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<br /> <br />PASCO COUNTY~ FLORIDA <br /> <br />Permit No. ~5'C(L/ <br />Date Permitted - / I r z -0 Cf <br />, <br /> <br />Builder Name/Owner Name G~~Q ~f!.IZo;1. s <br />County Parcel No. 3'-1- ~ s: J I. OO~O' 0;;.90 <br />Address/Location 37 C; () g l,' II ( 8e /t 1-/ J-e, . <br />ClassificationlType of USE,l . (0.-0 10 ; l ~ ~ <br /> <br />Control # <br />f.I( <br />"q SubDiv: <br /> <br />TRANSPORTATION IMPACT FEE <br /> <br />Rate: <br /> <br />Sq Ft Unit: <br /> <br />Exempt 0 Yes ~ How Determined <br />Impact Fee Amount $ /5 ff 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.:12~ Collection Fee <br />Exempt lM"Y'es 0 No How Determined <br /> <br />Amount $ <br /> <br />PARKS AND RECREATION FEE <br />Land Account Land Credit <br /> <br />Land Total <br /> <br /> <br /> <br />Recreation Total <br /> <br />Recreation Account <br /> <br />Zone <br /> <br /> <br />How Determined <br /> <br />TOTAL AMOUNT $ <br /> <br />LIBRARY FEE <br />Land Account Land Land Total <br /> Facility Credit Facility Total <br />ONo How Determined Total Amount <br />RESOURCE FEE ~.f) ERU <br />TOTAL AMOUNT <br /> <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, 2~J/~? DATE <br /> <br />". /J , RECEIVED BY 0 <br /> <br />~BY Jk'ft. <br />