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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />( i:u.ilder NameLoWner Name tJot?L OnJ~ Control # <br />County Parcel No. 0.;2 -.;1~-O'LI- O~aD--oot)2Jo-~oSubDiv: G~~L <br /> <br />Permit No. :2 ..5--/; <br />Date Permitted /I//~/{)~ <br />. <br /> <br />Address/Location <br /> <br /> <br />Classification/Type of Use <br /> <br />TRANSPORTATION IMPACT FEE Rate: <br />Exempt 0 Yes ~OwDetermlned_ <br /> <br />Impact Fee Amount $ <br /> <br /> <br />Zone No. <br /> <br />TAZ: <br /> <br />SCHOOL IMPACT FEE <br />Account (056) Slngle~Famlly Detached House <br />(057) Mobile Home <br />(058) Other Residential <br />JJ23) C~~ion Fee <br />Exempt LJ Yes ~ No How Determined <br /> <br />Amount $ <br /> <br />I. ~7f ~ <br /> <br />, <br /> <br />PARKS AND RECREATION FEE <br />Land Account Land Credit <br /> <br />l.and Total <br /> <br />,-Re'Cr'eation Credit <br /> <br />Recreation Account <br /> <br />Zone _---.--- <br />~~...-"- <br />..~." <br />,..- <br />.3eJ.l1Pf/" 0 Yes 0 No <br /> <br />LIBRARY FEE <br />Land Account <br /> <br />Recreation Total <br /> <br />TOTAL AMOUNT $ <br /> <br />How Determined <br /> <br />Land Credit <br /> <br />Land Total <br /> <br />Facility Account <br /> <br />Facility Credit <br /> <br />Facility Total <br /> <br />Exempt 0 Yes 0 No <br />RESOURCE FEE <br />TOTAL AMOUNT <br /> <br />How Determined <br /> <br />Total Amount <br /> <br />48~1 <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 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 />DATE RECEIVED BY <br />RECEIPT NO. (,;'fld IODATE 3~3-- O'-f. BY 'W L).). 6 '" "--. <br />