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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Builder Name/Owner Name (-=>\f'v-d ~v-\~ <br /> <br />Permit No. . 5<....\-d-. ~ <br />Date Permitted '~- -&0 <br /> <br />Control # <br /> <br />County Parcel No, 3L\ -25 - d. \ - uno - D0006 - ~~b SubDiv: Gran:\. 1-\oV-\ ~ <br />Address/Location 3/~ID Core,--\ lewIS Au - Lr.,,\- do.c-:> <br />ClassificationlType of Use 1f'n6b'\ L2.. !-k:tv-no._ <br /> <br />TRANSPORTATION IMPACT FEE <br /> <br />Rate: <br /> <br />Sq Ft Unit: <br /> <br />Exempt D Yes ~o <br /> <br />How Determined <br /> <br />Impact Fee Amount $ 1'5%~ ,CSD <br /> <br />Zone No. <br /> <br />TAl: <br /> <br />SCHOOL IMPACT FEE <br />Account (056) Single-Family Detached House Amount $ <br />(057) Mobile Home <br />(058) Other Residential <br />j)~) Collection Fee <br />Exempt L3'Yes 0 No How Determined <br /> <br />PARKS AND RECREATION FEE <br />Land Account ............ Land Credit Land Total <br />~, <br />Recreation Account '-'''-"Recreation Credit Recreation Total <br />'--. <br /> <br />Zone <br /> <br />----,..,J~OTAL AMOUNT <br /> <br />$ <br /> <br />Exempt DYes D No <br /> <br />How Determined <br /> <br />'.....,- <br /> <br />~ <br />'t:and_~redit <br />Facility CredR'--,_ <br /> <br />Land Total <br /> <br />LIBRARY FEE <br />Land Account <br /> <br />Facility Account <br /> <br />Facility Total <br /> <br />Exempt DYes 0 No <br /> <br />How Determined <br /> <br />""- <br /> <br />Total Amount <br /> <br />RESOURCE FEE <br />TOTAL AMOUNT <br /> <br />........ <br />~. <br /> <br />ERU <br /> <br />" <br /> <br />-, <br /> <br />Prepared By <br /> <br />Checke(;l 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 />