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<br /> <br />.-----' <br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Permit No. J ( fJ '/3 <br />Date Perm~d ) I-~~ -0 -:). <br /> <br />Builder Name/Owner Name ~ ~1'YD'-"-1 (~~~Ol # _ <br /> <br />County Parcel No. 3-I~d5-;:) 1-0 I'Ll, '-rxx:cv-d:gU~DiV: . (}r:t{(- ei./YL.' <br /> <br />Address/Location S7 ...,.-~; t ~ ..i / /fa /I_A/1/nF~.Y <br /> <br />ClassiflcatlonlType of Use <br /> <br />TRANSPORTATION IMPACT FEE <br /> <br />Rate: <br /> <br />Sq Ft Unit: <br /> <br />Exempt 0 Yes 0 No <br /> <br />How Determined <br /> <br />Impact Fee Amount $ <br /> <br />Zone No_ <br /> <br />TAZ: <br /> <br />SCHOOL IMPACT FEE <br /> <br />Exempt <br /> <br />(056) <br />(057) <br />(058) <br />.-D 23) <br />UYes <br /> <br />Single-Family Detached House <br />Mobile Home <br />Other Residential <br />Collection Fee <br />o No How Determined <br /> <br />Amount <br /> <br />$ <br /> <br />Account <br /> <br />PARKS AND RECREATION FEE <br />Land Account Land Credit <br /> <br />Land Total <br /> <br />Recreation Account <br /> <br />Recreation Credit Recreation Total <br /> <br />Zone <br /> <br />TOTAL AMOUNT $ <br /> <br />Exempt 0 Yes 0 No <br /> <br />How Determined <br /> <br />LIBRARY FEE <br />Land Account <br /> <br />Land Credit <br /> <br />Land Total <br /> <br />Facility Account <br /> <br />Facility Credit <br /> <br />Facility Total <br /> <br />Exempt 0 Yes D No <br /> <br />How Determined <br /> <br />Total Amount <br /> <br />RESOURCE FEE <br />TOTAL AMOUNT <br /> <br />3S: 0 8' <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 at a copy af this form. placing <br />the building permit owner on notice of this assessment and the ccnditions of payment for same. <br /> <br />DATE <br /> <br />o ~ ~~ 7 , <br /> <br />S/1&) BY REC~~ <br /> <br />RECEIPT NO, <br /> <br />DATE <br />