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<br /> <br />.. <br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Permit No. tJ r?1 U <br />Date Permitted /.a - / :z . 0 / <br /> <br />Builder Name/Owner Name a 114 D ~ <br /> <br />Control # <br /> <br />County Parcel No. tJ;J- .:2t.-:21-c).:'236 c..'UC)Oc) -O/$() SubDiv: (>).:k~jJl;;A~~r <br />Address/Location 69"13 tJaf (?J~.s7. it )~ <br />ClassificalionlType of Use q..f6i k~"e5f7.t1' <br />TRANSPORTATION IMPACT FEE Rate: . <br /> <br />l -}<IA77 <br /> <br />Sq Ft Uni ./ <br /> <br />Exempt 0 Yes ~ No How Det~ned 0 ~~ - 5/t <br />l}f r7 /J ,11- .-' J 9--~ d <br />Impact Fee Amount $ I '6 0 if /1 Zone N T AZ: <br />I <br /> <br />SCHOOL IMPACT FEE <br />Account (056) Single-Family Detached House Amount $ <br />(057) Mobile Home t <br />(058) Other Residential ~ "'t-"o"t- <br />j)23) ~ectionFee /I/l--;,.-IC' pi;;; <br />Exempt U Yes !,Xl No How DetermineCr1' /:J. <br /> <br />;: b 911 <br /> <br />PARKS AND RECREATION FEE <br />Land Account Land Credit <br /> <br />Land Total <br /> <br />Recreation Account <br /> <br /> <br />Zone _ _----.------...---''.-...-'..--- <br /> <br /> <br /> <br />~!(emPf-'--'6'~es 0 No <br /> <br />-------- <br /> <br />LIBRARY FEE <br />Land Account <br /> <br />----- <br />Ion Credit <br /> <br />---..... <br /> <br />Recreation Total <br /> <br />TOTAL AMOUNT $ <br /> <br />How Determined <br /> <br />Land Credit <br /> <br />--------...--..---UHld'Tofal.'...' . <br />- <br /> <br />/...---1=acii'it~--~;:; <br /> <br />~.~_...."'- <br /> <br />EX~L-"'ErYe~'--'- 0 No <br /> <br />Facility Account <br /> <br />Facility Total <br /> <br />How Determined <br /> <br />Total Amount <br /> <br />RESOURCE FEE 0, ILL <br />TOTAL AMOUNT 0 + <br /> <br />Prepared By ..c;;; . U h .'/2 ?a-'Jt/.. Checked By <br /> <br />ERU <br /> <br />NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br />PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br />BEEN PAID AND <br />RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY <br /> <br />Acknowledgement below does not imply acceptance of concurrence, but simply receipt of a copy of this form, placing <br />the building permit owner on notice of this assessment and the conditions of payment for same. <br /> <br />DATE <br /> <br />5-9 ~U)- DATE <br /> <br />/(h/~)- BY RdLL <br /> <br />RECEIPT NO, <br />