HomeMy WebLinkAbout14-15389 CITY OF ZEPHYRHILLS
5335-8TH STREET
" (sis)�so-oo20 153
,.
• BUILDING PERMIT
._ PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15389 Address: 39131 PARK DR
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: ZEPHYR HEIGHTS
Est. Value: Parcel Number: 12-26-21-0030-00100-0120
Improv. Cost: 3,000.00 OWNER INF..ORMATION '
Date Issued: 6/13/2014 Name: HALL TERRY
Total Fees: 75.00 Address: 39131 PARK DR
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/13/2014 Phone: 863-255-0068
Work Desc: REROOF MODIFIED BITUMEN
CONTRACTOR S APPLICATION FEES
CENTRAL FLORIDA CUSTO HOMES IN REROOF RESIDENTIAL 75.00
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Ins ections Re uired �
DRY IN ROOF INSP
TAPE JOINTS ROOF INSP
FINAL
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 fi� plans not at job site g)work not accessible.
NOTlCE: 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.
"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 Plan , pec' i ations Must Accompany Application. All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: �,Pit,�� ��/1.��� -
Date Received: �'���
Site: �� l�� ���,�
Permit Type: /�' r�
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
.
This comment sheet shall e kept with the permit andlor plans.
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Kalv wi z lans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
���-��U-UU1U City of Zephyrhills Permit Application FaX-s�3-�er�-ooz�
Building Department �`
pate Received ���� Phone Contact for Permitting -- �
� Ouvner's R1ame ► cJ�l� � �-� L� Ovuner Phone fdumber g�,3 �5 5 Qd<,;�
Ouvner's Address �°1 l3 l \ K � Owmer 6'hone Mtamber JV � 1
Eee Slmple Titleholder fdame � Ow�ner Phone tdumber �
Fee Simple Titleholder Address r..
JO�A1�pRESS � \�3 �Z� ��. LOY� �
suBOi�iseob �Z��1-�� ��. �{�IG-t��S PAIRCEL ID# �Z"L(�Z j o�3 fl Od�d�J O� O � _
(OBTAINED FROM PROPERTY TAX NOTICE)
FR�ORE(PitOPOSED e .NEW CoNSTR 8 ADD/ALT � SIGN Q 0 DEMOLISH
INSTALL REPAIR
PROPOSEID U�E � SFR Q COMM � OTHER
TVPE OF COIdSTRUCTlO(d Q BLOCK �,] FRAME 0 STEEL Q ���
DESCRIPTION OF WORK ���' ��'�J�/ � ��� � . � � ,�Q � �e� i�—
/
IBUILDIRIG SIZE SQ FOOTAGE �� S � FiEIGHT � _
��ca�PL'l',Y-
�BUILDING $ �, ,}��� VALUATION OF TOTAL CONSTRUCTION
�/U
DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY � W.Ft.E.C.
OPLUMBING $ �/
�1�� �
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OMECHANICAL $ VALUATION OF MECHANICAL IfVSTALlATl01� � :4PJL�� ���,�1,�
I"`_ �,• 1 �G�-�
OGAS Q ROOFING Q SPECIALTY [� OTHER —¢ �
FIfVISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO C��� , l,�J "I
BUILDER COi�IPkNY
SIGtdATURE REGISTERED Y/ N FEE CURRE� Y/N
9lddress License#
IELEC'6RICIAfd COAAPAiNY�
SIGRIA'TURE REGISTERED Y/ N FEE CURREn Y/IV
Address License# 1
PLUAABER GOMPAMY
SIGfdA'TURE REGISTERED Y/ N FEE CURRE� Y/N
dlddress License#
MECEiAi�ICAL COMPAPlY
SIGIdATIDRE REGISTERED Y/ N FEE CURRE� Y/fV
�
E►ddress � License#
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OTHE6t � COAflPAfdY C.- ��! ��1 l�� � R �
SIGfdATU REGISTERED Y/ IV FEE CURRE� Y/N
alddre s � � e�� � �`16U� License# -iJ C.� �6 '
RESEDEtdT1AL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Faclllt(es&1 dumpster;Site Work Permit for subdivislonsAarge projects
COAARAERCIAL Attach(3)complete sets of Buildfng Plans plus a Life Safety Page;(1)set of Energy Forms. R-O-W Permit for new constniction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities�1 dumpster.Site Work Permlt for all new projects.All commercial requirements must meet compliance
SIGM PERIlAIT Attach(2)sets of Engineered Plans.
••"'PROPERTY SURVEY required for all NEW constructlon.
Directlons:
Fill out applicatlon completely.
Owner&Contractor sign back of appl�caticm,notarized �
9f over�2500,a f�otice of Commencement Is required. (AIC upgrades over 57500)
•" Agent(for the contractor)or Power of Attomey(for the owner)would be someone wlth notarized letter from owner authorizing same
01lER THE COUIdTEit PERMITTIMG (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
I•�. Driveways-{Vot over Counter if on public roadways..needs ROW
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�IVOTICE O� DEED_RESTRICTIONS:��The undersigned understands that this permit may be subject to°deed" restric#ions"'
which��may be more restricEive than Gounty regulatians. The undersigned assumes responsibility for cari�pliance with any
applicable deed restrictions. � �
UNLlC�NSED CCINTRR�IICTORS AND CC?NT[�4CTOft R�SPONSl�I�1TlES: lf the owner has hired a contractor or
contracfors to underfake work, they may be requ'tred to be iicensed in accordance with state and local regulations. if the
contractor is not licensed as required by law, path the owner and contractor may be cited for a misdemeanor violakion
under state iawr. if the owner ar inEended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspectian Divisii5n—Licensing Section at 727-847-
8Q09. Furthermore, if the a�wner has h4red a 'contrac#or or cantractars, he fs,acSvised ta have the contractar(s) sigt�
porfians of #he "contractar Block" of this application for which they will be responsible. If you, as the owner sign as fhe
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting ptivileges in Pasco
Caunty. �
TRANSPORTATIQN IMPACT/UTILITIES IMPAC'T AND RESOURCE FtECOVERY FEES: The undersigned understands
that Transportatian Impact Fees and Recourse Recavery Fees may apply to the constcuctian 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, wilE be identified at the time of
permitting. it is further understood.that Transportation Impact Fees and Resaurce Recovery Fees musf be paid prior tv
receiving a "'certificate af occupancy" or final power release. If the projecf does not involve a cerkificate of occupancy or
final pawer release, the fees must be paici prior ta permit issuanee. Fu�fhermore, if Pasca County 1NaterlSewer Impact
fees are due, they must be paid prior to permit issuance in accordance wi#h appli�able Pasco County ordinances. �
CONSTitUC7'!ON LI�N LAW{Gh�pter 713, Florida Statutes, as amended}; Ef valuaticin of work is$2,500.OQ or more, E
certify that I, the applicant,�have been provided with a copy of the "Florida Con�truction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Departmenk of Agriculture and Cansumer Affairs. If the applicant is someone
other than the"owner�, 1 certify that I have obtained a copy af the above described document and promise in good faifh to
deliver it to the"owner"prior to commencement.
CQNTftACTOR'SIOWNER'�A�FI�►AVIT: E certify tfiat a11 the informa#ian in th3s applicatian is accurate and tha#all work
will�be done in campliance with all applicable laws regulating constructian, zoning and land development. Application is
hereby made to obtain a permit ta da wark and installafion as Indicated. 1 certify that no work or instaltation has
commenced prior to issuance of a permit and that alt work wilt be performed to meef standards of all laws regulating
construckion, County and City codes, zoning regulations, and land development regulatians in the jurisdicfion. I also
cer#ify thaf I understand that the regulations of other government agencies may apply fo the intended work, and that it is
my responsibility to identify what ac#ions I must take to be in compliance. 5uch agencies include but are not limited to:
- Department of Environmental ProtectiQn-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, WaterNVastewater Trea#ment.
- Southwest Flarida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- . Army Corps of Engineers-Seauvalls, Docks, Navigable Waterways.
- Department of Health � Rehabilitative ServiceslEnvironmen#al Health Unit-Wells, Wastewater Treatment,
. Septic Tanks. , ,
- US Environmental Pratection Agency-Asbestos abafement.
- Federal Aviakion Authority-Runways.
!understand that the followsng res#rictions apply to the use of f�ll:�
- Use of filt is not aliawed in F1oad Zone"V"unless expressly permitted. �
- If the fill rnaterial is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
,"coinpensating volume" witl be submitted at tima of permifting v�rhich is prepared by a professional engineer
licensiad by the State of Florida. '
- �If the �II material is ta be used in Flood Zone "�4" in connection with a pecmitted building using stem wall
construction, I certify tha#filt will be used only to fill the area within the stem watl. '
- If fill materia! is ta 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 cifed for violating
the conditions of the building permi#,issued under the attached permit applica#ion, far lots less #han one (1)
� acre which are elevated by�11, an englneered drainage plan is required.
If I am the!#GENT FOR THE OWN�R, I pramise in gaod fai#h to inform the owner of the permitting conditions set forth in
this affidavif prior to commencing construction. ! understand that a separate permit rttay be required for electrical work,,
plumbing, signs, wells, pools, air cpnditioning, gas, or other insfallations not specificaliy inc(uded in the application. A`
permik issued shal! be construed to be a license to proceed with the work and not as authority ta violate, cancel, alter, or
set aside any provisions af the technical cades, nar shall issuance of a permit prevent fhe�uitding Official from thereafter�
requiring a correction of errors in plans, construction or violatians of any cades. Every permlt issued shall become invalid,
unless Ehe work authorized by such permit is commenced within six months of�ermit issuance, or iF work authorized by
the permit is suspended ar abandoned for a peria;d of six(6) months after the time the work is commenced. An extension
may be requested, rn writing, from the Building C?fficsal for a period not to exceed ninety (90) days and wi!! demonstrate
justifiable c�iase for the extensian. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
� � �.
WARNING TO OWNER: YQUR F�1lLURE TO RECCiRD A NQTICE OF COMNIENCEMENT MAY R�SUC,T IN Y4UE?
PAYING T1IVICE FtJR INIPROVEMENTS TO YOUR PFtOPERTY. IF YOU INTEND TO OBTAIN FINANCING� CONSUL7'�
IfVITH YOUR LENC?ER C)R�1N ATTORNEY BEFQRE RECORQlNC YOUR NC}TICE CtF CC1�VtN1ENCEMENT.
FLORIpA JURAT(F.S. 117.03 _ _ __- �-
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OWNER O12 AGENT �� �'��� COIVTRACTOR ��"— �
S�bs �lye y swarn to r affirmed efore me thls Su s ribe bworn to or affirmed b ore me this
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o sl re ersonafil nown me or haslhave produced sl re me r haslhave producsd ,
as 1denUfication. as identificafion. .-
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-Notery Public Notary Public
Commiss on No. F/� �,;�,���,� Commission,Wo. �� �� j'7' ,���
Name of Not r s Name of Nokary type r' c •yqp�t,�,,h„�,�,� , V;�
NoWry Pu61io State oT Florida �►t4, Noter�PubllcSttte W FlOtrd'A`.,:- °+':°��-` �.
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Florida Building Code Online Page 1 of 2
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' Florida Department� BCIS Home i Log In ; User Rey(stratlon i Hot Topia i Submit Surcharge ; Stats&Facts i PubllcaUOns i FBC StaH i BCIS Site MaD : Llnks � Search f
Busines��(� ��
Professi�nal +�:.. ����R P�yt�pP�oval
Regulation
Produtt Aooroval Menu>Product or Aoolication Search>Aoolicat(on List>Appllt'aUon Detell "
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, t`;�:;.C�`>7: ,:i= FL# FL2533-RS1
.:�t�7z��:;i.
, ` ��� Application Type Revislon
Code Version 2010
Application Status Approved
. Comments �
Archived ��
S��N�'�IIQ2I0 S'I'III7�,Hd�Z d0 A.I.I�
Product Manufacturer CertainTeed Corporetion-ftdbFiSg�Q���RI.I.��7�Z`C��QI,I,�I[�`�QO� ' ` �
Address/Phone/Email PO Box 1100 �l�Q7I[lg bQ��71`S�Q�}���'��n�d
1400 Union Meeting Rd 7�.H11�1�,,�����,�,���S�OM'IZd
Blue Bell,PA 19422
(215)274-2350
Steven.T.Lawrey@safnt-goba(n.com
��1���
Authorized Signature Steven Lawrey Cl ����r���/�,e
Steven.T.lawrey@salnt-gobain.com �L��F�'�� y��s
Technicai Representative Mark Harner �x��"7 ���5 .j_
�
Address/Phone/Email 1400 Union Meeting Road �` �, , ._
P.O.Box 1100 -��ZCl7�
Blue Bell,PA 19422 �
(215)274-2443
� Mark.D.Harner@saint-gobain.com
Quality Assurance Representative
Address/Phone/Email
Category Rooflng
Subcategory Modff7ed Bitumen Roof System
Compliance Method Evaluatlon Report from a florida Registered Architect or a Licensed
Florida Professlonal Engineer
� '.�� Evaluation Report-Hardcopy Received
Florida Engineer or Archltect Name who developed Robert Nieminen
the Evaluation Report
Florida Ucense PE-59166
Quality Assurance Entity UL LLC
Quality Assurance Contract Expiratlon Date 02/13/2016
Validated By John W. Knezevich,PE
i�� Validation Checklist-Hardcopy Received
Certiflcate of Independence FL2533 Rii COI 2014 01 COI Nieminen.odf
Referenced Standard and Year(of Standard) Standard Year
ASTM D6162 2000
ASTM D6163 2000
ASTM D6164 2005
ASTM D6222 2002
ASTM D6509 2000
FM 4470 1992
FM 4474 2004
Equivalence of Product Standards
Certifled ey
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?pazam=wGEVXQwtDqvweIwRFXRvHOHSba1V...
Florida Building Code Online ' Page 2 of 2
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Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted 02/27/2014
Date Validated 02/27/2014
Date Pending FBC Approval 03/03/2014
' Date Approved 04/18/2014
Summa of Products
FL# Model,Plumber or Name Description
I
I 2533.1 Flintlastic Modtfied Bitumen Modified Bltumen Roof Systems
Roof Systems
Ltmits of Use Installation Instructions
Approved for use in HVHZ:No FL2533 Ril II 2014 02 FINAL Ai ER CERTAINTEED MODBIT FL2533-
Approved for use outside HVH2:Yes Rli.odf
II Impact Resistant:N/A Verified By:Robert Nieminen,PE PE-59166
Design Pressure:+N/A/-630 Created by Independent Third Party:Yes
Other: 1.)Refer to ER Section 5 for Limits of Evaluatton Reports
Use.2,)The design pressure noted in this FL2533 Rii AE 2014 02 FINAL ER CERTAINTEED MODBIT FL2533-
application relates to one speciflc system. Ril.odf
Refer to the ER Appendix for all systems and Created by Independent Third Party:Yes
max design pressures.
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Contact Us:;1940 Nnrth Monroe Street,Tallahassee FL 32399 Phone:850-467-1824
The State of Flodda Is an AA/EEO employer.�oov�ioht 2007-2013 State ot Florida.::Privacv Statement::�cessibiliri Statement::Refund Statement
Under Florida law,emall addresses are publlc records.If you do not want your e-mall address released in response to a pubtic-records request,do not send
elecUOnlc mali to thls entity.Instead,wntac[the office by phone or by tradftional mall.Ii you have any questlons,please mMac[850.487.1395.'Pursuant to
Sec[ion 455.275(1),Florida Statutes,effec[ive Oc[ober 1,2012,Iicensees Iicensed under Chapter 455,F.S.must provide the Department with an ematl addrnss if
they have one.The emalls provided may be used for officlal communlcatlon wi[h the Ilcensee.However email addresses are public record.IP you do not wish to
SuDDIY a personal address,please provide the Department with an email atldress whl�h can be made avallable to the publtc.To determine IP you are a Ilcensee under
, Chapber 455,F.S.,piease click hgi€.
Product Approval Aaepts:
� � cttect �
�CCUCI�C\f IiTitlCti
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http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqvweIwRFXRvHOHSba1V...
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HUD•� it.S.Qeparkment af Housmg
II and Urba�Dev�opment OM6 No.2502-02&5
A.SeplemaM Slatemanl
IB.Type af Lonn
(�L pHq Q 2.FmHA 0 3.Cm��Uniru. ��Flle Number 7.Loan Number 8.Mortg.Ins.Cosn Num.
60D0.2768
(�4.VR. {�S.Caiv.lns. �0.
C. NOTE:This form is fumished l0 9we ycw a statement of actual sali�ement costs.Mwunts paid lo and by the seulennent agent aze shaxn.items
marked•{p.o.c,}'�vero pa�d cutside the closing;4t�ey ata shwm here(or iFlfamaliqtia!pucposes and ase not indndad in the Rotats.
D.NAME QF BORROWER: Terry M.Hatl,a sfingts man
I+ddress af Bwrowor. 39131 Pazk Qriva,2ephyrhlils.Floiida 33542
E.NAME OF 36f1ER: �ederei Hane Loan Mai9age Cwpocation
11253E31488585445
Address.pfSellar: 5000 Plano Parkway�CarrdRon,7e�s 75010 TIN:
F.NAME OF�ENDER:
Address of Lender:
G.PitOPER't'Y IOCATlO�: 39131 Park priva,2ephy[hGls,Fbridd 335A2-0890
H.SETTIEMENT AGENT: RAS 7rUe,t.t_C 71N:27-2872�45
Placa o(Settlement: Bq09 Congress Avenue,Suife 100,Boca Raton,Florala 33487 Fhone:561-3g1_gtql
1.SETTIBMENT dATE: 5l29tt4 DlSBlSRSEMENT DA'fE:5291t4
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101.Contract sates rice • 27,50p.00 401.Contract safes Pdce • 27,5�.00
102.Personal ropeRy 4Q2.Peaanat P�P�Y
1D3.Setftemecst d�arges t�6crtawer I.3ne 1404y 465.50 403.
104. 404.
1Q5. 445.
108.Ciryllawn taxes 406.Ci tares
1 p7.Cou taxec ' 407.Caurny tettes
!0$.Assesstrtents 40$.Assessmenis
10$. qp8.
110. 4'IQ.
i11- 41l. .
tt2. 412.
'120.Oross lunount due hom lroriower. 27,9C+5.60 920.Gross amaunt due to sellv: 27,500.OQ
�� a�
2�1.Depps3t or earrseSt mon 1.000.00 50t.E7ctess depdsit(see instruet3ons)
Z02.Prfn amount t�new toan s 502.Setli�t es to selle� ttte 14D0 4.158.13
203.E�dstl l�n s taRen su ect!o '543.F�ds6tx11oart s}teken su' to
204.Ar3no ai amouat of sec.ond mat 'e 504.P ot frrst e toan
205. 505.P oT secand rtrort age toan
206. 508.Depostts beld bY seper
247.F' atnt o( hetd seltet SOT.Fdnci amt of mort a e h�d settes
2p8. 5D8.2013 RE Teoces SB45:A9 POC
�8. 509.
210.cttyltawn rm�s s�o.citynwm t�es
211.Counfy taxes from 01/01I14 W OS/29/14 337.11 511.County t2�s from 01Jtl1N4 ro Q5129114 357.11
212Assesstnenis 512.ASSessttrents
2"13. 513.
214. � 514.
�g, 545.
216. 516.
217. 617.
2f8. 5t$.
219. 519.
220.Tota!paid byHor borrower. 1,357.11 520.Total reducHona fn a�nount due aeller.. 4,51824
� .�t
3pt.Gross mimimt due from borrw+er 27,965.50 601.Gross emant due to setler 27.5Q0.!?0
cu�,2�y cu�e a2ar
302.l.ess 8m9Unt p3id bY�a the batFOV+et {'1,35T,i!} fi02.4ess tdat reduCtion5{n a[naasit dtte sel3er {d.515,24}
���� (Gna 520)
�ra.Cash{ C�Frun �To )Samtver. }as.soa.as sa+.c�a{ p Ta p F� �s��: rr,saa.zs
8utratRulo Farm 1089 3eller SteWmenl:. The irdorrnaflon amfeltied fn bixks E.G,H,anil I end on I'in0401 is important ta�c intamatipn and is b�ng
fumished Eo lhe IRS.H yqu are requtred to ftle a relum,a negligence pe�iatty a olh�sancNat wiU be 3mposed cn you!f this ii�n is required to be repated and the iRS
d�es tlrat if has�wt bean tepotferJ.
Saito�fnstructions: If t�is real estete wae Y�P��Pai resl8ence.file Fam 2119,5aia a Fxchange oi Principaf Residence,far any gain,wiih your tax
rotuctr,!a other transacticna.camptsCe tha epp6cab4e pmts o!Form QT97.Fam 6262 andla Schedule D(Pnrm i44D).
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HUD-1 U.S.Departmenlof Hasing and Urban Development pa9eZ
�' ' �' �' Paid fran Pafd from
700.Totsl SaleslBrok�s Can.baseif ai price 527,500•00 �= 3,000.00 Borrowars Sellefs
701. 1,500.00 ' %to 7ampa Suncoast Realty Fu�s at Funds at
702. 1,500.00 Yo lo Consull Realt and Man emenl
senlement setaeinenl
703. Canmission aid at settkment 3,000.00
704. lo
I .�� •' •
801. Loan originalion fee °h to
802. Loan discount %to
803. Appra'sal fee ro .
804. CredRreport to
805. Lenders inspection fa� to
806. Matgage insurance eppAcation Pee lo
807.Assumpl'an Fee to
808. to
809. to
810. � '
811. , �
•. •
901.Inteiestfrom b � !d ,
902.Martgage insurance premium for manths lo �
903.Hazard insu2nce preroum�or }ears io '
904.Flood insurance premlum iw years to
905. years to
� ••
1001.Hazard Insurence
months @ p�month
1002.Matgage insucance rtwnihs Q pe1 mcn�h
1003.Ciry ProPertY�exes rtronths(� per manth �
1004.Canry pioperty taxes
months Q per rtwnth
1005.Mnual assessments ��� ' ���,
1006.Flaod insurance tnaiM�s Q per month ,
' 1007. �y�� ��� '
1008. monrhs Q per month �
1�9.Aggregate aecounfirg atljustment
� ..
1107.Settlement or closGtg tee to RAS Titte.LLC 250.00 709.80
1102.Abstract or tftle seard� to Ftleliry Nada�al Td1e Insurance Canpany 75.00
11Q3.TttlBexaminadan tc
1104.TNe insurance bfidtr ro
1105.Document preparadm W
110&.Notaryfees to
1107.Aqomeys Fees to
Q�tudes abcre item numbers: )
1108.TIUe I[rsurance to Flddity Natlanai Titla Insura,nce Company/RAS Tule,LLC �5g,�3
(inciudes ebove ftetn numbers: )
1109.Lendets e Prmnium:
71�0.Owners e Premfum: 527.500.00{5158.i3)
1111. Endase:
1112. b
1113. to
�
1201.Recordng fees ' Deed 518.50 Moitgege(s) Releases 18.50
1202.Citykounry fax/sternps Deed Mortgepe(sj
'1203.3tateter/stamps ,Oeed 5792.50 AA�89e(s 192.5�
12Q4.Recad Setvicer Deed W Pasco Counry Cieric of Cart '10.70
1205.E RECORDING W Pasco Counry C}etic oi Cwrt 4.50 4.50
•
1301.Su to
1302.Pest In dut to
t303.Llen Sesrch ro City l�en Search Zpp.pp
1304. to
130b. ro
1306. tn
130T. tc
1308. lc
7309.
Enteran 6nes 103 3ectlon J end 50 SecUon K 465.50 4,158.13
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