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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Permit No. 36 3 ~ <br />Date Permitted r5 - 3.- 0 'f <br /> <br />Builder Name/Owner Name 7<DCJ)l< un V\ ev- ~ Lvbe... Control # <br />.010 <br />County Parcel No. () -:<, & - ? ( -0000- OO(Poo ~ D SubDiv: <br /> <br />Address/Location O'i)D 2> i N () K~ Ii v Q. . <br />~Yv\ YN-.-V~...p <br />ClassificationlType of Us~ 0 \ \ .~ L \Jbe. C.il1-rDr <br /> <br />TRANSPORTATION IMPACT FEE Rate: <br /> <br />Exempt D Yes ~o How Determined <br /> <br />Sq Ft Unit: <br /> <br />4 5DD <br />I <br /> <br />Impact Fee Amount $ <br /> <br />15 I t 3~' 00 <br /> <br />I <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 />.J:l)8) Collection Fee <br />Exempt L:1 Yes 0 No How Determined <br /> <br />Amount $ <br /> <br />PARKS AND RECREATION FEE <br />Land Account Land Credit <br /> <br />Land Total <br /> <br />Zone <br /> <br /> <br />Recr <br /> <br /> <br />Recreation Account <br /> <br />Recreation Total <br /> <br /> <br />TOTAL AMOUNT $ <br /> <br />DNo <br /> <br />How Determined <br /> <br />LIBRARY FEE <br />Land Account <br /> <br />Land Credit <br /> <br />Land Total <br /> <br />Facility Account <br /> <br /> <br />Facility Total <br /> <br />How Determined <br /> <br />Total Amount <br /> <br />RESOURCE FEE <br />TOTAL AMOUNT <br />@l ~ \2S <br /> <br />Prepared By <br /> <br />~ !.\ .C\ 4:l <br /> <br />ERU <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 <br /> <br />RECEIVED BY <br /> <br />RECEIPT NO. '1'1 ( <1 I d DATE l~ - ~ ~QLj BY <br /> <br />o Ld.O~ <br />