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<br />f <br /> <br /> <br />PASCO COUNTY, FLORIDA <br /> <br />\ <br />i <br />f <br />I: <br /> <br />Permit No. <br />Date Permitted <br /> <br />Builder Name/Owner Name a~ IJ bk [2..f t~ . Con,trol # <br />t- . . AD TI&'3. <br />County Parcel No. ..~ tf- ~.s~ ~ I ~ 00 q 0 '. 6 'aQO SubDlv: <br /> <br />Address/Location 3/ (j 3 '7 . G;{ I A tJ-e . <br /> <br />ClassificationlType of Us~ /IA-oto; I ( ~ <br /> <br />3710 <br />1~;Zlj ~~5 <br /> <br />l <br />I <br /> <br />TRANSPORTATION IMPACT FEE, Rate: <br />Exempt 0 Yes ~ How Determined <br />Impact Fee Amount $ /5~. 8' Zone No. <br />1 <br /> <br />Sq Ft Unit: <br /> <br />TAl: <br /> <br />SCHOOL IMPACT FEE <br />Account (056) Single-Family Detached House <br />(057) Mobile Home <br />(058) Other Residential <br />(12~collection Fee <br />Exempt [I}f es D No. How Determined <br /> <br />Amount $ <br /> <br /> <br />Land Total <br /> <br />Recreation Account <br /> <br />Recreation Credit Recreation Total <br /> <br />TOTAL AMOUNT $ 573- '7 3 <br /> <br />Zone <br /> <br />Exempt .0 Yes 0 No <br /> <br />LIBRARY FEE <br />Land Account <br /> <br />How Determined <br /> <br /> <br /> <br />Facility Total <br /> <br />Land Credit <br /> <br />Facility Account <br /> <br />No <br /> <br />How Determined <br /> <br />Total Amount <br /> <br />RESOURCE FEE <br />TOTAL AMOUNT <br /> <br />, . <br /> <br />ERU <br /> <br />Prepared By <br /> <br />Checked By <br /> <br />NO CERTIFICATE OF OCCUflANCY 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 th~ conditions of payment for same. I <br /> <br />DATE <br />RECEIPT NO. <br /> <br />RE~ <br />7'6Cf27/0ATE 11'>1/cY;y ~': <br />