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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Permit No. /8&(,; <br />Date Permitted ',;2 -~ '/- O? <br /> <br />Builder Name/Owner Name '!)/4t1/CPd- ('~ C.~~Control # <br /> <br />County Parcel No. ~S :2t;, -.2/- 02t7t) -COQ::b _ 057'0 <br /> <br />SubDiv: <br /> <br />Address/Location -1-<15 ( (; ~ bvr- <br /> <br />~ <br /> <br />ClassificationHype of Use <br /> <br />SFD <br /> <br />TRANSPORTATION IMPACT FEE <br /> <br />Rate: <br /> <br />Sq Ft Unit: <br /> <br />Exempt [] Yes W How Determined <br />Irnpact Fee Amount $ 1/ Y ~O ~1!::E-- Zone No. <br /> <br />TAZ: <br /> <br />SCHOOL IMPACT FEE <br />Account (056) Single-Family Detached House <br />(057) Mobile Home <br />(058) Other Residential <br />..023) C~ecti~ee <br />Exempt [J Yes l_~ How Determined <br /> <br />$ / /-o-r./'~- <br />Amount --_.I..;.-.Y~--_._-__. <br /> <br />PARKS AND RECREATION FEE <br />Land Account Land Credit <br /> <br />Land Total <br /> <br /> <br />Recreation Account <br /> <br />Zone <br /> <br />Recreatio~ <br />--------- TOTAL AMOUNT <br />---- <br />---- <br />-- <br />Exempt ~--LJ No <br />~ <br />LIBRARY FEE <br />Land Account <br /> <br /> <br />~------_._-- <br /> <br />How Determined <br /> <br />Land Credit <br /> <br /> <br />Facility Account Facilit <br />------- <br /> <br />_______ Facility Total <br /> <br /> <br />How Determined <br /> <br />Total Amount <br /> <br />RESOURCE FEE <br />TOTAL AMOUNT <br /> <br />__.d_7 _J!{ <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 />Ad;nowledgernent below does not Imply acceptance of concurrence, but slrnply 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 />---~.._--~----------_._------ <br /> <br />DATE I, I, / l .., RECEIVED BY <br />RECEIPT NO. ;d111tf_ DATE ~ BY ~%(!A'- <br />