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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Permit No. 53 <6'1 <br />Date Permitted d-\5- 0(0 <br /> <br />Builder Name/Owner Name B~,< ()c-C(X2-<"4\.(' s <br /> <br />Control # <br /> <br />County Parcel No. , , - 01. <a - d. \ - 00, (:) - C> I ~OD _ 0\ 5cJ SubDiv: <br />Address/Location-5CO, I (-tr\ 'S\- <br />Classificationrrype of Use UupLv-y <br /> <br />TRANSPORTATION IMPACT FEE <br /> <br />Rate: <br /> <br />Sq Ft Unit: <br /> <br />Exempt D Yes ~ <br /> <br />How Determined <br /> <br />Impact Fee Amount $ \ '5~<6 . 0-0 <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) Other Residential <br />J.:123) Csillefltion Fee <br />Exempt U Yes bJ'No How Determined <br /> <br />Amount $ .Lf '3 5 '7. I <+ <br /> <br />PARKS AND RECREATION FEE <br />Land A nt Land Credit Land Total <br /> <br /> <br />Recreation Credit Recreation Total <br /> <br />Zone <br /> <br />TOTAL AMOUNT <br /> <br />$ <br /> <br />Exempt D Yes D No <br /> <br />LIBRARY FEE <br />Land Account <br /> <br />How Determined <br /> <br /> <br />Land Credit <br /> <br />Land Total <br /> <br />Facility Account <br /> <br /> <br />Facility Total <br /> <br />Exempt D Yes D No <br /> <br />Total Amount <br /> <br />RESOURCE FEE <br />TOTAL AMOUNT <br /> <br />Prepared By Check.e~y <br />" <br />" <br />" <br />NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED ~NAL INSPECTION <br />" <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 />RECEIPT NO. <br /> <br />RECEIVED BY <br /> <br />DATE <br /> <br />BY <br />