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<br />... . '. <br /> <br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Permit No, .3 f ~ S' <br />Date Permitted '3 ~Cj ~ 0 5" <br /> <br />Builder Name/Owner Name <br /> <br />1)q If; J <br /> <br />t-. eMf <br /> <br />Control # <br /> <br />County Parcel No. <br /> <br />SubDlv: <br /> <br />ClassificationfType of Us~ <br /> <br />5 '134 T:lxo W 000( Sf' <br />. -S~^~ ~;~ dwe{(l~ <br />Sq Ft Unit: <br /> <br />Address/Location <br /> <br />TRANSPORTATION IMPACT FEE ' <br /> <br />Rate: <br /> <br />Exempt 0 Yes g--No How Determined <br /> <br />Impact Fee Amount $ 1 5 D 'B'" Zone No. <br /> <br />SCHOOL IMPACT FEE <br />Account (056) Single-Family Detached House <br />(057) Mobile Home <br />(058) Other Residential <br />.J:I23) C.Q!!e91ion Fee . <br />Exempt U Yes GJ1'Jo . How Determined <br /> <br />TAZ: <br /> <br />Amount $ <br /> <br />I &qcf <br /> <br />PARKS AND RECREATION FEE. <br />Land Account Land Credit land Total <br /> <br />Recreation Account Recreation Credit ReCreatlo~ <br /> <br />Zone TOTAL AMOUNT <br /> <br /> <br />Exempt DYes D No <br /> <br />LIBRARY FEE <br />Land Account <br /> <br />How Determined <br /> <br /> <br />land Total <br /> <br />Facility Account <br /> <br />Facility Total <br /> <br />Exempt <br /> <br />How Determined <br /> <br />Total Amount <br /> <br />ERU <br /> <br />Prepared By Cnecked By <br /> <br />~<ti!t:$O .3 I.. 2P <br /> <br />NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br />PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br />BEEN PAID ANP <br />RECEIPTED FOR BY A CENTRAL P~RMITTING 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 noUce of this assessment and thE! conditions of payment for same. <br /> <br />RECEIPT NO. <br /> <br />lP~~~ <br /> <br />DATE <br /> <br />REC <br />~ 6105 BY <br /> <br /> <br />DATE <br />