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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Builder Name~wn~LNa~.A.m1(jc.. (;214i#A <br /> <br />Permit No, /0 h 1/ <br />Date Permitted /1- --2/- fJ:L <br /> <br />Control # <br /> <br />County Parcel No. ~ g - ,;1(, - oi /- 0/:30 - DO 000- 0:2/1;) SubDiv: <br />Address/Location ~ 77.2. 2 7?.R.,,) 9~ Ci)~. <br />Classificationrrype of Use Lr/) tJ-f.J ~ ~ c./I~ _ <br /> <br />/)~A (y~ <br />/ ,. <br /> <br />TRANSPORTATION IMPACT FEE Rate: <br /> <br />Exempt 0 Yes IS<( No How ;>et~~ltne~ <br /> <br />Impact Fee Amount $ I; i./Ro f:~)- "Zone No, <br />ji<ft J:;~j9'3 <br /> <br />Sq Ft Unit: <br /> <br />TAZ: <br /> <br />SCHOOL IMPACT FEE <br />Account __,_(Q9m.__J?i~~y Detached House /J Amount <br />~!) Mobil~ !:fome=:- ~ O(JL. -z..-- <br />Other Residential 4 /, 0 <br />J.:123) ~ction Fee II L.,n;t;, 5<1 P-- <br />Exempt U Yes If(l No How DeterminedJuP] I ;J! <br /> <br />$ <br /> <br />"0/97- <br /> <br />PARKS AND RECREATION FEE <br />Land Account Land Credit <br /> <br />Recreation Account <br /> <br /> <br />Zone <br /> <br /> <br />Ion Credit Recreation Total <br /> <br />TOTAL AMOUNT $ <br /> <br />Ex <br /> <br />o No <br /> <br />How Determined <br /> <br />LIBRARY FEE <br />Land Account <br /> <br />Land Total <br /> <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 />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 ofa copy of this form, plachig <br />the building permit owner on notice of this assessment and the conditions of payment for same, <br /> <br />DATE <br />RECEIPT NO. <br /> <br />RECEIVED BY <br /> <br />DATE <br /> <br />BY <br />