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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Permit No. <br />Date Permitted <br /> <br />635Y <br />1 1~7 /00:.> <br />, <br /> <br />Builder Name/Owner Name (-..:>12 H n\) ~~\ ~ <br /> <br />Control # <br /> <br />County Parcel No. :SL\-&5;;J. \ - 0\40- OOcoo- I~(OO SubDiv: G~An\) f-\u\{\~ <br /> <br />Address/Location 374CY7 G'l \ t ~e... <br /> <br />2-U\- \ Dt L:> <br /> <br />ClassificationlType of Use mob~ u- \-+U'.~ <br /> <br />TRANSPORTATION IMPACT FEE <br /> <br />Rate: <br /> <br />Sq Ft Unit: <br /> <br />Exempt DYes [2(No <br /> <br />How Determined <br /> <br />Impact Fee Amount $ \5~<6.0 0 <br /> <br />Zone No. <br /> <br />TAZ: <br /> <br />SCHOOL IMPACT FEE <br />Account (056) Single-Family Detached House <br />(057) Mobile Home <br />(058) Other Residential <br />.J:12}) Collection Fee <br />Exempt l..!J'Yes D No How Determined <br /> <br />Amount $ <br /> <br />PARKS AND RECREATION FEE <br />Land Account -...., ..~, Land Credit <br />----.. <br />-----'---.. <br /> <br />Land Total <br /> <br />Recreation Account <br /> <br /> <br />Recreation Total <br /> <br />Zone <br /> <br />AMOUNT $ <br /> <br />Exempt DYes D No <br /> <br />LIBRARY FEE <br />Land Account <br /> <br />How Determined <br /> <br />------------ <br /> <br /> <br />Land Total <br /> <br />Facility Account <br /> <br />Exempt DYes D No <br /> <br />How Determined <br /> <br /> <br />Facility Total <br /> <br />Total Amount <br /> <br />RESOURCE FEE <br />TOTAL AMOUNT <br /> <br />ERU <br /> <br />.'-.-.--------- <br />-...._-.~ <br /> <br />---~...- <br /> <br />Prepared By <br /> <br />Checked By <br /> <br />NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br />PERFORMED UNTIL THE TOTAL AMOUNTS 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 the conditions of payment for same. <br /> <br />DATE <br /> <br />RECEIVED BY <br /> <br />RECEIPT NO. <br /> <br />DATE <br /> <br />BY <br />