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<br /> <br />o { ! (j Cf> <br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Permit No. __.-d.17 S <br />Date Permitted <br /> <br />Builder Name/Owner Name VI) v I tI J6 A h50h <br /> <br />Control # <br /> <br />County Parcel No. ______ ____ SubDiv: _____ ___.______._. <br />Address/Location __~ rz--~~f } k~* 3 ._________ <br />bassification/Type of Use _~~1~ _~~_____________________ <br />TRANSPORTATION IMPACT FEE Rate: Sq Ft Unit: <br />Exempt [J Yes ~ How Determined <br />$ I,Ct:N;::-.. Oi'.__ Zone No. <br />Impact Fee Amount v() 0 <br /> <br />TAZ: <br /> <br />SCHOOL IMPACT FEE <br />Account (056) Single-Family Detached House <br />(05?) Mobile Horne <br />(058) Other Residential <br />.023) C2l!e~ Fee <br />Exempt [J Yes f_fNo How Determined <br /> <br />Amount $ ---.---~i5t...____ <br /> <br />.PARKS AND RECREATION FEE <br />Land Account Land Credit <br /> <br />Recreation Account <br /> <br /> <br />----.------.--- <br /> <br />Recreation Total <br /> <br />.tone <br /> <br />TOTAL AMOUNT <br /> <br />$ <br /> <br />Exempt <br />-=--- <br />liBRARY FEE <br />land Account <br /> <br />How Determined <br /> <br />L.and Credit <br /> <br /> <br /> <br />------------- <br /> <br />Facility Total <br /> <br />No <br /> <br />How Determined <br /> <br />Total Amount <br /> <br />ERU <br /> <br />Prepared By ________________ Checked By <br /> <br />---------_.._---_..~- <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 concurrenc6, 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 />MTE--------------- <br />!RECEIPT NO. 726 <j&,L{ATE <br /> <br />}t RECEIV <br />& /25 Y <br /> <br />I I -- <br /> <br /> <br />---- <br />