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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Permit No. ( C](18' <br />Date Permitted 1_1_- J ItJ-D.3 <br />Builder Name/Owner Name ~\ \'>"L<" C"'\,~t'II,,(~ Control # __.......__ <br />County Parcel No, .~lLl_S'<L_(~li-.~(:''''('()~'oQ.':J2.C) () __ SubDiv: _____,.____.__,. <br />Address/Localion ...3..~..b1J~..J" ,eel' l ) (;""'''N It cA :'G__ __...._....._ <br />Classificatlon/Type of Use -~; .. ;'il' r"I1t:J~I":"J ~lt(75 <br />TRANSPORTATION IMPACT FEE Rate: Sq Ft Unit: <br /> <br />Exempt [J Yes o-N~ <br /> <br />How Determined <br /> <br />-------_._-------...~-._--_._--_.._---- <br /> <br />Impact Fee Amount _$ <br /> <br />Zone No. <br /> <br />TAZ: <br /> <br />- j,. <br />SCHOOL IMPACT FEE <br /> <br />--.--------.--.- <br /> <br />-- <br /> <br />...._......~- <br /> <br />Account <br /> <br />(056) <br />(057) <br />(058) <br />1,123 ) <br />r_J Yes <br /> <br />Single-Family Detached House <br />Mobile Home <br />Other Residential <br />Collec;tion Fee <br />GlNo How Determined <br /> <br />Amount <br /> <br />$ <br /> <br />--._--------_._~-._,.__._--_.__.. <br /> <br />-.~---__.c_.__ <br /> <br />Exempt <br /> <br />.---------- <br /> <br />PARKS AND RECREATION FEE <br />Land Account Land Credlt__'l.and Total <br />--------------- ~-- <br /> <br />Recreation Account <br /> <br />---_._------~--- <br /> <br />/ Recreation Credit Recreation Total <br /> <br />Zone /.,.- <br />-----::.~-- <br /> <br />Exenwt CJ Yes 0 No <br /> <br />TOTAL AMOUNT .~___________ <br /> <br />How Determined <br /> <br />._-_.__.~----._---,_...._.- <br /> <br />LIBRRAYFEE ~-----'-~_ <br />Land Account ___.____..____-::::~-La-nd Credit <br /> <br />--- <br /> <br />Land Total <br /> <br />Facility Acc?unt:.=-=-___ Facility Credit .. <br /> <br />---------.-- <br /> <br />Facility Total <br /> <br />,_6xefnpt 0 Yes 0 No <br /> <br />How Determined <br /> <br />Total Amount <br /> <br />RESOURCE FEE <br />TOTAL AMOUNT <br /> <br />\ ] - QQ <br />--l.~~__..____ <br /> <br />ERU <br /> <br />--.........._-~_..----.__u..__ ---"J- "'..__ ~~__..c.~__ _ <br /> <br />-- <br /> <br />Prepared By __.__._____________._ Checked By <br /> <br />------~-----_.~.__. <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 slrnply receipt of a copy of this form, plaGing <br />the building permit owner on notice of this assessment and the conditions of payment for same. <br /> <br />DATE <br /> <br />RECEIVED BY <br /> <br />RECEIPT NO, DATE BY <br /> <br />---- ---- --'.----------.-.-------.---- <br />