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<br /> <br /> <br /> <br /> <br />11,;:....~ <br /> <br />IJ:& <br /> <br />~~!,:p <br /> <br />CCi--()--,O <br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Permit No. _ 30 ~ 5 <br />Date Permitted jtr 21 ~t7Y <br /> <br />BLilder Name/Owner Name [li'I/'1. \A"~.. A/'",-J\L ht-/4.ttl4,Ji.r, Control # _ <br />u 7 I (I <br />County Parcel No, SubDiv: ~S ,: {It'll (:~ Ie 5 Vi' (r <br /> <br />Address/Location it 1~/~; l~ I (7~l?1 ~ L,.j( <br /> <br />Classification/Type of USE? fJH,) 5::11 3~Q.. '~'1..~d)6 <br />' I <br />TRANSPORTATION IMPACT FEE Rate: <br /> <br />Exempt crVes ~'o How Determined <br /> <br />N) \ <br />~1.t0!l.'1b <br />Sq Ft Unit: <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.:123) C~tion Fee <br />Exempt U Ves Lj No How Determined <br /> <br />l ~ q, Lf <br /> <br />Amount $ <br /> <br />PARKS AND RECREATION FEE <br />Land Account Land Credit <br /> <br />J-~and Total <br /> <br />------- <br />---- <br /> <br />Recreation Account ---/-Recreation Credit Recreation Total <br />,..- . <br />//-...--- <br /> <br />Zone ./'./' TOTAL AMOUNT $ <br />~ <br />Exe;pPt D Ves D No How Determined <br /> <br />LIBRARY FEE <br />Land Account <br /> <br /> <br />Land Total <br /> <br />Facility Account Facility Credit <br /> <br />Facility Total <br /> <br /> <br />Exempt How Determined <br /> <br />Total Amount <br /> <br />RE OURCE FEE,.?(}, ( f ":2. <br />TOTAL AMOUNT r2!.:..L--/ <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 tha conditions of payment for same, <br /> <br />DATE <br /> <br />RECEIVED BY <br /> <br />RECEIPT NO. <br /> <br />DATE <br /> <br />BY <br />