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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Permit No. <br />Date Permitted <br /> <br />Builder Name/Owner Name f1J~& 'U~\ tv'I~ Control # <br /> <br />"3 7 ~-5 <br />I-If - oS <br /> <br />County Parcel No. <br />Address/Location ~ 1'33 .~ 5 +- <br />ClassificationfType of Us~ Thf I~ <br />TRANSPORTATION IMPACT FEE, Rate: <br />Exempt D Yes ~o How Determined <br />Impact Fee Amount $ ']tfy,1/U Zone No. <br /> <br />SubDiv: <br /> <br />Sq Ft Unit: <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.:123) c..Q!!eytr6n Fee <br />Exempt U Yes ~No How Determined <br /> <br />Amount $ <br /> <br />:3~ (~ ~ <br /> <br /> <br />NO RECREATION FEE <br />count Land Credit <br /> <br />Land Total <br /> <br />Recreation Account <br /> <br />Recreation Credit <br /> <br />Recreation Total <br /> <br />7~ 7'.5 ~ <br /> <br />Zone <br /> <br />TOTAL AMOUNT <br /> <br />$ <br /> <br />Exempt DYes D No <br /> <br />LIBRARY FEE <br />Land Account <br /> <br />How Determined <br /> <br />Land Credit <br /> <br /> <br />Facility Account <br /> <br /> <br />Facility Total <br /> <br />Exe <br />.----- <br /> <br />How Determined <br /> <br />Total Amount <br /> <br />RESOURCE FEE <br />TOTAL AMOUNT <br /> <br />ERU <br /> <br />~d-.3 S <br /> <br />dY- <br /> <br />, <br /> <br />Prepared By <br /> <br />Checked By <br /> <br />NO CERTIFICATE OF OCCUfiANCY WILL BE ISSUED OR FINAL INSPECTION <br />PERFORMED UNTIL THE TOTAL AMOl)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 thlfi form. placing <br />the building permit owner on notice of this assessment and th~ conditions of payment for same. <br /> <br />DATE <br />RECEIPT NO. ?J3aff2-- <br /> <br />RECEIVED BY <br />DATE 6/2-3 J D~BY f.1.o..M.AA-- <br />I I <br />