412 San Lanta Cir; 18-3503; ROOFato.o • AUG 15 2018
PERMIT APPLICATION
Application No: 18— 35 0
f do
Documented Construction Value: $ '7 006.
Job Address: 4 f ? , /4,, Lm4/rA L (tit Historic District: Yes No[]
Parcel ID: _ I U S- b 0 O 6- I 7 b Residential Commercial
Type of Work: New Addition alteration Repair Demo Change of Use Move
Description of Work: IL tl 0
Plan Review Contact Person:
Phone: Fax:-
Title:(
Email: l'>t- °L \WL_C(J(y_ tv 76 aei 3 r-Vur Cc/k'
Property Owner Information
Name M!N La Phone:
Street: 11-73 EM-U 1 ILW .:
City, State Zip: _ t
Resident of property?
c;ontractor intormation
Name ,1yP Di/ w 3 t lL t o RUC fG I Phone: y U 1
Street: 3 10 N () ti— i4
City, State Zip: L u c, u i o o o
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Fax:
State License No.: CCl - t 32- (e I ( b
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT
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 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.
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 61h Edition (2017) Florida Building Code
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that maybe found in the public
records of this county, and there may be additional permits required from other governmental entities such as water management districts, state
agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required in order to
calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value
will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated
charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be
done in compliance with all applicable laws regulating construction and zoning.
I ,1
Sig ature of wner/Agent Date
Pri er/Agent's Nam
Signature of p1` - AF1 Afiry Public - State of Morida
Commission # GG 060623
My Comm. Expires Jan 16, 2018
Owner/Agent is Personally Known to Me
Produced ID Type of ID
g to e of tractor/Agent
Date4 'J41
r
Name
tlii?4ltrffAg qc - State of FlggjQa
Commission # GG 060623
My Comm. Expires Jan 16, 2018
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type: Occupancy Use:
Total Sq Ft of Bldg: Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Grant Maloy, Clerk Of The Circuit Court & Comptroller Seminole County, FL
Inst #2018091681 Book:9187 Page:1515; (1 PAGES) RCD: 8/13/2018 11:53:41 AM
REC FEE $10.00
THIS INSTRUMENT PREPARED BY:
Name: wade santullo
Address:
NOTICE OF COMMENCEMENT
Y
4 (:
PBY i_I,..!;i1
Permit Number:
Parcel ID Number: 31-19-31-505-0000-1140
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencement.
1. Dj15RIPl1ION1tOA CEIRFsanTO PERTY:
egal jy, ption of the property and street address if available) 2.
GENERAL DESCRIPTION OF IMPROVEMENT: Re
roof 3.
OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name
and address: Wade Santullo 1273 errol pkwy apopka florida 32712 Interest
in property: owner Fee
Simple Title Holder (if other than owner listed above) Name: 4.
CONTRACTOR: Name: Structural Contractors . Phone Number: 4074482368 Address:
370 north street longwood floida 32750 5.
SURETY (If applicable, a copy of the payment bond is attached): Name: 6.
LENDER: Address:
Phone
Number: Amount
of Bond: 7.
Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.
13(1)(a)7., Florida Statutes. Name:
Phone Number: 8.
in addition, Owner designates of to
receive a copy of the Lienoi's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number: 9.
Expiration Date of Notice of Commencement (The expiration is 1 year from date of recording unless a different date is specified) WARNING
TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
COMAENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. W
P01 C. A17-i A-0 i
azure of Owner or Lessee, or Owners ar Lessee's (Print Name and Provide Signatorys Tide/Office) Authorized
Officer/Director/Partner/Manager) State
of V-l C In County of seui mot e-- to
The
foregoing instrument was acknowledged before me this ,3 day of fiUQu , 20 X C7 by
UNC).A C— S l0 Who is personally known to me VOR Name
of person making statement . who
has produced identification type of identification produced: 9pj( LzInQ lk! K Y} MELISSAJ.
SAULS '1H+ •Wag MY
COMMISSION A GG 082W5 Notary signature i =
EXPIRES: May y
12,
2021 I •'p
Od l,l"• Swded TMJ Notary Pubic Under *ntm
8/15/2018 SCPA Parcel View: 31-19-31-505-0000-1140
j Property Record Card
j Parcel: 31-19-31-505-0000-1140
Property Address: 412 SAN LANTA CIR SANFORD, FL 32771-0903
Parcel Information Value Summary
Parcel 31-19-31-505-0000-1140 ; 2018 Working 2017 Certified
Values Values
Owner(s) ! ELDER, GLADYS E — -- ---
Valuation Method Cost/Market Cost/Market
Property Address 412 SAN LANTA CIR SANFORD, FL 32771-0903 ' -
I Number of Buildings 1 1
Mailing 412 SAN LANTA CIR SANFORD, FL 32771-0903
Depreciated Bldg Value $62,312 $53,945
Subdivision Name SAN LANTA 3RD SEC
Depreciated EXFT Value
Tax District i S1-SANFORD (
Land Value Market) $18,000 $15,000
Use Code
Lan Value AgDOEemptionsi
01-SINGLE FAMILY (
JustdlMarket Value " - $80,312 $68,945
Portability Adj
Save Our Homes Adj $0 $0
i Amendment 1 Adj $4,472 $0
O O IV P&G Adj $0 $0
iLO Assessed Value $75,840 $68,945
aJ
z co Tax Amount without SOH: $1,312.81
2017 Tax Bill Amount $1,312.81
Tax Estimator
Save Our Homes Savings: $0.00
39g .ems
Does NOT INCLUDE Non Ad Valorem Assessments —
Legal Description
LOT 114
SAN LANTA 3RD SEC
PB 13 PG 75
Taxes
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 75,840 0 75,840
Schools 80,312 0 , 80,312 !;
4 City Sanford 75,840 0 75,840
SJWM(Saint Johns Water Management) 75,840 0 75,840
County Bonds 75,840 0 75,840
Sales
Description ( Date I Book I Page Amount Qualified Vac/lmp
No Sales
1
Find compambls Sal 23
Land
Method Frontage Depth I Units Units Price Land Value
LOT 0.00 0.00 1 $18,000.00 $18,000 i
Building Information
Is Bed/Bath count incorrect? Click Here.
I Year Built I i
Description Fixtures !Bed ! Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages
Actual/Effective I i
1 SINGLE 1971 5 2 1.5 975 1,394 975 BRICK+WOOD $62,312 $84,205
Description Area
FAMILY COMBO
UTILITY 99.00
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CLOUD BRANCH DRAINAGE IMPROVEMENTS PHASE III
HIGHLIGHTED IN GREEN) CONSTRUCTION IS ANTICIPATED
TO BEGIN IN THE SPRING OF 2017 AND COMPLETE BY
FALL OF 2018. ALL EFFORTS WILL BE MADE TO EASE A Y
INCONVENIENCE TO RESIDENTS AND BUSINESS OWNE S
DURING THE CONSTRUCTION PROCESS. PLEASE EXPECT
DETOURS AND DELAYS ALONG THE AFFECTED PATHS
CONSTRUCTION PROGRESSES.
FOR QUESTIONS OR CONCERNS PLEASE CALL JEFF DAVIS, CITY OF SANFORD PUBLIC WORKS PROJECT
MANAGER AT 407.688.5080
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CLOUD BRANCH DRAINAGE IMPROVEMENTS \PHASE III
HIGHLIGHTED IN GREEN) CONSTRUCTION IS ANTICIPATED
TO BEGIN IN THE SPRING OF 2017 AND COMPLETED BY
FALL OF 2018. ALL EFFORTS WILL BE MADE TO EASE ANY
INCONVENIENCE TO RESIDENTS AND BUSINESS OWNEkS
DURING THE CONSTRUCTION PROCESS. PLEASE EXPE
DETOURS AND DELAYS ALONG THE AFFECTED PATHAS
CONSTRUCTION PROGRESSES.
FOR QUESTIONS OR CONCERNS PLEASE CALL JEFF DAVIS, CITY OF SANFORD;PUBLIC WORKS PROJECT
MANAGER AT 407.688.5080
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CLOUD BRANCH DRAINAGE IMPROVEMENTS PHASE III
HIGHLIGHTED IN GREEN) CONSTRUCTION IS ANTICIPATED
TO BEGIN IN THE SPRING OF 2017 AND COMPLETEDBY
FALL OF 2018. ALL EFFORTS WILL BE MADE TO EASE A Y
INCONVENIENCE TO RESIDENTS AND BUSINESS OWNE S
DURING THE CONSTRUCTION PROCESS. PLEASE EXPE
DETOURS AND DELAYS ALONG THE AFFECTED PATHS
CONSTRUCTION PROGRESSES.
FOR QUESTIONS OR CONCERNS PLEASE CALL JEFF DAVIS, CITY OF SANFORD PUBLIC WORKS PROJECT
MANAGER AT 407.688.5080
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CLOUD BRANCH DRAINAGE IMPROVEMENTS PHASE III
HIGHLIGHTED IN GREEN) CONSTRUCTION IS ANTICIPATED
TO BEGIN IN THE SPRING OF 2017 AND COMPLETED BY
FALL OF 2018. ALL EFFORTS WILL BE MADE TO EASE ANY
INCONVENIENCE TO RESIDENTS AND BUSINESS OWNERS
DURING THE CONSTRUCTION PROCESS. PLEASE EXPE
DETOURS AND DELAYS ALONG THE AFFECTED PATHS
CONSTRUCTION PROGRESSES.
FOR QUESTIONS OR CONCERNS PLEASE CALL JEFF DAVIS, CITY OF SANFORD,-PUBLIC WORKS PROJECT
MANAGER AT 407.688.5080
CITY OF
SORD PERMIT # 0—
Building & Fire Prevention Division
FIRE DEPARTMENT RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: 11- ,Srw L.n+jTI% Gr«,s Stwfy&4
STRUCTURE TYPE: SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
If
DECK TYPE (PLEASE SPECIFY):
PLEASE NOTE: ONL Y 100 SQUARE
10 Un
TILE EXISTING DECK MAN TO BE REPLACED * *
ROOF VENTILATION: O OFF -RIDGE O RIDGE OFFIT OPOWERED VENT
SKYLIGHTS: O YES o IF YES, PLEASE PROVIDE FLORIDA PRODUC"1' APPROVAL #: _
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2: 12 2:12 - 4: 12 O 4: 12 OR GREATER
O TURB INES
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
SHINGLE y Q FL#It 3 - 9-
O METAL FL#
O MODIFIED BITUMEN FL#
OTORCH DOWN FL#
O INSULATED FL#
O TILE FL#
O OTHER: FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABLE**
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 O 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
O SHINGLE FL#
O METAL FL#
O MODIFIED BITUMEN FL#
OTORCH DOWN FL#
O INSULATED FL#
O TILE FL#
0 OTHER: FL#
CITY OF
SJ. 1'
Building &Fire Prevention Division
ORD RESIDENTIAL RE -ROOF POLICY & PROCEDURES
FIRE DEPARTMENT
PERMITTING REQUIREMENTS — NO PLAN REVIEW REQUIRED
THIS DOCUMENT (SIGNED) ALONG WITH AN ACCURATE AND COMPLETED RESIDENTIAL RE -ROOF SCOPE OF WORK ARE -
REQUIRED TO BE SUBMITTED AS PART OF YOUR PERMIT APPLICATION.
THE SCOPE OF WORK MUST INCLUDE ALL APPLICABLE FLORIDA PRODUCT APPROVAL NUMBERS FOR ALL ROOF
COMPONENTS THAT WILL BE INSTALLED ON THE PROJECT.
A PERMIT WILL NOT BE ISSUED WITHOUT THESE DOCUMENTS. COPIES WILL BE MADE TO POST ON THE JOB SITE.
PROJECTS LOCATED IN THE SANFORD HISTORIC DISTRICT WILL REQUIRE PLAN REVIEW AND APPROVAL BY THE
SANFORD HISTORIC PRESERVATION BOARD
INSPECTION POLICY & PROCEDURES
A FINAL ROOF INSPECTION IS THE ONLY INSPECTION REQUIRED FOR RESIDENTIAL (SINGLE FAMILY, TOWNHOUSE,
MOBILE HOME, APARTMENT AND/OR CONDOMINIUM) RE -ROOF PERMITS.
THE FOLLOWING IS REQUIRED TO BE PROVIDE ON THE JOB SITE:
PERMIT CARD, POSTED IN A CONSPICUOUS AND WEATHERPROOF LOCATION
COMPLETED RESIDENTIAL RE -ROOF SCOPE OF WORK
COMPLETED AND NOTARIZED INSPECTION AFFIDAVIT
ALL FLORIDA PRODUCT APPROVAL AND CORRESPONDING INSTALLATION INSTRUCTIONS
PRODUCT APPROVAL SHALL MATCH WHAT IS ON THE SCOPE OF WORK)
DIGITAL PHOTOGRAPHS (MUST INCLUDE THE PERMIT NUMBER OR ADDRESS IN EACH PICTURE)
o EACH PLANE OF THE ROOF, SHOWING THE UNDERLAYMENT INSTALLED
O ROOF DECK NAILING PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER)
O ROOF DECK NAILS USED (INCLUDING A MEASURING DEVICE OR RULER SHOWING SIZE OF NAILS)
o UNDERLAYMENT PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER)
O DRIP EDGE & VALLEY ATTACHMENT (INCLUDING A MEASURING DEVICE OR RULER)
O SHINGLES INSTALLED, NAIL PATTERN AND LOCATION OF NAILS
SKYLIGHTS (IF APPLICABLE)
O DIGITAL PHOTOGRAPHS SHOWING ALL INSTALLATION COMPONENTS, PER FL PRODUCT APPROVAL
o DIGITAL PHOTOGRAPHS SHOWING ALL REQUIRED FLASHING, PER FL PRODUCT APPROVAL
FAILURE TO FOLLOW THESE SPECIFIC GUIDELINES WILL RESULT IN AN AFFIDAVIT PROVIDED BY A FLORIDA DESIGN
PROFESSIONAL (ARCHITECT OR ENGINEER), CERTIFYING FBC CODE COMPLIANCE BY PERSONAL INSPECTION.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: 9 1 J - 18
A. Settlement Statement U.S. Department of Housing and OMB Approval No. 2502-0265
Urban Development
B. Type of Loan
1. 0 FHA 2. n RHS 3. 0 Conv. Unins 4. n VA 5. 0 Conv. Ins 6. n Cash 7. 0 Other
8. File Number 18-0625 1 9. Loan Number 10. Mort age Insurance Case Number
C. NOTE: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked
o.c. " were paid outside the closing, they are shown here for informational purposes and are not included in the totals.
D. NAME AND ADDRESS OF BORROWER: Wade Santullo and Tim Kocken
1465 Brigham Loop, Geneva, FL 32732
E. NAME AND ADDRESS OF SELLER: Jennifer Bell, Personal Representative of the Estate of Gladys Elder and June Black, Personal Representative of
the Estate of Gladys Elder
30700 Wekiva River Road, Sorrento, FL 32776
F. NAME AND ADDRESS OF LENDER:
G. PROPERTY LOCATION: 412 San Lanta Circle, Sanford FL 32771
H. SETTLEMENT AGENT
PLACE OF SETTLEMENT
Clear Title Solutions, Inc.
505 Wekiva Springs Road, Suite 500, Longwood FL 32779
407)389-0904
505 Wekiva Springs Road, Suite 500, Longwood FL 32779
I. SETTLEMENT DATE: 08/06/2018 DISBURSEMENT DATE 08/06/2018
J. Summary of Borrower's Transaction K. Summary of Seller's Transaction
100. Gross Amount Due From Borrower 400. Gross Amount Due To Seller
101. Contract Sales Price 52,510.00 401. Contract Sales Price 52,510.00
102. Personal Property 402. Personal Property
103. Settlement charges to borrower (line 1400) 323.00 403.
104. 404.
105. 405.
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 taxes 407. County taxes
108. 408.
109. 409.
I10. 410.
111. 411.
112. 412.
120. Gross Amount Due From Borrower 52,833.00 420. Gross Amount Due To Seller 52,510.00
200. Amounts Paid By Or In Behalf Of Borrower 500. Reductions In Amount Due To Seller
201. Deposit or earnest money 2,510.00 501. Excess deposit (see instructions)
202. Principal amount of new loan(s) 502. Settlement charges to seller (line 1400) 1,412.65
203. Existing loan(s) taken subject to 503. Existing loan(s) taken subject to
204. 504.
205. 505.
206. 506.
207. 507.
208. 508.
209. 509.
Adjustments for items unpaid by seller Adjustments for items unpaid by seller
210. City/Town taxes 510. Cityrrown taxes
211. County taxes 01/01/2018 to O8/062018 780.49 511. Countytaxes 01/012018 to 08/06/2018 780.49 212.
Assessments 512. Assessments 213.
513. 214.
514. 215.
515. 216.
516. 217.
517. 218.
518. 219.
519. 220,
Total Paid By/For Borrower 3,290.49 520. Total Reduction Amount Due Seller 2,193.14 300.
Cash At Settlement From/To Borrower 600. Cash At Settlement From/To Seller 301.
Gross Amount due from borrower (line 120) 52,833.00 601. Gross Amount due to Seller (line 420) 52,510.00 302.
Less amounts paid by/for borrower (line 220) 3,290.49 602. Less reductions in amount due seller (line 520) 2,193.14 303.
CASH From BORROWER 49,542.51 603. CASH To SELLER 50,316.86 We,
the undersigned, identified in Section D hereof and Seller in Section E hereof, hereby acknowledge receipt of this completed bememenr aratement trages t and y on August
6, 2018.
L. SETTLEMENT CHARGES
700. Total Real Estate Broker Fees - Paid From
Borrower's
Fundsat
Sentement
Paid From
Sellers
Funds at
Settlement
Division ofcommission (line 700) as follows:
701.
702.
703, Commission paid at settlement
704.
705.
706.
800. Items Payable In connection with Loan
801. Loan Origination Fee to
802. Loan Discount to
803.
804.
805.
806.
900. Items Required By Lender To Be Paid In Advance
901. Interest from From 08/06/2018 To 09/01 /2018
902. Mortgage insurance premium
903. Hazard Insurance premium
904.
905.
1000. Reserves Deposited With Lender
1001. Hazard Insurance
1002. Mortgage Insurance
1003. City property taxes
1004. County property taxes months
at per month
1005. Annual assessments
1006.
1007.
1008.
I100. Title Charges
1101. Title services to Clear Title Solutions, Inc.
1102. Settlement fee to Clear Title Solutions, Inc. 300.00 500.00
1103.
1104. Title search fee to First American Title Insurance Company 100.00
1105.
1106.
1107. Attorneys fees
1108. Title Insurance to First American Title Insurance Company 302.45
1109. Lender's coverage r@ $ .00
1110. Owner's coverage $52,510.00 r@ $ 302.45
1111. Municipal lien search to Elite Property Research 90.00
1112.
1113. Title Insurance Commission to Clear Title Solutions, Inc. (211.72 POC)
1200. Government Recording and Transfer Charges
1201. Recording fees: Deed $23.00 Mortgage Releases 23.00
1202. City/county tax/stamps Deed Mortgage
1203. State tax/stamps: Deed $368.20 Mortgage 368.20
1204. Record Letters of Administration to Clerk of Court 14.50
1205. Record Order Authorizing Sale to Clerk of Court 23.00
1206. Record Affidavit of No Estate Tax to Clerk of Court 14.50
1300. Additional Settlement Charges
1301. to
1302.
1303.
1304.
1305.
1400. TOTAL SETTLEMENT CHARGES 323.00 1,412.65
We, the undersigned, identified in Section D hereof and Seller in Section E hereof, hereby acknowledge receipt of this completed Settlement Statement (Pages I and 2) on
August 6, 2018.
A. Settlement Statement U.S. Department of Housing and OMB Approval No. 2502-0265
Urban Development
B. Type of Loan
1. 0 FHA 2. 0 RHS 3. 0 Conv. Unins 4.0 VA 5. 0 Conv. Ins 6. 0 Cash 7. 0 Other
8. File Number 18-0625 1 9. Loan Number 1 10. Mortgage Insurance Case Number
C. NOTE: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked
o.c. " were paid outside the closing, they are shown here for informational purposes and are not included in the totals.
D. NAME AND ADDRESS OF BORROWER: Wade Santullo and Tim Kocken
1465 Brigham Loop, Geneva, FL 32732
E. NAME AND ADDRESS OF SELLER: Jennifer Bell, Personal Representative of the Estate of Gladys Elder and June Black, Personal Representative of
the Estate of Gladys Elder
30700 Wekiva River Road, Sorrento, FL 32776
F. NAME AND ADDRESS OF LENDER:
G. PROPERTY LOCATION: 412 San Lanta Circle, Sanford FL 32771
H. SETTLEMENT AGENT
PLACE OF SETTLEMENT
Clear Title Solutions, Inc.
505 Wekiva Springs Road, Suite 500, Longwood FL 32779
407)389-0904
505 Wekiva Springs Road, Suite 500, Longwood FL 32779
1. SETTLEMENT DATE: 0810612018 DISBURSEMENT DATE 08/06/2018
J. Summary of Borrower's Transaction K. Summary of Seller's Transaction
100. Gross Amount Due From Borrower 400. Gross Amount Due To Seller
101. Contract Sales Price 52,510.00 401. Contract Sales Price 52,510.00
102. Personal Property 402. Personal Property
103. Settlement charges to borrower (line 1400) 323.00 403.
104. 404.
105. 405.
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 taxes 407. County taxes
108. 408.
109, 409.
110. 410.
111. 411.
112. 412.
120. Gross Amount Due From Borrower 52,833.00 420. Gross Amount Due To Seller 52,510.00
200. Amounts Paid By Or In Behalf Of Borrower 500. Reductions In Amount Due To Seller
201. Depositor earnest money 2,510.00 501. Excess deposit (see instructions)
202. Principal amount of new loan(s) 502. Settlement charges to seller (line 1400) 1,412.65
203. Existing loan(s) taken subject to 503. Existing loan(s) taken subject to
204. 504.
205. 505.
206. 506.
207. 507.
208. 508.
209. 509.
Adjustments for items unpaid by seller Adjustments for items unpaid by seller
210. City/Town taxes 510. City/Town taxes
21 I. Countytaxes 01/01/2018 to 08/062018 780.49 51 1. Countytaxes 01/012018 to 08/06/2018 780.49 212. Assessments
512. Assessments 213. 513.
214. 514.
215. 515.
216. 516.
217. 517.
218. 518.
219. 519.
220. Total
Paid By/For Borrower 3,290.49 520. Total Reduction Amount Due Seller 2,193.14 300. Cash
At Settlement From/To Borrower 600. Cash At Settlement Fromfro Seller 301. Gross
Amount due from borrower (line 120) 52,833.00 601. Gross Amount due to Seller (line 420) 52,510.00 302. Less
amounts paid by/for borrower (line 220) 3,290.49 602. Less reductions in amount due seller (line 520) 2, 193.14 303. CASH
From BORROWER 49,542.51 1 603. CASH To SELLER 50,116.86 We, the
undersigned, identified in Section U hereof and Seller in Section t hereof, hereby acknowledge receipt or mis comprerea aauemom August 6,
2018.
L. SETTLEMENT CHARGES
700. Total Real Estate Broker Fees Paid Fran
Borrower's
Funds.,
Senlemcm
Paid From
Sellers
Funds at
Scutcmcm
Division of commission (line 700) as follows:
701.
702.
703. Commission paid at settlement
704.
705.
706,
800. Items Payable In connection with Loan
801. Loan Origination Fee to
802. Loan Discount to
803.
804.
805.
806.
900. Items Required By Lender To Be Paid In Advance
901. Interest from From 08/06/2018 To 09/01/2018
902. Mortgage insurance premium
903. Hazard Insurance premium
904.
905.
1000. Reserves Deposited With Lender
1001. Hazard Insurance
1002. Mortgage Insurance
1003. City property taxes
1004. County property taxes months
at per month
1005. Annual assessments
1006.
1007.
1008.
1100. Title Charges
1101. Title services to Clear Title Solutions, Inc.
1102. Settlement fee to Clear Title Solutions, Inc. 300.00 500.00
1103.
1104. Title search fee to First American Title Insurance Company 100.00
1105.
1106.
1107. Attorney's fees
1108. Title Insurance to First American Title Insurance Company 302AS
1109. Lenders coverage @ $ .00
1110. Owner's coverage $52,510.00 @ $ 302.45
1111. Municipal lien search to Elite Property Research 90.00
1112.
11 I3. Title Insurance Commission to Clear Title Solutions, Inc. (211.72 POC)
1200. Government Recording and Transfer Charges
1201. Recording fees: Deed $23.00 Mortgage Releases 23.00
1202. City/county tax/stamps Deed Mortgage
1203. State tax/stamps: Deed $368.20 Mortgage 368.20
1204. Record Letters of Administration to Clerk of Court 14.50
1205. Record Order Authorizing Sale to Clerk of Court 23.00
1206. Record Affidavit of No Estate Tax to Clerk of Court 14.50
1300. Additional Settlement Charges
1301. to
1302.
1303.
1304.
1305.
1400. TOTAL SETTLEMENT CHARGES 323.00 1,412.65
We, the undersigned, identified in Section D hereof and Seller in Section E hereof, hereby acknowledge receipt of this completed Settlement Statement (Pages I and 2) on
August 6, 2018.
Addendum to HliD-1 Settlement Statement
F D City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING,, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: — 5 o ADDRESS: 9I L (lJ4 oj(l t C V C1.L
SAtJ
V 6Q c./P',V'r0L L_0 , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE
FOREGOING INFORMATION IS TRUE AND ACCURATE AND THAT ALL ROOFING COMPONENTS LISTED ON THE SCOPE OF WORK AT THE
ABOVE REFERENCED .ADDRESS HAVE BEEN INSTALLED IN ACCORDANCE WITH THEIR PRODUCT APPROVALS AND ALL APPLICABLE CODE
REQUIREMENTS - SPECIFICALLY FLORIDA BUILDING CODE, EXISTING BUILDING. IN ADDITION I CERTIFY THE INSTALLATION MEETS ALL
REQUIREMENTS FOR SECONDARY WATER BARRIER AND NAILING OF THE ROOF DECK, IN ACCORDANCE WITH THE HURRICANE RETROFIT
MANUAL REQUIREMENTS (BASED ON F.S. CHAPTER 553.844).
LICENSE #: cc(- H Z I V o
COMPANY / CONTRACTOR: A t
CONTRACTOR SIGNATURE: DATE:
MUST BE SIGNED BY LICENSVHOLDER Oit'OWNER/BUILDER)
A FINAL ROOF INSPECTION IS REQUIRED:
THIS SIGNED AND NOTARIZED AFFIDAVIT MUST BE PROVIDED AT THE JOB SITE AT THE TIME OF THE FINAL ROOF INSPECTION,
ALONG WITH DIGITAL PHOTOGRAPHS OF EACH PLANE OF THE ROOF SHOWING IN DETAIL ALL COMPONENTS (DECKING,
UNDERLAYMENT, FLASHING, DRIP EDGE ATTACHMENT) WITH THE PERMIT NUMBER OR ADDRESS CLEARLY MARKED ON THE DECK
FOR EACH INSPECTION. THE PHOTOGRAPHS MUST INCLUDE A RULER OR MEASURING DEVICE TO CONFIRM ALL NAIL SPACING AND
OVERLAPS, INCLUDING DRIP EDGE AND VALLEY FLASHING. PLEASE REFER TO THE RE -ROOF POLICY AND INSPECTION PROCEDURE
PAPERWORK FOR FURTHER EXPLANATION OF ALL REQUIREMENTS.
FAILURE TO FOLLOW ALL REQUIREMENTS WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AS
WELL AS REQUIRING A DESIGN PROFESSIONAL (ARCHITECT OR ENGINEER) TO CERTIFY, BASED ON PERSONAL
INSPECTION, THE INSTALLATION OF ALL ROOFING COMPONENTS.
STATE OF FLORIDA COUNTY OF c7l/R(/rl V --
Sworn to and Subscribed before me this ID!d y of S 201 by:
W6Cd J d Who is P sonally Known to me or I Produced (type of
identifi ion) as identification.
ignature of Notary Public
State of Florida
4 rr1--1 SABRINA
Print/Type/Stamp Name
of Notary Public
LEDERER
Notary Public - State of Florida
Commission # GG 170251
My Comm. Expires Mar 9, 2022
Huxled through National Notary Assn.