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<br />'~ <br /> <br /> <br />.. <br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Permit No. 3l(tf I'( <br />Date Permitted /oh.t/,V <br />I <br /> <br />Builder Name/Owner Name <br /> <br />v~v/d j, ~r <br /> <br />Control # <br /> <br />County Parcel No. <br /> <br />SubDiv: <br /> <br />ClassificationfType of USE? <br /> <br />51 '-/0 U06WOOJ. q. <br />5;~ (M'Yl:/y dlAN~ <br /> <br />Address/Location <br /> <br />TRANSPORTATION IMPACT FEE Rate: <br />Exempt DYes 04 How Determined <br /> <br />Sq Ft Unit: <br /> <br />Impact Fee Amount $ 05 S ~ <br /> <br />SCHOOL IMPACT FEE <br />Account (056) Single-Family Detached House <br />(057) Mobile Home <br />(058) Other Residential <br />J.:123) C.Q!l~ion Fee <br />Exempt U Yes l.JNo How Determined <br /> <br />Zone No. <br /> <br />TAl: <br /> <br />Amount $ <br /> <br />I~q'f <br />I <br /> <br />PARKS AND RECREATION FEE <br />Land Account Land Credit <br /> <br />Zone <br /> <br /> <br />Recreation Account <br /> <br />Recreation Total <br /> <br />TOTAL AMOUNT $ <br /> <br />D No <br /> <br />How Determined <br /> <br />LIBRARY FEE <br />Land Account <br /> <br />Land Credit <br /> <br /> <br />Facility Account <br /> <br /> <br />Facility Total <br /> <br />Exempt <br /> <br />How Determined <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 />DATE <br />RECEIPT NO. loY~/(p DATE 0\ l'l51 oS BY <br /> <br />