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<br /> <br />~. <br />. , ''1 <br /> <br />PASCO COUNTY~ 'FLORIDA <br /> <br />~:~:~~~/tted' ~~I~~_~ <br /> <br />Builder Name/Owner Name Q~'Y"rIru', o.JfY"'I~r. ~Qntrol # . . <br />. County Parcel No. 02-2lo~21:' C)C)\D- O~- [)6\QSubDlv: Df,A.J. IT~ <br />Address/Location (0'731 -Rnn ~ C J "'7 ~ () LA. - 1-:0-t- l <br />Classlfloatlon/Type of Us~ S (.n'SL~' ~~. .Of}..AU A'JD~ <br />TRANSPORTATION IMPACT FEE, Rate: Sq Ft Unit: <br />Exempt 0 Yes [9'"No HO)N DElterrnlned <br /> <br />Impact Fee Amount $. <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 />.Jj 2~ Collection Fee . <br />Exempt &:n'es 0 No How Deterrninf,ld <br /> <br />Amount $ <br /> <br />PARKS AND RECREATl N FEE <br />Land Aocount . Land Credit <br /> <br />Recreation Account <br /> <br /> <br />Land Total <br /> <br />RecreatIon Total <br /> <br />Zone <br /> <br />$ <br /> <br />Exempt 0 Yes 0 No <br /> <br />How DetermIned <br /> <br />LIBRARY FEE <br />Land Account <br /> <br />Facility Account <br /> <br />Facility Credit <br />How Determlneq <br /> <br /> <br />Land Total <br />Fac/llty Total <br /> <br />Exempt 0 Ves 0 No <br /> <br />'otal Amount <br /> <br />RESOURCE FEE. <br />TOTAL AMOUNT <br /> <br />. ~ f] 5% <br /> <br />. ERU <br /> <br />Prepared By <br /> <br /><.3' <br /> <br />Checked By <br /> <br />NO CERTIFICATE OF OCCUPANCY WILL. BE ISSUED OR FINAL INSPECTION <br />PERFORMED UNTIL THE TOTAL AMOl,INTS LISTED HAVE <br />. . BEEN PAID AND <br />RECEIPTED FOR13Y A CENTRAL PERMITTING OFfICE OF PASCO COUNTY <br />. . <br /> <br />Acknowledgement below does not Imply acceptence of conCIJrrenpe, but simply receipt of a copy of !hI!! fonn, placing <br />. . the buildIng penn/t owner on notice of thl!! al!l!sssment al)d the conditions of vment for same. <br /> <br /> <br />.'3.21- 01 <br />DATE R <br />RECEJPTNO. I () JV4~ATE' 3--Z7-o7By <br />