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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Permit Nr(:~y f#/ <br />Date Permittea~ g ,n-=-o5 <br />~nderN~/ownerNa~1-M1f7i;,~/ 9~Control# _ . <br />County Parcel No. II/~~. c2/'/JIJ/tJ.O ~{),f)a&,,) SubDiv: ~mp&1..t} /5WiZ. <br />Address/Location /j'1~7 - s 9:!' ,~j , <br />ClassificationITypeofUse '07~_ L-9 ~jf <br />TRANSPORTATION IMPACT FEE Rate: <br /> <br />Q w.dLt>j(~ <br />~/ <br />Sq Ft UA1f: <br /> <br />Exempt DYes D No How Determined <br /> <br />Impact Fee Amount $ /. ~~iq Zone No. <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 D No How Determined <br /> <br />TAZ: <br /> <br />Amount $ <br /> <br />~ j /1.( <br />. <br /> <br />PARKS AND RECREATION FEE <br />Land Account Land Credit <br /> <br />Land Total <br /> <br />...----'.,-- <br /> <br />Recreation Account .--Retfeation Credit <br /> <br />~ <br />......-- <br />,""" <br />E~:~'~ Yes D No <br /> <br />---' <br />LIBRARY FEE __ ____ <br />...,.-' <br />Land Account ~It <br />Facility Account ~ Facility Credit <br />---- <br />.--- <br /> <br />EX~l]J.Pt---Lf Yes D No <br /> <br />---- <br /> <br />Recreation Total <br /> <br />Zone <br /> <br />TOTAL AMOUNT <br /> <br />$ <br /> <br />How Determined <br /> <br />Land Total <br /> <br />Facility Total <br /> <br />How Determined <br /> <br />Total Amount <br /> <br />RESOURCE FEE <br />TOTAL AMOUNT <br /> <br />ERU <br /> <br />Prepared By Checked By <br /> <br />1/ . '/IO,?r! <br /> <br />NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INS ECTION II (' <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 RE <br />RECEIPT NO. tf!SlJ / 70ATE #6- BY <br /> <br /> <br />DBY <br />