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� ,�� . <br /> �1 •1 <br /> C �` ,�1, <br /> 9 <br /> ,� .,. : .;: ;� PA��� CQIJNTY, FLO�IDA <br /> ��•� � � � ���aa � <br /> � •• �� Permit No, <br /> Date Permi�ted � <br /> �e �� !'�I�Gf/�'► _ Control# ' <br /> Builder Name/�Jwner Nam . . <br /> County Parcel No. � �2(p-2/-60(a- Ol� �XSO`�J� SubDiv: V�I��av • <br /> Address/Location �l���3� 01��c� u �" � `� �'6 . � <br /> Classification/Type of Usg �'� �m�1�(/ <br /> TRANSPORTATION IMPACT FEE � Rate: Sq �t Unit; z� ��3' <br /> Exempt � Yes [� No HoW Determined ' <br /> ' Impact Fee Amount $ 3(� 32�� Zone No. TAZ: <br /> . -� <br /> SCHOOL IMPACT FEE � <br /> Account (056) Single-Family Detached House Amount $ �', �7 (� . Z.� <br /> � (057) Mobile Home <br /> (058) Other Residentiai � <br /> 123) Collection Fee <br /> Exempt Yes [] No How Determined <br /> PARKS ANU RECR�ATION FEE � � <br /> Land Account Land Credit Land Total <br /> Recreation Account � Recreation Credit Recreatlon Total <br /> Zone � � . TOTAL AMOUNT $ -� 7� g, S� <br /> Exempt � Yes [] No How Determined <br /> LIBRARY FEE � � � � <br /> l.and Account �.and Credit Land Total. � <br /> Facility Account Faciljty Credit Facility Total . <br /> Exempt � Yes ❑ No How Determined � Total Amount <br /> RESOURCEFEE � ERU � � <br /> TOTALAMOUNT <br /> , , , � � <br /> Prepared By �� U� Checked Sy <br /> NO CERTIFICA7E OF OCCUPANCY WILL BE ISSUED OR �INAL INSPECTIQN <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> , BEEN PAID AIdD <br /> REC�IPTED FOR BY q CEIdT�tAL PERMITTING OFFICE.OF PASCO COUNTY <br /> Acknowledgement below does not Imply acceptance of concurrenGe,hut slmply recelpt of a copjr of this form,placing <br /> the building permit owne�on notice of this assassment and th�conditlons of payment for same. <br /> , . <br /> DATE R�CEIVEQ BY <br /> RECEIRT NO. DATE gY <br />� --- <br />