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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Permit No. ~ 5 0 I <br />Date Permitted W ~.20 -05 <br /> <br />Builder Name/Owner Name GJ\9Jiti.Q ~~ <br />~DT <br />County Parcel No. 3Lf~;) ~- ~ (- t)' "lO.tJ/J/Jd o_Ol"'O d0-:l- <br /> <br />Address/Location 3'7611'/ .-6/1y /cBc:A...1/ I/f ' <br /> <br />ClassificationlType of US\? /JILp/tJJe. /~ <br /> <br />TRANSPORT ATION IMPACT FEE, Rate: <br /> <br />Exempt 0 Yes ~~ How Determined <br /> <br />Impact Fee Amount $ /5/f [[ Zone No. <br /> <br />SCHOOL IMPACT FEE <br />Account (056) Single-Family Detached House <br />(057) Mobile Home <br />(058) Other Residential <br />Jj23y Collection Fee . <br />Exempt l1JX"es 0 No How Determined <br /> <br />Control # . <br /> <br />SubDiv: G~ !~/hIfP . <br />p~~ '3 <br /> <br />Sq Ft Unit: <br /> <br />TAl: <br /> <br />Amount $ <br /> <br />Recreation Account <br /> <br />~/ <br />."..-F"'; <br />Recreati6n~T otal <br />. ,.,....,.... <br /> <br />/' <br />~/ <br />./ <br /> <br />PARKS AND RECREATION FEE. <br />Land Account Land Credit <br /> <br />Land Total <br /> <br />Recreation Credit <br /> <br />Exempt 0 Ye <br />/ <br />RESOURGEFEE <br />TOTAL.AMOUNT <br />./ <br /> <br /> <br />.' <br /> <br />TOTAL AMGuNT $ <br />. /' <br /> <br />Zone <br /> <br />Exempt 0 Yes 0 No <br /> <br />LIBRARY FEE <br />Land Account <br /> <br />Land Total <br /> <br />Facility Account <br /> <br />Facility Credit <br /> <br />Facility Total <br /> <br />How Determined <br /> <br />Total Amount <br /> <br />ERU <br /> <br />Prepared By <br /> <br />Checked By <br /> <br />, <br />NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br />. ' <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 conc!Jrrenoe, but simply receipt of a copy of thl~ form, placing <br />the building permit owner on notice of this assessment al')d thE! conditions of payment for same. <br /> <br />ro{21/o~ <br />DATE <br />RECEIPT NO. j) ~52 ~SbDATE .' Co ( Z 9 <br /> <br />RECEIVED BY <br />BY ~~:- .J~,"e.l- <br />