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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Permit No~ :<. 7/ ~ <br />Date Permitted <br /> <br />Builder Name/Owner Name (j,~ ~ ~ ~. Control # <br /> <br />County Parcel No. <br /> <br />SubDlv: <br /> <br />Address/Location 19-}.'iY ~~~ dr. <br />Classlftcatlonrrype o;use :5;,,; ~ . 4 ~ <br /> <br />TRANSPORTATION IMPACT FEE <br /> <br />Rate: <br /> <br />Sq Ft Unit: <br /> <br />Exempt 0 Yes QrNo How Determined <br /> <br /> <br />Impact Fee Amount $ 5 37~ / 3 Zone No. <br /> <br /> <br />SCi-IOOL iMPACT FEE <br /> <br />. TAZ: <br /> <br />. -..-.......-.. <br /> <br />Account <br /> <br />Exempt <br /> <br />(056) <br />(057) <br />(058) <br />rJJ~.. <br />UYes <br /> <br />Slngle~Famlly Detached House <br />Mobile Home <br />Other Residential <br />Collection Fee <br />o No How Determined <br /> <br />Amount <br /> <br />$ <br /> <br />PARkSANDRECREATION FEE <br />Land Account Land Credit <br /> <br />Recreation Account <br /> <br /> <br /> <br />Recreation Total <br /> <br />Zone ~/~~ <br />~~.~ <br />~JlfJf [I Yes <br /> <br />iJBRARYFEE"-- <br />Land Account <br /> <br />TOTAL AMOUNT ~_. <br /> <br />o No <br /> <br />How Determined <br /> <br />_L~ <br /> <br />Facility Credit <br /> <br />~.. <br /> <br />-- <br /> <br />Land Total <br /> <br />FaGllity Account <br />Exemp~ s <br />os..- <br />~ """"'-- ~_.... ...; <br />RESOURCE FEE <br />TOTAL AMOUNT <br />-~--.l..'L~..._,-__ <br /> <br /> <br />Facility Total <br /> <br />. How Determined <br /> <br />Total Amount <br /> <br />\~~L\tJ <br /> <br />ERU <br /> <br />1 <br /> <br />Prepared By <br /> <br />Checl<ed By <br /> <br />NO CERTIFICATE OF OCCUf'iANCY 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 -- <br /> <br />HECEIVED BY <br /> <br />~ECEIPTNO. ~diS _ DATE <\-\-O~ BY D'\l~~ _ <br />