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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Permit No; 3 77 g <br />Date Permitted I~o{) -() 5 <br /> <br />/6cW fltle5~ Control # <br /> <br />SubDiv: <br /> <br />Builder Name/Owner Name <br /> <br />County Parcel No. <br /> <br />ClassificationfType of Ustil <br /> <br />tf7dtf ffI!> ST. <br />[)Uf/~ <br /> <br />Address/Location <br /> <br />TRANSPORTATION IMPACT FEE Rate: <br />Exempt 0 Yes~. How Determined <br />Impact Fee Amount $ (, 5'31; . Zone No. <br />I <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 esidential <br />J..:123) Colle ion Fee <br />Exempt U Yes 0 How Determined <br /> <br />n~ AND RECREATION FEE <br />~ccount Land Credit <br /> <br />Amount $ <br /> <br />( ~p<, f)2J <br /> <br />Land Total <br /> <br />Recreation Account <br /> <br />Recreation Credit <br /> <br />Recreation Total <br /> <br />Exempt <br /> <br />DYes <br /> <br />~. <br /> <br />TOTAL AMOUNT <br /> <br />$ <br /> <br />'7(;;1- 5~ <br /> <br />Zone <br /> <br />How Determined <br /> <br />LIBRARY FEE <br />Land Account <br /> <br /> <br />Land Total <br /> <br />Facility Account <br /> <br />Facility Total <br /> <br />Exempt <br /> <br />Total Amount <br /> <br />ERU <br /> <br />-o-l~~/ /IV <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 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 RECEIVED BY <br />RECEIPT NO. 8'2,Dh9\DATE r2.~)BY ~. <br />