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<br />, <br /> <br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Permit No. <br />Date Permitted <br />Builder Name/Owner Name a~. l.ktiu-n Control # <br />.,(0 ( <br />County Pafcel No. 3'1 - ;l /)--;;/.- ~(J 'I tJ - t) ~ 91:P '.7~bDiv: <br />Address/Location .374q~ L;~ f;efi (1ue, <br />ClassificationlType of USE? -t!Ll:t. <br /> <br />j~.qr <br />/:2"';;'0 ~cCf <br /> <br />TRANSPORTATION IMPACT FEE, Rate: <br /> <br />Exempt 0 Yes Q No How Determined <br /> <br />Impact Fee Amount $ 'IS ~ 3 Zone No. <br /> <br />SCHOOL IMPACT FEE <br />Account (056) Single-Family Detached House <br />(057) Mobile Home <br />(058) Other Residential <br />(~3) Collection Fee . <br />Exempt [}J Yes D No How Determined <br /> <br />Sq Ft Unit: <br /> <br />TAl: <br /> <br />Amount $ <br /> <br />PARKS AND RECREATION FEE. <br />Land Account Land Credit <br /> <br />Land Total <br /> <br />------:--_......., <br /> <br />Recreation Account Recreation Total <br /> <br /> <br /> <br />TOTAL AMOUNT $ <br /> <br />Ex <br /> <br />DNa <br /> <br />How Determined <br /> <br />LIBRARY FEE . <br />Land Account <br /> <br />Land Credit <br /> <br />---~_.- Land Total <br /> <br /> <br />Facility Total <br /> <br />Exemp <br /> <br />o No <br /> <br />How Determined <br /> <br />Total Amount <br /> <br />RESOURCE FEE <br />TOTAL AMOUNT <br /> <br />QI~J <br /> <br />It> <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 dOBs not Imply acceptance of concurrencB, 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 RE <br />RECEIPT NO. V~w.f DATE {2.J?--i}fl'f BY <br /> <br />