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AUG /19 /2009 /WED 09:26 AM ZEPHYAHILLS BUILDING FAX No, 813 P. 003 <br /> << ;FLORIDA <br /> p CO,COUNTY� . <br /> tli 1Z. t° LtND <br /> .. <br /> • ' Date Perrititted - - . <br /> � • � Contro # <br /> Builder Na <br /> me /Owner Name . �1 T ' • <br /> 2�(- 4d•U� S$GbDIy - . <br /> County Parcel No, 2 n <br /> - Address/Location • �` fC , 'WI , r • /, • <br /> ClasslflcatidnlType of Uep . a 1 I <br /> /VLO LiCiltle <br /> - ' . ' TRANSPORTATION IMPACT FEE . Rate: ..____________ Sq Ft ._____—_ . . - . - • <br /> • Exempt - ❑ Yes O <br /> No How Dminad <br /> @ter <br /> 23 d ' :Zone No. TAZ: r — • - • . <br /> impact Fee Amount__ <br /> SCHOOL IMPACT FEE • <br /> Account (056) Single- Family Detached House Amount $ <br /> . (057) ' • Mobile Home • . ' <br /> • (058) Other Residential . <br /> 129) collection, Fee <br /> Exempt - L Yes ❑, No How iaeterrnined ' . ' • <br /> •PARKS AND RECREATION FEE Lend Total <br /> Land Account , • Land Credit - - 0 <br /> 'Recreation Cre RQoreation Total __ <br /> Recreation Account • <br /> Zone 0 . TOTAL ' ' AMOUNT , n <br /> Exempt ❑ - Yes ❑ No How Determined • <br /> LIBRARY FEE La nd Credit Land Total . • <br /> Land Account . <br /> Facility Account • • Faollity Oredtt ' Foc1I(ty Total . <br /> Exempt 0 ❑ Yee 0. No HowD.etermined ; ; 'total Amount , 0' 0 - <br /> RESOURCE FEE . - ' ERU • . <br /> ' TOTAL AMOUNT :. IS R X 1 ,'0 S6 t <br /> o <br /> , / 1 • ' Checked 6y - • <br /> • Prepared By � <br /> NO CERTIFICATE OF OCCUP4ICY WILL BE ISSU OR FINAL INSPECTION <br /> • PERFORMED UNTIL, THE TOTAL AMOUNTS LISTED HAVE . . • • • BEEN PAID AND • - • ' <br /> RECEIP7ED FOR BY A CENTf?AL PpRMIITINC� OF •PASCO COUNTY <br /> Acknowledgement below does not imply 'acceptance or concurrence, but elmpiY receipt as copy of th1e farm, placing .. . <br /> the building penult own& on notice .of this asseeement and the conditions of payment for same. <br /> • DATE . .. RECEIVED, BY - • <br /> RECEIPT NO_ I'I gates'. DATE S• .'1!'4 to BY `P • <br /> V <br />