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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Builder Name/Owner Name <br /> <br />Permit No. <br />Date Permitted <br /> <br />lX~J :Mv.({r~ ~(.Control# <br />. <br /> <br />.=1'7/l1J <br />..- 1-.2;-05 <br /> <br />County Parcel No. <br />Address/Location L-[ 4 ';;L / S-~ sT. <br />ClassificationlType of Us~ ~~f ( ~ <br />TRANSPORTATION IMPACT FEE Rate: <br />Exempt D Yes ~ How Determined <br />Impact Fee Amount $ /5 <6 g 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~ecti91 Fee <br />Exempt U Yes LJ,..bJ6 How Determined <br /> <br />~ND RECREATION FEE <br />~~;unt " Land Credit <br /> <br />Amount $ <br /> <br />7:2:2'~ <br /> <br />Land Total <br /> <br />Recreation Account <br /> <br />Recreation Credit <br /> <br />Recreation Total <br /> <br />Zone <br /> <br />TOTAL AMOUNT <br />D Yes ~/ How Determined <br /> <br />$ <br /> <br />7f7'?, S? <br /> <br />Exempt <br /> <br />LIBRARY FEE <br />Land Account <br /> <br /> <br />Facility Total <br /> <br />How Determined <br /> <br />Total Amount <br /> <br />SOURCE FEE <br />TOTAL AMOUNT <br /> <br />ERU <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 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 conc\.lrrence, but simply receipt of a copy of this 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. ?i306cr1- <br /> <br />ml..v?' / /J,r" RECEIVED BY <br />DATE ~y .o.;~ <br />