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<br />. I <br /> <br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Permit No. ... i't 7 7 <br />Date Permitted c?--~/-o 5"- <br /> <br />Builder NBmelOwner Name 0./1/""1/1 ,~~ Control # <br />Ita \"'I.&. . <br />County Parcel No. BlI .7.,5'"-;),1- 01'1 0"0 00tm-~'ilJ .;z}v"t)ubDlv: <br /> <br />Address/location ,37ft; C( fj . ~ ~ ~ . flu f' . <br /> <br />ClassificationlType of Us~ !Yl !Jhl/e /~ <br /> <br />TRANSPORTATION IMPACT FEE Rate: <br />Exempt 0 Yes~' How Determined <br /> <br />Sq Ft Unit: <br /> <br />Impact Fee Amount $ /....5 ~ g <br /> <br />SCHOOL IMPACT FEE <br />Account (056) Single-Family Detached House <br />(057) Mobile Home <br />m058) 0 her Res. Ide ntial <br />. 12 Collection Fee <br />Exempt es 0 No How Determined <br /> <br />Zone No. <br /> <br />TAZ: <br /> <br />Amount $ <br /> <br />PARKS AND RECREATION FEE <br />land Account Land Credit <br /> <br />Land Total <br /> <br /> <br />Recreation Account <br /> <br />Recreation Credit <br /> <br />Zone <br /> <br />TOTAL AMO <br /> <br />$ <br /> <br /> <br />Exempt 0 Yes 0 No <br /> <br />LIBRARY FEE <br />Land Account <br /> <br />How Determined <br /> <br /> <br />Land Total <br /> <br />Facility Account <br /> <br />Facility Total <br /> <br />~xempt <br /> <br />How Determined <br /> <br />Total Amount <br /> <br />ERU <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 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 tha conditions of payment for same. <br /> <br />DATE n h/,.<::.. RECEIV <br />RECEIPT NO. ~!V? DATE ~ BY <br /> <br />