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<br /> <br />~ <br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Permit No. 3 isf' <br />Date Permitted (p ~/(.I-()c/ <br /> <br />Builder Name/Owner Name <br /> <br />1? e !~h/e M: <br /> <br />Control # <br /> <br />County Parcel No. <br /> <br />SubDiv: <br /> <br />Address/Location (; 75 3 O~ ~ Way <br />Classification/Type of US(jl :'\:, '^~ r4 ct._J.)'~J <br />TRANSPORTATION IMPACT FEE Rate: Sq Ft Unit: <br />Exempt 0 Yes ~ How Determined <br />Impact Fee Amount $ / S &-8" . ~ Zone No. TAZ: <br /> <br />SCHOOL IMPACT FEE <br />Account (056) Single-Family Detached House <br />(057) Mobile Home <br />(058) Other Residential <br />J:) 23) C.Q!Jeptlon Fee <br />Exempt U Yes [MNo How Determined <br /> <br />Amount $ <br /> <br />4 (../7. L{ , 1!><-:2- <br /> <br />PARKS AND RECREATION FEE <br />Land Account Land Credit <br /> <br />Land Total <br /> <br />_.- <br /> <br />Recreation Account <br /> <br /> <br /> <br />Recreation Total <br /> <br />Zone <br /> <br />TOTAL AMOUNT <br /> <br />$ <br /> <br />DNo <br /> <br />How Determined <br /> <br />LIBRARY FEE <br />Land Account <br /> <br /> Land Credit and Total <br /> Facility Credit Facility Total <br />DNo How Determined Total Amount <br /> ~ ERU <br /> . <br /> <br /> <br /> <br />Facility Account <br /> <br />SOURCE FEE <br />TOTAL AMOUNT <br /> <br />Prepared By <br /> <br />Checked By <br /> <br />NO CERTIFICATE OF OCCUf>>ANCY 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 th~ conditions of payment for same. <br /> <br />DATE <br />RECEIPT NO. 11~~ I <br /> <br />1\ L . J ~ r- REC~IVED BY <br />DATE ~BY JJJp <br />