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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Permit No. 6 9 ~ <br />Date Permitted f';;-I(, -0 7 <br /> <br />Builder Name/Owner Name ~I~e S$uP..,.e~ti::ft..s.control # ' , <br /> <br />County Parcel No. 03-2f,-zl-D2.Do -600o<.rbOBD SubDiv: 2>lverba.k-.S <br /> <br />Address/Location & 23:' Mb D ~+ uk--h' l) " Dr- <br />~MU; ctLO (Sle.e.p (en-.kr ) <br /> <br />Classification/Type of Us,? <br /> <br />TRANSPORTATION IMPACT FEE. <br /> <br />Rate: <br /> <br />Sq Ft Unit: <br /> <br />Exempt 0 Yes 0 No <br /> <br />How Determined <br /> <br />Impact Fee Amount $ <br /> <br />n <br /> <br />TAl: <br /> <br />Zone No. <br /> <br />SCHOOL IMPACT FEE <br />Account (056) Single-Family Detached House <br />(057) Mobile Home <br />(058) other Residential <br />J.:123) Collection Fee <br />Exempt U Yes 0 No' How Determined <br /> <br />Amount $ <br /> <br />o <br /> <br />PARKS AND RECREATION FEE' <br />Land Account Land Credit <br /> <br />Land Total <br /> <br />Recreation Account <br /> <br />Recreation Credit <br /> <br />Recreation Total <br /> <br />Zone <br /> <br />TOTAL AMOUNT <br /> <br />$ <br /> <br />o <br /> <br />Exempt 0 Yes 0 No <br /> <br />LIBRARY FEE <br />Land Account <br /> <br />How Determined <br /> <br />Land Total <br /> <br />Land Credit <br /> <br />Facility Account <br /> <br />Facility Total <br /> <br />Facility Credit <br /> <br />Exempt 0 Yes 0 No <br /> <br />Total Amount <br /> <br />How Determined <br /> <br />RESOURCE FEE ERU <br />TOTAL AMOUNT () <br /> <br /> <br />Prep"ad By (~_ K;E'- ~ Checked By <br /> <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 thll! form, placing <br />the building permit owner On notice of this assessment and the conditions of payment for same. <br /> <br />DATE <br /> <br />RECEIVED BY <br /> <br />RECEIPT NO. <br /> <br />DATE <br /> <br />BY <br /> <br />U!f~ <br />