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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Permit No, ____I YI/)~.__ <br />Date Permitted / - ~7 - 0 ~ <br />C Jluilder Nam~wner N'-~""'n> '7'<LL ~ Control # _. <br />County Parcel No, ~_-:.-.25'-~-ooo 0 .~ /./CJ~1L)O SubDiv: _'______________ <br />AddrElss/LocCitlon ____ZL!L9- . ~ 4 cgt!.~/ . ______ <br />ClassiflcallollfType of Use ..__ (:;;; L.., {{.,v1,A4.A? -C . 0~ ',~ _~_ <br />TRANSPORTATION IMPACT FEE Rate: _ Sq Ft Unit: <br /> <br />Exempt [J Yes [~No How Determined ____ <br /> <br />Impact Fee Amount $~6! tJl'Z~;" Zone No, <br /> <br />SCHOOL IMPACT FEE <br />Account (056) Single-Family Detached HOLlse <br />(057) Mobile Home <br />(058) Other Residential <br />"J:l23) Collection Fee <br />Exempt ~1 Yes fJ No How Determined <br /> <br />---.----...---.----.------- <br /> <br />TAZ: <br /> <br />Amount <br /> <br />$ --t1ffL----____.__ <br /> <br />-----.------------ <br /> <br />1../ fl <br /> <br />PARKS AND RECREATION FEE . <br />Land Account Land Credit <br /> <br />Land Total <br /> <br />---.-.-- ___"'_n~.____. <br /> <br />Recreation Account <br /> <br />Recreation Credit <br /> <br />Recreation Total <br /> <br />Zone <br /> <br />TOTAL AMOUNT ,L________,_________ <br /> <br />Exempt [] Yes [] No <br /> <br />How Determined <br />------------- <br /> <br />LIBRARY FEE <br />Land Account Land Credit Land Total <br /> <br />----.-....-.---- ----- --- _.._.__.._.._~._.- "~_._'-'----,~ <br /> <br />Facility Account ___._..___,____ Facility Credit _'__,_______ FaGllity Total _______ <br /> <br />Exempt [] Yes [] No <br /> <br />How Determined Total Amount <br /> <br />----.-- ------ <br /> <br />RESOURCE FEE <br />TOTAL AMOUNT <br /> <br />I 7;J j d") _ J-'J- <br />--T...::.....-L-...-~-------- <br /> <br />ERU <br /> <br />-_._-------,-------- <br /> <br />Prepared By <br /> <br />~._-_.__._._._----~_.__._.... <br /> <br />Checl<ed By <br /> <br />..._-----_.._.__.._---~.- <br /> <br />NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br />PERFORMED UNTIL 'rHE TOTAL AMOUNTS LISTED HAVE <br />BEEN PAID AND <br />RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY <br /> <br />Aclmowledgement below does not Imply acceptance of concurrence, but simply receipt of a copy of thlt> form, placing <br />lilt! building permit owner on notlc& of this assessment and the conditions of payment for same, <br /> <br />-..-.....---.---------.------- <br /> <br />DATE <br />RECEIPT NO. 03\ )=.)~_ DATE <br /> <br />REREIVED -BY -------------, <br />/) It I /b ~ BY ()h"r~'y,,^-r <br /> <br />-'~--- -_._----------,----, <br />