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EL-07-2523Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 02/13/2008. Inspector: Devaney, Michael Owner: BURKET, MICHAEL Job Address: 67 94 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: BRINKS HOME SECURITY INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alarm Block: e Number (415)595 -3910 Parcel Number 1132060130570 Lot: Phone: 305 - 887 -8455 Building Department Comments BURGLAR ALARM FEB 1 4 2 Passed Zi Inspector Comments cc ,V,--- 3 � Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Tuesday, February 12, 2008 Page 2 of 2 Miami Shores Village aJoIcri Buildin g Department artment J24' 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING REIVED CE Permit No. o-i ° 2s23 PERMIT APPLICATION Master Permit No. FBC 2004 DEC 2 1 2007 Permit Type: Electrical Owner's Name (Fee Simple Titleholder Owner's ddress City BY: Tenant/Lessee Name E -MAIL: Job Address (where the work is being done) /VC— 9 e Phone # State Zip 03/Or Phone # City Miami Shores Village County Miami -Dade FOLIO / PARCEL # / - ?c ®O /� °6°6-76 Zip 33/3 Is Building Historically Designated YES • NO Contractor's Company Nam Contractor's Address 776._€) . tIO . % 1,0 City �`, ,_ .� State Qualifier Name Z Phone J /7-- Zip 3 b./ Phone # (� 2--Arr State Certificate or Registration No. Certificate of Competency No. E -MAIL: Architect/Engineer's Name (if applicable) Value of Work For this Permit $ Type of Work: ❑Addition Describe Work: A Iteration Phone # Square / Linear Footage Of Work: ❑New A-, .,'p-7€ -S ❑ Repair /Replace ❑ Demolition ******* * * * *,* * * * * * * * * ** * ** * ** * * * *** *x, *, Fees************* * * * * * * ** * * ** * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ /eV' e ®p CCF $ 0.60 CO /CC Technology Fee $ O1:90 DPBR $ Zoning $ Notary $ Scanning $ 3-00 Bond $ Structural Review. $ Training /Education Fee $ l 7 MIAMI SHORES VILLAGE Double Fee $ Total Fee Now Due $ 1 MO.30 Sec Reverse side -+ 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. I 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. 1 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: 1 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 delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must b posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued in the absence of such posted notice, the inspection l not be approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was ackn wledged before me this /15 day ofL , 20 p2 by who is personally known t A NOTARY PUBLIC: Sign: Print: -r,Le_G.r,P My Commission Expires: - r w 0 c lotickti RAMO gittElltogfieoa Guillermo W Machado ct My Commission DD718748 ono. Expires 09/24/2011 Signature Contractor The foregoing instrument was acknowl ∎ ged before me this / day of.8lCs2M , 2 who is personally known as i NOTARY PUB Sign:. 4/ Prin ef60-Yaliti44,0 1k NW O My Commission Expires: • b yholdis* poo d of Florida `� Guillermo W Machado ism ah did mke'sel4eath. or 0o Expires 09 /24/2011 * * * * ** pie * * * * * ** * * * **aear9ev't***** 9rdrde**** *iFolr4ex9riF********* *****vF* *** ** * *4t********ak*** *it****x***xiY 4tr.****** ********* APPLICATION APPROVED BY (Revised 02/08/06) ®›- Plans Examiner Engineer Zoning Ze A. Settlement Statement .Typed Darn - 1.0 PHA 2.0 FmHA 3.7g Conv. Unins 4.0 VA 5,0 Conv. Ins, U.S. Department of Housing and Urban Development 6. File Number COYNE 7. Loan Number 501791550 C. NOTE: This farm is furnished to give you a statement ()factual rxttlemcnt- costs. Items marked "(p.o.e.)" were paid outside the closing; they are shown here for 04% OMB No. 2502 -0265 8. Mortgage Insurance Case Number Amounts paid to and by the settlement agent arc shown, informational purposes and are not included in the totals. D. NAME OF BORROWER: MARIA E. COYNB ADDRESS OF BORROWER: 67 NEE 94th Street, Miami Shores, FT, 33138 E. NAME OF SELLER: MICHAEL T. BURKET ADDRESS OF SELLER: F. NAME OF LENDER; ADDRESS OF LENDER: O. PROPERTY LOCATION: SETTLEM ;NT AGENT: 466 Sth Street, San Francisco, CA 94103 Flagstar Bank 5151 Corporate Drive, Troy, MI 48098 67 NE 94th Street Miami Shores, FL 33138 LAW OFFICES ARLENE RAIJMAN, P.A. 1111 KANE CONCOURSE, SUITF, 607, BAY HARBOR ISLANDS, PLACE OF SETTLEMENT: 1111 KANE CONCOURSE, SUITE 607, BAY HARBO1. ISLANL)S, 1. SETTLEMENT DATE: 12/7/2007 • . SUMMA ROWE A 'TIOr j K. SUMMARY tJ 1 .ELLS 'S TRA 100,GROSSAMOUNTDUEPVER, 400.GRO55 AMOUNT DUE TO SELLER 101 Contract sales price 625 000.00 401.Contract sales price IO2Personal property 402.Personal property 103Sctttement charges to borrower (line 1400) FL 33 154 FL 33154 ACTION 104. 105. 18,1I4.98 403. Adjustments for items paid by seller in advance 106City /town taxes to 107 County taxes .. 12/7/2007 to 12/31/2007 108Assrssments to 109. to 110. 112. NV t4 td to 404. 625 000.00 405, Adjustments for items paid by seller in advance 406.City /town taxes 1,066.19 407.County taxes _ 408.Assessmonts 409, 410. I20.GROSS AMOUNT DUE PROM BORROWER 200.AMOU'NTS PAID BY OR IN BEIIALi: OFBORROWER 201 Deposit or earnest money 202Prineipal amount of new Ioan(s) 203Existiing Ioan(s) taken subject to 204. • 4I1. to 12/7/2007 to 12/31/2007 to to to 412. 2O6Principal amount of new loan(s) 207, 208. 209. 209a 209b Adjustments or items unpal: y se er to to 644,181.17 420.GROSS AMOUNT DUE TO SELLER 1,066.19 500.REDUCTIONS IN AMOUNT DUE TO SELLER 501 Exccss deposit (see instructions) 415,000.00 502.Sctticment charges to seller(1inc 1400) 503.Existing iaan(s taken subject to 504.Payoffof first mortgage loan Amtrust Mortgage _ -~ 505.Payoff of second mortgage loan 506 507. Water and Sanitation 508. 509. 509a 509b 626,066.19 42,498.99 582,567.20 AdluStmonts for 1terR unnsiri hu ¢r•• Pr 1,000.00 210,City /town taxis to 211 .Coup taxes to 212Assessments to 213,. to 214. to 215. 216. 217. 218. to to to 219. to 77170TAL AMOUNTS PAID BY OR IN BEHALF OF BORROWER _CASH AT SETTLEMENT FROM/FO BQRROWER. 11 301 Gross amount due from borrower (line 120 302Lcss t3tnounts aid by /for borrower (lint 220 303.CASRX El From ❑ To BORROWER. 10 BSTITUrE FOR -- a er tatement: or m ormatton contains m t oe S an on me • 1 an This is important tax information and is being furnished to the Internal Revenue Service. If you are rcquircd to sanction may be impcscd on You if this item is required to he reported and the IRS determines that it has not been reported. 510.Ci ty /town taxes to 511.County taxes; to 512Assessmcnts to 513, to 514. to 515, to 516. to 517. to 5I8, to 519. to 415,000.00 644,1.1,17 415,000.00 229,181.17 trross amount • ue to sc er (tnc 4 602Less reductions in amount due seller (line 520) 603,CASB To From SELLER 11, uyers part 0 file a return. a 626„066.19 626,066,19 rc5 estate Ines negligence penalty or other SELLER INSTRUCTIONS: 1f this real estate was your principal residence, file Form 2119, Sale or Exchange of Principal Residence, for any gain, with your income tax return: for other transactions, complete the applicable parrs of Farm 4797, Form 6252 andfar Schedule D (Form 1040). You are required by law to provide [see box H3 with your correct taxpayer identification number. If you do not provide [sue box H] with your correct taxpayer identification number, you may be subject to civil or criminal penalties Imposer law, Under enalties of statement is my correct taxpayer identification number. p perjury, 1 Certify that the number Shown on this A(;tt 1 (For 1044a Questions tail Arienc Raijrnan, Esq. (a'10o5) 884 -R8! 2) „_„ , _,_ RFl.lt:R'S SIt1Nq'Ii1Rf 1-ii +IJ -1 (:+.R(} RFbPA, xt ;4 1415 FROM : COYNE MARIA L. Seltlentrnt . wrgus SA_I.I S /IVOK :t('S COM. based on price 645,009.00 tty 6.00 °10 Division of Commissio2iihne 700) as tb11ows; - _ 701. _ 18,750 00 - ... -` to kcller Williams Really 70„, 18,750.00 to Keller Williams Realty 703.-Commission paid ttt Settlement' - 704. - - FAX NO. 3051 74066 Dec. 20 2007 06:21PM DITARIMFN r OF ; !!SIN(i AND I:1411ANDt'VFLUI'MFNr t l: I'rl.1)MI NT S r.A 1•LMI NT P2 PAGE 2 ems ' aya e n onnee on "' ,q 801. Loan Origination Yee 802, Loan Discount 803. Appraisal Fee 804. Credit Report 805. Lender's Inspection Fee 806. Processing Fee 807. Administrative Fee 808. Flood Certification Fee POC by Lender 809. Tax Service Fee POC by Lender 810. Broker Fee 811. Yield Spread Premium from bender 812. Escrow Waiver Fee 813. - 814. 815. ems equrre vrr.er o t ar+ n vattce 901, Interest from 12/7/2007 to I/1/2008 -@ 682192 /day 902. Mortgage Insurance Premium for months to 403. Mortgage Insurance premium I ears to Citizens Property Insurance years to 905. years to TOM). Reserves Uepotited Wits Lender 1001.iiazardInsurance i002.Mprtgage insurance 1003. City property taxes 1004. County property taxes 1005. Annual assessments 11006. 1007. - - 1008. 1009, to to to to Buxton Appraisers to to to Greenbank Mortgage Consul to F7agstar Bank _ . to Figstar Bank, F.S,B. '<$8.50> to 1st American R.E. Tax Service <$69,00> to Grcenbank Mortgage Consul to Grcenbank Mortgage Consul <S4,423,99> to Flagstar Bank to to to 37,500.00 Paid From Borrower's Funds At Sett l omen t I'uid •rom Seller', Funds At Settlement _ 37 500.00 4450.00 *P.O.C.* 595.00 620.00 *P.4.C.ffi 1 452.50 *P.O.C.* 1,037.50 11 U0,'l7Ue rges 'Mil. Settlement Or closing fee 1102. Abstract or title search to Stewart Title Guarant 1103. Title examination to 1,104. Title insurance binder -' 1105. Document preparation 1106. Notary fees 1 z705.48 6,153.00 months(a), per month months@ per month months@ per month months(@ per month months(@ , __ per month months(@ per month months(@ _per month months@ per month 10 to to to 1107. Attorney's fees _ to (includes above items numbers: 1108. Title insurance to Stewart Title Guaranty (includes above items numbers: 1109. Leader's coverage: Risk Premium 25.00 1110. Owner's coverage: Risk Premium 3,200.00 1110a Endorsements: FF9 1. 322.50 ;ALTA 8.1- 25.001 I 1 11. Name, Tax, and Lien Search to One Step Lien Search, Inc. 1112. to 1113. to 1200. Governtnnnn Recording and Lransttr charges 1201. Roeording Fees: Deed $10.00; L- MOrtgag_e(s) 8256.50; S- Mortgages) ; Releases 1202. City /county tax /stamps: Decd • L.Mortgage(s) 8830.00; S- Mortgage(s) 1203. State tax/stamps: Decd 83,750.00; L•Mortgagc(s) $ I,452.50; S- Mortgage(s) 1204. Releases Clerk of Court 120. 1600. Additional settremeWit harges 1301, Survey 1302. Pestlnspcction to 1303. Roof Inspection to 1304. Courier & Fed -X Fee 1305, File Conversion Fee &t Starage Fee 1306. Wire Fee 1307. Attorneys Fees and Costs 250.00 INS AMT: 415,000.00 WS AMT: 625 000.00 to Nova Surveyors 1309, 347;50 195.00 266.50 830.00 1,452.50 3,750.00 10,00 335.00 to 90 Minute & F'ed•X to Arlene Raijman, P.A. to Arlene Raijman P.A. to Christopher P. Kelley, P.A. to to 1400. Total Settlement Charges (enter on lines 103, Section 1 and 502, SectlonK) ■ 18,114,98 42,498.99 - careful! reviewed the HUD- CS8'rlFtf'A�ftON DATE: 12/7/20& Y 1 Settlement Statement and to the best of my knowledge and belief, it is a true and accurate statemen of an 8 and °meets m • = on my account or by e in this transaction. 1 further car fy that 1 have received a copy of the HUD - I Settlement Statement, 60.00 35.00 50,00 743.99 re HUD-1 Settlement Statement which 1 h et) with this statement. MINING: it is a crime t knowing fake :e and imprisonment. For details sea: t el Borrower Seller Borrower Seller and accurate account of this transaction. 1 have caws, the funds to be disbursed in uaeord- LAW OPFICES ARLENE RA WAN, P.A. Settlement Agent 120/2007 Date tatemenls to the United States on This or any other similar form. Penalties upon oonvtction can include a ,S. Code Section 1001 and Section 1010. rt'w.w