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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Builder Name/Owner Name J3 (\ -a: \"f:1~ I d )lllI-g <br />County Parcel No. :3 4 . J 5'., ;) I~ (J ell o"() ;).l{(l{l- J f';So <br /> <br />Permit No. -1 tJ7' ~ ')-.. <br />Date Permitted / l~). 7 . ('fA <br /> <br />Control # <br /> <br />Address/Location , ') '7 S' 3 .:;' J 11 '1. . to <br />" <br /> <br />ClassificationlType of Use lIlt, I} I / {'-' <br /> <br />"'" Cl <br /> <br />/.-1", e <br /> <br />() , <br />SubDiv: l':')fYI H II f,~~ ~ () V\."S' <br /> <br />f..I (\ fH~, <br /> <br />TRANSPORTATION IMPACT FEE <br /> <br />Rate: <br /> <br />Sq Ft Unit: <br /> <br />Exempt 0 Yes 1ZI No How Determined <br /> <br />Impact Fee Amount $ ~ 48{> Zone No. T AZ: <br /> <br />SCHOOL IMPACT FEE A <br />Account (056) Single-Family Detached House Amount $ 1/ 1-1, <br />(057) Mobile Home <br />(058) Other Residential <br />.J)23) Collection Fee <br />Exempt ~ Yes 0 No How Determined <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 0 No <br /> <br />How Determined <br /> <br />Total Amount <br /> <br />RESOURCE FEE <br />TOTAL AMOUNT <br /> <br />ERU <br /> <br />~-.~ '. ("--") <br />Prepared B~ . ~ /.-<:../\..) 'h <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 />RECEIPT NO. <br /> <br />RECEIVED BY <br /> <br />DATE <br /> <br />BY <br /> <br />i, ,j' r <br /> <br />J j <br />.r, 'I \ <br /> <br />_! J <br /> <br />, ..., ,-,-- <br /> <br />;' / ""j <br />: , t L <br /> <br />t{ ~ <br /> <br />,,\<;1 f lv' <br />