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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Builder Name/Owner Name fJJ~ I J:f~ <br />County Parcel No. :3H -J-S- -;;.1-0010 -028-(90 /.-ot- ti./ 0 <br /> <br />Permit No, _.-is' 7 f..t <br />Date Permitted d - ::( v. - oi <br /> <br />Address/Location <br /> <br />3,L(S( <br />~p <br /> <br />?J~ Av~ <br />,~ <br /> <br />Control # <br />SubDiv: (d,-~ ~ -(rY>. H . H "P <br />o <br /> <br />Classification/Type of Use <br /> <br />TRANSPORTATION IMPACT FEE Rate: <br />Exempt 0 Y es ~o How Determined <br /> <br />Sq Ft Unit: <br /> <br />Impact Fee Amount ~8"O <br /> <br />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 />~12.-3) Collection Fee <br />Exempt l.0'Yes 0 No How Determined <br /> <br />Amount $ <br /> <br />PARKS AND RECREATION FEE <br />Land Account Land Credit <br /> <br />Land Total _" <br />--------.=- <br />~ Recreation Total <br />-- <br />.------ . TOTAL AMOUNT ._~ <br /> <br />-- ~."",.----"--- <br /> <br />Exe~~.~.._."_8Y~~ 0 No <br /> <br />Recreation Account <br /> <br />Zone <br /> <br />How Determined <br /> <br />."..-" <br />LIBRARY FEE <br />L'and Account <br /> <br />Land Credit ----::Land Total <br />~ Facility Total <br />-- <br />-- <br />Exe~Q1----'E:TYes 0 No <br /> <br />_.---~----"''''' <br /><:-- <br /> <br />Facility Account <br /> <br />---------- <br /> <br />How Determined <br /> <br />Total Amount <br /> <br />RESOURCE FEE <br />TOTAL AMOUNT <br /> <br />ERU <br /> <br />Prepared By -K.~ .~ <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 ( /; d?l7 RECEIV <br />RECEIPT NO. w2t J BbPOATE ~BY <br /> <br />