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<br />.' <br /> <br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Builder Namelowner Name ~J 7 <br />County Parcel No. 3'1..).. .s-~,.D ,t;O-dC.,eo-~~lO <br />Address/Location '37s~S- (i (! '1 15eo.. Ii 1<. <br />ClassificationfType of Us~ ~ to '( ( '4L tio1\L <br />TRANSPORTATION IMPACT FEE Rate: <br />Exempt D Yes ~ How Determined <br /> <br />Permit No. S!o I <br />Date Permitted '(~;{ -()S <br /> <br />Sq Ft Unit: <br /> <br />Impact Fee Amount $ IS ?~ <br /> <br />Zone No. <br /> <br />TAl: <br /> <br />SCHOOL IMPACT FEE <br />Account (056) Single-Family Detached House <br />(057) Mobile Home <br />(058) Othe Residential <br />123) 0 lection Fee <br />Exempt s D No How Determined <br /> <br />PARl(S AND RECREATION FEE <br />Land A.ls~unt . . Land Credit <br /> <br />Recreation ~ount Recreation Credit <br /> <br />Amount $ <br /> <br />Land Total <br /> <br />Recreation Total <br /> <br />Zone <br /> <br />TOTAL AMOUNT $ <br /> <br />Exempt 0 Yes <br /> <br /> <br />How Determined <br /> <br />LIBRARY FEE <br />Land Account <br /> <br />Facility Account <br /> <br />Exempt DYes D No <br /> <br />RESOURCE FEE <br />TOTAL AMOUNT <br /> <br />Prepared By <br /> <br />Land Total <br /> <br />Facility Total <br /> <br />Total Amount <br /> <br />ERU <br /> <br />NO CERTIFICATE OF OCCUPANCY WILL BE ISS D OR FINAL INSPECTION <br />PERFORMED UNTIL THE TOTAL AMOUNT 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 th~ conditions of payment for same. <br /> <br /> <br />DME R <br />RECEIPT NO. ~~L{c)l!, DATE ~ BY <br />