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HomeMy WebLinkAbout15-15915 4 ; CI• OF ZEPHYRHILLS 5335-8TH STREEf (sis)�8o-oozo 159 5 B ILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 15915 Address: 4645 WISTERIA DR LOT 19 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: WHISPERING OAKS Est. Value: Parcel Number: 15-26-21-0160-00000-0190 Improv. Cost: 3�69:66 � 7-� OWNER INFORMATION Date Issued: 1/14/2015 � Name: EDWARD C ROWELL Total Fees: 122.50 Address: 4645 WISTERIA DR Amount Paid: 122.50 ZEPHYRHILLS FL 33542 Date Paid: 1/20/2015 Phone: 813-764-3426 Work Desc: REROOF SHINGLE-ADD 2 INDOWS 1/20/15 CONTRACTOR S � APPLICATION FEES HOMEO NER RER OF RESID NT AL 55.00 BUILDING FEE 67.50 HOMEOWNER � � Nb =� � � 1 -- 1 �- �� � Ins ections Re uired DRY N ROOF INSP TAPE JOINTS ROOF INSP FINAL BUILDING FINAL ' - � REINSPECTION FEES: Reinspection fees will c mply with Florida Statute 553.80 (2)(c)when extra inspection trips are necessary due to any one of the follo ing reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corre ions not made when inspections called d)work not ready for inspection when called e) permit not post d on job site� plans not at job site g)work not accessible. NOTICE: In addition to the requirements of this per it, there may be additional restrictions applicable to this property that may be found in the public records of this county, a d there may be additional permits required from other governmental entities such as water ma agement, state agencies or federal agencies. "Warning to owner: Your failure to record a otice of commencement may result in your paying twice for improvemenfs to your property. If you inten to obtain financing,consult with your lender or an attorney before recordin your notice of commencement." Complete Plans, Specifications Must Accompa y Application.All work shall be performed in accordance with City Codes and Ordi ances. NO OCCUPANCY BEFO C.O. ONTRACT SIG E PERMIT OFFI R PERMIT EXPIRES IN 6 MO THS WITHOUT APPROVED INSPECTION CALL FOR INSPECT ON - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER � , � - � ,� � S/H • �� INIIIIIIIIIIIIIIIlIIIIIIIIIIIIIfIIIIII(IIIIIIIIII(IIIIIIIII ''� ' 2015009096 � Rcpt:1654955 Ree: 10.�0 � �n� /�� OTI OF D5: 0.00 IT: 0.00 01/21/20l5 K. G. , Dpty Clerk Permit No. d — . _ Property Identification No. � � ' �(70�� �'���� � r Tf�LTNDERSIGNED heieby gives notice that impmv mts will be made to certain real properiy,and in accordance with Section I 713.13 of We Florida Statutes,the following infoimatio is provided in the NOTICE OF COMMENCEMENT. 1. Description ofP�P�Y� a!deser�pdoe:) a) SUeet Address: � 2. Generel description of improvements - 3. Owner Information _ � '�'�G '`�'�L7�R�,�,¢, f'����� a) Name and address: ' � S ► I b) Name and address of fee simple titleholder(if o er than owaer) c) Irnerest in P�P�3' 4. Contractor Information � ; (� 'B ' -���'���}� � a) Name and address:' . t,�, ,C� y(ry� etZ, '�/ � b) Telephone No.: __ Fax No.(Opt.) 5. Su�y Information a) Name and address• � b) Amount of Bond:. c) Telephone No.: T Fax No.(Opt.} 6. Leader a) Name and address: 7. Ideatity of person within the tate of Florida design by ownea upon whom noti or other documents�a y be ed; r� a) Na�e and address: -' �'� 49� �4c.. xeP�+U 1'C �`�{�S . ���Z�'C'y�.�, °�r�,�n b) Tele�hone 1Vo.: Fax Na.(Opt) ��'^ 8. In addition to himsclf,owner desi�ates the follo ' pers�in ta reoeive a r.opy of the Lienor's Notice as pmvided in Section' �m Z 713.13(1)(b),Floiida Statutes: ��� a) Name and address• �..��ro � b) Telephone No.:. . Fax No.(Op�) ��o 9. Expi�arion date of Norice of Commencement(the iratiat►date is one year from the date of recording unless a differeat datE is m D �fi�)� . a � ,9 0 WARTVIIVG TO OWNER:ANY.PAYMENTS MADE Y T'HE OWNER AF1'ER'd�EXPIRATION OF TIIE NOTICE OF ��'� m COM.I�NCEMENT ARE CONSIDERED IIViPROP R PAY1biFIVTS UNDER CHAPTER T13,PART 1,SECTION 713.13, No � FLOltIDA STATUTES AND CAN RESULT IN YO PAIIII�TG TWI�E FOR IPROVEMEN7'S TO YOIIR PROPERTY.A �'�+�' N017'CE OF COMMENCEMEPIT MUST BE RECO ED AND POSTED ON THE dOB SITE BEFORE T�FIRST ��+� U TO OBTAIIV F!N CII�T� CONSULT YOUR i.ENDER OR AN A RNEY EFORE INSPECIZON.IF YO INTEND TTO B � ' (f� � COM1ViL�NCIIVG WORK OR RF.CORDING YOU N TICE OF C011�NCEMF�VT. �f � r r I 5TA7'E OF FLORIDA ' ' G'OUNTY OF PASCO , Owncr r Owner's Authorized 0ffiea/D'aecmr/Paimc/Menag� ��� c� 1��:� -- PriutName. `ti�tillllll(��� i� 1!►e foregoing m:f�UUmeat was acimowledge�before me this �day of��l .20/�,bjr.�` , . �S• � O �� � � _. � ��YPe uf authority,e:g:o�c�, s�,at¢orn�ry;' �aci)��or (u ofµ�rty on f of om ent was eic �• � ' �`�, � , • ,, •c � U•.�•��;a' •` J Personally Known_�OR Produced Identification� '�:e�►ry S a � � � � � � , Type ofIdentification Prodaced �. � „^ fTSme(print) � t�'iS' (� -� .� .a�'��_, I ' a"' . , �� �•.,� `� \ Verification p�suant to Sectioa 92.525,Florida Statutes.Under al�es ofperjury,I declere that I have�the fore�qing en8 tH�it��3t�fed. ' in it are true to tha b�4 of my lamwledge and belief. .,. . ,,�i�� 5 �����,��,���; � b �� / �iiiii<<�� .,,�,,�;:;,, �+srx°c''„�°°� � •.��u r��uo eew ,��1 /� -- _, - . ���: \ \ y4N.�, .;ai! �.j��IljiA���`•: • , �_F: \ . a�iZVt?�'(�3. � t^` ' J�}Y.OpM:1tt�I0Ni�E555� . } •,��.,f. : F_Yhl$F�;Atvc},st�4ol.s zwvuuu'z�r'"�n •�"�'1r�R;mmn,t�,:W ��vV�!UWVUY4i�: R � � t , I �������� �� . �"�*�'`€*� �T,��'��� F�[.����,�,COU�4TY OF PASCQ �'�° �,�'�`�.�'" �'}��y�,tA��� C°.S \tl't'R � TMIS IS TG CERTIFY TNAT 7HE FOREGOING IS A � � ,� TRUE RN�G�RRECT C�PY OF TH�t�OGUtJt�NT � � � ����'�;t. ON F(LE C)R C�r PUBLiC RECC7RD iN iHlS OFFiCE �����`�'�` � � WITNESS MY HANQ°WN Uf=FICIALSEALT ISf � Q ��`'"`��v� r���' "° oAY a�---- ` ��l xJ � � ��� �` . PAU .O' , CL K t� t- I� "'`�`� �' r � . a8�r BY � UTY LERK ��'�8������`��� i 813-780-0020 City of Zep yrhills Permit Application Fax-813-780-0021 �� � Building Department Date Received Phone Co tact for Permitting — Owner's Name � • � Owner Phone Number Y / � ' Owner's Address �,/`� �� 1 1,.�'vV ,W`CJ�+ �w�r Phbne Number 'I Fee Simple Titleholder Name Wt Owner Phone Number I Fee Simple Titleholder Address JOB ADDRESS � � '' LOT# � SUBDIVISION P CEL ID# - -- (OBTAINED FROM PROPERTY TAX NOTICE) _ _ WORK PROPOSED NEW CONSTR A D/ALT � SIGN Q Q DEMOLISH INSTALL R PAIR i PROPOSED USE Q SFR Q C MM 0 OTHER Q TYPE OF CONSTRUCTION Q BLOCK Q F ME 0 STEEL Q DESCRIPTION OF WORK R���� r' SN 1 C?L� � BUILDING SIZE SQ FOOTAGE HEIGHT OBUILDING $ G � VALU ION OF TOTAL CONSTRUCTION QELECTRICAL $ AMP S RVICE Q PROGRESS ENERGY Q W.R.E.C. OPLUMBING $ � �q�S ME HANIC L ` Q C A $ VALU TION OF MECHANICAL INSTALLATION � QGAS Q ROOFING Q S ECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS F OOD ZONE AREA DYES NO BUILDER COMPANY � �'�� �' �Q � SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y J N Address License# RESIDENTIAL Attach(2)Plot Pians;(2)sets of Building Plans;( )set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal da e. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities 8�1 dumpster;Site Work Perm t for subdivisions/large projects - COMMERCIAL Attach(3)complete sets of Building Plans plus a ife Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal da e. Required onsite,Construction Plans,Stormwater Plans w/Siit Fence installed, Sanitary Facilities&1 dumpster.Site Work Perm t for all new projects.All commercial''requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. I , ""PROPERTY SURVEY required for all NEW c nstruction. I Dlrections: Fill out application completely. . Owner&Contractor sign back of application,notarized, , If over$2500,a Notice of Commencement is require.{i,,_.(Al., upgSades over$7500) � " Agent(for the contractor)or Pouver of Attomey(foc the owner)w,uld be someone with notarized letter from owner authorizing same � , � OVER THE COUNTER PERMITTING (Front of Application Onl ) ; • � i � � , � Reroofs if shingles Sewers Service Upgrades AIC F nces:(Plot/Survey/Footage) ' , . � Driveways-Not over Counter if on public roadways..needs RO e � , NOTICE OF DEED RESTRICTIONS: The undersi ned understands that this ermit ma be sub'ect to"deed"restrictions" 9 P Y 1 which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. ; UNLICENSED CON7RACYORS �►ND CONTRACYOR 12ESPONSI�ILIYIES: 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. � ' 'Tit�►fVSPOFtTATION 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 appllcable Pasco County ordinances. COPIS7RUCTION LIEN LAW(Chapter 713, Florida Statutes, as:_ merrde� � If valuation.o�wor�is $2,500.00 or more, I f_ ., , �). . certify that I, the applicant, have been provided with a copy of the "Floriiia 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. CONTitACTOR'SlOV11NER'S AFFIDI�VIY: 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 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: ' - Depar�ment�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-Seawalls, Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - - US Environmental Frotection 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 elevated by fill, an engineered drainage plan is required. If I am the�1GEN7'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 P► NOTICE OF COMMENCEAAENT M�Y RESULT INI YOUR F'AYING TWICE FOR IMPROVEnAENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCIfVG, CONSULT WITFi YOUR LENDER OR AN ATTORNEY��FORE RECORDING YOUR NOTICE OF C011AMENCE�VIENT. FLORIDA JURAT(F.S. 117. � /1 c /��� � Q / �/ 01RIfVER OR AGENT � COIVTRACTOR , �, ��"� Subscribed and swom to(or afflrmed)before me thls Subscrlbed and sworn to(or affirmed)before me this by bY Who is/are personally known to me or has/have produced Who Is/are pers y known t me or has/have produced as Id ntlficatlon. as identification. , N tary Public ` 'Y'i%' E B Notary Public ,;� ':= Commission#FF 137073 s.: � : om ssion Commissi :�= ' 29 2018 Commissi 'o: Ex ires June 29,2018 %,+ oep' •�'� F' BondeOTtwTmyFain nsurnnce ��pF�'.• gonded Ttw Tmy Fan Insurenee 800-385-7019 Name of Notary typed,printed or stamped Name of Nota ped,printed or stamped � r .._ — __ __ _ \ �„ ._m:�M � _ ._,_ " _; ' "�.' ...�.' ""'"..." '> � � � �' Thank You ,..�., �; far Choosing . � JELD-WE'N �i .1 � �TELI�'�1��N� ,�,„�,,,�„ aJ W I N D O�t'�S & I? Q O R S NFRC Buitders Alurriinum Side Laad ,� Singte Hung Singlie-glazing ....��„.� ' JEL-A-691-OQ085-00005 � �� 'tionai Fenestration � '� ' Rating Councii � �• "�"""�°�'' : ~ � 10234720 �: � , . � .ENERGY RERFC?EiN1ANCE RATlNGS EVALUACION DE RENDIMIENTO ENERGETICO +...�.,...,�, � U-FACTOR SOLAR HEAT vAlN COEFFIGIENT FACTOR�U cOEFlGAN7E:GAWSNCU�E EHER6IA SOUR t� 1,11 {ll.S:f1-�) ( 6:30�(Metrlc/S! 0.72 �-��•�«� ; � ADDfT1QNAL PERFfJRMANCE RATlNGS �"'"'"°'"°� EVALUACION SUpCEMEYTARIA DE RENpIMIENTO � VI&IBLE TRANSMITTl�NCE ' ' 7RANSMi5ION0EWZYi3181E ;'.�,.�°"""" 0:75 - �, , .�..._.,w...�. � Maraaxtxw s�u�'es tl�2t pese rao�gs cm(mn�a}�a�D�Drocednes tor d�iinaieig vrtde P�.t pafamm�.tSAC r�lhgs 2re d�eriercd la a fuel�1 pl ` . � emirmm�.ra'emGJasariCaspe�cxod�c'sre.t�RC�esx;�zm�tart;7od�iaM9oesmiw�mV�esr�'Srya!ary7zt�Sfa�y�icuse.:,`n¢tl( + - - m2mdachner'St�titaei���du�tptdam&ceadamabat,-. Lde khtlpntes�da�e c�ns rabte>aw�en pn los pxedonrenros apf�rles�i Nr�C para dal�mirer d r��imimlo!al�de!aa9�,'b.lns va'aet�;ados pa NRiCsa� de�rmnados Fa un caUumo fip da omGrSres amG�nmks y m hmam da prd�Cto e�edfiCa.M1RiC m reeomenia mgcn promda v m 9�0��p�� , . ada�pma�mGmes�O•Ca�nReca���tl�t�¢ep�aelsuanc�tladezste�r�ia www.nhaocg ;»�*»��; � ff , Th'isY�nestrat7on produti tias.6een cettified by thc manufad�rer to meet the air infiltration ouir e is ISecttad37,e{a)i.zooa:cpr.a...,:�.n,,:id;�p,FnerpyStandards _ � ti � � � -..�.�. . 4 � .�^�/f�}r�J , 1:; , F� '�� '��'�:�:< ;`°�^----�-� ' ' . ,- l, ._.._�___- .,_.____._.w...-.�,.._� � �.m. ' s Thank You � ������ for Choosing , JEL�D-!%�/EN : -�L17 �r El`�� �WINDOWS & D'OORS NFRC Buifciers Aluminutn Sicle Load ' Sir�gle Hung Double-glaz�ng wi�h Griai .!EL-P,-691-QQ236-00001 National,Feriestraticn Rating.Council�,�.. ° 0 10236636 ' ENERGY PERFORIVIANCE RATINGS , � •:�VAU:ACION DE RENDiMIENTO ENERGETICO U-FACTOR SOLAR HEAT GAIN COEFFICIENT ACTOR . 0.67(U:S./I-P) � 3:80 (MetriclSl 0.60 ADDITIONAL PERFORMANCE RATINGS EVALUAGON SUPLEMENTARIA DE RENDIMIENTO � VISIBLE TRANSMITTANCE _ - � 7RANSMISION OE LUZ VISIBLE 0.62 1 MawhcOa¢r s�pPa@s Val tl�e raWgs aadam la ap�ade�6AC P�s la d�emim�g wtde P�1 Detpm�ce.�AC ramgs are dHeme�d 1a a Tu�sd d arruamna'mi6Uns aiG a�c podx:�e.t�ilC does nt�emnured mry aodud a�d]aes ml warmt Ce su*e�1�A'd mN 7�t I�ay�e u5e.�ft manidac4u¢fs 6�ahrte la aCe�umdud Pala�ma�oe idmnation FSte tddicante a(pk 9ue es�a rrJores duryla��n los pocedmu¢nlas apfrcadas de t�AC Qard detamirer d¢ndmie�VO rohl d�l protlucro.lnsudbres�OS por h3�sm de�am�atlos pa w mry'umo 6p de mnGamas amm�errtaks y un h�nam Ae producm esp¢oflm.MAC ro remmre�da ringun Produdo Y ro 9aran�a Wa d•podcto�a adeaiaeoPa�amum�peoBm.Ca�w�eaon�lo0elod�tahrz�teo��usnapopiabdee�eP� www.nfrc,or9 t, � i - - - - t � � . + �� + �VAI�Oi � �� � , , 1 Manufacturer stipulates conformance to the applicable standards ' JELD-WEN Windows & Doors ;, . ;. Builders Atlantic Aluminum Side'Load Single Hung :, r .__ ,,.,___ _______ 3ize_Tested 52�125x72 in �� � y ' � ` A. U.S.DEPARTMENT OF HOUSING AND A1�T D�VELOPMENT B• TXPE OF LOAN SETTLEMENT STATEh , H][Ilsboxongh'Fitte, c. 1.Q�'' z Q F"g'" '.❑°°r"'.ur'°'`s 1605 S.Alexander Shzet,S �te#102 a.�vn s.�corrv.�rrs Pl�t City,FIorida 33 63 813-754-4440 fax:813-75 915 6•�`�` �.�x�°` PT-1G-0725 B.Moc�gsgelat CaseNo. G NOTE:ThPs forns is furnished!o giveyou a siatement ofa al setttement cas�.,4mounts paid to and by the settlement agent are shown.ltems marked oc were aid ouGSide the clo.s"vi. 1& are sh here r in osmalional oses and are not irtclvded in the totaLs. Edward C RoweIl,an uum 'ed man D.Buyer. 4735 S Dawn Meadow Ct. Plant Ci ,Florida 33566 U.S.BANK TRUST N.A. TRUSTEE FOR LSFB MASTER PARTFCIPATTON TRUST E.Seller. 3701 Regent Blvd - Iivin ,TX 75063 F.Lender. Cash 4645 WisteriaDrive G.Property: Zephyrhills,Pasco County Florida 33542 Lot 19,VTHISPIIt1I IG O ,Book 14,Pa e 86,Pasco Comt ,Florida H.Seitlement Agent: HII�LSBOROLIGH TTTLE INC d/b/a Pazamount Tifle Place of Settlement 1502 West Fletcher Avenu ,Suite 101,Tam a,Florida 33612 I.Settlement Date: 7anuary 13 2015 - - J. 5ummary of Buyer's Transaction K Summary of Seller's Transaction = ` � 100.Gross Amount Due FromBu er: 400_Gzoss Amount Due To Seller: - 101. Contract Sales Price 42,900_00 401. Contract Sales Price • 42 900_00 . ; 102. Peisonal Pro e 402. I'ersonai Pro 103. Settiement Char es to Bu er ' e 1400 368.50 403: � 104. Wire Fee ' 15.00 404. Wire Fee ' 15.00 Ad'us�nents for Ttems Paid b Seller in Advi ce: Ad'ustments for Items Yaid b Seller in Advance: � 146. Ci !Town Taxes 406. Cz /Town Taxes .- 107. Coun /ParisfiTaxes 407. Coun /ParishTaxes � 108. Assessments __ 40"0. Assessments 109. 20I5 Non Ad Valoiem Jan 13,2015 Uvu Deo j9.96 409. ZOI S Non Ad Valorem Jan 13,201"5 ttu�u Dec 59.96 31,2015 31,2015 • 120. Gross Amount Ane from Bu er: 43 43.46 4Z0. Gross Amount Due to Seller. 42,974:96 � 200. .Amounis Paid b or in Behalf of Bu er: 500.Reductions in Amonnt Due to Seller: 201. Deposit/FamestMon 1,000.00 501. EXCessDe osit seeinstructions) 202. Princi al Amount of New Loan 502. Setflement Charges to Seller(Line 1400) 3,74622 ' 203. Fxistin Lo s 503. Existing Loan s) � Zpq . 504. ?a offofFix�tMortgage . - 205.. 505. P ff of Second Mort e ,_ •- ' _- ' � " - , 206. 506. PuzchaseMoneyMort e -- " `" `• - - Ad'ustrnents for Items LTn aid b Seller: Ad'ustrnenis for Items Un aid b Seller: _ ' 210. Cit /Tovm Taxes 510. City!Town Taxes 211. County/Parish Taxes Jan 1,2015 tluu Jaa 12 46.03 511.. CO�'��Parish Taxes 7an 1,2015 thru Jan 12, 46.03 2015 2015 212, p,sse.qsments 512. Assessments ' 220. TotaI Paid b /for Bn er: 1046.03 520. Total Rednctions in AmonnfAue Seller: 3,792.25 300. Cash at Settlement from/to Bu ere 600. Cash at Settlement to/from Seller: - 301..Gross Amount due&om B r ine 120 43,343.46 601. Gross Amount due to Seller ' e 420 42,974.96 - -- -- - - - - 302. L�ss Amoimt Paid by/forBuyer(line 220) 1,046.03 602. os Reductions Amount due Seller(line 3,792.25 + � � 303. Cash From Buyer: �42,297.43 603. Cash To SeIler: $39,182.71 I HUD-1 May 2007 , ' I January'13,20t5 3:55 PM I r � �� , ' ' �=� Settlement Date:January 13,2015 Fle Number.PT-'140725 L. SetElement Charges 7D0_ Total Sales/Broker's Commission: Paid from Paid from Based on Price $42,400.00 is$2,574.00 BII}�Ci�9 Seiler's Division of Commission as foIIows F�ds at Frinds at 741. 85150 ro CoFdwell Banker ess$150 Tec olo Fee to seller) Settiement Settlement 702. 1,072.50 to Keller Williams Rea2 703. Commission Paid at Setflement 1,924.00 704. �FOLLOWQIG PERSONS,FIRMS,OR ORPORATIONS RECF_IVED A PORTiON OF TEiE REAL ESTATE COIvIMISSION SH W2I ABOVE: 705. RefeRal Fee to Caliber Real F.state Services, C. 500.00 800.Items Pa able in Cannectioa with Loan: 801. Loan Ori ' tion Fee 802. LoanDiscount 803. raisal Fee 804. CreditRe ort 805. Lende�sIn ectionEee 806. Mortga Insucance licationFee 807. As flon Fee 900.Items Re irired h Lender to be Paid in Adva ce: 901. Daily iaterest char from 7an 13,2015 902. Mo e Insurance P:emium 903_ Hazard Insivance Premium 904. FloodInsurancePremium 1000. Reserves De osited with Lender: 1001. Hazazd Insuiance 1002. Mort e Insu:ance 1003. Ci Pro e Taxes 1004. County Pro Taxes � ' 1005. Aimval Assessments � ` - � I100. TYtle Ch es: ' '" I 101. Sellefs GRo" Pee to HILi,SBORnUGH E INC d/b/a Pazamount Title 300.00 • - 1102. Bu efs�Closi FeetoHILLSBOROUGH INC"cUb/aParamountTifle 350.00 �. � 1103. Preliminary Title Search m ffii1,SBOROYTG TiTI,E INC dlb/a Paramoimt , 125.00 , � � TitleJHomeTown Title Network -. ' 1104_ Final Tide Search to Ei]ZLSBOROUGEi INC d/b/a Pacamount Tit1e - 115.00 1105. Special Assessment Seuch to HomeTovm Ti e Network 185.00 1106. Notary Fees "" � � 1107. Att°mey Fees , �� __ mcludes above item numbers: I 10&. Tifle Insurance to HII.LSBOROUGH'FT1ZE C d!b/a Paramount Title 246.68 includes above item numbers: Lendefs ' ' 1109.'Covere e 0.00 I - 1110. �e�s 42,900.00 RiskRa Piemium: $246.68 ' ' Coverage 1111. NATIONAL K_E.L.TITLE SURCHARGE P YMENT 328 � - 1200. Government Recordin and TYansfer Char s: " - - 1201.. Recordin Pees: Deed 52.50 ori �e 0.00 Releases 0.00 18.50 34.00 1202. Ci /County Tax/Sffi s: Deed �.0.00 Mort e 0.00 � I203. StateTax/Stam s: Deed 30030 Mort'ge 0.00 30030 � 1204. In ble Tax to Clerk of the Circuit Court , - 1205. Indexing Fee for over 4 names to Clerk of th Circuit Conrt � 1206. POA Recotdin Fee to Clerk of Cucuit Co ' 13Q0.AdditionalSettlementChar es: 1301. Surv - 1302. Pest x8on � - 1303. 2014 Pro e taxes to Pasco Coun Tax Co ector oc$1403.58 b SeIler 1304. Outscandin utili to Ci of ht1Ls 12.96 14U0. Total Settlement Charges(Eater on]iae 103 Section 7 and line 502,Section I� $36856 $3,746.22 � HUD-1 May 2007 � � i January 13,2015 3:55 PM j \�' � , S HUA RTIFICATiON I have carrfuliy reviewed he HUD-1 SeitIIement Statement and to the best of my Imowtedge and beiief,it is a true nd accurate statement of all receipts and disbnrsemeuts rnade on my account or by me in is transaction. I further certify that I have received a cupy of the HU�-1 Settlement S temeut. - SELLER: US.SANK TRUST 1\.A.AS TRUSTEE FOR LSF8 D�LASTER PARTICII'riTION TRLTST Bp:CaL'tier Iiome Loans,Inc.,a Delaw e Corporadon Its:Aftorney in Facf ' , �- ,.�.,. , , i ' Tts:AuELorized Sianer . ' - ' _ ' $USc'�+k2; � - - ` � - , . Edward C RowelI " - ' _ 'Y'fie RUD-i Settlemen#S � tement whicii I have prepared is a true and accurate � � � . account of this transaction. I hav caused.or will caase the fands to be disbdrssd in accordance with this statement. . . • - . ' sboroug T de, Erica Trueba _ PT-14-0725 January 13,2015 I . � � / � ' ` ' _ � � "` + , l ��n �Rrx�xc�.�rxar� E have carefully revieqved e HUD-1 Settlenaent Si�fement and to the bes�of my knowledge a�d belief,it Is a izue d ac�urate statement af aDl xeceipt�and disbnrsemen#s made nn my accau�t or by me in 's�€ransaciion. �furtt►�r cerfiE�that I have reeeived a copy of the HUD-1 Settlemea�t5ta ement. S�LLER: TJ.S,l3A.NTIC TRUST TI.A.AS TR'ETSTEE OR L5F9 Me1STER PARITCIPATIpN TRUST By:Ca[iher tiam�Loaos,Inc.,a T}elaw Corparati�u � , Fts:Attorney in Fact BY� ' , , ' Its:Author3zed 5fgnex "' , , � B[1IrE�tc � . t , K'��--�"`�^"�_____.�� � �dwarfl C ltocxeli . � i • ' The HUD-1 S�tftement S atemen�t which'I have preparedis a#rue and aceurate � ' accaunt af tbis iransaction, ff hav caused nr�ttill Cause#,b.e funds k�o be disbnrsed fn � � � a�cardaFC ith thts tement. b o g��tle,Inc. Eri e a FT-14-0725 .�$n�ar��,zazs i l