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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Permit No. ~ <Ot\3 <br />Date Permitted <br /> <br />Builder Name/Owner Name kL.f1'Y'OX"'l rC/Y1.~.( Control # <br />County Parcel No. 6@. o:2l.a- do I ~ 60\ 0- OOl'iS60- eel b SubDiv: <br />Address/Location lO'lC).. 3 6~(.I. TI'~Q C!.J.J.- - On, t- - 4Lf <br />Classification/Type of Us~ S \ 0c:~ ~ /Y"V\. ~ <br />T~ANSPORTATION IMPACT FEE, Rate: Sq Ft Unit: <br />Exempt 0 Yes Q"'No How Datermined <br /> <br />Impact Fee Amount $ 15'1S)('. 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 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 <br /> <br />RE;lcreation Total <br /> <br />Zone <br /> <br />TOTAL AMOUNT . $ <br /> <br />Exempt DYes 0 No <br /> <br />LIBRARY FEE <br />Land Account <br /> <br />Facility Account <br /> <br />La~redit Land Total <br />Facillty~ '. Facility Total <br />How Determine~_ Total Amount <br />-.......~ <br />-'- <br /> <br />Exempt DYes D No <br /> <br />RESOURCE FEE <br />TOTAL AMOUNT <br /> <br />'. ERU <br /> <br />Prepared By <br /> <br />Checked By <br /> <br />NO CI;:RTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br />PERFORMED UNTIL THE TOTAL AMO~NTS LISTED HAVE <br />BEEN PAlO AND <br />RECEIPTED FORSY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY <br /> <br />Acknowledgement below does not Imply acceptance of conC!lrrence, but simply receipt of a copy of this form, placing <br />the building permit owner on notice of this assessment and thE! conditions of payment for same. <br /> <br />D)\TE <br />RECEIPT NO. <br /> <br />RECEIVED BY <br /> <br />DATE <br /> <br />BY <br />