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<br />I I <br /> <br /> <br />PA~CO COUNTY, FLORIDA <br /> <br />Permit No. 50D3 ~ <br />I Date Permitted /P - /1- o~? <br />BUilQerNamelownerNam~ithl>~L 7JfII, Control#.' _ <br />CQunty Parcel No. .3I,L~t- ~/. "'.'70-e..D--;{,/D SubDlv: ~/,~~ <br />Address/Location $1c-j t ~ ~o/j1!"f<;;t2,-A-- (J~ ,~ /J r ~/~!1- <br />ClassificationlType of Us~ ~~a ...;~~ . <br />TRANSPORTATION IMPAC~ FEE Rate: Sq Ft Unit: <br />I <br />Exempt 0 Yes 'KtNO i How Determined <br />Impact Fee Amount $ Zone No. T AZ: <br /> <br />SCHOOL IMPACT FEE <br />Account (056) Single-Fa i1y Detached House <br />(057) Mobile H me <br />(058) Other Re Idential <br />1 3) Collectio Fee <br />Exempt Yes 0 No How Determined <br /> <br /> <br />Amount $ <br /> <br /> <br /> <br />Land Total <br /> <br />PARKS AND RECREATION <br />Land Account <br /> <br />Recreation Account <br /> <br />Recreation Credit Recreation Total <br /> <br />Zone <br /> <br />TOTAL AMOUNT $ <br /> <br />Exempt 0 Yes 0 No <br /> <br />LIBRARY FEE <br />Land Account <br /> <br />How Determined <br /> <br />Land Credit <br /> <br />Land Total <br /> <br />Facility Account ,,'-' <br /> <br />Facility Credit <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 />,01 <br /> <br />ERU <br /> <br />Prepared By <br /> <br />Checked By <br /> <br />NO CERTIFICATE OFIOCCUPANCYWILL B.E ISSUED OR FINAL INSPECTION <br />PERFORMEP!UNTIL THE TOTAL AMOl)NTS LISTED HAVE <br />BEEN PAID AND <br />RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY <br /> <br /> <br />Acknowledgement below does not 11 ply acceptance of concurrence, but simply receipt of a. copy of this form, placing <br />the building permit owne~on notice of this assessment and th~ conditions of payment for same. <br />I <br />I <br /> <br />DATE <br />RECEIPT NO. <br /> <br />~it.p ~9- DATE <br /> <br />RE""~BY. <br />\\. --I 0-05 BY ~~(br-f <br />