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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Permit No. <br />Date Permitted <br />Builder Name/Owner Name ~~~r ~1'I\l>;t Control # <br />County Parcel No. 3q- d.-S -.J. ( -DOoO-OJ,~Oo -{)")f"O SubDiv: <br />Address/Location 315'31 -rrv~o~ Dc-k WQ- <br />Classification/Type of Use ~k '__ ~~ <br /> <br />/('1'1 <br />LJ-}t1-02 <br /> <br />TRANSPORTATION IMPACT FEE <br /> <br />Rate: <br /> <br />Sq Ft Unit: <br /> <br />Exempt ~s 0 No <br /> <br />How Determined <br /> <br />Impact Fee Amount $ <br /> <br />Zone No. <br /> <br />TAZ: <br /> <br />SCHOOL IMPACT FEE <br />Account (056) Single-Family Detached House Amount $ <br />~o Mobile Home <br />Other Residential ~ cQ.' L( -~..J "2- <br />123) C2!)esJion Fee (<.e.c...."p. ~'J.9 5"3~ <br />Exempt Yes l.L}f\Jo How Determined <br /> <br />7;(;2 . ~ <br /> <br />PARKS AND RECREATION FEE <br />Land Account Land Credit <br /> <br /> <br />Recreation Total <br /> <br />Recreation Account <br /> <br />Zone <br /> <br />TOTAL AMOUNT <br /> <br />$ <br /> <br /> <br />Yes 0 No <br /> <br />How Determined <br /> <br />LIBRARY FEE <br />Land Account <br /> <br />Land Credit <br /> <br /> <br />Facility Account <br /> <br />Facility Total <br /> <br />o No <br /> <br />How Determined <br /> <br />Total Amount <br /> <br />RESOURCE FEE <br />TOTAL AMOUNT <br /> <br />q.~3~ <br /> <br />ERU <br /> <br />Prepared By ~j;~. 7f;.M, Checked By <br />I <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. S1oC(L./& DATE .4'/~/a2 BY <br />