EL-11-764i
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 162340 Permit Number: EL -5 -11 -764
Scheduled Inspection Date: July 25, 2011
Inspector: Devaney, Michael
Owner: BARBARA BONDRA, RANDALL KING
Job Address: 10634 NE 10 Place
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 1122320280850
Phone: (786)331 -3967
Building Department Comments
INSTALL BURGLAR ALARM SYSTEM
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments �ry
XI/4Y Z—e-P
f/ / /09-
0 9- a/i
July 22, 2011
For Inspections please call: (305)762 -4949
Page 22 of 28
Miami Shores Village
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
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: Electrical
OWNER: Name (Fee Simp)
Address:
fn
MAY .2011
--AA
Permit No. E.
Master Permit No.
Phone
emet
City: MCfk 5h
Tenant/Lessee Name: Phone #:
Email:
State:
Zip:
JOB ADDRESS:
PL
City: Miami Shores Co i .i : Miami Dade
Folio/Parcel #:
Is the Building Historically Designated: Yes NO Flood Zone:
CONTRACTOR: Company Name: Phone#
Address: 7AT!!it iVAQKQ WAY
City:
Qualifier Name.
State Certificatio or Re
Contact Phone# f$
DESIGNER: Architect/Engineer:
Certificate of Competency #:
?% / Email Address: Q IlIl )a 6�1d `
Phone#:
clq VD
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: Address teration
Description of ork:
f 1,(ir
New ORepair/Replace
)ovrn (DJ_
ODemolition
(( j 6
*** * * **** *** * *4! ** *********m******* *****Fees" ""° °°"°"` ** * *** ***** ** ********* * * **** *** *m+x***
Submittal Fee $
Permit Fee $ e 0
Scanning Fee $ Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
CCF$
CO /CC $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $ "(YV
Bonding Company's Name (ifpplicable)
Bonding Comp= 's Address
City
State Zip
rtgage Lender's Nam <, (if applicable)
Mor ge Lender's Address
City
State Zip
Application is hereby made to obtain a p ' 1 't 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. 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 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 be approved and a re- inspection fee will be charged.
Owner or Agent
The f• egoing u trument was ac •.. wi i ed before me
day o i�ft�tt ..j. 1 , 20 � by yi 1 , �1
ho is pe onally known to me or who has produced
NOT
Sign:
Print
My Commission Expires:
Pc1B
As identification and who did take an oath.
it
•
PUBLIC -STATE OF FLORIDA
Monica P. gudelo- Florez
Commission # P D : :
r A4 , v 4 . 1 '
Signature
The fore
day of
ho is • e . '4 1 own to me or who has produced
as i . ntification and who did take an oath.
NOT
Sign;
Print
My Commission Expires:
UBLIC -S
OIII%%
* art****** * * * * * *** * * * * * * * * * * * * *** * * * * *,a tea******** *, * *ar * ***.** *;t * * * * * * * * * * * **
+ *w, * *pro *It, **# ***or**,t, *4** *,lair ****
f.
APPROVED BY
%jL- 4/ TIMIS Exan iper
Engineer
(Revised Q7 /I0 /07X4tevise4 06/40/2009)
Clerk 4ecke4
A. Settlement Statement (HUD -1)
B. Type of Loan
OMB Approval No. 2502 -0265
The Public Reporting Burden for this collection of information is estimated at 35 minutes per response for collecting, reviewing, and reporting the data.
This agency may not collect this Information, and you are not required to complete this form, unless it displays a currently valid OMB control number.
No confidentiality is assured; this dlscosure is mandatory. This is designed to provide the parties to a RESPA covered transaction with information
during the settlement process.
Previous editions are obsolete Page 1 of 3
HUD-1
April 13, 2011 9:28 AM
1. [1 FHA 2. RHS 3. n CONY. UNINS.
4. [] VA 5. CONV. INS.
8. F 1e Number:
1007047
7. Loan Number.
8. Mortgage Insurance Case Number:
C. Note: This form is furnished to give yowl statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked "(p.o.c.)° were paid outside
the closing; they are shown here for Informational purposes and are not included in the totals.
D. Nanw & Address of Borrower.
RANDALL KING and BARBARA BONDRA
G.
E. Name & Address of Seger.
HSBC Bank USA, National Association, as
Indenture Trustee of the Fieldstone and
Mortgage Investment Trust, Serie 2006 -3
c/o Litton Loan 4828 Loop Central Drive
Houston, Texas 77081
F. Name & Address of Lender
Property Location:
10634 NE 10 Place
Miami, Florida 33138
Lot 14, Block 5, Miami Shores Estates,
according to the map or plat thereof, as
recorded in Plat Book 47, Page 58, of the
H. Settlement Agent
Fairview Title Company
9310 N. Armenia Avenue
Tampa, Florida 33612
813 - 933 -2201 fax 813 -933 -2703
L Settlement Date:
April 13, 2011
Place of Settlement:
Fairview Title Company
9310 N. Armenia Avenue
Tampa, Florida 33612
Phone: (813) 933 -2201
J. Summary of Buyer's Transaction
K. Summary of Seller's Transaction
100. Gross Amount Due From Buyer.
400. Gross Amount Due To Seller
101. Contract Sales Price 227,000.00
401. Contract Sales Price 227,000.00
102. Personal Property
402. Personal Property
103. Settlement Charges to Buyer (line 1400) 168.50
403.
Adjustments for Items Paid by Seller in Advance:
Adjustments for Items Paid by Seller in Advance:
106. City / Town Taxes
406. City / Town Taxes
107. County / Parish Taxes
407. County / Parish Taxes
108. Assessments
408. Assessments
120. Gross Amount Due from B er 227 168.50
420. Gross Amount Due to Seller. 227 000.00
200. Amounts Paid by or in Behalf of Buyer.
500. Reductions In Amount Due to Seller
201. De . • sit or Earnest Mona 10 000.00
501. Excess De • osit see Instructions
202. Principal Amount of New Loan
502. Settlement Charges to Seller (Line 1400) 17 261.00
203. Existing Loan(s) taken subject to
503. Existing Loan(s) taken subject to
204. Daily interest credit
504. Payoff of First Mortgage Loan
205.
505. Payoff of Second Mortgage Loan
206.
506. Purchase Money Mortgage
Adjustments for Items Unpaid by Seller:
Adjustments for Items Unpaid by Seller
210. City / Town Taxes
510. City / Town Taxes
211. County / Parish Taxes Jan 1, 2011 thru Apr 12,
2011 1,650.39
County / Parish Taxes Jan 1, 2011 thru Apr 12,
511. 2011 1 ,650.39
212. Assessments
512. Assessments
220. Total Paid by / for Buyer: 11,660.39
520. Total Reductions in Amount Due Seller. 18 911.39
300. Cash at Settlement from / to Buyer.
600. Cash at Settlement to / from Seller
301. Gross Amount due from Buyer (line 120) 227,168.50
601. Gross Amount due to Seller (line 420) 227,000.00
302. Less Amount Paid by/for Buyer (line 220) 11,650.39
602. Less Reductions Amount due Seller (line 520) 18,911.39
303. Cash From Buyer $215,518.11
603. Cash To Seller $208,088.61
The Public Reporting Burden for this collection of information is estimated at 35 minutes per response for collecting, reviewing, and reporting the data.
This agency may not collect this Information, and you are not required to complete this form, unless it displays a currently valid OMB control number.
No confidentiality is assured; this dlscosure is mandatory. This is designed to provide the parties to a RESPA covered transaction with information
during the settlement process.
Previous editions are obsolete Page 1 of 3
HUD-1
April 13, 2011 9:28 AM
Settlement Date: April 13, 2011
File Number. 1007047
..• oewemenc unarges
Paid from
Paid from
Seller's
Funds at
Settlement
700. Total Sales / Broker's Commission: $11,350.00
Division of Commission (line 700) as follows
Buyer's
Funds at
Settlement
701. 4,540.00 to Benito Realty Group
702. 6,810.00 to Keller Williams Eagle Realty, Inc.
703. Commission Paid at Settlement
11 350.00
704. Administrative Fee to M.D. Webb & Associates Inc.
2,270.00
800. Items Payable in Connection with Loan:
801. Our origination charge (from GFE #1)
$0.00
802. Your credit or charge (points) for the specific interest rate chosen (from GFE #2)
$0.00
803. Your adjusted origination charges (from GFE #A)
804. Appraisal Fee
805. Credit Report
806. Tax Service
807. Flood Certification
900. Items Required by Lender to be Paid in Advance:
901. Daily interest charge from Apr 13, 2011 (from GFE #10)
902. Mortgage Insurance Premium (from GFE #3)
903. Homeowner's Insurance (from GFE #11)
1000. Reserves Deposited with Lender:
1001.
Initial deposit for your escrow account (from GFE #9)
1002. Homeowner's Insurance
1003.
Mortgage Insurance
1004.
Property Taxes
1100. Title Charges:
1101.
Title services and lender's title insurance (from GFE #4)
1102.
150.00
Settlement or Closing Fee
to Fairview Title Company $150.00
1103.
882.00
Owner's Title Insurance (Chicago Title Insurance Company) (from GFE #5)
to Fairview Title Company
1104.
Lender's Title Insurance (Chicago Title Insurance Company)
- Lender's Premium $
1,210.00
1105. Lender's Title Policy Limit $
1106.
Owner's Title Policy Umit $227,000.00
1107.
Agent's Portion of the Total Title Insurance Premium $847.00
1108.
Underwriter's Portion of the Total Title Insurance Premium $363.00
1110.
Search Fee $75 POC to CHI
1111.
LPS $75 POC
1200.
Government Recording and Transfer Charges:
1201.
Government Recording Charges (from GFE #7)
1202.
18.50
Deed $18.50 Mortgage $0.00 Releases $0.00
1203.
Transfer Taxes (from GFE #8)
1204.
C /Coun tax/stam • s Deed 0.00 Mo a a, e • ' .00
1205. State tax/stam • ; Deed $1,362.00
1 362.00
Mo • a a .0.00
1206. Intangibis
Tax
1207.
Other Tax 2
1300. Additional Settlement Charges:
1301. Required services that you can shop for (from GFE #6)
1302.
Code Uen / City Uen Search
to Property Debt Research, LLC
187.00
1400. Total Settlement Charges (Enter on line 103, Section J and line 802, Section K)
$188.50
$17,281,00
I have carefully reviewed the 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 made on my account or by me in this transaction. I further certify that I have received a copy of HUD -1 Settlement
Statement We acknowledge and approve of interest eamed by FAIRVIEW TITLE COMPANY on funds to be escrowed by same In connection with
this transac tion_-
Buyer
Buyer.
BARA BONDRA
% C ;?b iiiELilpulresAu':, ,4 )7a
Address Address
The HUD-1 Settlement Statement which I 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.
Settlement Agent
Seller.
HSBC Bank USA, National Association, as Indenture Trustee of
the Fieldstone
IZCSS� Address
Seller.
Mortgage Investment Trust, Serie 2006 -3
Monica Watkins
Date: April 13, 2011
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.
Previous editions are obsolete
Page 2 of 3 HUD-1
April 13, 2011 9:28 AM
Settlement Date: April 13, 2011
Comparison of Good Faith Estimate (GFE) and HUD Charges
File Number. 1007047
Charges That Cannot Increase
HUD Line No.
Good Faith
Estimate
HUD
Our origination charge
# 80
0.00
0.00
Your credit or charge (points) for the specific interest rate chosen
# 802
802
0.00
0.00
Your adjusted origination charges
# 803
0.00
0.00
Transfer taxes
#1203
0.00
0.00
Charges That in Total Cannot Increase More Than 10%
Govemment Recording Charges
HUD Line No.
#1201
Good Faith
Estimate
Total
Increase between GFE and HUD Charges
0.00
HUD
18.50
18.50
18.50
100.00%
Charges That Can Change
HUD Line No.
Good Faith
Estimate
HUD
Initial deposit for your escrow account
#1001
0.00
0.00
Daily interest charge from Apr 13, 2011
# 901
0.00
0.00
Loan Terms
Your initial loan amount is
$
Your loan term Is
0 years
0 %
Your Initial interest rate is
Your initial monthly amount owed for principal, interest, and
any mortgage insurance Is
$ includes
[ X ] Principal
[ X ] Interest
( 1 Mortgage Insurance
Can your interest rate rise?
[ X ] No. [ ] Yes, It can rise to a maximum of %. The first change will be on
and can change again every after Every
.
change date, your interest rate can Increase or decrease by %. Over the life of
the loan, your interest rate Is guaranteed to never be LOWER than % or
HIGHER than %.
Even if you make payments on time, can your loan balance
rise?
[ X ] No. [ ] Yes, it can rise to a maximum of $
Even if you make payments on time, can your monthly
amount owed for principal, Interest, and mortgage
Insurance rise?
[ X ] No. [ ] Yes, the first increase can be on and the monthly amount
owed can rise to $
The maximum it can ever rise to is $
Does your loan have a prepayment penalty?
[ X ] No. 1 1 Yes your maximum prepayment penalty is $
Does your loan have a balloon payment?
[ X ] No. [ ] Yes, —
you have a balloon payment of $ due In years
on
Total monthly amount owed Including escrow account
payments
[ ] You do not have a monthly escrow payment for items, such as property taxes
and homeowner's insurance. You must pay these items directly yourself.
[ X ] You have an additional monthly escrow payment of $ that results In a total initial
monthly amount owed of $. This Includes principal, interest, any mortgage insurance
and any items checked below
[ ] Property taxes 1 1
[ ] Flood insurance 1 1
[ 1 Homeowner's Insurance
Note: If you have any
y y questions about the Settlement Charges and Loan Terms listed nn thiba fnrm manna +s..► ....... le.nol..
Previous editions are obsolete
Page 3 of 3 HUD -1
April 13, 2011 9:28 AM