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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />j ~O. g3 <br /> <br />· Address/Location <br /> <br />Builder Name/Owner Name c;J~vtJ~ ~~ /21 W II Control # <br />.10'1 q , <br />County Parcel No. 3-~.::- ~ .):- ~ 1- DOlO .c>a900 SubDiv..:-. _ , <br />37 L( -38 G.r'(( flv'€. ::> \., &"~ ;L l-14--? <br /> <br />~lo,'l't k <br /> <br />Permit No. -3 RSC; <br />. . <br />Date Permitted 7-;; 7~ ~ <br /> <br />l11 <br /> <br />Classification/Type of Use <br /> <br />TRANSPORTATION IMPACT FEE <br /> <br />Rate: <br /> <br />Exempt 0 Yes [~ <br /> <br />Sq Ft Unit: <br /> <br />How Determined <br /> <br />Impact Fee Amount $ <br /> <br />Zone No. <br /> <br />TAZ: <br /> <br />SCHOOL IMPACT FEE <br />Account (056) Single~Family Detacl1ed House <br />(057) Mobile Home <br />(058) Otl1er Residential <br />J)2~ Collection Fee <br />Exempt I.J?Y es [J No How Determined <br /> <br />Amount $ <br /> <br />---.-----.-.--.*--- <br /> <br />--- <br /> <br />PARKS AND RECREATION FEE <br />Land Account Land Cre <br /> <br /> <br />Land Total <br /> <br />Recreation Account <br /> <br />Recreation Credit <br /> <br />Recreation Total <br /> <br />Zone <br /> <br />----- <br /> <br />TOTAL AMOUNT $ <br /> <br /> <br />[J Yes [] No <br /> <br />How Determined <br /> <br />LIBRARY FEE <br />Land Account <br /> <br />Facility Account <br /> <br /> <br /> <br />Land Total <br /> <br />------- <br /> <br />Facility Credit <br /> <br />Facility Total _ <br /> <br />Exempt <br /> <br />Yes 0 No <br /> <br />How Determined <br /> <br />Total Amount <br /> <br /> <br />#1)..'9:1 <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 AMOUNTS LISTED HAVE <br />BEEN PAID AND <br />RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY <br /> <br />Aclmowledgement 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 />DAfE-~- <br />RECEIPT NO. 75/~~.J..2.... DATE <br /> <br />RECEIVED BY " <br />" / } /,.--....7 <br />Y ~-c~BY C ~fZ;;.;,,:::~~~.~<:. ~ ___ <br />