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EL-10-178ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT 0' FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS Q CENTRAL HEATING DISHWASHER RECEPTACLES 1 A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN • SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F.. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 If MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 254f FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 IP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS ' A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS i •HEATER -NEW .INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS c0IJ ERCIAL WATER SERVICE SIGN TIDES SEWER CONNECTIONS SIGN TRANSFORMERS ' UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION' d1TLETS DRAINFIELD, TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN - DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER 1 FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPIhr , so, .1 ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Inspection Number: INSP- 144799 Permit Number: EL -2 -10 -178 Scheduled Inspection Date: June 02, 2010 Inspector: Devaney, Michael Owner: MENDOZA, MARIEDY Job Address: 10667 NE 11 Avenue Project: <NONE> Miami Shores, FL 33138 -2120 Contractor: BROADVIEW SECURITY Building Department Comments June 01, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alarm Phone Number Parcel Number 1122320280310 Phone: (305)406 -3940 BURGLAR ALARM INSTALLATION Passed D Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments J 7 /4 ( 2 Page 14 of 18 Project Address Owner Information Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 10667 11 Avenue Miami Shores, FL 33138 -2120 Address Parcel Number 1122320280310 Block: Lot: NATIONAL CITY MRTG. 3232 NEWMARK Drive MIAMISBURG FL 45342- Contractor(s) BROADVIEW SECURITY Phone CeII Phone (305)406 -3940 Phone Valuation: Total Sq Feet: Type of Work: ELECTRICAL Additional Info: ALARM Classification: Residential Fees Due CCF Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $0.80 $0.20 $100.00 $3.00 $0.80 $104.60 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Invoice # EL -2 -10 -36966 EL -2 -10 -36966 Check #: 1002592 Total Amt Paid Amt Due $ 104.60 $ 50.00 $ 104.60 $ 104.60 $ 0.0 Expiration: 08/08/2010 Applicant NATIONAL CITY MRTG. Cell $ 1,000.00 0 Date For Inspections please call: (305)762 -4949 Available Inspections: Inspection Type: 1 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. February 09, 2010 February 09, 2010 1 BUILDING PERMIT APPLICATION FBC 2001 Tenant/Lessee Name $ Value of Work For this Permit c • 0 0 Total Fee Now Due $ 5 " ' (n (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. 1E1 Master Permit No. Permit Type (circle): Building Electrical er�, Plumbing Mechanical Roofing pp Owner's Name (Fee Simple Titleholder) ma ( Iedy G V ' l t Phone # 505 - 3 - °' Io 8 t Owner's Addfess \0 k.0 ( -- Ikle It °a. City INA 1CQ 1 State -c L. Zip 33 L : Phone # Job Address (where the work is being done) t O lo c E t t 4 We-' City Miami Shores Village County Miami -Dade Zip 33 lag Is Building Historically Designated YES NO Contractor's Company N a m e BY k ) `-e SC CU l r t k l Phone # c 5 4OQ 39 ` I 0 Contractor's Address 241 IU 1,J l 1ST L ®R- City D o . ( State fL... Zip 32 1 (.,p • QualifierI Architect/Engineer's Name (if applicable) Phone # Square Footage Of Work: Type of Work: ['Addition ['Alteration ❑New ❑ Repair/Replace Describe Work: X17 -I"1K ❑ Demolition Submittal Fee $ Permit Fee $ /6 'e ®e CCF $ 0 kd0 Notary $ Training/Education Fee $ 0 0 Technology Fee $ 0 5(0 Scanning $ 2. 0 Radon $ Bond $ Code Enforcement $ Structural Plan Review. $ RB Y • •• Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500 the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be . ivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must posted at the job site for the first inspection which occurs seven (7) s #r, - , . . #.g_perma t-. - 's sued In the absence such posted notice, the inspection will not be approve # a r,- -: - o charged. will be charge Signature /i�� ♦� Signature Owner or Agent -' r Contractor The foregoing instrument was acknowledged before I Vl me this 7 The foregoin instrument was acknowledged ore me this da of T ,, 20 by ►'C(�l e� day of , 20 by DC}Cet � 0 CtS 4 4" � who is personally known to me or who has produced who is personally known to me or who has produced N Sign. My C rAP111111111■111111 aka' 16111 AliMTIN • n n ; i, . lreL pine 04108/2013 s1 Y * ** * * * '* * * (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ****** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ******************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 10/14/03 PUBLIC• As id ei +'fication and who did take an oath. c as identification an /who did take an oath. Plans Examiner Engineer Zoning 101. Contract Sales Price 5228,000.00 401, Contract Sales Price 6228,000.00 102. Personal Property 402. Personal Property 103. Settlement Charges to borrower $6,45959 403. 104, 404, 105. 405. Adjustments for items pald by seller In advance Adjustments for Items paid by seller in advance 106. Counts Fogerty Ta', '2/23/09 41ru 02,31/09 5)87.87 406 Cotmty Property Taxes 12/23/09 dire 12/31/09 5187.97 107. Assoc iation Dues 407. Association Dues 108. Other Taxes 408. Other Taxes 109, Other 409. Other 110. Other 410. Other 111. Other 411. Other 112. 412. 113. 413. 114. 414. 115. 415. 116. 416, 120. Gross Amount Due From Borrower $234. •7.44 420, Gross Amount Due to Seiler $228187.87 200. Amounts Paid By Or in Behalf Of Borrower 500. Reductlons In Amount Due to Seller 201. Deposit or earnest money $5,000.00 501. Excess Deposit 202. Principal amount of new loan(s) 4180,000.00 502. Settlement Charges to Seller (line 1400) $9,488.00 203. Existing loan(s) taken subject to 503. Existing Loan(s) Takers Subject to 204. Loan Amount 2nd Lien 504. Payoff of fast mortgage loan 205. 505. Payoff of second mortgage loan 206. 506. 2009 Real Estate Taxes $7,619.32 207. Gift Funds from Freddy Mendoza 642,000.00 507. 208. 508. Past Due Oustanding Water 590.00 209. 509. Final Water Eserow 5150.00 Adjustments for Items unpaid by seller Adjustments for items unpaid by seller 210. County Property Taxes 510. County Property Taxes 211 Association Dues 511. Association Dues 212. Other Taxes 512. Other Taxes 213. Other 513. Other 214. Otter 514. Other 215. Other 515. Other 216. 516. 217. 517. 218. 518. 219. 519. 220. Total Paid B or Borrower $227 i 00.00 520. Total Reduction Amount Due Seiler $17 7.32 300. Cash At Settlement From/To Borrower 600. Cash At Settlement To/From Seller 301. Gross Amount due from borrower (line 120) 5234,647.46 601. Gnus Amount due to seller (line 420) $228,187;87 302. Less amounts paid by /for borrower (line 220) $227,000.00 602, less reductions in amt. due seller (line 520) 517,347.32 303. Cash From Borrower $7,647.46 603. Cash To Seller $210,840.55 A. Settlement Statement B. Type of Loan 1. 0 FHA 2. 0 FinHA 3. 181 Conv Unins 4. ❑ VA 5. 0 Conv Ins. 6. ❑ Seller Finance 6. File Number 2520 -21 7. Lean Number 0213166077 C. Note: Ibis form is furnished to give you a statement of actual settlement casts. Amounts paid to and by the sottlemen agent are shown. Items market "(p.o,c.)" were paid outside the closing they are shown here for informational purposes and are not included in the totals, D. Name & Address of Borrower Mariedy M. Mendoza 10667 NE 1 L Avenue Miami Shores, FL 33138 E Name & Address of Seller DIISA ACQUISITION LLC, a Florida Limited liability Company 45 NE 39 Street Miami, FL 33137 H. Settlement Agent Name First International Title, Inc. - Weston 2800 Weston Road Suite 103 Weston, FL 33331 Tax ID: F. None & Address of Lender SunTrust Mortgage, Inc 14030 NW 14 Street, #100 Sunrise, FL 33323 Place of Settlement First International Title - WE 2800 Weston Road Suite 103 Weston FL 33331 G. Property Location Lot 3, Block 3, Miami Shores Estates, Allard -Dade County, FL 10667 NE 11 Avenue Miami Shores, FL 33I38 J. Summary of Borrower's Transaction 100. Gross Amount Due from Borrower Section 5 of the Real Estate Settlement Procedures Act (RESPA) requires the following: • HUD must develop a Special Information Booklet to help persons borrowing money to finance the purchase of residential real estate to better understand the nature and costs of real estate settlement services; + Faelt lender roust provide the booklet to all applicants from whom it receives or for whom it prepares a written application to borrow money to finance the purchase of residential real estate; • Lenders must prepare and distribute with the Booklet a Good Faith Estimate of the settlement costs that the borrower is likely to incur in connection with the settlement. These disclosures are mandatpry. Previous Editions are Obsolete U.S. Department of Housing and Urban Development Page K. Summary of Seller's Transaction 400. Gross Amount Due to Seller OMB No. 2502 - 0265 8. Mortgage ins Case Number i. Settlement Date 12/23/2009 Fund: .Section 4(a) of RESPA mandates that P£UD develop and proscribe dos standard form to be used at the time of loan settlement to provide full disclosure of all charges imposed upon the borrower and seller. These are third party disclosures that are designed to provide the borrower with pertinent information during the settlement prods in order to be a better shopper. The Public Reporting Burden for this collection of information is estimated to average one hour per response, including the time for reviewing inswotioms searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of infonnation This agency may not collect this information, and you are not required to complete 0,), norm, ante.. It diaplaya a currently valid OMB control number. The infomtstion requested dons not lend itself to confidentiality. 1 form HUD-1 (3/86) Handbook 4305.2 • File No. 2528 -21 L. Settlement Charges 700. Total Sales/Broker's Commission based on price 5228,000.00 t)3 % ° 56,840.00 Division of Commission (line 700) as follows: Paid From Borrower's Funds at Settlement 50.00 51,800.00 5225.00 515.00 5375.00 $450.00 56.00 583.00 5238.59 5395.00 525.00 5124.00 5193.00 5360.00 5630.00 $300.00 56,459.59 701. 56,840.00 to VG Diaz & Associates 702. to 703. Commission Paid at Settlement 800. Items Payable in Connection with Loan SO L Loan Origination Fee 1% to SunTrust Mortgage, Inc 802. Loan Discount 0.125% to SunTrust Mortgage, Inc 803. Appraisal Fee to AB Points Appraisal 804. Credit Report to Credeo 805. Lender's inspection Fee to 806. Processing Fee to SunTrust Mortgage, Inc 807. Document Review Fee to SunTrast Mortgage, Inc 808. Flood Cert Fee - Life of Loan to Flood Data Services, Inc. 809. Tax Service Fee to Valutree Real Estate Service 900. Items Required by Lender To Be Paid in Advance 901. Interest from 12/23/2009 to 1/1/2010 $26.51 /day 902. Mongage Insurance Premium for months to 903. Hazard insurance Premium for years to Citizens 904. Flood Insurance Premium for to First Community Insurance 1000. Reserves Deposited With Lender 1001. Hazard insurance 1002. Mortgage insurance 1003. County Property Taxes 1004. Association Dues 1005. Other Taxes 1006,Other . 1009. Other 1008 - . Oilier - 1011. Aggregate Adjustment 1100. Title Charges 1101. Settlement or closing fee 1102. Abstract or title search 1103. Title examination 1104. Title insurance binder 1105. Document preparation 1106 Notary fees 1107. Attorney's fees (includes above items numbers: 1108 Title insurance to First International Title WE (includes above items numbers: 1109. Lender's coverage 5180,000.00/$1.74.00 . 1110. Owner's coverage 5228,000.00 /S1,215.00 1111. Escrow fee to 1112. Courier!Messenger Fee to 1113. Tax certificates to 1114. Environmental Protection to First International Tltie - WE 1115. FL Form 9 to First international Tide - WE 1200. Government Recording and Transfer Charges 1201. Recording Fees feed 035.50 ; Mortgage 6157.50 ; Ael to Board of County Commissioners 1202. City/county tax /stamps 1203. State tax/stamps 1300. Additional Settlement Charges 1301. Survey to Thomas J. Kelly 1302. Pest Inspection to 1303. City/fax Lien Search to One Step Lien Search, LLC 1400. Total Settlement Charges (enter on lines 103, Section J and 502, Section K) $9,488.00 I bave carefully revi %+ e HUD -1 Settlement Statement and to the best of my knowledge and belief, it is a true and accurate statement of all receipts and disbursements mad on my account or / by,me in this transaction. 1 further certify that 1 have received a completed copy of pages I, 2 and 3 of this HUD-1 Settlement Sia,(emenL / 1 err y M. Mendoza( SETTLEMENT AGENT CERTIFICATION The HUD - Settlement Statement which 1 have prepared is a true and accurate account of this . •}.•:action. I have caused the funds to be disbursed in t1CCOnts. � rj { stat ent. Sett l) tAg= t ► =te Warning: It is a crime to knowingly stake false statements to the United States on this or any other similar form. Penalties upon conviction can include a tine and imprisonment. For details see: Title 18 U.S. Code Section 1001 and Section 1010. Previous Editions are Obsolete Deed ; Mortgage 5360.00 Deed 01,368.00 Mongage 6630.00 months @ 5146.33 per month months l per month months l 5634.94 per month months ® per month months caf per month months ® per month months Gia per month months J per month to Board of County Commissioners to Board of County Commissioners By FOC $400.00 POC 51,756.00 POC $378.00 Paid From Seller's Funds at Settlement 56,840.00 to First International Title - WE to First International Title- WE 5250.00 to to t0 to to Joseph R. Colletti, P.A. DUSA ACQUISITION LLC, a Florida Limited. Liability Company 5880.00 $1,368.00 5150.00 Page 2 fu,,.r HUD-1 (3/86) Handbook 4305.2 Primary Zone: 1000 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL - SINGLE FAMILY Beds/Baths: 3/1 Floors: 1 Living Units: 1 Adj Sq Footage: 1,996 Lot Size: 10,400 SQ FT Year Built: 1950 $0/$311,589 MIAMI SHORES City: ESTATES PB 47 -58 LOT $0/$498,258 3 BLK 3 LOT SIZE Legal 80.000 X 130 OR 14177- Description: 1863 0789 1 COC 25734 -4921 05 2007 1 OR 26886 -1376 040912 Year: 2009 2008 $100 Applied Applied Taxing Authority: Exemption/ Taxable Exemption/ Taxable institutions Value: Value: Regional: $0/$311,589 $0/$498,258 County: $0/$311,589 $0/$498,258 City: $0/$311,589 $0/$498,258 School Board: $0/$311,589 $0/$498,258 Sale Date: 4/2009 Sale Amount $100 Sale OR: 28886 -1378 Sales Deeds to or from financial Qualification Description: institutions View Additional Sales Folio No.: 11- 2232 - 028 -0310 Property: 10667 NE 11 AVE Mailing Address: NATIONAL CITY MTG 3232 NEWMARK DR MIAMISBURG OH 45342- Year: 2009 2008 Land Value: $140,870 $267,168 Building Value: $170,719 $231,090 Market Value: $311,589 $498,258 Assessed Value: $311,589 $498,258 Miami -Dade My Home My Home ic`inidaar�.*'av Show Me: I Property Information Search By: I Select Item ® Text only vm Property Appraiser Tax Estimator Property Appraiser Tax Comparison Summary Details: Properly Information: Assessment Information: Taxable Value Information: Sale Information: Additional Information: V ick here to see more information for this I roperty: AC I'VE: TOOL :SELLCT Digital Orthophotography - 2007 0 ® 114 ft My Home !Property Information !Property Taxes I My Neighborhood 1 Property Appraiser Home 1 Using Our Site! About 1 Phone Directory! privacy 1 Disclaimer nomm if you experience technical difficulties with the Property Information application, or wish to send us your comments, questions or suggestions please email us at Webmaster. Web Site 2002 Miami -Dade County. All rights reserved. Page 1 of 2 Legend Property Boundary Property Selected ee Street N Highway Miami -Dade County Water http: / /gisims2. miamidade .gov /myhome /propmap.asp 2/2/2010