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<br />" <br /> <br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Permit No. 3Yff <br />Date Permitted 3~ 1~ Cl r <br /> <br />Builder Name/Owner Name A~~;lIt .1VCrn <br />County Parcel No. <br /> <br />Control # <br /> <br />SubDiv: <br /> <br />J~ . </J .;-/., <- ( . <br />Address/Location (?I .2,;Z 0 /..>L ~ <br /> <br />ClassificatlonlType of Use, S/'J<l~-L ~~0 <br />. 0 ' <br />TRANSPORTATION IMPACT FEE Rate: <br /> <br />Exempt D Yes ~ How Determined <br /> <br />~~' <br />~ ? <br /> <br />Sq Ft Unit: <br /> <br />Impact Fee Amount $ Is 8' g <br />I <br /> <br />Zone No. <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) CollectioJJ-Peti <br />Exempt U Ves [l-No How Determined <br /> <br />Amount $ <br /> <br />/ (, 9L/ <br />I .. <br /> <br />PA S AND RECREATION FEE <br />Land ccount Land Credit <br />\", <br />Recreatio~count <br /> <br />Land Total <br /> <br />Recreation Credit <br /> <br />Recreation Tbtal <br /> <br />Exempt D Ves <br /> <br /> <br />Zone <br /> <br />TOTAL AMOUNT $ <br /> <br />How Determined <br /> <br />LIBRARY FEE <br />Land Account <br /> <br />Land Total <br /> <br />Facility Account <br /> <br />Facility Total <br /> <br />Exempt DYes 0 No <br /> <br />Total Amount <br /> <br />RESOURCE FEE <br />TOTAL AMOUNT <br /> <br />ERU <br /> <br />Prepared By <br /> <br />'" <br /> <br />NO CERTIFICATE OF OCCUPANCY 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 />Checked By <br /> <br />ACknowledgeme~t ?elow does not Imply ac.ceptanc,e of concurrence, but simply receipt of a copy of this form. placing <br />the bUilding permit owner on notice of thIs assessment and thf;l conditions of payment for same. <br /> <br />DATE <br />RECEIPT NO. <br /> <br />,I /, t7!~, RE~D BY <br />?'1o 9f'~ATE ~ BY ~/ <br />