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<br />I T <br /> <br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Builder Name/Owner Name Ke V J" <1(1j ~ <br /> <br />County Parcel No. <br />Address/Location ~ 0; 3 ~. /1~cl / J (r(. <br />Classification/Type of Us~ f)OY),vy'.{Jl}" C!A.~ <br />TRANSPORTATION IMPACt FEE Rate: <br />Exempt DYes 0NO How Determined <br /> <br />SubDiv: <br /> <br />Sq Ft Unit: <br /> <br />'-Iso 0 <br />! <br /> <br />Impact Fee Amount $ I ~ '/7 ' 0 5 <br />I <br /> <br />Zone No. <br /> <br />TAZ: <br /> <br />SCHOOL IMPACT FEE <br />Account (056) Single-F~mily Detached House <br />(057) Mobile Hbme <br />(058) Other Re~idential <br />J.:12r Collection Fee <br />Exempt Lf"Yes 0 NO. How Determined <br /> <br />\pARKS AND RECREATION IFEE <br />L~d Account Land Credit <br />" <br /> <br />Amount $ <br /> <br />'\,,\ <br /> <br />RecrE3ation Account <br />",- <br />Zone ~ <br />" <br /> <br />Land Total <br /> <br />Recreation Credit Recreation Total <br /> <br />Exempt <br /> <br /> <br />TOTAL AMOUNT $ <br /> <br />How Determined <br /> <br />LIBRARY FEE <br />Land Account <br /> <br />Land Credit <br /> <br />Land Total <br /> <br />Facility Account <br /> <br />Facility Total <br /> <br />Exempt DYes D No <br /> <br />Total Amount <br /> <br />RESOURCE FEE <br />TOTAL AMOUNT <br /> <br />ERU <br /> <br />Prepared By <br /> <br />NO CERTIFICATE OFloCCUPANCYWILL BE ISSUED OR NAL INSPECTION <br />PERFORMEb UNTIL THE TOTAL AMOUNTS LIST <br />BEEN PAID AND <br />RECEIPTED FOR BY f\ CENTRAL PERMITTING OFFICE OF PAS P COUNTY <br /> <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 />RECEIPT NO. ~7/dtc () DATE <br /> <br />RECEIVED BY <br />{O /;}-~ /05 BY V{ ~~..IA <br />I I -'7 <br />