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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Permit No. $ :Zf?~ ~ <br />Date Permitted g -6 - of <br />Builder Nall1e/ow~ %fl/J1L ~~~ Control # . . <br />County Parcel No. 3-1.,&~~-~- {)OIQ-O;;\lS7D fMbDIV: ~ <br />Address/Location c3. 7 s/),Z ~(ff ~... -A-l1 T / g;g <br />Classificatlon/Type of Use _~ q~ ~ .________ <br />TRANSPORTATION IMPACT FEE Rate: Sq Ft Unit: <br /> <br />Exempt DYes 0 No How Determined <br /> <br />~~pact Fee Amount $ I. SiJ?;~ () if Zone No. <br /> <br />SCHOOL IMPACT FEE <br />Account (056) Single,.,Family Detached House Amount <br />((057) ~obile~~Bi> <br />(!r58) fther esidentlal <br />. 23) Collection Fee <br />Exempt Yes 0 No How Determined <br /> <br />TAZ: <br /> <br />$ <br /> <br /> <br />PARKS AND RECREATION FEE <br />Land Account Land Credit <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 [J No <br /> <br />LIBRARY FEE <br />Land Account <br /> <br />How Determined <br /> <br />Land Credit <br /> <br />Land Total <br /> <br />-~_._---_._- <br /> <br />Facility Account _____ Facility Credit <br /> <br />Facility Total , <br /> <br />Exempt II Yes 0 No <br /> <br />How Determined <br /> <br />Total Amount <br /> <br />RESOURCE FEE <br />TOTAL AMOUNT <br /> <br />;20. LL <br /> <br />ERU <br /> <br />.-- <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 />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 />RECEIPT NO. 79'~.L z... DATE <br /> <br />RECEIVED B'(.::/ <br />8" -;;, 3 -rity BY (!-t../fp~_, <br />:?-' / <br />. / <br />L../ <br />