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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />. .-" <br /> <br />Permit No. ~ 'I S-~ <br />Date Permitted <br /> <br />Builder Name/Owner Name rJ, fI, 'J) " <br />County Parcel No. 0:;'::1/;- ~/-O:J7tJ-()otJ()cr OC) /0 <br /> <br />Control # <br />SubDlv: O~ ,It<,';t>~ <br /> <br />" <br /> <br />Classification/TyPe of Us~ <br /> <br /> <br />Address/Location <br /> <br />TRANSPORTATION IMPACT FEE <br />Exempt 0 Yes ~ No How Determined <br />Impact Fee AmoLll1t $ Zone No., <br /> <br />TAZ: <br /> <br />.SCHOOL IMPACT FEE <br />Account (056) Single-Family Detached HOllse <br />(057) Mobile Home <br />(058) Other Residential <br />~ ~./'Coliebtlon Fee <br />Exempt llJ"Yes 0 No How Determined <br /> <br />PARKS AND RECREATION' FEE <br />Land Account Land Credit <br /> <br />Amount <br /> <br />$-~~ <br />)< <br />/ "'"... <br /> <br />........ <br /> <br />Land Total <br /> <br />Recreation Account <br /> <br />Recreation Credit Recreation Total <br /> <br />Zone <br /> <br />TOTAL AMOUNT $ <br /> <br />Exempt 0 Yes 0 No <br /> <br />LIBRARY FEE <br />Land Accounl , <br /> <br />How Determined <br /> <br />Land Credit <br /> <br />I <br />Facility Account <br /> <br />Land Total <br /> <br />----.... <br /> <br />Facility Credit <br />o No How Determined <br /> <br />G L1J ~Ll(g~ <br /> <br />Facility Total <br /> <br />Exempt DYes <br /> <br />Total Amount <br /> <br />RESOURCE FEE <br />TOTAL. AMOUNT <br /> <br />ERU <br /> <br />~ <br /> <br />Prepared By <br /> <br />Checl<ed By <br /> <br />NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br />PERPORMED UNTIL THE TOTAL AMO~NTS LISTED HAVE <br />BEEN PAID AND <br />RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY <br /> <br />Acl<nowledgement beloW does not Imply acceplance of concurrence, but simply receipt of a copy of this form, placIng <br />Ihe building permit owner on notice of this assessment and the. condllJons of payment for same. <br />I <br /> <br />DATE RE~~ <br />RECEIPT NO, ~'lS DArE .3 J2~/1J-./ BY ~ ~ _ <br /> <br />~ <br />