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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Permit No. Co.~ \ S <br />Date Pennltted <br /> <br />Builder Name/Owner Name t?\.,(~ l'C/Y")~.( Control # <br />County Parcel No. 6~ - 01(0 - d, I :.. 60\ C- ua'iSoo- CDI b subDlv: <br />Address/Location (0*1"0 I 6G...r.:..Dl . 'IT"\Z:Y'Q (!J.2L - 0 () i t- - \ <br />Classification/Type of Us~ S I~ ~~ <br />TRAjIISPORTATION IMPACT FEE, Rate: <br />Exempt DYes (?'No How Determined <br /> <br />Sq Ft Unit: <br /> <br />Impact Fee Amount $ Isea'\? C5b <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..:1~) Collection Fee <br />Exempt ~es D No How Determined <br /> <br />Amount $ <br /> <br />PARKS AND RECREATION FEE <br />Land Account . Land Credit <br /> <br />Recreation Account <br /> <br /> <br />Land Total <br /> <br />Recreation Credit Recreation Total <br /> <br />Zone <br /> <br />TOTAL AMOUNT $ <br /> <br />Exempt 0 Yes 0 No <br /> <br />L1BRARYFEJ: <br />Land Account <br /> <br /> <br />Land Total <br /> <br />Facility Account <br /> <br />Facility Total <br /> <br />Exempt 0 yes 0 No <br /> <br />RESOURCE FEE <br />TOTAL AMOLJNT <br /> <br />How Determinecl <br /> <br />Total Amount <br /> <br />................."...... <br /> <br />ERU <br /> <br />Prepared By <br /> <br />Checked By <br /> <br />NO CJ:RTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br />PERFORMED UNTIL THE TOTAL AMO~NTS LISTED HAVE <br />. BEEN PAID AND <br />RECEIPTED FORSY A CENTRAL PERMITTING OFFICE.OF PASCO COUNTY <br /> <br />Acknowledgement below does not Imply acceptance of concprrence, but simply receipt of e copy of this form, placing <br />the building permit owner on notice of this assessment and thEl conditions of payment for same. <br /> <br />DATE <br />RECEIPT NO. <br /> <br />RECEIVED BY <br /> <br />DATE <br /> <br />BY <br />