspection fees shall be made before any further permits will be issued to the person owning same Complete Plans, Specifications and Fee Must Accompany Application. All wor shall be performed in accordance with City Codes and Ordinances `� . � � CONT CTO PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Receivgd O �—Z S — i� Phone Contact for Permittin � '7�Q s,s�j Owner's Name f/ �) - f /1 �� ,� Owner Phone Number �aj " � �� Owner's Address � ?, j Owner Phone Number Fee Simple Titleholder Name Owner Phone Number C Fee Simple Titleholder Address JOB ADDRESS LOT# �� SUBDIVISION �— PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) 1MORK PROPOSED NEw CONS7R 8 ADD/ALT � SIGN Q [� DEMOLISH INSTALL REPAIR PROPOSED USE SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTION OF VVORK 1f'YI C�°, � I S �'I( � � i�/I -f� �Y01?�' � �{-D z D� f ,� O� BUILDING SIZE � � Sq FOOTAGE HEIGHT � QBUILDING $ 1 S�� VALUATION OF TOTAL CONSTRUCTION � � I�� QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. OPLUMBING $ �� (�� MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � �� r - �s QGAS Q ROOFING Q SPECIALTY 0 OTHER lf� � �; FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY �LUYI �� SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# C ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# C PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N Address License# C AAECHANICAL COMPANY C— SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# � OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N Address License# C � RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, Mlnimum ten(10)wo�lcing days after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities�1 dumpster;Site Work Permit for subdivisions/large projects COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities 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 for all NEW constructlon. Directions: Fill out application completely. Owner&Contractor sign back of application,notarized If over 52500,a Notice of Commencement is required. (A/C upgrades over a7500) "' Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs if shingles Sewers Service Upgredes A/C Ferces(PIoUSurvey/Footage) Driveways-Not over Counter it on public roadways..needs ROW 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 po�tions 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. 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. CONSTRUCTI�N LIEN LAW(Chapter 713, Florlda 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 "F{orida 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'SlOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that alt 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 all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also 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, Water/Wastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, 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 ad}'acent prope�ties. 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 Iots less than one (1) acre which are elevated 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 ticense 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 NOTICE OF COM ENCEMENT. FLORIDA JURAT(F.S. 117.03) ,� .- OWNER OR AGENT �+' CONTRACTOR � � Subscribed and sworn t (o a med)b�f r� e j , Subscribed and swo o( tfirmed) for `f , �-2�-�3 bv � c� �( (-ZS=/3 by Who is are personall known to me or has/have pro uced Who Is! rQ perspn�lly known to me or haslhave produ ed � � (�`c2s��. as identificatlon. � L� C eszu.- as idenUfication. f � - � � �G�:.�� , Notary Public � blic � „",•,,� ' tiMY' JACt�UELINE BOGE Co ssron ��r�' Gemrr�issbn#EE 040�� commi � _ �,. :� x�ires � _ • - Expires Dflcember 12,2014 eo,r,�an�urroyFdnww�eoa�ao,s ;; Name of Notary , e Name of No ? Boundary Survey � ,--1 ��)�� /�'Y�� o-c� h -�� A,'CJ''� fND 1/2"lROVY RL10 9—� � ��,��,� �� - AND CAP L8/J555 N �= 2 . ��' ,. N wa �°�ct� � , �,�o "``�y �� P)�M� �� f,� W w� o A=� � o � ,5 ��p.� 'o°o��g °m o'' �--� CM� �r }s��' " � K =_O �� 9'c �oO��EC�� tt �a$wq ��..Q �.H� ��. '. 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BASISOFBEARINGS gfAR/NGS SHONN HEREAN AR£BASED ON IHf NEST L/N£OF i1FIH ST., Bf/NG S 23'3000'E, PER PLAT ;Sf��<iv�y.Sifi:rt-,ki:HUA(JNd;�N�g' NGWf SURVEYOR 1NFORMATfON' S A M E R� .�'e.t'� " 5 C ��N �.� � P � � ' . . .�=�� .�� •,� SeeM Ne ome! 1700 S.Broadwoy.Building E. �.;�� Moor�,OK 73160 FAX:(000)934-0759 FirstAmerican ►NONE:(405)378-5800 www.R�sNOw.ccM Title Insurance Company S R YOR FlL M UE.U1UlY fAg'YCIV7 ' U71l1Y fA5F7E7YT ,,,e�,,,R.,�,�,,,�.,�,,,;s,�,,,�.,�,„,,,,,„,,.,b„a n,R cror�pnc�+cx pwr'orav�t,w unv�yt,� SURVEYORS CERTIFICATE �,�.,.A..T..�,�.,�.,�,..�,am..�....r�,.�M,.o, �:autarec ry. Pun[a e CERTlFIEO TO:(AS FURNISHEDJ CG�� p a�r�� h�l�H?'��+�X/��hK'm mM�s hs mhinwre tsd:nke� �IL'�dlOp1'N(1l1 P.RG:PLMV1 p�GYM�E7IC�VT �0��1��Fkrtd¢ Aa 8It krth l7 ll�h¢t�r 61C 17-6,FIORda fdRST M�R/CAN 117LE lNSURAN[�GCIIIPANY oc►nh/strotlw cod�Rwwimf to Griapts�77.077,flaka sfofut�e. QPOW f/NANpAL fEDERAL CR£A'T UNlQN � PP.:PoMW PpE DANO R. PHILLlPS GMA.•CAPAIER M77�COaSBIf P.RC:PpYT Q�I�lER,ff 1F• MY/i fF71CT G1RVA161� COY!Q01O�D P.RIL:PEIBIINlXIRffE1PENGF 0.UE:APAlMGE!V/R/1Y EAS[1k7Y1 �,wnvr �.� R. Dq V� (R,F DESfJ�AQY P.I.:PCNJ Lf 1AN4TNT 0/IC A9�Y£IYAY ,t6:AGY,LSSfilglE7YT ��µTIFICqrS� NOTES (Y.�YEIST,I�D Lii.•pUN 4NC fE7�CF � �'NO.5099 F 0.E.A4AAMA4E EA47OV7 li �01.'O fDYCE ° ^ � t uiae�aa�o v�m�snuua�s t�n�aia�c � �,J ` FLW r�a�aerrs raia�rsa w�ar oncr woe�wa.�a idP M�r�/AavAt PYAe�G�s oM.v J • � sncucn�es.x�or eaa�o �.s sune,: sue�cer vac�x�r srow��a�as ro ee ioca rm�r � � � n� s 71L n,w�iR G�s�s swi[r,6/OI tR 11r�vq[ i[ppp 2t,w[K,�pViypC pr/1E�pp yGp RQ'.EM�qpp f,AR1l 'P S7ATE OF DATED:01 07 13 ��F�� S ��'�� 7/��pc SURVEYOR'S NAME: R. , Jf#o #5099 LBf 765 71/E A(,FNT BE �qNO SUR�� FOR ALL INaUIRIES CON7ACT. NOT VALID INIFJOUT AN AU ELECIRAN/C S/GNATURE n�s s��[r rs r�r,v�a rta nt�cxaus�usr�un N ' RLS A NA A lR l �T7 Q�l!E PARTE5 U511ID IEAEGK lfA�/1Y fil rl�Jnfo�rrlsnow.com DATE REVISION DATE REV/SION 11/'d�PARIES YAY AOT�'iRANy�70¢p Qp A$9GI�EA = R��' (405)378-5800 Fortn 8.7 Reviewed&Accepted by• Date / Date . °'�.c� c� �''' t `�� Boundary , � Survey �� P� � O T �� p�� -^� � W N °�� t5 �� Y oo'IPI�M� �a�,�� 4• o a ,-- _ �m ,��j �. �K ��?.�^ >�—� o,,E�P�cM� s ....� �. 0�O � 1P{~°� b�t°' "`�' � . •, �/ '� 6 �� °3 " awf s�aar {J66 ,}s '� R£510£NCE/517�� c w�``'01D \ % � .�, Q ,sd .• � w � � ' M� �� N � B�o�K�� oo,�P�c �� `�- W � ��• :� 0 0 �, ��P��M� �� oo" �_ -o � b BLOCK CARNfR �� ° �-''o 566�3 cor�2 �� o��oT�s � � � � BLOCK 164 � ��N�� —� � '°-� \ � \ \ 1'=30' GRAPH/C SCALf 0 13 JO RLS#• 13-01-OD70 CuEroT,a:1p39-28750.79 ADORES3 ��a�py(,y7£�' FIELD DATE.' 1�07�13 5123 5TH STREET DRaFTER SDS ZEPHYRH/LLS,FLORlDA 33542 �A�HAL T APPROVED:BltO y • �J, LEGAL DESCR/PTlQNM(AS FURNfSHED) SCALE: t'�JO' �s� LOT 11, BLOCX 164, qTY A�ZEPHYRHJLLS, ACCOROING TO 1Hf PLAT 1HEREOF, AS RfCQROED IN PLAT BOU'l 1, PACf(S)54, Oi� lH£PUBLIC R£CAROS G1F PASCO CDUNTY, fLQRIDA. 9ASiSOFBEAR/NGS g£,uqyya 9y0NN NER,EAN ARE BASE'D OW TH£MEST L�UE A�fIF1H ST., BE/NG S 23:30'PO'£. PER PLAT ,:s . ,.rf:.,r.,.f,.: NQYE SURVEYOR INFORMAT/ON� S S A M E R i� Fi�' S I��N = �, � ' .� `� ti �� s��c�s ,_� c,,� SeeM New�ome! 7700 S.Broadwey.6uiidtn9 @. �� Moor�,OK 73160 r•wx:�aoo�vs4.assv First American PMONE:(405)770-St00 www.e�sNOw.coM Title Insurance eompany • v�' �°^'�' �^c'v`'..y,..'.. _- You're shopping a store in: Zep7h�;Gh�II��eF a sto�e`Pickup We use your store location to provide Ycwr order can be available for pckup current pricing and inveMory R'll also in Lowe's Of Zephyrhills,FL today be the location for in-store pickups. Lowe's Truck Delivery Your ader will be ready fa delivery to yc�u from your selected store. No Dig 36�/4-in x 26-1/4-in Black Steei Grand Empire Gate Parcel Shipping ttem N'254101 I Model;Y'SO4049 Sent by carriers like UPS,FedEx, U:iPS,etc. $31.90 No Dig 36-3/4in x 26- $31.90 1/41n Black Steel Grand Empire Gate � Description 36-3/4in x 26-1/4-in Black Steel Grand Empire Gate • Graceful,dassic design • Powder-coated,heavy welded-steel consVuction Specif(catlons Type Gate Manufacturer Color/Finish Powder- Material gt�� coated Actual Height(Inches) 36.75 Color/Finish Fami{y Biack Gauge(Gauge) 0 0 Warcanty None Primed No Actual Length(Inches) 26.25 Nominal Height(Inches) 36.75 Nominai Length(Inches) 2625 O 2013 Lowe's.All rigMs reserved.Lowe's and the gable design are registered trademarks of LF,LLC • V:.•��•�. �.��.v�v�� You're shopping a store in: Zeph�rrhills, FL ,�{E� 79 1 Gall Boulevard Store Pickup We use your store bcation to provide vour order can be avaiiab�e for pickup current pricing and inventory. IYII also in�owe�s ot zepnymii�s,FL today be the location for in-store pickups. Lowe's Truck Delivery `/our order will be ready for delivery to ��ou from your selected store. 29-in x 38-in Powder Coated Steel Fence Panel rcem� is2ss i nnode�x�osi�i s Parcel Shipping Sent by carriers like UPS,FedEx, USPS,etc. $19.97 29-in x 38-in Powder $19.97 Coated Steel Fence Panel Descrlption 29-in x 38-in Powder Coated Steel Fence Panel • Modular design enables easy installation • Sturdy steel construction • Coated for beauty and durability Speciiications TYPe Panel Actual Height(Inches) 37 76 Material Steel Gauge(Gauge) 19 0 Nominal Length(tnches) 29.0 Primed No Nominal Height(Inches) 37 0 Black/Powder Manufacturer Color/Finish Actual Length(Inches) 29 p Coated Color/Finish Family Black Warranty 5 year limited �O 2013 Lowe's.All rights reserved.Lowe's and the gable design are registered trademarks of LF, LLC Pasco County Parcel: 11-26-21-0010-16400-0111 001 Page 1 of 1 Data Current as Of: Weekly Archive - Saturday, January 19, 2013 Parcel ID 11-26-21-0010-16400-0111 (Card: 001 of 001) Classification � 08 - Multi-Family - Less than 5 units Mailing Address Property Value BUSINESS SOLUTIONS OF Ag Land �p HILLSBOROUGH LLC Land $7,560 PO BOX 115 Building �g�587 DURANT FL 33530-0115 Physical Address Extra Features $77 5123 5TH ST lust Value $16,224 ZEPHYRHILLS FL 33542 Assessed (Non-School Amendment 1) $16,224 Le4al Descriotion (First 4 �ines) See Plat for this Subdivision Taxable Value $16,224 CITY OF ZEPHYRHILLS PB 1 PG 54 LOT i l BLOCK 164 OR 8741 PG 2329 Land Detail (Card: 001 of 001) Line Use Description Zoning Units Type Price Condition Value �� 0100 SFR OOR3 4,200.00 SF $1.80 1.00 $7,560 Additional Land Information Acres 0.10 Tax Area 30ZH FEMA Code �-�- Residential Code ZHLHLP2 Buildina Information - Use O1 - Single Family Residential (Card: 001 of 001) Year Built 1920 Stories 1.0 Exterior Wall 1 Asbestos Shingle Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Min Roof(Cor�. or Sh M) Interior Wall 1 Wall Board or Wood Wall Interior Wall 2 None Flooring 1 Pine or Soft Wood Flooring 2 None Fuel Gas Heat Convection A/� Window Unit Baths 1.0 Line Description Sq. Feet Repl. Cost New 1 �� BAS 604 $14,949 Z FEP 160 $2,772 3 � UCA �— 208 ��— $767 4 FOP � 96 � $594 —� Extra Features (Card: 001 of 001) Line � Description Year Units Value 1 —� UDU-M—�� 1973 1 $77 Sales History Previous Owner LINDER MICHAEL L& Month/Year Book/Page Type DOR Condition Amount � Code �� 08/2012 8741 / 2329 Tax Deed 11 Improved $0 � O1/2005 6211 / 0472 Warranty �� Deed Improved $24,500 11/2000 4496 / 0945 Quit Claim �� Deed Vacant $p http://appraiser.pascogov.com/search/parcel.aspx?sec=11&twn=26&rng=21&sbb=0010&b... 1/25/2013 � D2SCLOSL7RE S'►'A'�'t+�=N'j' .FOR OWl�R CITY OF ZEPHYRFiILT+S BVII+DING DEPARTb�NT S I J�V 1 C� �`'`�'` � 1'� have read. and fully understand and agrea •to the pravisions of �thts uistrument• The undersigned states and affirms that he or she is desirous of constructing, rgnovating, adding to or reroofing his or her own domiaile, �that he or she actually occupies, or will occupy by said domici:le, and same is not for �rent, lease or sale. That he or she sha11 comply with the followiing conditions: 1. Tha.t the owner asid_he or she alone sha11 act as the builder for a11 phases of construction. 2. That the owner will comply with a11 psovisions of �the City of Zephyshills ordinances and codes pertiaerit to ttie builds.nq• 3. That in the event vasious phases of construction are subcontsacted, he will engage orily •properly licensed subcontractors and will QPSSOrially supervise such work. 4. That in the avent the Huilding Inspector shall rei,;re correcti.ons to be made, -the ovmer vri11 assume full responsibility to insure •they are made, and upon completion will ca13 for a re�n-�ctioa be£ore proceeding with 'the building. 5. That the owner sha11 ass�e �fu11 respons3bility for the construction and wi11 not gxpect_ supervision of his work from the City of Zephyrhills Building Dapart��t. 6. fihat prior to final inspection any additional fees, iacluding reinspection feas, must be paid in ful1. A written requast from this office shall constitute an official notice -to pay addi.tional fees. 7. That the owner sha11 camply with a11 City, Sta.te and Eederal laws iri regard to social security, workmaa's compensation, liea laws, etc. , where applicable. B, That the owner sha11 comply with all the safaty codes issued by the Florida Industrial Commission. 9. State 1am requires constrLiction to be done by licensed contractors. You have applied for a �^^;t under an ex�pt�-cn to that law. The exemption allows you, as the owner of' your property, to act as your own coatsactor vrith certaia restrictions even though you do not ha.ve a license. You must provide direct onsite supervision of the constructioa yourself. You ma.y build or improve a one-family or two-family reside�ce or a farm outbuilding. You may also build or improve a commercial building, provided your costs do not exceed $25,000. The building or residence must be for yovr own use or oceupanc_v. It may not be built or substantially improved for sale or lease. If you se1:1 or lease a building you have built or substantially improved yourself' within 1 year aftES the constniction is complete, the law wi.11 presume •that you .built or substantially i.mproved •if for sale or laase, which is a violati.on of this exemptiori. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building. It is your responsibility to make sure that people P�ployed by you have licenses rec�,;red by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor v�rho is not. licensed to perform the work being dona. Any parson working on your building who is not licensed must work under your diract supervision and must be P�Ployed by you, which means that you must deduct F.2.C.A. and withholding tax and provide workers' compensation for that employee, a11 as prescribed by law. Your construction must comply with a11 applicat�le laws, ordssiarices, bui.lding codes, and zoning regulatioas. owr�R�s s=ccxxx�n� G�� D� % 25�� 'LD I Z ADDRE 5 S 5 � 2 3 S j/} �1' PxoxE �S'13=y w &' - S s � 1 WSTNESS PEFtM2T # � . "•��- A. Settlement Statement(HUD-1) `� IlliilH .� � OMB A roval No.2502-0265 8.Type of Loan � First American Title Insurance Company �•5. LoanType:Conv.lns. Final Statement 6. FileNumber: 1039-2875039 7 Loan Number:36097293 8. Mortgage Insurance Case Number: C. Note: ihis fam is tumished lo qive you a slatement of actual seWement costs.Artaunts paid to and by the ulllemenl agenl aze shown.Items marked'(POC�'were pab outside this cbsi�g,thay are shown here fa informalional purposes and xe nol included in Ne lolals. D. Name 8 Address of Borrawer: David R.Phillips 5123 5th Slreet,Zephyrhills,FL 33542 E. Name&Address of Seller•Business Solutions oi Hillsborough LLC P.O.Box 115,Durant,FL 33530 F. Name&Address of Lender: Grow Financial Federal Credit Union 9927 Delaney Lake Drive,P.O.Box 89927 Tam a,FL 33698-0415 G. Property Location: 5123 5th Street,Zephyrhills,FL 33542 H. Seltlement Agent:First American Title Insurance Company (877)727-5918 I. Address:1393 Oakfieid Drive,Brandon,Fl 33511 Settlement Date:01It8rz0�3 Print Date:0111812013,9:10 AM Place of Settlement Address:1393 Oakfieid Drive,Brandon,FL 33511 Ohbureemant Date:otn8ROt3 S nin Date:O1f1812013 J.Summary of Borrowers Tronsactfon K.Summary of Seller's Tnnsactan 100.Gross Amount Due hom Borrower 400.Gross Amount Due ta Seller 101 Contracl Sales Price 35,000.00 401.Contracl sales price 35,000.00 102.Personal Property 402.Personal Draperty 103.Settlement char9es ro barower(line 1400) 4,36726 403.Tofal Deposits 104 404. 105. 405. Ad ustments for kems paid b seller in advance Ad'stments for ftems aid b seller in advance 106.Cilyftown taxes 406.Cfijllown Wxes 107 Camty tazes 407 County taxes 108.Assessments 408.Assessments 109. 409. 110 410. 111 411 112. 412 113 413 114 414 115. 415. 120.Gross Amount Oue from Bonower 39,367.26 420.Gross Amount Due to Seller 35,000.00 200.Amounts Pafd or on Behalf of 8ortower 500.Redudions In Amount Due to Seller 201 Deposit or earnest money 1,000,00 501.Excess deposA(see insWCtionsj 202.Principal amount of new loan(s) 33,900 00 502 SetUement charges to seller(line 1400) 4,118 37 203 Ex�s6ng ban(s)taken subject 503.Exis6ng loan(s)laken subject 204."Credit Buyer Ovmers Poliq 201.25 504.PayoB of first mortgage loan 205. 505.PayoH of second mortgage loan 206 506.'"Credit Buyer Ovmefs Policy 20125 207 507 2012 Counry Taxes ro Pasco Counry Tax Collecla 397.06 208 508. 209. 509. Ad'ustments for items unpaid by seller Ad'stments for kems unpaid b seller 210 Ciryltown taxes 510 Ciry/tawn faxes 211 Canty lanes 01101113 to 01l18lt J@5343.16ryr 15.98 511 Counly taxes 01/01/1 J ro 01/18113(r�5343.16tyr 15 98 212.Assessmenls 512 Assessments 213 573 214. 514. 215 575 216 516. 217 517 218 518. 219. 519 220.Total Paid by/for Borrower 35,117.23 5211.Total Reducllon Amount Due Seller 4,772.66 300.Cash at Setlfement(romlto Borrowar 600.Cash at Serilament tol(rom Seller 301 Gross artrount due from borrower(Nne 120) 39,36726 601.Gross amount due lo seNer�ine 420) �5,ppp,pp 302.Less amanls paid byflw bortowar(line 220) 35,117,23 602.Less reducaons in amounts due seller(line 520) 4,732.66 303.Cash(X From)(To)Bonower 4,250.03 603.Cash(X io)(From)Seller 30,267.34 Previous editbns are obsolete. 'See Supplemental Page for details. •'Paid on Behal(of Borrower. POC-B(Borrower);POC-S(Seller);POC-L(Lender),POC-MB(Mor�qage Broker). The Publ�c Reporting Burden for this collection o(in(ormatlon is eslimated at 35 minules per response for collecfing,reviewirg,ancl repoAing the data.This agency may no�collect this information,and you are not required to complete ihis form,unless il displays a currently valid OMB conVol number.No confiden6ality is a.ssured;this disdosure is mandatory.This is designed to provide Ne paAfes lo a RESPA covered iransadion wifh infortnation during the semement process. paye� L.Settlemenl Cha es File No. 1039-2875039 700.ToGI Real Estate Broker Fees 52,000.00 Division ol commission(line 700)as follows: Paid From Paid From 701. Borrower's Selle�'s ' Funds Funds 702.$2,000.00 to EZ Choice Realty at Settlement at Settlement 703.Commission paid al semement 704. 2,000.00 705. 706 800.ttems Pa able in Connection with Loan 801.Ouroriginationcharge $725.00(fromGFE#1) 802.Your credit or charge(points)for ihe specific interest 21e chosen $0 pp(from GFE q2) 603.Your adjusted origination cha�ges to Grow Financial Federai Credft Union (6om GFE A) �25 pp 804.Appraisal fee lo Tbd (6an GFE#3) POC-B Z375.00 805.Credit report to Tbd (han GFE#3) POGB 550.00 806.Tax service to Tbd ((rom GFE it3) 70.00 807 Flood certification to Tbd (6om GFE q3) g 95 808.Couner Fee to Grow Financial Federel Credil Union (6om GFE#3) 40.00 809. 610 (hom GFE ft3) (from GFE q3) 811. (from GFE#3) 900.Rems R uired by Lender to Be Paid in Advance 901 Daily interest charges from 01118It3 to 02/01113 @53.600000/day to Grow Finandal Federal Credit Union (from GFE#10) 50.40 �2' (6om GFE i13) 903.Homeowner's insurance for 1 year�s)to Citizens Prope &Casualry (from GFE#11) 1,430.00 904.Radian to To be determined 31 48 905 906. 1000.Reserves Deposked with Lender 1001.Ini6al deposit far your esaow account (6om GFE ri9) q90.27 1002.HomeowneYS insurance 3 mo(s)@$119.17/mo $357.51 1003.Mortgage insurance 1 mo(s)@S31 48/rta $31.48 1004.Property taxes 5 mo�s)@$33 761mo 1�5 5168 80 1006 1007 Aggregale AdjusVnent -$67.52 1100.Ti�e Char es 1101.Title services and lendels UOe insurance (6om GFE iF1) 758.63 1102.Selttement or closin fee $300.00 275.00 to First American Title Insurance Company t 103. 'Owners tiBe insurance-First American Title Insurance Canpan (6om GFE#5) 254.88 1104.'Lenders title insurance-First Amencan Title Insurance Compan 5458.63 1105 Lenders 6tle pol' limit $ 33,900.00 1106.Owners Nle policy limil $ 35,000.00 1107 A enPs portion of the total tflle insurence premium y 0.00 to First American Title Insurance Company 1108.Underwritels rtbn of total 6tle insurance remium $ 713.51 to First American Title Insurance Compan 1109.Search Fee'to FirstAmerican Title Insurance Company 150.00 1110. 1111. 1112. 1200.Govemment Recordin and iransfer Cha es 1201.Govemment recording cha�ges (irom GFE#7) �gg� 1202 Recordin fees:Deed$18.50 Morlgage 5120.50 Release 50.00 1203.Transier taxes (6am GFE q8) 118.65 1204 Cirylcounty taxlstamps: 1205.State ta�sfamps Deed$245.00 Mortgage$118.65 245 00 1206.Record Affidavit 1207 Record LLC A(fidavit 18.50 1208. 18 50 1209. 1210. 1300.Additional Seltlement Char es 1301 Required senices fhal you can shop tor (hom GFE fl6) 25p pp 1302.Surve to Residentlal Land Services $250.00 1303.Balance due on UGIi to City of Zephyrhills 26.37 1304.Municipal Llen Search to TiUe Services Tax&Lien,Inc 60.00 1305 Tax Title Services to Tax Title Services 1,325.00 1306. 1307 1308. 1309. 1400.Total Settlement Chargea(enter on lines 103,Sectlon J and 502,Sectbn K) 4,36726 4,118.37 'See Supplemental Page tor details "Paid an Behalf o(Borrower. POC-8(Borrower�;POC-S(Seller);POC-L(Lender);POC-MB(Mortgage Broker). Page 2 File No. 1039-2875039 Com arison of Good Faith Estimate GFE and HUD•1 Char es Good Faith Estimate HUD-1 Charges That Cannof Increase HUD-1 Line Number . Our orgination charge # 801 725.00 725 00 ' Your credit 1 charge(poiMS)for the specific iMerest rate chosen # 802 0.00 0.00 Your adjusted ongination charges # 803 725.00 725.00 Transfer taxes # 1203 363.83 118.65 Charges That in Total Cannol Increase More Than 70Yo Good FaNh Estimate HUD-7 Govemment recordirg charges # 1201 160.00 139.00 Appreisal fee # 804 375.00 375.00 Credil reporl # 805 50.00 50.00 Tax service # 806 70.00 70.00 Flood certificalion # 807 8.95 8,95 Courier Fee # BOB 40.00 40.00 # p Total 703.95 682.95 Increase behveen GFE and HUD-1 Cha es -521.00 or -2.9832% Charges Thal Can Change Good Faith Estimate HUD•1 Initial deposit for your esaow account # 1001 562.16 4902� Daiy interest charges # 901 @$3.6000001day 46.80 50.40 Homeowners insurance # 903 1,200.00 1,430.00 Radian p 904 0.00 3148 Title services and lenders tille insurance # 1101 600.00 758.63 Owners title insurance # 1103 201.25 254.88 Survey # 1302 275.00 250.00 Loan Terms Your inilial loan amount is $33,900.00 Your loan term is 30 years Your initial intereat rate is 3.8750% Your ini8al monthy amount owed for principal,interest,and any $190.89 includes mortgage insurance is O Principal � Interest � Mor(qage Insurance Can your interest rote rise7 ❑X No. � Yes,it can rise to a maximum of 0.0000%.The firsl charge will be on and can change again every after Every charge date,your interest rete can increase or decrease by 0.00000%.Over the li(e of the loan,your interest rate is guaranteed to never be lower than 0.0000%or hgher than 0.0000%. Even if you make payments on time,can yaur loan balance rise? �X No. � Yes,it can rise to a maximum o($ Even if you make payments on time,can your monthty amount ❑X No. � Yes,the first increase can be on and the monthly amount owed for principal,interest,and moAgage insurance rise? owed can rise to$0.00. The maximum it can ever rise to is$0.00. Daes your loan have a prepayment penalty? � No � Yes,your maximum prepayment penalty is$0.00. Does your loan have a balloon paymeM? ❑X No. � Yes,you have a balloon payment of$0.00 due in 0 years on Total monthy amount owed including escrow account payments � You do not have a monthly escrow payment for items,such as property taxes and homeowners insurance.You must pay these items directly yourself. OYou have an additional monmly escrow payment of S 152.93 that results in a total inilial monthly amount owed ot$343.82.This includes pnncipal,interest, any mortgage insurance and any items checked bebw: � Property taxes � Homeowners insurance � Flood insurance � °❑ °❑ ❑ ❑ Note:If you have any questions about the Settlement Charges and Loan Terms listed on this form,please contact your I?nder Page 3 Supplemental Page File No. 1039•2875039 HUD•1 Settlement Statement First American Title Insurance Company Loan No. � Final Statement 36097293 Settlement Date: O1l1812013 Borrower Name b Address: David R.Phillips 5123 5th Street,Zephyrhills,FL 33542 Seller Name 6 Address: Business Solutions of Hillsborough LLC P.O.Box 115,Durant,FL 33530 Pafd From Paid From Section L.Settlement Charges continued Borrower's Funds Seller's FuMs at Seqlement at Settlement 1103.SupplemenWl Summary ftemization o(Line 1103 Chargea: 254.88 a.[ALTA 92]ResUictions,Encroachments 8 Minerals-Improved Land 53.63 b.Owners TiUe Poliq Premium:5201.25 Prom. 5201.25 201.25 7104.SupplemenWl Summary kemization of Line 1104 Charges: 458.63 a.(ALTA 5.1]Planned Unit Devebpment 535.00 b.�ALTA 8.1]Environmental Protecfion Lien 535.00 c.[ALTA 9]ResMctans,Encroachments 8 Minerals $53.63 d.Lenders TiHe Policy Premium:$335.00 Prom.5335.00 $335.00 The followin Section is reatated from the Settlement Statement Pa e 1 300.Cash at Settlement fromlto Bortower 600.Cash at Settlement tolfrom Seller 301.Gross artaunl due from bortower(line 120) 39,367.26 601. Gross amount due M seller(line 420) 35,000.00 302. Less amounls paid bylfor borrower(line 220) 35,117.23 602. Less reduclions in amounts due seller(line 520) 4,732.66 303.Cash(X From)(To)Borrower 4,250.03 603.Cash(X To)(From)Seller ��67� I have carefulty reviewed U�e HUD-1 Settlement Statement and to the best of my knowledge and belief,it is a true and accurete statement of all receipts and distributions made on my account or by me in this Vansadion.I further certify Mat I have received a copy of the HUD•1 Settlement SWtement BUYER(S�: SELLER(S�: , � �, , ' � / ' ; '��,, Business Solutions of Hilisborough LLC,.a.Flonda----� � `�t`�� 1 �` � limited liability company- � - �� [D'a ' R.Phillips , -- ____--- -�'� �----��-°''`_---_._--- �-- - - ,,-- By:Simon D Ottewell,M naging Member - Tha NUD-1 et115 emenl Stalemenl which I have prepxed is a We 8 accurate accounl o(this lransxhon I have caused or wdl cause Ihe funds to be disGursed in accordance wilh this stalement First American Titl2 Insurance Company By SeWement Agentr � / " i / ' ;+�� Dorinda Wadd Date: _y��y�s��//.� � Page 4 Itemization of Title Charges and Government Recording and Transfer Charges File No. 1039-2875039 First American Title Insurance Company �oamNo. ' Final Statement 36097293 Settlement Date. 01/1N/2013 Property�5123 5th Street,Zephyrhills,FL 33542 Print Date. 0111NI2013,9:10 AM Name 8 Address of Borrowcr David R.Phillips Name�Addresa of Seller:Business Solutions of Hillsborough LLC 5123 5ih Street,Zephyrhills,FL 33542 P.O.Box 115,Durant,FL 335:30 Name 8 Address of Lender: Grow Financial Federal Credit Union 9927 Delaney Lake Drive,P.0 Box 89927 Tam a,FL 33698-0415 1100.Summary of Tkle Charges Bortower Chargos Seller Charges 1101.Title Services and Lenders Title Insurance 758.63 ��OZ Ce�tt�lemn nt or Closing Fees to First American TNe Insurence $300.00 a.Closing Services Fee g3pp.pp z�5 00 1103.Owners tiUe insurance 254.88 a.[ALTA 9.2 J Restrictions,Encroachments 8 Minerals- $53.63 Im roved Land b.Owners Title Policy gzp�.p5 1104.Lenders title insurance $458.63 a.[ALTA 5.1�Planned Unit Development $35.00 b.(ALTA 8.1]Environmental Protedion Lien $35.00 c.[ALTA 9]ResVicGons,Encroachments&Minerals $53.63 d.Lenders T�le Policy a335.00 1105.Lenders title policy limit $ 33,900.00 1106.Ownefs 6tle policy limit 5 35,000.00 1107 AgenPs portion of the total 6tle insurance premium a 0.00 to First American Title Insurance Company 1108.Undenvriters portion of total title insurance premium 3 713.51 to First American Title Insurance Compan 1109.Search Fee'to FirslAmerican Title Insurance Company �� 1200.Govemment Recording and Transfer Charges Borrower Charges Seller Charges 1201.Govemmenl RecoNirg Charges 139.00 1202.Recordirg Fees Deed 518.50 Mortgage$120.50 Release$0.00 1203.Transfer taxes 118.65 t204.Ciry/crounry tax/stamps: 1205.Stale taxlstamps:Deed 5245.00 Mortgage 5118.65 245.00 1206.Record Affidavit 18.50 1207 Record LLC A((idavit 18.50 Page 1