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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Address/Location <br /> <br />Permit No. 3'/? r; <br />Date Permitted /~ -/<f--P Y <br /> <br />Builder Name/Owner Name C;A.I3cd !/,R /ZP'f/l' S Control # <br />,A or- <br />County Parcel No. 34...~S'-;;J.1- O()qO.O~90 "7 SubDiv: (;~H.j( ~rn.o /h/-;::; <br /> <br />3 73o! (;1'11 rlve . <br /> <br />;?to6//~ ~ <br /> <br />Classificationrrype of USE) <br /> <br />TRANSPORTATION IMPACT FEE Rate: <br />Exempt [J Yes ~ How Determined <br /> <br />Sq Ft Unit: <br /> <br />Impact Fee Amount $ / S6'o <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.:1 ~ Collection Fee <br />Exempt ~Yes D No How Determined <br /> <br />Amount $ <br /> <br />PARKS AND RECREATION FEE <br />Land Account Land Credit <br /> <br /> <br /> <br /> <br />Land Total <br /> <br />Recreation Account <br /> <br />Recreation Total <br /> <br />TOTAL AMOUNT $ <br /> <br />DNo <br /> <br />How Determined <br /> <br />LIBRARY FEE <br />Land Account <br /> <br />Land Credit <br /> <br />Facility Account <br /> <br /> <br /> <br /> <br />cility Credit <br /> <br />Facility Total <br /> <br />How Determined <br /> <br />Total Amount <br /> <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 />DATE <br />RECEIPT NO, <br /> <br />.. fA , RECEIVED BY <br /> <br />1ft;\/3S" DATE ~ BY ,J f~ <br />