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<br /> <br />. <br /> <br />. <br /> <br />L-D( I Cd <br /> <br />PASCO COUNTY, FLORIDA <br /> <br /> <br />Permit No. 3)9 ;;Z <br />Date Permitted /tJ~~9 ~Cl V <br /> <br />Builder Name/Owner Name V d (~ 5; vl4./lR... Pt' I rtvs /TIII(. Control # <br /> <br />County Parcel No, f?f . <br />Address/Location 6 L{ 35 <br /> <br />SubDiv: <br /> <br />UrC-r;R( '~~ t.-J~ <br /> <br />ClassificationfType of Us~ <br /> <br />TRANSPORTATION IMPACT FEE <br /> <br />Rate: <br /> <br />Sq Ft Unit: <br /> <br />Exempt [J}'Yes D No <br /> <br />How Determined <br /> <br />Impact Fee Amount $ <br /> <br />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..:I23)" Collection Fee <br />Exempt LjXes D No How Determined <br /> <br />Amount $ <br /> <br />/~?V <br /> <br />PARKS AND RECREATION FEE <br />Land Account Land Credit <br /> <br />Recreation Account <br /> <br /> <br />Recreation Total <br /> <br />Zone <br /> <br />TOTAL AMOUNT $ <br /> <br /> <br />DNa <br /> <br />How Determined <br /> <br />Exempt <br />--------- <br />LIBRARY FEE <br />Land Account <br /> <br />Land Credit <br /> <br /> <br />Facility Account <br /> <br /> <br />Facility Total <br /> <br />Exemp!-./ <br />,....-------- <br />RESOURCE FEE <br />TOTAL AMOUNT <br /> <br /> <br />DNo <br /> <br />How Determined <br /> <br />Total Amount <br /> <br />QAt. 3 q,<}3 <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 110t Imply acceptance of cOl1..currenc6, but simply receipt of a copy of this form, placing <br />the bUilding permit owner on notice of this assessment and tha conditions of payment for same, <br /> <br />DATE <br /> <br />RECEIVED BY <br /> <br />RECEIPT NO. <br /> <br />DATE <br /> <br />BY <br />