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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Permit No. ~ II/S--o <br />Date Permitted ~ -;JQ -0'1 <br /> <br />ame/OWner NamL)!/JM" CL1A<fAJY2 9'1C Control # <br /> <br />, ty Parcel No. t) ~- ..2.1,,-:lI-/J/:tJ- /JI?Oa) -O~-j"O SubDlv: <br /> <br />~,""IU".'on htJ~tJ~ <br /> <br />i~JaSslflcatlOnlTYpe of Use .... ~ ..... <br /> <br />TRANSPORTATION IMPACT FEE. Rate: <br /> <br />Exempt 0 Yes ~NO How Det~ln8d <br /> <br />Imp." Foe AmounO $ I, ,2""lf .I ~4l'"'. No. <br /> <br />SCHOOL IMPACT FEE <br />Account (O~~) _ . Single-Famitv Detached House <br />C\li57} MQ~II~ ':l~.mI <J~-O if <br />--{Q6&T.--otIiel Realden~> ~5 <br />.-023} ~cllon Fee ( <br />Exempt U Yes 1KI. No How Determined <br /> <br />PARKS AND RECREATION FEE <br />Land Account Land Credit <br /> <br />7~+ <br /> <br />Sq Ft Unit: <br /> <br />TAZ: <br /> <br />Amount <br /> <br />$ <br /> <br />t,,'1 <br /> <br />Land Total <br /> <br />Recreation Account <br /> <br />Recreation Credit Recreation Total <br /> <br />Zone <br /> <br />TOTAL AMOUNT $ <br /> <br />Exempt 0 Yes 0 No <br /> <br />LIBRARY FEE <br />Land Account <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 /> <br />How Determined <br /> <br />Totll Amount <br /> <br />RESOURCE FEE <br />TOTALt\OUNT <br />\\ <br /> <br />\'\l\L\ <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 AMO~NTS USTED HAVE <br />BEEN PAID AND <br />RECI!IPTED FOR BY A CENTRAL PERMITTING OFFICI! OF PASCO COUNTY <br /> <br />ACknowledgement below doee nollmply acceptance of conCllr"n~, but simply recelpt 011 copy of thla form, placlng <br />the building permit owner on noll~ of this Is....mentll'\d lhll condltlol\l of payment for IlIme. <br /> <br />DATE <br />RECEIPT NO. <br /> <br />RECEIVED BY <br />':\ -4 \ W;:.f::':IJA TE <:6 - \ \) ~Ltsy 'C) \ :::J. ~ ~ A- --' <br />