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EL-11-978Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 161516 Permit Number: EL -5 -11 -978 Scheduled Inspection Date: June 30, 2011 Inspector: Devaney, Michael Owner: Job Address: 11016 NW 2 Avenue Miami Shores, FL 33138- Project: <NONE> Contractor: ADT SECURITY SERVICES, INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alarm Phone Number Parcel Number 1121360020250 Phone: (786)331 -3967 Building Department Comments BURGLAR ALARM c2-7' Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments 0 TXCA'A'6' June 29, 2011 For Inspections please call: (305)762 -4949 Page 23 of 24 A,`o.46 BUILDING PERMIT APPLICATION FBC 20 Miami Shores Villa Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 Permit No. Master Permit No. Permit Type: Electrical OWNER: Name (Fee Simple Titleholder): Address: / /®r' City: Tenant/Lessee Name: Email: State:, MAY 2 Phone#: Phone#: JOB ADDRESS: //0/6 �-iJ• c " City: Miami Shores County: Miami Dade Folio/Parcel #: -- 4)?-.56 Zip: Flood Zone: Phone#: /�> Zi:�_7�� Phone0. <76:65.(9 Is the Building Historically Designated: Yes CONTRACTOR: Company Name: ,��,✓ d _ Address: l ° / 15�!! �j� ' ____�LI City: .. 1� State: Qualifier Name: � jf7 �fl/ State Certification Regis tion #: // 7i/ Contact Phone# 41.5 / �iEmail Address: DESIGNER: Architect/Engineer: NO Certificate of Competency #: Phone#: Value of Work for this Permit: $ g 9 9 Type of Work: °Address ■ - , teration Description of Work: 1� Square/Linear Footage of Work: New °Repair/Rep a °Demolition 6) " flip **** *** ***** ***:r**** *********** * *ma.***** Fees* e.********* *a .**** ************** ************ Submittal Fee $ Permit Fee $ /126'e 0'O CCF $ CO/C $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ Ow.coo 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 tha 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 FT PCTRICAL 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 delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be 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 will not r e approved and a rei 1 'on fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this.P '' The for .o day of dn CNNi , 201 L , by -Tecl Cei,.„-t ell , day o who is personally known to me or who has produced `'Y * ; * MY COMMISSION II DO 777363 EXPIRES: August 9, 2012 reonoe° BondedThru BsdgetNotarySemites Sign: Print My Commission Expires: * * * * * * * * * * * * * *. * * * * * ** APPROVED BY tor /� acknow , by me or who has prod ced and who did take an oath. ARY PUBLIC -STATE OF FLORIDA onica Agudeio- Floret mission #DD987856 res: MAY 03, 2014 uaa Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) NOTARY P Sign: Print: My Commission Expires: Zoning Clerk Property Infouuation Report Page 1 of 1 My Home Property Information Report Summary Details: Folio No.: 11- 2136- 002 -0250 Property: 11016 NW 2 AVE Mailing Address: NHS HOUSING DEVELOPMENT LLC 100 NE 84 ST MIAMI FL 33138 -3714 Property Information: Primary Zone: 0800 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL - SINGLE FAMILY Beds /Baths: 4/2 Floors: 1 Living Units: 1 Adj Sq Footage: 1,400 Lot Size: 8,211.25 SQ FT Year Built: 2010 Legal Description: SHORELAND HGTS PB 43 -85 LOT 22 LOT SIZE 65.690 X 125 OR 25885- 2256 08 2007 5 OR 21588 -0885 0703 01 Assessment Information: Year: 2010 2009 Land Value: $45,326 $93,937 Building Value: $0 $0 Market Value: $45,326 $93,937 Assessed Value: $45,326 $93,937 Taxable Value Information: Year: 2010 2009 Taxing Authority: Applied Exemption/ Taxable Value: Applied Exemption/ Taxable Value: Regional: $0/$45,326 $0/$93,937 County: $0/$45,326 $0/$93,937 City: $0/$45,326 $0/$93,937 School Board: $0/$45,326 $0/$93,937 Sale Information: Sale Date: 7/2003 Sale Amount: $0 Sale O /R: 21588 -0885 Sales Qualification Description: Sales which are disqualified as a result of examination of the deed View Additional Sales [Close window] [Click here to Print] This report was created on 5/24/2011 11:24:07 AM for reference purposes only. Web Site © 2002 Miami -Dade County. All rights reserved. htt D: / /l?isims2.miamidade.2ov /mvhome /nrontext Drint.asn ?folio= 1121360020250 &cmd = 5/24/2011 HUD,I A. Settlement Statement (HUD-1) OMB Aporava! No, 2502-0265 8. File Number 5721-Cernaceo 7. Loan Number 1.775824 C. NOTE7Th10 form is n)shed 30 Tve you a statement of actual settlement costs Amounts pad 10 .0233 by the settlement agent is shown tarns 001,800 "fp,o.c.r were pad 313,8403115 closing: they are shown hve ter informational purposes and 010 33113 MCK1000 01 the tblots, D.. NAME OF BORROWER; Federica Cam a single woman Address of Borrower; E. NAME OF SELLER: Address of Seller: NAME OF LENDER; Address of Lender: G. PROPERTY LOCATION' II SETTLEMENT AGENT; Ptace of Settlement I SETTLEMENT DATg. 11015 NW 2nd Avenue Mani 500r00 F10110a 33154 NHS Housing Oevefopment LLC, 8 Fionds fimited tiantlf17., ,:orrioany 10014E 54 Street. Miami, Ronda 33135 Dade County Factenti Credil Union. Its suncessors 80d103 assigns 1500 3109 107 AV0nue, Miann, Panda 23172 71015 NW 2nd Avenue. Miami Snores, FOrida 337613 48307373.5 COMPANY 10000335013 Kendall Drive 51030 3120. %urn: Florida 33'76 5124:11 DISBURSEMENT DATE: 5)2401 1.010,1e: 305-597-0202 J. Summaty of borrower's transaction 100. G foss amount due from borrower: 101. Con9 84108 I K. Summary of seitees transaction i 400. Gross atuount due to seller, 205,000.00 401. Coottt s ' 402. Peon) property J.080.00 102, Personal property 103, Settlement sharpest) harrower (Line 1400) 8.545.35 4011 7 -I 104, J,- , • 4 r 105. Adjustments for items p.:1113 by seder in aitvahce: ' 106 Cy8own 1 800 - : 485 . Adjustments for items paid by siflier in advance: '0012 C4)ttown it XeS ... , . : -J..-- 1 7. off 1013 , Ae88ol9 s 407 County taxes I +....- 40 . Assessments 1410 -------. 1 i0. ___......, . : I -1 ......... 111. 1 i 411 112. $ 432. snuntdoefrombotr.w8r ; 200, Amounts paid or in behalf of borrower. 201, DepoSil or earnest men s 213,545.38 4Z8rssamoundoeteiler 5 - .. . 500. Reductfoili in ernount due to seller: 3000.03 801 0x0080 daps ' ins ions) 205.000.001 202. Pnaciftat amount of new lomdS) 15500000 1302 teentOharg8S 10 se13s fitoe 1400) _ 15.347 74J 203. Exist 1 loar(s) token subject to ._. 8811. Ex, ..,,, 088(8) 1!!3 SU. '*. 204, princi amount of second me" 504. Payoff 1 3063 m0iae 10 031 205, 05 Payoff of sew • loan 206. 506 ...,1 207, 07. 0 s4 1000100030083801308313008048 208. Pn4p41 omj ol moti f. 13318 134113 13y 88083 209.„..... 3500 5012. 3100033181 8101 of , we 134313 06 eller -,--„- 4$7.52i 209e Ad(tloonloforitem4 unpaid ei seiler 210. CI own , 457.52 5090, Adjustments for Remo, unpaid by seller, o O. Cityhown taxes 211 County taxes fr 1 1/111c.05/24/11 511, County taxes from 01.111711 to 05124f1 i : 212. Assessments _ ,. ;512 Asseserneuts 213 , t 513 234. i :514 215. , 11 • _ .1 510 -i - •-•! 15.305.26 205.0110O0 15,805.28) 21T. . • 517 . , I 218. , - --_, - 219. . .4. , 15545752 21354538 - 220. Total pa kI bytfoi' borrwor 300. Cash .33 115331201503 fromfto borrower 201 Groes amount due tram ad/Tower Ono 120) -- ... . 520 , Total rduthona In amoont dos eI1er ; 800. Cash al settlement toffrom seller 007 Gross 81008331 1083 to seer 604 420) e02 Less total reductions el amount 3388 Wier Owns 520) 302 Less amount pad bydor the borrower (Aro 220) 4 058,467,52'4. I 55057 88.: 1303 Cash ( .:":.' From To ) Borrower ....., _ 603 Cash i 1 To FrOM Seiler; 159,194./4 The Putts Reporting Burden 10, 11335 collection of Information is estimated at 35 minutes per response for aoliecting. 30438309. and reporting the data. This agency may 3301 008530 this infarmater, and you are not required to 0010311030 13115 fonn, unless it displays a currently valid OMB controi numoer. No confidentielny 10 assure:1;1111s disclosure its mandatory, This Is designed ro provide Me panes to a RESPA covered transaction with information 133 119 the settlement 0200888. Sorrower's 11'77 • nittelfs) 0oubbeT80e4, HuD-1 L Settlement charges S.I.J. Department or Housing and Ld.,an Deveiooment Page 2 Pa;d frOrri Paid from 1 ,700. TotalReal 58 /310 />e ' Derision of common One 700) es foitos. 3000YieS 3Si%r'S 1 _4 Funds et Funds at 1 1 Settlement 1 Selttemoni 701 5 e,150 Nogues - Ghaden 4...e311y [702 5 6,150,00 Colin Coctnane - HomeownerOILFIlaity LLC 753 ssion pad at settlement 704. rote '2,300,00! 801) Items Payable in Connection with Loan. le nber [ 50 Our origination onafge 62,250.00 ;from 0/FO 01) 1802 !'001 811 0/ charge (posits) for the specific interest rale ohosen .frorn GFE #2 r_,.,..„..,....,,,,. ,.....,._ a 804 Your adjusted origination onarges to Dade Cooly Fede4 C.,red,t Union :5,, •from GEE Ai 2,25 0 t 1804 Appralem lee 4-, ALAMO APPRASAL $ER45C, from GEE 43, i 855 Credd report to VAC INNOvf5 'f,om GEE 851 55 301 1807 Riood caralidetico = 006 Tax serums lo Rlift MORTGAGE SERVICES .derrt GFF-- #3, 7./54 00:1 to PH1-I MORTGAGE SERVICES : don', GEE ff5:: 1805 to . 1 all 81 800. 11ms Required by Lender to Ge Paid in Advance 1 Gay intereSt charges from 0 to 05,01HI o23.3500 a, .,f5.2in GFE fl0) 115944 aftnefla DISWerw4pterni0/r,lef months to .!,'nom GFE *8) t 503, licfnedwaees insurance premium 1 years tO 650458.7/3 FIRST 1NSUR,ANCE GEE #t. 1) t .514.715 t 904 rft)00 insurance premiurn for veers 905, Reserves Deuosoed 811441 Lender 100 c14p381 94 curescrow rt tt:toni G>E #5, . 0 r's 'insurance 3 months 2, $126 23. oar month $378 59 ., ,.... —115...—....--.5.5.....„ 1003„ Mortgage insurance _months @ per ft*Oth 1004 Property !es 9 ,,-6-, 5100 57 per rtItahS91.16 Ot...i 1005, Flood ineurarce 1006 _ — 1305 '10141,1.1. , . .941,49:1944'4, . . 1008 00 0/ 7/9s ,2101,A______ , .. 100R A9/8re60 8000u1111>9 88jOSlol4Pl 1.$004.05.; 1/01 . 7/38 1111>050 and ander die ibn,farlOV ,fram GFE 84,, 102 Settlement or closing fee to A 81 M TITLE COMPANY 5860/3, .... i 03 Owneen title innerance %.0. Oki RecublIc >084/ 7//88 ,nedre,,ce Cemlye,,t,e,,, G41E. 95.: i 0E51109 00 = 1104. Lender's title Insurance Old Reetit,,:c Natiorla Tnte Inserenee 27>04 8. 41137(11> ME0-150 0053 1,25:F9- 't 25 'it 1508. 1.50/3>7/1314 poli 11mt 151550/3460 1106. 14/1847 1:114 policy limit 8205,000 00 1505 49411/17 /11.4/5311 7/ 1/18 >018/ 1814 insurance 7/8143443 5836 05 to A 6 M C4317P8.6>9 1105. Llnd liters ion of die tot tale inevrence premium 3420.50 _ >0 010 Reodtdie National Tilde Insurance Comp aerch to ATTORNEYS T7/7LE FUND 4, 1 1110. Lien n Seato - ..... • 10 FLORIDA Lay SEARCH 1301)31 1151 to — 1.12 f 5113 - • """""" • 5300. Govern,n/ RetC4(111AQ.Ofla Transfer Chamen 1201. Government reoardirt char9e3 :••trJrr GFE 1202._Oeed 8,5)6..00 Niodeggip $95.00 Reieases 66 30 1203, iTarisfer tades t1,--554 GEE, #e, 54,2.6,5 1204. City/County tax/stamps Geed $0 00 17050ag5053) 1.1205. Stattlexfatampe Ge • 61 230.00 M6>50a4504, 5542 50 1 I 771 1 t 1237. 1206. 174444-66:K88i1k731 Settlement Charges 1301. Required 88otee that you r;:ar, thou lb, 1o0 .4010 county Tans w, Nnam,..3038 c.ctiety "83 5,318.. —.. .T.. E ....... . 2 11113 Sd ey t, JOHN /BARRA 8 ASSOCIA i 45 50 5304. Outgoing Wite Fee to A ,ll, M 'TITLE COMPANY ; 10 001 , 1 t 1306. to •f'!"?11 GFE '88 1300 11357 1309. 10 1400, Total 5018>11411111 084/1)44 1 58/41. 011 lines 103 Section J and 502. Sestion 1<1 80e,_ (6) NO outside of dosing by /1 08.11' POC f.5) Pak, ont,i0e. ef c.1,•mng 3> 6>89 . 801 >0144>7 t 118.8/8 4> A '6-- l5:347 4; ObehinTireoN Settlement Charges SETTLEMENT CHARGES AND LOAN TERMS Our onemation charge 4' 00° Your credit or th 25005 Page 92,240.00 rtsts) for tile opoctho interact o oote oh94o 4 002 Your adjusted origination 9 ,9 Transfer t terve 19) 60.00 .90 4 120 —6:6-473QL r5O42 50 .r` tiOlr L100094rn cemtelmg che. e o meal fee hara:Martia IttAot* 'Than iI 4 1201 4 594 530455 Tax estroace Poeta ostrtifscatiort 6136 00 0055 S30000 455.50 55500 475 oct 575 001 '04 00 e07 gas et Tale services and render .6 r • -notrs etta insurance mst.tr4ftef.,, # rfal $1, t 26.06 33.1:34.00 1102 :MOM deposit for your 600308 account Derry ■nlereet charge-s from Homemaner tnattranou plernium fot Loan Terms „... . yaw; meal loan amount. e Lstisfottoadtterm ts $ ,100.• 6 • 92344 WI 4284400 ,GPrkierte0itira4 35 00 0.00-eas er 1, 301 St 9-01 002 $1,0, 6 61 .44 $3,000 0 ir ' 89 44 L614i0 15 :0 yews ; ISour ;natal intoresTraeTte 9,5 e --„„ _ flet .........,,,,;;me„ , „ #atit ;at rnenthie 40950W3? owed ter critmicei. trastest t s eio ,)-',., , 3345 3304 mortgago Am:gamete • fo p,,ncww gi. irdefest ril Mortgage 0e3004483 Can yortr vesse-0 . rate dee? i . 43, Yes it 941 013 333 a maximum et 00 e4 The first anange will as .• .• t t ; ; .• 1 on at dart <mange seem even,- eater t , i ; Ever/ :Madge dam yeett ottetee: '3053 0301 itteteeSe Pt tieveas# It > t ; be fen et, Over 334' Itte of file e'en yoste meteors tees ts guaranteed es nester to ti It t , t l tower teen 606, or Meer Man OMa. '; ' :Ettatit t! you make payments OP 31134 . eat) YOU; mar: '39)45044 nest:" l • 43" Mee a tart t-#5, tt.:: a o Ye 5 ...)0 ! 503033 4404 make PaYnanta un time can 4053 m#,Py • N Yes the eatt 94 00 ds Meatly ertatt attenytttat owed for persdpel• tet#Mt.; ##d ,Migag''# I eatsrenow, yi.t...en " Owed tstsn des to 9 00 .• I : The mnnsen 4 ,3r, 4y0t , se fe eS efttt tedst, t set :eon daye a prepayment sonassat —,• ___• _ , ___•• ... _ ___ ____ msts yotn -tstramtio tytttpayment Detratty ,# #...:)0 .exa, neva tk h3P0ea Petimern' 1 Ipt aan '41 #14 #tt# #03 ,,,.34e # seaottra Payment M $ Ote ',.:, ma an .P.Pap 'YInPa #ye M 4...' . Tote monthly rims:tont owed incatding 000(04 , tsd '405 t tt# 5334 533594 13 333353333 4434430 9340534033 4331 445330 StraS 08 039903433 aaase payme#t# I ; tatea an nemonseere roseranne YOU 15833 0330 mese tems dosly yousef eau t.ttata an 35555053 .3 tnotIghte 40C34# pAnyMent M 4 226 00 • I test mesas ,n, n Intel in."..nai nsomnist amnom owed 514 6 'r 66.#7 fse. pattattlet 1 wri6Mil, mtwe4 . ttsty etefgass Imseenae. arsci any itettts ertecked lasew itz Prosody taxes 0 POPPYOWPatte :Pautarate . t t,•1_,t,, Faded atsurangs ri , r r ,, , ••••• ,,.,•„. .... • • •••:•.•,• ,,,,,, r•rarte 35# 're:es:runs about Mo Seatiement Charges and anon Teams 43 '9 on me to,rr Wease t.scestact .,:trAI, ;seem 5600we3 Malaita) aovhieTisnt#V, HUD-I SETTLEMENT STATEMENT ADDENDUM File Number: 5721-Carnacho 1 have carefully reviewed the HUD-1 Settlement Statement and to the best of my knowledge and belief. it e and accurate statement of all receipts and disbursements made on my account or by me in this transaction. 1 = further certify that I Jave received a copy of the HUD-1 Settlement Statement. : 1 1 NHS Rousing Development 1,14C Bv ld Harder Presidentof ADANAC Development. and Construction, manager of NHS !rousing Development, LLC. Borrower(s) Seller Settlement Agent The HUD-1 Settlement Statement which 1 have prepared is a true and accurate account of this transaction. I have caused or will cause the funds to be disbursed in accordance with this statement Date WARNING: It is a crime to knowingly make false statements to the United States on this or any other similar form. Penalties upon conviction can Include a fine and imprisonment For details see: Title 18 U.S. Code Section 1001 and Section 1010. DoubleT