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<br /> <br />PASCOCOUNTY~ FLORIDA <br /> <br />Permit No. (0 I \ I <br />Date Permitted <br /> <br />Builder Name/Dwner Name t?t.;~ ('C/Y):-srt-('" Control # <br />County Parcel No. 6d - 01<0 ~ d, 1 ~ 60\ 0- 03%00- COI b subDiv: <br />Address/Location to {::JS ~(.L >1'"i'l:Y'Q.. C!.J.J.... - 0 () i t- - '3 <br />Classification/Type of Us~S I ~G ~~ <br />TRANSPORTATION IMPACT FEE, Rate: <br />Exempt DYes G:a"'No How Determined <br /> <br />Sq Ft Unit: <br /> <br />Impact Fee Amount $ 15'a<i? 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 />jg.3) Collection Fee <br />Exempt ~es 0 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 />RESOURCE FEE <br />TOTAL AMOUNT <br /> <br />How Determined <br /> <br />Total Amount <br /> <br />....................~, <br /> <br />.. ERU. <br /> <br />Prepared By <br /> <br />Checked By <br /> <br />NO Cl:RTIFICATE OF OCCUPANCY WILl.. BE ISSUED OR FINAL INSPECTION <br />PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br />BEEN PAID ANP <br />RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY <br /> <br />ACknowledgement below does not Imply accep!ahce of conc!Jrrence, but simply receipt of a copy of this form, placing <br />the building permit owner on notice of this assessment and thE! conditions of paymant for same. <br /> <br />DATE <br /> <br />RECEIVED BY <br /> <br />RECEIPT NO. <br /> <br />DATE <br /> <br />BY <br />