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f • ` � � - <br /> . . , i <br /> PASCO CQUNT'Y; FLORIDA <br /> I Permit No. lpv� . � <br /> , � Date Permitted 2// <br /> Builder Name/Owner Name - �,�LL� Control# <br /> � �County Parcel No. Q�/-Z�O-Z(-rjj)��_ d�Zp_Q(�0 SubDiv: Sj((Ieo� 0 <br /> Address/Location �[o()g C��n` ��� �'� <br /> IClassificationlCype of Use �� � , � <br /> TRANSPORTATION IMPACTf . Rate: <br />, , Sq.Ft Unit: z <br /> 7 <br /> • �xempt � Yes � No How Determined � <br /> I � Impact Fee Amo <br /> I unt $ 3� ��.¢� Zone No. • T,qZ: <br /> SCHOOL IMPACT FEE <br />�I Account (056) Single-Family Detached House Amount $ � ��(P, Z <br /> (057) Mobile Home - <br /> •(058) Ot�er Residential <br /> � 123) Collection Fee <br /> �xempt [� Yes � No How:Determ(ned � <br /> �ARKS AND RECREATION FEE � <br /> and Account Land Credit <br /> �Land Total <br /> . � �� ecreatlon Account __ Recreation Credit � <br /> _� Recreation Total � <br /> � � �bne ___ .� TOTAL AMOUNT $ 7� p�,6 i <br /> � <br /> ixempt � Yes [] No , How Determined • - . <br /> IBRARY FEE <br />� • and Account Land Credit . <br /> Land Total <br /> acility Account Faciliry Credit � <br /> , Facility Total � <br /> ''.�xempt �] Yes [� No How Determined <br /> .__ Total Amount - <br /> ItESOURCE FEE - <br /> - TOTAL�AMOUNT ERU <br /> �I repared By � - <br /> Checked By i.� <br /> NO CERTIFICATE OF OCCUPANCY WIL!BE ISSU.ED OR FINAL INSPECTION � <br /> PERFORMED UNTIL THE TOTAL AMpUNTS LISTED HAVE <br /> ' BEEN PAID ANp ; <br /> RECEIPTEp FOR BY r4 CENTRAL PERMITTING OFFICE.OF PASCO COUNTY 'I <br /> , I <br /> Acknowledgement below does not Imply acceptance of concurrence;but slmply recelpt of�a copy of this form, lacing <br /> the buflding permit owner on notice of thls assessment and the condiUons of payment for same. <br /> I <br /> II , I I <br /> DATE <br /> I RECEIVED BY <br /> RECEIPT NO. � ' <br /> �_ DATE �_igY I <br /> _I . . .. � <br /> I I � <br />