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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />, , <br />, " '~,f <br />'. , ' Permit No, -3,~ q <br />__ _'-'-' , Date Permitted /r; ~ 0/ Df/ <br /> <br />~er N~ ~~i (? (;?~A;E-control # . . ' <br /> <br />c~unty Parcel No, O;J-;l& -021-0;20C:>-OOOOO-DI!j2 SubDlv0~ 0..g ~ <br />.' f~' I d PI5 <br />Address/Location ~ 7 3 D 3. 'e s- <br /> <br />ClassificationfType of Us,? <br /> <br /> <br />TRANSPORTATION IMPACT FEE Rate: <br /> <br />Exempt DYes 0 No <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 Detached House <br />(057) Mobile Home <br />(058) Other Residential <br />J.:123) Collection Fee <br />Exempt U Yes D No How Determined <br /> <br />Amount $ <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 DYes D No <br /> <br />How Determined <br /> <br />LIBRARY FEE <br />Land Account <br /> <br />Land Credit <br /> <br />Land Total <br /> <br />Facility Account <br /> <br />Facility Credit <br /> <br />Facility Total <br /> <br />Exempt 0 Yes 0 No <br /> <br />RESOURCE FEE <br />TOTAL AMOUNT <br /> <br />How Determined <br /> <br />Total Amount <br /> <br />Prepared By <br /> <br />ZQ,90 <br />~;T <br /> <br />fQ eg. <br /> <br />"ERt:l <br /> <br />Checked By <br /> <br />NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br />PERFORMED UNTIL THE TOTAL AMOI)NTS 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 />{o(L7( Or <br />DATE <br />RECEIPT NO. .tl ~(3933 <br /> <br />DATE <br /> <br />-Cd 27 <br /> <br />['~I..J IC-Jl'~ <br />RECEIVED BY <br />BY ~ 1: <br /> <br />,[,ecov,rc e r;.e;, <br />