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<br />~ <br /> <br /> <br />,r <br /> <br />tit <br /> <br />u <br /> <br />PAS1.O COUNTY, FLORIDA <br /> <br /> <br />Permit No. <br />Date Permitted <br /> <br />.So "75- <br />/f'-2tf-o.s <br /> <br /> <br />Builder Name/Owner Name <br /> <br />f/)VvY) ~ ]:;1 C . Control # <br /> <br />County Parcel No. <br /> <br />Address/Location <br /> <br />SubDiv: <br /> <br />ClassificationlType of Us~ <br /> <br />TRANSPORTATION IMPA, FE, Rate: <br />Exempt DYes G:}No ow Determined <br />Impact Fee Amount $ I") <r Zone No. <br /> <br />SCHOOL IMPACT FEE <br />Account (056) Single-Famil !Detached House <br />(057) Mobile Hom <br />(058) Other Resld tial <br />.J.:123) C2!!~n Fe <br />Exempt U Yes L:1 No ow Determined <br /> <br />P RKS AND RECREATION FE <br />Lan~ Account <br />\ <br />\ <br />Recre~on Account <br /> <br />Zone \\ <br /> <br />Exempt ~Yes 0 No <br />"- <br />LIBRARY FEE "'" <br />Land Account "'- <br />" <br /> <br />Facility Account <br /> <br />TAZ: <br /> <br />Amount $ <br /> <br />13,) 7.1 L/ <br /> <br /> <br />Land Total <br /> <br />Recreation Credit Recreation Total <br /> <br />TOTAL AMOUNT $ <br /> <br /> <br />Land Total <br /> <br />Facility Total <br /> <br />Exempt DYes D No <br /> <br />RESOURCE FEE qt <br />TOTAL AMOUNT.PI <br /> <br />Total Amount <br /> <br />ERU <br /> <br />Prepared By ""'~eCked By <br />"'- <br />., <br />. " <br />NO CERTIFICATE OF OC UPANCY WILL BE ISSUED OR FINAL INSPECTION <br />PERFORMED U tlL THE TOTAL AMOUNTS LISTED HAVE <br />BEEN PAID AND <br />RECEIPTED FOR BY A C NTRAL PERMITTING OFFICE OF PASCO COUNTY <br /> <br />Acknowledgement below does not Imply cpeptance of concurrence, but simply receipt of a copy of this form, placing <br />the building permit owner on n tlce of this assessment and th~ conditions of payment for same. <br /> <br />DATE <br />RECEIPT NO. () 0 (,1'd1IV ~TE <br /> <br />RECEIVED BY <br /> <br />BY <br /> <br />I <br /> <br />, <br />i <br />[ <br />I <br />I <br />I <br />l <br />f <br /> <br />I <br /> <br />l <br />l <br /> <br />, <br />\. <br />