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<br />MAR/03/2005/THU 08:45 AM ZEPHYRHILLS BUILDING <br /> <br />FAX No, 813-780-0021 <br /> <br />p, 002 . <br /> <br />T <br /> <br /> <br />PASCO COUNTY, 'FLORIDA <br /> <br />Permit No. " 3'1~9 <br />Date Permitted . . <br /> <br />Builder Name/Owner Name 1)F., Me~t>OvTd <br />County Parcel No. <br />Address/Location. to;;;(3q '~'6' V.,.....<P a, .' <br />ClassificationlTyp~ofUs~ ~~ .IDR. <br /> <br />Control # ' ' <br /> <br />SubDiv: <br /> <br />:() F Fr <:.'-e <br /> <br />TRANSPORTATION 'MPACT FeE " R~ta: <br />Exempt ,DYes []-t<tO 'How Determined <br />Impact F'ee Amo4nt ~. ~, l J a. .. 6;< Zone No. <br /> <br />. . . .1. I <br /> <br />S'CHOOL IMPACT FeE." .., . <br />Aqcount (056)' 8ingle~FamilY Detached tjouse <br />(057) Mobile Home . <br />(05~) Other Residential <br />. J:t 2}r' Collection Fee " <br />Exempt ~es D. No How Determlnr;ld <br /> <br />Sq Ft Unit: <br /> <br />~ I'-/~r <br /> <br />TAl: <br /> <br />,1 <br /> <br />Amount $ <br /> <br />. . <br /> <br />pARKS AND.~ECREATION F~E " . <br />Land Account . Land Credit <br /> <br />L~lld Total <br /> <br />Recreation Account <br /> <br />Recreation Credit . ...__- ~I=eatlon Total <br />-- ' <br />~~- <br />~- <br /> <br />lone <br /> <br /> <br />TOTAL AMOUNT, ~' <br /> <br /> <br />yes 0 No' How Df;1termlned <br /> <br />l-IBRARY FEE <br />I-and Account. <br /> <br /> <br />L <br /> <br /> <br />tat <br /> <br />Lr;md Credit <br /> <br />, Facility Account. ....faci~tyefeait <br />E~ HowOetermloe'; <br />-RESOURCE FJ:E ", ..... .... .' '. " " .' <br />.TOTALAMOUNT ,::;-<1)< ~ ,i!jiVJ0 r~ <br /> <br />Facility Total <br /> <br />Total Amount <br /> <br />ERU ,/5' <br />1/'79 b-~~ ',. <br /> <br />Prepared ay <br /> <br />Checked ay <br /> <br />. ! <br />NQ CERTIF'CATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br />. . . <br />PERFORMED UNTIL THE TOTAL AM04NrS LISTED HAVE <br />. BEEN PAID AND <br />REGEIPTEP FQR. BY A CENTRAL PJ:RMITI!NG OfFICE,OF PASCO COUNTY <br /> <br />Acknowledgam.ant Ilalow does liot Imply aoc~ptahoe af oOIlC!-Irranc6, but simply reoelpt of Oil copy of thlQ form, plaolng <br />, fhe building pennlt owner on notice of tt]ls assBssment a~cl thQ conditions ot payment for same" <br /> <br />PATE . <br />'RECEIPT NO. ~7 9 J/ ~ bATE <br /> <br />RECEIVED BY <br />/-, h/.s~y ~. <br />~ ' <br /> <br />, i <br /> <br />.~ <br />