1 •,;.,• ( .;*). INT . ‘c , ELI:1"c 1 I •., A PAI:.:31::" : 1. i ;1:- 1
<br /> AUG/19/2009/WED-U9:26 AM ZEPHYRHILLS BUILDING FAX No. 813 P. 006
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<br /> Perrnit No: • / 00 . v/ c; • .1 • • ' • .
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<br /> Date Permitted • '
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<br /> . " Builder Name/Owner Name r iA.Vt. (.1 t >1 e: . Co)t-d Control # • . '
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<br /> County parcel No 25 . 2/- O
<br /> 600-06 WO- ga: - • . . .
<br /> • Address/Location .:a 735 • , / ee . •iel -
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<br /> PA Adit ' ./ % /A • &Wiry ,2k,-,p- .
<br /> ' Classification/Type of Use .. Edgefr" k_f_ . , e / , • . .. . .
<br /> . .... 'TRANSPORTATION tMPAT FEE. Rate: Sq Ft. Unit: : • , • ,
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<br /> Exempt . LI Yes 0 No . How Determined . . • , . • • .
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<br /> ' . Imppct Fee Amount $ 231567)* , .Zo . ne No. • - TAZ: .. . . ' .
<br /> SCHOOL IMPACT FEE. - • • . .
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<br /> Account (066) Single-Family Detached House Arnopnt $ D . . , , • . . .• , .
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<br /> (057) ' ' Mobile Home • .' ' . . •.
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<br /> • (068) Other Residential , • • • .
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<br /> 123) Collection Fee • • . . .
<br /> Exempt -11 Yes - U No How Determined . . ., . . . .
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<br /> • PARKS AND RECREATION FEE . '• • - , • ,
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<br /> . .. - Land Account •,• Land Credit • , Land Total . - . - •
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<br /> Recreation Account • • 'Recreation Credit • , Recreation Total , . • . • .
<br /> •Zone • . ... • TOTAL AMOUNT • '4 0 .
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<br /> Exenipt 0 Yee 0 No How Determined . - _ o •
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<br /> LIBRARY FEE • " • • • ' . - . . .
<br /> , . Land AccolInt Land Credit ' • Land TOtat . • . •
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<br /> Facility Account Facility Credit ' • Faollify Total
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<br /> Exempt 0 Yes 11) No HowD,eterrnined : • . Total Amount ' b .. . . .
<br /> RESOURCE FEE . • -' ERU - , • • .
<br /> , ' TOTAL AMOUNT •os 1 5 X I 0S6.12r , ,, - • . , . .
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<br /> • Prepared By , . • ' • . • Checked 13y : . , • . - . ,. . .i. • . . . . .
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<br /> • NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION • • .
<br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED•HAVE . . , - •• • •
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<br /> BEEN PAID AND • • .
<br /> RECEIPTED FOR BY A CENTRAL PERMITTINO.OFFICE<OF•PA800 COUNTY •
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<br /> Acknowledgemint below doe's not imply acceptance of ocincurrenoe, but simply receipt of-a cop§ of this fen. placing
<br /> the building permit owner an notice &tide aeseeement and the conditions of payment for same, . . . • . .
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<br /> DATE • , •
<br /> RECEIVED BY • : • • . • . . •
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<br /> RECEIPT No 11 Vali DATE 8-44.- 10 • nY . • 9 . .. ' : - • -• -.
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