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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Permit No. L.j \ '7 0 <br />Date Permitted 5- Y- OS <br /> <br />Builder Name/Owner Name \'1ep,(,5,\.e-('(\...-.\,h:vh:.l(a..~ - bMi:) Control # <br /> <br />County Parcel No. Od'd.<D_ ~I-D:.L<=)O - 00000- DO, <br /> <br />SubDiv: CQK C~ Eut- <br /> <br />Address/Location lo~2 3 00 1< r ,) G :'")-\- I ~t< 1 1 <br />Classification/Type of Use 2::, i (ISle- c:=n Yl-~ ~ \ e\e (1 ~ <br /> <br />TRANSPORTATION IMPACT FEE <br /> <br />Rate: <br /> <br />Sq Ft Unit: <br /> <br />Exempt DYes [B1\Jo <br /> <br />How Determined <br /> <br />Impact Fee Amount $ 15<6'1$".00 <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) Collection Fee <br />Exempt U Yes GrNo How Determined <br /> <br />Amount $ 11.0 qL+. 00 <br /> <br />PARKS AND RECR TION FEE <br />Land Account Land Credit Land Total <br /> <br /> <br />Recreation Account eation Credit Recreation Total <br /> <br /> <br />Zone <br /> <br />TAL AMOUNT <br /> <br />$ <br /> <br />Exempt DYes D No <br /> <br />How Determined <br /> <br />LIBRARY FEE <br />Land Account <br /> <br /> <br />Land Total <br /> <br />Facility Account <br /> <br />Facility Total <br /> <br />Exempt 0 Yes 0 No <br /> <br />Total Amount <br /> <br />RESOURCE FEE <br />TOTAL AMOUNT <br /> <br />ERU <br /> <br />Prepared By <br /> <br />Checked y <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 />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 the conditions of payment for same. <br /> <br />DATE <br />RECEIPT NO. <br /> <br />RECEIVED BY <br /> <br />DATE <br /> <br />BY <br />