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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Permit No. f I 7 ~ <br />Date Permitted ty- /0; ~ ()::z.... <br /> <br />Builder Name/Owner Name ~5tLft~ j) "4#'~~contr~t # <br /> <br />County Parcel No. 3c;-,;2.:r:)..l-tJ~a;-/)tJ3JtJ - O~.ro SubDlv: <br /> <br />Address/Location l' 7 z.J9 ;1J1I'<<&1flJ /Jd t{/;r <br /> <br />Classificatlon/Type of Use ~ - ~1z,J <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 />~057 Mobile Home \1 rD2 <br />o 8 Other Residential 0~~ ~VI~.g-1;1:.- Q53& <br />J.: 3) C2!)egUon Fee ~....'- (2-0 <br />Exempt U Yes lJJ1'Jo How Determined <br /> <br />?~/2' ~ <br /> <br />PARKS AND RECREATION FEE <br />Land Account Land Credit <br /> <br />Land Total <br /> <br /> <br />Recreation Account Recreation Total <br /> <br />TOTAL AMOUNT $ <br /> <br />How Determined <br /> <br />LIBRARY FEE <br />L:and Account <br /> <br />Land Credit <br /> <br /> <br />Land Total <br /> <br />Facility Account <br /> <br /> <br />Facility Total <br /> <br />Exempt <br /> <br /> <br />o No <br /> <br />How Determined <br /> <br />Total Amount <br /> <br />/, <br />RESOURCE FEE <br />TOTAL AMOUNT <br /> <br />9.3.;)" <br /> <br />ERU <br /> <br />Prepared By y~~. ~ 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 />RECEIPT NO. .5 9tJc; t/(; DATE <br /> <br />RECEIVED BY <br />/O~tJh 2 BY <br />( t <br />