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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Permit No. <br />Date Permitted <br /> <br />Builder NamelOwner Name r;;~ ~ <br />AC" <br />County Pafcel No. 3l.J -~ s..;). J.. ()/'7() ~1J"D-4;11A,;At/3 <br />Address/Location 3751"'0 ,zr!;;' ~e4 Ave.. <br />I <br />ClassificationfType of Us~ fivoh/le' ~ <br />TRANSPORTATION IMPACT FEE Rate: <br />Exempt 0 Yes ~ How Determined <br />Impact Fee Amount $ /5tf f' Zone No, <br /> <br />Control # <br /> <br />SubDiv: <br /> <br />~.H <br /> <br />Sq Ft Unit: <br /> <br />TAZ: <br /> <br />SCHOOL IMPACT FEE <br />Account (056) Single-Family Detached House <br />(057) Mobile Home <br />(058) Other Residential <br />(123lAollection Fee <br />Exempt ~s 0 No How Determined <br /> <br />Amount $ <br /> <br />Zone <br /> <br /> <br />PJX KS AND RECREATION FEE <br />Land count Land Credit Land Total <br /> <br />Recreation Credit Recreation Total <br /> <br />TOTAL AMOUNT $ <br /> <br />Exempt 0 Yes <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 0 Yes 0 No <br /> <br />How Determined <br /> <br />Total Amount <br /> <br />RESOURCE FEE <br />TOTAL AMOUNT <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 AMOl)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 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 /> <br />RECEIVED BY <br /> <br />RECEIPT NO. <br /> <br />DATE <br /> <br />BY <br />