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! � PASCO COUNTY <br /> „�,,..;�_ BUILDING CONSTRUCTION SERVICES <br /> '� `, 8731 Citizens Drive Date:6/22/2016 <br /> � ,'_ , ,�'3 � Suite 230 <br /> New Port Riche FL 34654 <br /> � ; �• Y, <br /> 727-847-8127 <br /> �r� � 1 ��� � ! �'c�'t <br />� Record#: 06POS-00000�0000 <br /> Applicant Information Contractor Information � Owner Information <br /> � , , <br /> Proiect Information <br /> Status`.#POS ' Applied:04/11/2076 Issued: <br /> Type: PER TYPE Finaled: � Expired: <br /> Category:_PER CATEGORY <br /> Sub-Type:_PER SUB_TYPE <br /> Parcel Number: - <br /> Job Address: <br /> Work Description: <br />�'� FEE DESCRIPTION ACCOUNT CODE UNITS INVOICE# FEE AMOUNT PAID RECEIPT# DATE <br /> Electricai Base Fee 6104-322000 1.00 1181539 $45.00 $45.00 1613956 6/22/16 <br /> State of Florida DBPR/DCA B104-208003 1.00 1181539 $4.00 $4.00 1613956 6/22/16 <br /> Surcharge <br /> Unlicensed Contractor Taskforce 6104-322001 1.00 1181539 $5.00 $5.00 1613956 6/22116 � <br /> Surcharge <br /> TOTALS: 554.00 $54.00 <br /> Receiat# Paid Bv Check# CC Auth# Cashier ID Workstation Receiut Date Amt Paid <br /> 1613969 Check 34993 185 BCCCP03W 06/22/2016 $32.79 <br />' , Total Payments: $32.79 <br /> Pavor Address Phone <br /> tammy verdaderor 36413 state rd 54 zep 813 782-0825 <br /> Comments: <br /> , , <br /> � <br /> i <br /> M Re orts/re orts//PRODUCTION/PASCO/Recei tAA 6/22/2016 Pa e 1 of 1 <br /> Y P P P 9 <br /> � <br />