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<br /> <br />Permit No. <br />Date Permitted <br /> <br />r Na!ll~/owner Name ~,v:";1'//,? )1/1!--:5.i/(p Control # <br /> <br />/4/- ;1.'''- ~/- :;'~0D -OC'c.'t.f)[; -//'~5USubDiv: <br />~ "'. .,..,,., .~ - / . ~f j <br />~ :( -:;.J ~ /1 ~~c..~ l '/ //1 .. <br />- . <br />'-------"/'"}~! '" ~. / <br />Classification/Type of Use / //~..b; yx~ <br /> <br />J COUNTY, FLORIDA <br /> <br />,;, t" ~ <- <br />.--,<. v -='_) <br />~/ '31' /.c~ <br />'I / <br /> <br />/) . ' , <br />" l /'/.i-ljlL/~~ 0~~ <br />-f <br />/ <br /> <br />~ <br /> <br />TRANSPORTATION IMPACT FEE Rate: <br />Exernpt 0 Yes 121 No How Determined <br /> <br />Impact Fee Amount $ <br /> <br />SCHOOL IMPACT FEE <br /> <br />Account <br /> <br />(056) <br />(057) <br />(058) <br />1:123) <br />[.J Yes <br /> <br />Sq Ft Unit: <br /> <br />E)<empt <br /> <br />C;L/~~ <br />,~,' ; <br />'/""'0 Jl jj./-:2'I.r.~ <br />/..' . 'f' ",,- -'---, <br />,/,' .. <br /> <br />Zone No. <br /> <br />TAZ: <br /> <br />= <br /> <br />Single-Family Detached House Amount <br />Mobile Home <br />Other Residential /lc.1.... I"", / j ~ <br />Col/ection Fee I JI/.7 ~ <br />1ST No How Determirred .. ' <br /> <br />$ <br /> <br />1. ' /2.. /'""'7'. -- <br />j ,... '/ <br />.r " :; , <br /> <br />PARKS AND RECREATION FEE <br />Land Account Land Credit <br /> <br />Recreation Account <br /> <br />Zone <br /> <br />Exempt <br /> <br /> <br />Land Total <br /> <br />LIBRARY FEE <br />Land Account <br /> <br /> <br />Recreation Total <br /> <br />TOTAL AMOUNT <br /> <br />$ <br /> <br />DNa <br /> <br />How Determined <br /> <br /> <br />Land Total <br /> <br />Facility Account <br />-------- <br />~ DYes DNa <br /> <br />Facility Credit <br /> <br />Facility Total <br /> <br />How Determined <br /> <br />Total Amount <br /> <br />RESOURCE FEE <br />TOTAL AMOUNT 2;L. g 7 <br /> <br />Prepared By <br /> <br />ERU <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 bt::low does not imply acceptance of concurrence, but simply receipt of a copy ot th;::> torm. olacinn <br />thl:! buildina oermil mAlnAr r-.n n^H~" ... +l-.:~ ~_ _ _ <br />