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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Address/Location <br />Classificationffype of Us~ ~( ~ <br /> <br />Builder Name/Owner Name r;;~ (.../..e;~ I~ ~ S Control # <br />County Parcel No. .1'1 '""J..S;:;)./. 0090-0 J..qO ).D II ~.)' SubDiv: <br />"37'14Cf Q/I/ flue- <br />~. <br /> <br />Permit No. 31 '13 . <br />Date Permitted 1'-10- oS <br /> <br />TRANSPORTATION IMPACT FEE, <br /> <br />R~te: <br /> <br />Sq Ft Unit: <br /> <br />Exempt 0 Yes [}No How Determined <br />Impact Fee Amount $ I S-~! 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 />i1 ~ Collection Fee <br />Exempt L:f Yes D No' How Determined <br /> <br /><r.~~ND RECREATION FEE. . <br />C:l ccount Land Credit <br /> <br />Amount $ <br /> <br />Land Total <br /> <br />Recreation Account <br /> <br />Recreation Credit <br /> <br />Recreation Total <br /> <br />Zone <br /> <br />TOTAL AMOUNT $ 57 3. 7 3 <br /> <br />Exempt 0 Yes 0 No <br /> <br />LIBRARY FEE <br />Land Account <br /> <br />How Determined <br /> <br />Land Credit <br /> <br /> <br />._~--'-'- .-.~'_.,---_..__........... <br /> <br /> <br />Facility Account <br /> <br />Facility Total <br /> <br />How Determined <br /> <br />Total Amount <br /> <br />RESOURCE FEE <br />TOTAL AMOUNT <br /> <br />ERU <br /> <br />Prepared By <br /> <br />Checked By <br /> <br />NO CERTIFICATE OF OCCUFtANCY 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 Af-~J~I~~3 ~ <br />RECEIPT NO. ~ 21~ATE Cd, :>'!!:--f!v _ _ __ <br />