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<br />~EB/23/2006/THU 02:27 PM ZEPHYRHILLS BUILDING <br /> <br />FAX No, 81 3 -7 p" 0 0 21 <br /> <br />P,001/001 <br /> <br /> <br />PASCO COUNTY, FLORIDA <br /> <br />PerOlit No. y " '7 0 <br />Date Permitted 6'; c.f-oS <br /> <br />Builder Name/Owner Name Me.P,f'5;\~al-.j,!~'rY)'Ca1l- btll). ~ontrol # <br />SubDiv: <br /> <br />, County Parcel No. oawa(a~~, -CY:l,50- 00000- DO, <br /> <br />Ca.K ~ Eerl- <br /> <br />Address/Location 1o~23 ~n ~ Q J\,Q.n+- (1. \no l 1 <br />Classlflcatlonffype of Us~ ~ {~ltL ~ ' ~ t r!.e.'0 CtL <br />TRANSPORTATION IMPACT FEE, Rate: Sq Ft Unit: <br /> <br />Exempt 0 Yes [B"No <br /> <br />How De.termlned <br /> <br />Impact Fee Amount $,\5~\?OO <br />SCHOO'" IMPACT FI;E <br /> <br />Zone No. <br /> <br />TAZ: <br /> <br />Account <br /> <br />Exempt <br /> <br />(056) <br />(057) <br />(058) <br />J:123} <br />UYes <br /> <br />Single-Family Detached House <br />Mobile Home <br />Other Residential , <br />Collection Fee ' <br />~No How Determln~d <br /> <br />Amount $ Hoq y.. 00 <br /> <br />PAR~S AND' RECR TION FEE <br />Land Account Land Credit <br /> <br /> <br />L?lnd Total <br /> <br />Recreation Account <br /> <br />Recreati9n Total <br /> <br />Zone <br /> <br />r AL AMOUNT, $ <br /> <br />Exempt DVes DNo How Determined <br />LIBRARY FEe <br />Land Account <br />Facility Account <br />Exempt o Ves DNo <br /> <br />'RESOURCE FEE' <br />TOTAL AMOUNT <br /> <br />,'~ <br />~ <br /> <br />Prepared By '" Che~y.._ <br /> <br />. " , ' \ \ l\ , ' " S3. D \ <br />NO CERTIFICATE OF OCCU(SANCY WILL BE ISSUED OR FINAL INSPECTION <br />PERFORMED UNTIL THE TOTAL AMOLJNTS LISTED HAVE <br />, BEEN PAID AND <br />RECEIPTI:D FOR BY A CENTRAL PERMITTING OFFICE, OF PASCO COUNTY <br />. . . . . <br /> <br /> <br />Land Total <br /> <br />F aolllty Total <br /> <br />Total Amount <br /> <br />ERU <br /> <br />AcknOwledgement ~elow doe:s not I~ply accepJance of conc!Jrrencs, but liilmply receipt of a copy of thl~ form, plaolng <br />, the building pormlt owner on notice of thIs assGsement a~d the conditions of payment for same. <br /> <br />DATE <br /> <br />"""\ \ ')-::2,11\ 1 BY RE~D BY <br />QO'7hcjJ..OATE ~ ~ <br /> <br />RECEIPT NO. <br /> <br />" <br />