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<br /> <br />~ <br /> <br /> <br />,35~ <br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Permit No. -3?t ~3 ~G'~ <br />Date Permitted IOJ. -/ tJ - (J V <br /> <br />Builder Name/Owner Name 1lJJ 1M . ' Vt eJv (;~ Control # <br /> <br />County Parcel No. <br />Address/Location ?g:2.7 G ~ j; /lIc/ . <br />ClassificationlType of U5~ ~~ ~ <br />TRANSPORTATION IMPACT FEE Rate: <br />Exempt D Yes ~ How Determined <br /> <br />SubDiv: <br /> <br />Sq Ft Unit: <br /> <br />170D <br />I <br /> <br />Impact Fee Amount $ <br /> <br />Zone No. <br /> <br />TAZ: <br /> <br />SCHOOL IMPACT FEE <br />Account (056) Single-Family Detached House <br />(057) Mobile Home <br />(058) Other Residential <br />.J:123Y Collection Fee <br />Exempt LJX"es D No How Determined <br /> <br />Amount $ <br /> <br />PARKS AND RECREATION FEE <br />Land Account Land Credit Lanfl Total <br /> <br />Recreation Account Re ~- <br /> <br />Zone <br /> <br /> <br />Recreation Total <br /> <br />TOTAL AMOUNT $ <br /> <br />DNo <br /> <br />How Determined <br /> <br />LIBRARY FEE <br />Land Account <br /> <br />Land Credit <br /> <br />Land Total <br /> <br />Facility Account ~ <br />Ex~ No How Determined <br /> <br />Facility Total <br /> <br />Total Amount <br /> <br />RESOURCE FEE <br />TOTAL AMOUNT <br /> <br />dO~ <br /> <br />flit)) <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 AMO'-'NTS 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 />'I ! ) ~ REC <br />DATE ~ BY <br /> <br /> <br />DATE <br />RECEIPT NO. <br />