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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />. " Permit No. . ~:50 . <br />Date Permitted 0/ !2 ~/ () 3 <br />. ~~~%wner Name5{;-t141g: < ~ l;fcij~ontro' # . ' <br />County Parcel No. -Sd:/~..'J.:2 D?.o -~" "Vtno SubDlv: ~~>>J;' <br />Address/Location -S.7-Y.2r? ~.ea~ ~ <br />Classification/Type of Use ~/} ~ -W~ <br /> <br />TRANSPORTATION IMPACT FEE <br /> <br />Rate: <br /> <br />Sq Ft Unit: <br /> <br />Exempt 0 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 />\ rJV3) Collection Fee <br />Exempt ~Yes fJ No How Determine <br /> <br />PARKS AND RECREATION FEE <br />Land Account Land Credit <br /> <br />Amount $ __.__~_ <br /> <br />~ <br /> <br /> <br />Land Total <br /> <br />Recreation Account <br /> <br />Recreation Credit <br /> <br />Recreation Total <br /> <br />Zone <br /> <br />TOTAL AMOUNT $ <br /> <br />Exempt [] Yes 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 Account Facility Credit <br />--...---- -- <br /> <br />Facility Total <br /> <br />Exempt [] Yes 0 No <br /> <br />How Determined <br /> <br />Total Amount <br /> <br />RESOURCE FEE <br />TOTAL AMOUNT <br /> <br />55~ <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 />AGlmowledgement below does not Imply acceptance 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 />RECEIPT NO. ((fyq eel DATE <br /> <br />/I !~ JiG <br /> <br />r / <br /> <br /> <br />DATE <br /> <br />BY <br />