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<br />II <br /> <br /> <br />PA~CO COUNTY, FLORIDA <br /> <br />Permit No.. Q OD~ <br />I Date Permitted /(J-//-GJ~ <br />! , <br /> <br /> <br />Builder Name/Owner Nam~~.K' 7J1jIs Control # ' , <br /> <br />County Parcel No, 3lf' ;lor- ~ I - I7D . Of) oll D - J HO SubDiv: ~~ ~tJ 'iJ;>;r <br /> <br />Addr~S.S/L~catlon. '7'l/~. eX.d!-</ ' . ( f~nT ~3'1 <br /> <br />ClasslflcatlonfType of USE? ~_~ _ <br /> <br />TRANSPORTATION IMPACi FEE Rate: <br /> <br />Exempt 0 Yes ~. No ' How Determined <br /> <br />Impact Fee Amount $ ~ ~ t iJ . Zone No. <br /> <br />SCHOOL IMPACT FEE! <br />Account . (0.56) S. in9Ie-. F~mIlY Detached House <br />(057) Mobile H me <br />(058) Other Re Identlal <br />1~3) Collectio Fee <br />Exempt \A!es D No! How Determined <br /> <br />PARKS AND R~CREATION ~EE <br />Land Account I. Land Credit <br /> <br />I <br /> <br />Sq Ft Unit: <br /> <br />TAl: <br /> <br />Amount <br /> <br />$ <br /> <br />Land Total <br /> <br />Recreation Account <br /> <br />Recreation Credit Recreation Total <br /> <br />Zone <br /> <br />TOTAL AMOUNT $ <br /> <br />Exempt DYes D No <br /> <br />How Determined <br /> <br />LIBRARY FEE <br />Land Account Land Credit <br /> <br />Land Total <br /> <br />Facility Account Facility Credit <br /> <br />Facility Total <br /> <br />Exempt 0 Yes 0 No How Determined <br /> <br /> <br />RESOURCE FEE Q I <br />TOTAL AMOUNT 0 r 0 '"I <br /> <br />Total Amount <br /> <br />ERU <br /> <br />Prepared By <br /> <br />Checked By <br /> <br />NO CERTIFICATE OFIOCCUPANCYWILL BE ISSUED OR FINAL INSPECTION <br />PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br />. BEEN PAID AND <br />RECEIPTED FOR BYIA CENTRAL PERMITTING OFFICE OF PASCO COUNTY <br />I <br /> <br />Acknowledgemenl below does nOII~ply acceptance of concurrence, but simply receipt of a copy of this Ionn, placing <br />the building permit owne, on notice of this assessment and thE! conditions of payment for same. <br /> <br />BY R~~ <br />II-Lo-OJ ~ <br /> <br />DATE <br />RECEIPT NO. ~~o,~DATE <br />