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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Builder NamelOwner Name (S~Gnd ~"\L.crr-. <br /> <br />Permit No. 5 y. '2 '6' <br />Date Permitted 0("" &-O(p <br /> <br />Control # <br /> <br />County Parcel No. 34 -2S. d-~ - O\,D - 00000 - 2toaoSubDiv: G,.(""cvc-d ~I(~~ <br />Address/Location 01<':'35 L.:, \\"-1 ~ Au L.o+- '2<00 <br />ClassificationlType of Use tylotlJ l.1L ~ <br /> <br />TRANSPORTATION IMPACT FEE <br /> <br />Rate: <br /> <br />Sq Ft Unit <br /> <br />Exempt D Yes Q1Jo <br /> <br />How Determined <br /> <br />Impact Fee Amount $ 15%<6'" .co <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.:1)3) Collection Fee <br />Exempt L1 Yes D No How Determined <br /> <br />Amount $ <br /> <br />Zone <br /> <br />PARKS AND RECREATION FEE <br />Land Account ~ Land Credit <br />~ <br />R'ecr-eation Credit <br />, ----..... <br />~---..... <br /> <br />TOTAl-AMOUNT <br />~- <br />>~ <br /> <br />Land Total <br /> <br />Recreation Account <br /> <br />Recreation Total <br /> <br />$ <br /> <br />Exempt <br /> <br />DYes D No <br /> <br />How Determined <br /> <br />LIBRARY FEE <br />Land Account <br /> <br />'~ <br />Land~it <br /> <br />..........""" "'--..." <br />-. <br /> <br />Land Total <br /> <br />Facility Account <br /> <br />Facility Credit <br /> <br />--- <br /> <br />~...... <br /> <br />Facility Total <br /> <br />,............. <br /> <br />Exempt DYes D No <br /> <br />-" <br /> <br />How Determined <br /> <br />Total Amount <br /> <br />RESOURCE FEE <br />TOTAL AMOUNT <br /> <br />........ <br />---0. <br /> <br />.0- <br /> <br />ERU <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 />RECEIPT NO. <br /> <br />RECEIVED BY <br /> <br />DATE <br /> <br />BY <br />