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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Permit No. &, ~ :!51 <br />Date Permitted 1;1.- p2 9 - o?:. <br /><!l~~d".'_N_am~wner Name 07" I-fl. :~. k.control # . . <br />County Parcel No. " 3 - ;2 t. .:.O;;Z ot> - 0"'''''''''-''''''''<> SubDiv: tl~ 0~ ~ <br />Address/Location Gbl/a ~~:&bh 0~. 106 - IDg' <br />Classificationffype of Us~ I~/~;()Dr 0 &AJrL. (~AL U.R4l.~ <br /> <br />TRANSPORTATION IMPACT FEE <br /> <br />Rate: <br /> <br />Sq Ft Unit: 3 I bl-l.3 <br /> <br />Exempt p."\(es D No <br />Impact Fee Amount $ <br /> <br />How Determined ,S, f). f,t.7 4~:5/ 'i"r,J <br />Zone No. T AZ: <br /> <br />SCHOOL IMPACT FEE <br />Account (056) Single-Family Detached House <br />(057) Mobile Home <br />(058) Other Residential <br />~23) Collection Fee <br />Exempt !,LJ. Yes D No How Determined <br /> <br />Amount $ <br /> <br />r~'. O. ~A/YYl--sa:rr-/ <br />/ <br /> <br />PARKS AND RECREATION FEE <br />Land Account Land Credit <br /> <br />Land Total <br /> <br />Recreation Account <br /> <br />Recreation Credit Recreation Total <br /> <br />Zone <br />Exempt 0 Yes PO- No <br /> <br />TOTAL AMOUNT $ <br /> <br />How Determined <br /> <br />'-....,."..__. . ,co" <br /> <br />LIBRARY FEE <br />Land Account <br /> <br />Land Credit <br /> <br />. Land Total <br /> <br />Facility Account <br /> <br />Facility Credit <br /> <br />Facility Total <br /> <br />Exempt DYes D No <br /> <br />RESOURCE FEE <br />TOTAL AMOUNT <br /> <br />How Determined <br /> <br />Total Amount <br /> <br />ERU <br /> <br />Prepared By <br /> <br />Checked 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 thl!) form, placing <br />the building permit owner on notice of this assessment and th~ conditions of payment for same. <br /> <br />DATE <br /> <br />RECEIVED BY <br /> <br />RECEIPT NO. <br /> <br />DATE <br /> <br />BY <br />