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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />~owner Name ~~ ~ Control # <br />County Parcel No. .1 Jj- ;;~-::J 1- 0 I 00- {)OJ'tJzr oo/Pu SubDiv: <br />Address/Location cS. -76.3 3 '7J~A""/;/-'4)r{),j} <br />Classification/Type of Use ~L; 1/ v/fLG- <br />TRANSPORTATION IMPACT F E ././~ <br />Exempt lJ-'fe; 0 No Howyeterrrlnfid(W <br />Impact Fee Amount $ L ______~ <br /> <br />Permit No. <br />Date Permitted <br /> <br />1/7.!;;- <br />7'- 19-07 <br /> <br />1-(3z- <br /> <br />Sq Ft Unit: <br /> <br />TAZ: <br /> <br />SCHOOL IMPACT FEE <br />Account (056) Single-Family Detached House <br />(057) Mobile Home ____ <br />8 Other Residential -----=' <br />\C~ on ee---- <br />Yes ~. No How Determined <br /> <br />Amount $ <br /> <br /> <br />. 7~~' v~ <br /> <br />Exempt <br /> <br />PARKS AND RECREATION FEE <br />Land Account Land Credit <br /> <br />Land Total <br /> <br />Recreation Account <br /> <br />Recreation Credit ~ecreationfotal <br />'=--=---=TOTAL AMOUNT $ <br /> <br />Zone <br /> <br /> <br />How Determined <br /> <br />LIBRARY FEE <br />L:and Account <br /> <br />Facility Account <br /> <br /> <br />Land Total <br /> <br /> <br />Facility Credit <br /> <br />Facility Total <br /> <br />Exempt [] Yes 0 No <br /> <br />RESOURCE FEE <br />TOTAL AMOUNT <br /> <br />How Determined <br /> <br />Total Amount <br /> <br />tj, 3 tl.;;P'" --t:. ~. I tJ-- '3 tr l) .z- <br /> <br />ERU <br /> <br />Prepared By <br /> <br />Checked By <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 />RECEIVED BY <br /> <br />RECEIPT NO. <br /> <br />DATE <br /> <br />BY <br />