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<br />". <br /> <br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Builder Name/Owner Name G)\a,u;L(J ~ " ATV\. <br />"0 <br />County Parcel No. ;34 -;t$' :2y1- 0010 - 01)1 go <br /> <br />Address/Location 3 7 it:2 t/ N~ ;/V-<. <br /> <br />Permit No. ,':2 .=3':; 0 <br />Date Permitted _ q~If-C? ~ <br /> <br />Control # <br />SubDlv: €?'f'14 W.J2I1~'r1'i ~~ <br /> <br />Classificatlon/Type of Use <br /> <br />TRANSPORTATION IMPACT FEE Rate: <br />Exempt [] Yes ~ How Determined <br /> <br />Sq Ft Unit: <br /> <br />Impact Fee Amount $ <br /> <br />J'IrO <br /> <br />o-~ <br /> <br />------ <br /> <br />Zone No, <br /> <br />TAZ: <br /> <br />.SCHOOL IMPACT FEE <br />Account (056) Single-Family Detached HOllse <br />(057) Mobile Horne <br />(058) Other Residential <br />,J.:l * Collection Fee <br />Exernpt L.J'Yes fJ No How Determined <br /> <br />Amollnt <br /> <br />$ <br /> <br />------------ <br /> <br />PARKS AND RECREATION FEE <br />Land Account Land Credit Land <br /> <br />Zone <br /> <br /> <br /> <br />-------.- <br /> <br />Recreation Account <br /> <br />Recreation Total <br /> <br />TOTAL AMOUNT $ <br /> <br />Exem <br /> <br />[] No <br /> <br />How Determined <br /> <br />'-"""" <br /> <br />"LIBRARY FEE <br />Land Account <br /> <br />------- <br /> <br />Land Credit ____ <br />.i' ___ <br /> <br />Land Total <br /> <br />Facility Account _.___ <br /> <br /> <br />Facility Total <br /> <br />DNa <br /> <br />How Determined <br /> <br />Total Amount <br /> <br />RESOUR'CE FEE <br />TOTAL AMOUNT <br /> <br />\ ~ ,C\S <br />, <br /> <br />ERU <br /> <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 />below does not Imply acceptance of concurrence, but simply receipt of a copy of this form, placing <br />bUilding permit owner on notice of this assessment and the conditions of payment for same, <br /> <br />RECEIVED BY <br /> <br />:q~~JPT NO, ~(oq-, <br /> <br />DATE <br /> <br />q -;;ld-Q3 BY ~U~.~_ <br />