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<br />_ 0 <br /> <br /> <br />PASCO COUNTY, FLORlqA <br /> <br />~:~~~~~ltted f~~~-o~ <br /> <br />Control # <br /> <br />Builder Name/Owner Name nQ.u..) \"'r\.L.l1.L'fYJnl,., 0 <br /> <br />PATE <br />RECEIPT NO. <br /> <br />County Pafcel No. \ \ - O><.e -oH _ t)C:M") _ C~ 7700 - ('a5( SubDiv: <br />Address/Location 5 <t;; I 4- \ C1--t1r\ S+ <br /> <br />- <br /> <br />ClassificationlType of Us~ 6 I 0") L 0 . ~ /Y"':r\: Q L ( If? Q ~ ~ L' Q <br /> <br />Sq Ft Unit: <br /> <br />TRANSPORTATION IMPACT FEE, Rate: <br />f:xempt D Yes ~o How Datermlned <br /> <br />Impact Fee Amount $ \ 5 'is <6 .0-0 <br /> <br />Zone No. <br /> <br />TAZ: <br /> <br />SCHOOL IMPACT FEE <br /> <br />Single-Family Detached House <br />Moplle Home <br />Other Residential <br />Collection Fee <br />Q-No . How PetermlnE;ld <br /> <br />Amount $ Y-35'I, I t.f <br /> <br />Account <br /> <br />(056) <br />(057) <br />(058) <br />J:123) <br />U yes <br /> <br />Exempt <br /> <br />Land Total <br /> <br />PARKS AND RECREATION FEE <br />Land Account Land Credit <br /> <br /> <br />Recreation Total <br /> <br />$ <br /> <br />Exempt DYes 0 No <br /> <br />LIBRARY FE!: <br />Land Account <br /> <br />Exempt DYes D No <br /> <br />RESOURCE FEE <br />TOTAL AMOUNT <br /> <br />Recreation Account <br /> <br />Zone <br /> <br />Facility Account <br /> <br />How petermined <br /> <br />Land Credit <br /> <br />Land Total <br /> <br /> <br />Facility Total <br /> <br />How Determined <br /> <br />Total Amount <br /> <br />Prepared By <br /> <br />Checked By <br /> <br />NO CI:RTfFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br />PERFORMED UNTIL THE TOTAL AMOl,JNTS LISTED HAVE <br />BEEN PAID ANP <br />R!:CEIPTED FOR BY A CENTRAL PJ:RMITTING OFFICE OF PASCO COUNTY <br /> <br />Acknowledgement below does not Imply accep~ahce of concurrence, but simply receipt of a copy of this form, plaolng <br />the building permit owner on noUce of this assessment al'!d thE! conditions of payment for same. <br /> <br />RECEIVED BY <br /> <br />DATE <br /> <br />BY <br />