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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Permit No. <br />Date Permitted <br /> <br />Builder Name/Owner Name Q~ I~ ~ Control # <br />~ _ () AtJlTfN . . <br />County Parcel No, 34 ;;>..s -- ~ J - () 090 67)..QO Su6DIV, <br />Address/Location 3 / Lf L( -3 G " ( ! j:j ll-e " <br />ClassificationlType of US19 ~/LJi (..e ~ <br /> <br />3~/YC <br />.2. - 3 -&5 <br /> <br />TRANSPORTATION IMPACT FEE Rate: <br />Exempt DYes Q.N6/ How Determined <br />Impact Fee Amount $ I S?i 8" Zone No. <br />t <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 />~ ~~ Collection Fee <br />Exempt bJ-Xes D No. How Determined <br /> <br />~~D RECREATION FEE <br />nd Account Land Credit <br /> <br />Amount $ <br /> <br />Land Total <br /> <br />Recreation Account <br /> <br />Recreation Credit Recreation Total <br />TOTAL AMOUNT $ 573- 73 <br /> <br />Zone <br /> <br />Exempt DYes D No <br /> <br />How Determined <br /> <br />LIBRARY FEE <br />Land Account Land Credit _~---_.., <br />-..---- <br />Facility Account Facility 9red~ Facility Total <br />---- <br />~~~Yes---Et~ How Determined Total Amount <br /> <br />RESOURCE FEE ERU <br />TOTAL AMOUNT <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 th~ conditions of payment for same, <br /> <br />DATE <br />RECEIPT Nb) q::Jl{)"~ATE <br /> <br />