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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Permit No. <br />Date Permitted <br /> <br />Builder Name/Owner Name C;;,/\~j,.t!!/-oR ('{-or! )... (.'IC?l)trol # <br />County Parcel No. 3 If.- ;) S-~':A I '" D (') q 0..... {);;/ 9 D 1'lt%Div: <br /> <br />3S33 V <br /> <br />.r~2S ~o(',/ <br />, <br /> <br />Classificationrrype of Us~ <br /> <br />37C;o3 G//( Av./L. <br />)J1okl/-<.. <br /> <br />JU01--L. <br />, <br /> <br />Address/Location <br /> <br />TRANSPORTATION IMPACT FEE Rate: <br />Exempt D Yes ~ How Determined <br /> <br />Sq Ft Unit: <br /> <br />Impact Fee Amount $ ~ S- R-~ <br /> <br />SCHOOL IMPACT FEE <br />Account (056) Single-Family Detached House <br />(057) Mobile Home <br />(058) Other Residential <br />J..:l~ Collection Fee <br />Exempt ~es 0 No How Determined <br /> <br />Zone No. <br /> <br />TAl: <br /> <br />Amount $ <br /> <br />PARKS AND RECREATION FEE <br />Land Account Land Credit <br /> <br />Land Total <br /> <br />Recreation Account Recr.eation-Credit Recreation Total <br />_.------ <br />.---- <br />",--- <br />Zone _/ TOTAL AMOUNT $ <br />-'- <br />-,--' <br /> <br />Exemp~._,/B'Y~; D No How Determined <br />(/ <br />LIBRARY FEE <br />Land Account <br /> <br />L~Fedrt'--- <br />---- <br />_____------ Facility Credit <br /> <br />Land Total <br /> <br />Facility Account <br />>---- <br />ExemPt,_/ITY~s D No <br /> <br />RE;~:RCE FEE <br />TOTAL AMOUNT <br /> <br />Facility Total <br /> <br />How Determined <br /> <br />Total Amount <br /> <br />C!l1) <br /> <br />'Q ,~ <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 />SEEN 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 q-l.5fCi{ BY <br /> <br /> <br />DATE <br />RECEIPT NO. <br />