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<br />;, <br /> <br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Builder Name/Owner Name 1/11 ~Jt...e. /l1/l41t1 <br /> <br />Permit No. /1 g- / <br />Date Permitted Lj-7 - f) 3 <br /> <br />Control # <br /> <br />County Parcel No. J!i - u.~ -J (- 00(0 ~()3~oo __ OO? 0 SubDiv: <br />Address/Location L[ 1 J I'J P Jv I'\A. S y. <br />ClasslflcallonfTypeofUse 51~~ f~ r:tM~ <br />TRANSPORTATION IMPACT FEE Rate: Sq Ft Unit: <br />Exernpt [J Y es ~o How Determined <br /> <br />Impact Fee Amount $ <br /> <br />I ( LifO <br /> <br />Zone No, <br /> <br />TAZ: <br /> <br />SCHOOL IMPACT FEE <br />Account (056) Single-Family Detached HOllse <br />(057) Mobile Home <br />(058) Other Residential <br />J) 23) C2!!e9R6n Fee <br />Exempt [_.I Yes f._dMo How Determined <br /> <br />Amollnt <br /> <br />. <br /> <br /> <br />$ __iL~J!L_.~____ <br /> <br />PARKS AND RECREATION FEE <br />Land Account Land Credit <br /> <br />Land Total <br /> <br />Recreation Account <br /> <br /> <br />ecreation Total <br /> <br />Zone <br /> <br /> <br />TOTAL AMOUNT -L______.__ <br /> <br />How Determined <br /> <br />Land Credit Land T <br /> <br />Facility Account <br /> <br /> <br />Facility Total <br /> <br />&xemPt [J Yes [] No <br /> <br />How Determined <br /> <br />Total Amount <br /> <br />-- <br />RESOURCE FEE <br />TOTAL AMOUNT _ \ t Q \ '\3 <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 110t Imply acceptance of concurrence, but simply receipt of a copy of this form, plaolng <br />the building permit owner on notice of this assessment and the conditions of payment for same. <br /> <br />-----.-~-------- <br /> <br />DATE RECEIVED BY <br />RECEIPT NO. ~C{ 'l) 1 DATE "\ - l 0- a3 BY ~~....... -: <br /> <br />