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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Permit No, .3 350 <br />Date Permitted 1-7-Gl'l <br /> <br />Builder Name/Owner Name <br /> <br />0~ <br /> <br />tLo f2 {'(..o vt. ~ Control # <br />1-( <br />~ SubDiv: <br /> <br />ClassificationfType of Us~ <br /> <br />3 <J-d.$". ~ L. Ooq O-O~q(J <br />3i <-{ 4l{ c,; (( A J e . <br />thalo, k ~ <br /> <br />County Parcel No, <br /> <br />Address/Location <br /> <br />TRANSPORTATION IMPACT FEE <br /> <br />Rate: <br /> <br />Sq Ft Unit: <br /> <br />Exempt 0 Yes 0 No How Determined <br />Impact Fee Amount $ 15 If ~ Zone No, <br /> <br />TAl: <br /> <br />SCHOOL IMPACT FEE <br />Account (056) Single-Family Detached House <br />(057) Mobile Home <br />(058) Other Residential <br />J.:1~3) Collection Fee <br />Exempt LJ'Yes 0 No How Determined <br /> <br />Amount $ <br /> <br />PARKS AND RECREATION FEE <br />Land Account Land Credit <br /> <br />Recreation Account <br /> <br /> <br />Land Total <br /> <br />Recreation Total <br /> <br />Zone <br /> <br />TOTAL AMOUNT $ <br /> <br />ONo <br /> <br />How Determined <br /> <br />Land Total <br /> <br />RESOURCE FEE <br />TOTAL AMOUNT <br /> <br />Facility Credit <br />o No How Determined <br />~4) \ I. t'6 <br /> <br />Facility Total <br /> <br />Facility Account <br /> <br />Total Amount <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 />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 />REC <br />DATE Gt, 15~Dtt BY <br /> <br /> <br />DATE <br />RECEIPT NO, <br />