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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Permit No. J'c/o~ <br />Date Permitted 9!--2tj~~y <br />Builder Name/Owner Name C;~e (r!o~!Zt:?-;'s Control # <br />.t.." r <br />County Parcel No. 3 J.j -;;.s- ~ I... 0090- 0 ~90 169 SubDiv: <br />Address/Location ('3 '781 -3. to; 1/ A V e. . <br />ClassificationlType of Us~ ik.o It> ,/oe ~ <br /> <br />TRANSPORTATION IMPACT FEE, Rate: <br />Exempt 0 Yes ~ How Determined <br />Impact Fee Amount $ ( 5 f g Zone No. <br /> <br />Sq Ft Unit: <br /> <br />TAZ: <br /> <br />SCHOOL IMPACT FEE <br />Account (056) Single-Family Detached House <br />(057) Mobile Home <br />~058 O. ther Residential <br />. 1 ) Collection Fee <br />Exempt 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 />and Total <br /> <br />Recreation Total <br /> <br />Zone <br /> <br />TOTAL AMOUNT $ <br /> <br />DNa <br /> <br />How Determined <br /> <br />Land Total <br /> <br />Facility Account <br /> <br />Facility Total <br /> <br /> <br />Exempt <br /> <br />How Determined <br /> <br />Total Amount <br /> <br />\ ~,( Q~ <br />. <br /> <br />ERU <br /> <br />Prepared By <br /> <br />Checked By <br /> <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 th~ conditions of payment for same. <br /> <br />DATE <br /> <br />RECEIVED BY <br /> <br />RECEIPT NO. -:1~q~ l Jo DATE \()-I-l)Ll BY '0 \~ '"1S'eV' <br />