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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Permit No. .' if /7 b2- <br />Date Permitted S-- '/-0 ~- <br />BUilderNameeW~;rN~~.a-??L Of!~ Control#' . <br />County Parcel ~o. --.lY. ;::I. S. ;).1- 0090- 0;>.<10- 0 , '7fiUbDiV: cJ'4~ ~7'" <br />Address/Location -.:378/7 r:J/..dL ~ , <br />ClassificationfType of Us~C-.-p/H~ d ~-- <br /> <br />TRANSPORTATION IMPACT FEE Rate: <br />Exempt D Yes ~NO How Determined <br />Impact Fee Amount $ Zone No. <br /> <br />Sq Ft Unit: <br /> <br />SCHOOL IMPACT FE <br />Account (056) Single-Family Detached House Amount <br />(057) Mobile Home <br />(058) Other Residential <br />~3) Collection Fee <br />Exempt ~:es D No How Determined <br /> <br />PARKS AND RECREATION FEE <br />Land Account Land Credit Land Total <br /> <br />Recreation Account Becreati~ <br /> <br />Zone _____________ TOTAL AMOUN <br />----- <br />E~empt 0 Yes 0 No How Determined <br /> <br /> <br />TAl: <br /> <br />$ <br /> <br />~----- <br />./ <br />./' <br /> <br /> <br />......-.~:~..-.~.". <br /> <br />LIBRARY FEE <br />Land Account <br /> <br />Land Credit---/- <br />_______- c.-- <br />...----------- <br /> <br />Facility Account~--- Facility Credit <br />------------ <br />E~-----D Yes D No <br /> <br />RESOURCE FEE <br />TOTAL AMOUNT <br /> <br />----- <br /> <br />Land Total <br /> <br />How Determined <br /> <br />Facility Total ///' <br /> <br />T~:~~/ .' <br /> <br />, <br /> <br />ERU <br />8-1L/) :z,~.:LL/ <br />Checked 13y <br /> <br />Prepared By <br /> <br />NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br />PERFORMED UNTIL THE TOTAL AMO~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 ota copy of this form, placing <br />the building permit owner on notice of this assessment and tha conditions of payment for same. <br /> <br />DATE <br />RECEIPT NO. 'l52 L/ Lff./) DATE <br /> <br />0/~/dS BY <br />I { <br /> <br />