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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Permit No. ~ 01' <br />Date Permitted '1- 13- D S- <br /> <br />Builder Name/Owner Name Mn ~ /+oR I Z~D 1-1 <br />County Parcel No. ~ 3 if - ~~. ()'I ,~ 6090 - 0;). '10 <br />Address/Location 3 7 3~5 ,G /11 Il tie r <br />ClassificationfType of Us~ W\.-Q b ( (~ ~ <br />TRANSPORTATION IMPACT FEE, R~te: <br />Exempt 0 Yes ~ How Determined <br />Impact Fee Amount $ /58 <6 Zone No. <br /> <br />Control # <br />'-- <br />j..~ c ' <br />J 7/ subDiv: <br /> <br />Sq Ft Unit: <br /> <br />TAl: <br /> <br />SCHOOL IMPACT FEE Amount $ <br />Account (056) Single-Family Detached House <br /> (057) Mobile Home <br /> (058) Other Residential <br /> ~s Collection Fee <br />Exempt DNo How DetermlnE;ld <br />PARKS AND RECREATION FEE' L?lnd Total <br />Land Account Land Credit <br /> <br />Recreation Account <br /> <br />Recreation Credit RE;lcreation Total <br />TOTAL AMOUNT $ S 73 - 7 '3 <br /> <br />Zone <br /> <br />Exempt DYes [JJ>ro <br /> <br />LIBRARY FEE <br />Land Account <br /> <br />How Determined <br /> <br />Land Credit <br /> <br />Land Total <br /> <br />Facility Account <br /> <br /> <br />Facility Total <br /> <br /> <br />How Determined <br /> <br />Total Amount <br /> <br />RESOURCE FEE <br />TOTAL AMOUNT <br /> <br />zy,.OfJ <br /> <br />ERU <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 AMOUNTS LISTED HAVE <br />BEEN PAID AND <br />RECEIPTED FOR BY A CENTRAL P~RMITT'NG 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 al1d thE! conditions of payment for same. <br /> <br />RECEIPT NO. "~' <br /> <br />DATE <br /> <br />RE <br />} Xcf5 BY <br /> <br /> <br />DATE <br /> <br />'OID'7l D <br />