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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />1 <br />(\" ~ ~ C..d" ,.j <br />Builder Name/Owner Name ~W.~/U I ;;-L-I ~\1.\ vll/L050"~ontrol # <br />County Parcel No.O}_-=-~?- ~(-Orio - CF...DOC; - Oi a. 0 SubDiv: ~r::; (LVU- 04~ <br />Add ress/Location b$L-LA.0~l L.u.;(.),2~ h~ 20f4 Y l.{J.. I w.., '>,. ~ r=c . 3> 3 S '1 a... <br />ClassificationlType of Use &s.l~ t.oJT\ A.L <br /> <br />Permit No. O!U 8,~ <br />Date Permitted ~- tJI-rJ"f <br /> <br />TRANSPORTATION IMPACT FEE <br /> <br />Rate: <br /> <br />Sq Ft Unit: <br /> <br />Exempt [J Yes 0 No <br /> <br />How Determined <br /> <br />Impact Fee Amount $ <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 />J.:123) Collection Fee <br />Exempt LJ Yes 0 No How Determined <br /> <br />Amount $ <br /> <br />---_._---~--_._- <br /> <br />PARKS AND RECREATION FEE <br />Land Account Land Credit <br /> <br />Land Total <br /> <br />Recreation Account <br /> <br />Recreation Credit Recreation Total <br /> <br />Zone <br /> <br />TOTAL AMOUNT $ <br /> <br />Exempt DYes 0 No <br /> <br />How Determined <br /> <br />LIBRARY FEE <br />Land Account <br /> <br />Land Credit <br /> <br />Land Total <br /> <br />--.----- <br /> <br />Facility ACGOunt ___ <br /> <br />Facility Credit <br /> <br />Facility Total <br /> <br />Exempt [] Yes 0 No <br /> <br />How Determined <br /> <br />RESOURCE FEE <br />TOTAL AMOUNT <br /> <br /> <br />Total Amount <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 not Imply accepta"r.8 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 />--_..,------- <br /> <br />DATE <br />RECEIPT NO. fr; "?J;0 DATE <br /> <br />-~ <br /> <br /> <br />~t/oy BY REC~ <br /> <br />-- <br />